FA oxidation Flashcards

1
Q

ATGL is only found in adipose tissue

A

ya

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2
Q

what happens in ATGL KO mice?

A

build up of adipose tissue–decreased lipolysis; heart failure–>most KO mice died while most WT lived

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3
Q

Heart uses TAGs often for energy–> no TAG breakdown, not much energy for heart–>heart failure

A

ya

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4
Q

AGTL is the RATE LIMITING enzyme for initiation of TAG lipolysis

A

ya

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5
Q

what is Chanarin-Dorfman syndrome

A

lipid storage disease; very rare; fats abnormally stored in the body (eyes, ears, muscle, skin, liver, intestine); cannot breakdown TAGs but patients are not obese-

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6
Q

symptoms of CD syndrome?

A

scaly skin; weak heart (heart has preference for fat as fuel); fatty liver, mental retardation

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7
Q

what is CDS caused by?

A

mutation in CGI-58–> cannot activate ATGL

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8
Q

treatment for CDS?

A

no treatment yet; manage symptoms

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9
Q

what is MCAD deficiency

A

medium-chain acyl-CoA DH deficiency (first Ez–>introduces DB)–> one of the most common inherited lipid met disorders; a disease of FA oxidation

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10
Q

what happens with MCAD deficiency?

A

cannot generate ATP from FAs during fasting, which is a major fuel source for heart–>will appear when child is fasting

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11
Q

symptoms

A

seizures/death/coma; long term problems: delayed physical and mental development; weak heart; possible cause of SIDS?

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12
Q

since MCAD deficiency is so common newborns in USA are screened for it

A

ya

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13
Q

treatment for MCAD?

A

avoid periods of fasting; frequent, high-carb meals; IV glucose

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14
Q

what is carnitine deficiency?

A

Acyl-CoA cannot cross the membrane;

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15
Q

symptoms of carnitine deficiency

A

appear in newborn’s childhood–>muscle weakness, weak/enlarged heart, brain dysfunction–>heart failure if undiagnosed

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16
Q

how do you diagnose for carn. def?

A

blood test–>low blood carn = carn def

17
Q

what is the cause of carn def?

A

defect in carn transporter in muscle; 100 possible mutation in OCTN2–>organic cation transporter number 2–>

18
Q

treatment of carn def?

A

avoid fasting, carnitine supplementation (if you take enough carnitine you can force it into cells); frequent feeding