lecture 36 - starvation Flashcards

1
Q

What is starvation, and how is it distinguished from under nutrition?

A

The absolute deprivation of food, rather than consuming insufficient food

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2
Q

What is the main hormone regulating metabolism during starvation?

A

Glucagon

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3
Q

When is glucagon released, and from where?

A

released from alpha islet cells in the pancreas when blood glucose levels fall

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4
Q

What does glucagon stimulate during starvation?

A

Once glycogen stores are expended, stimulates the mobilisation (lipolysis) of TAGs from adipose tissue

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5
Q

What is glycogen converted to when stimulated by glucagon?

A

glucose-1-phosphate then glucose-6-phosphate then glucose (in glycogenolysis)

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6
Q

What is gluconeogenesis?

A

The generation of new glucose from non-carbohydrate substrates (essential reverse glycolysis)

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7
Q

Where does the majors of gluconeogenesis occur?

A

In the liver

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8
Q

What are the substrates for gluconeogenesis?

A

Lactate from skeletal muscle glycogen, alanine from muscle protein and glycerol from adipose tissue TAG.

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9
Q

where is the lactate for gluconeogenesis from?

A

From anaerobic metabolism of the products of skeletal muscle glycogenolysis

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10
Q

Where is the alanine for gluconeogenesis sourced from?

A

Muscle protein

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11
Q

Where is the glycerol for gluconeogenesis sourced from?

A

Adipose tissue TAGs

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12
Q

What key fuel molecule cannot be used as a substrate for gluconeogenesis?

A

Fatty acids

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13
Q

When are ketone bodies synthesised?

A

When people are starved

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14
Q

What parts of the body can use ketone bodies for fuel?

A

The brain and other aerobic tissues

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15
Q

Where are ketone bodies synthesised?

A

The liver

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16
Q

What are ketone bodies synthesised from?

A

acetyl-CoA that is generated by beta-oxidation of fatty acids

17
Q

What is the name of the process that generates ketone bodies?

A

Ketogenesis

18
Q

How many carbons do keto acids have, and why?

A

4 carbons - are essentially two 2 carbon acetyl-CoA units joined together

19
Q

what are keto acids formed from?

A

two 2 carbon Acetyl-CoA molecules

20
Q

Why can keto acids enter the brain?

A

They are short and water soluble so can cross the blood brain barrier

21
Q

How do stored TAGs provide the brain with energy during starvation?

A

Although fatty acids cannot be used by the brain directly, they can be converted to ketone bodies that can be used.

22
Q

How is lactate produced from the anaerobic metabolism of glucose recycled?

A

By gluconeogenesis