Lecture 17- 18 Flashcards

1
Q

How does the carbohydrate metabolism work?

A

-starts in the mouth
-amylase breaks down carbohydrates
-enzymes are transported from the small intestine to the bloodstream

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2
Q

How does Carbohydrate absorption and transport occur?

A

Maltose is broken down into two glucose molecules
-malt sugar, ex: beer, bread, sweet potatoes
Sucrose is broken down into fructose and glucose, seen in fruits
Lactose is broken down into galactose and glucose
-dairy products
Starch is broken down into three glucose molecules
-seen in corn, potatoes starch-like molecules
-active and facilitated transport completed into circulation
-glucose is transported into the bloodstream through capillaries and travels to the liver

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3
Q

What are some bad health conditions that occur from carbohydrate transport?

A

-celiac disease
A deficiency in lactase causes lactose intolerance
-don’t secrete enough of the lactase in your body by the brush border
-symptoms could occur in the gi tract or could be diarrhea
-when the villa becomes normal surface area increases and is no longer lactose intolerant
-glucose and galactose are absorbed by active transport move to the bloodstream
-fructose is absorbed by facilitated transport

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4
Q

How does peptide and amino acid transport?

A

examples of protein: beans, legumes and chicken
1. Proteins broken down intosmaller peptides- start as long strings of amino acids
-cotransport with sodium
-cared directly across the cell by transcytosis
-di- and tripeptides cotransport with hydrogen
2. Epithelial cells secrete peptidases to break down larger peptides into individual amino acids
3. Transported throughout the body via the bloodstream in order to produce energy (in
liver) or protein synthesis

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5
Q

What occurs when emulsifying fat makes fat soluble in bile?

A

-fats are found in almost every food consumed
Ex: peanut butter, oil
lipid digestion starts in the stomach with the secretion of gastric lipase
-fat globule (non-polar)- equal sharing of electrons
-water (polar)- unequal sharing of electrons
-increase pancreatic lipase, which hydrolyzes fatty acids
-goes from mouth to stomach to small intestine
- small intestine- chyme triggers the release of bile from the gall bladder
-bile salts break down large lipids
-into fat droplets (nonpolar), phospholipids and triglycerides in water (polar
-Bile salts are Amphipathic:
Hydrophilic (interface water) AND lipophilic/hydrophobic (interface lipids), like a
soap or detergent

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6
Q

How does the breakdown of fat lipase occur?

A

-a closer look at the small intestine
Lipase (from the pancreas) attaches to monoglyceride due to a hydrolysis reaction
Monoglyceride absorbs the fatty acid and turns into micelles, which help in the absorption of lipid vitamins
The absorptive cell is included in the brush border
Microvilli transport fats into cells

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7
Q

How does lipid absorption and transport occur?

A

Absorbed as fatty acids and monoglycerides
-from brush border
Reassembled into triglycerides and packaged
as chylomicrons (a type of lipoprotein)
Chylomicrons (transport glycerol) are too large to cross the capillary wall…
first absorbed into the lymphatic system
-Will re-enter circulation via thoracic duct near the heart

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8
Q

What is included in the large intestinal phase of digestion and absorption?

A

-chyme gets into the transverse colon
Ileal chyme (a chemical and particle-rich liquid) comes from the ileum (ileocecal valve)
-Any unabsorbed nutrients
Hormones and chemical messengers
-Soluble fibre (prebiotic)
-Insoluble fibre (bulking agent)
-Microbes (probiotics and others)
-Cellular debris
-Excretion products from the liver

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9
Q

What happens in the large intestine (cecum plus colon)?

A

-The absorption of water takes place in the colon, as opposed to the small intestine, which absorbs sodium (key takeaway)

  1. The colonic epithelium absorbs water and simple ions like sodium potassium magnesium and calcium
  2. The resident microbes digest and absorb the chemicals that they can (prebiotics) in a process called fermentation. They produce short-chain fatty acids and end products of fermination; bacterial species are byproducts.
  3. The resident microbes produce some vitamins (vitamin K and some vitamin B’s) as a by-product of their metabolism. Some of their end products can have hormone-like activity-breakdown of unabsorbed nutrients
  4. The residence microbes produce gases during their digestion and consumption of the illegal chime (carbon dioxide methane hydrogen sulfide)
  5. Newly arriving live microbes (probiotic or other) seek to get a foothold in the microbial ecosystem and multiply.
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10
Q

What motivates you to eat?

A

What is hedonic hunger, or eating?
“the drive to eat to obtain pleasure in the
absence of an energy deficit.”
-full from a meal but still eat anyway; excess calorie intake
A certain level is unhealthy and can lead to eating disorders (not listing your body)
-to a certain level is a good thing
What is homeostatic hunger, or eating?
“Increased motivation to eat following depletion of energy stores”
-truly require calories for energy

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11
Q

What is normal eating?

A

stomach, mouth, or heart hunger?
review the last slide of this lecture
testable, like asking questions—is this an example of normal eating?

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12
Q

What is the Energy Distribution System?

A

Energy is defined as the capacity to do work
ATP: the medium of energy exchange
Adenosine Triphosphate,
Energy Currency of the Cell- use ATP
-Triphosphate: high energy phosphate bonds

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13
Q

What are some quick facts about Substrate Oxidation and ATP-producing pathways?

A

-Glucose and fatty acid metabolism generate most of the ATP … relatively little
from amino acids (protein) (but still some)- carbohydrate-site of glycolysis
-Some ATP is generated by glycolysis and Kreb’s cycle
-Glycolysis, beta oxidation and Kreb’s cycle produce reducing equivalents….
NADH and FADH2- fat
-produces acetyl CoA
-
NADH and FADH2 supply protons (H+) and
electrons (e-) to the electron transport chain. *THIS is where most of the ATP is made.
-oxygen is the final electron acceptor

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14
Q

What is Anaerobic ATP production?

A

-ATP can also be generated WITHOUT O2 by:
* Phosphocreatine (PCr) degradation
* about 9-10 seconds worth !
ATP → ADP + Pi
PCr + ADP + H+ → ATP + Cr
*ATP is rebuilt by adding a phosphate to ADP
Glycolysis will also continue to produce ATP (end product is *lactate in anaerobic conditions)
- E.g sprints!

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15
Q

What are macronutrients and how do they store energy?

A
  • Fat: most energy is stored as triglycerides (a form of fat)
    in our adipocytes
  • Carbohydrate is stored as:
  • Glycogen in liver (~150 g); most concentrated as liver is only ~2 kg!
    -liver is 4 pounds so glycogen is highly concentrated.
  • Glycogen in muscle (~350 g); ~40% body mass is muscle
    -more muscles in body, with men having more than women typically
  • *Only ~ 30 g of glucose is found in the blood—not much!
  • Protein also represents a large potential energy source
    (~40% body mass is muscle.)
    The body will not break down proteins at the first site
  • This is obviously protected, but will be used in starvation or caloric restriction- when we are really hungry and lose muscle mass
    Example: someone who is very sick and does eat is bedridden.
    Protein must be broken down.
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16
Q

What are the pros and cons of carbohydrate and fat as fuels?

A

Carbohydrate:
* Aerobically, can generate ATP slightly faster than from fat
* Can also generate ATP anaerobically (3x)
faster than aerobic)
* BUT it holds a lot of water, i.e. “heavier”;
less energy dense than fat
1 gram of carbs is 4 calories
-1g of fat is 9 calories
chloric content is a measure in energy
Fat:
* Doesn’t hold water more than twice as energy-dense as carbohydrate!
* Represents our most abundant energy reserve! good or bad, depending on how much
* BUT can’t provide energy anaerobically (must have oxygen!) in order to use energy
-Ex: sprinting = increasing carb intake as a key source rather than dietary fats

17
Q

What is the absorptive state?

A
  • first 3-4 hours after a meal energy (macronutrients) are stored (anabolism-building up)
    -carbs are broken down more than proteins
    -Excess nutrients taken up will be stored i.e. anabolic state
  • Glycogen (carbohydrate) stored in liver and muscle
  • Triglycerides (fat) stored in adipose tissue, liver and muscle
    -small nutrients are absorbed into the blood
    -glucose can be in converted into energy- immediate, liver and muscle- glycogen is stored
    -liver and adipose tissue: glycerol, fatty acids, triglycerides0 seen in fatty acids as well
    -amino acids- building blocks of protein molecules
    -store fatty acids in the liver
    -uses protein for muscle mass from muscles and other cells
    *-Excess calories in the form of glucose or amino acids can get converted to fat!
    -when you consume a lot of carbs your body turns it into fat but still maintains a good portion of each-body is in excess
18
Q

What is the postabsorptive state?

A

Fasting, first thing in the morning
Stored macronutrients are mobilized for energy (catabolism);
Glucose is spared for the nervous system
-blood sugar starts to drop so our body must make glucose to rise this level
-body keeps glucose in a narrow range
-breaking down storage form (glycogen) into glucose
*Gluconeogenesis: making glucose from non- carbohydrate precursors (occurs in the liver –
primarily – but also kidneys)
*review diagram slide 14 Lec 18

19
Q

What is the regulation of blood glucose levels?

A
  • don’t need to know numbers
  • Normal fasting blood glucose is ~ 4 – 5.5 mmol/L (very narrow range!)
    This regulation contrasts with the other major circulating fuel, free fatty acids, which can vary from 0.2 - 2 mmol/L (10-fold range !)- much more wide
  • Fasting hyperglycemia: Glucose > 7 mmol/L
  • Fasting hypoglycemia: Glucose ~ < 3.5 mmol/L
  • Why is blood glucose maintained so tightly?
  • Many cells require glucose e.g. neural tissue, kidney- for energy
  • Maintain osmotic balance (optimal concentrations of electrolytes and non-electrolytes are maintained)- hydration
  • Hyperglycemia can cause glycosylation of amino acids in kidneys, peripheral nerves, lens of the eye, causing damage
    -constant chronic state can lad to many various health diseases
20
Q

What is glucose regulation via insulin?

A

-when blood glucose is elevated also decreases glucagon
i.e. insulin-to-glucagon ratio increases
This could be after a meal; the postabsorptive state occurs quickly.
-increase in plasma glucose, blood sugar levels spike
-body needs some mechanism to bring it down
-negative feedback loop- the body does the opposite- decreases plasma glucose
-beta cells in the pancreas secrete insulin- moves out of the cells
-in most tissues glucose uptake into cells increases- stores more sugar
-liver and muscle- increase in glycogen synthesis
-decrease in glycogenolysis takes a storage from of sugar (glycogen) and converts it into glucose
-liver- increase in gluconeogenesis- don’t want to keep making sugar we need the opposite
-this is in a healthy person who does not have diabetes
-if you do have it there is resistance, the liver is leaking out

21
Q

What is glucose regulation via glucagon?

A

-when blood glucose is low
This could be induced by fasting—having not consumed anything
-decrease in plasma glucose- lower around 2 mmol/L
-1. Alpha cells in pancreas increase glucagon secretion
-keep blood sugars up
-Also decreases insulin
i.e. glucagon to insulin
ratio increases
-key role in fed states
-liver see an increase in gluconeogenesis and an increase in glycogenolysis
-which leads to an increase in plasma glucose
-adipose tissue causes an increase in lipolysis
-increase in plasma fatty acids
-glucose spared
It’s the reciprocal changes in insulin and glucagon that are so important—not just the change in one of these hormones.

22
Q

How is substrate used during exercise?

A

Prolonged lower intensity exercise relies more on plasma-derived substrates, particularly free fatty acids but also some blood glucose.- for energy
As you increase exercise intensity, there is an increased need to mobilize energy stores (substrates) within the muscle itself - glycogen and triglycerides!
Muscle glycogen is the predominant fuel used during high intensity exercise.
-fuel contributions differ depending on state- aerobic vs anaerorbic
Type of Exercise and Major Contributing Fuel
Prolonged, low intensity exercise
e.g. walking, slow jog
Mainly blood glucose and fatty acids; some muscle triglycerides and glycogen
Moderate to high intensity e.g cycling, jogging/running at 60 to 90% of VO2 max
Mainly muscle glycogen and
triglycerides; blood glucose and fatty acids
Very high intensity e.g. sprinting, weightlifting i.e. large anaerobic component
Muscle glycogen, phosphocreatine (PCr)- breaks down to give energy