Module 3 (Metabolic Disorders) Flashcards

1
Q

Describe anabolic pathways

A

Create new complex macromolecules
Requires energy
How cells in body grow and repair damage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Describe catabolic pathways

A

Break down macromolecules
Generate energy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Give an overview of carbohydrates

A

Primary reservoir for stored energy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Give an overview of glucose and its role as a carb

A

Primary type of sugar used for energy
Requires transporters to enter the cell membrane
Body stores glucose as glycogen until needed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Give an overview of lipids in metabolism

A

Second reservoir of stored energy
Associated with transporter proteins
Deposits stored in adipocytes in adipose tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Give an overview of proteins in metabolism

A

Only broken down as energy sources during starvation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Give an overview of nucleic acids in metabolism

A

Not used for energy production
Make up energy currency molecules in the body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What influences metabolism within the body?

A

Food intake
Food expenditure/physical activity
Fat stores
CNS/basal metabolic rate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Effects of anabolism on body

A

Adipose storage
High blood sugar
Lower basal metabolic rate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Effects of catabolism on body

A

Adipose breakdown
Low blood sugar
Induced Hunger

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Describe insulin and its role in glucose metabolism

A

Produced by Beta cells (specialized from pancreas)
Responsible for maintaining healthy levels of glucose in blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Explain the process of insulin binding

A

Binds to specialized receptor outside of cell
Leads to activation of receptors and signals
Result in increase in anabolic activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How is glucose transported after insulin binds?

A

Insulin binding stimulates movement of glucose transporters from endosomes to plasma membrane (allowing glucose to enter)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What happens when there is no insulin?

A

No glucose transport - No glucose in cell - no glucose metabolism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Describe plasma lipoproteins and their various roles in the body

A

Cholesterol spherical complexes around lipids make them water soluble
Lipid transport in bloodstream
Lipid absorption and breakdown/synthesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the 2 forms of lipoproteins in lipid transport and their roles?

A

LOW DENSITY LIPOPROTEINS (LDL)
- used to transport cholesterol to tissues
- “bad” cholesterol we want to keep low
- builds up inside arteries
HIGH DENSITY LIPOPROTEINS (HDL)
- used to transport cholesterol back to liver
- “good” cholesterol we want higher
- carries LDL away

17
Q

Role of triglycerides

A

Fat body stores
Elevated levels in blood associated with cardiovascular disease

18
Q

Define obesity and explain how it evolved

A

->Accumulation of excess body fat
Early: survival and more activity resulted in the genetic tendency to store excess calories as fat
Now: Sedentary lifestyle and abundance of food = obesity
- Increase in obesity = increase in type 2 diabetes, cardiovascular disease, hypertension, cancer, arthritis

19
Q

Describe Subcutaneous Fat

A
  • 80 to 90%
  • deposits in abdomen, hip, thigh
  • larger in females
  • efficient triglyceride stores
  • metabolize fats slower
  • lower risk associated with metabolic disease
20
Q

Describe Visceral Fat

A
  • 10 to 20%
  • deposits in abdominal cavity
  • triglyceride stores closely associated with digestive tract, higher rate of fat turnover, more responsive in hormones
  • common in males
  • increase risk of disease (excess hormone signalling)
  • increase risk of high BP, diabetes, insulin resistance etc. –> why waist circumference in monitored
21
Q

What happens if diabetes is left untreated?

A

Leads to
- diabetes
- atherosclerosis
- heart disease

22
Q

Define metabolic syndrome and explain the risk factors

A

-> Health disorder that greatly increases risk of many chronic illnesses
Diagnosed when patient has 3/5 risk factors
- visceral obesity
- low HDL cholesterol
- high blood sugar
- high triglycerides
- hypertension / high blood pressure

23
Q

Role of insulin

A

Regulates amount of glucose in the bloodstream
Released by pancreas in response to high blood glucose
Signals cells in body to take glucose from bloodstream for storage

24
Q

When can diabetes occur?

A
  • Body doesn’t produce enough insulin
  • Cells don’t respond to circulating insulin
25
What happens in Type 1 diabetes?
Body stops producing insulin (typically due to autoimmune disorder killing beta cells) Cells unable to take up glucose from bloodstream
26
What happens in Type 2 diabetes?
Arise from combo of insulin resistance and non-functional beta cells Cells fail to respond to insulin leading to reduced glucose from blood stream
27
Explain the pathway to insulin resistance
Continuous Glucose Intake (insulin receptors may undergo changes allowing less insulin to bind = less glucose into cells) Insulin Resistance (tissues like liver, fat cells, muscles less responsive to normal levels of insulin = high glucose levels) Beta Cell Damage (to compensate for insulin resistance, pancreas increases insulin production, overtaxed beta cells may become damaged/non-functional)
28
Common symptoms of type 2 diabetes
Polyuria - frequent urination Polydipsia - excessive thirst Polyphagia - excessive hunger
29
How is metaformin used?
Treating type 2 diabetes (especially if patient is overweight) - Activates signalling pathways that play important roles in sugar/fat metabolism
30
What has Metaformin been shown to do?
Increase insulin sensitivity Decrease absorption of glucose from diet Promote catabolism of glucose in cell
31
Progression to severe Type 2 diabetes
Loss of insulin response Loss of ability to create insulin in pancreas
32
Effects of Type 2 Diabetes
EYES: vision lose due to retinal damage HEART: development of cardiovascular/heart disease, increased risk of heart attack and stroke PANCREAS: failure to create insulin KIDNEYS: elevated glucose in blood kidneys struggle to filter; damage to kidney blood vessel FEET: peripheral neuropathy
33
Diabetes specific risk factors
Age: 1 in children, 2 in 45+ Lifestyle: 2 linked to poor diet and low physical activity Family History
34
What issues are included under heart disease?
Cardiac arrythmias Atherosclerosis Heart valve disease Heart infections Heart failure
35
Describe atherosclerosis
Thickening of arteries (combination of inflammation and plaque fatty acid deposits)
36
Atherosclerosis is directly linked to what other diseases?
Heart attack Stroke
37
Explain the progression of atherosclerosis
INJURY - LDL gets under cells, force of blood flow create friction INFILTRATION - LDL accumulation, platelets infiltrate wall LIPID BUILDUP - LDL filled immune cells undergo apoptosis leading to more inflammation COMPLETE PLAQUE - eventually full lesion forms - blocking passage/weakening wall, if plaque ruptures debris released may cause clot (embulysm)
38
What is the first sign of athersclerosis plaques?
Inflammation and bursting in blood vessels
39