Ketone Metabolism Flashcards

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1
Q

During what state are ketone bodies made

A

Fasting state

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2
Q

Ketone bodies are made from which excess molecule from beta-oxidation

A

Acetyl coA

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3
Q

Apart from ketone bodies which other 2 molecules are produced during the fasting state

A

acetoacetate and 3-hydroxybutyrate

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4
Q

What is ketoacidosis

A

Build up of ketone bodies

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5
Q

In which organelle of what cell does ketogenesis occur

A

Mitochondria of hepatocytes

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6
Q

Which organ uses ketone bodies during prolonged starvation

A

The brain

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7
Q

Function of HMG-CoA synthase

A

Forms HMG-CoA from acetyl-CoA

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8
Q

Which enzyme converts HMG-CoA to Acetoacetate

A

HMG-CoA lyase

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9
Q

What is a clinical manifestation of ketoacidosis

A

A strong fruity/sweet smelling breath

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10
Q

Production of what molecule causes a strong fruity/sweet smelling breath

A

Acetone

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11
Q

Which enzyme is needed to convert Acetoacetate to acetoacetyl-CoA

A

Thiophorase

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12
Q

Why is it only ketogenesis that occurs in the liver and not ketogenolysis

A

The liver does not have thiophorase

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13
Q

Why doesn’t ketone synthesis occur in RBCs

A

They have no mitochondria

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14
Q

What effect does glucagon and epinepherine have on ketogenesis

A

Glucagon and epinepherine increases lipolysis which increases ketogenesis

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15
Q

What effect does insulin have on ketogenesis

A

Insulin decreases lipolysis which decreases ketogenesis

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16
Q

Which type of diabetic patients are more likely to have ketoacidosis

A

Patients with type I diabetes not treated wit insulin because that can cause release of fatty acids from adipose, promoting ketogenesis

17
Q

How can hormone sensitive lipase induce ketoacidosis

A

It will call more lipid metabolism leading to more productin of acetyl coA and hence more ketogenesis

18
Q

How are alcoholics prone to ketoacidosis

A

They are usually hypoglycemic which causes fatty acid release from adipose, leading to ketone production in the liver