Carb Metabolism 3 Flashcards

1
Q

What are the 3 most important precursors for gluconeogenesis?

A
  1. lactate
  2. AAs (mostly alanine)
  3. glycerol from degradation of TAGs
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2
Q

What are the four unique reactions in gluceoneogensis?

A
  1. Pyruvate + CO2 + ATP –> pyruvate carboxylase –> OAA + ADP
  2. OAA + GTP –> PEP carboxykinase –> PEP + GDP + CO2
  3. Fruc 1,6 bisphosphate –> fructose 1,6 bisphosphotase –> fruc 6 phos
  4. Gluc 6 Phosphate –> glucose 6 phosphatase –> glucose
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3
Q

What hormone stimulates gluconeogenesis? What inhibits it?

A

+ glucagon

- insulin

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4
Q

What 4 enzymes are regulated in gluconeogenesis?

A
  1. pyruvate carboxylase
  2. PEP carboxykinase
  3. Fructose 1,6 bisphosphatase
  4. Glucose 6 phosphatase
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5
Q

What regulates pyruvate carboxylase?

A

+acetyl coA

- insulin

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6
Q

What regulates PEP carboxykinase?

A

+ glucagon, cAMP

- insulin and AMP

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7
Q

What regulates fruc 1,6 bis phosphatase?

A

+ citrate

-fruc 2,6 bisphosphate, AMP

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8
Q

What regulates gluc 6 phosphatase?

A

+glucagon

-insulin

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9
Q

Acetyl CoA has two effects on carb metabolism.. what are they?

A
  1. represses glycolysis by inhibiting PDH

2. activates gluconeogenesis by stimulating pyruvate carboxylase

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10
Q

Pts with inborn errors of metabolism such as a mutation in fruc 1,6 bisphosphatase have symptoms of what?

A

fasting hypoglycemia with metabolic acidosis

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11
Q

In what type of condition would you see fasting hypoglycemia with metabolic acidosis?

A

inborn errors of metabolism such as a mutation in fruc 1,6 bisphosphatase

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12
Q

Lactose is a heterodimer of what 2 things?

A

B-galactosyltransferase and a-lactalbumin

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13
Q

The major carbohydrate of human milk, lactose is synthesized from what two things?

A

UDP-galactose and glucose

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14
Q

NADPH is required for the synthesis of what 4 things?

A

fatty acids, cholesterol, neurotransmitters, nucleotides

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15
Q

What are the steps of the PPP? draw them out

A

:)

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16
Q

What is the committed step of the PPP?

A

the first step; gluc 6 p –> G6PD –> s-phosphogluconolactone

17
Q

What are the 2 stages of PPP?

A

Oxidative: Gluc 6 P –> ribose 5 phosphate

Nonoxidative: reversible transketolase and transaldolase reactions to make fructose 6 P and Glyceradehyde 3 P

18
Q

What is G6PD inhibited by?

A

NADPH