Chapter 19 Metabolic Integration Flashcards

1
Q

Functions of the pancreas

A

Secretes insulin in response to rising blood glucose levels

Secretes digestive proteases that degrade dietary protein in the small intestine
- trypsin
- chymotrypsin
- elastase

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2
Q

Functions of the small intestine

A
  • absorbs nutrients
  • secretes peptide hormones that control eating behaviors through neuronal signaling in the brain
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3
Q

Functions of the large intestine

A
  • absorb water and electrolytes
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4
Q

What does ghrelin do?

A

the hunger hormone, stimulates appetite

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5
Q

What does peptide YY do?

A

hormone that decreases appetite

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6
Q

Functions of the stomach

A
  • prepares food for small intestine by producing chyme, an acidic food slurry
  • secretes peptide hormones that control eating behaviors through neuronal signaling in the brain
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7
Q

Functions of the liver

A
  • central processing facility and metabolic hub
  • determines the dietary nutrients and metabolic fuels sent to peripheral tissues
  • glucose regulator that removes excess glucose from blood when carbohydrate levels are high (controlled by insulin and glucagon signaling)
  • portal vein directly delivers nutrients from the small intestine and inactivates toxins from the diet
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8
Q

What are the metabolic fates of Glucose-6-phosphate?

A

Depends on the metabolic needs of the liver and peripheral tissue

  • sent to pentose phosphate pathway
  • used in glycogen synthesis
  • converted to aceytl-CoA, which can go to lipid synthesis, ketone sythesis, or oxidative phosphorylation
  • can be converted to glucose and released into the blood
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9
Q

Functions of skeletal muscle

A
  • uses fatty acids, glucose, or ketone bodies
  • used in rapid bursts or endurance activities
  • energy source during times of starvation
  • stores glycogen
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10
Q

Functions of cardiac muscle

A
  • uses mostly fatty acids and ketone bodies
  • uses aerobic respiration for energy
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11
Q

What is creatine kinase?

A

A reversible enzyme that creates phosphocreatine when cellular ATP levels return to normal during muscle recovery

creatine kinase provides a phosphate from phosphocreatine to regenerate ATP from ADP

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12
Q

Function of adipose tissues

A
  • secretes peptide hormones (adipokines) to regulate metabolic homeostasis
  • makes up 15%-25% of an individual’s mass
  • fat is stored here
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13
Q

Subcutaneous fat

A
  • located in the thighs, buttocks, arms, and face
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14
Q

Visceral fat

A
  • located in the abdominal fat
  • secretes adipokines
  • more visceral fat gives rise to a higher risk of cardiovascular disease
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15
Q

Body mass index

A

provides an estimation of total body fat in an average person

BMI = weight (kg)/height^2

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16
Q

Functions of the brain

A
  • control center of the body
  • 20% of O2 consumed by the body is used for oxidative phosphorylation
  • generally depends mostly on glucose (60% of body’s glucose is required by the brain)
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17
Q

True or false, fatty acids can cross the blood brain barrier

A

false (but ketone bodies can)

18
Q

What is the blood brain barrierI (BBB)?

A
  • BBB limits what molecules traverse into the brain substance
  • blocks most molecules less than 500 daltons
  • less restrictive at certain places
19
Q

What is PET imaging?

A

positron emission topography

uses metabolic radioactive 18F-deoxyglucose to show differences in glucose metabolism in the brain

20
Q

Function of kidneys

A
  • utilizes gluconeogenesis
  • removes concentrated levels of urea, NH4+, ketone bodies, and soluble metabolites
21
Q

What is hemodialysis?

A

When blood is filtered from a patient with poor kidneys in order to remove waste products before being returned to them.

22
Q

What is metabolic homeostasis?

A

The process of maintaining optimal metabolite concentrations and managing chemical energy reserves in tissues.

23
Q

Describe the triacylglycerol cycle

A
  • An interorgan process that continually circulates fatty acids and triacylglycerols between adipose tissue and the liver
  • maintains energy-rich fatty acids in circulation so that they can be used by peripheral tissues
  • two components of that depend on sufficient levels of glycerol-3-phosphate: systemic and intracellular
24
Q

Describe the functions of insulin

A
  • released by pancreatic beta cells
  • stimulates glucose uptake in the liver, skeletal muscle, and adipose tissue
  • activates glycogen and fatty acid synthesis
  • decreases appetite through neuronal signaling in the brain
25
Describe the functions of glucagon
- released by pancreatic alpha cells - stimulates gluconeogenesis - stimulates glycogen degradation - stimulates fatty acid export from adipose tissue when food is not available
26
What are islets of Langerhans?
structures in the pancreas that secrete digestive enzymes
27
What is PPAR?
peroxisome proliferator-activated receptor nuclear receptor proteins
28
What do PPAR do?
- metabolic sensors of lipid homeostasis - regulates gene expression in response to binding of low-affinity, fatty acid-derived nutrients - important in energy metabolism and insulin sensitivity
29
What occurs in the body during starvation?
Blood glucose levels are maintained by degradation of liver glycogen Flux is altered in two ways: - gluconeogenesis occurs - fatty acids are used as fuels
30
What does leptin do?
suppresses appetite, secreted by adipose tissue
31
What are some potential effects of a lifelong positive energy balance?
- abdominal obesity - insulin resistance - hypertension - hyperlipidemia - high risk of cardiovascular disease
32
Type I Diabetes
- insulin dependent - insufficient insulin production by pancreatic beta cells
33
Type II Diabetes
- insulin-resistant - coupled to positive energy imbalance (weight gain) - desensitization of insulin receptor signaling
34
Describe the inflammation associated with obesity
TNF-alpha levels are high in adipocytes when lipid stores are high TNF-alpha also downregulates adiponectin and fatty acid metabolism genes. It also inhibits insulin
35
What are the four classes of diabetes treatment?
- alpha-glucosidase inhibitors; inhibits absorption of carbs - sulfonylurea drugs; inhibit the pancreatic ATP-dependent K+ channel, increasing insulin secretion - drugs that stimulate AMPK to increase glucose uptake and FA oxidation - ligand agonists of the nuclear receptor PPAR gamma
36
What three factors influence metabolic homeostasis?
- genetic inheritance - nutrition - exercise
37
What does Ephedrine do?
Stimulates adrenergic receptor signaling through release of norepinephrine
38
What does Lorcaserin do?
Appetite suppressant Targets neuronal control of food consumption
39
What does Orlistat do?
Pancreatic lipase inhibitor, prevents triglycerides from being metabolized with they pass through the digestive tract, allowing them to be excreted
40
Describe good and bad fats
Saturated fatty acids and trans fats can increase LDL levels in blood Polyunsaturated fatty acids and cis fats lower cardiovascular risk.
41
What is the glycemic index?
A numerical value indicating how fast glucose is released into the blood after eating carb-rich foods relative to the rise in blood glucose levels after drinking a solution of pure glucose glycemic index <55 are healthy carbs