Integration of Whole Body Metabolism Flashcards

1
Q

How much glucose does the brain use daily? [1 mark]

A

100-120g

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2
Q

What is >50% of the energy the brain consumes used for? [3 marks]

A

for Na+/K+ transport

  • to maintain membrane potential
  • to synthesis neurotransmitters
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3
Q

At what point does the plasma glucose concentration become dangerously low? [1 mark]

A

2.2mM

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4
Q

Where are fats a major energy source? [1 mark]

A

Cardiac muscle

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5
Q

Where is glucose a major energy source? [2 marks]

A
  • Muscles

- Brain

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6
Q

How is energy stored in adipose tissue? [1 mark]

A

As triglycerides (mainly synthesised in the liver)

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7
Q

Which glucose transporter is found in adipose tissue? [1 mark]

A

GLUT4

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8
Q

Which organ contributes to the half of blood glucose during starvation? [1 mark]

A

The kidneys (via gluconeogenesis)

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9
Q

How does the liver get its energy? [1 mark]

A

Via alpha keto acids (e.g. pyruvate)

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10
Q

Difference between hexokinase and glucokinase? [5 marks]

A
  • Km (H: low, G: high)
  • Location (H: all tissue, G: hepatic tissue)
  • Allosteric (H: yes, G: no)
  • Induction by insulin (H: no, G: yes)
  • Inhibition by G6P (H: yes, G: no)
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11
Q

What is GLUT2 driven by and what does this mean as a result [2 marks]

A
  • Driven by concentration gradient of glucose.

- This means that GLUT2 is bidrectional.

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12
Q

What does glucokinase do to GLUT2 and why? [2 marks]

A
  • Phosphorylate it.

- To facilitate storage of glucose as glycogen.

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13
Q

What does glucose-6-phosphatase do? [1 mark]

A

Converts G6P to glucose

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14
Q

What is creatine phosphate? [1 mark]

A

It’s a reservoir of phosphate to donate to ADP.

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15
Q

Which form of respiration is more efficient? [1 mark]

A

Aerobic respiration

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16
Q

Advantage and disadvantage of fatty acids as a soure of energy? [2 marks]

A

ADVANTAGE: It’s a large source of energy.
DISADVANTAGE: Fatty acid oxidation is slow.

17
Q

Where does pyruvate come from in the Cori cycle? [2 marks]

A
  • Lactate from muscles

- Alanine from muscles

18
Q

Where does G6P come from in the Cori cycle? [2 marks]

A
  • Gluconeogenesis (using pyruvate)

- Glycogenolysis

19
Q

What can alanine be used for? [1 mark]

A

Gluconeogenesis

20
Q

What are the levels of glucose, hormones and enzyme activity in the post absorptive state? [5 marks]

A

LOW: blood glucose, low insulin, glucose uptake
HIGH: glucagon, phosphorylase a activity, glucogen breakdown

21
Q

What happens in early starvation? [5 marks]

A
  • Gluconeogenesis and glycogenolysis
  • Mobilisation of fatty acids from adipose tissue
  • Muscle switches to fatty acid oxidation
  • Less GLUT4 expression so less glucose uptake
  • After 12 hrs, 45% of resting energy comes from fatty acids and 40% come from glucose
22
Q

What happens in intermediate starvation? [5 marks]

A

HIGH: lipolysis, ketogensis, gluconeogenesis
LOW: glycogen stores
- After 60 hrs, fatty acids account for 75% of energy provision.
- After 8 days, concentration of beta hydroxybutyrate (ketone body) is raised 50 fold
- Kidney takes over gluconeogensis from the liver

23
Q

What happens in prolonged starvation? [6 marks]

A
  • Beta hydroxybutyrate concetration plateaus at 20 days
  • Brain switches its metabolism to ketone bodies
  • Gluconeogenesis from lactate and glycerol
  • Proteins are broken down