Ketone Body Metabolism Flashcards
Nutritional States conducive to ketogenesis
during high rates of FA oxidation (starvation/prolonged exercise), primarily in liver, large amounts of acetyl-CoA are generated
Location of ketogenesis
mitochondria
Excess acetyl CoA exceeds capacity of _____ and _____ ensues.
TCA cycle; ketogenesis
1st step ketone body metabolism
conversion of 2 acetyl CoA—->acetoacetyl-CoA
2nd step of ketone body metabolism
acetoacetyl CoA—>HMG-CoA
enz: HMG CoA synthase
* *RL step
3rd step KB metab
HMG CoA–>Acetoacetate
4th step KB metab
Acetoacetate–>Acetone or Beta hydroxybutyrate (production of ketone bodies)
Utilization of ketone bodies for energy
acetoacetate–> acetoacetyl CoA
enz: thiophorase
(can’t occur in liver bc lack of thiophorase)
Ketogenic diet
high fat, adequate protein, low carbs
- treatment for epilepsy in children
- induces state of ketosis
possible mechanism for ketogenic diet as epilepsy treatment
increased ketosis increases GABA.
GABA is an inhibitory neurotransmitter
Liver
major ketogenic organ, but cannot utilize KBs for energy