Carb Metabolism Flashcards

1
Q

Normal vs critical blood glucose?

A
Normal = 4-5mM
Critical = 2.5mM
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2
Q

Symptoms of hypoglycaemia?

A
Muscle weakness
Loss of coordination
Mental confusion
Sweating
Hypoglycaemic coma and death
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3
Q

Symptoms of hyperglycaemia?

A

Non enzymatic modification of proteins:
-cataracts,
-lipoproteins vital in atherosclerosis
Hyperosmolar coma

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4
Q

Role of pentose-phosphate pathway?

A

producing nucleotides + NADPH

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5
Q

How can body maintain blood glucose over a range of activities?

A

brain cells + 🔴 only use glucose

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6
Q

How body deals with excess blood glucose?

A

Glycogen synthesis
Pentose phosphate pathway
FA synthesis

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7
Q

How body deals with lack of blood glucose?

A

Glycogen breakdown

Gluconeogenesis

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8
Q

Describe structure of glycogen?

A
  • Branched polymer of D-glucose

- Mostly alpha 1-4 linked, but also alpha 1-6 linked

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9
Q

Role of protein glycogenin?

A

acts as a primer allowing initiation of glycogen synthesis

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10
Q

Effect of glycogen storage diseases?

A

suffer from muscular/neurological disorders

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11
Q

Describe glycogen synthesis

A

-G6P -> Glucose 1 phosphate via phosphoglucomutase
-G1P + UTP activating glucose
-forms UDP-Glucose.
-glycogenin + UDP-glucose
-catalyses addition of 1st glucose
-acts as substrate for glycogen synthase
-allows glycogen synthase to add on UDP-Glucose
to increase chain length
-when chain has 11 monomers of glucose, some of chain removed –> branch via branching enzyme
-forms alpha 1-6 links

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12
Q

Role of glycogenin?

A

reacts with UDP-glucose + catalyses addition of 1st glucose then acts as a substrate for glycogen synthase

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13
Q

Why glycogen?

A
  • Cannot store glucose as it’s osmotically active
  • 400mM glucose stored as 0.01mM glycogen
  • Fat not mobilised as readily
  • Fat cannot be used as an energy source in absence of oxygen
  • Fat cannot be converted to glucose
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14
Q

Debranching enzymes

A
  • Transferase activity moves last glucose residues to non-reducing end of an existing chain
  • Glucosidase removes the 1-6 link releasing glucose
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15
Q

Role of transferase?

A

debanching enzyme that moves last glucose residues to non-reducing end of an existing chain

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16
Q

Role of glucosidase?

A

debranching enzyme that removes the 1-6 link releasing glucose

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17
Q

Enzymes that breakdown glycogen?

A

Phosphorylase
Transferase
Debranching enzyme (glucosidase)
Phosphoglucomutase

18
Q

Enzymes needed to form glucose?

A
Phosphorylase
Transferase
Debranching enzyme (glucosidase)
Phosphoglucomutase 
Glucose 6 phosphatase
19
Q

Role of phosphorylase?

A

breaks the a1-4 links to break units individually giving glucose-1-phosphate
Transferase
Debranching enzyme a1-6

20
Q

Role of phosphoglucomutase?

A

converts G1P to G6P

21
Q

Fate of G6P?

A

Muscle : used to ATP synthesis

Liver : converts into glucose since contains glucose 6 phosphatase

22
Q

Describe structure of glycogen phosphorylase

A
  • Large multi-subunit enzyme
  • Allosteric enzyme that has sites away from active site that control its activity by inducing shape changes in the protein + activated by phosphorylation but modulated by other factors
23
Q

Role of glycogen phosphorylase?

A

-key enzyme in glycogenolysis + forms glucose-1-
phosphate
-many phosphorylase molecules bound to each glycogen particle so glycogenolysis switched on (less than a second in muscle)
-G6P formed provides fuel for muscles + in liver G6P is dephosphorylated (via glucose-6-phosphatase) + secreted into blood maintaining 5mmol/l blood sugar.

24
Q

Role of phosphorylase b kinase?

A

glycogen phosphorylase b (inactive) -> active

transfers a phosphate from an ATP to 1 serine residue on each phosphorylase subunit

25
Describe hormonal regulation of glycogenolysis
- Insulin inhibits - Glucagon stimulates in liver - Adrenaline stimulates in muscle - Cortisol is a weak stimulus
26
Describe activation of phosphorylase
-via cAMP cascade: -NA/A binding to GPCR -β-adrenergic receptor coupled to Gs -adenylate cyclase -synthesis of cAMP -activates PKA -PKA activates phosphorylase kinase -phosphorylase kinase converts phosphorylase b -> phosphorylase a -phosphorylase a cleaves G1P -> glycogen -PKA also converts glycogen synthase a -> glycogen synthase b -glycogen synthase a (inactive) so synthesis of glycogen inactivated -so synthesis + breakdown not occurring simultaneously
27
Describe control of glycogen phosphorylase in muscle
-glycogen phosphorylase b activated w/o phosphorylation by 5’-AMP (which forms when ATP depleted, tells cell energy is needed) -5'-AMP binds to nucleotide-binding site (allosteric) -ATP binds to same site - blocking activation -G6P also blocks 5´-AMP activation as sufficient energy in cell so more glucose isn’t needed.
28
Describe control of glycogen phosphorylase in liver
- glycogen breakdown by phosphorylase inhibited by glucose | - even after enzyme activated to phosphorylase a form by being phosphorylated
29
Describe activation of phosphorylase b kinase by Ca2+ in muscle?
- Ca2+ activate phosphorylase b kinase (allowing phosphorylation of phosphorylase b -> a - allows mediation of glycogenolysis during muscle contraction - as Ca2+ high in muscle contraction + so will be demand for energy - to get max activity of glycogenolysis + phosphorylase b kinase, need both Ca2+ + phosphorylation - allows body to regulate activity
30
Describe activation of phosphorylase b kinase by Ca2+ in liver?
-α-adrenergic activation stimulates Ca2+ release -phosphorylase b kinase under dual regulation via 2 diff receptor types: via cAMP elevation (--> PKA activation) Ca2+ mediated via α-adrenergic/IP3 pathway
31
When's glycogen synthase activated?
When plenty glucose - by ATP + G6P - by dephosphorylation (by protein phosphatase-1)
32
When's glycogen phosphorylase activated?
When glucose is in short supply | -by phosphorylation (by phosphorylase b)
33
When's glycogen synthase inactivated?
by phosphorylation (by PKA)
34
When's glycogen phosphorylase inactivated?
- by ATP and G6P | - by dephosphorylation (by protein phosphatase-1)
35
What's pentose phosphate pathway?
- Plenty glucose - Always active (irrespective of excess glucose) as body requires nucleotides, coenzymes etc - Produces NADPH - vital coenzyme in FA synthesis so aids fat synthesis
36
Daily glucose requirement + brain?
160g + brain needs 120g
37
Total body reserve for glucose?
210g
38
Role of gluconeogenic pathway?
- Converts pyruvate-> glucose | - In liver + little in kidney but during starvation kidney productions rises to 40%
39
Vital substrates for gluconeogenesis?
AA(alanine), lactate, glycerol
40
Role of glucose 6-phosphatase?
G6P -> glucose in liver (+ kidney) can reverse | hexokinase
41
Role of oxaloacetate?
mitochondrial molecule while pyruvate synthesised in cytosol so pyruvate carrier