The Importance of Being Asymmetric: The Physiology of Digesta Propulsion on Earth and in Space

Abstract

In the embryo, the mammalian gastrointestinal tract (GIT) is a midline structure, but later becomes strikingly asymmetric. Such asymmetry is in contrast to other organ systems that are essentially bilaterally symmetric. Making a departure from the traditional straight tube model of the bowel, we offer a more realistic model-a kinked collapsible conduit disposed as a constrained kinematic chain. We examine evidence for the importance of its asymmetry to the unidirectional flow of digesta. A number of factors cooperate to ensure a unidirectional flow. The anatomical factors must include (1) the shape of the abdomen, the inverted truncated cone allowing several degrees of freedom of movement of the bowel allowing folds and twists; (2) the location of the liver and the stomach under the diaphragm, providing for efficient force transmission from the diaphragm (especially in the distended state in the case of the stomach); (3) cranio-caudal gradients in length of the small bowel mesentery and diameter of the bowel lumen. The physiological factors include (1) a deliberate conversion of ingested food into a non-Newtonian fluid with increasing viscosity, (2) nonlinearity of the tube law, (3) respiratory excursions of the diaphragm, and (4) a "Law of the Intestine". In microgravity, the bowel can be expected to float and exhibit loss of polarity of propulsion of digesta, but this can be compensated for by exercise (indirectly by increasing diaphragmatic movement). The asymmetry of the GIT is an ingenious device to ensure a unidirectional movement of digesta.