Carbohydrate metabolism Flashcards

1
Q

Roles of CHO in the body

A

Storage - liver/muscle

Glycated proteins - Glycosaminoglycans eg -

Hyaluronic acid - for skin
Keratan sulfate - cornea, cartilage, bone
Heparan sulfate - animal tissue
Chondroitin sulfate - blood vessels, heart valves, tendons

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2
Q

Glucose uptake definition

A

Glucose being taken from the blood into tissue

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3
Q

Glycogen synthesis definition

A

Making glycogen from glucose (in muscle/liver)

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4
Q

Glycogen breakdown definition

A

Liver/muscle allows glucose to be used (liver glycogen is moveable muscle isn’t)

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5
Q

Glycolysis definition

A

breaking down of glucose

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6
Q

Gluconeogenesis definition

A

making glucose from carbon sources (liver)

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7
Q

Fructose metabolism key points

A

Happens in the liver - used to make liver glycogen, glucose, lactate & TG synthesis (bad if not active leads to lipid accumulation & insulin resistance)

Taken up in other cells by GLUT 5

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8
Q

How is CHO removed from blood (hormonal)

A

Pancreas secretes insulin into blood during eating and as glucose enters blood

Insulin increases glucose uptake & promote glycogen storage

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9
Q

Glucose in blood removal

A

Taken up by liver cells (facilitated transport down conc grad) through GLUT 2

Insulin receptor detects insulin in blood - increases Glucokinase so glycogen is produced (glucose conc grad maintained)

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10
Q

Glucose returning to blood

A

Enzyme is present to remove phosphate group and release glucose back into blood stream (Glucose -6- phosphatase)

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11
Q

Importance of glucose to the brain

A

Glucose provides energy for turnover and neurotransmitter synthesis

brain 2% body weight uses 20% of total glucose

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12
Q

How does glucose get into the brain

A

Glucose cross blood brain barrier through GLUT 1 then into a neuron through GLUT 3 or Astrocyte (support cell) via GLUT 1 then into the TCA cycle

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13
Q

What happens if there is too much pyruvate in the brain cells

A

it is converted into lactate in the neuron and transported through the extracellular fluid to the astrocyte which prevents new glucose being oxidised instead it is turned into glycogen and stored

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14
Q

Positron emission tomography shows? (where is gluicose)

A

Glucose mainly present in brain, heart, bladder

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15
Q

How does glucose get into skeletal muscle

A

Facilitated transport via GLUT 4

Insulin receptor stimulate hexokinase creating glucose 6 P (conc grad maintained)

Glucose cant leave once phosphate is attached - stored or oxidised

Liver is better at storage but much more is held in muscle due to mass

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16
Q

What is the role of insulin in the skeletal muscle

A

Can increase amount of GLUT 4 on the membrane (via intracellular signalling - reaction to insulin detection) = more glucose in

17
Q

How does exercise increase the glucose in muscle cells

A

Contractions release calcium which translocate GLUT 4 to the membrane increasing glucose uptake

Process is independent of insulin

18
Q

Glycogen synthesis

A

Glucose -> glucose 6 phosphate -> glucose 1 phosphate -> UPD glucose -> glycogen

19
Q

How is glycogen constructed

A

UPD glucose attaches to glycogenin core

8-10 units attached = pro glycogen

Glycogen synthase (insulin regulated) takes over = macro glycogen

Branching enzyme = branched structure (1-6 bonds (1-4 straight))

20
Q

Glycogen synthase regulation

A

GS normal is inactive (P group attached blocking catalytic site)

Insulin activates protein phosphates removing the p group making GS active - glycogen is made

Adreneline/calcium (from exercise) stimulate protein kinase A = more inactive GS (adding P group)

21
Q

Glycogen breakdown enzyme & regulation

A

Glycogen phosphorylase a (active w/ P group)

Glycogen phosphorylase b (inactive no P group)

regulated by glycogen phosphorylase kinase (GPK) it adds to the P group & Glycogen phosphorylase phosphatase (GPP)

22
Q

Glycogen breakdown stimulatuion

A

Glucagon (from pancreas), Calcium & adrenaline (exercise) stimulates GPK to make active glycogen phosphorylase a

Insulin (during rest) stimulates GPP to remove the P group making glycogen phosphorylase b inactive

23
Q

When is glycogen breakdown inhibited

A

When there is lots of ATP or G-6-P they both inhibit glycogen phosphorylase a

High AMP levels inhibit GPP

24
Q

Key CHO processes during exercise

A

lots of glycolysis (stimulated by calcium/adrenaline)

Reduced insulin (less storage)
Glycogenolysis
Glucose uptake

25
Q

Glycolysis key points & net result

A

Generates ATP & co-enzymes (independent of oxygen)
Makes precursors for fat and protein synthesis

Net results = 2 ATP & 2 NADH

26
Q

Glycolytic enzymes

A
Hexokinase
Glycogen phosphorylase
Phosphofructokinase
Pyruvate kinase
Lactate dehydrogenase
Pyruvate dehydrogenase
27
Q

Pyruvate dehydrogenase (PDH) control

pyruvate to acetyl coA

A

PDH inactive (w/ p group)

PDH phosphatase removes p group (stimulated by calcium & magnesium from exercise) (inhibited by pyruvate, NAD, ADP, calcium)

PDH kinase adds p group (stimulated by NADH, ATP acetyl coA)

PDH active (wo/ p group)

28
Q

TCA cycle functions

A

decarboxylation of acetyl coA

ATP production

FADH2 production

NADH production

29
Q

Electron transport chain features/role

A

4 large complexes

Electrons pass from electron donors to acceptors

Each acceptor wants the electron more than the last one

Final stage = water

30
Q

Gluconeogenesis key points

A

Liver = glucostat (maintains blood glucose)

First reserve for glucose post absorption

During fasting (eg liver store depleted over night) - more fatty acid & glycerol in blood (cant be used as precursors)

PHD & pyruvate kinase reactions are irreversible

Acetyl-CoA from fatty acids cannot form glucose

31
Q

Gluconeogenesis pathway

A
  • FA -> acetyl coA
  • inhibits PDH
  • Pyruvate diverted to OAA
  • OAA converted to malate (to get across membrane)
  • Use malate-aspatate shuttle
  • Converted back to OAA
  • OAA to PEP
  • PEP reversed to glucose
32
Q

What else does gluconeogenesis do (in fasting conditions)

A
  • TG break down
  • Beta oxidation helps inhibit PDH
  • Glycerol converted to glycerol 3 phosphates & enters reversal process
  • Muscle breakdown (alanine can make pyruvate)
  • Lactate production (muscle & RBC - converted to pyruvate then reversed)