Modélisation de la digestion intestinale
Modélisation de la digestion intestinale
MODÉLISATION DU TRANSPORT, DE LA
DÉGRADATION ET DE L’ABSORPTION DES ALIMENTS
DANS L’INTESTIN GRÊLE
R APPORTEURS :
L AROCHE Béatrice Directeur de Recherche, INRA - Jouy en Josas
F IORAMONTI Jean Directeur de Recherche, INRA - Toulouse
JURY :
BARLES Guy Professeur, Université François Rabelais - Tours
B ROSSARD Ludovic Ingénieur d’études, INRA - Rennes
D UITTOZ Anne Professeur, Université François Rabelais - Tours
F IORAMONTI Jean Directeur de Recherche, INRA - Toulouse
F OUILLET Hélène Chargé de Recherche, INRA - Paris
L AROCHE Béatrice Directeur de Recherche, INRA - Jouy en Josas
L ESCOAT Philippe Ingénieur de Recherche HDR, INRA - Nouzilly
S UPPO Christelle Professeur, Université François Rabelais - Tours
Remerciements
Je tiens à exprimer ma profonde gratitude aux deux personnes qui ont dirigé cette
thèse de façon extraordinaire, Guy BARLES et Philippe LESCOAT. Vous avez toujours
été disponibles pour répondre à mes questions même les plus naïves. J’ai pu apprécier
votre soutien, votre assistance, votre optimisme et votre enthousiasme constants. Merci
de m’avoir confié ce projet de recherche passionnant et de m’avoir envoyé à droite et à
gauche pour en apprendre plus. Merci de m’avoir fait découvrir le monde magnifique du
croisement de deux domaines scientifiques : les mathématiques et la biologie. Bref, merci
de m’avoir appris mon métier.
J’adresse mes plus vifs remerciement à l’équipe MODINGRE. Je pense avoir pro-
fité de conditions assez exceptionnelles pour une thèse. Des échanges régulièrs avec les
biologistes et les mathématiciens de l’équipe m’ont permis de mieux explorer le monde
merveilleux de la modélisation de la digestion. Je les remercie aussi d’avoir fait partie
de mon comité de thèse. Je souhaite donc formuler de chaleureux remerciement à Jaap
VAN MILGEN, Hélène FOUILLET, Lucile MONTAGNE, Alain TRUBUIL et Jean Marc
CHOBERT de même qu’à Jean-René LICOIS et Christine GEORGELIN que je dois aussi
remercier pour leur présence dans nos réunions internes et pour leurs nombreux commen-
taires qui ont contribué à l’amélioraton de ce travail.
3
REMERCIEMENTS
Je remercie Jean-René non seulement pour son enthousiasme surtout quand il s’agit de
programmation mais aussi pour avoir été mon parrain pour l’enseignement. Merci d’avoir
toujours laissé ta porte ouverte et d’avoir toujours été prêt à répondre à mes questions. Je
remercie Christine pour toutes les discussions qu’on a pu avoir pendant les réunions, sa
sympathie et son sens de l’humour même après 3h de réunion.
Une thèse repose aussi sur les conditions de travail dans lesquelles elle peut être réali-
sée et les relations amicales et cordiales du doctorant avec son entourage. J’ai pu profiter
des ambiances assez extraordinaires au LMPT et à l’URA. Je remercie ainsi les membres
du Laboratoire de Mathématiques et Physique Théorique et l’Unité de Recherche Avi-
cole de l’INRA : les responsables administratives et techniques du LMPT, Olivier, Ro-
main, Anne Marie, Bernadette, Anouchka et Sandrine et de l’URA, Claudette, Marie-José
et James pour leur disponibilité et leur gentillesse. Merci beaucoup à Ahmad Elsoufi,
Saïd ILIAS, Amaury MOUCHET, Hector GIACOMINI du LMPT et à Michel DUCLOS,
Agnes NARCY, Yves NYS, Anne COLIN, Bértrand MEDA et Isabelle BOUVAREL de
l’URA pour leur soutien et leurs conseils. Mes remerciements vont également à Jean-
Claude PICAUD pour son amitié et pour la relecture d’une partie de mes travaux, ses
commentaires et recommandations judicieuses.
Une pensée toute spéciale à mes deux (aller je le dis) sœurs au LMPT, Élisa et San-
drine, avec qui j’ai partagé de chaleureux “tea-times”, des moments de joie et aussi de
déception ! Merci d’avoir été toujours présentes pour me soutenir.
Je n’oublirai pas de remercier mes amis en France et ailleurs : Toktam, Zara, Saeid,
Mandana, Leila, Solmaz, Imen, Florence, Chady, Aida, Sarah, Ola, Younes, Yousef, Ha-
maseh. Je remercie également les familles KHOSHNIAT, LE RHUN et PEER HOSSAINI
pour leur soutien, leurs conseils et leur présence.
Merci de tout coeur à ma famille, toujours présente à mes côtés. Merci à mes parents,
Nahid et Fathali, de m’avoir transmis le courage et l’envie pour atteindre mes objectifs.
Merci Madar, de m’avoir appris à me surpasser dans ma vie professionnelle, tu as toujours
été de bon conseil. Merci Pédar, d’avoir été toujours fière de moi, avant même que je ne
prouve quoi que ce soit. Je tiens à remercier particulièrement Mehdi et Hosnieh que je
considère comme mes parents, pour leurs conseils et leur gentillesse.
4
Merci à ma petite sœur Shima pour sa joie de vivre et son optimisme et pour toutes
nos discussions téléphoniques. Merci à mes frères, Sadegh, Amir et Mohamad d’avoir
toujours été présents pour me soutenir. Je ne t’ai pas oublié ma petite Assale, merci d’être
restée avec nous.
Enfin, un immense merci à celui qui m’a soutenue, supportée, encouragée, motivée,
comprise, ... . Merci Mojtaba de t’être montré aussi enthousiaste que moi quand je parlais
de la digestion. Je te remercie pour ton pouvoir magique qui a transformé chaque instant
de ces trois années de thèse en un magnifique souvenir. Malgré la distance tu t’es toujours
montré présent pour moi. Merci de m’avoir apporté la tendresse et l’attention dont j’ai
eues besoin tout au long de cette thèse.
REMERCIEMENTS
6
Aux épaules sur les quelles j’ai pu mieux voir le monde ...
REMERCIEMENTS
8
Abstract
The purpose of this study is to represent a generic model of digestion in the small
intestine.
In the first part of this work, a model based on ordinary differential equations is used
to represent the digestion : the equations describe the evolution of the position and com-
position of the bolus coming from the stomach. Each bolus is identified as a cylinder.
This model considers simultaneously the different aspects of digestion i.e. transport of the
bolus all along the small intestine, feedstuffs degradation according to the enzymes and
local physical conditions, and nutrients absorption.
In the second part of this study, we use the homogenization method to sustain the
simplified digestion model developed in the first part. We show that this model can be
considered as a macroscopic version of more realistic models which contain the biological
phenomena at lower scales of the small intestine : (i) the high frequency peristaltic pulses
(microcopic time scale) and their effects on the velocity of bolus, (ii) the presence of the
intestinal villi (microscopic scale of space) and their influence on the digestion.
Finally, in the third part of this study, we investigate the digestion of a non-homogeneous
feedstuffs matrix by integrating the dietary fibre in the bolus. The two main physiochemi-
cal characteristics of dietary fibre which interact with the function of the small intestine,
i.e. viscosity and water holding capacity are modelled. This leads us to consider some
features of the digestion which have not been taken into account previously, particularly
the interrelationship between the evolution of dry matter and water in the bolus. Although
this model is generic and contains a large number of parameters, to our knowledge, it is
among the first qualitative dynamical modelling of fibre influence on intestinal digestion.
9
ABSTRACT
10
Résumé
Dans la première partie de ce travail, un modèle mécaniste basé sur les équations
différentielles ordinaires est utilisé pour présenter la digestion : les équations décrivent
l’évolution de la position et de la composition du bolus provenant de l’estomac. Chaque
bolus est représenté par un cylindre. Ce modèle prend en compte simultanément les dif-
férents aspects de la digestion à savoir le transport du bolus dans la lumière intestinale, la
dégradation des aliments par des enzymes, et l’absorption des nutriments.
Dans la deuxième partie de cette étude, nous utilisons les méthodes d’homogénéisa-
tion mathématique pour justifier le modèle de la digestion développé dans la première par-
tie. Nous montrons que ce modèle peut être considéré comme une version macroscopique
des modèles plus réalistes, qui contiennent des phénomènes biologiques à des échelles
inférieures de l’intestin grêle : (i) les ondes péristaltiques à haute fréquence (échelle du
temps microscopique) et leurs effets sur la vitesse du bolus, (ii) la présence des villosités
intestinales (échelle microscopique de l’espace) et leur influence sur la digestion.
11
RÉSUMÉ
12
Table des matières
Table de figures 20
Nomenclature 21
Introduction générale 23
2 Méthodes mathématiques . . . . . . . . . . . . . . . . . . . . . . . . . . 28
1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
3 Transport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
4 Digestion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
4.1 Model 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
4.2 Model 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
13
TABLE DES MATIÈRES
4.3 Model 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
4.4 Model 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
5 Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
5.1 Digestion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
5.2 Velocity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
7 Acknowledgement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
2 Transport Equation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
14
TABLE DES MATIÈRES
5 Model Equations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
6 Numerical Simulations . . . . . . . . . . . . . . . . . . . . . . . . . . . 97
6.3 The variation of the water ratio inside the bolus . . . . . . . . . . 104
7 Discussion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104
8 Appendix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106
Bibliographie 116
15
TABLE DES MATIÈRES
16
Liste des tableaux
III.2 The relation between the absorbed dry nutrients at the end of digestion and the
dm . . . . . . . . . . . . . . . . . . . . . . . . .
different initial values of Bint 98
III.3 Intestinal transit time for the different quantities of F = Fsol or Finsol in the
bolus at the entry of duodenum . . . . . . . . . . . . . . . . . . . . . . . . 100
III.4 Transit time and absorbed dry nutrients at the end of the small intestine depend
on the values of α, β and γ. . . . . . . . . . . . . . . . . . . . . . . . . . . 103
III.5 Dependence of absorbed dry nutrients to the water ratio. DM stands for the
amount of dry matter in the bolus at the entry of bolus. . . . . . . . . . . . . 104
17
LISTE DES TABLEAUX
18
Table des figures
II.3 A simple example of the domain Ω . The oscillations on the villi represents the
microvilli. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
III.1 Physical and chemical transformations inside the bolus and included in the model
are represented in this scheme. “B.B“ stands for brush border enzymes and “pcr”
stands for pancreatic ones. . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
19
TABLE DES FIGURES
III.2 The distribution of insoluble fibre in the bolus as assumed in the model. The
apparent volume Vapp (see Definition 5.3) is the white part of the cylinder. . . . 92
III.4 Change in the final mass of bolus and absorbed dry nutrients for different amount
of DF in the bolus at the entry of duodenum. . . . . . . . . . . . . . . . . . . 100
III.5 Dependence of the absorbed dry nutrients and the final mass of bolus at the end
of the small intestine on the value of α, β and γ. . . . . . . . . . . . . . . . . 101
20
Nomenclature
21
NOMENCLATURE
22
Introduction générale
Les modèles mathématiques sont souvent cités comme une alternative à l’expérimen-
tation animale et sont utilisés notamment quand la complexité du phénomène observé
ne permet pas à l’intuition ou à des approches analytiques de comprendre son fonction-
nement et son évolution (J. VanMilgen et P. Lescoat [3]). La modélisation mathématique
consiste à tenter de comprendre les lois régissant les phénomènes naturels du vivant à
travers leur représentation par des équations mathématiques. Mais, une condition sine qua
non est que la complexité des phénomènes biologiques implique l’adoption d’une ap-
proche réductionniste par le modélisateur. En d’autres termes en fonction de l’objectif,
le modélisateur choisit de négliger dans le modèle les variables d’état qui n’interviennent
que très peu dans l’évolution du système biologique tout du moins au regard de la question
traitée (J. Clairambault. [4]).
23
INTRODUCTION GÉNÉRALE
D’autre part, la complexité des phénomènes naturels peut rendre l’interprétation des
expérimentations “in-vivo” difficile et même impossible. Or, après la construction du mo-
dèle, son analyse mathématique, permet de vérifier l’existence et l’unicité des solutions,
l’analyse de leur stabilité ainsi qu’une analyse qualitative sur le comportement du sys-
tème [4]. Mais cela ne doit pas faire oublier que les résultats ainsi obtenus par modé-
lisation ne sont valides que dans le cadre des hypothèses posées initialement. En outre,
la mise en œuvre de théorèmes mathématiques rend valide les résultats, ceci soulignant
l’importance en modélisation appliquée à la biologie de l’utilisation des connaissances
mathématiques.
Par exemple, les systèmes du vivant ont souvent plusieurs échelles emboîtées, de la
molécule à la cellule, de la cellule à l’organe ou tissu, de l’organe à l’individu, etc. Les
propriétés macroscopiques de l’individu sont souvent liées au fonctionnement à l’échelle
inférieure (ex. influence de la quantité des cellules matures des villosités intestinales sur
l’absorption) et inversement, l’évolution à l’échelle microscopique du système dépend de
son état à l’échelle supérieure (ex. influence de la composition du bol alimentaire dans la
lumière intestinale sur l’utilisation des transporteurs pour l’absorption active). Un modèle
mathématique peut décrire l’évolution du système dans l’un de ces niveaux, mais il peut
aussi intégrer plusieurs échelles simultanément (ex. modèle d’évolution de la digestion
en fonction de la composition du bol alimentaire ainsi que la maturité des cellules sur les
villosités). Cette approche par modélisation permet aussi d’étudier l’influence respective
de modification des propriétés à chaque échelle sur l’évolution du système.
Un modèle mathématique contient très souvent de nombreux paramètres dont les va-
leurs sont fixées grâce aux données expérimentales ou à dire d’expert par absence de
mesures existantes ou disponibles. Ce grand nombre et la difficulté de les obtenir sont des
questions clés quant à la possibilité d’utiliser les modèles et quant à leur portée. D’autre
part, une étape importante qui suit la modélisation est la confrontation des sorties du mo-
dèle à des données issues de l’expérimentation afin de valider le modèle, ou pour tout le
moins son comportement.
24
1. INTESTIN GRÊLE ET DIGESTION DES ALIMENTS
notre portée, peuvent se réduire à des équations mathématiques, aussi complexes soient-
elles. C’est un débat depuis les origines de la connaissance scientifique [3].
L’intestin grêle est la partie la plus longue du tube digestif. Elle a des conditions fa-
vorables pour la dégradation des macromolécules (motricité, activité enzymatique, condi-
tions physico-chimiques, etc). La connaissance de la dynamique de la digestion dans l’in-
testin grêle des différentes espèces permettrait de mieux valoriser les aliments fournis et
donc d’optimiser les intrants et de limiter les rejets dans l’environnement. Or, les méthodes
expérimentales et les mesures in-vivo provoquent des perturbations dans le fonctionne-
ment de l’intestin grêle et ne permettent pas d’étudier la digestion en prenant simultané-
ment en compte les différentes échelles présentes dans l’intestin grêle. La modélisation
permet de surmonter certaines des difficultés qui existent dans des approches expérimen-
tales sous réserve d’une prise en compte argumentée des phénomènes biologiques connus
et pertinents pour l’objet étudié. .
Nous rappellerons d’abord les principaux éléments de la digestion dans l’intestin grêle
chez les monogastriques, puis abordera des différentes méthodes de la modélisation que
nous avons testées. Cette thèse est organisée en trois chapitres dont les résumés sont pré-
sentés à la fin de l’introduction.
L’intestin grêle est un organe multifonctionnel, il est d’une part responsable du transit
des aliments dans la lumière intestinale et de leur mélange avec des enzymes et, d’autre
part, il est un lieu idéal pour la dégradation par l’hydrolyse enzymatique et l’absorption
des nutriments.
L’intestin grêle comporte trois segments : le duodénum qui suit le pylore, le jéjunum
qui est le lieu principal de l’absorption à cause de la présence d’une quantité importante
des villosités intestinales et l’iléon. La Figure 1 présente un schéma de l’intestin grêle.
La longueur de l’intestin grêle varie selon les espèces ; par exemple pour le porc 1 en
1. Toutes le mesures utilisées dans cette thèse correspondent à celles du porc en croissance.
25
1. INTESTIN GRÊLE ET DIGESTION DES ALIMENTS
La digestion est le processus par lequel les molécules organiques sont réduites pour
être rendues absorbables à travers la paroi du tube digestif. L’intestin grêle est l’organe
majeur de la dégradation des aliments et de l’absorption des nutriments. Dans le cadre
de ce travail, la digestion est représentée par trois phénomènes principaux : le transport
des aliments le long de l’intestin grêle par les ondes péristaltiques, la dégradation des ma-
cromolécules par l’hydrolyse enzymatique et l’absorption des nutriments par absorption
active et passive [5].
26
1. INTESTIN GRÊLE ET DIGESTION DES ALIMENTS
Dégradation
27
2. MÉTHODES MATHÉMATIQUES
Absorption
L’absorption est le passage des nutriments à travers la paroi intestinale et les cellules
absorbantes. (P. Meunier [5]). L’absorption dans l’intestin grêle se fait selon deux méca-
nismes : (i) la diffusion passive et le transport facilité (par un transporteur membranaire)
selon un gradient de concentration, (ii) le transport actif permet l’absorption contre un
gradient chimique ou électrique, ce processus nécessite la consommation d’énergie. Dans
le cadre de ce travail nous nous intéressons à la diffusion passive et au transport actif.
Cette étude nécessitera l’intégration des propriétés du système à l’échelle microscopique
dans le modèle.
Transport
Le mouvement de l’intestin grêle a pour objectif de mélanger son contenu ainsi que
de le propulser. En période inter-digestive, ce mouvement se propage le long de l’intes-
tin grêle selon un cycle régulier. Ce phénomène est appelé le complexe moteur migrant
(CMM) et son rôle est de vider l’intestin grêle des résidus alimentaires et d’éviter sa co-
lonisation par des bactéries coliques. Chez toutes les espèces la durée de la propagation
de CMM est de 90 à 120 minutes, ce qui veut dire une propagation plus rapide chez les
espèces avec un intestin plus long. En période digestive le CMM s’interrompt et c’est
une activité contractile continue et irrégulière, un mélange de contractions segmentaires
et péristaltiques, qui prend sa place et permet le brassage des aliments et leur propulsion
aborale.
2 Méthodes mathématiques
Nous présentons ici des méthodes utilisées pour modéliser la digestion. Ces méthodes
sont basées sur deux approches souvent utilisées pour étudier des modèles en physique ou
en chimie :
• l’approche eulérienne : en adoptant cette approche, l’observateur est dans une posi-
28
2. MÉTHODES MATHÉMATIQUES
tion fixe et observe l’évolution du bol alimentaire. Dans la Section 2.1, un modèle
de la digestion basé sur les équations aux dérivées partielles (EDP) est présenté.
Ce modèle est un exemple d’approche eulérienne en modélisation. Nous étudions
ensuite des avantages et des inconvénients de cette méthode pour modéliser la di-
gestion.
• l’approche lagrangienne : en adoptant cette approche, l’observateur se déplace avec
le même mouvement que les bols alimentaires. C’est l’approche que nous avons
adapté dans cette thèse pour modéliser la digestion.
Un premier modèle basé sur des équations aux dérivées partielles a été construit par
l’équipe MODINGRE 2 . Les équations de type transport-dégradation- absorption ont été
utilisées.
Dans ce modèle, l’intestin grêle est représenté par l’intervalle ]0, L[ et un flux de nut-
riments est injecté en x = 0 qui représente le pylore. Les notions suivantes sont utilisées
afin de représenter le contenu de l’intestin grêle :
(a) x ∈]0, L[ représente la position dans l’intestin grêle.
(b) A(x, t) est la concentration des aliments à l’instant t et à la position x.
(c) Ces nutriments sont digérés grâce à une enzyme de concentration e(x, t).
(d) B(x, t) est la concentration en aliments digérés, donc assimilables par l’organisme.
La réaction de dégradation de A en B le long de l’intestin grêle est catalysée par
l’enzyme e, ce phénomène est représenté par une réaction du type (A + e 7→ B + e).
L’efficacité de ces enzymes dépend du pH de l’intestin grêle à la position x.
Le mélange des aliments (A + B) et les enzymes (e) sont transportés à la vitesse c qui
peut dépendre de x et t :
∂e ∂e
= −c − k̄e , (1)
∂t ∂x
le premier terme du membre de droite, décrit le transport par la vitesse c et le deuxième
explique la décroissance exponentielle des enzymes par un taux de dégradation k̄.
Les aliments sont transportés par une vitesse c et sont dégradés par les enzymes
∂A ∂A
= −c − k(pH(x))Ae , (2)
∂t ∂x
2. Équipe qui regroupe des chercheurs de l’INRA et du Laboratoire de Mathématiques et Physique
Théorique (LMPT).
29
2. MÉTHODES MATHÉMATIQUES
Les condition initiales sont A(x, 0) = B(x, 0) = e(x, 0) = 0. Les conditions aux
limites en x = 0 sont
• A(0, t) = φ(t) est une fonction périodique (ex. une indicatrice ou une fonction
constante par morceau valant 0 et 1) modélisant la vidange gastrique.
• B(0, t) = 0 est la quantité de matière dégradée à la sortie de l’estomac. En effet, la
dégradation au niveau de l’estomac est considérée comme négligeable.
• e(0, t) = ēφ(t), par cette hypothèse, nous supposons que les enzymes sont injectés
avec A dans l’intestin grêle, et de plus leur quantité est proportionnelle à celle de
A.
Comme le système qui représente la digestion est basé sur les équations du transport
avec un terme de réaction-absorption, il est classique d’utiliser la méthode des carac-
téristiques pour calculer sa solution théorique. Nous présentons ici l’utilisation de cette
méthode pour calculer la solution théorique à travers un exemple. Nous comparons ensuite
cette solution avec la solution numérique obtenue par des méthodes numériques.
Courbes caractéristiques
ẋ(t) = c . (6)
Les solutions de cette équation différentielle sont les courbes caractéristiques associées à
l’équation (4). Pour ces courbes la solution A de l’équation (4) est déterminée par l’équa-
tion différentielle ordinaire (EDO) (5).
Nous avons aussi utilisé la méthode des différences finies afin de calculer la solution
numérique de l’équation (4). La Figure 3 montre la différence entre la solution théorique
de l’Équation (4) et sa solution calculée par des méthodes numériques 3 . Dans la première
courbe (Figure 3.a), avec le pas de l’espace ∆x = 5cm et le pas du temps ∆t = 4s, la
différence entre les deux solutions théorique et numérique est plus que décevante. Les pas
du temps et de l’espace ont été affinés (∆x = .25cm et ∆t = 1s) afin d’améliorer le
résultat, mais la différence entre les deux solutions théorique et numérique, affichée dans
le Figure 3.b, n’est toujours pas acceptable.
Cet exemple met en évidence des difficultés de l’approche eulérienne pour modéliser
la digestion. Nous avons constaté que la différence entre la solution obtenue par la mé-
thode des différences finies et la solution théorique n’est pas acceptable. Ce problème est
lié au fait que d’une part, l’équation du transport est connue pour être intrinsèquement
délicate à résoudre et d’autre part, les échelles multiples à prendre en compte aggravent
la situation.
Le développement d’un modèle edp ne semble donc pas être une approche adéquate
pour modéliser la digestion. Nous avons donc décidé de changer l’approche et d’adopter
une approche lagrangienne qui est inspirée par la méthode des caractéristiques. Dans la
nouvelle approche, un modèle basé sur des équations différentielles couplées (l’analogue
des équations de la méthode des caractéristiques couplées avec celles de la dégradation
et de l’absorption) a été mis au point. Ce modèle a permis dans un premier temps, de
prendre en compte un aspect plus sophistiqué de la digestion comme l’effet des ondes
péristaltiques ainsi que la dégradation par des différents types d’enzymes.
31
2. MÉTHODES MATHÉMATIQUES
(a) ∆x = 5cm, ∆t = 4s
(b) ∆x = 0.25cm, ∆t = 1s
Dans cette approche, les aliments dans la lumière intestinale forment des paquets que
nous appelons bolus (ici des cylindres de rayon R(t), de longueur ` et de centre x(t)) qui
ont des évolutions indépendantes les uns par rapport aux autres. Les inconnues sont la
position x(t), le rayon R(t) et la quantité d’enzymes e(t). Ici, nous étudions l’évolution
d’un seul bolus dans la lumière intestinale.
Dans ce premier modèle, la digestion se fait via la surface de contact, en plus nous
supposons que la vitesse de disparition de A est proportionnelle à la surface du cylindre
32
2. MÉTHODES MATHÉMATIQUES
et à l’activité enzymatique :
dA
(t) = −k(pH(x(t)), e(t)).2πR(t)`A(t) ,
dt
de
où e est la concentration en enzyme au point x(t) qui suit toujours la loi (t) = −k̄e(t).
dt
Bien évidemment, il y a la création de nutriments assimilables B(t) qui sont absorbés par
la paroi avec un taux k̃ :
dB
(t) = k(pH(x(t)), e(t)).2πR(t)`A(t) − k̃B(t) .
dt
Le transport du bol alimentaire est assuré par des ondes péristaltiques qui sont géné-
rées périodiquement. La Figure 4 montre un exemple d’ondes générées toutes les minutes,
L’efficacité de ces ondes est proportionnelle à la taille du bolus
500
400
300
200
100
0
0.00 0.01 0.02 0.03 0.04 0.05 0.06 0.07 0.08 0.09 0.10
Tim e (hour)
F IGURE 4: Représentation des ondes péristaltiques générées à x = 0 par une fonction périodique
W (t).
dx
(t) ∝ (A + B)(t)
dt
pour (A + B)(t) = πR2 (t)`ρ , où ρ représente la masse volumique du bolus. D’autre part,
l’efficacité du transport décroît avec la distance
dx 1
∝ .
dt x
Enfin, la vitesse est atténuée par un terme constante K de viscosité. L’équation suivante
modélise alors l’avancement du bol alimentaire le long de l’intestin grêle :
dv c0 + c1 (A + B)(t)/ρ
(t) = (1 − v(t)/c)W (1 − x(t)/c) − Kv(t) .
dt a + bx(t)
33
2. MÉTHODES MATHÉMATIQUES
dx
la fonction v(t) = (t) représente la vitesse d’avancement du bol alimentaire. La vitesse
dt
moyenne des ondes péristaltiques est représentée par c.
Ce modèle, basé sur une approche lagrangienne, nous permet de calculer la solution
numérique avec moins d’erreurs et d’autre part de prendre en compte conjointement la
complexité du bolus et celle du milieu intestinal.
Nous avons donc retenu et développé ce modèle pour obtenir un modèle plus réaliste
qui permet de tenir compte des phénomènes qui jouent un rôle important dans la digestion
intestinale (viscosité du bol alimentaire, interactions entre les différentes composantes du
bol, effet de l’eau sur la digestion, etc). Le modèle initial ne prend pas en compte la
présence des villosités intestinales ainsi que les absorptions active et passive. Cependant,
au Chapitre II, nous démontrons que les propriétés à l’échelle microscopique peuvent être
moyennées et insérées dans un modèle de digestion à l’échelle macroscopique.
Chapitre I Les trois étapes clés qui guident la première partie de ce travail sont : le
transport du bol alimentaire par les ondes péristaltiques, la dégradation des aliments par
de nombreuses réactions biochimiques et l’absorption des nutriments via des processus
actifs ou passifs au sein de la paroi intestinale
Chapitre II L’une des difficultés de l’étude de la digestion dans l’intestin grêle vient
du fait que l’environnement du système est complexe. Ainsi la paroi intestinale joue un
rôle clé dans le transfert des nutriments dans le sang et dans la dégradation du bolus tout
autant que dans le transit du bol alimentaire par les ondes péristaltiques. Afin de prendre en
compte cette complexité tout en la réduisant partiellement, la seconde partie de ce travail
34
2. MÉTHODES MATHÉMATIQUES
D’abord, le transport des bolus à l’intérieur de l’intestin grêle est induit par des im-
pulsions à haute fréquence. Ces impulsions entraînent une variation rapide de la vitesse
du bolus dans l’intestin grêle. Nous démontrons mathématiquement que les impulsions
peuvent être moyennées d’une manière appropriée. Par conséquent, la vitesse à variation
rapide dans le modèle peut être remplacée par cette nouvelle vitesse moyennée.
Ensuite, afin de prendre en compte l’influence des villosités intestinale sur la diges-
tion à l’échelle macroscopique (intestin grêle), nous définissons un taux effectif moyen
d’absorption à l’aide des méthodes mathématiques d’homogénéisation.
L’homogénéisation est une méthode rigoureuse pour démontrer des propriétés de mo-
yennisation. En d’autres termes, en prenant en compte le comportement du système à
l’échelle microscopique, l’homogénéisation permet de décrire son comportement à l’échel-
le macroscopique. Dans l’étude de la digestion, au lieu d’étudier un seul problème à
l’échelle microscopique de taille 1, nous étudions une suite de problèmes pour
qui tend vers zéro. La question est donc de trouver la limite de cette suite des problèmes
(G. Allaire [7]).
Dans ce but, nous supposons que les villosités intestinales sont distribuées périodi-
quement avec la période 1 le long de l’intestin grêle, une équation aux dérivées par-
tielles tri-dimensionnelle de diffusion-transport-réaction pour modélise la digestion dans
ses différentes échelles. Les conditions aux limites de type Neumann représentent le taux
d’absorption à travers la paroi de l’intestin grêle.
35
2. MÉTHODES MATHÉMATIQUES
36
Chapitre I
We describe a mathematical model of digestion in the small intestine. The main inter-
est of our work is to consider simultaneously the different aspects of digestion i.e. trans-
port of the bolus all along the intestine, feedstuffs degradation according to the enzymes
and local physical conditions, and nutrients absorption. A system of coupled ordinary dif-
ferential equations is used to model these phenomena. The major unknowns of this system
are the position of the bolus and its composition. This system of equations is solved nu-
merically. We present several numerical computations for the degradation, absorption and
transport of the bolus with acceptable accuracy regarding the overall behavior of the mo-
del and also when challenged versus experimental data. The main feature and interest of
this model are its genericity. Even if we are at an early stage of development, our approach
can be adapted to deal with contrasted feedstuffs in non-ruminant animal to predict the
composition and velocity of bolus in the small intestine 1 .
37
1 Introduction
The main step of digestion and absorption along the gastrointestinal tract takes place in
the small intestine for non ruminant animals. To reach an optimized composition of avai-
lable nutrients due to their behavior in the digestive system, it is necessary to understand
and predict the digestion and absorption of the ingested feedstuffs in the small intestine
[9, 10, 11]. It is also now well-known that the use of implanted experimental devices may
modify the dynamic of digestion in the small intestine [12, 13].
Several models have been developed representing the digestion and transport of bolus
in the small intestine. In the model of [14] digestion and absorption are integrated and
represented considering only the polymers and individual absorbable end products. The
transit through the small intestine is modeled mainly as a result of gastric emptying. No
peristaltic wave is taken into account, and the bolus contained only the dry matter. [15]
describe the digestion and absorption using the plug flow reactors to encapsulate com-
plex digestion phenomena in a simple set of equations. Different rate of absorption and
degradation are involved : first order kinetics, Michaelis-Menten and the sigmoid ones. A
detailed model of the intestinal propulsion is provided by [16, 17]. However, these mo-
dels portray the transport of bolus simplistically, or they represent only a limited number
of different processes involved in digestion.
This article tries to go further in the modeling of digestion in the small intestine by
considering the different steps of digestion i.e. the transport of the bolus all along the
intestine, feedstuffs degradation according to the enzymes and local physical conditions,
and nutrient absorption. Therefore a system of coupled ordinary differential equations is
used. The major unknowns of this system are the position of the bolus and its composition.
In fact, several models are presented reflecting the modeling process at its different
stages with our attempts to make it more realistic by inclusion of more sophisticated and
relevant biological phenomena and chemical transformations. We decided to describe the
different steps with the assumptions leading us to our choices instead of presenting only
the last model since the whole process by itself may help to underline relevant questions
to be further discussed. Of course, this modeling process is an iterative one and is still
going ahead in directions which are described in Section 6.
2. The reader can perform its own numerical experiments, with the possibility of changing the parame-
2. GENERAL HYPOTHESIS AND SYNTHETIC PRESENTATION OF THE
DIFFERENT MODELS
In all our models, we try to estimate the parameters using data from scientific litera-
ture. When these data are not available, we assume the reasonable values for the parame-
ters.
The article is organized as follows : Section 2 is devoted to present the main assump-
tions of our models and most of our notations. In Section 3, we describe the transport
equations. In our four different models, we point out that there are only two different
ways of modeling the transport of the bolus in the intestinal tract. The main differences
concern the degradation itself, with several possibilities for the composition of the bolus,
for the enzymatic reactions and the water influence. The outcoming stages (4 different
models) are presented in Section 4, with the key assumptions and characteristics of each
model. Section 5 is a comparison of these four models and of the numerical results of the
most sophisticated model (Model 3) versus some experimental data from the literature.
Finally, in Section 6, we criticize our models and describe the perspective.
40
2. GENERAL HYPOTHESIS AND SYNTHETIC PRESENTATION OF THE
DIFFERENT MODELS
For the bolus content, the following assumptions and notations are used throughout
this paper
• The bolus includes a single species whose total mass is denoted by A. In the most
sophisticated model presented in this work, A is composed of As , Ans and And , in
other words A =As +Ans + And . As is the mass of solubilized fraction of A which
can be hydrolyzed in the presence of the enzymes. The index s stands for “solubili-
zed“. Ans is the mass of “non-solubilized“ fraction of A, for example dry starch or
the non-emulsified lipids. Transformation of Ans into As requires a sufficient quan-
tity of water. Regarding lipids emulsion, we assume that the bile salts are in excess.
The mechanism Ans ↔ As is described through an equilibrium property depending
on the water quantity in the bolus. Finally And is the mass of non-degradable A,
which enters and leaves the small intestine without any change. For example the
vegetal fiber in feed are poorly digestible. Moreover the fiber matrix of feedstuffs
or the anti-nutritional factor content can be responsible for a reduction in the diges-
41
2. GENERAL HYPOTHESIS AND SYNTHETIC PRESENTATION OF THE
DIFFERENT MODELS
The quantity Bint is the product of hydrolysis due to gastric and pancreatic enzymes,
the index int stands for ”intermediate” substrate which is not yet absorbable since
it is not fully degraded. This transformation has to be completed by a second one at
the border of the small intestine via the brush-border enzymes (e.g. : proteins being
degraded to polypeptides and afterwards to dipeptide or amino acids, which are
absorbable). This second transformation is also able to give Babs directly from A.
The quantity Babs is the absorbable fraction with index abs indicating “absorbable“.
• The quantity e represents the gastric and pancreatic enzymes.
• The quantity W is the mass of water in the bolus and [W ] indicates the proportion
of water in the bolus : W/(A + B + W ).
• The quantity V (t) denotes the volume of bolus which is equal to (A + B + W )/ρ,
where ρ denotes the density. For the sake of simplicity, we assume that all the sub-
strates of bolus have the same density ρ. The total mass of the bolus is (A + B +
W )(t) at each moment.
Digestion consists in the transformation of digesta to absorbable nutrients through enzy-
matic hydrolysis. Volumic transformation is the degradation of As into Bint inside the
bolus and transformation on the bolus surface is the degradation of both As and Bint into
Babs on a thin layer around the bolus. The following hypothesis are added progressively
with upgraded versions of the model.
Model 1. In the first model, the whole bolus is considered to be solubilized (A =As ).
A is hydrolyzed thanks to gastric enzymes and becomes directly absorbable nu-
trients (B = Babs ). In this model, brush-border or pancreatic ones are not taken
into account. Such mechanisms are associated for example with the consumption of
disaccharides (resp. monosaccharides) such as milk sugar(resp. glucose).
Model 2. This model is an attempt to have a more realistic modeling of degradation.
The bolus is still assumed to be completely solubilized. The absorbable nutrients
can be obtained by two ways : either by a direct surfacic transformation A → Babs
or through a first volumic degradation A → Bin followed by a second one Bint →
Babs at the bolus surface by brush-border enzymes.
Model 3. This model includes the solubilization of the bolus in presence of water.
A is splitted into As , Ans , And . Equations are added to express the equilibrium
As ↔ Ans which depends on the quantity of water. The non-degradable part of bo-
lus enters and leaves the small intestine without any mechanical or chemical change
in its initial form. A key feature of this model concerns the transport of bolus along
the small intestine since it is connected to the quantity of water through lubrification
effects.
42
3. TRANSPORT
3 Transport
d2 d d
2
x(t) = v(t) = y (t − x(t)/c) ,
dt dt dt
d
the term y represents the pulses which are defined as a periodic function of period 10
dt
seconds such that
Z 10
d
y(t)dt = 1
0 dt
0
and for t < 0, we assume y (t) = 0.
Over a period, each pulse is an approximation of a Dirac mass of the origin. Therefore
we define it as a function with the value 1/ during a very short interval of time and 0 at
all other time.
According to [19] and [24] the efficiency of the peristaltic waves increases with the
size of the bolus and decreases with the distance from pylorus. We assume that all these
43
4. DIGESTION
The intestinal lumen is a confined environment which prevents the bolus to move
perfectly according to the previous equation : the bolus has to work its way through the
small intestine and is also submitted to the friction with the intestinal wall. All these
friction effects are related to the “viscosity” of the bolus and we have two different ways
to model the friction term : either as a constant effect which is independent of the bolus
composition (models 1 & 2) or with a lubrification effect coming from the proportion
of water in the bolus (models 3 & 4). More specifically, in Equation (I.1) below, the
coefficient K(t) is either constant in models 1 & 2 or K̃/[W ] in models 3 & 4, where K̃
is a constant.
4 Digestion
4.1 Model 1
44
4. DIGESTION
cylinder, and the second is to locate the bolus along the small intestine. We assume that,
the evolution of A or its volumic transformation depends on its mass at each moment and
the enzyme activity. This equation follows the law of mass action
dA
= −Ck(x, e)A
dt
where C denotes the degradation rate and, k(x, e) is the enzyme activity which depends
on the pH of the small intestine and the presence of the enzymes at each point along it.
4.2 Model 2
In this second model, the presence of pancreatic enzymes in the small intestine as
well as the brush-border ones on its wall are considered. The pancreatic secretions help
neutralizing the stomach acid as they enter the small intestine. They also contain pan-
creatic enzymes. The level of the secretions is a function of volume and composition of
the bolus entered the small intestine. The brush border enzymes are the enzymes for the
terminal stage of digestion which is the surfacic hydrolysis. Contrary to the pancreatic
enzymes they are not free in the intestinal lumen, but rather, in the plasma membrane of
the enterocyte.
We assume that the bolus is completely solubilized. The product of the hydrolysis B
consists in Bint and Babs (B = Bint + Babs ).
The following scheme represents the chemical reactions of the bolus in this model
The first reaction takes place inside the bolus by pancreatic and gastric enzymes, the
second and the third ones take place on the surface of the bolus.
45
4. DIGESTION
dA A
= −Ck(x, e)A − Cabs (2πR`)
dt A + Bint + Babs
p A
= −Ck(x, e)A − 2Cabs πl/ρ ,
(A + Bint + Babs )1/2
the second term represents surfacic transformation of A to Babs . We recall that the mass
of the bolus in this model is
This transformation depends on the fraction of A on the surface of the bolus which
A
is written by (2πR`) . The unit of the degradation coefficient per unit of
A + Bint + Babs
surface and time, Cabs , is g.m−2 .s−1 .
After a distance traveled by bolus of about 5% of the total length of the small intestine
which is approximatively 85 cm in an growing pigs, the input of secretions starts and it
stops after a distance of α meters traveled by bolus. We assume their mass is about β% of
the bolus mass. In the following equation, the effect of these secretions on the variation of
A is taken into account
dA 1 dx
= ... + ln(1.β) χ ((x(s) − 0.85) /α) A,
dt α dt
where χ is a localization function in the above equation which reflects the fact that secre-
tions arrive in the small segment of the intestine, say between 0.85 cm and 0.85 + α cm.
The product of volumic hydrolysis, Bint , participates in the creation of Babs on the
surface of the bolus. Therefore its variation is modeled by
dBint 1 dx
= Ck(x, e)A + ln(1.25) χ((x(s) − 0.85)/α)Bint
dt α dt
p Bint
−2Ciabs πl/ρ .
(A + Bint + Babs )1/2
46
4. DIGESTION
The absorbable nutrients on the bolus are not absorbed instantaneously [15]. In this model
we assume that the absorption rate follows Michaelis-Menten mechanism. The constant
kabs is the maximal rate of absorption at saturation, k is the Michaelis constant which is
half saturation
dBabs p Cabs A + Ciabs Bint Babs
= 2 πl/ρ 1/2
− kabs .
dt (A + Bint + Babs ) k + Babs
4.3 Model 3
In this model the ingested food consists in Ans , And , As and water (A = Ans + And +
As + W ). We incorporate two effects of water on digestion : the first one is the dilution
of the bolus and its impacts on degradation and absorption and the second one is the
lubrification and its consequences on the transport.
We assume that the evolution of As and Ans aims at reaching an equilibrium in which
the ratio between As and Ans is fixed and depends only on the proportion of water, namely
As = µ ([W ]) Ans stressing that solubilization of Ans depends on bolus dilution. From
the mathematical standpoint, we write this evolution as
dAns
= −ks µ ([W ]) Ans − As , (I.2)
dt
where µ is a linear function of water and the constant ks represents the return rate to
equilibrium.
The amount of water in the intestinal lumen is regulated by several complex biological
phenomena. In fact the proportion of water in the bolus aims at reaching [W0 ] in a rather
fast way which we translate it on a mathematical standpoint
d[W ] 1 dx
= −kw ([W ] − [W0 ]) + ln(1.β) χ((x(s) − 0.85)/α)[W ] (I.3)
dt α dt
where kw is large enough to reach the equilibrium in an adequate time. The second term
of above equation is the fraction of water in pancreatic secretions.
The variation of absorbable nutrients depends on the creation of Babs by enzymatic hy-
drolysis of As and Bint and its absorption by intestinal wall
The non-degradable fraction of A, namely And , enters in the small intestine and leaves it
without any change in its structure.
As we already indicated in Section 5.1, lubrification of the bolus depends on the pre-
sence of water. For this model, the friction coefficient in equation (I.6) is written as
K̃
K(t) = .
[W ](t)
4.4 Model 4
Homogenization problems for ODEs were studied by [25] but it is worth pointing
out that our particular case does not fall into the theory described in [25]. Fortunately
the specific structure of the transport equation allows us to do a complete analysis of the
problem and even to compute explicitly the averaged equation.
More specifically, in the transport equation, pulses reach the bolus every 10 seconds
approximately. Compared to the time scale of digestion phenomena (the bolus stays in the
small intestine for several hours [13, 1]), this represents a very high frequency and causes
very rapid variations in the velocity of the bolus (see the velocity profile in Figure I.3).
We can prove mathematically that the pulses can be averaged out in an appropriate
way and we can replace the rapidly varying velocity by a slowly one.
48
5. RESULTS
In the simplest case, by normalizing the pulses, we assume that their mean effect over
a period is e(). Thus, over a time t = N , their mean effect is N e() = te()/. On the
other hand we assume
lim e()/ = τ
→0
Inserting this equality in transport equation (I.1), the homogenized transport equation
reads
d2 x c0 + c1 V (t) K̃ dx
2
(t) = ā(t) − (t)
dt a + bx(t) [W ](t) dt
dx
(0) = v0 , x(0) = 0
dt
where ā is the averaged effect of the pulses. Its value is
1 dx
ā(t) := τ (1 − (t)).
c dt
5 Results
In the first part of this section, the graph of degradation of model 4, and the graph of
transport of model 3 and 4 are developed. The second part concerns the evaluation of the
last model by comparing its outputs with experimental data. Only a limited number of
outputs can be compared because of the lack of experimental data. However, the model is
evaluated in relation to our objective which is developing a mathematical model that takes
into account the physiology of the small intestine and process of digestion in it.
5.1 Digestion
The graph of digestion of model 4 is shown in figure I.2. We should at first initiate
the bolus composition. These initial conditions vary following the different types of feed-
stuffs. We fixed the initial value of Ans as three times that of As . We dilute Ans by two
times its volume water. Solubilized substrate As and non-solubilized one Ans reach a dy-
namic equilibrium all along the small intestine, as explained in Section 4. This balance
is reached rapidly at the beginning of the small intestine due to the large difference in
quantity between these two substrates. The result of this equilibrium is the increases of
49
5. RESULTS
the value of As and the decreases of the values of Ans , as seen in the graph of digestion.
The inverse process might take place by lack of water. The absorption curve corresponds
to the collected absorbable nutrients from x = 0 to x = x(t), where x indicates the lo-
cation of bolus in the small intestine. Obviously, the graph of the fourth model contains
more details about different steps of digestion than the first two graphs thanks to the mo-
del structures. The digestion graph of model 4 is similar that of model 3. The only change
in model 4 deals with the transport equation.
80
70
gram s of subst rat es
60
50
40
30
20
10
0
0 2 4 6 8 10 12 14 16 18
dist ance as m
5.2 Velocity
50
5. RESULTS
For a specific family of nutrients, here starch, digestion is calculated using Model 4
and is compared to data reported by [1]. To parameterize adequately the model, we adapt
the enzyme activity of the last model to the activity of amylase in the small intestine. Amy-
lase is the enzyme required for degradation of starch. The optimal activity of pancreatic
amylase is in neutral pH [5].
The inputs of model are only Ans and W which are Starch and Water. The outputs
are the values of these substrates at the end of ileum. The data in the article of [1] are for
purified protein free wheat starch, agreeing with our hypothesis for the composition of the
bolus 1. The outputs concerns the collected data after at the end of ileum.
51
5. RESULTS
TABLE I.1: Digestion of starch in pigs by modeling : Comparison between simulated and experi-
mental data by [1]
Experimentation Modeling
Input(g) Output(%) Input(g) Output(%)
wet digesta 2571 8 113.10 5.33
dry matter 688 0.50(g) 37.70 0.04
Regarding the data presented table I.1, percentages of dry matter and wet digesta collec-
ted at the end of the ileum are approximatively the same as the output of model 4. The
difference between inputs is due to the simulation calibration which takes into account
only one bolus i.e. a fraction of the daily meal. However, differences between outputs are
low in percentage enabling to conclude that the model can roughly simulate very simple
situations.
Sensitivity analysis is performed to identify the key parameters affecting the digestion
process. The chosen parameters are set at 5% and 50% of their original values.
Output Parameters
As C, Cabs
Babs Cabs , Ciabs , kabs
v a,b, c0 , c1 , K
Studied digestion parameters are C and Cabs for degradation of As , and Cabs , Ciabs
and kabs for the absorption of Babs .
If y is the output and θ the parameter, the relative variation of y can be expressed as
follows
|yθ − yθ+∆θ |
.
yθ
a. Influence on As
Both parameters C and Cabs are overestimated by 5 and 50%. The figure I.4 shows
the relative variation of As at each moment. The relative variation of As resulting from 5
and 50% values of C is not meaningful. The parameter Cabs has the largest effect on As
degradation. Observing the graph of relative variation of As , figure I.4, we conclude that
increasing the value of Cabs increases the relative variation value with time. .
52
6. CONCLUSION AND PERSPECTIVES
80 80
60 60
40 40
20 20
0 0
-20 -20
0 1 2 3 4 5 6 7 0 1 2 3 4 5 6 7
Dist ance(m ) Dist ance(m )
b. Influence on Babs
The parameters kt , Cabs and Ciabs are overestimated by 5 and 50%. The figure I.5
shows the relative variation of Babs by time. The quantity of Bint being very small in the
model, the effect of changing the parameter Ciabs is neglectible on the relative variation of
Babs by time. The quantity Babs is very sensitive to the variation of parameter Cabs firstly
because of the high quantity of As , then its influence decreases because of decreasing
quantity of As over time. The quantity Babs is dependent on kt because of the large impact
of kt on the nutrient absorption rate.
This model is obtained from simplified biological assumptions and it can be used to
illustrate generically the rate of degradation and absorption all along the small intestine.
This is a global model of digestion of a bolus composed of one substrate and water. This
section is devoted to a discussion on the current state of our modeling, our assumptions,
53
6. CONCLUSION AND PERSPECTIVES
40 40
20 20
0 0
-20 -20
0 1 2 3 4 5 6 7 0 1 2 3 4 5 6 7
Dist ance(m ) Dist ance(m )
From the transport standpoint, the “cylinder” assumption can be seen as a Lagrangian
method, the ordinary differential equations on x(·) being (essentially) the characteristic
curves of the transport equation. This is the first justification of this hypothesis, the second
being the direct observation of animals bolus which convinces us that it can be represented
as a cylinder, even if its geometrical characteristics could be more complicated. However
we have to work more on the evolution of the length of the cylinder.
54
7. ACKNOWLEDGEMENT
The transport equation seems to take into account rather closely the phenomena which
c0 + c1 A
are described by the experts . It will be difficult to validate the term and to have
a + bx
a precise idea of the value of the different constants but such a modeling seems more
appropriate than trying to use a complicated fluid mechanics approach whose laws may
not be valid in this very confined domain. The same remarks hold for the effects of the
water : it seems correct even if a relevant validation will be difficult.
For food digestion and absorption, we are only at a first stage of modeling. The ab-
sorption phenomena were not studied explicitly leading to required further development
with a focus on the assumed interactions between the animal physiological status and
absorption. The spatial aspects (location of the absorption) were clearly neglected so far.
For digestion, the next step will be to mix different nutrients and adapt the enzyme
breakdown to each of them. We have also to examine more closely the respective effects
of the different categories of enzymes together with the role of the water. Moreover inter-
actions between nutrients on the digestion processes should be questioned.
As a conclusion of this first stage of modeling, consistent behaviors of the model were
reached. Moreover, the simplicity of the current model allows easy developments in any
directions. Our next target will therefore be to iterate the model development according to
the above proposed research areas.
7 Acknowledgement
The multidisciplinary collaboration on this research project between the INRA Center
of Nouzilly and the Laboratoire de Mathématiques et Physique Théorique was initiated
within and supported by the CaSciModOT program (CAlcul SCIentifique et MODélisa-
tion des universités d’Orléans et de Tours) which is now a Cluster of the french Region
Centre. This collaboration also takes place in a CNRS-INRA PEPS program “Compré-
hension et Modélisation du devenir de l’aliment dans le tube digestif“. This work is part
of the PhD thesis of Masoomeh Taghipoor, financed by CNRS and INRA.
55
Chapitre II
Digestion in the small intestine is the result of complex mechanical and biological
phenomena which can be modelled at different scales. In a previous article, we introduced
a system of ordinary differential equations for describing the transport and degradation-
absorption processes during the digestion. The present article sustains this simplified mo-
del by showing that it can be seen as a macroscopic version of more realistic models
including biological phenomena at lower scales. In other words, our simplified model can
be considered as a limit of more realistic ones by averaging-homogenization methods on
biological processes representation. 1
57
1 Introduction
When building a model for digestion in the small intestine, difficulties occur. The first
one is the extreme complexity of the mechanical/biological phenomena. Transport of the
bolus through the peristaltic waves, feedstuffs degradation by numerous enzymatic reac-
tions and the active/passive absorption of the nutrients by the intestinal wall are known
to be the key steps but they are not biologically nor fully understood and neither quanti-
tavely parameterized. Modelling approaches are a way to integrate complex mechanisms
representation of these phenomena helping to improve our understanding of them. Since
it is almost impossible to build direct experiments for studying the digestion in the small
intestine, modelling is a way to test in silico hypotheses that could be challenged through
limited in vivo experiments.
A second difficulty relies on the complex environment within the digestive tract. For
example, the intestinal wall plays a key role in the transfer of the digested food in the blood
and interferes in the degradation of the bolus via the brush-border enzymes and causes the
transit of the bolus by transmitting the pulses coming from the peristaltic waves.
Thirdly, digestion in the small intestine has contrasted but relevant macroscopic and
microscopic scales, both in space and time. To give few figures, the length of the small
intestine in a growing pig reaches 18 meters, which is a large figure compared to its radius
(2-3 centimeters) and even more compared to the size of the villi (around 1 millimeter).
In the same way, the bolus stays in the small intestine for several hours, while the efficient
peristaltic waves which ensure the transport of the bolus, start approximatively every 12
seconds from the pylorus.
Because of these different scales, a model based on partial differential equations and
capturing all the interesting phenomena, would be too complicated and impossible to solve
numerically. Therefore we have adopted in [8] a model based on ordinary differential
equations (ode in short) : each bolus of feedstuffs coming from the stomach is identified
as a cylinder and the odes describe the evolution of the position and composition of the
cylinder. Since digestion could be described by a transport equation (or a system of such
equations) with reacting terms, our strategy was essentially to use the Characteristics of
this equation. At least numerically this type of Lagrangian method appears to be more
efficient. We refer to [8] for details on our different models since several stages of the
modelling process were developped in this paper.
The aim of the present article is to provide mathematical justifications of some as-
sumptions of the modelling presented in [8]. We focus on the bolus transport and on the
effects related to absorption and enzymatic breakdown by the brush border enzymes, phe-
nomena which are related to averaging/homogenization type processes.
More precisely, in Section 2, we examine the effects of the pulses generated by the
1. INTRODUCTION
peristaltic waves. Considering that the time scale for these pulses is small compared to the
duration of the digestion i.e. that their frequency is high, we rigorously establish that their
effect is the same as the one of a constant driving force. This result is biologically very
interesting since it allows to get rid of this very small time scale and to do the numeri-
cal computations in a much more efficient way opening ways to alternative experimental
approaches on digestive tract studies. Related and more general results on the homogeni-
zation of odes can be found in L. C. Piccinini[25] but we point out that our case does not
fall into the scope of [25].
In Section 3, we consider the complex phenomena related to the villi and micro-villi :
the active/passive absorption by the intestinal wall and the brush border enzymatic reac-
tions. In order to study these phenomena, we introduce a 3-d model where we focus on
the boundary effects. As a consequence, the other phenomena are highly simplified. The
lumen of the small intestine is modelled as a cylindrical type, periodic domain whose axis
is Re1 , where e1 := (1, 0, 0). In order to model the villi, this domain has an highly oscilla-
tory boundary of order ε−1 while its radius is of order ε. In this domain, we have a system
of parabolic, transport-diffusion equations with oscillatory coefficients for the absorbable
and non-absorbable nutrients. The key feature is the Neumann boundary condition which
describes the phenomena on the intestinal wall : the effects of the brush-border enzymes
together with the active-passive absorption.
Using homogenization method, we prove that, when ε tends to 0, this problem converges
to a 1-d system of transport-reaction equation. The key issue is to show how the effects
of the diffusion and the degradation- absorption on the highly oscillatory boundary are
combined in order to produce the final reaction terms. For the readers convenience, we
provide both a formal and a rigorous proof of this result. The formal proof gives rather
explicit formulas which can easily be interpreted from the biological point of view. Mo-
reover we point out that, even if we are using a very simplified framework, we show that
it captures the key features of the absorption process.
60
2. TRANSPORT EQUATION
2 Transport Equation
In [8], the authors present a first simplified model of bolus transport along the small
intestine. We use Homogenization Theory to simplify this equation to replace the per-
iodically oscillating velocity by an averaged one (II.1). This section provides a rigorous
mathematical justification of this transport equation.
In this section, we formulate a simplified version of the transport problem. The small
intestine is represented by the interval [0, +∞) and the position of the bolus at time t is
given by x(t) ∈ [0, +∞). Roughly speaking, x(t) is the distance between the center of
bolus and the pylorus.
The peristaltic waves are created at the pylorus and they travel along the intestinal wall
at a quasi-constant velocity : the average wave velocity of each peristaltic wave is about
61
2. TRANSPORT EQUATION
5
Velocit y (m /h)
1
0 1 2 3 4 5 6 7
Tim e (hour)
c ' 7.2m/h. These waves are periodic of period denoted by 1 and to model them, we
can say that at time t, an electric signal of size ψ(t/) starts from the pylorus and reaches
a point x of the small intestine at time t + x/c. Here we assume that ψ(s) ≡ 0 if s ≤ 0
and on [0, +∞), ψ is the restriction of a smooth, 1-periodic function on R.
At time t, the bolus is at the position x(t) and is reached by the wave generated at
time s = t − x(t)/c whose intensity is ψ(s/). we assume moreover that the impact of
this pulse on acceleration of the bolus is given by a smooth, positive function g (s, v, x, y)
where, as above, s is the time when the pulse was generated, v is the relative velocity of a
pulse with respect to the bolus velocity (v = (c − ẋ(s))/c ), x is the position of the bolus
and y its composition.
Indeed, according to [32] and [24] the efficiency of the peristaltic waves increases
with the size of the bolus which is roughly speaking the sum of the yi for 1 ≤ i ≤ K, and
decreases with the distance from pylorus x(t).
g (s, v, x, y) = g(s/, v, x, y) ,
62
2. TRANSPORT EQUATION
Taking into account the friction inside the small intestine as in [8] through a −k(t)ẋ(t)-
term where k(t) > 0 for any t, the equation for the transport of the bolus reads
ẍ(t) = g −1 (t − x(t)/c), 1 − ẋ(t)/c, x(t), y(t) − k(t)ẋ(t)
(II.2)
with x(0) = 0 and ẋ(0) = v0 where v0 < c.
Having in mind the example of a water wave in a channel, if the bolus velocity is the
same or is close to the wave one, then obviously the peristaltic wave will have either no
effect or at least a small effect on the bolus velocity. Translated in term of g, this means
that g(t, 0, x, y) = 0 and even g(t, v, x, y) = 0 if v ≤ 0. Thus there exist a smooth function
g̃ : R × R × [0, +∞) × RK → [0, +∞) such that g(s, v, x, y) = g̃(s, v, x, y)v. We notice
that, since we assume g to be positive, then g̃(s, v, x, y) ≥ 0 if v ≥ 0 while we have
g̃(s, v, x, y) ≡ 0 if v ≤ 0 .
and, recalling that g̃(s, V, X, Y ) is 1-periodic for s ≥ 0, we denote the averaged of F over
a period by F̄ (V, X, Y ). Of course we have
Z 1
F̄ (V, X, Y ) = F (1, V, X, Y ) = g̃(s, V, X, Y )ds,
0
63
2. TRANSPORT EQUATION
Theorem 2.1. Let (x , y ) the unique solution of equations (II.3)-(II.4)-(II.5), then the se-
quence (x , y )>0 converges strongly in C 1 ([0, T ], [0, +∞)) to (x, y) the unique solution
of the averaged system of equations
c − ẋ(t)
ẍ(t) = F̄ (1 − ẋ(t)/c, x(t), y(t)) − k(t)ẋ(t) (II.7)
c
ẏ(t) =d(x(t), y(t))
The key interpretation of this result is the following : the effect of frequent pulses on
the transport of the bolus is the same as the one obtained through an averaged constant
signal.
Proof of Theorem 2.1. We prove it in two steps : first we obtain various estimates sho-
wing that the sequences (x , y )>0 converge strongly in C 1 (at least along subsequences)
and, then, in the second step, we prove that they converge to the unique solution of the
averaged system (II.7) (which will imply that the whole sequence converges by a standard
compactness argument).
Proof of Lemma. We first prove that ẋ (t) ≤ c. To this aim, we define the positive function
φ(t) as follows
(
+ ẋ (t) − c if ẋ (t) − c > 0
φ(t) = (ẋ (t) − c) = (II.9)
0 otherwise,
64
2. TRANSPORT EQUATION
which is equivalent to
1d 2
(φ (t)) ≤ 0 .
2 dt
The function φ2 (t) is therefore a decreasing function. Furthermore, since v0 < c, we have
Using the same method with (ẋ)− = max(−ẋ, 0), we can prove that ẋ is a non-
negative function.
and therefore the sequence (x )>0 is uniformly bounded and equicontinuous on [0, T ].
Using these informations and the equations for the y , we also see that the y are also
uniformly bounded in C 1 (and even in C 2 ) and coming back to the x equation we see
also that the x are also uniformly bounded in C 2 .
Consequently the Arzela-Ascoli compactness criterion ensures that there exists a sub-
sequence (xj , y j ) which converges in C 1 . Moreover, since ẍ is bounded in L∞ , we can
also extract a subsequence such that ẍj converges in the L∞ weak-∗ topology.
We return now to the proof of Theorem 2.1. To simplify the exposure, we still denote
by (x , y ) the converging subsequence (xj , xj ) and we denote by (x, y) the limit. By
inserting the Definition (II.6) into Equation (II.3), we get
∂F −1
ẍ (t) = (1 − ẋ /c) ( (t − x /c), 1 − ẋ /c, x , y ) − k(t)ẋ (t)
∂t
therefore, using the notation v = 1 − ẋ /c and dropping most of the variables to simplify
the expressions, we have
d ∂F ∂F ∂F
ẍ (t) = F (−1 (s − x /c), v , x , y ) − v˙ − ẋ − ẏ − k ẋ
dt ∂V ∂X ∂Y
65
2. TRANSPORT EQUATION
which leads to
ẋ (t) − v0 = F (−1 (t − x /c), 1 − ẋ /c, x , y )
Z t Z t
∂F ∂F ∂F
− (v ˙ + ẋ + ẏ )ds − k ẋ ds
0 ∂V ∂X ∂Y 0
Now we have to let tend to 0. First, since g̃ is periodic, it is standard to prove that
F (−1 t, V, X, Y ) → F̄ (V, X, Y )t ,
locally uniformly. Especially, it is easy to see that if n ≤ −1 t < n + 1, therefore
F (−1 t, V, X, Y ) → [nF̄ (V, X, Y ) + O(1)].
In the same way, because of the definition of F and the regularity properties of g̃, for
ξ = V, X, Y we also have
∂F −1 ∂ F̄
( t, V, X, Y ) → (V, X, Y )t locally uniformly.
∂ξ ∂ξ
As a consequence, since x and y are converging respectively to x and y in C 1 , we have
also
F (−1 (s − x (s)/c), v (s), x (s), y (s)) → F̄ (v(s), x(s), y(s))(s − x(s)/c),
∂F
uniformly on [0, T ], where v = 1 − ẋ/c. And the same is true, replacing F by and F̄
∂ξ
∂ F̄
by .
∂ξ
From these properties, it is easy to deduce that
Z t Z t
∂F ∂F ∂ F̄ ∂ F̄
(ẋ + ẏ )ds → (s − x/c)(ẋ + ẏ )ds as → 0 ,
0 ∂X ∂Y 0 ∂X ∂Y
for any t ∈ [0, T ].
On the other hand, v˙ = −ẍ /c converges in the L∞ weak-∗ topology to v̇ and there-
fore Z t Z t
∂F ∂ F̄
v˙ ds → (s − x/c)v̇ ds ,
0 ∂V 0 ∂V
66
3. ON THE EFFECTS OF INTESTINAL VILLI
Our effort is therefore to find an appropriate system of equations describing the dif-
ferent effects of the structure and the spatial distribution of intestinal villi on these key
phenomena of digestion. Therefore we introduce a 3-d toy model which takes into ac-
count the complex geometry of the small intestine as well as all these boundary effects,
but this implies unavoidable simplifications on the transport process.
A large number of villi and micro-villi are present on the surface of the small intes-
tine. Their role is to enlarge the digestive and absorptive area in the small intestine. They
increase the area of the small intestine at least 500 times ([31]). The absorptive surface of
the villi contains the brush border enzymes which are responsible of the final step of de-
gradation (surfacic degradation) for some nutrients. This increase is therefore a key issue
in the process of nutrients degradation and absorption.([33]).
67
3. ON THE EFFECTS OF INTESTINAL VILLI
These finger like villi are covered by epithelial cells. They consist of absorptive, goblet
and entero-endocrine cells. The epithelial cells are produced in crypts, they migrate and
become mature from the crypts to the tips of the villi([34]). More precisely, the absorption
rate is also proportional to the distance of each of the villi from its tip.
As shown in figure (II.2) the size of the period is small compared to the size of the
unfold small intestine which is around 18 meters. We consider, for the sake of simplicity,
that the villi are distributed periodically in the inner surface of the small intestine.
F IGURE II.2: The different scales on intestinal anatomy relevant to our model.
68
3. ON THE EFFECTS OF INTESTINAL VILLI
The small intestine is represented, for some 0 < 1 by the domain Ω given by
Ω = Ω ∩ {x1 ≥ 0} (II.11)
microvilli
ε
rε villi
x1
Ωε
F IGURE II.3: A simple example of the domain Ω . The oscillations on the villi represents the
microvilli.
In this definition, the small intestine has an infinite length. However this assumption
is not a real restriction, since we focus on the local absorption-degradation processes.
Moreover, the x1 = 0 part of the boundary corresponds to the pylorus and ∂Ω to the
villi. It is worth pointing out that Ω is -periodic in the x1 direction, the parameter
characterizes the distance between the villi and thus it is natural to assume it to be very
small.
69
3. ON THE EFFECTS OF INTESTINAL VILLI
The evolution of substrates u and v in the intestinal lumen is due to (i) their dif-
fusion by Fick’s law, (ii) their propagation through intestinal lumen by a given velocity
coming from the peristaltic waves and (iii) the enzymatic reactions which transform v
to u both inside the intestinal lumen but also on the intestinal wall by the brush-border
enzymes. When these reactions take place in the intestinal lumen, we call them volumic
transformation, while we talk about surfacic transformation when they take place on the
villi.
The rate of the volumic reactions depends on the concentration of feedstuffs and also
enzymes activity at time t and at x, namely ζ(x, t), where ζ : [0, ∞) × [0, T ] → R is
a continuous, positive and bounded function. There is a limitation in the transformation
which is described by ϕ : R → R, which is a bounded, increasing and Lipschitz conti-
nuous function such that ϕ(s) = 0 if s ≤ 0. These assumptions on ζ and ϕ are denoted
by (T1) in the sequel.
Taking into account the three above-mentioned phenomena, the equation for the evo-
lution of concentration of the non-absorbable feedstuffs molecules in the intestinal lumen
reads
∂v
= ω ∆v − c(x1 , x/, t)Dv − ζ(x1 , t)ϕ(v ) in Ω × (0, T ) (II.12)
∂t
while for the absorbable nutrients, we have
∂u
= χ ∆u − c(x1 , x/, t)Du + ζ(x1 , t)ϕ(v ) in Ω × (0, T ). (II.13)
∂t
The first terms of the right-hand-sides of the above equations, where ∆ denotes the
usual Laplacian 2 , are diffusion terms. The diffusion coefficients of large molecules of
feedstuffs and small molecules of nutrients are denoted by ω and χ respectively.
∂2φ ∂2φ ∂2φ
2. If φ is a smooth function, ∆φ = + +
∂x21 ∂x22 ∂x23
70
3. ON THE EFFECTS OF INTESTINAL VILLI
It is shown that, for a fixed temperature, the diffusion coefficient d is inversely propor-
tional to the molecular weight, to be more precise for a spherical molecule we have
kT ρ 1/3
d= ( )
3µ 6πM
in which k is Boltzmann constant, T is the intestinal temperature, µ the viscosity of the
the intestinal liquid, ρ the molecule density and M the molecular mass. For fixed T and
µ, this constant is very small because of the very small value of kM −1/3 [33].
ω := ω and χ := χ ,
for some constants ω, χ > 0. Since the nutrients molecules are smaller than feedstuffs
particles, we also have ω ≤ χ. The second terms of the right-hand sides are transport
terms. The C 1 -function c : [0, +∞) × Ω × [0, T ] → R3 is modelling the velocity of
substrates which comes from the peristaltic waves. The effect of the peristaltic waves
is known to depend on the position in the small intestine and on time, this justifies the
dependence of c(x1 , X, t) on x1 and t, while the dependence on X = (X1 , X2 , X3 ) takes
into account the local effects at a lower scale.
A priori the diffusion of bolus is small compared to its velocity through the small
intestine and therefore ω and χ are expected to be smaller than c(x1 , X, t).
In addition to the regularity properties of c, this assumption means that the effect of
the peristaltic waves is to move ahead the bolus in the small intestine.
(C2) For any x1 ∈ [0, +∞), X ∈ Ω and t ∈ [0, T ], divX (c) = 0 where divX denotes the
divergence operator in the X-variable only.
This second assumption is justified by the incompressibility of the bolus at the microsco-
pic level.
(C3) For any x1 ∈ [0, +∞), X ∈ ∂Ω and t ∈ [0, T ], c(x1 , X, t) · N (X) = 0, where N (X)
denotes the outward, unit normal to ∂Ω at X.
This last assumption means that the velocity vector is always tangent to the boundary.
It is worth pointing out that, if X = x/ then N (X) = n(x), therefore it is true both for X
71
3. ON THE EFFECTS OF INTESTINAL VILLI
in Ω and for x in Ω . As a consequence of this property, the nutrients reach the boundary
only because of the diffusion effects.
Once they reach the boundary, the large particles of feedstuffs can change of chemi-
cal structure because of the presence of brush-border enzymes. As we already mentioned
above, this effect is called surfacic degradation of feedstuffs and the result is the pro-
duction of the smaller absorbable molecules of nutrients u . We assume moreover that a
portion 0 ≤ β < 1 of these nutrients is absorbed instantaneously while the remaining part
(α := 1 − β) diffuses in the small intestine. The surfacic degradation is modelled by the
Neumann boundary condition
∂v
ω = −%(x1 , X)v on ∂Ω × (0, T ) (II.14)
∂n
where, % is a continuous, positive and X1 -periodic function which represents the rate of
surfacic degradation.
On the boundary of the small intestine, there are two main effects for the nutrients u .
We already describe the first one which is a production of nutrients by the surfacic de-
gradation. The second one is the active and passive absorption of nutrients, namely their
transport across the intestinal wall to the blood circulation. An active process requires the
expenditure of energy, while a passive process results from the inherent, random move-
ment of molecules [33]. These different categories of absorption as well as the production
of u from v on the boundary construct the boundary condition of Equation (II.12)
∂u α
χ = −ηp (x1 , x/)u − ηa (x1 , x/, t)ga (u ) + %(x1 , x/)v . (II.15)
∂n ω
The functions ηp and ηa denote respectively the passive and active absorption rates.
Both of them depend on the global position in the small intestine x1 and the local one
x/, by which we take into account the effect of the special physiology of the villi on the
absorption rate which has been described at the beginning of this section. The dependence
in time in the active absorption ηa , describes the presence of energy at time t. The function
ga governs the active absorption and depends on the nutrients categories. Typically, it is
assumed to be the Michaelis Menten and therefore, it is a bounded, continuous, increasing
function.
72
3. ON THE EFFECTS OF INTESTINAL VILLI
which means that the small intestine is empty at time t = 0 and by a Dirichlet boundary
condition at x1 = 0, modelling the gastric emptying, namely
v (x, t) = v0 (t) for x1 = 0, t ∈ (0, T ) (II.17)
u (x, t) = u0 (t) for x1 = 0, t ∈ (0, T ) , (II.18)
where u0 and v0 are bounded continuous functions on [0, T ] with u0 (0) = 0 and v0 (0) = 0.
In order to study the limit as → 0 of the system (II.12)-(II.18), we first argue for-
mally : we consider the following expansions (called ansatz) for the solutions u and v
x
u (x, t) = u(x1 , t) + u1 (x1 , , t) + o() (II.19)
x
v (x, t) = v(x1 , t) + v1 (x1 , , t) + o() (II.20)
x x
where u1 (x1 , , t) and v1 (x1 , , t) are 1-periodic functions in second variable.
From now on, in order to simplify the notations, we systematically denote by X the
fast variable x/. On the other hand, the above system can be decoupled and we can
first study the asymptotics of v , namely only the initial-boundary value problem (II.12)-
(II.14)-(II.16)-(II.17) and then use the result for studying the behavior of u through
(II.13)-(II.15)-(II.16)-(II.18). Since we use the same methods in both cases to obtain the
homogenization results, we present the details only for the equation of nutrients u while
we only give the results for v .
We first plug these expressions of v and u into (II.13), and then examine the higher
order terms in . We find
∂u ∂ 2u 1 ∂u
= χ ( 2 + ∆X u1 ) − c(x1 , X, t)( e1 + DX u1 ) + ζ(x1 , t)ϕ(v) + o(1) (II.21)
∂t ∂x1 ∂x1
At this stage, we notice that the relevant choice for observing the effects of villi is indeed
χ = χ, for some positive constant χ. With this choice, we obtain
∂u ∂u
= χ∆X u1 − c(x1 , X, t)( e1 + DX u1 ) + ζ(x1 , t)ϕ(v) + o(1). (II.22)
∂t ∂x1
The equation for the first corrector u1 (the “cell problem”) is an equation in the fast va-
riable X, i.e. for the functions X 7→ u1 (x1 , X, t), x1 , t playing the role of parameters.
Setting
∂u ∂u
p := (x1 , t)e1 , λ := − (x1 , t) and δ := ζ(x1 , t)ϕ(v),
∂x1 ∂t
73
3. ON THE EFFECTS OF INTESTINAL VILLI
We argue in the same way for the boundary condition : plugging (II.19) and (II.20)
into (II.15), we obtain
∂u α
χ( e1 + DX u1 ).n = − ηp (x1 , X)u + ηa (x1 , X, t)ga (u) − %(x1 , X)v + o(1) .
∂x1 ω
(II.24)
Using the introduced notations and recalling that N (X) = n(x), the above equation gives
1 α
(p + DX u1 ).N = − ηp (x1 , X)u + ηa (x1 , X, t)ga (u) − %(x1 , X)v + o(1) . (II.25)
χ ω
Introducing the notations µ := u(x1 , t) and ν = v(x1 , t) and
α
Θ(x1 , X, t, u, v) := ηp (x1 , X)u + ηa (x1 , X, t)ga (u) − %(x1 , X)v ,
ω
the complete cell problem reads
−χ∆u1 + c(x1 , X, t)[p + DX u1 ] = λ + δ in Ω
1 (II.26)
(p + DX u1 ) · N = − Θ(x1 , X, t, µ, ν) on ∂Ω
χ
We assume that this problem has indeed a smooth solution u1 which is 1-periodic in X1 .
Recalling that Ω is 1 periodic in the X1 direction and integrating (II.26) over a period P
(remarking also that ∆X u1 = ∆X (u1 + p · X)), we obtain
Z Z
(λ + δ)|P | = χ −∆X (u1 + p · X)dX + c(x1 , X, t)[p + DX u1 ])dX (II.27)
P P
We first point out that, because of the periodicity of u1 and the opposite orientation of the
normal vector on both side of the cell
Z
χ (DX u1 + p) · Ñ dσ = 0. (II.28)
(∂P ∩Ω)
74
3. ON THE EFFECTS OF INTESTINAL VILLI
Because of (C2), the last integral of the right-hand side vanishes, while, for the first one,
we use similar argument as above : because of the periodicity properties of the velocity
function c, the integral over ∂P ∩ Ω is 0 (the same reasons as for (II.28)) and by (C3), it
is also the case for the integral over ∂P ∩ ∂Ω.
Gathering these informations, inserting them in (II.27) and recalling the definition of
Θ, one gets
Z
α
(λ + δ)|P | = [ηp (x1 , X)µ+ηa (x1 , X, t)ga (µ) − %(x1 , X)ν]dσ
∂P ∩∂Ω ω
Z
+p · c(x1 , X, t)dX. (II.29)
P
where |∂P ∩ ∂Ω| denotes the area of the surface ∂P ∩ ∂Ω. With the notation
α
Θ̄(x1 , t, u, v) := η̄p (x1 , X)u + η̄a (x1 , X, t)ga (u) + %̄(x1 , X)v ,
ω
|∂P ∩ ∂Ω|
R(P ) := ,
|P |
we get
λ = R(P )Θ̄(x1 , t, µ, ν) + c̄(x1 , t) · p − δ, (II.31)
75
3. ON THE EFFECTS OF INTESTINAL VILLI
The one dimensional averaged equation of transport and absorption of nutrients is thus
obtained by inserting the value of λ and p in the equation (II.31)
∂u ∂u
+ c̄(x1 , t) · e1 = ζ(x1 , t)ϕ(v) − R(P )Θ̄(x1 , t, u, v) (II.32)
∂t ∂x1
The term R(P )Θ̄(x1 , t, u, v) represents the global result of the different phenomena on the
boundary of the small intestine : production of nutrients by surfacic degradation, active
and passive absorption. The interesting feature in this term comes from the coefficient
R(P ) which measures the ratio between the large surface of the villi compared to the
relatively small volume of each cell. It therefore describes the effect of the geometry of
the villi on the absorption and degradation processes.
The term R(P )[η̄p (x1 )u + η̄a (x1 , t)g(u)] gives an averaged value of absorption by
intestinal wall, which takes into account the effect of villi folds as well as the differences
between passive and active absorption.
In the same way as for the nutrients u , we may obtain the one dimensional homoge-
nized equation for feedstuffs v
∂v ∂v 1
+ c̄(x1 , t) · e1 = −ζ(x1 , t)ϕ(v) − R(P ) %̄(x1 )v. (II.33)
∂t ∂x1 ω
In order to compare the homogenized equations (II.32)-(II.33) with the models pre-
sented in [8], we recall that, roughly speaking, in these models, the bolus is identified as
a cylinder of fixed length and variable radius r, composed of a single feedstuff A which
is transformed into an absorbable nutrient B through different types of enzymatic degra-
dations. In fact, the main model is more sophisticated since A and B can appear under
several forms (typically for A a solubilized and a non-solubilized form).
Two degradation mechanisms are taken into account : a “volumic” one taking place
inside the bolus and resulting from the action of pancreatic and gastric enzymes and a
“surfacic” one taking place on the villi and resulting from the action of the brush-border
enzymes. Then, once the absorbable nutrient B reaches the surface of bolus, hence the
intestinal wall, the absorption is ensured by a Michaelis- Menten mechanism. Therefore,
even if the above 3-d model is very simplified, the functions v and A have the same nature
and represent the large particles of feedstuffs, as well as the functions u and B represent
the absorbable nutrients. Furthermore the 3-d model described the same phenomena, at
least on the boundary.
76
3. ON THE EFFECTS OF INTESTINAL VILLI
Remark 3.1. In the above analysis, the effects of villi is summarized and measured by
the (a priori large) R(P )-coefficient which described the consequences of their particular
finger-like geometry. It is worth pointing out that this type of analysis can be used as well
to understand the effects of villi in the intestinal tract but also the effects of micro-villi
inside the villi.
Theorem 3.1. Assume that Ω is a C 2 -domain satisfying the properties described in Sec-
tion 3.1, that (C1)-(C3), (T1)-(T2) holds and that u0 , v0 are continuous functions such
that u0 (0) = v0 (0) = 0. Then the sequences (u , v ) converge locally uniformly, as
→ 0, to the unique (viscosity) solution (u, v) of the system
∂u ∂u
+ c̄(x1 , t) · e1 =ζ(x1 , t)ϕ(v) − R(P )Θ̄(x1 , t, u, v) in QT
∂t ∂x1
∂v
∂v 1
+ c̄(x1 , t) · e1 = − ζ(x1 , t)ϕ(v) − R(P ) %̄(x1 )v in QT (II.34)
∂t ∂x1 ω
u(0, t) = u0 (t) and v(0, t) = v0 (t) on ∂QT
u(x1 , 0) = v(x1 , 0) = 0 in [0, +∞)
The averaged problem (II.34) can be seen as a simplified version of the more com-
plicated initial-boundary value problem (II.12)-(II.18) : it is clearly easier to compute the
solution of (II.34) than to take into account the complex geometry and boundary condition
of (II.12)-(II.18).
Proof of Theorem 3.1. Before providing the proof, we make some remarks about the exis-
tence and uniqueness of u and v . The system II.12)-(II.18) is in fact decoupled and
therefore we prove (by similar methods) the existence and uniqueness of v and then of
u .
77
3. ON THE EFFECTS OF INTESTINAL VILLI
Applying the Maximum Principle (or a comparison result for viscosity solutions), it is
easy to prove that 0 ≤ v (x, t) ≤ ||v0 ||∞ in Ω × [0, T ] since 0 and ||v0 ||∞ are respectively
subsolution and supersolution of (II.12)-(II.14)-(II.16)-(II.17) . In particular, the v ’s are
uniformly bounded. For the u , the situation is unfortunately a little bit more complicated :
since 0 is a subsolution of (II.13)-(II.15)-(II.16)-(II.18), we have u (x, t) ≥ 0 on Ω ×[0, T ]
but it is not obvious at all to get an upper bound. For the time being, we assume that the
u ’s are uniformly bounded and we will come back on this point at the end of the proof.
We provide the full convergence proof only in the case of the u ’s, the one for the
v being obtained by similar and even simpler argument. In this proof, because of the
decoupling of our system, we assume that we already know that the v ’s are converging
uniformly.
Démonstration. The proof is standard and relies on the Fredholm alternative. By (C2), the
operator L := −χ∆ − c · D together with Neumann boundary conditions, is self-adjoint
78
3. ON THE EFFECTS OF INTESTINAL VILLI
and the Strong Maximum Principle shows that the kernel of this operator only contains
the constant functions. On the other hand, the computations of the previous subsection
ensure that the right hand side of equation (II.26) (including the boundary condition) is
orthogonal to the constant functions, i.e. the kernel of L, if and only if Equation (II.31)
holds. Therefore this condition implies the existence of a solution of (II.26), which is C 2
by using standard elliptic regularity. This solution is of course unique up to an additive
constant because of the structure of the kernel.
We pick some constant 0 < γ 1. In view of Lemma 3.1, for the choice of the
parameters x01 , t0 , δ := ζ(x01 , t0 )ϕ(v(x01 , t0 ))
∂φ 0
ν = v(x01 , t0 ) , µ = u(x01 , t0 ) − γ , p = (x , t0 )e1 (II.36)
∂x1 1
and if we choose λ given by Equation (II.31), there exists a smooth solution u1 (X) of
(II.26) associated to these parameters.
By standard results ([38], p.88), for small enough, there exists a maximum point
(x , t ) of u − φ near ((x01 , 0, 0), t0 ). Moreover
First, we prove that the maximum point (x , t ) can not be on the boundary for small
enough. Otherwise, if (x , t ) ∈ ∂Ω × (0, T ), then, by the maximum point property on
the boundary
∂
(u (x , t ) − φ(x1 , t ) − u1 (X )) ≥ 0
∂n
where X = x /, thus
∂u ∂φ
(x , t ) − [ (x , t ).e1 + DX u1 (X )].n ≥ 0.
∂n ∂x1 1
Using the smoothness of φ and recalling that n(x ) = N (X ), we can write this inequality
as
∂u
(x , t ) − [p + DX u1 (X )] · N ≥ o(1), (II.39)
∂n
79
3. ON THE EFFECTS OF INTESTINAL VILLI
where, here and below, o(1) denotes a quantity which goes to 0 as tends to 0.
∂φ 0 0
(x , t ) − χ∆X u1 (X ) + c(x01 , X , t0 )(p + DX u1 (X )) − δ ≤ o(1). (II.43)
∂t 1
Furthermore, by Equation (II.26),
∂φ 0
(x , t0 ) + λ ≤ o(1).
∂t 1
80
3. ON THE EFFECTS OF INTESTINAL VILLI
We should now consider the cases when the maximum point is achieved either for
t = 0 or at x1 = 0 to complete the proof.
For the initial condition (t = 0), a combination of the above proof and classical argu-
ments shows that we have the viscosity inequality
∂ ū ∂ ū
min{ + c̄(0, t) · e1 − ζ(0, t)ϕ(v) + R(P )Θ(x1 , t, u, v), ū} ≤ 0 ,
∂t ∂x1
if x1 > 0, while, for x1 = 0, t > 0, one has
∂ ū ∂ ū
min{ + c̄(x1 , t) · e1 − ζ(x1 , t)ϕ(v) + R(P )Θ(x1 , t, u, v)), ū − u0 (t)} ≤ 0 ,
∂t ∂x1
and for the case x1 = 0, t = 0 –which is a priori a particular case–, since u0 (0) = 0, we
can still use one of these inequalities which are the same.
To conclude the proof, we invoke a (strong) comparison result for (II.34) : such result
is classical and it yields ū ≤ u on [0, +∞) × [0, T ], implying the desired convergence
result.
It remains to prove that the u ’s are indeed uniformly bounded. To this aim, we recall
that Ω is a C 2 -domain and therefore there exists a x1 -periodic, C 2 -function d : Ω̄ →
[0, ∞) such that
Dd(x) · N ≤ −1 on ∂Ω.
Because of the particular form of Ω, the function d, as well as its first and second deriva-
tives, are also bounded functions.
81
3. ON THE EFFECTS OF INTESTINAL VILLI
for some constants k1 , k2 , k3 ≥ 0. We first plug these functions into the boundary condi-
tion (II.15) : using that the v ’s are bounded and that the absorption terms are positive, the
supersolution condition is satisfied if we choose k3 large enough. Then we consider Equa-
tion (II.13) : since d has bounded first and second derivatives, the supersolution condition
is also satisfied by choosing k2 large enough. Finally we choose k1 large enough to treat
the boundary condition (II.17).
Applying the Maximum Principle (or a comparison result for viscosity solutions) gives
u (x, t) ≤ w (x, t) in Ω × [0, T ] and the proof is complete.
82
Chapitre III
In this work, we continue the modelling of the digestion in the small intestine, star-
ted in a previous article, by investigating the effects of dietary fibre. We recall that this
model aims at taking into account the three main phenomena of the digestion, namely the
transit of the bolus, the degradation of feedstuffs and the absorption through the intestinal
wall. In order to study the role of dietary fibre on digestion, we model their two principal
physiochemical characteristics which interact with the function of the small intestine, i.e.
viscosity and water holding capacity. This leads us to consider some features of diges-
tion which have not been taken into account previously, in particular the interrelationship
between the evolution of dry matter and water in the bolus. The numerical results are
in agreement with the positive effect of insoluble dietary fibre on the velocity of bolus
along the small intestine and on its degradation. These results highlight the negative ef-
fect of soluble dietary fibre on digestion. Although, this model is generic and contains a
large number of parameters, to our knowledge, it is among the first qualitative dynamical
modelling of fibre influence on intestinal digestion 1 .
1. Ce chapitre fait l’objet d’un preprint accessible en ligne sur le serveur HAL de CNRS,
Digestion modelling in the small intestine : impact of dietary fibre,
Masoomeh Taghipoor and Guy Barles and Christine Georgelin and Jean-René Licois and Philippe Lescoat.
83
1 Introduction
Digestion in the small intestine can be described through three main phenomena :
transit of the bolus along the small intestine, degradation of macromolecules into smaller
ones and absorption through intestinal wall. Taking into account these phenomena, the
authors have presented in [8] a generic model of digestion in which the bolus include only
one category of macromolecules (carbohydrates, proteins or lipids) and water.
However mixing these nutrients influences the digestion process through interactions
between molecules. In order to improve this model and to make it more realistic, we
should consider the effects of such interactions, and we have decided to do so by first
including dietary fibre in the bolus because of their significant role on the digestion. One
of the key properties of fibre is its water holding capacity and this leads us to investigate
the role of water in the digestion processes. To do so, we distinguish dry matter and water
in each substrate, we model water kinetic in correlation with the dry matter one and we
take into account the impact of water in all the aspects of digestion.
To be more precise on our approach, we first describe the main underlying assumptions
which guide our modelling, then we show how they are translated into equations and
finally numerical tests are performed for examining the effects of several hypothesis. In
addition, we point out known or assumed mechanisms relating dietary fibre and digestion
process.
Dietary fibre (DF) is usually defined as the sum of plant non-starch polysaccharides
and lignin that are not hydrolysed by the enzymes secreted by the non-ruminant diges-
2. BIOLOGICAL BACKGROUND ON WATER AND DIETARY FIBRE
tive system, but that can be partially digested by microflora in the gut. A main effect
of fibre is to regulate intestinal degradation and absorption of nutrients as well as their
transit along the gut. Physiochemical characteristics of fibre include viscosity, hydration,
fermentability (mostly in the large intestine), adsorption or entrapment of nutrients and
bulking effect. Each of these characteristics affects meaningfully the function of the gas-
trointestinal tract [39, 40]. These characteristics depend on the polysaccharides chemistry.
One way to classify dietary fibre is based on their water solubility. Insoluble dietary fibre
include cellulose, some hemicelluloses and lignin. The other is soluble dietary fibre such
as viscous fibre which includes beta-glucans, pectins, gums, mucilages and some hemi-
celluloses [41, 42].
For monogastrics, most available nutrients are degraded and absorbed in the small
intestine. At the beginning of duodenum the bolus consists of partially degraded feedstuffs
and water. Once in the small intestine, mechanical and chemical digestion of feedstuffs
make the nutrients available to the organism. Enzymatic hydrolysis is the most important
chemical reaction in digestion, which takes place in aqueous solution. Enough water is
required for an efficient digestion process eventhough water/nutrient ratio are not precisely
known. Furthermore, classification of dietary fibre through their water solubility and the
impact of Water Holding Capacity (WHC) of DF on digestion reveals the key-role of
water on digestion. WHC is defined by B. Shneeman [40] as the ability of fibre source to
swell when mixed with water and to hold water within its matrix.
Insoluble DF acts primarily in the large intestine where, due to its WHC, increases
faecal bulk, dilutes colonic contents and decreases mouth-to-anus transit time [43]. Ho-
wever, its effects on digestion and transit in the small intestine can not be neglected since
insoluble DF affects the transit time in the small intestine through its laxative property.
Recent studies have shown that the inclusion of a moderate level of dietary fibre improves
the digestibility in chicks [45]. Therefore to obtain an optimal efficiency in nutrient uti-
lization, Burhalter et al. [46] proposed to increase the ratio of insoluble to soluble DF.
Moreover, the use of insoluble fibre in commercial broiler chicks improves the intestine
86
3. KEY MODEL ASSUMPTIONS
Water
In this section, the key assumptions for the model are presented.
H1 : Each component of the bolus (macromolecules, partially degraded macromole-
cules, nutrients and fibre) is represented mathematically as a portion of dry matter
and a characteristic proportion of water.
For example, “starch in a bolus” includes both dry starch and water used to maintain
starch molecules in aqueous solution. The same is observed for the “disaccharides in
a bolus” and “glucose in a bolus” combining smaller molecules resulting from starch
hydrolysis associated with a specific level of water. In other words, a component C of
bolus is represented as C dm + WC where C dm denotes the dry matter of C and WC is the
necessary amount of water to maintain it in a solution state. Moreover, we have assumed
that the mass of WC is proportional to the mass of C dm , i.e. equal to c C dm for some
characteristic number c ≥ 0 whic represents the necessary amount of water proportion to
maintain C in solubilized phase. Despite the presence of water in the bolus, a little amount
of non-solubilized dry matter may be included in bolus, which is (of course) associated
with c = 0.
H2 : Without DF, the bolus contains a single macromolecule and water. It is repre-
sented by a homogeneous cylinder with the constant length `. Including insoluble
DF transforms this homogeneous bolus into an heterogeneous one by modifying the
87
3. KEY MODEL ASSUMPTIONS
H5 : The water in the bolus which is not hold by the macromolecules and DF through
WHC i.e. “available water”, decreases the viscosity of the bolus and facilitates its
movement. Due to osmotic type equilibrium, the concentration of this “available
water” tends to reach a fixed ratio.
In other words, “Available water” reduces the friction caused by the bolus contact with
the intestinal wall.
H6 : Dietary fibre modifies the bolus evolution through its WHC by holding the water
in its matrix, and therefore modifying the volume of the bolus. Soluble DF decreases
the efficiency of peristaltic waves.
By their WHC, dietary fibre holds a significant quantity of water in the bolus and therefore
keep the volume and the radius of the bolus higher. It is worth pointing out that soluble
dietary fibre change the consistence of the bolus in the sense of making it more jelly,
implying the decreases of efficiency of peristaltic waves.
88
4. PHYSIOLOGICAL ASPECTS AND BOLUS COMPOSITION
• Non degradable substrate And : The quantity And represents the mass of macro-
molecules which is not degradable by endogenous enzymes of the digestive tract.
• Non solubilized substrate Ans : The quantity Ans represents the mass of macromo-
lecules which is not accessible to enzymatic hydrolysis. In presence of a sufficient
quantity of water, Ans is transformed into As .
• Solubilized substrate Adm s : The quantity Adms is the mass of dry substrate in so-
lution state. It is called solubilized substrate and it is assumed that one unit of Adms
requires Ws units of water to remain solubilized. Recalling [H1], Ws represents the
required mass of water to solubilize Adm s . This quantity depends on the properties
of each macromolecules. The mass of Ws is assumed to be equal to the mass of
αAdm dm
s where α represents the ratio of water associated with As . For simplification
purposes, the mix of Adm s and water is represented by As .
dm dm
• Intermediate substrate Bint : The quantity Bint is the mass of dry intermediate
substrate obtained from the degradation of As by volumic transformation [H3]. It
is solubilized and Wint represents the required amount of water to maintain solu-
dm
bilization. The mass of Wint is assumed to be equal to the mass of βBint where β
dm dm
represents the ratio of water associated with Bint . For Bint = Bint + Wint , volumic
transformation is represented as
Depending on the value of Ws and Wint , the amount of Ws − Wint of water can be
released or hold in the bolus.
dm dm
• Absorbable nutrients Babs : The quantity Babs is the mass of dry absorbable nu-
dm
trients obtained from surfacic reactions (cf. [H3]). For Babs = Babs + Wabs , the
surfacic transformation is defined as
89
4. PHYSIOLOGICAL ASPECTS AND BOLUS COMPOSITION
dm
Finsol = Winsol + Finsol
dm dm
where the mass of Wsol (Winsol ) is assumed to be equal to λs Fsol (λi Finsol ) for λs
dm dm
and λi which represent the ratio of water associated with Fsol and Finsol respectively
. As described in Section 1, DF is not degradable by endogenous enzymes of the
small intestine.
The following diagram shows the different transformations inside the bolus.
And
W
Fins
pcr Bint
Ans As
B.B
Babs
F IGURE III.1: Physical and chemical transformations inside the bolus and included in the mo-
del are represented in this scheme. “B.B“ stands for brush border enzymes and “pcr” stands for
pancreatic ones.
• Dry Matter : Total amount of Dry Matter substrate in the bolus is therefore
• Water : Impact of dietary fibre on digestion is closely linked to their WHC capacity.
Though, water evolution in the bolus has to be described to understand effects of
DF on digestion.
Total water Wtot in the bolus comes from three main sources
(i) Wf eed : water incorporated naturally in feedstuffs (e.g. : one gram of wheat
contains 12 % of water). The amount of Wf eed coming out of the stomach is
assumed to be proportional to the ingested dry matter DM , Wf eed = Kf eed ·DM .
(ii) Wsec : Water included in the endogenous secretions of saliva and stomach
which is also assumed to be proportional to the ingested dry matter, Wsec =
Ksec · DM .
(iii) Wdrink : Drunk water is assumed to be independent to the quantity of DM .
90
5. MODEL EQUATIONS
Total water included in the bolus is therefore defined as the sum of Wf eed , Wsec and
Wdrink
Wtot = Wf eed + Wsec + Wdrink .
Thereby, “available water”, W , as presented in [H6], is defined as the difference
between Wtot and the water associated with DM for maintaining the solution state.
In term of mass, the quantity of “available water” in the bolus at each time is
W = Wtot − Ws − Wint − Wabs − Wsol − Winsol .
• Mass of bolus M : The total mass of bolus, M , is given by M = DM + Wtot .
• Volume of bolus V : To define the bolus volume, as explained in [H2], the volume
of each substrate in solution is assumed to be the same as the volume filled by
water associated with that substrate, i.e. the volume of As is equal to Ws /ρw , where
ρw = 1 is the water density. The volume of bolus is therefore represented as
V = Wtot = πr2 `ρw = πr2 `.
Since the length of the bolus is assumed to be fixed, the volume evolution leads to
compute the radius r(t) of bolus at each time. Consequently its surface is written as
S = 2πr`.
In the following section, the different properties of dietary fibre on the model of
digestion are taken into account.
5 Model Equations
dm
To include WHC property of soluble DF in the digestion model, the mix of Fsol and
Wsol is assumed to form a viscous gel in the bolus. Therefore in our model the mass
of “available water” in the bolus is reduced. Moreover, viscous fibre enhances motility
but decreases transit rate, since it resists propulsive contractions [48]. This resistance to
peristaltic waves is described through a new notion called efficient radius of bolus called
rsol . As described in [H2], the volume filled by soluble DF is Wsol = λs Fsol , then
Definition 5.1. The efficient radius of bolus is defined as
p
rsol = (Wtot − Wsol )/2π`.
In the same way, the efficient surface of bolus is described as Ssol = 2πrsol `.
This definition is used to describe the decrease of the surfacic degradation and absorp-
tion caused by soluble DF in the model.
One of the hypothesis in the first model of digestion in [8] is the bolus homogeneity.
The mass concentration of each component of the bolus is assumed to be its mass divided
91
5. MODEL EQUATIONS
by the total mass M of the bolus. To model the digestion in presence of insoluble DF, new
notions are defined because of heterogeneity of bolus as described in [H2]. The volume
dm
filled by insoluble DF (the mix of Finsol and Winsol ), is assumed to be unavailable to the
macromolecules of feedstuffs in the bolus. In the digestion model, this hypothesis is taken
into account by the following definition.
Definition 5.2. The apparent concentration of different substrates in the bolus is repre-
sented as
Adm
s
dm
Bint dm
Babs
[Adm
s ] = , dm
[Bint ]= dm
, [Babs ]=
M − Finsol M − Finsol M − Finsol
Ans W And
[Ans ] = , [W ] = , [And ] =
M − Finsol M − Finsol M − Finsol
The degradation of macromolecules As and Bint as well as the absorption of the nu-
trients Babs are affected by WHC property of the insoluble DF through this definition.
Figure III.2 shows the regions of bolus which are filled by insoluble DF and therefore
unreachable by the macromolecules and nutrients.
F IGURE III.2: The distribution of insoluble fibre in the bolus as assumed in the model. The
apparent volume Vapp (see Definition 5.3) is the white part of the cylinder.
Integrating the insoluble DF in the bolus changes also the region reachable to volumic
degradation (see Figure III.2). According to hypothesis [H2], Winsol is the volume filled
by insoluble fibre.
Definition 5.3. The apparent volume of bolus Vapp is therefore defined as
The above considerations are taken into account in the following steps of digestion
described below.
92
5. MODEL EQUATIONS
d2 x dx c0 + c1 r Kvisco dx
2
= τ (1 − c−1 ) − ,
dt dt a + bx [W ] dt
where τ is the mean effect of the pulses by unit of time, c is mean velocity of peristaltic
waves, x the position in the small intestine. Taking into account the properties of dietary
fibre, this equation changes to
d2 x −1 dx c0 + c1 rsol Kvisco dx
= τ (1 − c ) − . (III.1)
dt2 dt a + bx [W ] dt
The bolus movement described by this equation depends on its position in the small intes-
tine and on its efficient radius. Moreover, the acceleration is slowed down by a viscosity
term which depends on the available water.
dAdm
s
= −kvol (x)[Adm
s ]Vapp
dt
where kvol (x) takes into account the enzymatic activity which is a function of bolus posi-
tion at each time t. The term [Adm
s ]Vapp describes the dependence of volumic degradation
dm
on the concentration of As at each unit of apparent volume i.e. the volume filled by the
insoluble DF is not accessible to the enzymes and macromolecules.
Consequently, integrating the insoluble fibre in the bolus influences the volumic trans-
formation by increasing the substrates concentration via the Definition 5.2 and by chan-
ging the volume and using Vapp introduced in Definition 5.3.
As described in Section 5.1, integrating the soluble fibre modifies the velocity of bolus
along the small intestine and therefore the distance travelled at each time x(t). Conse-
quently, it influences the volumic degradation through the function kvol (x(t)).
93
5. MODEL EQUATIONS
dm
The volumic production of intermediate substrate Bint is the result of degradation of
Adm
s
dm
dBint
= kvol (x)[Adm
s ]Vapp .
dt
dm dm
Each unit of produced Bint requires and uses Wint = βBint to maintain the solution
state. According to (Reaction 1), the result of volumic transformation is the consumption
or release of “available water” W . Thereby, volumic evolution of water is represented as
dW
= k̃vol (x)[Adm
s ]Vapp , (III.2)
dt
where k̃vol = (α − β)kvol .
Hydrolysis of Fsol by exogenous enzymes follows the same evolution as the volumic
transformation of Adms
dm
dFsol ˜ dm
= −ks eexo ph(x)[F sol ]Vapp
dt
dm
where [Fsol ˜
] = Fsol /(M − Finsol ) and ph(x) is the exogenous enzyme activity along the
dm
small intestine. This reaction produces the intermediate substrate Bint
dm
dBint ˜ dm
= ks eexo ph(x)[F sol ]Vapp .
dt
The amount (Wsol − Wint ) is released by (Reaction 4) and modifies the evolution of water
dW ˜ dm
= ... + k̃s eexo ph(x)[F sol ]Vapp (III.3)
dt
where k̃s = (λs − β)ks .
dAdm
s
= −ksurf [As ][W ]Ssol
dt
94
5. MODEL EQUATIONS
where ksurf stands for the rate of surfacic degradation of As and the efficient surface Ssol
has been defined by Definition 5.1. Moreover, it is assumed that the brush-border enzymes
dm
are always in excess in the small intestine. Surfacic degradation of Bint follows the same
dm
process as for As . Therefore for [Bint ] defined by Definition 5.2, we have
dm
dBint
= −k̃surf [Bint ][W ]Ssol .
dt
where ksurf stands for the rate of surfacic degradation of Bint . Evolution of water in the
bolus is influenced by the surfacic degradation, i.e. the quantity of water consumed (or
released) by (Reaction 2). Therefore the surfacic evolution of water is
dW
= ... + (β − γ)k̃surf [Bint ] + (α − γ)ksurf [As ] [W ]Ssol . (III.4)
dt
Modifications of feedstuffs in the stomach by the enzymes and water change most of
the Ans into As = Adm
s + Ws and makes them accessible to intestinal enzymes.
However, for some feedstuffs, the bolus may contain Ans at the beginning of small
intestine. In this case, the digestion of bolus contains also the transformation of Ans into
As . Mixing with bile acid for lipids and producing the micelles, denaturing for the proteins
and adding water and solubilization for the dry starch are examples of the transformation
of Ans into As in the small intestine.
The solubilization of Ans which takes place in the presence of enough quantity of W
and results in the production of As , is a phenomenon taken into account in the model.
Solubilization is reversible and lack of water may cause production of Ans releasing W in
the bolus.
95
5. MODEL EQUATIONS
Pancreatic and biliary secretions consist of a solution of nutrients and enzymes which
do not contain available water W . In fact, water included in this solution is assumed to
be associated with nutrients and enzymes to keep them solubilized. Modelling details
on these secretions could be seen in [8]. Adding dietary fibre increases the quantity of
pancreatic secretions. However this point is not yet included in the model.
Water equilibrium was already taken into account in [8]. The assumption was that [W ]
tends to reach a fixed ratio (10%), suggesting the equation
d[W ]
= −kw ([W ] − 0.1) (III.8)
dt
where [W ] = W (t)/M (t), M (t) representing the bolus mass. The superposition of the
equations (III.2), (III.3), (III.4), (III.6), (III.7) and (III.8) provides the equation describing
the evolution of W along the small intestine.
dM dAdm dB dm dB dm dF dm dAns dW
= (α + 1) s + (β + 1) int + (γ + 1) abs + (λsol + 1) sol + + ,
dt dt dt dt dt dt dt
each term of the above equation is replaced by its expression, therefore we obtain
dM M dm
= (−kw (W − 0.1M ) − kabs [Babs ]Ssol ). (III.9)
dt M −W
96
6. NUMERICAL SIMULATIONS
The variation of bolus volume depends on the absorption or secretion of “available water”
and endogenous secretions in the small intestine i.e.
dV dW
= , (III.10)
dt dt
therefore
dV
= −kw (W − 0.1M ) + Secretions.
dt
6 Numerical Simulations
The mass of the bolus at the entry of the small intestine is assumed to be fixed in all
our following experiences. The bolus at the entry of the small intestine contains And , Ans ,
As , Bint , Babs and W . When studying the influence of dietary fibre on digestion, the non
degradable substrate And is replaced by Fsol or Finsol .
The effects of these two cases on the digestion model are studied in this section.
Including insoluble DF in the bolus delays gastric emptying. The direct effect of this
phenomenon is to increase the solubilization in the bolus and to start partially the degra-
dation. We studied the effects of such a change in the initial conditions for our model. To
this aim, two numerical experiences are carried out : (a) the increase in the ratio of As to
Ans and (b) the increase in the ratio of Bint to As when Ans = 0.
97
6. NUMERICAL SIMULATIONS
(a) Our first experience consists in increasing the ratio of As to Ans in the bolus at
the entry of the small intestine. The value of absorbed dry nutrients at the end of
the small intestine does not vary meaningfully. Table III.1 shows the absorbed dry
nutrients to DM ratio at the end of ileum x = 17 for different for the different
Adm
s to DM ratio at the beginning of the small intestine. Despite the variations in
the ratio of As to Ans , the equilibrium between As and Ans defined by Equation
(III.5) is reached quickly (see Figure III.3). The sensitivity analysis shows also that
the value of absorbed dry nutrients is almost independent to the variations in the
ratio of As to Ans . However, this results depend on the choice of equilibrium rate
kequi , a small value of kequi may decrease the difference between the final values of
absorbed nutrients.
(b) In the second experience, the modification in the stomach is assumed to result in
the transformation of all Ans in the bolus into As and additionally the production of
Bint . Variations in the ratio of As to Bint inside the bolus at the entry of the small
intestine are tested. Table III.2 shows the variation of absorbed dry nutrients at the
end of the small intestine as a function of the initial value of Bint .
Numerical results shows the increase in absorbed dry nutrients when the ratio of
Bint to As is increased.
x=0 End of the small intestine x = 17
dm
Bint .DM −1 (%) As .DM −1 (%) Absorbed dry nutrients to DM ratio (%)
0 85 57
42 42 61
85 0 64
TABLE III.2: The relation between the absorbed dry nutrients at the end of digestion and the
dm .
different initial values of Bint
Besides the modification of the bolus in the stomach, presence of insoluble DF changes
also the physiochemical characteristics of bolus (Section 5).
98
6. NUMERICAL SIMULATIONS
40 40
35 35
30 30
Mass (g)
Mass (g)
25 25
20 20
15 15
10 10
5 5
0 0
0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5 5.0 0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5 5.0
(a) Adm
s = 36, Ans = 0 (b) Adm
s = 18, Ans = 18
40
35
30
Mass (g)
25
20
15
10
0
0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5 5.0
Tim e (hour)
(c) Adm
s = 0, Ans = 36
To observe the effect of DF in the model of digestion, value of insoluble and soluble
DF was increased from 1 g to 5 g in a bolus of 120 g.
Figure III.4 shows that the presence of insoluble DF promotes intestinal absorption,
however this increase in absorbed dry nutrients is not meaningful. The results in this
figure, show that the increasing of the value of soluble DF decreases the quantity of ab-
sorbed dry nutrients and increases the final total mass.
99
6. NUMERICAL SIMULATIONS
120 120
100 100
80 80
Mass (g)
Mass (g)
60 60
Absorbed nutrients Absorbed nutrients
20 20
0 4 0 5
0 2 4 6 8 0 2 4 6 8
Babs Water Soluble DF (g)
Insoluble DF (g)
F IGURE III.4: Change in the final mass of bolus and absorbed dry nutrients for different amount
of DF in the bolus at the entry of duodenum.
These results show that integrating insoluble DF in the bolus decreases the time of
intestinal transit from 5 h for a bolus of 120 g without insoluble DF to 3, 9 h for a bolus
of the same mass which contains 5 g of DF. These results are consistent with published
values. The experiences done by Wilfart et al. [13] have shown that increasing dietary
fibre content reduced or tended to reduce the mean retention time in the small intestine.
These results show that integrating soluble DF in the bolus increases the intestinal
digestion time from 5 h to 6, 7 h illustrating the effect of viscosity due to soluble DF on
transit time.
100
6. NUMERICAL SIMULATIONS
Numerical results presented in Figure III.5 show the negative effect of this increase
on the absorbed dry nutrients. Increasing the quantity of water (α, β and γ) associated
with the dry feedstuffs (Adm m dm
s , Bint and Babs ) in our model, dilutes the bolus and decreases
the volumic degradation, it decreases also the quantity of dry nutrients in contact with the
internal surface of the bolus. These results seems to be consistent with the reality, in fact,
90
80
70
60
Mass (g)
50
40 Absorbed nutrients
30 Final mass
20
10
0
0 1 2 3 4 5
α=β=γ
F IGURE III.5: Dependence of the absorbed dry nutrients and the final mass of bolus at the end of
the small intestine on the value of α, β and γ.
the more water is presented in the bolus, the less (pancreatic and brush border) enzymes
101
6. NUMERICAL SIMULATIONS
25 25
20 20
Mass (g)
15 Mass (g) 15
10 10
5 5
0 0
0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5 5.0 0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5 5.0
(a) α = β = γ = 1 (b) α = β = γ = 2
25 25
20 20
Mass (g)
Mass (g)
15 15
10 10
5 5
0 0
0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5 5.0 0 1 2 3 4 5 6
(c) α = β = γ = 3 (d) α = β = γ = 4
In the second experience, the quantity of absorbed dry nutrients at the end of the small
intestine and the numerical results of As -Ans equilibrium for different values of α, β and
γ were observed. The choice of the values of As , Bint and Babs is based on the hypothesis
that the value of β is always between the values of α and γ because of the molecule
102
6. NUMERICAL SIMULATIONS
dm
size of Bint . Even if the longest transit time was observed for α < β < γ, it shows the
lowest level of dry absorbed nutrients. This stresses the key-role of “available water” W
on digestion.
25 25
20 20
15 15
Mass (g)
Mass (g)
10 10
5 5
0 0
0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5 5.0 0 1 2 3 4 5 6
Tim e (hour) Tim e (hour)
103
7. DISCUSSION
We are interested by the change in the ratio of W inside the bolus and its influence
on the absorption in the small intestine. For the sake of simplicity, it was assumed that
Wf eed = Wsec = 0.
In order to study this effect, the value of dry matter in the bolus is assumed fixed at
42 g while the value of water increases in each experience.
In the numerical simulations, the ratio of water included in the bolus represented 55%,
60% and 66% of bolus. The ratio of absorbed dry nutrients to the total absorption (water
and nutrients) is collected. Results are presented in Table III.5. The numerical results of
Table III.5 shows that increasing the value of water in the bolus decreases the ratio of
absorbed dry nutrient to the total absorbed matter (water+dry nutrients), even though
the value of absorbed dry nutrients increases.
In fact, in our model, at the end of each experience the value of Wt is approximatively
55% of the total mass of bolus and this equilibrium is achieved almost quickly (because
of the choice of kw ). Therefore, increasing the value of water in this model does not have
a meaningful effect on the final absorption and the slight increase in the absorbed mass
of dry nutrients is due to the change of the volume of bolus in each experience which
promotes the access of nutrients to intestinal wall for absorption, although this increase
dilutes the bolus and decreases the volumic degradation. Here again, this is the direct result
the choice of the parameters (rate of surfacic (ksurf ) and volumic (kvol ) degradation ).
7 Discussion
In this paper, we have continued the modelling of the digestion in the small intestine
started in [8]. The objective was to obtain a more realistic model of digestion process
by including new phenomena and completing the others : DM and water are treated se-
104
7. DISCUSSION
parately, water evolution is influenced by the degradation of other molecules, the effects
of DF on the digestion are taken into account which is also a first step toward a non-
homogeneous model with different types of feedstuffs.
The advantages and the defects of this model as well as the perspectives are outlined
in the following paragraphs.
One of the main aspect of this model remains its genericity, we have tried to iden-
tify and model the main generic phenomena of digestion and ignored or implicitly taken
into account in the parameters the ones which required the specific properties of feed-
stuffs’ molecules (effects on gastric emptying, on viscosity,...etc.). The different steps of
digestion (equilibrium between Ans and As , successive transformation of As into Bint and
Babs ), the effects of physical characteristic of bolus (surface and volume) on its degrada-
tion and transit, the interaction between DF and feedstuffs molecules (among others) have
been considered while some other phenomena like the separation between the enzyme
activities of different feedstuffs’ molecules, dependence of the enzyme activity with res-
pect to the dilution of bolus, the different substrates density, the impact of DF on initial
condition (and others) have been ignored.
To our point of view, we obtained a more realistic model by integrating these new
phenomena in the model of digestion. In particular, the WHC of dietary fibre which in turn
interferes the digestion of other feedstuffs molecules, leads us to introduce the separation
between DM and water and consider all the effects of water.
However, some other phenomena are still ignored either because of the lack of infor-
mation concerning their effects or because of their supposed little impact on digestion at
this scale. Of course, It would be interesting to include in the model the phenomena like
interaction between different categories of feedstuffs and then define the specific enzyme
activity for different cases to exploit their potential to impact the digestion. The future
development of the model will be based on these new objectives.
Modelling the influence of soluble and insoluble DF on the initial condition and on de-
gradation of other feedstuffs’ molecules as well as on the movement of bolus (Experience
6.1) is the first try to model a more realistic non-homogeneous bolus. DF have normally a
high WHC which increases the volume of aqueous phase in the bolus and therefore dilutes
the solution of nutrients and enzymes [49]. This is known to influence the volumic and
surfacic reactions. However, these effects depend highly to the choice of Wsol and Winsol .
Another aspect of the model is the water equilibrium and its impact on absorption, here
again the choice of parameters (Was , Wint and Wabs ) plays significant role on the final
results of digestion.
On the other hand, Experience 6.3 reveals the role of other parameters of model (kw ,
kequi , ksurf , kvol ). As it has been described in this experience, the change of water ab-
sorption rate kw , can change ( even inverse) the numerical results. However, it is worth
105
8. APPENDIX
pointing that the choice of the model parameters are based on the observed behaviours
(literature), the results are therefore consistent qualitatively with the reality (positive in-
fluence of insoluble DF on digestion, negative effect of soluble DF, ...).
Taking into account these new phenomena requires the introduction of new parameters
which can be identified with the help of existing experimental data. To the best of our
knowledge, some of these parameters like the water associated to dry nutrients (Wsol ,
Winsol , Was , Wint and Wabs ) are introduced for the first time and they should be identified
One of the advantages of this model is its capacity to be reduced and to be adapt to the
new experiences which makes the parameters identification possible. Reduction consists
in the decreasing the number of equations of system or the number of parameters without
affecting its genericity (e.g. a bolus which does not contain the DF, results in a more
simplified digestion process which in turn caused decreasing the equations (parameters)
involved in the digestion model).
It is also worth pointing that the value of most of the parameters depends to the special
category of feedstuffs. The close collaborations between biologists and mathematicians is
therefore required to identify these new parameters (literature data in biology, define the
new experimentations, ...). This reveals one of the main interest of modelling which is to
ask the precise questions about the modeled phenomenon. In fact, this approach allows
to use all the existing data and limit the new animal experimentation to the special cases
(when the existing data are not sufficient).
8 Appendix
dAdm
s
= −kvol (x)[Adm
s ]Vapp − ksurf [As ][W ]Ssol + kequi µ([W ])A ns − As + secretions
dt
106
8. APPENDIX
dm
Intermediate substrate Bint
dm
dBint ˜
=kvol (t)[Adm dm
s ]Vapp + ks eexo ph(x)[Fsol ]Vapp − k̃surf [Bint ][W ]Ssol + secretions
dt
dm
Absorbable nutrients Babs
dm
dBabs dm
= k̃surf [Bint ] + ksurf [As ] [W ]Ssol − kabs [Babs ]Ssol
dt
107
8. APPENDIX
108
Conclusion et perspectives
Dans le deuxième chapitre, nous avons justifié par des méthodes d’homogénéisation
mathématique le choix du modèle basé sur d’équations différentielles ordinaires pour dé-
crire la digestion en démontrant que ce modèle tient compte d’une façon moyennée de la
présence des différentes échelles du temps et de l’espace dans la digestion intestinale : (i)
l’influence des ondes péristaltiques sur l’avancement du bol alimentaire, (ii) l’influence
des villosités intestinales sur l’augmentation de la surface de contact des aliments avec la
paroi intestinale, (iii) l’absorption passive et active à travers la paroi intestinale.
109
CONCLUSION ET PERSPECTIVES
Les thèmes suivants peuvent contribuer à rendre le modèle plus pertinent pour ouvrir
des pistes de recherche :
Une étape importante afin de rendre ce modèle opérationnel est l’identification de ses
paramètres. En effet, les expériences du chapitre 1 et le chapitre 3 ont montré l’influence
des paramètres sur des résultats finaux de la digestion. Pour identifier les paramètres, des
données issues des expérimentations seront nécessaires. Dans un premier temps, afin de
rendre l’identification de ces paramètres possible, nous pourrons réduire les équations du
modèle en choisissant un bolus suffisamment simplifié (homogène, solubilisé, enzymes
endogènes, ...) pour ensuite complexifier le bolus au fur et à mesure. Cependant, l’identi-
fication de certains paramètres comme le coefficient d’équilibre As ↔ Ans ou la quantité
d’eau associée à la matière sèche (Was , Wint , ...) reste compliquée du point de vue expé-
rimental et nécessitera des approches d’expert de ce domaine.
La condition initiale du modèle actuel est choisie en se basant sur le ratio de la matière
sèche dans le bolus à l’entrée de l’intestin grêle et elle est indépendante du prétraitement
des aliments dans l’estomac, car notre modèle ne s’intéresse qu’à la digestion intestinale.
Cependant, la prise en compte de ce dernier permettra de traiter des bols avec une matrice
alimentaire plus complexe. Par exemple, dans notre modèle présenté au Chapitre 3, nous
avons introduit dans la condition initiale, la quantité d’eau bue (Wdrink ), de l’eau secrétée
dans l’estomac (Wsec ) et de l’eau associée aux aliments (Wf eed ), les vraies valeurs de ces
quantités ne peuvent être définies qu’en prenant en compte le prétraitement de l’aliment
dans l’estomac (la digestion partielle des aliments, l’absorption d’eau et les sécrétions,
etc). Nous pourrons ensuite avoir une estimation raisonnable du volume et la composition
du bolus à l’entrée de l’intestin grêle.
110
CONCLUSION ET PERSPECTIVES
Bolus et sa composition
1. Passage à un bolus hétérogène : nous avons étudié la digestion pour un bolus ho-
mogène et ensuite pour un bolus hétérogène en intégrant les fibres alimentaires dans
sa composition. Il est donc intéressant de prendre en compte les trois catégories de
nutriments au sein du bolus : les glucides, les lipides et les protides. L’objectif est
d’étudier leur cinétique de digestion en présence des éventuelles interactions. En ef-
fet, les interactions entre les aliments variées au sein d’un bolus sont connues pour
être des étapes impactantes de la digestion. Ainsi, certains aliments peuvent limi-
ter la digestion des autres ou au contraire la favoriser. L’intégration de ces données
dans le modèle le rendrait évidemment plus compliqué (augmentation de nombre
des équations et des paramètres), mais peut permettre d’obtenir un modèle plus
opérationnel.
2. Changement de la longueur du cylindre : dans le modèle actuel, un cylindre de la
longueur fixe ` et du rayon variable R(t) représente le bol alimentaire. Le volume
du bolus à l’entrée de l’intestin grêle définit son rayon R(0). Cette quantité a un
maximum que nous appelons rmax . Dans le modèle actuel, la condition d’entrée
est toujours définie pour satisfaire cette contrainte. Cependant, il est clair que le
volume du bolus à l’entrée de l’intestin grêle varie en fonction de la composition
de l’aliment dans l’estomac, nous pouvons ainsi envisager d’étaler (augmenter ` )
le bolus lorsque R(0) > rmax .
3. Bolus consécutifs : l’évolution d’un seul bolus dans la lumière intestinale a été étu-
diée dans cette thèse. De la même manière, l’évolution de plusieurs bolus indé-
pendants (qui ne se rejoignent pas) peut être étudiée et modélisée. Il est toutefois
possible d’envisager un regroupement éventuel de ces bolus dans l’iléon et mo-
déliser l’influence de ce regroupement sur la digestibilité totale. Cependant, nous
ne pensons pas que cet aspect soit un point majeur comparé aux autres voies pour
développer le modèle.
111
CONCLUSION ET PERSPECTIVES
112
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114
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116
Résumé :
L’objectif de cette étude est de modéliser la digestion dans l’intestin grêle : le trans-
port des aliments par les ondes péristaltiques, la dégradation par les enzymes endogènes
et exogènes et l’absorption active et passive. Un modèle mécaniste basé sur les équa-
tions différentielles ordinaires a été utilisé pour représenter la digestion. Les équations
décrivent l’évolution de la position et de la composition du bolus provenant de l’estomac.
Nous montrons ensuite par les méthodes d’homogénéisation mathématiques que ce mo-
dèle peut être considéré comme une version macroscopique des modèles plus réalistes,
qui contiennent des phénomènes biologiques à des échelles inférieures de l’intestin grêle.
Enfin, nous étudions l’influence du changement de la structure de bolus sur la digestion
en intégrant les fibres alimentaires dans sa composition. Les deux principales caractéris-
tiques des fibres alimentaires qui interagissent avec la fonction de l’intestin grêle, à savoir,
la viscosité et la capacité de rétention d’eau ont été modélisées.
Mots clés :
Modélisation, EDO, Digestion, Intestin grêle, Péristaltique, Homogénéisation, Solu-
tions de viscosité, Fibres alimentaires.
Abstract :
The purpose of this study is to model the digestion in the small intestine : transport
of the the bolus by the peristaltic waves, feedstuffs degradation according to the endo-
genous and exogenous enzymes and nutrients absorption. A mechanistic model based on
ordinary differential equations is used to represent the digestion. The equations describe
the evolution of the position and composition of the bolus of feedstuffs coming from the
stomach. We prove by using the homogenization methods, that this model can be consi-
dered as a macroscopic version of more realistic models which contain the biological
phenomena at lower scales of the small intestine. Finally, we investigate the digestion of a
non-homogeneous feedstuffs matrix by integrating the dietary fibre in the bolus. The two
main physiochemical characteristics of dietary fibre which interact with the function of
the small intestine, i.e. viscosity and water holding capacity are modelled.
Keywords :
Modelling, ODE, Digestion, small intestine, peristaltic, Homogenization, Viscosity
solutions, Dietary fibres.