lecture 33 Flashcards
What are Ketone bodies?
-Ketone bodies are water-soluble forms of partially metabolized fatty acids, and include acetone, acetoacetate, and B-hydroxybutyrate.
Are Acetone, acetoacetic acid and beta-hydroxybutyric acids ketones?
- Acetone contains a ketone group (Technincally a ketone)
- Acetoacetate contains a ketone and a carboxyl group (Technically it is)
- Beta-hydroxybutyric acid is technically not a ketone. but still under the ketone category even though it isnt
Why is the term ketone bodies is just a misnomer?
because even though Beta-hydroxybutyric acid is not a ketone its still put under that category.
When do ketone bodies form?
- During starvation and carbs are not available. or not properly utulized due to insulin deficiency.
- Ketone bodies will form in the mitochondria from acetyl-CoA. These ketone bodies are normal metabolites but may apear in abnormally high amounts during conditions of uncontrolled type I diabetes.
- Ketogenesis (ketone body synthesis) occurs whenever fatty acid levels are elevated in the blood or as a result of high fat low carb diet (Atkins)
Acetoacetate has 3 fates:
1- It can directly enter the blood
2-It can be reduced by NAD+ dependend hydrogenase to B-Hydroxybutyrate which enters the blood.
3-It can be spotaneously decarboxylated in which nonenzymatic reaction reaction releases CO2 and Produces Acetone.
What is acetone breath?
Acetone is volatile, it is expired by the lungs and thats why its called acetone breath.
How do tissues use acetoacetate for fuel?
They turn int back into acetyl CoA through ketone body oxidation.
How do tissues use beta-hydroxybutyrate for fuel?
It is converted back into acetoacetate by beta-hydrobutyrate dehydrogenase, turned back into aceyl CoA.
How is the fuel consumed during starvation?
A typical 70 kg man has fuel reserve about 161k kcal which is caloric needs for 1-2 months.
- Carbohydrates is consumed within a day
- Even under starvation blood glucose levels must be maintained above 2.2 mM.
- First priority is to provide sufficient glucose to the brain and other tissues.
- The second priority is to preserve protein which is shifted by spending fatty acids.
- Motion is vital to animals thats why muscle mass must be presereved.