fed and fasted states Flashcards

1
Q

how long does the fed/post-prandial state last?

A

2-3 hours

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2
Q

major storage form of fuel

A

triacylglycerol

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3
Q

major source of energy for overnight fast

A

fat

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4
Q

fates of glucose (3)

A

1- used for energy
2- stored as glycogen
3- converted to fat and stored

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5
Q

where is excess glucose converted to fat?

A

mainly liver, adipocytes are also able

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6
Q

how is fat exported from the liver?

A

TAG is exported from the liver as VLDL

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7
Q

what stimulates protein synthesis in mm?

A

insulin

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8
Q

fates of amino acids (3)

A
  • used for protein synthesis (induced by insulin)
  • catabolized for energy
  • excess aa are token down- urea excreted and carbon skeletons used to make fat
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9
Q

how does the liver “trap” glucose?

A

glucose is trapped in the liver by phosphorylation- glucokinase phosphorylates

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10
Q

what increases the activity of glucokinase? (2)

A
  • increased glucose concentration (bc of high km)

- insulin

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11
Q

amount of glucose used by the brain/day in the fed state

A

150 g/day

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12
Q

which tissues do not use insulin for glucose uptake?

A

CNS, liver, RBCs

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13
Q

why do RBCs require glucose for energy?

A

they lack mitochondria, must use glucose for glycolysis

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14
Q

site of amino acid catabolism? exception?

A

liver is the main site of amino acid catabolism, exception is branched chain aa (isoleucine, leucine and valine) that can be oxidized by muscle

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15
Q

how long after a meal does gluconeogenesis begin?

A

4 hours

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16
Q

steps in glycogenolysis (7)

A
  • glucagon causes increase in cAMP
  • cAMP stimulates PKA
  • PKA phosphorylates/activates glycogen phosphorylase
  • glycogen phosphorylase breaks down glycogen into glucose-1-phosphate
  • g-1-p is converted to g-6-p
  • g-6-p is dephosphorylated by glucose-6-dephosphorylase
  • glucose is released into the blood
17
Q

major fuel of the body during fasting

A

fatty acids

18
Q

what are the breakdown products of TAG?

A

glycerol- used in glucoeogenesis

fatty acids- feed into TCA cycle for ATP synthesis

19
Q

what transports free fatty acids in the blood?

A

albumin

20
Q

substrates for gluconeogenesis (3)

A

amino acids (alanine and glutamine)
lactate- from RBC glycolysis
glycerol - from TAG

21
Q

sites of gluconeogenesis

A

liver and kidney

22
Q

2 aa used most in gluconeogenesis

A

alanine and glutamine

23
Q

role of glutamine in kidney gluconeogenesis

A

buffers ketoacidosis

24
Q

site of ketone body production

A

liver

25
Q

when during a fast does ketone body levels increase? large increase?

A

18-24 hrs

large increase at 3-5 days

26
Q

how are ketone bodies made?

A

partial oxidation of fatty acids in liver

27
Q

which tissues primarily uses ketone bodies for fuel?

A

1*= muscle

can also be used by brain

28
Q

main fuel during starvation

A

fatty acids and ketone bodies

29
Q

what happens to glucose use by brain after ketone bodies available?

A

once ketone bodies available, glucose use by the brain decreases from 150 g/day to 40 g/day

30
Q

what is “adaptation” during starvation?

A

when use of ketone bodies increases, demand for glucose decreases thus gluconeogenesis decreases and protein breakdown in decreased, ultimately increases survival

31
Q

what factor will increase the use of ketones for fuel?

A

increased length of fast

32
Q

what can be used as an index for protein catabolism? exception?

A

urea excretion, exception is GI losses or wounds

33
Q

preferred fuel of mm in fasted, resting state

A

fatty acids

34
Q

type of exercise that increases use of glucose

A

high intensity

35
Q

type of exercise that increases use of fatty acids

A

sustained exercise

36
Q

what will accumulate with very intense exercise?

A

lactate