module 7- part 1 Flashcards

1
Q

Adipose tissue is ____ (very, minimally) sensitive to a persons insulin sensitivity

A

very

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2
Q

does insulin resistance occur before or after obesity/hyperglycemia

A
  • before
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3
Q

insulin resistant adipose tissue associated with:
a) high blood FFA, high adiponectin,
b) dec expression of key adipogenic transcription factors, high adiponectin
c) high blood FFA, low adiponectin
d) inc expression of adipogenic transcription factors, low adiponectin

A

c) high bl FFA, low adiponectin

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4
Q

t/f insulin resistant adipose tissue is associated with dec expression of key adipogenic transcription factors

A

true

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5
Q

What did a study on blood markers in T2D show?
a) t2d higher blood insulin and glucose levels
b) higher blood NEFA and TGs
c) lower blood insulin levels
d) lower NEFA and TGs
e) a &c
f) a& d
g) a&b
h) b&c

A

g) a&b

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6
Q

Where is NEFA released from? What are they bound to?

A

adipose tissue depots
albumin

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7
Q

Which of the following is NOT a possible fate of non-esterified fatty acids (NEFA) in the liver?
A) Conversion into TAG and storage in lipid droplets
B) Direct excretion into the bile without modification
C) Conversion into ketone bodies during fasting or low glucose levels
D) Oxidation to generate ATP via the citric acid cycle
E) Packages as TAG into VLDL

A

B

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8
Q

What is true about NEFA and BMI?
a) Blood NEFA levels are directly proportional to body fat mass
b) Blood NEFA is inversely proportional to BMI
c) Results were inconclusive
d) there is no correlation between BMI and NEFA

A

D

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9
Q

What is true about NEFA and insulin sensitivity?
a) directly proportional
b) inversely proportional
c) Results were inconclusive
d) there is no correlation between insulin sensitivity and NEFA

A

b

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10
Q

What is true about NEFA and HGP?
a) directly proportional
b) inversely proportional
c) Results were inconclusive
d) there is no correlation between insulin sensitivity and NEFA

A

a) directly proportional bc prevents insulin-suppression of glycogenolysis

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11
Q

How do blood NEFA levels change throughout the day?

A

highest in morning, drop strongly after breakfast, inc gradually during day

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12
Q

HSL is a critical lipase for:
a) adipose tissue glycogenesis
b) VLDL production
c) adipose tissue lipolysis
d) hepatic de novo lipogenesis

A

c

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13
Q

t/f: Obesity is associated with lower VLDL secretion

A

false
- most likely due to insulin resistance and bodys attempt to deal with higher NEFA

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14
Q

Which is true:
A) Obesity is associated with decreased VLDL secretion.
B) Obesity is associated with increased VLDL secretion.
C) Obesity prevents the liver from producing VLDL altogether.
D) After a meal, VLDL secretion should increase
E) VLDL production is directly proportional to insulin sensitivity

A

B

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15
Q

What is not true about insulin resistance
a) results in higher NEFA levels
b) insulin inhibits lipolysis by reducing PKA activity
c) insulin activates PDE
d) PDE causes an increase in cAMP levels

A

d ) it prevents an increase in cAMP levels

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16
Q

FFA and VLD: the viscous cycle
explain it

A

IR impairs lipolysis and esterification
body will increase lipolysis
causes FFA to travel to liver
inc TAG synthesis and VLDL production
basal adipose LPL activity continues to breakdown TAGS in VLDL but esterification of FFA into TAG in adipose is not as efficient

17
Q

What happens in animals lacking HSL

A

reduced lipolytic activity but not totally eliminated, this suggests that other lipases exist (ATGL/MGL)

18
Q

What comprises 95% of area in an adipocyte?

A

lipid droplet

19
Q

What are lipid droplets used as?

A

storage vessels for excess lipid produced by DNL or consumed in diet

20
Q

What hormones is lipolysis of TAG mainly regulaed by

A

insulin and glucagon

21
Q

what happens to lipolysis with insulin resistance, why?

A

increased
due to reduced activation of PDE which converts cAMP into 5’AMP

22
Q

T/F SNPs in the LPL gene influence enzyme activity associated with blood lipid levels changing.

A

true

23
Q

Is LPL activity sensitive to nutritional status?

A

yes
mice that have access to food showed LPL activity greatest when they are most active (nocturnal eaters)
when food given to fasted mice, sharp increase

24
Q

T/F low LPL activity promotes fat uptake

A

false, it limits fat uptake

25
Q

why does LPL significantly dec during fasted state

A

bc body trying to access stored energy

26
Q

which is true about LPL knockout mice?
a) larger in size, lighter fur colour
b) larger in size, darker in fur colour
c) smaller in size, lighter in fur colour
d) smaller in size, darker in fur colour

A

c) smaller in size, lighter in fur colour

27
Q

Which is not a function of insulin in adipose tissue?
a) insulin causes glucose uptake by promoting GLUT4 translocation to PM
B) Stimulates lipolysis to release free fatty acids into the bloodstream
C) Induces LPL, promoting TAG breakdown for FA uptake
D) induces DGAT1
E) inhibits HSL activity preventing lipolysis

A

B

28
Q

What are the primary depots for adipose tissue?

A

subcutaneous and visceral

29
Q

2 ways that fat mass expands

A

inc fat cell volume (hypertrophy)
inc # of fat cells (hyperplasia)

30
Q

What are pre-adipocytes made from? (for hyperplasia)

A

Stem cells
proliferation of existing pre-adipocytes

31
Q
A