Lecture 1 Metabolic pathways in the liver and fuel distribution to tissues Flashcards

1
Q

What does the portal vein in the liver do with regards to metabolism?

A

It brings nutrients into the liver.

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2
Q

Do hepatocyte enzymes turn over quickly or slowly?

A

Quickly

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3
Q

What is the function of the GLUT2 transporter?

A

It allows passive diffusion of glucose through the hepatocyte membrane.

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4
Q

What does glucokinase (Hexokinase IV) do?

A

It facilitates phosphorylation of glucose to glucose-6-phosphate.

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5
Q

What effect does glucokinase’s high Km have?

A

It means that it needs high substrate concentrations to achieve maximum reaction velocities. This means that G-6-P isn’t made when glucose is in low concentration. This allows the glucose to go to other tissues where it is needed more.

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6
Q

Is glucose inhibited by G-6-P? What effect does this have?

A

It is not inhibited by G-6-P. This means that G-6-P can be made continually.

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7
Q

What is meant when G-6-P is referred to as the ‘transfer station’ in the liver?

A

It means that many sugars such as fructose, galactose and mannose are all converted to G-6-P in the liver which then has multiple fates depending on the needs of other tissues.

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8
Q

Name 5 fates available to G-6-P in the liver.

A

Dephosphorylation to yield free glucose to send to other tissues.

Made into liver glycogen.

Enter glycolysis to form acetyl-CoA then ATP for use by the hepatocytes.

Enter glycolysis to form acetyl-CoA to be made into fatty acids and later TAGs.

Enter the pentose phosphate pathway to yield NADPH and ribose-5-phosphate.

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9
Q

Name 3 fates available to amino acids in the liver.

A

Make into proteins for liver and other tissues.

Make into hormones, nucleotides.

Make into CAC intermediates or pyruvate for gluconeogenesis or convert to acetyl-CoA or liver cell energy or conversion to fatty acids then TAGs.

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10
Q

Name 5 fates available to fatty acids in the liver.

A

Use FAs to synthesise liver lipids.

Oxidise FAs to acetyl-CoA and NADH to then yield ATP, or ketone bodies, or cholesterol.

Convert FAs to phospholipids.

Convert FAs to TAGs for storage.

Carry FA to heart and muscle for oxidation.

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11
Q

What protein carries FAs in the bloodstream and why?

A

Albumin because FAs are hydrophobic and therefore insoluble in the blood. Albumin hides the FAs within itself and allows for transport.

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12
Q

What is simple diffusion?

A

Diffusion of a nonpolar compound through the membrane down its electrochemical gradient.

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13
Q

What is facilitated diffusion?

A

Diffusion through a channel down its electrochemical gradient.

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14
Q

What is primary active transport?

A

Transport against electrochemical gradient, powered by ATP.

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15
Q

What is secondary active transport?

A

Transport against electrochemical gradient driven by concurrent movement of ion down its electrochemical gradient.

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16
Q

What is ionophore mediated ion transport?

A

When an ion is enclosed within a lipid soluble molecule and transported down its electrochemical gradient.

17
Q

How do pancreatic beta cells use the GLUT2 transporter to signal for insulin release?

A

GLUT2 has a high Km for glucose (17mM). This means that GLUT2 will only be active when blood glucose is high. So when GLUT2 activates this signals that blood glucose is high and cells respond with the secretion of insulin.

18
Q

Describe the regulation of glucose transport into a myocyte GLUT4 and insulin.

A

GLUT4 transporters in myocytes are usually at low levels as the transporters are stored in membrane vesicles in the cytoplasm. When insulin interacts with its receptor, this makes the vesicles fuse with the cell membrane and therefore increase the number of GLUT4 transporters on the cell membrane. When insulin levels drop, the transporters are removed by endocytosis back into the membrane vesicles.

19
Q

How does diabetes affect GLUT4 mobilisation?

A

In diabetes there is impaired insulin function. As GLUT4 mobilisation is insulin dependent, the transporter will not be mobilised.