L13 Introduction to Metabolism Flashcards

1
Q

What is Anabolism?

A

Anabolism refers to reactions that synthesis new (larger) molecules from smaller precursors. These need energy.

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2
Q

What is Catabolism?

A

Catabolism refers to reactions that break down larger molecules into smaller ones, usually to release energy.

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3
Q

What are the different stages if energy metabolism?

A
  • Absorptive state - the products of digestion are transported to the liver, adipose tissue or muscles for them to be processed for energy. Any excess is stored for later fasting stages.
  • Post-absorptive - occurs after digestion, when food is no longer the source of energy for the body. The body relies on glycogen for energy. Maintaining homeostasis between meals.
  • Fasting
  • Intense exercise
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4
Q

Where is phosphocreatine stored? What is its role?

A

Ketones - it acts as a short term energy store. It produces creatine as PCr is converted to creatine through creatine kinase releasing ATP.

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5
Q

What do most cells use as an energy source?

A

Fatty acids

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6
Q

Which amino acids are exported for gluconeogenesis?

A

Alanine and Glutamine

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7
Q

What is special about the energy requirements of erythrocytes?

A

Lack mitochondria and so cannot undergo aerobic respiration - as they need to carry oxygen. They get all their energy from anaerobic glycolysis.

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8
Q

What is special about the energy requirements of the brain?

A
  • Brain tissue does have mitochondria and a very high metabolic demand
    • BBB limits foodstuff that gets across. Glucose acts as the main energy store.
    • Under normal conditions, the brain depends on a fairly steady plasma glucose concentration.
      * Glucose from the blood enters the brain via specialised protein transport GLUT1. This is rich in the brain epithelial cells. Transport glucose molecules from the BBB in to the brain.
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9
Q

What blood glucose concentration must be maintained?

A

5 mM

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10
Q

What is the role of adipocytes when the insulin level is high?

A

When insulin concentration is high, adipocytes are stimulated to take up glucose and convert it to triacylglycerides.

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11
Q

What does the liver synthesis ketone bodies from?

A

Acetyl CoA
Ketone bodies are created from fats (and amino acids) and served as a preferential food store for the heart and other organs so the brain can still use glucose.

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12
Q

What is the source of energy for cardiac muscle?

A

Fatty acids but can use lactate or ketone bodies. Glucose uptake is insulin sensitive.

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13
Q

Give characteristics of type 1 skeletal muscle.

A
  • Contains slow-twitch muscle fibres. These are the muscles that are found in a marathon runner. They are bright red, high levels of myoglobin, a good vascular supply and a good oxygen supply. They are adapted for long, relatively moderate activity and their main source of energy is fatty acids.
    • Rather like cardiac muscle: highly aerobic
    • Adapted to prolonged, relatively modest, activity: for example, postural muscles
    • Main energy source is fatty acids.
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14
Q

Give characteristics of type 2a skeletal muscle.

A

• Intermediate between Type 1 and Type 2b. Contain some mitochondria, and myoglobin. Will maintain aerobic metabolism as much as possible.
• Phosphocreatine and glycogen provide a good store of energy.
• Adrenalin (or insulin) allow glucose uptake.
• At lower exercise levels, fatty acids are the main energy source.
During fasting, release amino acids for gluconeogenesis

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15
Q

Give characteristics of type 2b skeletal muscle.

A

• “Fast-Twitch” muscle: explosive performance, but quickly fatigue. Usually only recruited for severe efforts.
• Few mitochondria, and little or no myoglobin (hence white)
• Phosphocreatine provides rapid replenishment of ATP, but only for a few seconds.
• Rely mainly on anaerobic glycolysis, with glucose coming from their glycogen store.
Adrenalin (or insulin) allow glucose uptake.

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16
Q

Why does polyuria occur in diabetes?

A

Due to high blood glucose. This creates an osmotic effect and so lots of urine is produced.

17
Q

What is the effect of insulin on sugars, glycogen, proteins and fats?

A

Sugars: Stimulates glycolysis
Glycogen: Stimulates synthesis of glycogen
Proteins: Stimulates synthesis of protein
Fats: Stimulates synthesis of fats

18
Q

What is the effect of adrenalin on sugars, glycogen, proteins and fats?

A

Has a similar effect to glucagon.

Sugars: Gluconeogenesis
Glycogen: glycogenolysis
Proteins: stimulates breakdown
Fats: Stimulates lipolysis

19
Q

What is the effect of GH on sugars, glycogen, proteins and fats?

A

Sugars: Gluconegoenesis
Glycogen: Stimulates synthesis
Proteins: Stimulates synthesis
Fats: Stimulates lipolysis

20
Q

What is the effect of cortisol on sugars, glycogen, proteins and fats?

A

Sugars: Gluconeogenesis
Glycogen: Redistribute to muscle
Proteins: breakdown
Fats: Redistribute to abdomen

In addition, cortisol has immunosuppressive effects and thyroid hormones increase general activity and basal metabolic rate.

21
Q

What is the effect of TNF-alpha and IL-1 on sugars, glycogen, proteins and fats?

A

Sugars: Glycolysis
Glycogen: Breakdown
Proteins: Breakdown
Fats: Breakdown

22
Q

How is energy released in starvation?

A

If the fast is not broken and starvation beings, in the initial phase glucose is produced through gluconeogenesis. This is still used by the brain and other organs. Gluconeogenesis is stimulated by Cortisol, and other corticosteroids and the thyroid hormones. After a few days, ketone bodies are created from fats and serve as preferential food stores for the heart and other organs so the brain can continue to utilise glycose.

If the stores are depleted: the proteins will start to be catabolised and muscle will be spared to prevent the wasting of muscle. Proteins will be used if alternative stores are not available Proteins are a very important part of the cells necessary for normal cell growth.

23
Q

What is a marker of low-energy state?

A

AMP - it regulates a number of metabolic enzymes allosterically.

24
Q

What cannot be converted to glucose?

A

Fatty acids and ketogenic amino acids as they are converted to acetyl CoA. The carbons are lost as carbon dioxide when acetyl coA enters the Kreb’s cycle.

25
Q

Which organ(s) is sensitive to glucagon?

A

Glucagon stimulates breakdown of glycogen stored in the liver. When blood glucose levels are high, large amounts of glucose are taken up by the liver. Muscle does not release glucose into teh bloodstream.

26
Q

What are TAGs?

A

All tissues contain low levels of fatty acids but many are stored in the major storage molecule triacyclglycerol (TAG). TAG is made by 3 fatty acids, typically different, esterified to a glycerol molecule.

27
Q

What is the difference between ketoacidosis and ketosis?

A

Ketoacidosisis a metabolic state caused by uncontrolled production of ketone bodies that cause a metabolic acidosis. While ketosis refers to any elevation of blood ketones,ketoacidosisis a specific pathologic condition that results in changes in blood pH and requires medical attention.

28
Q

How do we control growth?

A

AMP kinase and MTORC1 key molecules that send energy cellular energy and nutrient levels to control cell division and growth.
AMP Kinase binds ATP or ADP, to cause conformational changes that will determine how AMP kinase will promotes metabolic pathways to produce ATP whilst switching off ATP consuming pathways.
MTORC1 Mammalian target of rapamycin complex 1 activation under nutrient sufficient leads to sufficient elevation of anabolic processes such as protein and lipid synthesis.