Fructose and Galactose Metabolism Flashcards

1
Q

How does fructose enter enterocytes and other cells?

A

via GLUT 5 transporter

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2
Q

Where is Aldolase A present?

A

cells of muscle and most other tissues

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3
Q

Where is Aldolase B present?

A

cells of liver, kidney, small intestine

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4
Q

Where is Aldolase C present?

A

cells of the brain

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5
Q

What is the rate limiting enzyme of fructose metabolism?

A

Aldolase B

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6
Q

fructose cannot be converted to fructose 1-phosphate in what disorder?

A

Essential fructosuria

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7
Q

deficiency or defect in aldolase B which decreases the availablity of ATP

  • hyperuricemia
  • lactic acidosis
A

Hereditary fructose intolerance

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8
Q

What converts fructose to fructose-1-phosphate?

A

fructokinase

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9
Q

Fructose-1-phosphate is cleaved by what to form DHAP and glyceraldehyde?

A

Aldolase B

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10
Q

What converts glyceraldehyde to glyceraldehyde-3-phosphate?

A

triose kinase

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11
Q

a deficiency in fructokinase causes what disorder?

A

essential fructoseuria

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12
Q

when does the first symptom of hereditary fructose intolerance occur?

A

when the baby is weaned from milk and foods with sucrose or fructose are introduced

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13
Q

What accumulates in uncontrolled DM and contributes to diabetes complications?

A

sorbitol

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14
Q

what catalyzes the exchange of UDP and phosphate between galactose 1-phosphate and UDP-glucose?

A

Galactose 1-phosphate uridyl transferase (GALT)

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15
Q

deficiency of galactokinase where galactose accumulates in the cells and hence in the blood (galactosemia) and appears in the urine (galactosuria)

  • NO mentak retartadtion
  • bilateral cataracts
  • tx: restriction of milk
A

Non classical galactosemia

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16
Q

deficiency of GALT; accumulation of galactiol and galactose-1-phosphate

  • hyperbilirubinemia, jaundice, mental retardation
  • tx: restriction of galactose and lactose
A

Classical galactosemia