Carb III Flashcards

1
Q

Where are the two sites of gluconeogenesis?

A

Mostly liver but in cases of extreme starvation, the kidney

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2
Q

What enzymes of glycolysis are directly bypassed during gluconeogenesis?

A

hexokinase, phosphofructokinase

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3
Q

What are the three most utilized substituents for GNG?

A

lactate, alanine and glycerol

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4
Q

What must acetyl-CoA be converted into to be used for GNG?

A

oxaloacetate

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5
Q

What enzyme of GNG bypasses hexokinase?

A

glucose-6-phosphatase

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6
Q

What enzyme of GNG bypasses phosphofructokinase?

A

fructose 1,6-bisPhosphatase

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7
Q

WHat is the function of pyruvate carboxylase?

A

to convert pyruvate into OAA

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8
Q

What is the function of PEP carboxykianse?

A

to convert OAA into phosphoenolpyruvate

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9
Q

What are the three regulated enzymes of GNG?

A

PEPCK, F16bP-ase, G6P-ase

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10
Q

What is the main regulated step of GNG?

A

fructose-1,6-bisPhosphatase

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11
Q

What two metabolic enzymes are regulated by Acetyl-CoA?

A

inhbits pyruvate dehydrogenase and activates pyruvate carboxylase

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12
Q

Why do defects in GNG present with lactic acidosis?

A

lactate is one of three (alanine and glycerol) building blocks of glucose during GNG

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13
Q

A defect in what enzyme will present with fasting hypoglycemia and metabolic acidosis?

A

Fructose-1,6-bisPhosphatase

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14
Q

What reducing equivalent can inhibit GNG?

A

NADH

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15
Q

What is lactose synthesized from?

A

glucose and UDP-galactose

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16
Q

Lactose synthase is a heterodimer of what two components?

A

Alpha-lactallbumin and beta-galactosyltransferase

17
Q

What is the function of the pentose phosphate pathway?

A

Production of NADPH and riboses

18
Q

What is the function of G6P dehydrogenase?

A

conversion of G6P into 6-phosphogluconolactone

19
Q

What is the function of lactonase?

A

conversion of 6-phosphogluconolactone into 6-phosphogluconate

20
Q

What is the function of 6-phosphogluconate dehydrogenase?

A

coversion of 6-phosphogluconate into ribulose-5-phosphate

21
Q

What two products of the non-oxidative phase of PPP can be funneled into glycolysis?

A

F6P and GA3P

22
Q

What is the regulated step of the PPP?

A

conversion of G6P to 6-phosphogluconolactone

23
Q

What product inhibits the action of G6P Dehydrogenase?

A

NADPH

24
Q

What group of people are most likely to suffer an enzymatic defect in the G6P dehydrogenase?

A

african american men

25
Q

What tissue is overly susceptible to deficiencies in G6P dehydrogenase inactivity

A

RBCs

26
Q

What molecule contributes to RBC destruction?

A

H2O2

27
Q

What scenarios can raise H2O2 and make RBCs more susceptible to lysis?

A

Infections: macrophages produce H2O2

Fava beans

H2O2 producing drugs (primaquine)

28
Q

What vitamin is required for the transketolase reactions of the PPP?

A

Thiamine (B1)

29
Q

What vitamin is required for transketolase reactions of non-oxidative PPP?

A

thiamine