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CARBOHYDRATES
Dr. Neelam H. Zaidi
Introduction
 Carbohydrates are one of the four major classes
of biological macromolecules.
 Carbohydrates are also the most abundant
organic molecules in nature.
 Carbohydrates derive their name from the
general formula (CH2O)n or CnH2nOn, n≥3
(hydrate of carbon)
 Carbohydrates contain the elements carbon,
hydrogen and oxygen.
 Carbohydrates are carbon compounds that contain
large quantities of hydroxyl groups.
 Saccharide means sugar; -ose indicates sugar
 They are oxidized in living cells to produce CO2,
H2O and energy.
Introduction
 Wide range of functions in living systems:
 Nutritional (fuels, energy storage, metabolic
intermediates)
 Structural (components of cell membrane and
nucleotides, plant and bacterial cell walls,
exoskeletons of insects, animal connective
tissue)
Functions
 Informational (cell surface of eukaryotes --
molecular recognition, cell-cell communication)
 Osmotic pressure regulation
 Precursor for synthesis of all other
carbohydrates in the body----glycogen,
ribose/deoxyribose, galactose
Functions
According to the number of subunits, all
carbohydrates can be classified as
Monosaccharides 1(simple sugars)
Disaccharides 2
Oligosaccharides 3-10
Polysaccharides >10
Classification
 Monosaccharides -- one unit, cannot be broken
down (glucose, fructose, galactose)
 Disaccharides--Two units of monosaccharides.
(sucrose, lactose)
 Oligosaccharides--three to ten units. Few (ABO
blood groups)
 Polysaccharides-- much larger, containing
hundreds of monosaccharide units. Many
(glycogen, starch, cellulose)
Classification
Other Forms of Carbohydrates
 Carbohydrates also can combine with lipids to
form glycolipids.
 Or combine with proteins to form glycoproteins.
 Components of cell membranes and receptors.
Monosaccharides
 Cannot be hydrolyzed to small molecules.
 Colorless, crystalline compounds.
 Freely soluble in water.
 Most have a sweet taste.
 Contain three to seven carbons with functional
aldehyde or keto group are present in nature.
 Carbon atoms at backbone are linked by single
bonds.
Monosaccharides
 Glucose is present in our blood and gives rise to
energy on oxidation, the most abundant.
 Fructose is the sweetest sugar, found in fruits and
honey. Also added to soft drinks, deserts.
 Galactose is constituent of lactose (milk sugar)
 According to the functional group that
monosaccharides contain:
 Aldoses: aldehyde group
 Ketoses: keto group
Classification of
Monosaccharides
 Based on the number of carbon atoms, the
monosaccharides are named
Trioses C3
Tetroses C4
Pentoses C5
Hexoses C6
Heptoses C7
Classification of
Monosaccharides
Examples
Physical
Properties of
Monosaccharides
 Compounds that have the same chemical formula,
but have different arrangement of the atoms in
space.(different structures).
 Examples of isomers (C6H12O6) :
1.Glucose
2.Fructose
3.Galactose
4.Mannose
Isomers
Example
Mannose
Example
Epimers
Epimers are sugars that differ in
configuration at ONLY one specific
carbon atom.
With the exception of the carbonyl
carbon
 Examples of epimers :
 glucose & galactose (epimeric at C4)
 glucose & mannose (epimeric at C2)
4 4
Example
2 2
Example
Enantiomers
Non-superimposable COMPLETE mirror
image
A special type of isomerism.
The two members of the pair are
designated as D and L forms.
Majority of the sugars in humans are D-
sugars.
Enantiomers
In the D form, the –OH group on the
asymmetric (chiral) carbon farthest from the
carbonyl carbon is on the right.
In the L form, -OH group is on the left.
Enzymes are specific for each form.
Racemases can interconvert D- and L-form.
Example
 Less than 1% of monosaccharides exist in the
open chain form in solution.
 Predominantly found in ring form or cyclic
structure.
 Involving reaction of C-5 OH group with the C-1
aldehyde group or C-2 of keto group.
Cyclization of
Monosaccharides
Example
Example
New Terms
 Six membered ring structures are called
Pyranoses .
 Five membered ring structures are called
Furanoses .
 The carbonyl carbon after cyclization becomes
the anomeric carbon.
 This creates α and β configuration, that are
anomers of each other.
 In α configuration the -OH is on the same side of
the ring in Fischer projection. In Haworths it is
on the trans side of CH2OH
Anomeric Carbon
Two projections
Example
Cont’d
 Such α and β configuration are called
diastereomers and they are not mirror images.
 Enzymes can distinguish between α and β these
two forms.
 α and β anomers spontaneously interconvert in
solution. This is called mutarotation.
Example
Glycogen Cellulose
 If –OH on the anomeric carbon of a cyclized sugar
is not linked to another compound, it can act as a
reducing agent and is termed a reducing sugar.
 All monosaccharides are reducing sugars.
 Such sugars can react with chromogenic agents
causing the reagent to be reduced and colored.
 A colorimetric test can detect a reducing sugar in
urine.
Reducing Sugars
 When a beam of plane-polarized light is passed
through a solution containing monosaccharides
the light will be rotated.
 This rotation is because of the presence of
asymmetric carbon atom.
 If it is rotated towards left- levorotatory (-)
 If it is rotated towards right- dextrorotatory(+)
 In solution, glucose is dextrorotatory, and glucose
solutions are sometimes known as dextrose.
Optical Activity
 Monosaccharides can be joined to form
di/oligo/poly-saccharides.
 The bonds that link sugars are called glycosidic
bonds.
 Glycosidic bonds are named according to the
numbers of carbons and the position of
–OH.(more details in video)
Joining of Monosaccharides
Example
H2O
 Carbohydrates can be attached by glycosidic
bonds to noncarbohydrate structures including:
 Purine and pyrimidine (found in nucleic acids)
 Aromatic rings (steroids and bilirubin)
 Proteins (glycoproteins and proteoglycans)
 Lipids (glycolipids)
 To form glycosides.
Complex Carbohydrates
 Disaccharides consist of two monosaccharide units.
 Glycosidic bond joints individual monosaccharides.
 Glucose is always present.
 Maltose, lactose and sucrose are examples.
 All disaccharides yields energy after their hydrolysis to
constituent monosaccharides.
Lactose
Maltose
Disaccharides
Example
Oligosaccharides
 They consist of short chains of monosaccharide
units or residues, joined by glycosidic bonds.
 They are trisaccharides, tetrasaccharides etc.
 Example: Maltotriose=Glucose+Glucose+Glucose
Polysaccharides
 Made up of more than ten monosaccharide units.
 They are polymers of monosaccharides, called
glycan.
 They serve structural and storage functions.
 Devided into
 HOMOpolysaccharides (all 1 type of monomer), e.g.,
glycogen, starch, cellulose, dextrins
 HETEROpolysaccharides (two or more different types of
monomer), e.g., glycoproteins, glycosaminoglycans
 Starch: glucose storage from plant sources. (tubers,
rice, wheat, pulses, grains etc)
 Starch -- 2 polymeric forms:
 Amylose: linear polymer of α(1 4) linked
glucose residues
 Amylopectin: branched polymer of α(1 4) linked
glucose residues with α(1 6) linked branches
Homopolysaccharides
 Glycogen: storage polysaccharides in animals.
 Present in liver and skeletal muscle.
 α(1 4) linkages in straight glucose chain,
residues with α(1 6) glycosidic bond linked
branches
 Like amylopectin but even more highly branched
and more compact
 Branches increase H2O-solubility
Homopolysaccharides
 Cellulose: structural polysaccharide in plants. (cell
wall)
 Fibrous, tough, water insoluble.
 Homopolymer, linear, unbranched, β(1 4) linked
glucose residues.
 Human cannot use cellulose because they lack of
enzyme(cellulase) to hydrolyze the β(1 4)
linkages.
 Dietary fiber.
Homopolysaccharides
 Dextrins: products of partial hydrolysis of starch.
 Highly branched homopolymers of glucose units.
 Do not easily go out of vascular compartment so
they are used for intravenous infusion as plasma
volume expander in the treatment of hypovolemic
shock.
Homopolysaccharides
 Glycosaminoglycans: GAGS
 Can bind large amounts of water so produce the
gel-like matrix.
 Stabilize and support cellular and fibrous
components of tissue.
 Anticoagulant (Heparin).
 Synovial fluid, serves as lubricant in joints, tendon
sheaths.
Heteropolysaccharides
 Glycoproteins
 Glycophorin, a glycoprotein found in human red cell
membranes.
 Human gastric glycoprotein (mucin)---Lubricant &
protective agent
 Collagen---Structural molecule
 Transferrin & Ceruloplasmin---Transport
 Immunoglobulin---Immunity
 Alkaline phosphatase---Enzymatic activity
 Many protein hormones, receptors
Heteropolysaccharides
 Carbohydrates present in food are polysaccharides,
disaccharides and very small amounts of
monosaccharides.
 Carbohydrate digestion: Is a process that
hydrolyzes food polysaccharides to their
constituent monosaccharides.
Digestion of Carbohydrates
 Main sites are the mouth and intestinal lumen.
 The digestion is rapid and is catalyzed by glycoside
hydrolases (glycosidases) that hydrolyze glycosidic
bonds.
 Glycosidases are specific for the structure and
configuration of the glycosyl residue and the type of
bond to be broken.
Digestion of Carbohydrates
 Digestion in Mouth
 Carbohydrates come in contact with saliva during
mastication.
 Saliva contains a carbohydrate splitting enzyme
called salivary α-amylase
 Hydrolyze α (1 4) glycosidic linkage
 Digest product is called dextrins
Digestion
 Digestion in Stomach: no enzymes are available in gastric
juice.
 Digestion in Duodenum
Pancreatic juice contains pancreatic amylase
Hydrolyze α (1 4) glycosidic linkage
 Digestion in Small Intestine
Pancreatic amylase
Lactase
Maltase
Sucrase
Digestion
 Small Intestine
 Mechanism of absorption
1. Passive facilitated diffusion
Fructose: GLUT-5
Concentration gradients
2.Active transport: glucose and galactose
Na+ symporter: SGLT-1
Requires energy
Absorption of Carbohydrates
Different sugars have different mechanisms of
absorption.
Absorption of Carbohydrates
 Lactose→ glucose + galactose
lactase
 For deficiency, lactose remains in the intestines and
gets fermented by the bacteria.
 The condition is called as lactose intolerance (Adult
hypolactasia)
 Watery diarrhea, abnormal intestinal flow, chloeic
pain, flatulence.
 No milk: yogurt or cheese
Lactose Intolerance
Lactose Intolerance
 Champ M, Langkilde A-M, Brouns F, et al: Advances in dietary fibre
characterisation. Nutrition Res Rev 2003;16:(1)71–82.
 Garg HC, Cowman KM, Hales CA: Carbohydrate Chemistry, Biology and
Medical Applications. Elsevier, 2008.
 Kiessling LL, Splain RA: Chemical approaches to glycobiology. Ann Rev
Biochem 2010;79:619–653.
 Lindhorst TK, Thisbe K: Essentials of Carbohydrate Chemistry and
Biochemistry, 3rd ed. Wiley-VCH, 2007.
 Sinnott M: Carbohydrate Chemistry and Biochemistry: Structure and
Mechanisms, Royal Society of Chemistry, 2007
 https://www.slideshare.net/abdulhaseeb11/carbohydrate-metabolism -
15554498
 https://www.slideshare.net/CantDecideMyUsername/introduction-to-
carbohydrates
References

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4.1 carbohydrates.ppt

  • 2. Introduction  Carbohydrates are one of the four major classes of biological macromolecules.  Carbohydrates are also the most abundant organic molecules in nature.  Carbohydrates derive their name from the general formula (CH2O)n or CnH2nOn, n≥3 (hydrate of carbon)
  • 3.  Carbohydrates contain the elements carbon, hydrogen and oxygen.  Carbohydrates are carbon compounds that contain large quantities of hydroxyl groups.  Saccharide means sugar; -ose indicates sugar  They are oxidized in living cells to produce CO2, H2O and energy. Introduction
  • 4.  Wide range of functions in living systems:  Nutritional (fuels, energy storage, metabolic intermediates)  Structural (components of cell membrane and nucleotides, plant and bacterial cell walls, exoskeletons of insects, animal connective tissue) Functions
  • 5.  Informational (cell surface of eukaryotes -- molecular recognition, cell-cell communication)  Osmotic pressure regulation  Precursor for synthesis of all other carbohydrates in the body----glycogen, ribose/deoxyribose, galactose Functions
  • 6. According to the number of subunits, all carbohydrates can be classified as Monosaccharides 1(simple sugars) Disaccharides 2 Oligosaccharides 3-10 Polysaccharides >10 Classification
  • 7.  Monosaccharides -- one unit, cannot be broken down (glucose, fructose, galactose)  Disaccharides--Two units of monosaccharides. (sucrose, lactose)  Oligosaccharides--three to ten units. Few (ABO blood groups)  Polysaccharides-- much larger, containing hundreds of monosaccharide units. Many (glycogen, starch, cellulose) Classification
  • 8. Other Forms of Carbohydrates  Carbohydrates also can combine with lipids to form glycolipids.  Or combine with proteins to form glycoproteins.  Components of cell membranes and receptors.
  • 9. Monosaccharides  Cannot be hydrolyzed to small molecules.  Colorless, crystalline compounds.  Freely soluble in water.  Most have a sweet taste.  Contain three to seven carbons with functional aldehyde or keto group are present in nature.  Carbon atoms at backbone are linked by single bonds.
  • 10. Monosaccharides  Glucose is present in our blood and gives rise to energy on oxidation, the most abundant.  Fructose is the sweetest sugar, found in fruits and honey. Also added to soft drinks, deserts.  Galactose is constituent of lactose (milk sugar)
  • 11.  According to the functional group that monosaccharides contain:  Aldoses: aldehyde group  Ketoses: keto group Classification of Monosaccharides
  • 12.
  • 13.  Based on the number of carbon atoms, the monosaccharides are named Trioses C3 Tetroses C4 Pentoses C5 Hexoses C6 Heptoses C7 Classification of Monosaccharides
  • 16.  Compounds that have the same chemical formula, but have different arrangement of the atoms in space.(different structures).  Examples of isomers (C6H12O6) : 1.Glucose 2.Fructose 3.Galactose 4.Mannose Isomers
  • 19. Epimers Epimers are sugars that differ in configuration at ONLY one specific carbon atom. With the exception of the carbonyl carbon  Examples of epimers :  glucose & galactose (epimeric at C4)  glucose & mannose (epimeric at C2)
  • 22.
  • 23. Enantiomers Non-superimposable COMPLETE mirror image A special type of isomerism. The two members of the pair are designated as D and L forms. Majority of the sugars in humans are D- sugars.
  • 24.
  • 25.
  • 26. Enantiomers In the D form, the –OH group on the asymmetric (chiral) carbon farthest from the carbonyl carbon is on the right. In the L form, -OH group is on the left. Enzymes are specific for each form. Racemases can interconvert D- and L-form.
  • 28.  Less than 1% of monosaccharides exist in the open chain form in solution.  Predominantly found in ring form or cyclic structure.  Involving reaction of C-5 OH group with the C-1 aldehyde group or C-2 of keto group. Cyclization of Monosaccharides
  • 31. New Terms  Six membered ring structures are called Pyranoses .  Five membered ring structures are called Furanoses .
  • 32.  The carbonyl carbon after cyclization becomes the anomeric carbon.  This creates α and β configuration, that are anomers of each other.  In α configuration the -OH is on the same side of the ring in Fischer projection. In Haworths it is on the trans side of CH2OH Anomeric Carbon
  • 35.
  • 36. Cont’d  Such α and β configuration are called diastereomers and they are not mirror images.  Enzymes can distinguish between α and β these two forms.  α and β anomers spontaneously interconvert in solution. This is called mutarotation.
  • 38.  If –OH on the anomeric carbon of a cyclized sugar is not linked to another compound, it can act as a reducing agent and is termed a reducing sugar.  All monosaccharides are reducing sugars.  Such sugars can react with chromogenic agents causing the reagent to be reduced and colored.  A colorimetric test can detect a reducing sugar in urine. Reducing Sugars
  • 39.  When a beam of plane-polarized light is passed through a solution containing monosaccharides the light will be rotated.  This rotation is because of the presence of asymmetric carbon atom.  If it is rotated towards left- levorotatory (-)  If it is rotated towards right- dextrorotatory(+)  In solution, glucose is dextrorotatory, and glucose solutions are sometimes known as dextrose. Optical Activity
  • 40.  Monosaccharides can be joined to form di/oligo/poly-saccharides.  The bonds that link sugars are called glycosidic bonds.  Glycosidic bonds are named according to the numbers of carbons and the position of –OH.(more details in video) Joining of Monosaccharides
  • 42.  Carbohydrates can be attached by glycosidic bonds to noncarbohydrate structures including:  Purine and pyrimidine (found in nucleic acids)  Aromatic rings (steroids and bilirubin)  Proteins (glycoproteins and proteoglycans)  Lipids (glycolipids)  To form glycosides. Complex Carbohydrates
  • 43.  Disaccharides consist of two monosaccharide units.  Glycosidic bond joints individual monosaccharides.  Glucose is always present.  Maltose, lactose and sucrose are examples.  All disaccharides yields energy after their hydrolysis to constituent monosaccharides. Lactose Maltose Disaccharides
  • 45. Oligosaccharides  They consist of short chains of monosaccharide units or residues, joined by glycosidic bonds.  They are trisaccharides, tetrasaccharides etc.  Example: Maltotriose=Glucose+Glucose+Glucose
  • 46. Polysaccharides  Made up of more than ten monosaccharide units.  They are polymers of monosaccharides, called glycan.  They serve structural and storage functions.  Devided into  HOMOpolysaccharides (all 1 type of monomer), e.g., glycogen, starch, cellulose, dextrins  HETEROpolysaccharides (two or more different types of monomer), e.g., glycoproteins, glycosaminoglycans
  • 47.  Starch: glucose storage from plant sources. (tubers, rice, wheat, pulses, grains etc)  Starch -- 2 polymeric forms:  Amylose: linear polymer of α(1 4) linked glucose residues  Amylopectin: branched polymer of α(1 4) linked glucose residues with α(1 6) linked branches Homopolysaccharides
  • 48.
  • 49.  Glycogen: storage polysaccharides in animals.  Present in liver and skeletal muscle.  α(1 4) linkages in straight glucose chain, residues with α(1 6) glycosidic bond linked branches  Like amylopectin but even more highly branched and more compact  Branches increase H2O-solubility Homopolysaccharides
  • 50.
  • 51.  Cellulose: structural polysaccharide in plants. (cell wall)  Fibrous, tough, water insoluble.  Homopolymer, linear, unbranched, β(1 4) linked glucose residues.  Human cannot use cellulose because they lack of enzyme(cellulase) to hydrolyze the β(1 4) linkages.  Dietary fiber. Homopolysaccharides
  • 52.  Dextrins: products of partial hydrolysis of starch.  Highly branched homopolymers of glucose units.  Do not easily go out of vascular compartment so they are used for intravenous infusion as plasma volume expander in the treatment of hypovolemic shock. Homopolysaccharides
  • 53.  Glycosaminoglycans: GAGS  Can bind large amounts of water so produce the gel-like matrix.  Stabilize and support cellular and fibrous components of tissue.  Anticoagulant (Heparin).  Synovial fluid, serves as lubricant in joints, tendon sheaths. Heteropolysaccharides
  • 54.  Glycoproteins  Glycophorin, a glycoprotein found in human red cell membranes.  Human gastric glycoprotein (mucin)---Lubricant & protective agent  Collagen---Structural molecule  Transferrin & Ceruloplasmin---Transport  Immunoglobulin---Immunity  Alkaline phosphatase---Enzymatic activity  Many protein hormones, receptors Heteropolysaccharides
  • 55.  Carbohydrates present in food are polysaccharides, disaccharides and very small amounts of monosaccharides.  Carbohydrate digestion: Is a process that hydrolyzes food polysaccharides to their constituent monosaccharides. Digestion of Carbohydrates
  • 56.  Main sites are the mouth and intestinal lumen.  The digestion is rapid and is catalyzed by glycoside hydrolases (glycosidases) that hydrolyze glycosidic bonds.  Glycosidases are specific for the structure and configuration of the glycosyl residue and the type of bond to be broken. Digestion of Carbohydrates
  • 57.
  • 58.  Digestion in Mouth  Carbohydrates come in contact with saliva during mastication.  Saliva contains a carbohydrate splitting enzyme called salivary α-amylase  Hydrolyze α (1 4) glycosidic linkage  Digest product is called dextrins Digestion
  • 59.
  • 60.  Digestion in Stomach: no enzymes are available in gastric juice.  Digestion in Duodenum Pancreatic juice contains pancreatic amylase Hydrolyze α (1 4) glycosidic linkage  Digestion in Small Intestine Pancreatic amylase Lactase Maltase Sucrase Digestion
  • 61.  Small Intestine  Mechanism of absorption 1. Passive facilitated diffusion Fructose: GLUT-5 Concentration gradients 2.Active transport: glucose and galactose Na+ symporter: SGLT-1 Requires energy Absorption of Carbohydrates
  • 62. Different sugars have different mechanisms of absorption. Absorption of Carbohydrates
  • 63.  Lactose→ glucose + galactose lactase  For deficiency, lactose remains in the intestines and gets fermented by the bacteria.  The condition is called as lactose intolerance (Adult hypolactasia)  Watery diarrhea, abnormal intestinal flow, chloeic pain, flatulence.  No milk: yogurt or cheese Lactose Intolerance
  • 65.
  • 66.  Champ M, Langkilde A-M, Brouns F, et al: Advances in dietary fibre characterisation. Nutrition Res Rev 2003;16:(1)71–82.  Garg HC, Cowman KM, Hales CA: Carbohydrate Chemistry, Biology and Medical Applications. Elsevier, 2008.  Kiessling LL, Splain RA: Chemical approaches to glycobiology. Ann Rev Biochem 2010;79:619–653.  Lindhorst TK, Thisbe K: Essentials of Carbohydrate Chemistry and Biochemistry, 3rd ed. Wiley-VCH, 2007.  Sinnott M: Carbohydrate Chemistry and Biochemistry: Structure and Mechanisms, Royal Society of Chemistry, 2007  https://www.slideshare.net/abdulhaseeb11/carbohydrate-metabolism - 15554498  https://www.slideshare.net/CantDecideMyUsername/introduction-to- carbohydrates References

Editor's Notes

  1. -OH
  2. 2-10 monosaccharide units
  3. Sucrose: table sugar; ABO 3 or 4 carbon sugar Building blocks
  4. 6 carbon sugers
  5. 6 carbon sugers high-fructose corn syrup
  6. 4C,8H
  7. D,L the orientation of -OH and -H groups around the carbon atom adjacent to the terminal alcohol carbon determines its DL form. when the -OH group on this carbon is on the right ,its D-series. D and L configuration are also called enantiomers.
  8. Galactose and mannose are not epimers(C2,C4)
  9. A carbon linked to four different atoms or groups Also called Chiral carbon
  10. D,L the orientation of -OH and -H groups around the carbon atom adjacent to the terminal alcohol carbon determines its DL form. when the -OH group on this carbon is on the right ,its D-series. D and L configuration are also called enantiomers.
  11. left side is linear structure.right side is cyclic struction of the same compound
  12. left side is linear structure.right side is cyclic struction of the same compound
  13. Below or above the plane of ring
  14. configuration
  15. Anomeric carbon
  16. Anomeric
  17. With hemiacetal
  18. Alfa 1,2
  19. glycosidic
  20. Dextran consists of α-1,6 glycosidic linkages between glucose monomers, with branches from α-1,3 linkages. This characteristic branching distinguishes a dextran from a dextrin, which is a straight chain glucose polymer tethered by branch chain α-1,4 or main chain α-1,6 linkages
  21. Glycophorin: imparts negative charge to the cell, reducing interaction with other cells Mucin, lubrication, aggregation of bacteria.
  22. Carbohydrates present in food are polysaccharides, starch,glycogen.disaccharides sucrose,lactose,moltose.and very small amounts of monosaccharides.fructose and pentose
  23. the digest resulting from its action contains a mixture of short, branched and unbranched oligosaccharides known as dextrins. Because human cant digest β(1→4) glycosidic bonds
  24. Maltase α-(1,4) ; isomaltase cleaves the α(1→6) bond in isomaltose Sucrase α-(1,2) ; Lactase beta(1,4) Trehalose, α-(1,1) in mushroom
  25. Notes 2.3 p24 abt GLUT-2
  26. Lactose is hydrolyzed to galactose and glucose by lactase in humans . Some adults do not have lactase.cannot digest the sugar. It remains in the intestines and gets fermented by the bacteria. The condition is called as Lactose intolerance. Such patients suffer from watery diarrhea, abnormal intestinal flow and chloeic pain. They are advised to avoid the consumption of Lactose containing foods like Milk.
  27. Irritation and Increased mobility Osmotically avtive molecules