BIOCHEMISTRY Flashcards

1
Q

RLE of glycolysis

A

step 3) phosphofructokinase-1

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2
Q

enzymes of irreversible steps of glycolysis ‘thermodynamic barriers’

A

step 1) glucokinase / hexokinase
step 3) phosphofructokinase-1
step 9) pyruvate kinase

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3
Q

irreversible steps of glycolysis

A

step 1) glucose –> glucose-6-phosphate
step 3) fructose-6-phosphate –> fructose-1-6-bisphosphate
step 9) Phosphoenolpyruvate –> pyruvate

glucose - G6P
F6P - F16BP
PEP - pyruate

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4
Q

what step does fluride inhibit in glycolysis

A

step 8) 2-PG –> PEP
removes Mg2+ & causes irreversible inhibition of enzyme enolase

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5
Q

what does Arsenate inhibit in glycolysis

A

stage 6) glyceraldehyde-3-P –> 1-3-bisphosphoglycerate
competes with PO4 for binding site on 1-3-BPG, no ATP produced

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6
Q

what step of glycolysis uses NADH

A

step 5) glyceraldehyde-3-phosphate –> 1-3-bisphosphoglycerate
uses: 2 NAD+ –> 2 NADH

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7
Q

what steps of glycolysis use (cost) ATP?

A

ATP –> ADP
step 1
step 3

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8
Q

whats steps of glycolysis produce ATP?

A

ADP –> ATP
step 6) 1-3-bisphosphoglycerate –> 3-phosphoglycerate
step 9) PEP –> pyruvate

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9
Q

what upregulates glycolysis?

A

insulin
ADP
AMP
Fructose-2-6-BP
Fructose-1-6-BP (at step 9)

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10
Q

what downregulates glycolysis

A

ATP
citrate
glucagon
alanine (at step 9)
acetyl-COA (at atep 9)

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11
Q

what gluconeogenesis enzymes differ from glycolysis?

A

(from top of glycolysis flowchart)
step 1) Glucose-6-phosphate
step 3) fructose-1-6-bisphosphate 1

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12
Q

how much energy produced from glycolysis

A

2 ATP
2 NADH

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13
Q

how much energy is produced from gluconeogenesis

A

4 ATP
2 GTP
2 NADH

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14
Q

gluconeogenesis can also occur from oxaloacetate in the TCA cycle via what enzyme?

A

oxaloacetate (TCA) –> PEP (Gluconeogenesis)
enzyme: PEP carboxykinase

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15
Q

in gluconeogenesis what co-factor does the enzyme require to convert pyruvate –> oxaloacetate

A

B7 (Biotin)
with pyruvate carboxylase
(occurs in mitochondria)

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16
Q

what stages of TCA cycle require (5) co-factors

A

B1, B2, 3B, B5, lipoic acid

step 1) pyruvate –> acetyl-CoA
enzyme: pyruvate dehydrogenase

step 6) a-ketoglutarate –> succinyl-CoA
enzyme: a-ketoglutarate dehydrogenase

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17
Q

what step of gluconeogenesis uses GDP as phosphate donor

A

oxaloacetate –> PEP
(step 2)

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18
Q

Pyruvate can be converted to ( ) or ( ) during intense exercise or starvation states & using which enzymes

A

cori cycle: lactate
lactate dehydrogense (LDH)
cahill cycle: alanine:
alanine transaminase (ALT)

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19
Q

how much energey is produced by TCA cycle

A

2 cycles:
3 NADH (= 2.5 ATP)
1 FADH2 (= 1.5 ATP)
1 GTP per acetyl-CoA (= 1ATP)
2 Co2
….. 20 ATP

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20
Q

what is the RLE of TCA cycle

A

isocitrate dehydrogenase
isocitrate –> a-ketoglutarate
step 4: (from pyruvate)

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21
Q

what enzymes of TCA cycle use NADH

A

step 4) isocitrate dehydrogenase
isocitrate –> a-ketoglutarate
step 5) a-ketoglutarate dehydrogenase
a-ketoglutarate –>succinyl-CoA
step 9) malate dehydrogenase
malate –> oxaloacetate

22
Q

what step uses FADH2 in TCA cycle

A

step 7) succinate dehydrogenase
succinate –> fumerate

23
Q

what enzyme of TC cycle odes arsenite inhibit

A

step 1) pyruvate dehydrogenase
pyruvate –> acetyl-CoA

24
Q

what step of TCA uses GTP

A

step 6) succinate thiokinase
succinyl-CoA –> succinate

25
Q

what are the regulatory enzymes in TCA cycle

A

step 2) citrate synthase
step 4) isocitrate dehydrogenase (RLE)
step 5) a-ketoglutarate dehydrogenase

26
Q

newborn
metabolic acidosis
tachypnoea
hypoglycaemia
ketosis
hyperammonia
vomiting, dehydration, AMS

A

methylmalonic acidaemia
(or propionic acidaemia)

‘organic acidemia’

propionic acidaemia - would have low methylmalonic acid

accumulation of methylmalonate inhibits urea cycle –> hyperammonia
*
Urea cycle defects typically show no ketosis, while organic acidemias show ketosis + hyperammonemia, as in this case.*

27
Q

sNRPs are ___ at the ___

A

single base substitutions at the splice acceptor site

28
Q

transcription is the process where -? is made from -?

A

pre-mRNA
DNA

pre-RNA must undego post-transcriptional modification to create mature mRNA
i.e. removal of interons (by SnRPs)

29
Q

pre-RNA must undego ___ to create mature mRNA

A

**post-transcriptional modification

i.e. removal of introns (by SnRPs)

30
Q

mutation at** splice acceptor site** can result in

A

inclusion of interions
exclusion of exons
non-functional mRNA / protein

31
Q

SRP (signal recognition particle) function

A

traffics
polypeptide-ribosome complex from the
cytosol to the RER

occurs after transcription

32
Q

location of SRP (signal recognition particle)

A

cytosolic ribonucleoprotein

33
Q

organic chemical compound is found in paint thinner

34
Q

toxic metabolite of methanol metabolism

A

formic acid

anion gap metaboic acidosis
compensatory respiratory alkalosis
retinal oedema
putaminal haemorrhage
optic disc hyperaemia
GIT distress
neurologic depression

35
Q

___-chain fatty acids don’t require carnitine shuttle

36
Q

**long chain fatty acids require ___ enzyme to shuttle them from cytoplasm into mitochondrial matrix

A

carnitine-acylcarnitine translocase

carnitine shuttle

enzyme dysfunction
LCFA nt shuttled
accumulate in liver/muscles

37
Q

AR
childhood onset
encephalopathy, vomiting,
hypoketotic hypoglycemia
hyperammonemia
muscle weakness, skeletal myopathy cardiomyopathy, ventricular dysrhythmias

enzyme deficiency
carninte shuttle

A

carnitine-acylcarnitine translocase deficiency

can’t shuttle LCFA

38
Q

symptoms of carnitine-acylcarnitine translocase deficiency triggered by

A

illness
fasting

Tx medium chain fatty acids
low fat, high carb formula
carnitine supplement

39
Q

Lesch-Nyhan; defect in salvage of

A

guanine
hypoxanthine

defect in HGPRT
decreased levels guanine, hypoxanthine

increased levels xanthine, uric acid

40
Q

folate has what affect on;
homocystine
methylmalonic acid

A

increased
normal

homocyteine –> methionine (folate & B12)
methylmalonyl-CoA - succinyl-coA (B12)

41
Q

folate deficiency common in (4)

A

malnutrition
alcoholism
high cell turn over - leukaemia, sickle cell
anti-folate drugs

42
Q

mutations in Kosak sequence impair

eukaryotes

A

translation of proteins

AUG methionine start codon

i.e. seen in B-thalassemia (point mutation affecting start codon)

43
Q

what location is the cause of OTC deficiency

ornithine transcarbamylase (OTC) deficiency

44
Q

male newborn
lethargy, poor feeding, vomiting 4
increased ammonia and orotic acid.

A

OTC deficiency

ornithine transcarbamylase (OTC) deficiency

45
Q

what is increased in ornithine transcarbamylase (OTC) deficiency

A

orotic acid
(from accumulation carbamoyl phosphate)

decreased citrulline

hyperammonia

46
Q

altered consciousness from DKA causing dehydration can alter consciousness via

glucose

A

osmotic diuresis

glucose in the urine draws water with it

hyperosmolar hyperglycemic state (HHS)
diabetic ketoacidosis (DKA)

47
Q

Urea cycle defects typically show no ___ while organic acidemias show ___ + ___

A

ketosis
ketosis + hyperammonemia

48
Q

generalized weakness
numbness and tingling UL/LL
difficulty walking
ataxic gait
decreased DTRs
haemolytic anaemia

vitamin deficiency

A

vitamin E

peripheral neuropathy

antioxidant
protects erythrocytes from free radicals

can be seen in **cystic fibrosis **-> problem absorbing fat-sol vitamins DEAK - pancreatic insufficiency

CF + vitamins -> think pancreas

49
Q

peripheral neuropathy
dermatitis
sideroblastic anaemia
glossitis
seizures

A

vitamin B6 (pyridoxine)

seizures espeicially if isoniazid use setting

deficiency limits sythesis histamine, Hb and neurotransmiters

50
Q

what enzyme does both liver and kidney possess to permit release of free glucose into the serum

A

glucose-6-phosphat_ase_

liveer - glucogenolysis & gluconeogenesis
kidney - gluconeogenesis

used during strenuous exercise

G-6-P hydrolyses glucose-6-phosphate to create free glucose molecules

51
Q

endocytosis is affected by mutation in the ___ domain of LDL receptor

A

cytoplasmic

signalling for endocytosis occurs via cytoplasmic domain

extracellular domain mutation would affect LDL particles binding to LDL receptor

52
Q

enzyme defects (2) causing homocystinuria

A

cystathionine b-synthase (↑ methionine)
methione synthase (↓ methionine)

look for difference in methionine concentration

how to differentiate

homocysteine → cystathionine (requires vitamin B6)
homocysteine → methionine (requires vitamin B12)