CIS Biochem Review Flashcards

1
Q

liver fn. during metabolism

A
  • Maintain blood glucose
  • Synthesize ketones from Acetyl-CoA when we switch to lipolysis
  • Synthesize fatty acids, convert to triglycerides and release as VLDLs

Requirements:

  • Absorptive state: glucose and amino acids for energy
  • Post-absorptive state: lactate, glycerol and amino acids for gluconeogenesis
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2
Q

adipose

fn. during metabolism

A

Functions:

  • Take up fatty acids and convert to triglycerides for long-term storage
  • Release fatty acids into circulation

Requirements:

  • Glucose to produce glycerol phosphate for the esterification of fatty acids
  • Switch to fatty acids during post-absorptive
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3
Q

resting skeletal mm. fn. during metabolism

A

Functions:
Release amino acids into the blood

Requirements:

  • Absorptive state: glucose for oxidation and glycogen stores, amino acids for protein synthesis
  • Post-absorptive: Fatty acids and ketones for energy
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4
Q

active skeletal mm. energy needs?

A

Fast-twitch
- Anaerobic glycolysis from glycogen

Slow-twitch

  • Oxidative metabolism of glycogen
  • After several hours, switch to lipolysis
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5
Q

absorptive state

A
  • occurs after a meal
  • blood glucose level increases
  • insulin is released:
  • In liver and mm: stimulates glycogen synthesis to be increased, after glycogen stores are filled, glucose is converted to fatty acids
  • protein synthesis increases in muscle
  • adipose: triglycerides synthesis increases
  • brain/blood cells: insensitive to insulin
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6
Q

Post-absorptive state

A
  • during fasting/12 hours/ overnight

Glucagon is released

  • Liver: glycogenolysis occurs, glucose released into blood, AA’s and FA’s taken in for gluconeogensis
  • Epinerphrine released:
    1. Muscle: AA’s released into blood
    2. Adipose: FA’s released into blood
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7
Q

muscle contraction activates TCA cycle

A
  • increases in Ca2+
  • increase in ADP
  • decrease in NADH/NAD + ratio
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8
Q

anaerobic mm. contraction

A

= High-Intensity Exercise

The need for ATP exceeds the mitochondria’s capacity for oxidative phosphorylation, thus focus on anaerobic glycolysis (glucose –> 2 pyruvate –> lactate using lactate dehydrogenase)

Lactate production
- Increased NADH/NAD+ ratio directs pyruvate into lactate

H+ production

  • At intracellular pH, lactic acid dissociates to lactate and H+
  • Decreases pH and causes pain and fatigue
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9
Q

aerobic mm. metabolism

A

Low-Intensity Exercise

Rate of ATP utilization is lower
- Fibers can generate ATP from oxidative phosphorylation

Increase CO2
- Complete oxidation of glucose to CO2

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10
Q

exercise and TCA cycle

A
  • exercise increases ATP utilization
  • increases TCA cycle: generates NADH and FADH2, which are driving force for ETC
  • results in increased ETC, and generation of NAD and FAD+ (driving force for TCA cycle)
  • if ETC wasn’t working, would build up NADH, which would inhibit TCA cycle
messengers of exercise feedback: 
1-ATP/ADP ratio
2-NADH/NAD+
3-Ca2+
4-Citrate
  1. myosin ATPase generates ADP:
    * * Increase in ADP stimulates:
    - Isocitrate deyhydrogenase (rate limiting step in TCA)
    - results in ETC forming NAD+ and FAD
  2. ETC utilizes NADH:
    - decrease in NADH stimulates isocitrate dehydrogenase along with malate dehydrogenase

NOTE: if not getting enough O2, results in halting of ETC - build up of NADH - results in lessening of TCA cycle

  1. increased Ca2+:
    - stimulates isocitrate dehydrogenase
    - alpha-ketoglutarate dehydrogenase
  2. When NADH/NAD+ ratio increases:
    - citrate inhibits Acetyl CoA entering the TCA (exerts negative feedback on the system)
    - NAD+ is allowed to increase
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11
Q

Increase in ADP stimulates:

A

Isocitrate deyhydrogenase

ETC to form NAD+ and FAD

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12
Q

Decrease in NADH stimulates:

A

Isocitrate dehydrogenase

Malate dehydrogenase

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13
Q

Increase in Ca2+ stimulates

A

Isocitrate dehydrogenase

Alpha-ketoglutarate dehydrogenase

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14
Q

When NADH/NAD+ ratio increases

A

Citrate inhibits Acetyl CoA entering the TCA cycle

NAD+ is allowed to increase

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15
Q

isocitrate dehydrogenase

A

stimulated by ADP and Ca2+, and decreased NADH

inhibited by rising NADH

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16
Q

exercise increases skeletal mm. capacity and efficiency for fuel oxidation in which ways?

A

increased txn in myocytes lead to adaptive changes:

  • increased TCA enzymes, decreased lactate production
  • increased ETC components
  • increased number and size of mitochondria
  • increased vasodilatory capacity
  • increased lymphatic drainage (decreased lactate)
17
Q

what happens with prolonged fasting?

A
  • glucagon and epinephrine are elevated, approx 2 days w/out eating
  • epinephrine stimulates mm. glycogenolysis
  • switch to lipolysis: in order to save proteins for essential fns, Acetyl-CoA is produced and converted to ketones

mm: utilizes FA’s
brain: utilizes ketones and FA’s
RBCs: still dependent on glucose

see decreased body temp, BP, HR, decreased blood glucose, increased serum ketones, positive urine ketones

18
Q

sx of anorexia nervosa

A

Amenorrhea

  • Develops when a woman’s body fat content falls below 22% of total body weight
  • Due to reduced LH and FSH production

Death by Starvation
Occurs when
- Approx. 40% of ideal body weight is lost
- Approx. 30-50% of body protein is lost
- Approx. 70-95% of body fat stores are lost

Starvation causes:

  • Depletion of muscle glycogen stores
  • Depletion of adipose tissue triacylglycerols
  • Depletion of blood glucose from liver glycogen

** can cause vitamin deficiency

19
Q

vitamin deficiency:

A

Symptoms

  • Fatigue, nausea and loss of appetite are general non-specific symptoms of vitamin deficiency
  • Muscle pain as a result of glycolysis as the primary source of energy

Riboflavin

  • Vitamin precursor of FAD and FMN (in ETC proteins)
  • Major coenzyme in all tissues
  • Widely distributed in foods and turnover is slow so signs of deficiency are slow to occur

Niacin

  • Vitamin precursor of NAD+
  • Can be synthesized from tryptophan

Thiamine
- Required for a-ketoglutarate dehydrogenase

Pantothenate

  • Vitamin precursor to CoA
  • Widely distributed in foods
20
Q

iron deficiency anemia

A

iron is required for ETC: causes fatigue d/t inability to transfer electrons and generate ATP