L34 Flashcards

1
Q

during the absorptive phase the liver can either produce FAs from glucose and amino acids or it can consume FAs and channel them into the ?

A

krebs cycle or ketogenesis

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2
Q

when is the krebs cycle vs ketogenesis used

A

low levels of Malonyl coA stimulates ketogenesis

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3
Q

during what phases is malonyl-CoA low and why

A

during post-abs and prolonged deficiency
b/c glucagon inhibits glycolysis

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4
Q

during the absorptive phase when _____ is high, Malonyl-CoA suppresses ______

A

insulin
CPT-1

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5
Q

FAs are released from adipose tissue and transported into the mitochondria by ?

A

CPT-1

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6
Q

once in the mitochondria, what happens to FAs

A

beta oxidation and ketone body synthesis

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7
Q

explain the normal process of fat metabolism during prolonged E deficiency

A

NEFAs from adipose tissue get transported into hepatocytes
inside hepatocytes, NEFAs get esterified to TGs and packed into VLDLs which are able to enter circulation

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8
Q

what diseases are associated w/ hepatic lipidosis in cats

A
  • old age
  • obesity
  • DM
  • pancreatitis
  • diabetic ketoacidosis
  • IBS
  • hepataits
  • cancer
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9
Q

what is hepatic lipidosis

A

(fatty liver disease)
occurs when cat stopes eating for a while, causing the body to break down stored fat for E, the liver can’t handle emulsifying large amounts of fat so it becomes overwhelmed and then its functioning is compromised

overwhelming hepatocyte capactiy (hepatocytes cant handle a large amount of NEFAs), causes damage to hepatocytes –> hypoxia, hepatotoxins increase and damage liver cells

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10
Q

an accumulation of triglycerides leads to fatty ____

A

liver

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11
Q

symptoms of hepatic lipidosis

A

anorexia, obesity, icterus, liver enlargement, V+

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12
Q

what is the treatment for hepatic lipidosis in cats

A
  • high protein diet
  • feeding tube and diazepam
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13
Q

how do ruminants maintain glucose homeostasis?

A

convert glucose to glycerol and acetate and beta hydroxybutyrate into FAs
ketone bodies supply E (they are in a constant state of gluconeogenesis)

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14
Q

during starvation how is serum electrolyte balance maintained

A

shift of intracellular ions (K, P, Mg) to the extracellular space, leading to a depletion of electrolytes

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15
Q

what is the order in which E stores are depleated

A

carbohydrates
fat
protein

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16
Q

what occurs physiologically in refeeding syndrome

A
  • hypomagnesmia
  • hypophosphatemia
  • CV instability
  • acute gastric dilation
  • fluid retention and peripheral edema
17
Q

therapy strategy for refeeding syndrome

A

low CHO/high fat diet
ensure adequate K, PO4, Mg