Lecture 22 Flashcards

1
Q
  • _________ is a digestive fluid produced by the liver and stored in the gallbladder
  • composition: ______ (95%), _______, _______, __________, _________ (phospholipid), and _________
  • main component is _________
A
  • bile
  • water; bile salts; bilirubin; cholesterol; lecithin; proteins
  • bile salts
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2
Q
  • bile is produced in the ________ from the molecule ____________
A
  • liver; cholesterol
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3
Q
  • Bile salts are made from bile ______ that are often bonded to ________ or _______ to _______ water solubility (= ___________ bile acids)
  • produced in the liver from ___________
  • they aid in the emulsification, digestion, and absorption of ______
A
  • acids; glycine; taurine;increase conjugated
  • cholesterol
  • fats
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4
Q

The body’s ONLY way of eliminating excess cholesterol is through _______ excretion, with the help of ________

A

fecal; bile

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5
Q
  • The percentage of bile salts that are lost in the feces= _____%
  • bile salts are reclaimed in the _______ meaning they are transported back to the liver via the ________ ______ _____
A
  • 20%
  • ileum; hepatic portal vein
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6
Q

Lipid Emulsification
- bile salts in the duodenum BREAK DOWN fat globules into _________ fat droplets this _________ surface area in order to make the fat droplets available to ________ enzymes

A
  • smaller; increases; lipase
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7
Q
  • At a certain concentration bile salts aggregate into _______ that incorporate the ______ digestion products
  • _________: aggregates of bile salt that forms a _______ outer shell and a ________ inner core
A
  • micelles; lipid
  • micelles; polar (hydrophilic); hydrophobic
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8
Q
  • Micelles function as _______ for the absorption of lipids in the small intestine
  • they encapsulate lipid digestion products, such as fatty acids, cholesterol, and fat-soluble vitamins, making them more _______ in water and facilitating their ________ across the intestinal lining for absorption into the _________
A
  • carriers
  • soluble; transport; bloodstream
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9
Q

____________________ digest triglycerides into components (________ + _________)

A

pancreatic lipases
- fatty acids (FAs)
- 2 monoglycerides

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10
Q
  • Lipids need to be transported in the core of the micelles to the enterocytes because lipids are __________ molecules, while the watery environment of the small intestine is __________
  • the core of the micelles are _________ which provides a protective environment for the lipids
A
  • hydrophobic; hydrophilic
  • hydrophobic
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11
Q

Three steps that occur in the intestine with fats before they are transported to the enterocytes
1.
2.
3.

A
  1. Emulsification
  2. Digestion
  3. Micelle formation
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12
Q
  • The micelles diffuse across the water layer adjacent to the _________ surface
  • micelles ______ to the plasma mb of _______ and the fatty acids and monoglycerides pass by _______ _______ into the cells
  • they become _________ upon entering and are incorporated into ___________
A
  • enterocyte
  • attach;enterocyte; simple diffusion
  • triglycerides; chylomicrons
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13
Q

__________: fatty, milk-white intestinal lymph formed from the small intestine during digestion

A

chyle

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14
Q

_________: large lipoprotein particles that transport dietary lipids such as triglycerides and cholesterol, from the intestine to the liver

A

chylomicrons

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15
Q

Chylomicrons are TOO LARGE to penetrate the endothelium of _______ so they enter the _______ of the intestinal villi and are carried through the lymphatic system to the general circulation

A

bloodstream; lacteals

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16
Q
  • Fat absorption occurs within the ______ _______
  • Lipids are absorbed into the ________ ______ via _______ located in the villi
A
  • small intestine
  • lymphatic system; lacteals
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17
Q

____________: tiny droplets with a core of cholesterol and TGs and a coating of proteins and phospholipids
- serves as…

A

lipoproteins
- vehicle transporting lipids in the body

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18
Q

Lipoproteins are classified into 4 major categories by their _________:
1.
2.
3.
4.
- there is also an ___________ lipoprotein

A

density
1. Chylomicron
2. VLDL (very-low-density-lipoprotein)
3. LDL (low-density)
4. HDL (high density)
- IDL (intermediate density)

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19
Q

Among HDL, LDL, and VLDL which lipoprotein harbors the…
- highest concentration of cholesterol= ____________
- highest concentration of triglycerides= __________

A
  • LDL
  • VLDL
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20
Q

the higher the proportion of lipid to protein, the ________ the density

A

LOWER

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21
Q

_____________________: hydrolyze triglycerides present in circulating lipoproteins, such as __________ and _____, into free fatty acids and glycerol, which facilitates their uptake by various tissues for _______ production or ________

A

lipoprotein lipase; chylomicrons; VLDL; energy; storage

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22
Q

lipoprotein lipase is found in the ________ of ________ cells lining _________

A

surface; endothelial; capillaries

23
Q

Chylomicrons carry TGs from small intestine to body’s cells
- _____________ in endothelial surface removes TGs and the chylomicron becomes ______________ which contain mostly _________ and some remaining TGs

A
  • lipoprotein lipase; chylomicron remnant; cholesterol
24
Q

The role of chylomicron remnant is to deliver dietary _________ and __________ to the ______ for further processing and metabolism

A

cholesterol; fat-soluble vitamins; liver

25
- Fat synthesized endogenously in the LIVER are packed into __________ - function is to transport ________ synthesized in the liver to peripheral tissues, where they can be used for _________ production or stored as ____
- VLDL - TGs; energy; fat
26
VLDL is covered into LDL primarily through the removal of _______ from VLDL particles during their circulation in the ________ by ____________ (previous conversion to IDL)
TGs; bloodstream; lipoprotein lipase
27
Functions - LDLs: - HDLs:
- transports and delivers cholesterol to the body's cells - picks up excess cholesterol from tissues and relievers to the liver for use or disposal (through the bile)
28
- ____________: the synthesis of fats from other types of molecules such as glucose and AAs - ___________: the process of breaking down fats (lipids) into their component fatty acids and glycerol (typically, in adipose tissue)
- lipogenesis - lipolysis
29
After Lipolysis - Fatty acids undergo ____-__________ to generate _______________, which can then enter the citric acid cycle to generate energy in the form of ATP (additionally can be used for the synthesis of ______ _______ in the liver)
- beta-oxidation; acetyl-CoA; ketone bodies
30
After lipolysis - after being produced through the action of lipase in adipose tissue glycerol enters ________ pathway in the _____, where it is converted to __________________, an intermediate in glycolysis
- glycolysis; liver; glceraldehyde-3-phosphate
31
Due to fats ability to provide an alternative source of energy. When fat is available for energy production, it reduces the reliance on ______ and preserve lean body mass by sparing ________ from being broken down for energy
glucose; proteins
32
Ketone bodies form as a result of the breakdown of fatty acids - they originate from ________ - when there is an insufficient supply of glucose for energy production, such as during fasting or low carb diets fatty acids are __________ to ________, which can then undergo ketogenesis to form ketone bodies
- acetyl-CoA - oxidized; acetyl-CoA
33
When the body is rapidly oxidizing fats, excess keto bodies accumulate- ____ imbalance = ____________
pH; ketoacidosis
34
What happens to Acetyl-CoA after its formation? (several potential fates) 1. 2. 3.
1. Krebs cycle (ATP production through oxidative phosphorylation) 2. Synthesis of fatty acids 3. Synthesis of cholesterol and ketone bodies
35
Is it possible for our body to produce TGs (fats) from glucose (carbohydrates)?
yes, but typically is not the primary pathway for TG synthesis (more common when there is an excess of glucose or carbohydrates in the diet)
36
Four hormones that impact the short-term regulation of feeding behavior 1. _________: governs _____ 2. _________: governs _____ 3. _________: governs _____ 4. _________: governs _____
1. gherlin; hunger 2. amylin; satiety 3. CCK; satiety 4. Peptide YY (PYY); satiety
37
The empty _______ secretes _______ (b/w meals, fasting), and ingesting food suppresses its release - this hormone stimulates _______ and initiates ______ behaviors
stomach; ghrelin - hunger; eating
38
Besides the hormone ghrelin, what other factor in the stomach promotes hunger?
gastric peristalsis (mild hunger contractions begin soon after the stomach is emptied)
39
The Peptide YY (PYY) hormone is secreted by _____________ cells in the ______ & _____
enteroendocrine; ileum & colon
40
The amylin hormone is synthesized by ____-_____ in the _________
B-cells; pancreas
41
Two hormones involved in long-term regulation of appetite 1. 2.
1. Leptin 2. Insulin
42
Does leptin inhibit or promote appetite?
INHIBITS
43
- When adipocytes are replete (filled) with stored lipids, they _________ the release of leptin - When adipocytes lack lipid reserves, they ________ the release of leptin
- stimulate - inhibit
44
Leptin serves as the brain's indicator of the total __________ stores in our body - levels in the bloodstream are _______ proportional to the amount of adipose tissue or body fat present
ENERGY - directly (increase body-fat mass= increase leptin levels)
45
insulin acts on hypothalamic circuits to ________ appetite (weaker effect)
SUPPRESS
46
leptin stimulates sympathetic nerve fibers in adipose tissue to secrete ____, which in turn _________ lipolysis
NA (noradrenline); stimulates
47
________ __________: more common factor in _____ where the body comes LESS responsive to the effects of leptin (so they continue eating)
leptin insensitivity; obesity
48
What hypothalamic nucleus receives input from hormones regulating the feeding behavior?
arcuate nucleus
49
Two types of neurons involved in feeding behavior found in the arcuate nucleus 1. 2.
1. Orexigenic (appetite stimulating) neuron 2. Anorexigenic (appetite-suppressing) neuron
50
Neurotransmitters released by the... - orexigneic neurons= - anorexigenic neurons=
- neuropeptide Y (NPY) and Agouti-related peptide (AgRP) - pro-opiomelanocortin (POMC) which is cleaved into alpha-melanocyte-stimulating hormone (a-MSH)
51
- Gherkin _________ orexigenic neurons in the arcuate nucleus (promoting _____ and _______ food intake) - Peptide YY (PYY), CCK, and insulin _________ orexigenic neurons (________ appetite and _______ food intake)
- stimulates; hunger; increasing - inhibit; suppressing; decreasing
52
Leptin ________ anorexigenic neurons in the arcuate nucleus, leading to the _______ of appetite and _______ of food intake
stimulates; suppression; reduction
53
The arcuate nucleus relays information about hunger and satiety to the __________ _______ which directly influences feeding behavior
paraventricular nucleus (PVN)
54
Based on input from ARC (arcuate nucleus), the PVN initiates _________ responses and ________ changes, such as ________ release and ANS modulation to produce hunger or satiety
physiological; behavioral; hormone