carbohydrate metabolism Flashcards

1
Q

what does the pancreas do?

A

secretes hormone insulin into blood in response to an increase in blood glucose

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2
Q

why do we need to maintan blood glucose levels?

A

as glucose is a primary fuel source of brain cells via glycolysis and neurotransmitter synthesis

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3
Q

how much glucose is consumed in a normal diet per day?

A

300g

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4
Q

what happens when glucose enters the blood?

A

some taken up by liver via facilitated transport (uptake) stores 80-100g

insulin activates hexokinase/glucokinase to store glucose as glycogen (glycogen synthesis)

liver hexokinase reaction reversible so glucose can leave liver cell to maintain blood glucose (glycogenolysis and gluconeogenesis)

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5
Q

describe most remaining glucose being taken up by skeletal muscle?

A

glucose enters muscle via facilitated transport stores up to 400-700g

hexokinase (glucokinase in liver) phosphorylates glucose using ATP to maintain gradient

glucose-6-phosphate is formed and can’t leave cell so enters glycolysis or glycogen synthesis

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6
Q

what is glucose transported via in skeletal muscle intake?

A

GLUT4 (maintained hours after exercise)

which is translocated to plasma membrane from intracellular vesicles in response to insulin, muscle contraction and Ca2+ (main)

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7
Q

what occurs in glycogen synthesis?

4 steps

A

glucose-6-phosphate converted to glucose-1-phosphate (G1P) by phosphoglucomutase

uridine diphosphate (UDP) glucose is synthesised from G1P and uridine triphosphate

UDP glucose binds to pre-existing glycogen molecule or glycogenin &UDP released

glycogen synthase and branching enzymes form proglycogen which grows into macroglycogen

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8
Q

what is glycogenin?

A

enzyme involved in converting glucose to glycogen

situated at core of glycogen molecule

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9
Q

what stimulates glycogen synthesis?

A

insulin

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10
Q

what is the purpose of glycogen synthesis?

A

glucose molecules added to chain of glycogen for storage

=glycogenesis

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11
Q

what reduces glycogen synthesis?

A

muscle contraction/exercise

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12
Q

what is glycogenolysis and what inhibits it?

A

glycogen breakdown into glucose for utilisation (opposite of glycogenesis)

insulin

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13
Q

what stimulates glycogenolysis ?

A

(glycogen breakdown)

muscle contraction/exercise

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14
Q

which process is preferential during exercise?

A

glycolysis (breaking down glucose into usable ATP in liver and skeletal muscle)

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15
Q

what are the main signals stimulating glycogenolysis?

A

(breaking down of glycogen)

calcium and adrenaline (high rates during high contraction in exercise)

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16
Q

what reduces with exercise?

A

insulin

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17
Q

what is G6P derived from?

A

glycogenolysis and glucose uptake

18
Q

where ensures blood glucose is maintained during postabsorptive period and during fasting?

A

liver as acts as a reserve

19
Q

what has to happen when glycogen reserve is exhausted in liver?

A

glucose must be made from non-carbohydrate precursors (lactate, amino acids and glycerol) via gluconeogenesis

20
Q

what increases during fasting?

A

circulating fatty acuds and glycerol

21
Q

why can’t fatty acids be used as pre-cursors?

A

pyruvate dehydrogenase and pyruvate kinase reactions are irreversible (acetyl-CoA from fatty acids can’t form glucose)

22
Q

what is gluconeogenesis?

A

conversion of pyruvate (made from non-carbohydrate precursors) to glucose

23
Q

what important role does Acetyl-CoA play?

A

inhibiting pyruvate dehydrogenase and diverting pyruvate to oxaloacetate and malate

24
Q

when is lactate produced at high rates?

A

during exercise in muscle and in red blood cells

25
Q

what is pyruvate kinae inhibited by?

A

alanine (amino acid)

26
Q

what can the liver dephosphorylate?

A

glucose-6-P

27
Q

where is glycerol released from?

A

adipose tissue

28
Q

what rate is the liver and gut releasing glucose at rest?

A

liver - 0.1g/min

gut - 1.5g/

29
Q

what rate is glucose taken up from the blood in the brain?

A

0.1g/min (same rate as released from liver)

30
Q

what is the relationship between exercise intensity and rate of glucose uptake?

A

the heavier the intensity, the higher the rate of glucose uptake by skeletal muscle e.g in leg (1g/min so 10x increase than normal)

31
Q

what happens during heavy exercise to blood glucose release and uptake levels?

how is this resolved?

A

blood glucose levels will fall as release rate slower than uptake rate (needs 2g/min)

so rate of glycogenolysis increases as well as glucose output from liver and stores in skeletal muscles used (as adrenaline inhibits insulin production which normally inhibits glucose output)

32
Q

why does higher exercise intensity lead to increased glycogen broken down?

A

higher rate of exercise, high turnover of ATP = high concentration of AMP = activates glycogen phosporylase = greater rate of glycogen broken down

33
Q

when does carbohydrate oxidation decline and why?

how to solve this?

A

carbohydrate oxidation declines after prolonged period of exercise due to depleted glycogen sources

ingest carbohydrates to increase/maintain blood glucose levels and therefore carbohydrate oxidation

34
Q

how can you delay muscle glycogen use during exercise and therefore prolong exercise and maintain glucose levels?

A

ingest carbohydrate electrolyte solution (any carb)

35
Q

what is the maximum carbohydrate oxidation rate faciliatated through 1 type and several types of CHO ingestion?

A

can’t oxidise more than 1-1.2g/min

unless you ingest different types of CHO together

36
Q

describe glycogen loading?

A

depleting muscle glycogen stores then
glycogen loading straight after, then lack of CHO, then loading a few days before competition can increase overall glycogen levels

due to increase in insulin sensitivity in muscles

37
Q

when is glycogen resynthesis highest?

A

few hours post exercise

38
Q

what is glycogenesis?

A

conversion of glucose to glycogen to be stored in the liver

= glycogen synthesis

39
Q

what effect would an increase in glycogenolysis have on glucose uptake and why?

A

uptake would decrease as large amount of glucose-6-phsophate present from glycogenolysis (breakdown of glycogen to glucose)

increased levels inhibit hexokinase so less glucose uptake in cell

40
Q

what are the effects of the drug antimycin A?

A

inhibitor of cytochrome C

causes ATP synthesis and oxidative phosphorylation to be inhibited