Alcohol metabolism Flashcards

1
Q

What are the consequences of alcohol

A

Fatty liver
hepatic disease
lactic acidosis

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2
Q

How many kcal/gram are there in alcohol

A

7kcal/gram

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3
Q

What does the liver convert alcohol into

A

Ethanol–>acetaldehyde–>acetate

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4
Q

What is produced at each step in alcohol metabolism

A

1 NADH for each step

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5
Q

What are the three enzyme systems of ethanol oxidation

A

Alcohol dehydrogenase (ADH)
MEOS
Catalase

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6
Q

What are the two most active enzymes in ethanol oxidation

A

ADH

MEOS

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7
Q

What is the main enzyme in Ethanol oxidation

A

ADH

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8
Q

What enzyme oxidizes ethanol once all the ADH is being used

A

MEOS

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9
Q

Where in liver cells does alcohol dehydrogenase pathway take place

A

Cytoplasm

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10
Q

What is required for alcohol dehydrogenase pathway

A

NAD+

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11
Q

What else is MEOS able to oxidize

A

Fatty acids
Aromatic hydrocarbons
Steroids
Barbituate drugs

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12
Q

What allows us to metabolize ethanol much more effectively

A

Ethanol in high concentrations causes the production of inducible MEOS enzymes

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13
Q

How is acetaldehyde toxic

A

1) It attaches covalently to proteins forming protein adduct
2) impedes formation of microtubules in liver cells
3) cause perivenular fibrosis

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14
Q

What is bad about protein adducts

A

They can impede function of protein

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15
Q

What happens when there is an increase in concentration of NADH

A

inhibit krebs cycle
Decreased fat burning
Increased FA synthesis
Lactic acidemia

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16
Q

Where will fat accumulate when alcohol is oxidized

A

Where it is metabolized
Liver (fatty liver)
Heart
Renal tubes