5. Those which produce carbon dioxide without the use of free “deamidizing” oxygen, such as zymase of yeast.

6. Enzymes causing the breaking down of a larger into a smaller molecule of the same composition, as in the production of lactic acid from glucose.

DIGESTION (CHEMICAL)

Salivary Digestion.—The table shows that enzymic action begins in the mouth. Saliva, the characteristic secretion of this region, contains the enzyme ptyalin which exerts its influence upon the starches and dextrins. The food mass remains in the mouth for so short a time, however, that a very small percentage of the starch is changed to maltose under salivary digestion. The action of ptyalin, however, continues in the fundus of the stomach until stopped by the acid in the gastric juice.

Gastric Digestion.—The conditions existing in this region of the gastric organ of digestion are particularly favorable to the continuance of salivary digestion on account of the neutral character of the juices secreted by the cells there, and because there is so little movement taking place. The cells in the middle region, however, secrete a fluid rich in acid, and as the food mass is gradually pushed forward by the contraction of the stomach walls into this portion of the stomach, further conversion of starch and dextrin to maltose is checked. Gastric juice is secreted by cells situated in all parts of the stomach. The character of the secretions differs in different parts of the organ. However, that in the fundus is neutral in character or even slightly alkaline, according to Howell, while that in the middle region is highly acid. The pyloric end of the stomach exhibits strong peptonizing powers and much of the hydrolysis of protein takes place here. As the food is pushed out of the fundus it is caught by the waves of peristaltic action and swept toward the pylorus. This movement of the food mass to and from the pylorus under the influence of the muscular constriction in the stomach tends to mix it thoroughly with the juices in all parts of the stomach, and in a measure to liquefy it to the “souplike” mixture known as chyme.

Rate of Carbohydrates, Proteins, and Fats.—Carbohydrates, for example, do not require any acid for their digestion, hence all of the acid with which they come in contact can go toward acidifying them, while the proteins require hydrochloric acid before the enzymes can begin to exert their activities. Consequently they leave the stomach much more slowly than the carbohydrates. The fats leave more slowly than any of the other food combinations. If carbohydrates and proteins are taken together they leave the stomach more slowly than if the carbohydrates were fed alone, but more quickly than they would if the meal consisted of protein alone. When the meal consists of fats and proteins, the stomach is emptied more slowly than is the case when either is fed alone.

Intestinal Digestion.—Digestion proceeds in an orderly manner throughout the intestinal canal. The pancreatic juice, bile, and intestinal juice are poured upon the food mass on its entrance into the duodenum. The enzymes work simultaneously. Trypsin in the pancreatic juice takes up the hydrolysis of the proteoses and peptones and those proteins which have escaped gastric digestion. The amylopsin likewise in the pancreatic secretion acts upon the starch and dextrin, changing them to maltose. The lipases split the fats to fatty acids and glycerol.

The erepsin in the intestinal juice, “succus entericus,” brings about further change in the proteins, with the production of amino acids. The bulk of the carbohydrates are converted into monosaccharids in the small intestines. The lactose, maltose, and sucrose are changed through the activity of the lactase, maltase, and invertase into glucose. Sherman states that “it is possible that the splitting of the lactose (milk sugar) may occur in the intestinal wall rather than in the food mass.”[55]

Bile.—Human bile, the secretion most actively concerned in the digestion and absorption of the fats, contains water, bile salts, bile acids, bile pigments, cholesterin, lecithin, and a peculiar protein derived from the mucous membranes of the bile ducts and gall bladder.

Stimulation of Intestinal Secretions.—The flow of the intestinal juices is stimulated by a substance or hormone known as “secretin.” This hormone is the result of the action of hydrochloric acid upon some substance in the intestinal wall. Starling claims that the formation of hormones and their circulation through the blood to the reactive tissues is sufficient to account for the activity of the pancreas; he doubts if the nervous system plays any part in the activity of that organ.