Glycogen Flashcards

1
Q

When is glycogen used?

A

in the gap between the fall of the blood glucose after a meal and the start of gluconeogenesis

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2
Q

where are the main stores of glycogen?

A

liver + skeletal muscle

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3
Q

what are the 2 types of glycosidic bonds that are found in glycogen?

A

Alpha (1-4) linkage

Alpha (1-6) linkage [branching one]

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4
Q

what enzyme will elongate glycogen chains?

A

glycogen synthase

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5
Q

why are branches important in glycogen?

A

they provide additional ends for synthesis and breakdown

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6
Q

what enzyme creates branches in glycogen?

A

branching enzyme

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7
Q

what is the rate limiting step in the degradation of glycogen?

A

PLP in the conversion of glycogen to glucose 1-P

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8
Q

what enzyme breaks down glycogen in the lysosomes?

A

lysosomal alpha (1-4) glucosidase

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9
Q

what two enzymes are the regulatory enzymes for glycogen synthesis and degradation?

A

glycogen synthase

glycogen phosphorylase

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10
Q

what up regulates/ activates glycogen synthase in the liver and muscle?

A

insulin

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11
Q

what deactivates glycogen synthase in muscle?

A

epinephrine

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12
Q

what deactivates glycogen synthase in the liver?

A

glucagon

epinephrine

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13
Q

what activates glycogen phosphorylase in the liver?

A

glucagon

epinephrine

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14
Q

what activates glycogen phosphorylase in muscle?

A

epinephrine
AMP
Ca2+

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15
Q

what deactivates glycogen phosphorylase in liver and muscle?

A

insulin

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16
Q

what deficiency is Von Gierke?

17
Q

What are the 6 key symptoms of Von Gierke?

A
severe fasting hypoglycemia
lactic acidosis (fasting)
hepatomegaly
hyperlipidemia
hyperuricemia
short stature
18
Q

what is a common secondary symptom from the hyperuricemia in Von Gierke ?

19
Q

What is the lactic acidosis from in Von Gierke?

A

buildup of G6PD stops gluconeogenesis

formation of lactate from pyruvate is favored and lactate from RBCs cannot be used for gluconeogenesis

20
Q

what is the deficiency in Pompe?

A

lysosomal alpha 1-4 glucosidase deficiency

21
Q

what is the deficiency in Cori Disease?

A

debranching enzyme

22
Q

what are the symptoms in Cori Disease?

A

mild hypoglycemia

liver enlargement

23
Q

what is the deficiency in Anderson disease?

A

branching enzyme

24
Q

what are the 3 key symptoms in Anderson disease?

A
infantile hypotonia (low muscle tone)
cirrhosis
early death (liver and hear severely damaged)
25
Q

what is the deficiency in McCardle disease?

A

muscle glycogen phosphorylase

26
Q

what are the 2 key symptoms of mccardle disease?

A

muscle cramps and weakness on exercise

myoglobinuria

27
Q

what is the deficiency in Hers disease?

A

liver glycogen phosphorylase deficiency

28
Q

what are the key symptoms of Hers disease?

A

mild fasting hypoglycemia
hepatomegaly
cirrhosis