Exam 3 Flashcards
What is the role of the pancreas?
It secretes insulin in response to rising blood glucose levels
What does the pancreas secrete for digestion and why is it important?
It secretes Trypsin, Chymotrypsin, Elastase. These are digestive proteases that degrade dietary proteins in the small intestine
What is the role of the small intestine in digestion?
It is where most of the absorption occurs. It absorbs nutrients, as well as secretes peptide hormones that control eating behaviors through neuronal signaling in the brain
What is the role of the large intestine in digestion?
It absorbs water and electrolytes
What is the stomach’s role in digestion?
It prepares food for the small intestine by producing chyme, an acidic food slurry.
It secretes peptide hormones that control eating behaviors through neuronal signaling in the brain
What is the Liver’s role in metabolism?
The central processing facility and metabolic hub.
It determines the dietary nutrients and metabolic fuels to peripheral tissues.
Why is the liver called a glucose regulator?
It removes excess glucose from the blood when carb levels are high. Relies on signaling from insulin and glucagon
What is the portal vein?
It directly delivers nutrients from the small intestines to the liver so it can inactivate toxins from the diet
What are the 4 different fates for Glucose-6-Phosphate?
1.Converted to glucose and released into the blood
2.Converted to Fructose-6-P that goes thru glycolysis to form pyruvate and then acetyl CoA. From there, lipid synthesis, oxidative phosphorylation, or ketogenesis
3. Converted to 6-phospho-gluconolactone and sent to the PPP
4. Converted to Glucose-1-P and used in glycogen synthesis
What is the purpose of skeletal muscle in metabolism?
Skeletal muscle uses fatty acids, glucose, and eventually ketone bodies for energy. These muscles are utilized in rapid bursts or endurance activities. In times of starvation, they can be used as an energy source
What is the purpose of cardiac muscle in metabolism?
Cardiac muscle uses mostly fatty acids and ketones for energy, It is continually used over the course of your life. Uses aerobic respiration for energy
What is creatine kinase?
A reversible enzyme that creates phosphocreatine when the cellular ATP levels return to normal during muscle recovery.
What is phosphocreatine?
Storage molecule for potential ATP. When acted on by creatine kinase, produces creatine and ATP that can be used for energy.
What is the purpose of adipose tissues?
It secretes peptide hormones (adipokines) to regulate metabolic homeostasis
It makes up 15-25% of an individuals mass
What is subcutaneous fat?
It is located in the thighs, butt, arms, and face. More for insulation and protection.
What is visceral fat?
Located in the abdomen. Secretes adipokines. More visceral fat gives rise to a higher risk of cardiovascular disease
What is BMI?
Provides an estimation of total body fat in an average person.
It provides on measure of risk
How does the brain relate to metabolism?
It is the control center of our bodies. 20% of the O2 consumed by the body is used for oxidative phosphorylation.
Generally depends mostly on glucose- 60% of body’s glucose is used by the brain.
fatty acids does not cross BBB but ketone bodies can
What is the blood brain barrier?
Area between the brain and the capillaries that limits what molecules transverse into the brain. There are certain areas where it is less restrictive like the pineal gland for melatonin or the posterior pituitary for oxytocin and ADH
What is PET imaging?
Positron emission tomography
Uses metabolic radioactive 18F-deoxyglucose to show differences in glucose metabolism
Used to detect blood flow for tumor visualization
Tau and amyloid deposits and neurodegenerative diseases
-epilepsy, cancer, heart disease
How does PET imaging work?
Positron emitted, generates gamma rays, which are detected by the scanner.
Positron is a subatomic particle with the same mass as an electron but with a positive charge
It is an anti-electron and when it collides with an electron both are converted to energy in the form of photons
Positron emission occurs with natural isotopes
What is the role of the kidneys?
They are located on either side of the abdominal cavity
only other major organ that uses gluconeogenesis
Remove concentrated levels of urea, ketone bodies, and soluble metabolites
What is hemodialysis?
blood is filtered from a patient with poor kidneys to remove waste products
What is metabolic homeostasis?
The process of maintaining optimal metabolite concentrations and managing chemical energy reserves in tissues
What are the 6 vital tissues?
Brain, liver, cardiac muscle, skeletal muscle, adipose tissue, heart
What is the triacylglycerol cycle?
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
What are the two components that depend of G3P?
Systemic and intracellular
What is the role of Insulin?
Released by pancreatic beta cells
stimulates glucose uptake in the liver, skeletal muscle and adipose tissue
Activates glycogen and FA synthesis
Decrease appetite through neuronal signaling
What is the role of glucagon?
Released by pancreatic alpha cells
stimulates gluconeogenesis
stimulates glycogen degradation
Stimulates fatty acid export from adipose tissue when food is not available
What is the islet of langerhans?
A collection of cells that produce insulin, glucagon. Also has capillaries connected
What is PPAR signaling?
Peroxisome-proliferator-activated receptor (PPAR) nuclear receptor proteins
They are metabolic sensors of lipid homeostasis
It regulates gene expression in response to binding of low-affinity, fatty acid derived nutrients
important in energy metabolism and insulin sensitivity
What is the metabolic fuel during starvation?
Blood glucose levels are maintained by degradation in liver glycogen
Flux is altered in two ways:
gluconeogenesis occurs
fatty acids are used as fuel
What are the changes in metabolism during starvation?
Fatty acid release
increase in gluconeogenesis
increase in ketogenesis
protein degredation
What is the purpose of leptin?
It can decrease fat storage thru signaling pathways
What is metabolic syndrome?
Lifestyle of prolonged positive energy imbalance
Symptoms include:
Abdominal obesity
insulin resistance
hypertension
hyperlipidemia
high risk for cardiovascular disease
What is Type I diabetes?
Insulin dependent
insufficient insulin production by pancreatic beta cells, usually occurs earlier in life
What is Type II diabetes?
Insulin-resistant
Coupled with positive energy balance (weight gain)
Desensitization of insulin receptor signaling
What levels are high in adipocytes when lipid store are high?
TNF-alpha
What is the purpose of TNF-alpha?
It down regulates adiponectin and fatty acid metabolism genes as well as the inhibition of downstream insulin signaling
What are the 4 major classes of diabetes treatments?
- Alpha glucosidase inhibitors (miglitol)
2.Sulfonylurea drugs, which inhibit the dependent K+ channel (Glipizide)
3.Drugs that AMPK are stimulators (metformin)
4.Ligand agonists of the nuclear receptor PPARy (thiazolidinediones)
What does metformin promote in skeletal and cardiac muscle?
Fatty acid oxidation
glucose uptake
mitochondrial biogenesis
glycolysis
What are the three main factors that influence metabolic homeostasis?
Genetic inheritance
nutrition
exercise
What is the impact of maintaining a healthy weight?
It significantly lowers the risk of type 2 diabetes, CVD, and some types of cancer
What is ephedrine?
A drug used to induce weight loss
it stimulates adrenergic receptor signaling through the release of NE
What is Lorcaserin (belviq)?
Appetite suppressant (receptor agonists for serotonin)
First approved weight loss drug that targets neuronal control of food consumption and energy expenditure
What is Orlistat (xenical)?
A weight loss drug
pancreatic lipase inhibitor
triglycerides pass thru the digestive tract without being metabolized
What are some other weight loss methods?
Olestra which is a fat substitute in foods
Caloric intake reduction- different diets
What types of fat lead to higher LDL levels and an increased risk of CVD?
Saturated and trans fats