MCBG (mostly topic 6 carbohydrates) Flashcards
which pathways are activated when ATP conc high
anabolic
which pathways are activated when ATP conc LOW
catabolic
List HIGH energy signals, activate which pathways?
ATP NADH NADPH FAD2H activate anabolic
List LOW energy signals, activate which pathways?
NAD+ FAD NADP+ ADP/AMP activate catabolic
clinical relevance of Creatine Kinase
marker for MI
Role of Creatine Kinase
converts creatine into phosphocreatine.
Requires ATP, produces ADP
Reversible reaction, can provide ATP when low in cell.
What can be used as marker for urine dilation?
Creatine excretion
Describe the 4 stages of catabolism
stage 1- complex molecules to building blocks e.g. carbohydrates to monosaccharides.
stage 2- building blocks to simpler (fewer) molecules e.g. monosaccharides to pyruvate.
oxidative (require coenzymes NAD+) some ATP produced.
stage 3- mitochondrial. TCA cycle. oxidative.
stage 4- mitochondrial. Electron transport and ATP synthesis (large yield). Oxygen required. NADH and FAD2H reoxidised.
Describe the absorption of monosaccharides into epithelial cell and uptake into target cells
uses SGLT1 (sodium glucose transporter) into epithelial cell. Glucose uptake into cells via facilitated diffusion using transport proteins (GLUT1-5) GLUT 1-5 all have different affinities and tissue distribution.
Describe glycolysis
Glucose C6 oxidation. Requires 2x ATP.
Reduction of 2x NAD+ –> NADH
4x ADP –> ATP
pyruvate C3 (Two produced)
yield = 2x ATP per glucose
which enzymes are important in glycolysis.
hexokinase (glucokinase in liver): glucose –> glucose 6P
Phosphofructokinase 1: Fructose 6P –> fructose bisphosphate.
Pyruvate kinase: phospoenolpyruvate –> pyruvate.
why so many steps in glycolysis?
- chemistry easier in smaller steps
- efficient energy conversion
- allows interconnections with other pathways
- can be controlled
List some important intermediates in glycolysis
1,3 bisphosphoglycerate feeds out pathway to 2,3 BPG which is produced in RBC, regulator of Hb O2 affinity (promotes release of O2)
glycerol phosphate -important to triglyceride and phospholipid biosynthesis. produced from DHAP in adipose tissue and liver
Which glucose transporter is regulated by insulin
GLUT4
describe what each glucose transporters main role is
GLUT1- in erythrocytes and also in endothelial cells of the blood–brain barrier. Required to sustain respiration
GLUT2- liver allowing the hepatocytes to export glucose made by gluconeogenesis into the blood. primary glucose transporter in pancreatic beta cells.
GLUT3-main transporter in brain. high affinity isoform for times of low glucose plasma conc.
GLUT4-insulin-regulated glucose transporter expressed by skeletal muscle and adipose tissue