Final answer:
Option d is the correct answer. Hypochlorhydria raises the pH level in the stomach, altering the secondary and tertiary structures of pepsin and impairing its ability to digest proteins. This can lead to inefficient protein digestion and potential nutritional deficiencies.
Step-by-step explanation:
The consequences of hypochlorhydria on the functionality of pepsin and the digestion of proteins in the stomach are significant. Pepsin is an enzyme that breaks down proteins into smaller peptides, functioning optimally in a highly acidic environment with a pH of about 1.5. When the pH level in the stomach rises to between 4 and 5, as occurs with hypochlorhydria, the enzyme's activity is compromised. The correct answer to the given question is D: The secondary and tertiary structures of pepsin are altered, and proteins will no longer be able to fit in the active site of pepsin. As a result, protein digestion by pepsin will be inefficient since the enzyme is not stable or active at higher pH levels.
Pepsinogen, the inactive precursor of pepsin, requires a low pH to be converted into active pepsin. At a lower acidity due to hypochlorhydria, pepsinogen conversion to pepsin is impaired, further adding to the challenges of protein digestion. The decreased capacity to digest proteins can lead to various digestive problems and nutritional deficiencies.