Chapter 19 Regulation of Metabolism Flashcards

1
Q

metabolism

A

all of the chemical reactions in the body

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2
Q

subdivisions of metabolism

A

anabolism (energy storage)

catabolism (energy liberation)

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3
Q

absorbtion time of an average meal

A

4h

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4
Q

energy reserves

A

glycogen and fat

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5
Q

formation of glycogen and fat

A

glycogenesis and lipogenesis

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6
Q

what controls the use of reserves

A

hormones

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7
Q

two functional states that provide energy for cellular activity

A

absorbtive state

postabsorbtive state

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8
Q

absorbtive state

A

“feasting” (sclemmen)

when ingested nutrients enter the blood from the GI tract during 4h following a meal

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9
Q

postabsorbtive state

A
"fasting"
after absorbtive state
when GI tract is empty of nutrients and body´s own stores supply energy
insulin secretion decreases
glucagon secretion increases
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10
Q

hormones that controle the states

A

glucagon and insulin

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11
Q

glucagon

A

secreted by alpha cells of islets of Langerhans

increased secretion during postabsorbtive state when blood glucose is low

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12
Q

what does glucagon stimulate

A

breakdown of glycogen

production of glucose

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13
Q

insulin

A

secreted by beta cells of islets of Langerhans

increased secretion during absorbtive state when blood glucose is high

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14
Q

what does inulin do

A

synthesis of energy reserves

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15
Q

carbohydrates during absorptive state

A

absorbed into glood from GI tract as monosaccharides

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16
Q

proteins during absorptive state

A

absorbed into glood from GI tract as AAs

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17
Q

fat during absorptive state

A

absorbed into lymph as chylomicrons, and lymph drains into systemic veins

18
Q

glucose

A

body´s major energy source during absorptive state

19
Q

what happens to glucose during aborptive state

A

catabolized to CO2, H2O and energy
conversion to glycogen
transformation to fat
synthesize triglyceride

20
Q

Lipids in absorptive state

A

together with glucose transformed into triglcerides to be stored
provides energy

21
Q

excess of cholesterol from chylomicrons

A

can lead to atherosclerosis

22
Q

amino acid in absorptive state

A

used to synthesis proteins

deaminated (amino group used to secrete urea, rest is catabolizes for energy)

23
Q

protein catabolism

A

breakdown of proteins into AAs

24
Q

ways that maintain blood glucose for energy and CNS activity

A

glycogenolysis (breakdwon of glycogen)
gluconeogenesis (synthesis of glucose using AAs)
glucose sparing (use of free fatty acids from lipolysis for energy)
ketogenesis (synthesis of ketone from fatty acids)

25
neuronal regulation of the metabolism
parasympathetic and sympathetic NS stimulate pancreatic islets
26
diabetes mellitus
chronic high blood glucose
27
two types of diabetes mellitus
type 1 diabetes mellitus (insulin dependent) | type 2 diabetes mellitus (non-insulin dependent)
28
insulin dependent (type 1) Diabetes
insulin deficiency due to autoimmune destruction of beta cells insulin must be injected, pumped or inhaled in powder form
29
what causes insulin dependent (type 1) Diabetes
genetic and environmental causes
30
3Ps of insulin dependent (type 1) Diabetes
polyuria, polyphagia, polydipsia
31
why does Hyperglycemia occur during insulin dependent (type 1) Diabetes
because glucose doesn´t enter cells
32
why does glucosuria occur
because amount of glucose exceeds transport maximum for reabsorption in kidneys
33
ketosis
increased ketone body concentration
34
non-insulin dependent (type2) diabetes
Insulin is present but target cells are resistant to it beta cells may secrete more insulin in response to glucose most common form of diabetes
35
who has a higher probability to get non-insulin dependent (type2) diabetes
adults | obese individuals
36
effects of diabetes
tissue and capillary damage eyes, kidneys and peripheral nerves increased sensation in extremities circulatory deficiencies
37
how does cholesterol enter plasma
via diet into GI tract | in chylomicrons from SI
38
what is another cholesterol source besides dietary
liver synthesizes cholesterol
39
functions of cholesterol
basis of steroids and bile salts found in chylomicrons form VLDLs (deliver triglycerides to organs) found in LDLs (carry cholesterol to organs) found in HDLs (return extra cholesterol back to liver)
40
key hormone for long-term control of food intake
leptin
41
where does leptin act on
hypothalamus