Authors Yamni Nigam is professor in biomedical science; John Knght s associate
With the exception of inges
tion, the small and large
intestines carry out all the
major functions of the
digestive system. This is where the ‘real
business’ of digestion takes place. The
intestines take up most of the space in the
abdominal cavity and constitute the
greatest portion of the gastrointestinal
(GI) tract in terms of mass and length. Part
4 in this sixpart series on the GI tract
described the anatomy and function of the
small intestine (Bit.ly/NTGITract4). Part 5
describes the anatomy and functions of
the large intestine, as well as common
pathologies that affect both the small and
large intestine.
Anatomy of the large intestine
The large intestine is approximately 1.5m
long and comprises the caecum, colon,
rectum, anal canal and anus (Fig 1). The
structure of the large intestine is very sim
ilar to that of the small intestine (see
part4), except that its mucosa is com
Caecum and appendix
Chyme that has not been absorbed by the
time it leaves the small intestine passes
through the ileocaecal valve and enters the
large intestine at the caecum. On receipt of
the contents of the ileum, the caecum con
tinues the absorption of water and salts.
The caecum is about 6cm long and
extends downwards into the appendix, a
winding tubular sac containing lymphoid
tissue. The appendix is thought to be the
vestige of a redundant organ; its narrow
and twisted shape makes it an attractive
site for the accumulation and multiplica
tion of intestinal bacteria.
Colon
At its other end, the caecum seamlessly
joins up with the colon, this is the longest
portion of the large intestine (Fig 1). Food
residue starts by travelling upwards
through the ascending colon, located on
the right side of the abdomen. The
ascending colon bends near the liver at the
right colic flexure (or hepatic flexure) and
becomes the transverse colon, passing
professor in biomedical science; Nkki Wiiams is associate professor in respratory
physiology; all at the Colege of Human Heath and Sciences, Swansea Unversity.
Abstract In the large intestine the fina section of the gastrointestna tract
absorption of water and eectrolytes takes pace and coonic bacteria complete the
process of chemica digestion. The large intestine is aso where faeces are formed
from the remains of food and fluid combined with byproducts of the body. Intestinal
content s pushed back and forth by haustra contractions and antiperistatic
contractions, unti faeces are finally pushed towards the anal cana by mass
movements. Ths article, the fifth n a sixpart series exporing the gastrointestinal
tract, describes the anatomy and functions of the large intestine.
Citation Nigam Y et a (2019) Gastrontestina tract 5: the anatomy and functons of
the arge intestne Nursing Times [onine]; 115: 10, 5053
pletely devoid of villi.
3. Figure 5.15a
Enzymatic proteins
Enzyme
Example: Digestive enzymes catalyze the hydrolysis
of bonds in food molecules.
Function: Selective acceleration of chemical reactions
3
• Enzymes are a type of protein that acts as a
catalyst to speed up chemical reactions
• Enzymes can perform their functions
repeatedly, functioning as workhorses that
carry out the processes of life
• http://www.biotopics.co.uk/other/morinf.html
4. Figure 5.15b
Storage proteins
Ovalbumin Amino acids
for embryo
Function: Storage of amino acids
Examples: Casein, the protein of milk, is the major
source of amino acids for baby mammals. Plants have
storage proteins in their seeds. Ovalbumin is the
protein of egg white, used as an amino acid source
for the developing embryo.
4
5. Figure 5.15c
Hormonal proteins
Function: Coordination of an organismʼs activities
Example: Insulin, a hormone secreted by the
pancreas, causes other tissues to take up glucose,
thus regulating blood sugar concentration
High
blood sugar
Normal
blood sugar
Insulin
secreted
5
Insulin protein entry:
https://www.ncbi.nlm.nih.gov/protein/AAA59172.1
7. Figure 5.15d
Muscle tissue
Actin Myosin
100 µm
Contractile and motor proteins
Function: Movement
Examples: Motor proteins are responsible for the
undulations of cilia and flagella. Actin and myosin
proteins are responsible for the contraction of
muscles.
7
9. Figure 5.15f
Transport proteins
Transport
protein
Cell membrane
Function: Transport of substances
Examples: Hemoglobin, the iron-containing protein of
vertebrate blood, transports oxygen from the lungs to
other parts of the body. Other proteins transport
molecules across cell membranes.
9
11. Figure 5.15h
60 µm
Collagen
Connective
tissue
Structural proteins
Function: Support
Examples: Keratin is the protein of hair, horns,
feathers, and other skin appendages. Insects and
spiders use silk fibers to make their cocoons and webs,
respectively. Collagen and elastin proteins provide a
fibrous framework in animal connective tissues.
11
12. p53 stress response pathway
Harris, S. L., & Levine, A. J. (2005). The p53 pathway: positive and negative feedback loops. Oncogene, 24(17), 2899–2908.
Stress signals such as
DNA damage
12
activation of p53
The activated p53 protein binds
to a specific DNA sequence…
composed of RRRCWWGYYY
(spacer of 0–21 nucleotides)
RRRCWWGYYY, where R is a
purine, W is A or T, and Y is a
pyrimidine.
https://www.nature.com/articles/1208615
15. Figure 5.16
Nonpolar side chains; hydrophobic
Side chain
(R group)
Glycine
(Gly or G)
Alanine
(Ala or A)
Valine
(Val or V)
Leucine
(Leu or L)
Isoleucine
(Ile or I)
Methionine
(Met or M)
Phenylalanine
(Phe or F)
Tryptophan
(Trp or W)
Proline
(Pro or P)
Polar side chains; hydrophilic
Serine
(Ser or S)
Threonine
(Thr or T)
Cysteine
(Cys or C)
Tyrosine
(Tyr or Y)
Asparagine
(Asn or N)
Glutamine
(Gln or Q)
Electrically charged side chains; hydrophilic
Acidic (negatively charged)
Basic (positively charged)
Aspartic acid
(Asp or D)
Glutamic acid
(Glu or E)
Lysine
(Lys or K)
Arginine
(Arg or R)
Histidine
(His or H) 15
17. Figure 5.17
Peptide bond
New peptide
bond forming
Side
chains
Back-
bone
Amino end
(N-terminus)
Peptide
bond
Carboxyl end
(C-terminus)
17
How are
peptide bonds
formed?
Methionine (M) Tyrosine (Y)
Cysteine (C)
Methionine (M) Tyrosine (Y)
Cysteine (C)
18. (a) A ribbon model (b) A space-filling model
Groove
Groove
18
• A functional protein consists of one or more polypeptides
precisely twisted, folded, and coiled into a unique shape
• The sequence of amino acids determines a proteinʼs
three-dimensional structure
• A proteinʼs structure determines its function
• Bioinformatics uses computer programs to predict protein
sequence, structure and function from amino acid
sequences
21. Figure 5.20a
Primary structure
Amino
acids
Amino end
Carboxyl end
Primary structure of transthyretin
21
• Transthyretin
polypeptide
• Transports thyroid
hormones
• Transports retinol
(Vitamin A)
• Primary structure
– The sequence of
amino acids in a
protein
– Determined by
inherited genetic
information
22. Secondary structure
Hydrogen bond
a helix
b pleated sheet
b strand, shown as a flat
arrow pointing toward
the carboxyl end
Hydrogen bond
Figure 5.20c
22
• Secondary
structure results
from hydrogen bonds
between parts of the
polypeptide
backbone
• Includes the a helix
and b pleated sheet
23. 23
• Tertiary structure is the shape
of a polypeptide in three
dimensions
• Quaternary structure results
when two or more polypeptide
chains form one macromolecule
(not all proteins have a quaternary structure)
– Transthyretin is composed of 4
identical polypeptides
26. Hemoglobin is a protein made up of 4 polypeptide chains:
two a and two b subunits
Heme
Iron
a subunit
a subunit
b subunit
b subunit
26
27. Figure 5.21
Primary
Structure
Secondary
and Tertiary
Structures
Quaternary
Structure
Function
Red Blood
Cell Shape
b subunit
b subunit
b
b
a
a
Exposed
hydrophobic
region
Molecules do not
associate with one
another; each carries
oxygen.
Molecules crystallize
into a fiber; capacity
to carry oxygen is
reduced.
Sickle-cell
hemoglobin
Normal
hemoglobin
10 µm
10 µm
Sickle-cell
hemoglobin
Normal
hemoglobin
1
2
3
4
5
6
7
1
2
3
4
5
6
7
b
b
a
a
27
V
H
L
T
P
E
E
V
H
L
T
P
V
E