INtegrated Metabolism Flashcards

1
Q

RBC

Its fuel reserve?

GLUT?

  1. Define the major metabolic pathways of the major organs consistent with their function.
  2. List the possible metabolic fuels and energy reservoirs for the major organ
A

RBC= No fuel reserve– remember no mitochondria, so no TCA

RBC glucose through GLUT 1

Major pathways glucose– hexokinase– glucose 6P

Glucose 6P can enter the PPP patwhy or Lactate– Cori Cycle

Through 1-3 BPG it can make 23 BPG producing lesser ATP by its glycolysis

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2
Q

BRAIN

Its fuel reserve?

GLUT?

  1. Define the major metabolic pathways of the major organs consistent with their function.
  2. List the possible metabolic fuels and energy reservoirs for the major organ
A

Very little fuel reserve, so it always needs supply of glucose

  • GLut 3 and Glut 1 for BBB

high respiratory metaboism (uses 20% of the O2)

At Glucose G-6P junctions can go to

  1. PPP to make NADPH
  2. Pyruvate– PDH–> Acteyl Coa— TCA

** ketone bodies can come from liver into acetyl CoA when glucose deprived**

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3
Q

Skeletal and Heart Muscle

Its fuel reserve?

GLUT?

  1. Define the major metabolic pathways of the major organs consistent with their function.
  2. List the possible metabolic fuels and energy reservoirs for the major organ
A

Reserve-

Skeletal muscle—phosphocreatin and 2% of glycogen storage and during excessive exerise can use its AA to pyruvate/AcCoA to enter TCA and Alanine goes to liver for production of glucose

Heart– very low storage of phosphocreatin and glycogen and prefers fatty acid as energy but when starving uses glucose from liver, ketone bodies from liver, and FA from adipose

uses glut- 4 which is insulin induced.

At Glucose 6-P can heart and skeelta …

  1. Go to glycogen storage
  2. Go to PPP and make NADPH
  3. Go to pyruvate and turn to lactate (when anerobic)
  4. Go to pyruvate then AcetylCoA then TCA
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4
Q

Adipose

Its fuel reserve?

GLUT?

  1. Define the major metabolic pathways of the major organs consistent with their function.
  2. List the possible metabolic fuels and energy reservoirs for the major organ
A

Storge- TAG storage is 65% of it’s weight can acounts for 3 months of energy supply

Uses GLut 4– insulin stimulated (like cardiac and skeletal)

Preferred energy– Uses glucose and makes AcCoA for FA synthesis and the NADPH from the PPP. Also takes up FA from the liver

When Starving– releases it’s FA to blood

At Glucose 6P can go to

  1. GLycogen
  2. PPP
  3. Pyruvate to Acetyl CoA to lipogensis and fat storage
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5
Q

What’s special about brown fat

A

A lot in babies. This causes protons to reenter the mitochondria so it makes heat instead of ATP.

Oxidizes FA to make heat

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6
Q

LIVER

Its fuel reserve?

GLUT?

  1. Define the major metabolic pathways of the major organs consistent with their function.
  2. List the possible metabolic fuels and energy reservoirs for the major organ
A

Reserve- glycogen and can run glucogenolysis frm lactate, AA or glycerol during fasting

Glut 2– glucose enters and leaves through this receptor

Glucose 6-P

  1. GLycogen
  2. PPP- to make NADPH
  3. Pyruvate to LActate (normal lactate is coming in from muscle and feeding in for gluconeogensis because liver isn’t normally without O2)
  4. Pyruvate to Acetyl COa to TCA
  5. Acetyl CoA to Fat (VLDL) sent to adipose
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7
Q

Effects of hormones

A

Covalent modication of enzymes

Induction-repression of enzymes synthesis

So systems not affected by hormones (RBC) can’t have this done by hormones.

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8
Q

Target tissues of 4 main hormones

A

Target tissues:
Insulin: liver, muscle, adipose tissue
Glucagon: liver, adipose tissue
Epinephrine: liver, muscle, adipose tissue
Glucocorticoids: liver, muscle, adipose tissue

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9
Q

Metabolic processes stimulated by insulin

A

Dephos- normally anablic

GLycogen

Glycolysis (which increase FA synthesis)

Lipogenissi

Cholesterol Syn

AA synthessi

Promotes TG storage in adipose

Promotes glucose uptake by adipose and msucle

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10
Q

Metabolic processes stimulated by glucagon

A

Gluconeogensis/inhibts gylysis

Glycolysis/inhibits glycogen storage

Lipolysis in adipose

Degradtion of AA

Inhibits FA synthesis

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11
Q

What does epi mostly effect

A

The msucles. Similiar to glucagon (but glucagon doesn’t affect hte muscles).

Promotes release of glucose from the liver

stimulates glycogenolysis and lipolysis

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12
Q

How to hormones in circulating blood regulate each other

A

Epi would be high under stress/bur/trauma/cold/low blood glucose and it would down ergulated insulin and upregulate glucagon

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13
Q

4 types of hypoglycemia

A
  1. Insulin induced- too much insulin administered so drives blood glucose down– give oral glucose or inject glucagon
  2. Postprandal- post meal insulin shoots up too high– eat smaller meals to prevent
  3. Fasting hypoglycemis– shouldn’t happening because our bodies should compensate when fasting but if B-cells have tumor and insulin is too high or if hepatocytes are necrotic. Also in G-6_phosphatase defieicny glycogen or gluconeogensis can’t supply glucose.
  4. Alcohol induced- ehtnaol breaks down by Alchol DH which makes an NADH. This NADH pushes intermediates of TCA to other intermedias like pyruvate to lactate instead of TCA and the cell is starving for energy.
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14
Q

What happens after a meal

A

Insulin is HIgh

Glucagon, Epi and Glucocorticods are low

We store– glycogenesis in liver and muscle, lipogensis in adipose, glycsolysis for FA syntehsis, PPP for FA synthesis, increase choelsterold and increase AA

Liver- glycolysis, glycogensis, lipogensis (for VLDL), PPP

Muscle- glycolysis, glycogensis

Adipose- Lipogensis (and storage_, glycoslysis, PPP

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15
Q

Between meals

A

Insuling- low

Glucagon, Epi- high

Liver- glycogenosis, glucogensis, Cori and Ala cycles

Adipose- NOTHING aren’t starving yet

Muscle- glycogenolysis, glycolysis, Ala cycle

main source is glycogen and gluconeogensis

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16
Q

Early Fasting .5-2 days

A

Insulin- none

Epi, Gluccagon, Glucocoticoids- high

T3- low but starts lowering metobolic rate

Liver- gluconeogensis upregulated, glycolysis, FA oxidation, ketogensis, urea cycle, cori and ala cycle

Adipose- lipolysis

Muscle- Glycogenolysis, proteolysis, FA oxidation, ketone body utilization

main energy- storage fat-ketone bodies for liver, msucle, kideny

Glucose- RBC, WBC, adrenal medulla, retina, BRAIN

17
Q

Intermediate fasting 2-24 days

A

No incoming fuel from gut, all glycogen use, mobilize FAT

Liver- gluconeogensis, Cori and Ala cycles, ketone body synthesis, FA oxidation

Muscle- protelysis, FA oxidation, ketone body usage

Adipose- lioplysis

Main energy- brain- uses more ketone than glucose

RBC, WBC, retina, and adrenal medulla- glucose

Liver, kidney and msucles- stored fats

18
Q

Starvation > 24 hours

A

Liver- gluconeogensis, FA oxidation, ketone body synthesis, cori cycle

Muscle- FA oxidation– note we start conserving our proteins

Adipose- lipolysis

Main eneryg

Storage- liver, mscle, kidney

Glcuose- RBC, WBC, retina adrenal medule

Brain- mainly ketone

19
Q

What happens when we’re intially refed after starvation

A

Liver stays at gluconeogenci state for a while so glucose coming into liver is sent to organs and not stored as glycogn.

Takes a few hours to the glycolytic enzymes to comeback

20
Q

5 phases of eating and proceses used to maintain blood glucose

A
  1. Well fed- glycolysis– glucose from diet (ALL cells)
  2. Between meals- glycogenlysis (All except liver, less in adipose and muscle)
  3. Early starvation- hepatic gluconeogensis (All except liver and less in adipose and muscle)
  4. Stavation- FA, ketone bodies, gluconeogensis (brain, RBC, adrenal medulle, WBC, retina)
  5. Prolonged starvation- FA, Ketone bodies and less gluconeogensis (less by brain– it sstarts using ketone bodies)