2. Fed State Metabolism Flashcards
How are each of the following organs affected in the fed state: Brain, Muscle, Liver, Pancreas, Adipose tissues?
Brain: unaffected (oxidises glucose)
Muscle: glucose uptake, glycolysis, glycogenesis increase (insulin stimulated), FA oxidation decreases
Liver: glycolysis, glycogenesis, fatty acid synthesis increases (sense glucose increase)
Pancreas: releases insulin (senses increased [glucose])
Adipose Tissue: glucose uptake, FA synthesis, FA uptake increased (Insulin stimulus), FA release inhibited
How are fatty acids stored in the blood?
In lipoproteins
How does the pancreas sense the increased blood [glucose] and release insulin accordingly (7)?
- Glucose transported into cell through GLUT2
- Glucokinase phosphorylates it to G-6-P
- G-6-P undergoes glycolysis, producing ATP
- Increased ATP, decreased Mg-ADP stimulates K+ channel closure
- [K+] increases, cell depolarises
- Increase in cell voltage leads to opening of Ca2+ voltage dependent channels
- Ca2+ floods into cell, binds to insulin vesicles and causes insulin release
How does incretin increase amount of insulin released?
Metabolic hormone produced by the small intestine (GLP1) which increases the sensitivity of K+ transporters to inhibitory ATP
Where are GLUT1&3, GLUT2 and GLUT4 found in the body? How do their Km’s vary? Why?
GLUT1 & GLUT3: Brain, 1mM, low Km as glucose uptake wanted to be constant (not sensitive)
GLUT2: Liver, Pancreas, 20mM, high Km as glucose sensitivity, uptake varies considerably with respect to [glucose]
GLUT4: Muscle, Adipose tissue, 5mM, middle Km to keep glucose uptake ~constany but also respond to changes in insulin levels
How is the Km of HkIV different from HkI-III? Why?
HkIV/glucokinase: It is 8mM rather than 1mM as it used as a sensor protein
What is the expression of Glucokinase like in the pancreas? Why?
It is low, so this is the limiting step for glucose metabolism
What is the K_0.5 or a protein?
The Km if the allosteric enzyme does not follow the michaelis mention equation (sigmoidal not hyperbolic curve)
What is the curve shape for glucokinase? What is the curve shape for HkI-III?
HkIV/glucokinase has a sigmoidal curve rather than the rectangular hyperbola of HkI-III
What model of substrate binding does glucokinase follow?
The Mnemonical model - A form of cooperative binding where the activator binds at a different time rather than location
What is co-operative binding?
An interaction between molecules (where one bi/multivalent) where the binding of one ligand changes the binding affinity of the second ligand
What is MODY2? What is it caused by? What are it’s symptoms? How is it treated?
Maturity onset diabetes of the young
Caused by autosomal dominant mutations in glucokinase reducing substrate affinity, co-operativity and thermostability
Low insulin levels as pancreatic cells cannot detect [glucose] changes well
Treated by insulin injections or managed by diet
What disease occurs if there is a homozygous inherited defect in glucokinase?
Neonatal diabetes mellitus (this is bad)
What system does the liver use to regulate glucose uptake? How does this work?
GLUT2-GCK system
GKRP (glucokinase regulatory protein) binds to glucokinase (GCK) inhibiting it’s activity and localising it to the nucleus. This process is inhibited when glucose and fructose-1-p are present, allowing uptake of glucose into the cell.
How does the GLUT2-GCK system vary between the pancreas and the liver?
The liver expressed much higher amounts of glucokinase so it can take up large amounts of glucose from the plasma (rather than just sensing like the pancreas)
Which pathways are upregulated/inhibited during the transition from fasting to fed state (3)?
Glycogenesis upregulated, glycogenolysis inhibited
glycolysis upregulated, gluconeogenesis inhibited
FA synthesis upregulated, FA oxidation inhibited
What are the two most important enzymes involved in glycogen metabolism (glycogenesis/glycogenolysis)? Which of these are activated in the fed state?
Glycogen synthase (glycogenesis) - activated in fed state
Glycogen phosphorylase (glycogenolysis) - inhibited in fed state
What forms do GP and GS take?
Both dimers with two forms a (active) and b (less active)
Explain how glycogen phosphorylase changes between the fasting and fed state and what causes these changes.
In the fasting state GP is phosphorylated, active, R state and has PP1 bound. It is kept in this by phosphorylation from phosphorylase kinase (PK). PK is phosphorylated/ activated by PKA which is in turn stimulated by GLUCAGON.
In the fed state, glucagon levels decrease and insulin and glucose levels increase. Glucose binds to GP causing alpha helices to cover the PP1 binding site and PP1 is released (T–> R state). The PP1 then causes dephosphorylation of GP, inactivating it. PP1 also dephospharylates PK inactivating it. PKA is inc give due to low glucagon concentrations.
Explain how glycogen synthase changes between the fasting and fed state and what causes these changes.
In the fasting state, glycogen synthase (GS) is inactive, tense and phosphorylated. It is inhibited by phosphorylated GSK3.
In the fed state, glucose-6-p and insulin levels increase. G-6-P binds to GS causing T–> R state transition and PP1 then dephosphorylates it, causing activation. GSK3 is inhibited by insulin preventing deactivation of GS.
How is PP1 regulated to ensure minimal energy wastage?
10x less PP1 enzymes than GP so almost all of GP must be inactivated before PP1 activity restored. So most of GP switched off before GS is activated.
What are the 6 molecules in glycolysis (not enzymes)?
Glucose, Glucose-6-P, Fructose-6-P, Fructose-1,6-bisP, Phosphoenolpyruvate, Pyruvate
What three enzymes are responsible for catalysing glycolysis? What are each of these enzymes stimulated/inhibited by?
Glucokinase: Glucose->Glucose-6-P, activated by glucose
Phosphofructokinase: Fructose-6-P->Fructose-1,6-BisP, activated by F2,6-bisP (this is produced by PFK-2/FBPase-2 which is activated by insulin)
Pyruvate Kinase: Phosphoenolpyruvate->pyruvate, activated by Fructose-1,6-BisP, inhibited by [alanine] and [ATP]
Which four enzymes are responsible for catalysing gluconeogenesis? What are each of these enzymes stimulated/inhibited by?
Pyruvate carboxyase/ phosphoenolpyruvate carboxykinase: pyruvate->PEP, PC not affected, PEPCK transcription/mRNA stability decreased by insulin
Fructose bisphosphatase-1: Fructose-1,6-bisP->fructose-6-p, F2,6-bisphosphate inhibits this
Glucose-6-phosphatase: glucose-6-p->glucose, inhibited by insulin