Chapter 22: Mammalian Fuel Metabolism: Integration and Regulation Flashcards

1
Q

In this chapter, we summarize the specialized metabolism of different organs and the pathways that link them. We also examine the mechanisms by which extracellular hormones influence intracellular events. We conclude with a discussion of disruptions in mammalian fuel metabolism.

A
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2
Q

View google docs or pg 774 for summary of the major pathways of fuel metabolism in mammals

A

Proteins, glycogen, and triacylglycerols are built up from and broken down to smaller units: amino acids, glucose6-phosphate, and fatty acids. Oxidation of those fuels yields metabolic energy in the form of ATP. Pyruvate (a product of glucose and amino acid degradation) and acetyl-CoA (a product of glucose, amino acid, and fatty acid degradation) occupy central positions in mammalian fuel metabolism. Compounds that give rise to pyruvate, such as oxaloacetate, can be used for gluconeogenesis; acetyl-CoA can give rise to ketone bodies but not glucose. Not all the pathways shown here occur in all cells or occur simultaneously in a given cell.

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3
Q

The major metabolic pathways for glucose, fatty acids, and amino acids center on what two compounds?

A

acetyl-CoA and pyruvate

Pyruvate (a product of glucose and amino acid degradation) and acetyl-CoA (a product of glucose, amino acid, and fatty acid degradation)

Acetyl-CoA is the common degradation product of glucose, fatty acids, and ketogenic amino acids. Its acetyl group can be oxidized to CO 2 and H2 O via the citric acid cycle and oxidative phosphorylation or used to synthesize ketone bodies or fatty acids. Pyruvate is the product of glycolysis and the breakdown of glucogenic amino acids. It can be oxidatively decarboxylated to yield acetyl-CoA, thereby committing its atoms either to oxidation or to the biosynthesis of fatty acids. Alternatively, pyruvate can be carboxylated via the pyruvate carboxylase reaction to form oxaloacetate, which can either replenish citric acid cycle intermediates or give rise to glucose or certain amino acids.

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4
Q

What tissue can carry out all the reactions?

A

Liver
Nevertheless, about 60% of all metabolic enzymes, representing essential “housekeeping” functions, are expressed at some level in all tissues in the human body but liver is the most metabolically active tissue, followed by adipose tissue and skeletal muscle.

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5
Q

What 5 mammalian organs are we going over? How are they connected?

A

-brain, muscle, adipose tissue, liver, and kidney.
-connected via bloodstream

Metabolites flow between these organs in well-defined pathways in which flux varies with the nutritional state of the animal (Fig. 22-2). For example, immediately following a meal, glucose, amino acids, and fatty acids are directly available from the intestine. Later, when those fuels have been exhausted, the liver supplies other tissues with glucose and ketone bodies, whereas adipose tissue provides them with fatty acids. All these organs are connected via the bloodstream. In addition, the metabolic activities of numerous microorganisms contribute to mammalian fuel metabolism

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6
Q

Characteristics of brain tissue

A
  • consumes 20% of O 2 taken up in resting state
  • ATP needed for Na+ ,K+ -ATPase for maintaining membrane potential in neurons
  • steady supply of glucose (or ketone bodies) from blood required
  • dysfunction if blood glucose levels < 50 % of normal (~ 5 mM)
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7
Q

What is the brain’s primary fuel during usual conditions? How about during starvation or fast?

A

Under usual conditions, glucose is the brain’s primary fuel (although during an extended fast, the brain gradually switches to ketone bodies

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8
Q

Muscle’s major fuels are?

A

glucose (from glycogen), fatty acids, and ketone bodies.

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9
Q

Characteristics of the muscle

A
  • stores glycogen (1 – 2% of muscle mass)
    (stores glucose in the form of glycogen)
  • glycogen is not as efficient as triacylglycerides in storing energy. however, glycogen can be mobilized more rapidly than fat and because glucose can be metabolized anaerobically, fatty acids not

-In muscle, glycogen is converted to glucose-6-phosphate (G6P) for entry into glycolysis. Muscle cannot export glucose, however, because it lacks glucose-6phosphatase.

-Furthermore, although muscle can synthesize glycogen from glucose, it does not participate in gluconeogenesis because it lacks the required enzymatic machinery. Consequently, muscle carbohydrate metabolism serves only muscle.

  • ATP used for muscle contraction (myosin)/Muscle contraction is driven by ATP hydrolysis (Section 7-2) and therefore requires either an aerobic or an anaerobic ATP regeneration system.

(Can work aerobically or anaerobically. Anaerobic needs glucose, not fat)

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10
Q

What is ATP used for in muscles? The body’s major source of ATP resupply? Under work, for immediate availability, ATP is regenerated from ?

A

ATP used for muscle contraction (myosin)/Muscle contraction is driven by ATP hydrolysis (Section 7-2) and therefore requires either an aerobic or an anaerobic ATP regeneration system.

Respiration (the citric acid cycle and oxidative phosphorylation)

Regenerated from phosphocreatine
ADP + phosphocreatine ↔ ATP + creatine

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11
Q

at rest, skeletal muscle uses how much of O2 taken up by body

A

Skeletal muscle at rest uses ∼30% of the O 2consumed by the human body. A muscle’s respiration rate may increase in response to a heavy workload by as much as 25-fold

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12
Q
  • with Phosphocreatine supply exhausted, muscle shifts to ATP production via ?
A

glycolysis

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13
Q

The Heart Is Largely Anaerobic or Aerobic? What is its fuel?

A

Aerobic

Fatty acids are the resting heart’s fuel of choice, but during heavy work, the heart greatly increases its consumption of glucose, which is derived mostly from its relatively limited glycogen store.

heart muscle relies entirely on aerobic metabolism and is richly endowed with mitochondria; they occupy up to 40% of its cytoplasmic space.

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14
Q
  • lactate build-up leads to?
A

pH decrease and muscle fatigue

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15
Q

Function of the adipose tissue? Where do the fatty acids come from?

A

The function of adipose tissue is to store and release fatty acids as needed for fuel as well as to secrete hormones involved in regulating metabolism.

  • stores fat/triglycerides; releases it when needed
  • 150 lb person – 30 lb fat (sufficient energy for ~ 3 months)
  • fatty acids obtained from circulating lipoproteins in the blood
  • glucose ↓, glycerol-3-phosphate ↓, triacylglycerol synthesis ↓, fatty acids released

3 fatty acids+glycerol form triglycerides

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16
Q

Liver functions

A

The liver maintains the proper levels of circulating fuels for use by the brain, muscles, and other tissues. It is uniquely situated to carry out this task because all the nutrients absorbed by the intestines except fatty acids are released into the portal vein, which drains directly into the liver.
* The liver makes all types of fuel available to other tissues.
One of the liver’s major functions is to act as a blood glucose “buffer.”
Fuel:
makes ketone bodies but does not use them s fuel
amino acids used as fuel
* when other fuels are scarce (muscle protein degradation)

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17
Q

main source of acetyl-CoA?

A

fatty acids

When the demand for metabolic fuels is high, fatty acids are degraded to acetyl-CoA
The liver also converts fatty acids to ketone bodies a

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18
Q

Glucokinase function?

A

Glucokinase Converts Blood Glucose to Glucose-6-Phosphate.

One of the liver’s major functions is to act as a blood glucose “buffer.”It does so by taking up and releasing glucose in response to hormones and to the concentration of glucose itself.

After a carbohydrate-containing meal, when the blood glucose concentration reaches ∼6 mM, the liver takes up glucose by converting it to G6P. This reaction is catalyzed by glucokinase, a liver isozyme of hexokinase (which is therefore also called hexokinase IV).

Glucokinase is also
* regulated by glucokinase regulatory protein

  • inhibited in presence of F6P
  • inhibition lifted by F1P
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19
Q

Compare Glucokinase and Hexokinase

A

The hexokinases in most cells obey Michaelis–Menten kinetics, have a high glucose affinity (K M < 0.1 mM), and are inhibited by their reaction product (G6P).
occurs in the liver

Glucokinase, in contrast, has much lower glucose affinity (reaching half-maximal velocity at ∼5 mM) and displays sigmoidal kinetics. Consequently, glucokinase activity increases rapidly with blood [glucose] over the normal physiological range (Fig. 22-4). Glucokinase, moreover, is not inhibited by physiological concentrations of G6P.
occurs in the muscle

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20
Q

Metabolic fate of glucose-6phosphate (G6P) in liver?

A

G6P can be converted(1) to glucose for export or (2) to glycogen for storage. Acetyl-CoA derived from G6P degradation
(3) is the starting material for lipid biosynthesis. It is also consumed in generating ATP by respiration. Degradation of G6P via the pentose phosphate pathway (4) yields NADPH.

21
Q

Kidney Functions

A

Kidney Filters Wastes and Maintains Blood pH

  • kidney excretes urea, NH3, H+, ketone bodies
  • during starvation, kidneys supply up to 50% of the body’s glucose via gluconeogenesis

The kidney filters urea and other waste products from the blood while it recovers important metabolites such as glucose.

22
Q

The cori cycle

A

The ATP that powers muscle contraction is generated through oxidative phosphorylation (in mitochondrion-rich slow-twitch muscle fibers; Box 15-3) or by rapid catabolism of glucose to lactate (in fast-twitch muscle fibers).

Glucose and Lactate Are Transported in the Cori Cycle

liver and muscle are linked by the bloodstream in a metabolic cycle known as the Cori cycle

  • liver ATP regenerated by oxidative phosphorylation
  • after exertion, increased O2 consumption to pay off “oxygen debt” created by demand for ATP
23
Q

The Glucose-Alanine Cycle

A

The Glucose–Alanine Cycle Transfers Alanine to the Liver.

In a pathway similar to the Cori cycle, alanine rather than lactate travels from muscle to the liver.
* glucose-alanine cycle transports nitrogen from muscle to liver

24
Q

Hormonal Control of Fuel Metabolism

A
  • Insulin release in response to glucose promotes fuel uptake and storage.
  • Glucagon and the catecholamines promote fuel mobilization.
25
Q

How does the human endocrine system respond to the needs of an organism?

A

by secreting a wide variety of hormones that enable the body to maintain metabolic homeostasis (balance between energy inflow and output),respond to external stimuli, and follow various developmental programs.

26
Q

What is is triggered by glucose

A
  • insulin release from b cells in pancreas is triggered by glucose
    The pancreas responds to increases in the concentration of blood glucose by secreting insulin, which therefore serves as a signal for plentiful metabolic fuel.
27
Q

What does insulin promote?

A

Insulin Promotes Fuel Storage in Muscle and Adipose Tissue.

  • in muscle cells, glucose is used to synthesize glycogen
  • in adipocytes, glucose is metabolized to acetyl-CoA and then to fatty acids used to synthesize triglycerides
28
Q

Insulin function

A

It acts as the primary regulator of blood glucose concentration by promoting glucose uptake in muscles and adipose tissue and by inhibiting hepatic glucose production.

29
Q

Muscle cells and adipocytes express an insulin-sensitive glucose transporter known as?

A

GLUT4. Insulin stimulates GLUT4 activity.
allows easy glucose uptake from blood

30
Q

What does insulin block?

A

Insulin Blocks Liver Gluconeogenesis and Glycogenolysis.

The result of these regulatory changes is that the liver stores glucose (as glycogen and as triacylglycerols) rather than producing glucose by glycogenolysis or gluconeogenesis.

31
Q

What counters the effects of insulin?

A

Glucagon and Catecholamines

the peptide hormone glucagon activates a series of intracellular events that lead to glycogenolysis in the liver.

32
Q

Epinephrine function?

A

Epinephrine promotes the release of glucagon from the pancreas, and glucagon binding to its receptor on liver cells stimulates glycogen breakdown.

33
Q

Overview of hormonal control of fuel metabolism.

A

(a) Immediately after a meal, when glucose and fatty acids are abundant, insulin signals tissues to store fuel as glycogen and triacylglycerols. Insulin also stimulates tissues other than liver to take up glucose via the GLUT4 transporter. (b) When dietary fuels are not

available, glucagon stimulates the liver to release glucose and adipose tissue to release fatty acids. During stress, epinephrine elicits similar responses.

34
Q
A

3 Metabolic Homeostasis: The Regulation of Energy Metabolism, Appetite, and Body Weight

KEY CONCEPTS

  • AMP-dependent protein kinase activates ATP-generating processes and inhibits ATP-consuming processes.
  • Fuel use and appetite are regulated by the adipose tissue hormones adiponectin and leptin as well as by hormones produced by the hypothalamus, stomach, and intestine.
  • Thermogenesis helps balance energy expenditure with energy intake.
35
Q

AMP-dependent protein kinase (AMPK) Function?

A

AMP-dependent protein kinase (AMPK), the cell’s fuel gauge, senses
the cell’s need for ATP and activates metabolic breakdown pathways while inhibiting biosynthetic pathways

activates ATP-generating processes and inhibits ATP-consuming processes.

  • AMPK activates pathways that generate ATP
  • AMPK inhibits biosynthetic pathways to preserve ATP

[AMP] ↑ means [ATP] ↓

36
Q

AMPK Promotes

A

Fatty Acid Oxidation and Glucose Uptake in Skeletal Muscle.

37
Q

AMPK inhibits?

A

AMPK Inhibits Lipolysis in Adipocytes
AMPK Inhibits Lipogenesis and Gluconeogenesis in Liver.

38
Q

What regulates AMPK activity?

A

Adiponectin /Adipocytes
The binding of adiponectin to adiponectin receptors, which occur on the surfaces of both liver and muscle cells, acts to increase the phosphorylation and activity of AMPK. This, as we have seen (Section 22-3A), inhibits gluconeogenesis and stimulates fatty acid oxidation in liver and stimulates glucose uptake and glucose and fatty acid oxidation in muscle.

  • Adiponectin, an adipocyte hormone that increases insulin sensitivity, acts by activating AMPK.
39
Q

What is leptin

A

Leptin Is a Satiety Hormone that is normally produced by adipocytes.
Leptin has therefore been considered a “satiety” signal that affects the appetite control system of the brain. Leptin also causes higher energy expenditure.
effects appetite control in Brain

Appetite is controlled in the hypothalamus by the hormones leptin, insulin, ghrelin, and PYY.

40
Q

obesity in humans appears to be due to?

A

Thus, obesity in humans is apparently the result not of faulty leptin production but of leptin resistance, perhaps due to a decrease in the level of a leptin receptor in the brain or the saturation of the receptor that transports leptin across the blood–brain barrier into the central nervous system.

41
Q

energy expenditure can be controlled by ?

A

diet-induced thermogenesis

  • problem: adults do not have significant amounts of brown adipose tissue, where UCP1 occurs
42
Q

the 3 disturbances in fuel metabolism

A

starvation, diabetes, and cancer metabolism

43
Q

Describe the absorption of proteins, carbohydrates, and fats after a meal.

A

food absorption after meal

  • proteins: - broken down into amino acids
  • absorbed
  • (in liver) used for protein biosynthesis, or oxidized to gain energy (no storage depot)
  • carbohydrates: - broken down into monosaccharides
  • absorbed
  • converted to glycogen (in liver and muscle), or oxidized to gain energy
  • fat:
  • fatty acids absorbed in intestinal mucosa and incorporated into chylomicrons (as triacylglycerides)
  • mostly taken up by adipose tissue, stored in adipocytes
44
Q

What occurs after a fast?

A

Gluconeogenesis Supplies Glucose during Starvation.
After a lengthy fast, the liver’s store of glycogen becomes depleted.

45
Q

What becomes a Major Energy Source during Starvation

A

Ketone bodies.
After several days of starvation, the liver directs acetyl-CoA, which is derived from fatty acid β oxidation, to the synthesis of ketone bodies (Section 20-3). These fuels are then released into the blood.

46
Q

What is diabetes mellitus

A

Diabetes Mellitus Is Characterized by High Blood Glucose Levels
not sufficient insulin released or does not efficiently stimulate its target cells.

glucose excreted in urine

47
Q

What is ketosis?

A

ketone body levels become abnormally high

48
Q

what is type 1 and type 2 diabetes?

A

insulin-dependent (type I, or juvenile-onset) diabetes
* pancreas lacks or has defective b cells (often caused by autoimmune response)
* insulin has to be provided by injection
* not sufficient insulin released,

non-insulin-dependent (type II, or maturity-onset) diabetes
* lack of insulin receptors ([insulin] high), cells are “insulin-resistant”
* insulin fails to stimulate target cells sufficiently
* can be caused by mutations in a (insulin-binding) or b (tyrosine kinase) subunits of insulin receptor