Integration/regulation of fuel use during exercise Flashcards

1
Q

What factors is the balance between carbohydrate and lipid oxidation during exercise dependent on?

A

Nutritional status/diet, exercise intensity (above or below LT), exercise duration, continuous vs. intermittent exercise, state of training, circulating catecholamines and other hormones, pharmacological interventions.

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2
Q

What does the arterial FFA concentration reflect?

A

A balance between FFA appearance (from adipose tissue) and FFA disappearance (uptake by active muscle).

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3
Q

How can FFA oxidation rate be estimated?

A

Using RER or a known infusion rate of labelled FFA (more accurate)

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4
Q

What is the ATP yield from the 16-carbon palmitate?

A

106 ATP

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5
Q

How can carbohydrate oxidation rate be estimated?

A

Repeated muscle biopsies for glycogen content.

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6
Q

Describe how the first estimate of carbohydrate oxidation rate was carried out?

A

Two subjects, sat side by side next to a cycle ergometer and pedalled one crank each until they could no longer. Took biopsied from both legs and compared the glycogen content. Exercised leg had no glycogen, a depleted source or energy and the non-exercised leg was essentially unaltered.

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7
Q

In the days that followed the carbohydrate oxidation rate estimate what happened to the glycogen stores in each leg?

A

The exercised leg showed an increase far above the resting level.

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8
Q

What is muscle glycogen stores described as after nutritional interventions where classically tested?

A

Finite and wanes at about 2-3 hours exercise at or close to lactate threshold.

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9
Q

What does altering the lipid intake in the days prior to exercise do?

A

Has less of an influence on substrate selection.

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10
Q

What may influence lipid and carbohydrate oxidation rates during exercise?

A

Raising plasma FFA by increasing muscle fat storage.

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11
Q

Give the theories that are suggested to determine the rate of carbohydrate and lipid metabolism?

A

Glucose fatty acid cycle mediated control of PFK activity via [citrate], Phosphate-mediated regulation of glycogen phosphorylase activity, redox potential ([NADH]/[NAD+]) mediated control or PHD activity, [malonyl-coA] mediated regulation of carnitine acyltranferase 1 activity, carnitine availiability for mitochondrial fatty acyl CoA transport.

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12
Q

Describe glucose fatty acid mediated control of PFK activity via [citrate]?

A

↑ FFA availability, ↓ carbohydrate metabolism, ↑ acetyl-coA, ↑ citrate, ↑ G6P.
↑ [acetyl-coA] is inhibitory of PDH by activating PDH kinase.
↑ [citrate] once in the cytosol, is inhibitory of PFK.
↑ [G6P] inhibits hexokinase.
↑ FFA availability has been suggested to promote beta-oxidation and carbohydrate oxidation.

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13
Q

Describe phosphate-mediated regulation of glycogen phosphorylase activity?

A

↑ plasma [FFA] has no major effect on blood [glucose], ↑ in FFA availability ↓ glycogen utilisation by up to 50% during exercise at 80 % VO2max, but no effect on citrate, G6P or PDH activity. ADP and AMP were ↓during the 30 mins of heavy or very-heavy exercise which lessons the activity of GP and slows glycolysis.

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14
Q

Describe the redox potential mediated control of PHD activity?

A

↓cytosolic of [ADP, AMP, Pi] are seen with↑fat provisions. ↓phosphate feedback to the mitochondrion during exercise implicates a↑NADH- delivery to maintain the same flux for oxidative phosphorylation.↑matrix [NADH] inhibits PDH activation. Experimental support is weak.

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15
Q

Describe [malonyl-coA] mediated regulation of CAT1 activity?

A

During↑intensity exercise, acidosis inhibits lipoprotein lipase, pyruvate accumulates and the TCA cycle is activates, citrate accumulates and acts as a positive allosteric effector of acetyl CoA carboxylase b that together with malonyl-CoA decarboxylase regulates [malony-CoA]. When flux through glycolysis is↑[malonyl-coA] accumulates and inhibits CPT1 which is required for FFA entry into the mitochondria.

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16
Q

Describe carnitine availability for mitochondrial fatty acyl CoA transport?

A

During steady-state exercise, below LT, ATP needs are met by carbohydrate and FFA oxidation. ↑muscle [glycogen] or blood [glucose] favours glycolysis and pyruvate formation. With↑[pyruvate] PDH is activated and pyruvate is converted to acetyl-CoA. When acetyl-coA formation exceeds citrate formation, CAT can reversible exchange coA for carnitine forming acetyl-carnitine. This may limit the availability of carnitine for fatty acyl coA transport into mitochondrion.