Goal 9: Ketone Synthesis Flashcards

1
Q

Where is TAG stored? When TAG is degenerated, it releases what?

A
  • stored in adipose tissue

- free fatty acids are released into plasma

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2
Q

The presence of insulin during the regulation of lipases causes what type of Hormone Sensitive Lipase (HSL)? What does epinephrine and norepinephrine do to HSL?

A
  • dephosphylates HLS with phosphatase to make it INACTIVE in the presence of insulin= stimulates TAG degradation
  • norepinephrine and epinephrine ACTIVATES HLS= inhibits TAG degradation
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3
Q

What do fatty acids need to bind to to get carried to other tissues? Why?

A
  • they bind to albumin

- fatty acids are usually insoluble, albumin allows enough solubility to get through most tissues that are hypophilic

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4
Q

During what conditions does net degradation of TAGs happen?

A
  • when glucose supply is limited to other organs, body needs energy source from something
  • happens under well fed conditions
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5
Q

What are the 3 ketone bodies?

A

Acetoacetate, beta hydroxybutyrate (3-hydroxybutyrate), acetone

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6
Q

Where does Ketogenesis happen? What’s a precursor for it? Where is the precursor derived from?

A
  • Liver’s mitochondria
  • Acetyl CoA
  • beta oxidation of fatty acids
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7
Q

Why is TAG degradation increased in starvation and diabetes mellitus?

A
  • in starvation, your cells are starving without glucose;
  • in DM, insulin is usually the ones that take the glucose into the cells to nourish it. Without the insulin, the cells are starving since the glucose stays in the blood instead of the cells.
  • therefore, TAG degradation is turned on more because it thinks the body has no nourishment
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8
Q

Which ketone body is the major one that’s circulating in the plasma?

A

Beta-hydroxybutryate

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9
Q

What are the main Ketone bodies are used to get energy?

A

Beta hydroxybutyrate and Acetoacetate

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10
Q

Where in the body does ketogenesis happen? Where does ketone utilization happen?

A

-both in mitochondria of extra hepatic tissues

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11
Q

What is the key enzyme needed in the utilization of ketone bodies?

A

-Thiophorase

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12
Q

What is Kussmal’s respiration? Why does this happen?

A
  • heavy, almost abdominal breathing to expel more CO2 in order to achieve acid-base balance since the ketoacidosis makes the blood more acidic
  • it’s a compensatory hyperventilation, breath smells fruity from acetone
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13
Q

Where are a lot of ketone bodies used? Where are they not used at all and why?

A
  • brain
  • not used in RBC since there’s no mitochondria; not used in liver either because the liver needs thiophorase (thiophorase won’t form without mitochondria)
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14
Q

Ketone bodies are great sources of energy for what tissues?

A

Caridad and skeletal

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15
Q

Insulin decreases TAG degradation. How did affect ketone body production?

A

-decreases the rate of ketone body production

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16
Q

What is Ketosis? What do you see in Ketosis? How does the ph look?

A
  • overproduction of ketone bodies
  • see ketonemia (a lot in blood) and ketonuria (a lot in urine)
  • ph will be low- acidic
17
Q

Which ketone bodies are acidic in nature? Too much of these ketone bodies cause what imbalance? What does this imbalance lead to?

A
  • Acetoacetate and 3-hydroxybutyrate
  • imbalance in acid-base regulation
  • ketoacidosis
18
Q

Where do you see ketoacidosis (type of metabolic acidosis)?

A
  • diabetes

- long term starvation

19
Q

Which ketone body is not metabolized and only can be expelled?

A
  • acetone

- irreversible, only expelled and NOT utilized

20
Q

What does ketonuria induce that leads to dehydration?

A

Osmotic diuresis