L11: Fatty Acid Catabolism Flashcards

1
Q

what is the difference between glucose metabolism & fatty acid metabolism in terms of energy yield

A
  • glucose metabolism yields ATP
  • but F.A metabolism yields higher levels of ATP while regenerating glucose
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2
Q

the bulk of stored metabolic fuels is in what form & how long will this keep you alive for

A

stored metabolic fuel in the form of triacylglycerols in adipose tissue, sufficient to prolong life for 3 months

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3
Q

when does melting point increase

A

melting point increases with chain length (& decreases with number of double bonds)

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4
Q

when does melting point decrease

A

melting point decreases with the number of double bonds (increases w chain length)

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5
Q

when do fatty acids yield increased energy (in terms of structure)

A

the more carbons in the structure, the more energy is yielded

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6
Q

what enzyme causes serious defects

A

Acyl-CoA Dehydrogenase

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7
Q

symptoms of acyl-CoA dehydrogenase deficiency

A
  • low energy
  • fat accumulation
  • vomiting
  • sleeplessness
  • coma
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8
Q

tx of acyl-CoA dehydrogenase deficiency

A

low fat and high carb diet
eating a little, but often

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9
Q

what is the most common acyl-CoA dehydrogenase deficiency

A

MCAD (Medium Chain Acyl-CoA Dehydrogenase Deficiency)
affects 1:66,000

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10
Q

what is the feature of NAFLD

A

deposition of excess TAGs in liver

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11
Q

5 causes of NAFLD

A
  1. Hep B
  2. Poisoning by excess lipid: less removal & breakdown = fatty infiltration into cells
  3. Modern malnutrition: less cofactors & AAs for proteiin synthesis
  4. Mobilisation of non esterified F.As from adipocytes - increase in fatty acids being synthesised
  5. Decreases oxidation of fat by hepatic cells
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12
Q

resuts of NAFLD

A

liver scarring & disease
Long term: liver failure

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13
Q

what is wolman’s disease a deficiency of

A

lysosomal acid lipase defiency

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14
Q

feature of wolman’s disease

A

certain fats abnormally accumulate in tissues & organs

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15
Q

symptoms of wolman’s disease

A
  • swelling of stomach (abdominal distension)
  • vomiting
  • enlargement of liver/spleen (hepatosplenomegaly)
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16
Q

when does ketone body formation occur

A

to provide energy when carbohydrates unavailable - low card diet, starvation, fasting, untreated diabetes (conditions that support gluconeogenesis)

17
Q

what is synthesised into ketone bodies in the liver

A

acetyl-CoA from beta oxidation synthesised into ketone bodies mainly in liver

18
Q

2 common ketone bodies

A

acetoacetate & beta-hydroxybutyrate

19
Q

where are acetoacetate & beta-hydroxybutyrate exported to & what do they do

A

they are blood soluble amalgamations of acetyl-CoA
exported in blood to organs that need energy where they reconvert to acetyl-CoA to give energy

20
Q

what is exhaled as a result of ketone body formation

21
Q

why does decreased food intake slow citric acid cycle

A

as oxaloacetate used for essential glucose synthesis
(oxaloacetate (OAA) — a critical molecule in the citric acid cycle — gets diverted away from the cycle to support gluconeogenesis)

22
Q

why does acetyl-CoA accumulate after ketone body formation

A

Acetyl-CoA from beta oxidation cant enter TCA cycle & so accumulates

23
Q

what does ketogenic diet do to body

A

forces it to burn/oxidise fats rather than carbs

24
Q

what is keto diet used to treat

25
what does excess production of ketone bodies lead to
dangerous blood pH decrease -> acidosis -> ketosis -> coma
26
how is ketosis quantified (2)
1. measuring aciditiy of urine 2. sampling exhaled air for acetone via gas chromatography
27
why is glucose not taken up into cell in sufficient quantities in T1DM
Glut 4 (what glucose used to enter cell) not released to plasma membrane
28
the production of what in T1DM inhibits the TCA cycle
NADH
29
what is T2DM associated with
increased glucose levels & hyperinsulinaemia
30
what enzyme is regulated in fat catabolism
carnitine acyl-transferase-1
31
when is carnitine acyl-transferase-1 inhibited
inhibited when fat breakdown is at sufficient level for energy output & when fats start to be synthesised (fat synthesis & catabolism cant happen at same time)
32
how is acyl-transferase-1 inhibited
allosterically by increased conc of malonyl-CoA (first product in fatty acis synthesis - blocks F.A import into mitochondria)
33
what is the dehydrogenase enzyme in beta-oxidation inhibited by
high [NADH]:[NAD+] ratio inhibits dehydrogenase in beta oxidation
34
what is a key regulator of metabolism
AMP activated kinase (AMPK)
35
what inhibits hydratase & thiolase enzymes in beta ox
high [acetyl-CoA]
36
AMPK inactivates acetyl-CoA Carboxylase, what does this entail
* Acetyl-CoA Carboxylase (ACC) synthesises malonyl-CoA * so no malonyl-CoA produced * so carnitine acyl-transferase-1 turned on * so beta oxidation activated = energy
37
what transcription factor does glucagon activate & what does this do
* activates the transcription factor CREB * which turns on fatty acid catabolism genes & regulates genes in glucose metabolism
38
what is the family of nuclear receptor transcription factors & what is the function of them
* called PPAR * respond to low energy fasting & starvation * activate genes for fatty acid oxidation
39
can fatty acid catabolism & synthesis occur at same time
no coordinated regulation