Module 5-6 Review Flashcards
Fed state fuel for the liver
(Fuel,Transport; Pathways (2))
Glucose (GLUT2; glycogenesis, lipogenesis)
Fasted state fuel for liver
Glucose via glycogenolysis/gluconeogenesis
NO KETONE BODIES
Fed state fuel and function of adipose tissue
Glucose
Lipogenesis/fatty acid storage
Fasting state fuel for adipose
Free fatty acids via lipolysis
Fed state fuel for muscle
Glucose (GLUT4; glycogenesis)
Fasting state fuel for muscle
Fatty acids (oxidation), amino acids (prolonged fasting)
Fed state fuel for brain and what are the membrane uptake proteins
Glucose (GLUT3 and GLUT1)
Fasting state fuel for brain
Glucose, ketone bodies (during prolonged fasting)
Fed state fuel for heart
Fatty acids (circulating lipids)
Fasting state fuel for heart
Glucose, lactate, pyruvate. Prolonged fasting:
ketone bodies
Fed state fuel for RBC
Glucose (GLUT2)
Fasting state fuel for RBC
Glucose (hepatic glycogenolysis; gluconeogenesis
What does caffeine inhibit
cAMP phosphodiesterase, resulting in PKA activation and glucagon and epinephrine enhanced response
Glucagon additional effects
Promote gluconeogenesis by increasing PKA, which decreases f-2,6-bisphosphate and activates f-1,6-bisphosphate and glycogenolysis in the liver
Which diabetes type will likely show ketoacidosis
Type 1
Symptoms and treatment of ketoacidosis
Polyuria, dehydration, thirst, CNS depression and coma, potential depletion of K+, decreased plasma bicarbonate, dry mucous membranes, breathing difficulties, sweet/fruity breath (acetone), increased acetoacetate (ketone bodies) in the urine. Treating with insulin will stimulate glucose uptake to muscle and adipose tissue from the blood and reduce
hyperglycemia and control ketoacidosis
What steps and enzymes of glycolysis are energy used
1 - Hexokinase
3 - Phosphofructokinase-1
What steps and enzymes of glycolysis are energy released
6 - Glyceraldehyde 3-phosphate dehydrogenase (NADPH)
7 - Phosphoglycerate kinase (ATP)
10 - Pyruvate kinase (ATP)
Pyruvate kinase deficiency leads to
Hemolytic anemia with increased serum 2,3-
BPG levels and reduced ATP production
What are the enzymes in the Luebering-Rapoport Shunt
Bisphosphoglycerate mutase
Bisphosphoglycerate phosphotase
What does bisphosphoglycerate mutase do
1,3-diphosphoglycerate to 2,3-diphosphoglycerate in LR shunt
What does bisphosphoglycerate phosphatase do
2,3-diphosphoglycerate to 3-phosphoglycerate in LR shunt
What is the main enzyme in Methemoglobin Reductase Pathway
Cyt b5 reductase
G6PD deficiency leads to
hemolytic anemia and prolonged neonatal jaundice due to inability of generating NADPH and pentose sugars. G6PD deficiency provides resistance against malarial infection
Pyruvate kinase deficiency leads to
Hereditary hemolytic anemia, increased serum 2,3-BPG levels
In what ways besides glycolysis is dihydroxyacetone phosphate (DHAP) involved
AP reduced to glycerol-3-
phosphate (forms glycerol backbone in triglycerides); in gluconeogenesis, it is converted to glyceraldehyde-3-phosphate
What activates pyruvate carboxylase and what does PC do
Acetyl Coenzyme A
Catalyzes irreversible
carboxylation of pyruvate to form oxaloacetate. Involved in gluconeogenesis and synthesis of neurotransmitters such as
glutamate.
Deficiency of pyruvate carboxylase leads to
an inherited disease that causes lactic acid and other toxic compounds to accumulate in the blood.
The deficiency of this enzyme also causes a decrease in citrate, aspartate, and phosphoenolpyruvate levels as these compounds are formed from oxaloacetate.
What enzyme and coenzyme are associated with E1
Pyruvate dehydrogenase (coenzyme: Thiamine pyrophosphate/B1)
What enzyme and coenzyme are associated with E2
Dihydrolipoyl transacetylase (coenzymes: Lipoamide, Coenzyme A) (B5)
What enzyme and coenzyme are associated with E3
Dihydrolipoyl dehydrogenase (coenzymes: Flavin adenine dinucleotide (FAD) and nicotinamide adenine dinucleotide (NAD+) (B2/B3)