L-Carnitine Flashcards

1
Q

Zwitterionic quaternary amino acid

A

L-carnitine

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2
Q

How much L-carnitine does the body contain and where is it stored?

A

20-25 g and 98 % is found in skeletal and cardiac muscle

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3
Q

What kind of diet should maintain normal carnitine biosynthesis?

A

a vegetarian diet with lysine, methionine, and micronutrients

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4
Q

L-carnitine is absorbed in intestine using what?

A

sodium dependent transport called ‘organic cation transport number 2’ (OCTN2)
- 2 gram = saturation dose

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5
Q

Synthesis of L-carnitine begins with what?

A

methylation of L-lysine by S-adenosylmethionine (SAMe) to form trimethyllysine

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6
Q

Biosynthesis of L-carnitine requires what 5 cofactors?

A

SAMe, vit C, iron, vit B6, and Niacin

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7
Q

What is the last enzyme in L-carnitine synthesis?

A

y-butyrobetaine hydroxylase

found only in liver and kidney cells

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8
Q

95% of L-carnitine is reabsorbted by?

A

renal tubules

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9
Q

Why do vegetarians have a reduced capacity to uptake carnitine into skeletal muscle?

A

downreg of carnitine transporter OCTN2

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10
Q

What are the two biochemical functions of L-carnitine?

A
  1. mitochondrian long-chain fatty acid transport

2. modulation of acetyl-coenzyme A/coenzyme A ratio

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11
Q

What is L-carnitine’s primary function?

A

transformation of free long-chain fatty acids into long-chain acylcarnitine for transport into mito matrix for beta-oxidation

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12
Q

How does L-carnitine protect cells against toxic accumulation of acetyl-CoA?

A

by acting as a reservoir for excess acetyl residues which may be generating high rates of beta-oxidation

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13
Q

CPT l catalyzes the rate-limiting step in what reaction?

A

transfer of long-chain fatty acids into mito

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14
Q

CPT l is inhibited by what?

A

malonyl-CoA during fatty acid synthesis

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15
Q

What can cause an L-carnitine deficiency?

A

inborn errors of metabolism

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16
Q

Pathological manifestations of chronic L-carnitine deficiency include?

A

accumulation of lipids in skeletal/cardiac m., and liver

17
Q

What nutrient can decrease L-carnitine synthesis?

A

choline

18
Q

What medications can decrease L-carnitine plasma concentrations?

A

anticonvulsant meds

19
Q

What acts as a competitive inhibitor of L-carnitine intestinal absorption?

A

D-carnitine (biologically inactive)

20
Q

L-carnitine supplementation is associated with what?

A

27% reduction in all-cause mortality and 65% reduction in ventricular arrhythmias

21
Q

How can L-carnitine improve insulin sensitivity?

A

L-carnitine facilitates transport of fatty acids into mito for oxidation which reduces lipid overload