Nutrition/ Metabolism Flashcards

1
Q

What aa is essential for urea cycle in cats?

A

Arginine needed for ammonia to convert to urea

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2
Q

Ammonia & glutamate

A

NH3 + H+ <—> NH4+
Glutamate + NH4+ <—> glutamine

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3
Q

Ammonia loss/gain in liver, GI tract, skeletal mm, CBR

A

Liver: net ammonia loss (converted to urea via urea cycle), glutamine synthesis ( uses ammonia)
GI Tract: net ammonia gain (bacteria metabolism of protein and urea to ammonia), glutamine catabolism
Skeletal mm: ammonia sink, buffer by making glutamine; therefore when mm wasted, lose the ability to act as a buffer for ammonia
CBR: ammonia loss or gain (glutamine synthesis by astrocytes, glutamine catabolism)
Kidney: ammonia loss or gain (glutamine synthesis, throw our urea, glutamine catabolism)

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4
Q

Ammonia and hepatic encephalopathy signs

A

Ammonia + glutamate <—> glutamine
Glutamine crosses over to presynaptic terminal, breaks down to glutamate —> diffuse to post-synaptic terminal and will initiate cause excitation then depression

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5
Q

What electrolyte derangements can worsen HE?

A

HypoNa
HypoK

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6
Q

Which can worsen HE? Alkalosis vs acidosis?

A

Alkalosis

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7
Q

Which protein source is beneficial for patients with HE?

A

Non-meat based protein (soy-based diet good, egg white, low fat cottage cheese)

Also OK to feed i/d diet

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8
Q

Essential FAs

A

Dog: Linolenic, linoleic acid
Cats: Above + arachidonic acid

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9
Q

Cat and Vitamin A

A

Unable to turn beta carotene into Vit A, need Vit A in diet (essential)

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10
Q

Cat and thiamine

A

Cats need more thiamine than dogs.

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11
Q

Cat and niacin

A

Cats cannot convert tryptophan into niacin, therefore, required in diet

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12
Q

Cats and taurine deficiency

A

Have lower enzyme to make taurine —> become easily deficient
Deficiency’s causes retinal degeneration, DCM, reproductive failure

Taurine is used in cats (rather than glycine) for bile acid conjugation.

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13
Q

Deficiency in Vit A

A

Night blindness
Growth of epithelial cells (skin, skeletal growth, reproductive, keratinization of cornea)

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14
Q

Cat and glucokinase

A

Relatively deficient in glucokinase (convert glucose to G6P)
Therefore, decrease ability to use CHO for energy

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15
Q

What are the essential aa for cats?

A

Arginine - for urea cycle
Taurine - DCM if deficient

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16
Q

Important aa for SI vs LI

A

SI: glutamine
LI: butyrate

17
Q

Refeeding syndrome

A

HypoK
HypoP
HypoMg
Glucose intolerance
Thiamine (B1) deficient

18
Q

Examples of omega 3 and omega 6 FA.

A

Omega 3: DHA, EPA, ALA (alpha-linolenic acid)

Omega 6: LA (linoleic acid), AA (arachidonic acid)

19
Q

Most common dietary FA

A

Most common fatty acids- stearic, oleic, palmitic,

20
Q

Lipolysis

A

TG —> glycerol + FA

  1. Glycerol —> pyruvate —> glucose
  2. Beta oxidation of FA —> acetyl coA —> used in TCA cycle
21
Q

Ketone bodies

A

B-hydroxybutyrate, acetone, acetoacetate

22
Q

Cat nutrition peculiarities

A

AA: Need taurine, arginine
Vit: Need Vit A, D, B3 (niacin)
FA: Cats also need more thiamine (B1)

23
Q

Vit B - match numbers and name

A

B1: Thimine
B2: Riboflavin
B3: Niacin
B5: Panthotenic acid
B6: Pyridoxine
B9: Folic acid
B12: Cobalamin

TRaiNing PuP FoC

24
Q

What is the ornithine cycle?

A

Toxic ammonia undergo ornithine cycle to create urea (excreted through kidneys)

25
Glycolysis vs Cori cycle
Under aerobic condition: Glucose —> pyruvate —> acetyl coA (enters citric acid cycle/Kreb cycle Under anaerobic condition in the MUSCLE: Glucose <—> pyruvate <—> lactate
26
Hexokinase vs glucokinase
Both convert glucose to G6P Hexokinase - present in all tissues Glucokinase - present in liver and pancreas (only active when hyperglycemic) Cats have NO glucokinase —> have longer post-prandial hyperglycemia; predispose to Type 2 DM
27
Glycolysis Glycogenolysis Gluconeogenesis
Glycolysis - breaks down glucose to pyruvate Glycogenolysis - breaks down glycogen Gluconeogenesis - making glucose from protein/lipid
28
Transporters involved in sugar absorption
SGLT1 and GLUT5 at apical membrane GLUT2 basolateral membrane *SGLT1 = glucose and galactose GLUT5 = fructose
29
Zinc responsive dermatosis
2 types: Type 1: normal zinc level but cannot process it appropriately (Nordic breed, Boston terrier @ ear tip) Type 2: nutritional deficiency Hyperkeratotic
30
Uric acid and purine metabolism
Purine —> inosine and hypoxanthine Hypoxanthine —> xanthine and uric acid *allopurinol prevents conversion of hypoxanthine to xanthine and Uric acid* Exogenous source of purine includes meat, fish, organ Uric acid cystolith form in highly acidic urine, hyperuricosuria, Dietary restriction of protein, purine + use allopurinol
31
Urate cystolith associated with?
1. Portovascular anomalies 2. Uric acid transporter mutation (SLC2A9) 3. Idiopathic in cats
32
Rx for urate
Diet: purine restricted, alkalinizing, diuretic diet (u/d) Allopurinol