Brain Metabolism Flashcards

1
Q

Fatty acids found in the brain

A
  • Cerebrosides, ganglisides, plasmalogens, very long-chain fatty acids
  • lots of long chain stuff for myelisn sheath–>very high turnover (lost during endocytosis for NT re-uptake)
  • tight packing of myelin sheathsl achieved by using very long chains that stack well, ptotolopid protein, myeline basic protein
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2
Q

Sources of energy for brain

A
  • well fed absorbtive state–>glucose from diet
  • fasting: glcogenolysis and gluconeogenesis
  • starvtion: ketone bodies
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3
Q

Glucose transporters in brian

A

GLUT-1: cross endothelisal membranes (high affinity)
GLUT-3: enter neurons

neither is responsive to insulin, glucose uptake constant

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4
Q

Moncarboxylate trasnporter

A

-transports ketone bodies, pyruvate, lactate, and acetate across blood/brain barrier

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5
Q

Substances that can cross blood/brain barrier

A
  • passive diffusion: O2, H2O, CO2, N2O, NH2, hydrophobic drugs including EtOH, nicotine, diazepam (phenobarbitol does cross barrier but slower than expected because is bound to albumin in blood)
  • Essential fatty acids and vitamins (specific transporters)
  • some proteins (insulin, growth factors: receptor-mediated endocytosis)
  • large neurtral amino acids (most are essential): L, V, I, M, H, W, F, Y, L-DOPA (share facilitative transporter)
  • amino acids that are also neurotransmitters are blocked (Glu, Asp, GABA, Dopamine (remember DCC will act on L-DOPA so if you want to give it you also have to give a DCC inhibitor so it stays as dopa and can get through the barrier))
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6
Q

Amino acids that are neurotransmitors

A
  • glutamine
  • glutamate & aspartate (main excitatory neurotransmitters)
  • Glycine and GABA (main inhibitory neurotransmitters)
  • L-DOPA
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7
Q

Amino acids that are precursors to NTs

A

Y–>catecholamines
W–>serotonin
H–>histamine
Q–>GABA

usually involves decarboxylation of amino acid forming an amine: B6 (pyridoxal) dependent

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8
Q

Sources of ammonium in brain for gluatamine syntesis

A
  • astroglial cells have glutamine synthetase to make Q from E and NH4+
  • tranamination of aa (α-Kg)
  • deamination of aa (aspariginase, glutamate dehydrognease, glutaminase although that would be uselesss sort of)
  • purine nucleotide cycle (AMP)
  • neurons turn glutamine to glutamate to GABA
  • glutamine also use to transport excess NH4+ to the blood from brain
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9
Q

Synthesis of Glutamine and GABA in brain

A
  • Astroglial cell takes up BCAA
  • Use BCAA transaminase (with α-Kg) to get Glutamate (and BCKA)
  • Use glutamine synthetase to get glutamine (NH4+ from blood or purine nucleotide cycle in neurons or glutaminase)
  • Glutaminase used to make glutamate and NH4+
  • Glutamate decarboxylase (PLP) makes GABA
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10
Q

GABA Cycle

A
  • glial cells do the major uptake of GABA; they lack glutamate decarboxylase
  • converted to glutamine using GABA shunt (convert GABA into krebs cycle intermediate til to get to α-Kg I guess) and then GDH
  • glutamine goes back to neurons, back to beginning
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11
Q

Glutamate de novo synthesis in brain

A
  • transamination of α-Kg (α-Kg from TCA, NH3 from BCAA)
  • Glutamate dehydrogenase (here using NADPH) (reductive amination)
  • Glutaminase (deamination, also produces NH4+)
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12
Q

Epilepsy

A
  • associated with low GABA (amongst other causes)

- treated with GABA analogs or GABA reuptake inhibitors

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13
Q

Benzodiazepines

A

(eg. valium)–>binds GABA recpeptor and has a cooperative effect on GABA binding–>receptor hyperpolarizes membrane increasing firing threshold
- reduces anxiety

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14
Q

Phencyclidine

A
  • PCP

- NMDA (glutamate) receptor antagonist

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15
Q

Acetylcholine

A
  • excitatory NT
  • requires choline from diet
  • or PE metylated to PC by SAM (THF and B12 needed to recycle SAM)
  • Phospholipase D cleaves choline from PC
  • Phospholipase C clease phospholpase from PC
  • also need Acetyl-CoA (from glucose metabolism)
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16
Q

Acetylcholine synthesis and hydroxysis

A

Choline acetyltransferase: Ac-CoA + Choline—>AcCh + CoA

AcChesterase: AcCh—> Acetate + Choline

17
Q

Tryptophan to NTs

A

W hydroxylase: W—>5-hydroxytryptophan (5-HTP)

5-HTP decarboxylase (really its our freind aromatic L-amino acid decarboxylase)

18
Q

Cobalmin in brain

A

B12–>used to regenerate Met to make more SAM to make choline for AcCh and PC

19
Q

TPP in brain

A

B1–>energy production (PDH, α-KgDH, BCAADH)

20
Q

Factors affecting CNS metabolism

A

Glucose supply; O2 supply; B6 (PLP), Folate, choline (NT synthesis); B12 (SAM for choline synthesis); TPP (energies)

21
Q

Wernicke-Korsakoff Syndrome

A

-less severe form of Beri Beri
-thiamine (B1) deficinecy
-mental confusion
-ataxia
-opthalmoplegia
-common in alcoholics
-(mostly its transketolase that doesn’t get its TPP)
Chronic stage: Korsakoff’s psychosis, retrograde and/or anterograde amnesia, sometimes irreversible

22
Q

Prion diseases

A

-generally: Transmissinble Spongiform Encephalopathy

Creutzfeldt-Jakob disease (CJD), Kuru, mad cow (BSE/vCJD), scrapie

  • PrPsc cataltically converts PrP to infectious form, PrP eventually upregulated which just accelerates the whole thing
  • form insoluble plaques

-there is some genetic risk, sporadic misfolding event; or infectious transmission (interspecies is harder than intraspecies but happens clearly)

23
Q

Alzheimers disease

A
  • Plaques of amyloid β-peptide
  • formed from cleavage of β-amyloid precursor
  • 42 aa peptide neurotoxic, 40 aa nontoxic
  • 42 aa peptide has high β-sheet–>forms neurofibrillary tanges containing hyperphosphorylated tau protein (microtubule associated)