3.6-ALCOHOL!!! Flashcards

1
Q

Since the two main reactions involving alcohol use dehydrogenase’s…WHAT by product are we making a lot of?

A

NADH!! We are taking H’s off things, and filling up all of our taxi cabs! It explains all of the problems w/ EtOH consumption.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the general legal limit for DUI?

A

80mg/dL or .08g/dL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What two features allow EtOH to be absorbed EVERYWHERE in the body? What is its method of absorption?

A

Polar AND hydrophobic. Best of both worlds!…. Diffusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Where is 80% of EtOH absorbed? What about the other 20%? Where is it mostly OXIDIZED (dehydrogenated!)

A

80% in s.i. and 20% in liver…Mostly oxidized in the Liver (some in stomach and si)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

About how much EtOH goes unabsorbed and expelled through sweat, urine, feces, breath, saliva, and milk?

A

10%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the product of the first reaction of EtOH oxidation? REGARDLESS of route taken..(there are 4 routes)

A

Acetaldehyde=freaking toxic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Which EtOH oxidation pathway begins in the cytosol and is for naive drinkers?

A

Alcohol Dehydrogenase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Which EtOH oxidation pathway is inducible (for habitual drinkers) and occurs in the Smooth ER? What is the main enzyme in this system? (Dr.T would be upset if I get this wrong)

A

the Cytochrome P450 system MEOS (microsomal-EtOH-Oxidating-System)…. Main enzyme: Cytochrome-Y-2-E-1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the major EtOH oxidation rxn in the Brain/CNS happening in peroxisomes?

A

Catalase Dependent Oxidation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is “first pass” EtOH oxidation? (its the same rxn as ADH, this is unique c/o location)

A

Gastric Oxidiation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the easiest enzyme to become saturated? Where is the enzyme housed? What is the hardest?

A

Alcohol Dehydrogenase in the mitochondria….vs MEOS a 1000x difference!!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the second reaction of EtOH oxidation? What is the enzyme?

A

Acetaldehyde–>Acetate using Acetaldehyde Dehydrogenase 2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the two ways the end product of Acetakdehyde dehydrogenase can be used?

A

Acetate can then be used to build stuff (acetate—>acetyl-CoA—>fat) or used for energy 30kJ/g

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the three NEGATIVE outcomes of EtOH metabolism?

A

1.Acetaldehyde is an adduct (clingy and disruptive) 2. Increases ROS (reactive oxygen species) 3. Fills up all the taxi cabs (high NADH/NAD+ ratio)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What might be the leading cause for the almighty HANGOVER?

A

the build up of Acetaldehyde (very close to formaldehyde=toxic!!)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

WHERE is the second step (acetaldehyde dehydrogenase) occurring?

A

In the mitochondria (weird, more breaking down in mitochondria)

17
Q

What are the two main structural features of Alcohol Dehydrogenase?

A

Its a DIMER and it has ZINC in it!

18
Q

What is the general name for the different classes of ADH? What is the main class of these?

A

Isozymes=iso enzymes…Class I most important

19
Q

Rank the effectiveness of the ALDH2s: 1/1, 1/2, & 2/2 (converting acetaldehyde to acetate)

A

1/1 > 1/2 > 2/2.. I’d definitely a 2/2

20
Q

What is the ONE main reason for ALL the negative effects of Alcohol in the body? Hyperlactacidemia, hyperuricemia, hypoglycemia, ketosis, hyperlipemia, fatty liver, adducts, abnormal protein trafficking….

A

DECREASED NAD+/NADH ratio

21
Q

Why in the world would alcohol cause hypoglycemia?!

A

GNG gets suppressed because excess NADH goes towards making more MALATE and LACTATE instead of glucose

22
Q

What does EtOH do to ADH to cause dehydration?

A

EtOH inhibits AntiDiureticHormone, so you pee out more becoming dehydrated!

23
Q

What is the build up of lactate called coupled with dehydration?

A

Lactic Acidemia

24
Q

What is the result of a build up of acetyl-CoA when glycogen stores are depleted and GNG is suppressed?

A

Ketonemia!

25
What is the result of increased ketones and lactate competing with uric acid for the renal pump? AND you have increased breakdown of purines in muscle...
HyperUricemia
26
What is the result of acetaldehyde adducts to tubilin causing impaired microtubule function in the liver?
Fatty liver
27
How does EtOH affect the N.T. Gluatmate?
Glutamate is a major Exititory NT and EtOH INHIBITS Glutamate RECEPTOR function
28
How does EtOH affect the NT GABA?
GABA is a major inhibitory NT and EtOH ENHANCES GABA RECEPTOR function
29
What does EtOH do to the NT dopamine?
Increases Dopamine (excitement and stimulation)
30
What does EtOH do to the NTs Endorphins?
Increases endorphins (pain reduction/feeling high)
31
Alcohol consumption leads to weight _____ in occasional drinkers and weight _____ in alcoholics.
Gain in occasional, loss in alcoholics...GO FIGURE!
32
Alcohol Vitamin deficiency: this syndrome is the cause of low thiamin (B1) levels..
Wernicke-Korsakoff syndrome
33
What is the result of low folic acid (B9) levels due to EtOH?
Anemia
34
What degrades Vit A (Retinol) in EtOH metabolism? This can cause blindness YO!
the MEOS pathway
35
What are the four reasons alcohol might have a bigger effect on women then men?
1. Less total body water 2. ADH less affective in stomach 3.Menstral cycle 4. Chronic abuse not handled well