Lecture 14 - Energy Balance and Metabolism I Flashcards

1
Q

___ is a link between energy production and utilization.

A

ATP

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2
Q

___ becomes the final common pathway for the transport of almost all the carbohydrates to the tissue cells.
Note that galactose, glucose, and fructose (all hexoses) are all ___.
Note that each can be ___.
Note that galactose and glucose can be converted to __-_-___ and enter the glycolytic pathway.

A

Glucose
Interconvertible
Phosphorylated
Fructose-6-phosphate

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3
Q

Uptake of Glucose

A
  • Via active sodium-glucose co-transport: GI TRACT AND RENAL
  • Active transport of sodium provides energy for absorbing glucose against a concentration gradient.
  • Via facilitated transport: TISSUES
  • Only transported from higher to lower concentrations.
  • Presence of insulin increases glucose transport x10.
  • Phosphorylation of glucose prevents diffusion out of cell.
  • Phosphorylation can be reversed in liver, renal, and intestinal cells.
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4
Q

role of enzymes

A
  • Glucokinase(transfers phosphate from ATP)
  • Phosphatase (removes phosphate)
  • Phosphorylase (catalyzes production of glucose-1-phosphate from glycogen)
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5
Q

Factors that can activate phosphorylase:

A
  • Epinephrine (from adrenal medulla)

* Glucagon (from alpha cells of pancreas)

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6
Q

Effects of phosphorylase

A
  • Promotes conversion of glycogen to glucose.

* Glucose can then be released into blood.

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7
Q

Know end products of glycolysis

A
  • Pyruvic acid (2 molecules)
  • Hydrogens (4) Release is catalyzed by a dehydrogenase
  • ATP (2 molecules) Note that 2 molecules were needed at the beginning of the pathway and that a total of 4 ATPs were produced in the pathway, giving a net gain of 2 ATPs.
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8
Q

Pyruvic Acid → Acetyl-CoA •Know end products of this conversion:

A
  • Acetyl-CoA (2 molecules)
  • Hydrogens (4) Release is catalyzed by a dehydrogenase
  • Carbon Dioxide (2 molecules)
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9
Q

Citric Acid Cycle

Where does it occur and what are the end products?

A

In the mitochondrial matrix!

  • Hydrogens (8x2 = 16) Release is catalyzed by a dehydrogenase
  • ATP (2 molecules)
  • Carbon Dioxide (2x2 = 4 molecules)

Net reaction (excluding glycolysis):
2 Acetyl-CoA + 6H2O + 2ADP →
4 CO2+ 16 H + 2 CoA + 2ATP

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10
Q

Oxidative Phosphorylation

A

Occurs on mitochondrial cristae
Fate of hydrogen atoms from previous cycles: •removed in pairs •One member of each pair becomes a hydrogen ion •The other member of a pair combines with NAD+ → NADH
Fate of electrons removed from hydrogen ions: •Enter electron transport chain

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11
Q

Major components of the electron transport chain:

A
  • Flavoprotein
  • Several iron sulfide proteins
  • Ubiquinone (Q)
  • Cytochrome A3 (cytochrome oxidase) •Located on inner membrane •Can give up two electrons to oxygen
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12
Q

Number of ATPs formed per glucose molecule;

Maximum number of ATPs per glucose molecule

A
  • 2 ATPs from glycolysis
  • 2 ATPs from citric acid cycle
  • 34 ATPs from oxidative phosphorylation

=38

66% efficiency

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13
Q

Pentose Phosphate Pathway

A

cyclical pathway in which one molecule of glucose is metabolized for each revolution of the cycle

  • For every six molecules of glucose that enter the pathway, five molecules of glucose are resynthesized
  • mostly used for the synthesis of fats and other substances.
  • Hydrogens generated from this pathway are bound to NADP+ instead of NAD+
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14
Q

Glucose is preferentially stored as ___ until the storage cells (___ and ___) are saturated.

Excess glucose is then converted into ___ (liver and fat cells) and stored in fat cells.

A

glycogen

liver, muscle

fat

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15
Q

Triglycerides (Neutral Fats)

A

Triglyceride absorption from intestinal lumen: •Most triglycerides are digested into monoglycerides and fatty acids •Intestinal epithelial cells resynthesize these into triglycerides that enter the lymph as chylomicrons. •Apoprotein B is adsorbed to the chylomicron surfaces.

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16
Q

Chylomicrons are removed from the blood by various tissues, especially: ___ which synthesize lipoprotein lipase.

A
  • Adipose tissue
  • Skeletal muscle
  • Heart
17
Q

Lipase

A

Is transported to surface of capillary epithelial cells

Hydrolyzes chylomicron triglycerides, releasing fatty acids and glycerol.

18
Q

Chylomicrons are transported to the venous system via the ___.

A

thoracic duct

19
Q

Fatty acids can be used for ___ or again ___ into ___.

A

fuel, synthesized into triglycerides

20
Q

Conditions that increase utilization of fat for energy:

A

starvation or diabetes mellitus

21
Q

Types of lipoproteins:

A

Synthesized by intestinal cells:
•Chylomicrons

Synthesized by liver: 
•Very low density lipoproteins (VLDLs) 
•Intermediate density lipoproteins (IDLs) 
•Low density lipoproteins (LDLs) 
•High density lipoproteins (HDLs)
22
Q

Lipoproteins transport what in the blood?

A

lipids

23
Q

Very Low Density Lipoproteins:

A
  • High concentrations of triglycerides and moderate amounts of cholesterol and phospholipids.
  • Transport lipids mainly from liver to adipose tissue.
24
Q

Low Density Lipoproteins:

A

•High concentration of cholesterol and moderate concentration of phospholipids

25
Q

High Density Lipoproteins:

A

•High concentration of proteins and low concentration of cholesterol and fatty acids.

26
Q

Triglycerides as an Energy Source

A
  • Triglycerides are hydrolyzed into fatty acids and glycerol, which are transported in blood to tissues.
  • Almost all cells except brain cells and red blood cells use fatty acids for energy.
  • Glycerol is converted to glycerol-3-phosphate.
  • Fatty acids are converted to acetyl-CoA in the mitochondria
27
Q

Products from beta-oxidation of one molecule of stearic acid

A
  • 9 acetyl-CoA molecules

* 146 molecules of ATP

28
Q

Degradation of fatty acids in the liver releases many acetyl-CoAs not used for metabolism:

A
  • 2 acetyl -CoAs condense to form acetoacetic acid

* Some of the acetoacetic acid is converted to: •Β-hydroxybutyricacid •acetone

29
Q

Acetoacetic acid is a __.

Acetoacetic acid, β- hydroxybutyric acid, and acetone are __ __.

A

keto acid

ketone bodies

30
Q

If concentrations of ketone bodies increase above normal in blood:

A

Ketosis occurs

31
Q

Conditions favoring ketosis:

A
  • Starvation
  • Diabetes
  • Diet composed almost entirely of fat
32
Q

Ketone bodies that diffuse back into cells are converted into ___.

A

acetyl-CoA

33
Q

Synthesis of fatty acids is a 2-step process that is important because…

A

•More fat can be stored in tissues than carbohydrates. •Weight-for-weight, fat contains about 2.5x the energy of carbohydrates

34
Q

Development of Atherosclerotic Plaques

A
  1. Damage to vascular epithelium
  2. circulating monocytes and LDLs accumulation at injury site
  3. Monocytes cross endo to enter intima and become macrophages
  4. Macrophages ingest Lipoproteins, become foam cells and form visible fatty streaks
  5. fatty streaks grow larger and coalesce
  6. surrounding fibrous and smooth muscle tissues proliferate and form larger plaques
35
Q

Development of Atherosclerotic Plaques

A
  1. Damage to vascular epithelium
  2. circulating monocytes and LDLs accumulation at injury site
  3. Monocytes cross endo to enter intima and become macrophages
  4. Macrophages ingest Lipoproteins, become foam cells and form visible fatty streaks
  5. fatty streaks grow larger and coalesce
  6. surrounding fibrous and smooth muscle tissues proliferate and form larger plaques
36
Q

Large plaques can…

A
  • May occlude lumen
  • May become sclerotic or fibrotic
  • May become calcified
37
Q

What are the basic causes of atherosclerosis?

A
  • Increased LDLs

* Familial hypercholesterolemia (defective LDL receptors)