Integration Of Metabolism Flashcards

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1
Q

What are the metabolic features of muscle?

A

(40% of total body weight) can have periods of very high ATP requirement (vigorous contraction) and relies upon carbohydrate and fatty acid oxidation

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2
Q

What are the metabolic features of brain and nervous tisse?

A

(2% of total body weight) uses 20% of resting metabolic rate as it has a continuous high ATP requirement; cannot utilise fatty acids as a fuel source

Requires a continuous supply of glucose

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3
Q

What are the metabolic features of adipose tissue?

A

(15% of total body weight) and a long term storage site for triglycerides

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4
Q

What are the metabolic features of the heart?

A

(1% of total body weight) 10% of resting metabolic rate and can oxidise fatty acids and carbohydrates

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5
Q

What are the metabolic features of the liver?

A

(2.5% of total body weight) 20% of resting metabolic rate; the body’s main carbohydrate store (glycogen) and a source of blood glucose

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6
Q

During light contraction of skeletal muscle, how is ATP consumption met?

A

through oxidative phosphorylation

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7
Q

During vigorous contraction, how is ATP consumption met?

A

O2 becomes a limiting factor
- glycogen breakdown (muscles)
- lactate formation

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8
Q

Under anaerobic conditions, what is pyruvate converted into?

A

Lactate

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9
Q

What is the only substrate that the brain can use as a source of energy?

A

Glucose / carbohydrates

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10
Q

Which energy source can the brain not use?

A

The brain cannot metabolise fatty acids

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11
Q

What can partially substitute for glucose in the brain?

A

Ketone bodies like 3-Beta-Hydroxy-butyrate in extreme situtations

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12
Q

What can too little glucose in the brain cause?

A

Hypoglycaemia - faintness and coma

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13
Q

What can too much glucose in the brain cause?

A

Hyperglycaemia - irreversible damage to multiple organ systems like retinas

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14
Q

What does the heart utilise for energy substrates?

A

TCA cycle substrates like free fatty acids and ketone bodies

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15
Q

What happens to the heart when energy demand > energy supply?

A

Myocardial infarction (heart attack)

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16
Q

When can energy demand> energy supply?

A

Loss of O2 supply to the heart, leading to cell death then myocardial infarction

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17
Q

Name four fuel sources for the heart

A

Ketone bodies, glucose, fatty acids and lactate

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18
Q

Why does the heart have a lot of mitochondria?

A

Because the heart is designed for aerobic conditions - high energy supply

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19
Q

How does the liver store glucose?

A

As glycogen

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20
Q

What does the liver do?

A

undertakes a wide repertoire of metabolic processes and is highly metabolically active and can interconvert nutrient types and plays a key role in lipoprotein metabolism (transport of triglycerides and cholesterol)

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21
Q

What range does the liver try keep the blood glucose levels between?

A

4.0-5.5 mmol/L

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22
Q

Excess of what can be used to generate glycogen in the liver and muscle?

A

Excess glucose-6-phosphate

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23
Q

How are fatty acids stored in adipose tissue?

A

They are stores as triglycerides in the adipose tissue

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24
Q

During fasting, what happens to the Acetyl CoA which is produced?

A

Much of the Acetyl CoA is used to generate ketone bodies

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25
Q

What happens to lactate production during periods of intense exercise?

A

It increases - produced from pyruvate

As the ATP demands of the muscle outstrip the oxygen supply needed for aerobic respiration

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26
Q

What four things can the body initially do when the blood glucose concentration drops below 3mM?

A
  • Breakdown liver glycogen stores to maintain levels
  • Release free fatty acids from adipose tissue
  • Convert Acetyl CoA into ketone bodies in the liver
  • gluconeogenesis
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27
Q

How does the brain get more glucose when the body is in a hypoglycaemic coma?

A

The skeletal muscle can use ketone bodies and fatty acids, to increase the blood glucose concentration, making more plasma glucose available for the brain which cannot metabolise fatty acids

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28
Q

What is the order of gluconeogenesis?

A

red arrow in pathway shows key steps that need to be bypassed by non-glycolytic enzymes

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29
Q

How is lactate used during gluconeogenesis?

A

It is utilised to regenerate pyruvate by lactate dehydrogenase (LDH)

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30
Q

How are AA used during gluconeogenesis and where are the AA derived from?

A

AA can be derived from the diet or breakdown of skeletal muscle

AA can be used to form oxaloacetate or pyruvate

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31
Q

How is glycerol used in gluconeogenesis?

A

The glycerol backbone is used to generate dihydroxyacetone (DHAP)

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32
Q

After how many hours are the bodies glycogen stores depelated?

A

12-18 hours

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33
Q

After the body has depleted its glycogen stores, what is used to generate glucose?

A

Gluconeogenesis

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34
Q

Which reaction in gluconeogenesis occurs in the mitochondria?

A

The convertion of pyruvate to oxaloacetate

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35
Q

What enzyme is used to convert pyruvate into oxaloacetate?

A

Pyruvate carboxylase

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36
Q

Why is gluconeogenesis a bypass reaction?

A

delta G value for a straight reversal of glycolysis would be +90kJ/mol (energetically unfavourable)

Six phosphoanhydride bonds are required to turn an energetically unfavourable process into an energetically favourable one:

delta G for gluconeogenesis is -38kJ/mol (energetically favourable)

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37
Q

How does oxaloacetate move out the mitochondria once it has been produced from pyruvate?

A

It moves via the malate shuttle, where it is then converted into phosphophenolpyruvate

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38
Q

How do glucogenic amino acids give rise to glucose?

A

They undergo transamination reactions which results in the production of pyruvate, which yields glucose through gluconeogenesis

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39
Q

where do the reactions of gluconeogenesis occur?

A

First reaction occurs in mitochondria
the rest occurs in the cytosol

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40
Q

What do ketogenic amino acids give rise to?

A

Skeletons that can be used to synthesise FAs and ketone bodies.

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41
Q

How does adrenaline help increase the rate of glycolysis in muscles?

A

Increased gluconeogenesis by the liver
Increased released of fatty acids from adipocytes

42
Q

What do contracting muscles require?

A

increased ATP
increased glucose transporters

43
Q

What happens to pyruvate during anaerobic respiration and where does this occur and by what and why?

A

It is taken up by the liver and converted into lactate by LD to replenish NAD+ levels and maintain glycolysis

44
Q

What happens to glycogen during anaerobic respiration?

A

glycogen is broken down to meet the glucose demands of the muscle

45
Q

In the fasting state, what is the main metabolic fuel for the heart?

A

fatty acids

46
Q

In the fasting state, what is the main metabolic fuel for the brain?

A

Glucose

47
Q

In the fed state, why does insulin stimulate an increase in the number of glucose transporters on the adipocyte surface?

A

To facilitate glucose uptake to make triglycerides.

48
Q

Why do plasma levels of ketone bodies increase as the fed state progresses into fasting and then starvation ?

A

Ketone bodies produced by the liver

49
Q

The products of which reactions can enter the pathway to increase oxaloacetate production for gluconeogenesis?

A

Transamination reactions

50
Q

In the fasting state, glucagon acts to increase the synthesis of glucose from which molecules?

A

Glycogen, Glycerol and Amino acids.

51
Q

What generates the bulk of the NADPH needed for anabolic pathways?

A

Glucose-6-phosphate via the pentose phosphate pathway can also be used as a source for nucleotide production in a pathway that generates the bulk of the NADPH needed for anabolic pathways e.g. cholesterol synthesis.

52
Q

What are three non-carbohydrate precursoers which enter into the gluconeogenic cycle?

A

Lactate, Amino acid and glycerol

53
Q

What is the cori cycle?

A

The generation of pyruvate from lactate

54
Q

How does glycerol act as a non-carbohydrate substrate of gluconeogenesis?

A

It is used to produced DHAP

55
Q

Which are the three reactions of gluconeogenesis which need to be bypassed through using kinase enzymes?

A

Oxaloacetate to Phosphoenolpyruvate
Fructose - 1,6 - Bisphosphate to Fructose - 6 - Phosphate
Glucose - 6 - Phosphate to Glucose

56
Q

What enzyme is used to convert Glucose - 6 - Phosphate into Glucose?

A

Glucose - 6 - Phosphatase

57
Q

What organs is Glucose - 6 - Phosphatase found in?

A

Liver and kidneys

58
Q

What to things are triglycerides broken down into?

A

fatty acids and glycerol

59
Q

What are the seven molecules which deamination of all 20 amino acids gives rise to?

A
Pyruvate
Oxaloacetate
Succinyl CoA
Fumerate
Acetyl CoA
Acetoacetyl CoA
Alpha-ketoglutarate
60
Q

What happens to the rest of the amino acid once it has been broken down by deamination?

A

Remaining compounds are excreted in the urea

61
Q

which tissues can use ketone bodies as an energy source?

A

Muscle and brain

62
Q

What happens to the glucose transporters on the membranes of muscle cells as the muscle contracts?

A

The number present on the membranes of the muscle cells increases

63
Q

What three effects does adrenaline have on helping the cell meet the adequate demands for ATP?

A

Increases the rate of glycolysis in muscle
increases the rate of gluconeogenesis in liver
Increases the release of fatty acids from adipocytes

64
Q

what causes an increase in muscle glycolysis, gluconeogenesis and fatty acid breakdown during exercise?

A

The release of adrenaline

65
Q

During anaerobic conditions what happens to the glycogen in the muscle?

A

It is broken down

66
Q

What is the name of the pathway given to the breakdown of glycogen into glucose?

A

Glycogenolysis

67
Q

What triggers glycogenolysis?

A

Glucagon

68
Q

How is the Cori cycle used in anaerobic conditions?

A

Pyruvate is taken up by the liver and converted into lactate, using lactate dehydrogenase - replenished NAD+ levels allows glycolysis to continually occur

69
Q

What does insulin do?

A

Stimulates the uptake and use of glucose, and storage of glycogen and fat
it is secreted when glucose levels rise

70
Q

What enzymes catalyses the first, irreversible step of glycolysis?

A

Hexokinase

71
Q

What are the two different isoforms of hexokinase found in the muscle and the liver?

A

Hexokinase I is found in the muscle
hexokinase IV is found in the liver

72
Q

What is the Michaelis Constant (Km)?

A

The concentration of substrate at which an enzyme functions at half-maximal rate (Vmax)

73
Q

What is the KM of Hexokinase 1 and what does it mean?

A

0.1 - this means it is active at very low concentrations of glucose and therefore is functioning at max velocity at almost all times
- high glucose affinity

74
Q

Which hexokinase is sensitive to inhibition by product glucose - 6 - phosphate?

A

Hexokinase 1

75
Q

When is hexokinase IV active?

A

active at high glucose
- low glucose affinity
- less sensitive to G-6-P

76
Q

What are the four changes which occur during aerobic exercise?

A
  1. Increase in number of glucose transporters in muscle
  2. Increase glycolysis in muscle
  3. Increase gluconeogenesis in Liver
  4. Increased bet oxidation to make Acetyl CoA which is the used to generate ATP
77
Q

Where does the convertion of lactate into pyruvate occur?

A

In the liver

78
Q

During the fasted state, the transamination reactions of amino acid are an important substrate for what process?

A

Gluconeogenesis

79
Q

During anaerobic conditions, why is Hexokinase 1 Inhibited?

A

During anaerobic conditions, glycolysis slows, and the concentration of glucose drops

This means that hexokinase is readily active

Therefore a lot of glucose is converted into glucoe-6-phosphate

Hence glucose - 6 - phosphate accumulates which inhibits hexokinase 1

80
Q

Where is Hexokinase IV found?

A

In the liver

81
Q

what does Hexokinase IV do?

A

Converts glucose into glucose-6-phosphate in the liver

82
Q

What is the KM of Hexokinase IV?

A

4

83
Q

What does the KM value of Hexoinase IV indicate?

A

4 - active at very high concentrations of glucose

84
Q

Which hexokinase enzyme is more sensitive to G-6-P inhibition?

A

hexokinase 1

85
Q

What is the role of glucagon in the hormonal control of blood glucose?

A

It is secreted when glucose levels fall: it stimulates production of glucose by gluconeogenesis and breakdown of glycogen and fat

86
Q

What is the role of adrenaline in the hormonal control of blood glucose?

A

strong and fast metabolic effects to mobilise glucose for fight or flight

87
Q

What is the role of glucocorticoids in the hormonal control of blood glucose?

A

steroid hormones which increase the synthesis of metabolic enzymes concerned with glucose availability

88
Q

What occurs straight after a meal has been consumed?

A
  • Insulin is secreted, causes glucose to be stored as glycogen
  • Increase in glycolysis
  • Acetyl CoA is used to generate fatty acids through Lipogenesis, meaning they can stored for future use

Overall stimulation of synthetic (anabolic) pathways

89
Q

What happens after a period of fasting following a meal?

A

Glucose has been all stored as glycogen so blood glucose levels start to drop

  • This triggers glucagon secretion
  • Glucagon triggers glycogenolysis, and gluconeogenesis
  • Fatty acid Beta Oxidation occurs so that Acetyl CoA is produced (used as an AP substrate)
  • adrenaline stimulates glycogen breakdown and glycolysis (skeletal muscle) and lipolysis (adipose)
90
Q

What happens after prolonged fasting?

A

Glucagon/ insulin ratio increases further

Adipose tissue hydrolyses triglycerides to provide fatty acids for metabolism

TCA cycle intermediates are reduced in amount to provide substrates for gluconeogenesis

Protein breakdown provides AA substrates for gluconeogenesis

Ketone bodies are produced from fatty acids and AA in liver to partially substitute the brain’s requirement for glucose

91
Q

Why does triglyceride hydrolysis increase during periods of prolonged fasting?

A

The triglycerides are broken down into glycogen and fatty acids
fatty acids used in beta-oxidation to make ATP substrates (Acetyl CoA)
Glycogen can assist with gluconeogenesis, enters as DHAP

92
Q

Why does ketone body synthesis occur during periods of prolonged fasting?

A

During fasting, gluconeogenesis ic occuring

This means all oxaloacetate is being used up

Therefore, there may be an excess of Acetyl CoA

The excess Acetyl CoA is used to produce Ketone bodies through ketogenesis

93
Q

How does diabetic ketoacidosis occur?

A

The body does not produce enough insulin, therefore glucose cannot be stored in cells, body relies on fats for energy
fatty acids are broken down into ketone bodies

94
Q

What happens to the insulin:glucagon ration after periods of prolonged fasting?

A

Increases further

95
Q

Which cells of the ISLETs is glucagon released from?

A

Alpha cells

96
Q

What two processes does glucagon stimulate in the liver?

A

Glycogenolysis and gluconeogenesis

97
Q

What are glucocorticoids?

A

Steroid hormones which increase synthesis of metabolic enzymes concerned with glucose availability

98
Q

Why are ketone bodies produced after periods of prolonged fasting?

A

Ketone bodies are produced from fatty acids and amino acids in liver to substitute partially the brain’s requirement for glucose

99
Q

What is type I diabetes?

A

failure to secrete enough insulin (beta cell dysfunction)

100
Q

What is type II diabetes?

A

failure to respond appropriately to insulin levels (insulin resistance)

101
Q

What are some complications of diabetes?

A

hyperglycaemia
cardiovascular complications
ketoacidosis
hypoglycaemia