3 - Glycogen and Fat Stores Flashcards
What are the major energy stores in a 70kg man?
What tissues have an absolute requirement for glucose?
- Inner cells of kidney medulla
- Neutrophils
- Red blood cells
- Lens of eye
What happens during hyperglycaemia and especially when it becomes chronic?
- Protein glycation, sugar sticking to proteins causes complications
- Neuropathy, poor microcirculation, Retinopathy ( Type II Diabetes)
How do you measure blood glucose more accurately than just testing blood sugars at a point in time?
- HBA1C blood test
- Measures amount of glycation of Hb, more glycation means hyperglycaemia
What are the signs of hypoglycaemia?
How is glucose stored?
Glycogen granules in the liver and muscles. Glucose release from liver can replenish plasma glucose but in muscles glucose from glycogen can only be used in muscles
Outline the process of glycogenesis.
Outline the process of glycogenolysis.
Never fully degraded as always need a bit of primer
How does glycogenolysis vary between muscles and the liver?
Muscles lack the enzyme glucose-6-phosphatase
What glucose transporters are in the liver and muscles?
- Liver has GLUT2, bidirecitonal
- Muscles have GLUT4, insulin regulated
What are the rate limiting enzymes of glycogenolysis and glycogenesis and what inhibits and activates them?
- Glucagon has no effect on muscles as they have no receptor for it
- AMP allosterically activates muscle phosphorylase but not liver phosphorylase
What are glycogen storage diseases and the consequences of these diseases?
- Error of metabolism due to deficiency or dysfunction of enzymes
1. Tissue damage if xs storage
2. Fasting hypoglycaemia
3. Poor exercise tolerance
4. Abnormal glycogen storage
5. Liver and muscle affected
When and where does gluconeogenesis occur?
- In the liver, (some in kidney cortex), 8-10 hours of fasting as glycogen stores deplete
- Precursors: Lactate, Glycerol, AA (alanine)
- NO NET SYNTHESIS OF GLUCOSE FROM ACETYL COA AS CANNOT BE CONVERTED BACK TO PYRUVATE
What are the key enzymes involved in gluconeogenesis?
1 and 2 are major controls of pathway
How are enzymes in gluconeogenesis regulated and what causes regulation?
- Stress
- Exercise
- Starvation
What are fats stored as in adipose tissue?
- Cholesterol esters and TAG
- Typicall 0.1mm diameter but expand in size before dividing
How are TAG’s metabolised?
After hormone sensitive lipase, glycerol can go to liver for gluconeogenesis or go to muscles and other tissues for b-oxidation
Outline the process of lipogenesis.
Outline the differences between lipolysis and lipogenesis
Where does glucose come from over a time scale of 10 hours?
What is the difference between respiratory and metabolic acidosis?
What should the normal bloods look like for a fasting blood test?
How do galactose and fructose feed into gluconeogenesis?
