Midterm 2 Flashcards
The storage of glucose-6-p costs what?
1 ATP
How does insulin respond to blood glucose levels?
Insulin is released into blood from pancreatic beta cells when there is lots of glucose in the blood
What causes the secretion of insulin?
-glucose enter b-cell via glut 2–phosphorylated to G6P and metabolized–increase ATP–ATP closes K+ channel–voltage gated Ca2+ channel opens increasing Ca2+–insulin secretion increases–transciption of insulin gens
How does glut 2 facilitate glucose uptake?
Glut 2 is is low affinity for Gluc, can only bring in gluc when a high concentration outside.
What causes the Ca2+ channel to open?
Increase of ATP from influx of Gluc and the metabolism of G6P causes more ATP to be produced. ATP inhibits K+channel causing the cell to depolarize.
How does glucagon respond t blood glucose levels?
Glucagon is released into blood from pancreatic alpha cells when there is little glucose in the blood?
What is glucagon?
- polypeptide hormone
- made from alpha cells
- released when blood glucose low
- mech of stimulation is similar to insulin, but not yet known
What affect those endurance exercise have on glucose, glucagon, and insulin levels?
- increase glucagon
- decrease in glucose levels
- decrease in insulin levels
What happens when insulin binds to a dimer of a single-transmembrane receptor?
Insulin binds to the alpha subunit of the receptor, causing a cascade of kinases that ultimately activates protein phosphatase-1
What is the difference between a Epinephrine structure and a glucagon structure?
- Glucagon is a polypeptide of amino acids
- Epinephrine is a cathecolamine, which is aromatic ring connected to and amine group
What do hormones like epinephrine or glucagon do?
-activated adenylyl cyclase by binding to G-protein coupled receptors (GCPRs).
How does GCPR work?
(7 transmembrane helices)
- Heteromeric G protein is bound by a hormone in the Adrenergic receptors
- GDP dissociates from GCPR and is replaced by GTP
- structure dissociates to adenylate cyclase turning ATP to Cyclic AMP Activating protein kinase A.
How is the response to a hormone terminated?
- GTP bound to the G-protein is hydrolyzed to GDP
- Either the hormone dissociates form the receptor
- or the receptor becomes phosphorylated
- Arrestin binds to the phosphorylated receptor to cap it (dissociating hormone)
What drives the reaction of ATP to cAMP to 5’AMP?
The conversion of P2 to SP.
What enzyme turns ATP to cAMP?
adenlyate cyclase (AC)
Which enzyme turns cAMP to 5’AMP
phosphodiesterase
PDE
What does caffeine do?
It inhibits PDE and increases cAMP levels into the body
Epinephrine and norepinephrine attaches to what receptor to activate AC?
Beta adrenergic receptor of muscle and liver cell
Glucagon attaches to what receptor to activate AC?
Glucagon receptor in the liver only
What are the subunits of PKA?
R2- regulatory subunit (inhibits C)
C2- catalytic subunit
What activates PKA?
cAMP binding to R2 of PKA, releasing the 2 C subunits.
How is glycogen breakdown activated?
cAMP activates PKA–PKA uses ATP to phosphorlyze phosphorylase kinase b to kinase a–phosphorylase kinase a gives glycogen phosphorylase b a phosphate turning it into a–glycogen turned to glucose-1-P.
Glycogen Phosphorylase b favors which conformation more?
favors T state more
Glycogen phosphorylase a favors which conformation more?
favors conformation R
Why is T state of Glycogen phosphorylase less active
active site is buried
What s Mcardle’s disease?
- Muscle glycogen phosphorylase deficiency
- Exercise intolerance, muscle pain, fatigue, cramps
- 100 mutations in genes
What is Hers” disease?
- Liver glycogen phosphorylase deficiency
- Enlarged liver, hypoglycemia, KB
- 17 mutations in the gene
How is Glycogen phosphorylase allosterically in Muscle?
- responds to energy of the cell
- Epinephrine pushes it to a, even without amp
- ATP activates it
How is Glycogen phosphorylase allosterically in Liver cells?
- responds to glucose
- insulin can deactivate
What does phosphorylase kinase do?
phosphorylates phosphorylase
What is the structure of phosphorylase kinase?
- huge enzyme complex of ~ 1,200 kDa
- - consists of 4 different subunits, each is present 4 times: (α, β, γ, δ)4
What are the functions of the phosphorylase kinase subunits?
- γ = catalytic subunit, has an auto-inhibitory C-terminus
- α, β, δ = regulatory subunits
- α and β subunits: both are inhibitors. Once they are phosphorylated, they move away from the γ-subunit.
- δ = calmodulin (CaM = Ca2+ binding protein); “de-inhibits” the γ subunit when Ca2+ is bound.
For maximum activity of phosphorylase kinase, what is need?
-calcium and ATP
What is phosphorylase kinase kinase?
cyclic AMP dependent protein kinase
= PKA (has many other substrates)
What is phosphorylase kinase phosphatase?
phosphatase-1
How is glycogen synthase regulated?
-phosphatase 1 inhibits, to be full active needs G-6-P
– important glycogen synthase kinases are phosphorylase kinase
and cAMP dependent protein kinase
How does insulin reverse effects of glucagon and epinephrine?
reverses effects of glucagon and epinephrine by activating
a protein phosphatase (PHOSPHATASE-1) that
dephosphorylates phosphorylase kinase, phosphorylase
and glycogen synthase.
What is insulin?
- peptide hormone
- binds to insuline receptor tyrosine kinase in liver, muscle, adipose
- produced by bets cells in pancreas when glucose high
- stimulates glucose uptake in muscle and adipose
Can muscles store more energy in glycogen than liver cells?
yes, about 4 times more
What are the phases of starvation?
- Glycogenolytic: glycogen to glucose
- Gluconeogenic: AA to glucose
- Ketogenic: FA to KB
- Terminal: AA used up from remaining protein
What occurs in the glycogenolytic phase?
- Liver exports glucose and glycogen is rapidly depleted from the liver
- other cells lack G-6-P so they cannot release glucose
What occurs in the gluconeogenic phase?
-glycogen gone, and brain still needs a lot of glucose
-FAs can be used to make glucose
-sources of glucose left:
– Glycerol from TAG hydrolysis
– Amino acids from protein.
– Odd chain fatty acids
Gluconeogenesis requires how much energy?
6 ATP
What adaptation occurs in the gluconeogenic phase?
-Gluconeogenic capacity increases over time of phase
What is the problem of the gluconeogenic phase?
- proteins are degraded too fast
- Humans cannot survive lost of 1/3 protein.
- last only 20-30 days, can fast 40-50 though
What occurs in the ketogenic phase?
- use energy stored fats
- KB production increases
- brain adapts to KB
- glucose consumed
- less AA breakdown
What occurs during the terminal phase?
- Run out of fat
- Start degrading massive amount of protein
- Pe morbid, urea increase
- Death
What increases plasma glucose?
- diet
- gluconeogenesis (liver, kidney)
- glycogen (liver)
What decreases plasma glucose?
- insulin
- Tissue uptake (muscle, adipose)
- oxidation (CNS, all tissues)
Glucose level of 1.1/20 indicates?
coma
Sx of hypoglycemia are indicated at what plasma glucose level?
2.2/40
Fasting rage glucose levels are at wat?
3.3/60
Normal post-adsorptive/euglycemia are at what levels?
5.5/100
Why are high of glucose bad?
reactive aldehyde group reacts with glucose and inactivates proteins.
neurons, kidney, retina
What occurs to plasma glucose levels with people with type II diabetes?
-Can still make insulin but cells are not responsive
What occurs in IDDM?
- lack of pancreatic β-cells, no production of insulin – cause: autoimmune disease
- treatment: insulin, diet (frequent small meals)
What occurs with NIDDM?
– body is resistant against insulin
– risk factors: obesity and genetic predisposition – treatment: change of lifestyle (diet, exercise)
insulin
drugs: to inhibit gluconeogenesis in liver
to increase glucose uptake by muscle
What are the consequences of a lack of insulin?
- Impaired glucose uptake by muscle and adipose tissue- high glucose levels in blood.
- Glucagon prevails (starvation in the presence of high glucose)
→ gluconeogenesis active
→ high levels of fatty acids and ketone bodies
Why are increased glucose levels so damaging?
- cardiovascular problems, cataracts, blindness (remember that glucose has reactive aldehyde group)
- excretion of glucose by kidneys: dehydration (thirst is diagnostic indication), kidney failure
Why are high levels of KB damaging?
– cardiovascular problems, ketosis (acetone smell is diagnostic indication). Ketosis can lead to coma, low pH leads to
kidney failure as protons are constantly excreted.
What is Diabetic Ketoacidosis?
-No insulin is made, lots of KB in blood, pH falls, coma, then death
How does glipizide (glucotrol) help type II DM?
Blocks pancreatic beta cells K+ channels, stimulates insulin secretion by pancreas.
How does GLP-1 modulaters treat DM type II?
Targets Glucagon-like peptide 1 with dipeptide protease IV, Enhances insulin secretion by the pancreas.
What are the effects of incretins?
• Incretin effect: oral glucose elicits a stronger insulin response than equivalent IV challenge.
• Due to release of hormones from neuroendocrine cells of intestine (L-cells) that modulate insulin release
(GIP and GLP-1)
What is the purpose of GLP-1?
– Binds to GPCR on β-cells and activates a G-protein.
– Enhances insulin secretion from β cells.
– Decreases glucagon release from α-cells.
– Enhances β-cell proliferation and increases cell mass.
What activates GIP and GLP-1?
DPP-4
What is DPP-4?
– Expressed on the surface of most cells
– DPP-4 inhibitors increase GLP-1 and enhance insulin release.
– first DPP-4 inhibitor was isolated from saliva of Gila monster.
What is the affect of GLP-1 and CKK on the brain?
- increased satiety
- decreased food intake
- decreased body weight
What does leptin do?
- inhibits eating behaviors and slows fat synthesis.
- Stimulates FA oxidation
- the more fat, the more leptin in blood
What is Ghrelin?
Produced by cells in stomach and pancreas when food levels in stomach are low
How is our appetite regulated by peptide hormones?
Ghrelin: “I’m hungry” - hormone, secreted by empty stomach
Leptin: “Thank you I am fine” - hormone, secreted by adipocytes – dietary fatty acids induce secretion
– basal levels correlate with mass of fat
Aside for precursors for RNA/DNA, what are some other purposes for nucleotides?
Energy, substrates, phosphorylation, signaling coenzyme factors
List all the nucleotides
ATP, GTP, cAMP, UDP-glucose, GDP, NADH, FAD, SAM
What distinguishes RNA from DNA?
The sugar
What are tautomers?
structural isomers that differ in the position of protons and double bonds. Can lead to unusual base pairing and rarely mutations.
What is the difference between nucleosides and nucleotides?
the 5’-pohosphate
What makes RNA less stable than DNA and gives it its catalytic properties?
2-OH’
What three components are necessary for both Purine and Pyrimidine ring synthesis?
HCO3-, Gln, Asp
What is unique to the synthesis of purine rings?
Gly, Formyl-THF
What is PRPP?
an important intermediate in Purine and Pyrimidine synthesis and salvage pathways. - Activated ribose-5’-P donor
What is PRA?
First piece of the purine ring
What is the committed state of purine synthesis?
production of PRA
What drives the production of PRA?
pyrophosphate