Day 6 Nucleotide Metabolism Flashcards

1
Q

Glucose metabolism in the liver

A
  • Glycogen storage
  • Removal of glucose from the blood
  • Production of reducing agents for bio-synthesis
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2
Q

Amino acid metabolism in the liver

A
  • AA are used for protein synthesis
  • Degraded to carbon skeletons in fasting state
  • Urea cycle excretes NH3
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3
Q

Fatty acid metabolism in the Liver

A
  • Triglyceride synthesis
  • endogenous storage
  • Lipoprotein production
  • cholesterol synthesis
  • bile salts
  • hormones
  • Ketone body production
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4
Q

Pacreatic hormones

A
  • Insulin from beta cells

- Glucagon from alpha cells

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5
Q

Fed state

A
  • High insulin
  • increase blood sugar
  • glycogen storage
  • fatty acid synthesis
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6
Q

Fasting state

A
  • High glucagon
  • 4 phases
  • glycogenolysis and gluconeogenesis in the liver
  • lipolysis in adipose tissues
  • fatty acids converted to ketone bodies in the liver for used in the periphery cells
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7
Q

Early fasting

A

Glycogen degradation (glycogenolysis)

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8
Q

Late fasting

A
  • Basal protein degradation

- Gluconeogenesis

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9
Q

Early starvation

A
  • Fatty acid metabolism

- High ketone body production and the depletion of TCA cycle intermediates

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10
Q

Late starvation

A
  • High protein degradation
  • Replenishes TCA intermediates
  • Ketone bodies are primary fuel source (ketogenesis)
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11
Q

Leptin

A

Produced by adipose tissue in response to lipogenesis and lead to the suppression of appetite and stimulation of beta oxidation. Mutations can lead to obesity.

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12
Q

adipose response to leptin

A

leptin activates uncoupling of brown fat to generate heat from white fat stores

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13
Q

syngerstic effect

A

insulin and leptin act together to suppress appetite

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14
Q

metabolism in diabetes

A

liver

  • high gluconeogenesis and glycogenolysis
  • depletion of TCA cycle and ketone body production

Adipose

  • minimal glucose uptake
  • activation of lipolysis

Muscle

  • glycogenolysis
  • lipolysis
  • alanine cycle
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15
Q

Ketoacidocis

A
  • hyperglycemia and ketonemia results in high osmotic pressure
  • hyperglycemia leads to dehydration
  • ketonemia leads to acidosis and hyperventilation
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16
Q

Regulation of nucleotide biosynthesis

A
  • Occurs through feedback inhbition adn cross pathway stimulation to maintain balance of nucleotide
  • AMP activates GMP synthesis
  • GMP activates AMP synthesis
17
Q

Methothrexate

A
  • Inhibits dihydrofolate reductase

- Used as an antineoplastic agent and for the treatment of rheumatoid arthritis

18
Q

Fluorouricil

A

-Covalently binds thymidylate synthase

_fluoro dUMP

19
Q

Acivicin

A
  • Competitive inhibitot of glutamin amidotransferases
  • blocks amino acid transfer reactions in nucleotide synthesis
  • In phase II for solid tumor chemotherapy
20
Q

Allopurinol

A
  • blocks the formation of uric acid

- used to treat gout and other hyperuticemia related conditions.