Exam 3: Alcohol Metabolism Flashcards

1
Q

Enzymes responsible for alcohol metabolism in liver

A

ADH
ALDH
MEOS
Catalase (presence of H2O2)

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2
Q

If ADH becomes saturated, what ER system is used to metabolize alcohol

A

MEOS

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3
Q

Coenzyme reduced during alcohol metabolism

A

NAD —- NADH

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4
Q

Fate of acetate

A

TCA Cycle

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5
Q

Fate of NADH

A

ETC

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6
Q

Energy state in cell during alcohol metabolism

A

High

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7
Q

Metabolic pathways inhibited during alcohol metabolism

A

Gluconeogenesis
FA oxidation
Krebs
Pyruvate DH

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8
Q

What pathways would be activated under alcohol metabolism

A

Fat synthesis
Ketone synthesis
Lactate synthesis (fast glycolysis)

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9
Q

During alcohol metabolism, why would glycolysis slow down?

A

High NADH levels

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10
Q

How does glycolysis regenerate NAD from NADH

A

Pyruvate —-lactate reaction

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11
Q

What would happen to blood glucose if consumed alcohol after using insulin

A

Drop in blood sugar

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12
Q

If OAA concentrations reduced and have low blood sugar, what is fate of acetyl CoA

A

Ketone formation

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13
Q

How does Disulfiram work?

What metabolite builds up?

A

Inhibits ALDH

Increase in acetaldehyde

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14
Q

How does alcohol increase urine output

A

Blocks antidiuretic hormone

More water stays in urine = larger urine volume

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15
Q

Toxic intermediate of alcohol metabolism

A

Acetaldehyde

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16
Q

Enzymes involved in alcohol conversion to acetaldehyde

A

ADH
MEOS
Catalase

17
Q

Alcoholism can lead to

A
Fatty liver
Hepatic disease (cirrhosis)
Lactic acidosis 
Ketoacidosis 
Death
18
Q

Energy of alcohol

19
Q

Ethanol is absorbed where?

A

Throughout entire GI tract

20
Q

Alcohol oxidatively degraded in

21
Q

MEOS aka

A

Cytochrome P-450 system

22
Q

Catalase works in presence of

A

Hydrogen peroxide

23
Q

NADH is a produce when ethanol metabolized by either

A

ADH or MEOS

24
Q

Alcohol dehydrogenase pathway occurs in

A

Cytoplasm of liver cells

25
MEOS is associated with the
ER
26
Elevate NADH decreases what pathways?
Fat burning Pyruvate dehydrogenase Gluconeogenesis Krebs
27
Elevated NADH increases what pathways
Fatty acid synthesis Ketone production Lactic acid synthesis
28
Lipids accumulate mostly in these tissues when ethanol metabolized
Liver Myocardium Renal tubules