1 Flashcards

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1
Q

Chemical Composition of the Brain:

A

-About 80% of the brain tissue is water.
-Most of the brain dry weight is lipids; (cholesterol, glycerophospholipids, sphingomyelin, & glycolipids).
- The remainder of brain dry weight is proteins.

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2
Q

Chemical Composition of Myelin

A

Myelin is a lipid-rich structure formed of lipids & proteins.

Proteins:
Two major myelin proteins are found in CNS:
1.Proteo-lipid proteins (PLP).
2.Myelin basic proteins (MBP).

Lipid : 1 Cholesterol. 2 Phospholipids 3 Galactolipids

Myelin contains very high levels of cholesterol &
cerebrosides, especially galacto-cerebrosides.

The major fatty acid associated with these complex lipids is “oleic acid” which is a mono- unsaturated FA.

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3
Q

Myelin is a …………. packed structure. Diaw
The layers of myelin are held to gether by ………………..
Any disruption can lead to demyelination of the membrane.

A

tightly

protein/lipid &protein/protein interactions.

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4
Q

Demyelinating Diseases:
1. Demylination of CNS:…………..
2. Demyelination of PNS:……………
3. Other relatively rare demyelinating
diseases.

A

Demylination of CNS:
e.g. multiple sclerosis (MS)
2. Demyelination of PNS:
e.g. Guillain-Barre syndrome (GBS)

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5
Q

In young children, dietary FAs are important for the development of the nervous system.
Children are better when served by fatty sources
of foods like…….,………..

A

milk and fish.

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6
Q

Multiple sclerosis (MS)?

A

demyelinating disease which can lead to inability to walk

I diet rich in essential FAs can help
Reduce symptoms as well as relapses of MS according to the national MS society

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7
Q

Although the brain contributes only …….of the
adult weight, the brain consumes about ……. of
the basal oxygen consumption of the body at rest

A

2%

20%

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8
Q

Blood Brain Barrier Selectivity:

A

Blood Brain Barrier Selectivity:
1. Free permeability (passive diffusion):
›Small molecules: H2O, O2, CO2 & NH3, ethanol.
›Lipid soluble molecules: steroid hormones.
2. Carriermediatedtransport:
›Glucose: GLUT-1 & 3, (insulin-independent).
›Amino acids.
3. Pinocytosis.

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9
Q

Inter-tissue Relationship
In Absorptive State:
› In the well-fed state, brain
uses

A

glucose exclusively
as a source of energy,
oxidizing about 120-140

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10
Q

normal fasting blood glucose

A

› If blood glucose levels fall <40 mg/100 ml, cerebral
function is impaired (normal fasting blood glucose
=70–100 mg/dl).

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11
Q

Brain Metabolism In Fasting & Starvation:
› This results in an exchange of substrates between

A

liver, adipose tissue, muscles & brain that is guided
by two priorities:
1) To maintain adequate plasma glucose levels to
sustain energy metabolism of the brain and other
glucose-requiring tissues,
2) To mobilize fatty acids from adipose tissue & the
synthesis and release of ketone bodies from the
liver, to supply energy to all other tissues.

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12
Q

Brain Metabolism In Fasting & Starvation:

A

During the first days of fasting, the brain continues to use glucose exclusively as a fuel.
› Blood glucose is maintained by hepatic gluconeogenesis from glucogenic precursors, such as amino acids provided by the rapid degradation of muscle protein and glycerol.

In prolonged fasting (>2-3 ws), plasma ketone bodies reach significant high levels and the brain acquires the ability to use ketone bodies in addition to glucose to form ATP.

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13
Q

one factor that has been suggested to
cause central fatigue.

A

Changes in the brain 5-hydroxytryptamine (5-
HT)

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14
Q

The rate-limiting step in the synthesis of “5-HT”
is the

A

is the transport of tryptophan across the BBB

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15
Q

Ingestion of BCAAs causes delay of fatigue

A

increase their plasma concentration è decrease tryptophan uptake of by the brain 5-HT synthesis, causing delay of
fatigue.
-In some situations the intake of BCAAs also
improves physical performance.

branched chain amino acids (BCAAs), which are
leucine, isoleucine & valine. › They are transported by the same carrier system

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16
Q

Oxidation of fatty acids has an indirect role.

A

FA oxidation provides the NADH & ATP required
by the liver for gluconeogenesis.
› Increased FA oxidation increases the synthesis &
release of ketone bodies (mainly 3-hydroxybutyrate),
to be used as fuels by tissues including the brain.

17
Q

Metabolism of NH3:

A

Metabolism of NH3:
NH3 + Glutamate Glutamine synthetase
(Glu)
- Glutamine is metabolized in the liver kidney

18
Q

Ammonia toxicity:

A

Ammonia toxicity:
NH3 + α-ketoglutarate + NADH+H+ ¬®
§ So, Krebs cycle is impaired in neu
depletion of α-ketoglutarate (2-oxog
§ Increased Glu è excitotoxicity.