Carb metabolism Flashcards

Zaise 7/31

1
Q

Glut1

A

High affinity, is ubiquitous but found in RBC and brain

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2
Q

Glut 2

A

low affinity (so high Km) found in liver, kidneys

  • does all glucose, galactose and fructose
  • only on BL side not apical (lumen)
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3
Q

Glut3

A

High affinity, neurons

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4
Q

Glut 4

A

Insulin dependent!! SK and heart and adipose tissue

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5
Q

Glut4 depndecy

A

Dependent on insulin, is sequestered until insulin binds to membrane insulin receptor, after a kinase mediated insulin cascade th microvesicles fuse w membrane

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6
Q

Glycolysis location and net yield

A

occurs in cytoplasm, yields 2 ATP, 2 NADH, 2 pyruvate

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7
Q

3 phases of glycolysis

A

Investment: req 2 ATP
Splitting: 1 six C molecule to 2 three C molecules
Recoup/payoff: 4 ATP generated

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8
Q

hexokinase

A

traps glucose in cell making G6P. in all cells, low Km and high affinity, substrate is glucose and other sugars, Inhibited by G6P

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9
Q

Glucokinase

A

Only in liver/pancreas, high Km & low affinity, high Vmax, substate is glucose only, not inhibited by G6P, F6P translocates to nucleus, F1P moves it to cytosol, insulin induces and glucagon inhibits

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10
Q

Rate limiting step for glycolysis

A

PFK-1; uses ATP converts F6P to F1,6-BisPhos

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11
Q

PFK-1 regulation

A

Activated by PFK-2/FBPase-2,AMP inhibited by ATP, citrate

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12
Q

PFK-2/FBPase-2

A

dimeric enzyme: is kinase when dephosphorylated and a phosphatase when -P; de-P favored by insulin, -P favored by glucagon

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13
Q

Tarui disease

A

Deficiency in PFK-1; exercise induced muscle cramps & weakness, hemolytic anemia, high blirubin/jaundice

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14
Q

Pyruvate Kinase

A

PEP into pyruvate; (+): F1,6-BP (feed fwd) y insulin, (-): ATP, Alanine, glucagon; high insulin: phosphatase dephospho PK= active; glucagon: cAMP activates PKA, Phosphorylation = PK inhibited

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15
Q

G6P is junction point

A

PPP: ribose, NADPH
Glycogenesis: glycogen
Glycolysis: pyruvate-F6P
Gluconeogenesis: Glucose

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16
Q

disorders of glycolysis

A

most defects cause hemolytic anemias (since RBCs only have glycolysis)
-95% of disorders are defects in PK

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17
Q

Carb. metabolism orchestrated by…

A

relative amounts of insulin and glucagon in blood

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18
Q

diabetes

A

group of diseases caused by hyperglycemia

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19
Q

Type 1 diabetes

A

severe insulin deficiency due to defective pancreatic Beta cells (likely due to immune destruction)

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20
Q

Type 2 diabetes

A

insulin resistance that progress to loss of beta cell function

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21
Q

Fasting blood glucose levels:

A

70-100 mg/dL
prediabetic: 100-125
above 12 is diabetic

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22
Q

Hemolytic anemia clinical markers

A

elevated LDH in plasma (due to cells breaking and releasing), unconjugated bilirubin

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23
Q

Fanconi-Bickel Syndrome

A

AR, mutation in Glut 2, unable to take up glucose, fructose, galactose

  • failure to thrive, hepatomegaly, tubular nephropathy, abdominal bloating, resistant rickets
  • treat w vit. D and phosphate
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24
Q

Body needs of glucose vs reserve

A

whole body: 160g (brain is 120 of that)
present in body fluids: 20
present in glycogen reserves: 190g
so have about a days worth in reserve wo replenish

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25
Q

gluconeogenesis location in body

A

only occurs in cells of liver, kidney and small intestine

26
Q

Gluconeo bypasses IR steps of glycolysis by:

A

PK: PEP carboxykinase and pyruvate carboxylase
PFK-1: F1,6-BPase
Hexokinase/glucokinase: G6Pase

27
Q

positive regulators for glycolysis

A

glucose, insulin, AMP, Fri2,6-BP,F1,6-BP

28
Q

Positive reg for gluconeogenesis

A

glucagon, citrate, cortisol, thyroxine, acetyl CoA

29
Q

Neg Reg of glycolysis

A

glucagon, ATP,citrate, G6P, F6P, alanine

30
Q

Neg Reg for gluconeogenesis

A

ADP, AMP, F2,6-BP

31
Q

Pyruvate Carboxylase

A

PC is mitochondrial enzyme, catalyzes first step in gluconeo, pyruvate in mito is carboxylated to form OAA, biotin is cofactor
(+): acetyl CoA and cortisol

32
Q

Fate of OAA after PC

A

since OAA cant get past Mito matrix its reduced to malate by mitochondrial malate DH,’ malate shuttle’ to cytoplasm, reoxidized to OAA by cytosolic malate DH

33
Q

PEPCK

A
  • OAA from mitochondria (via malate intermediate) decarboxylated and phosphorylated to PEP using GTP
  • transcription activated by: cortisol, glucagon, thyroxine
34
Q

F 1,6-Bisphosphotase

A

RL step in gluconeo
(+): cortisol, citrate
(-): AMP and F26BP

35
Q

G6-phosphotase

A

in ER lumen, only in liver, kidneys, SI and pancreas

36
Q

cori cycle

A

links lactate produced from anaerobic glycolysis in RBC and exercising muscle to gluconeo in liver

  • prevents lactate accumulation
  • regenerates glucose
37
Q

precursors of gluconeogenesis

A

Carbs, lipids and proteins

38
Q

F1,6BP deficiency

A

similar to tarui, presents in infancy and early childhood, hypoglycemic, lacic acidosis

39
Q

Von Gierke Disease

A

deficiency in glucose-6-phosphotase
-1 in 100k births
marked fasting hypoglycemia, large liver bc buildup of glycogen

40
Q

Glut 5

A

Fructose uptake from apical and BL

41
Q

SGLT1

A

takes up glucose, galactose, Na+ from apical side (since Glut2 is only on BL side

42
Q

Polyyol Pathway

A

Glucose–> sorbitol—>fructose

-used by sperm

43
Q

Fructose

A
  • metabolizes faster than glucose bc bypasses Rl step (PFK1), ends up being stored as triacylglycerols
  • too much results in fatty liver
44
Q

galactose metabolism

A

galactose—(galactokinase)–> G1P–(GALT)–> glucose1P (via a UDP intermediate)—G6P——>glycolysis

45
Q

Galactosemia classic

A

GALT defective, accumulation of galactitol

46
Q

Galactosemia non classical

A

accumulation of galactitol and galactose in blood and urine, accumulation of galactitol in eye = cataracts

47
Q

PPP

A

occurs in cytosol, produces ribose and NADPH in 2 diff phases an irreversible oxidative step and reversible non -oxidative

48
Q

PPP Rl enzyme

A

G6P DH- creates NADPH and ends with Ribulose-5-p

49
Q

G6PD deficiency

A

mostly AA population, hemolytic anemia, since NADPH regenerates glutathione

50
Q

PPP non oxidative phase

A

series of reversible steps whose products go to glycolysis, gluconeogenesis, nucleotide syn

51
Q

glycogen

A

stored in liver and muscle as granules, these granules store glycogen and the req. enzymes

52
Q

liver glycogen

A

regulates blood glucose levels

53
Q

muscle glycogen

A

provides reservoir of fuel for physical activity

54
Q

Phosphoglucomutase

A

converts G6P to G1P

55
Q

UDP-glucose-pyrophosphorylase

A

converts G1P to UTP which generates UDP-glucose

56
Q

Glycogen Synthase

A

RL Step!!!!!!!!!!!!!!!

-transfer of glucose from UDP-glucose to non-reducing end of glycogen chain

57
Q

branching of glycogen chain

A

glucosyl(4:6) transferase aka ‘branching enzyme’

58
Q

glycogenolysis

A

2 steps: chain shortening (GP) & Branch transfer and release of glucose (debranching enzyme)

59
Q

debranching enzyme

A

uses its transferase (4:4) activity to transfer a block of 3 of the remaining 4 glucose to NR end

60
Q

A-1,6 glucosidase

A

removes remaining 1 singular branched glucose

61
Q

fate of liver vs muscle G1P

A

liver: converted to G6P then glucose=released n blood
muscle: dont have G6Pase so uses G6P to form energy via glycolysis and TCA

62
Q

pathways of glycogen synthesis and degradation regulated by phosphorylation

A

GS: Active when dephosphorylated- active when phosphorylated

GP: opposite