Ketogenesis and Ketolysis Flashcards

1
Q

What is the main energy reserve in the body?

A

TAG

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2
Q

What are the end products of lipolysis?

A

glycerol and Acetyl-CoA

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3
Q

What is the post-prandial state?

A

The period after eating. Lasts until last meal is digested. Glucose coming from glycogenolysis

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4
Q

How goes TAG breakdown occur during the fasting state?

A

During fasting, the glucagon/insulin ratio rises, causing cAMP levels to be elevated. Protein kinase A is activated and phosphorylates hormone-sensitive lipase (HSL), activating this enzyme. HSL-P initiates the mobilization of adipose triacylglycerol by removing a fatty acid. Other lipases then act, producing fatty acids and glycerol. Insulin stimulates the phosphatase that inactivates HSL in the fed state

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5
Q

Where are ketone bodies synthesized?

A

In the liverNOTE: they are NOT used there

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6
Q

What is the principle fate of ketone bodies?

A

conversion back to acetyl CoA and oxidation in the TCA cycle in other tissues.

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7
Q

What is the first step of ketogenesis?Enzymes?Bi-products?

A

conversion of 2 acetyl-CoA to acetoacetyl-CoAenzyme: thiolasebi-products: CoA-SH

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8
Q

What is the 2nd step of ketogenesis?Enzymes?Bi-products?

A

conversion of acetoacetyl-CoA to HMG-CoA (using acetyl CoA)enzyme: HMG-CoA synthasebi-products: CoA-SH

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9
Q

What is the 3rd step of ketogenesis?Enzymes?Bi-products?

A

conversion of HMG-CoA to acetoacetatebi-products: Acetyl-CoAenzyme: HMG-CoA lysase

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10
Q

What is the final step of ketogenesis?Enzymes?Bi-products?

A

two things: either,1) spontaneous, non-enzymatic decarboxylation of acetoacetate to acetone (giving off Co2) or,2) conversion to D-B-hydroxybutyrate (using NADH+ H+ and making NAD+)enzyme: D-B-hydroxybutyrate dehydrogenase

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11
Q

What happens to acetone?

A

Acetone is excreted via the lungs. Can be detected by its odor (ketone breath). Probably not metabolized.

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12
Q

Why can’t the liver perform ketolysis?

A

the liver does not contain the enzymes needed to oxidize acetoacetate to acetoacetyl-CoANOTE: the steps of ketolysis are the same as ketogenesis in reverse, except for the enzyme used to oxidize acetoacetate to acetoacetyl-CoA

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13
Q

What enzyme is used to oxidize acetoacetate to acetoacetyl-CoA during ketolysis? any bi-products?

A

succinyl CoA acetoacetate CoA transferase(uses succinyl coA and makes succinate)

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14
Q

Does plasma concentration of fatty acids or glucose vary much in the starving state?

A

No, they are fairly constant. Ketone bodies increase drastically during fasting states (especially B-hydroxybutyrate)

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15
Q

How is ketogenesis regulated?

A

(1) The supply of fatty acids is increased.
(2) The malonyl CoA inhibition of CPTI is lifted by inactivation of acetyl CoA carboxylase.
(3) β-Oxidation supplies NADH and FAD(2H), which are used by the electron transport chain for oxidative phosphorylation. As ATP levels increase, less NADH is oxidized, and the NADH/NAD+ ratio is increased.
(4) Oxaloacetate is converted into malate because of the high NADH levels, and the malate enters the cytoplasm for gluconeogenesis
(5) Acetyl CoA is diverted from the TCA cycle into ketogenesis, in part because of low oxaloacetate levels, which reduces the rate of the citrate synthase reaction.

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16
Q

What ketone bodies are produced in ketone body synthesis in the liver?

A
  1. Acetoacetate
  2. Beta-hydroxybutarate
  3. Acetone - not metabolically useful
17
Q

When are ketone bodies first being used in the body?

- How does ketone body use changes as hours without food increases?

A
  • 1st used by MUSCLE in the basal fasted state (> 12 hrs w/o food)
  • In Starving state (> 3 days w/o food) brain starts to used ketone bodies and the muscle stops using them
18
Q

T or F: acetoacetate synthesis involves input of 3 acetyl CoA.

A

True, 3 must be put in however 1 is recovered in the reaction catalyzed by HMG-CoA synthase

19
Q

What TCA cycle intermediate is crucial to ketone body metabolism in the muscle?

A

Succinyl-CoA: note this builds up because the 2nd park of the TCA cycle is running backwards

20
Q

What are the side effects of high levels of ketone bodies in the body?

A
  1. Ketoacidosis - lowering of blood pH
  2. Dehydration - ketone bodies are osmotically active

note: common side effect = ketonuria