Overview of Carbohydrate Metabolism and its Regulation Flashcards

1
Q

What happens during the fed state?

A

Think insulin! Glu inside cell, gets phosprolyated. Glu goes to pyruvate. Pyruvate sometimes is parked as lactate.

Pyv to Acetyl-CoA in mitochondria through Krebs Cycle. We dont get much atp out of Krebs but many electrons from NAD and FAD. Inside of mitochondria electrons are stuck on O2 to make water. In liver and muscle excess glu is stored as glycogen. All tissues use Hexose phosphate shunt to make as much NADPH as they need. In fed state when there is lots of acoa and ATP, excess ACoA is made into fa and this happens in adipose tissue and liver.

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2
Q

What is happening in the fasting state?

A

Think glucagon! No glu is coming in. Liover breaks down gly to glu-6-P goes into bld to maintain blodd glucose levels. OAA comes out of the Krebs Cycle to make glu-6-p to supplement depleting gly stores. Triglycerides to FA are beta oxidized to ACoA to give you energy in Krebs Cycle. Urea cycle takes waste amino groups for secretion.

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3
Q

Describe glycolysis

A

Fundamental energy-producing pathway common to all cells

  • Occurs in cytosol
  • Partial [ox] of glucose
  • Immediate energy source - but limited amounts
  • Source of reducing equivalents (NADH:)
  • Lowers pH of cell

2 fates:

  • Krebs Cycle (aerobic- O2 and mitochondria present)
  • lactate (anaerobic-no O2 and no mitochondria)
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4
Q

Describe the Krebs Cycle

A

occurs only in mitochondria - powerhouses of cells

converts 3C pyruvate to CO2 & H2O

forms 1 GTP = ATP

forms energy-rich reducing equivalents
Pyr dH makes 1 NADH:
Krebs Cycle makes 3 NADH: + 1 FADH2:
(used to make lots of ATP)

Central pathway of metabolism

  • CH2O arrow energy, fat, protein
  • protein arrow energy, CH2O, fat
  • fat arrow energy

THE Major source of energy (ATP) for most cells

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5
Q

Describe oxidative phosphorylation and ETC

A

Occurs inside mitochondria & requires O2 (aerobic)

ATP production from energetic electrons on NADH: & FADH2:

Because NADH: & FADH2: come from Krebs Cycle, it also requires O2

Key Corollaries

  • CH2O can generate energy (ATP) in absence of mitochondria &/or O2 because glycolysis generates (a little) ATP in cytosol
  • Protein & fat require mitochondria and O2 for energy production
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6
Q

Describe PPP (HMS)

A
  • Occurs in cytosol of all cells
  • Branches off from glycolysis
  • Produces nadph: for biosynthetic rx
  • fatty acid synthesis
  • cholesterol synthesis
  • reduced glutathione (GSH) (protects RBC membranes

produces ribose-P for nucleotide biosynthesis

Unneeded Ribose-P re-enters glycolysis to make ATP & pyruvate. That’s why we call it a shunt!

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7
Q

Describe gluconeogensis

A

Liver makes new glucose to maintain blood glucose levels during fasting & exercise. Kidney helps eventually.

Adequate blood [glucose] critical for brain & RBC (limited liver glycogen)

Both lactate and amino acids can beconverted to glucose

Pyruvate arrow OAA takes place in mitochondria

Anabolic process – requires 6 ~P and NADH:

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8
Q

What is glycogenesis and what is glycogenolysis?

A

Glycogenesis: Synthesis of glycogen
Glycogenolysis: Breakdown of glycogen

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9
Q

What is glycogen?

A

Glycogen is a storage form of glucose (large branched-chain glucose polymer)

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10
Q

Where does glycogen metabolism take place?

A

Primarily in the liver, muscle and kidney

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11
Q

What happens to glycogen in the fed and fasting state in the liver and kidney?

A

Fed state: Glycogen is formed

Fasting state AND during exercise: Glycogen is broken down to maintain blood glucose levels

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12
Q

What happens to glycogen in the fed and fasting state in the muscle?

A

Fed state: Glycogen is formed
During exercise: Glycogen is utilized by the muscle during exercise (So the glycogen stays inside of the muscle and has no effect on blood [glucose]

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13
Q

Describe erythrocytes

A

-Bags of hemoglobin with no nucleus
-Carries O2 to peripheral tissues
-No mitochondria
- use (anaerobic) glycolysis to make ATP
- depend on glucose for energy - cannot metabolize fats or protein
- no glycogen stores; need constant supply of
glucose
-Most pyruvate converted to lactate (lactate dehydrogenase rx)
- Lactate transported out of cell - converted back to pyruvate in liver (Cori Cycle)
-PPP arrow NADPH: to maintain high levels of reduced glutathione (good for getting rid of toxic reactive O2 species, Hydrogen peroxide species, free radical, ; little ribose-5-P needed (protects RBC membranes)
PPP very robust in rbcs and thats why they make pyruvate

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14
Q

How does the brain relate to glycogen and glucose?

A

It is a critical organ with very high energy demands.

It has lots of mitochondria. Needs & gets lots of O2 (2% body mass uses 20% O2)Needs & gets lots of glucose. Makes and uses lots of ATP (aerobic metabolism)

No significant glycogen stores

Cannot use fat - fatty acids do NOT cross the “blood-brain barrier”

Thus, requires constant glucose supply (~120 g/day)

Can slowly adapt to ketone bodies as energy sources during prolonged fasting & starvation
(important survival mechanism)

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15
Q

What do you know about adipose tissue?

A
  • major synthesis site for triglycerides (fat) (liver is the other)
  • major storage site for triglycerides (fat)
  • insulin-sensitive glucose uptake (fed state) - lots of glucose uptake (GLUT4)
    • lots of FA synthesis

insulin-sensitive glucose uptake (fed state)

  • lots of glucose uptake (GLUT4)
  • lots of FA synthesis

both glycolysis & PPP active

some acetyl~CoA (from glucose) used for energy production
- Citric acid cycle arrow ATP

excess acetyl~CoA converted to fat

PPP arrow NADPH: for fatty acid biosynthesis (ATP needed too!)

minimal glycogen stores for energy; not dependent on glucose for energy (can use its own fat)

FA from TG released into blood during fasting; major energy source

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16
Q

Describe skeletal muscle and cardiac muscle in relation to metabolic pathways.

A

Requires energy for muscle contraction

Insulin-sensitive glucose uptake (GLUT4)

Uses glycolysis & citric acid cycle to make ATP (PPP present too)

Ability to make, store & metabolize glycogen for own use

Resting muscle: Citric acid cycle/ox phos uses both CH2O & fats to make ATP

Rapidly exercising muscle: limited by rate of O2 utilization ability to use fat limited (requires O2)
pyruvate converted to lactate (anaerobic glycolysis)

Protein breakdown provides amino acids for glucose synthesis in liver during fasting state

17
Q

Describe liver and kidney too in regards to metabolic pathways

A

Liver is major metabolic organ
– central clearinghouse

Glycolysis/citric acid cycle/ox phos for ATP production

PPP to make NADPH:

  • biosynthesis (FA & chol)
  • detox Rx

Excess glucose made into glycogen & stored

Excess acetyl~CoA (from glucose) converted to fat & exported to other tissues (VLDL)

Maintains blood [glucose] during fasting & exercise - significant glycogen stores; glycogen breakdown

  • capacity for gluconeogenesis
  • has glucose 6-phosphatase; releases free glucose into blood

does not depend on glucose; can use FA for energy

18
Q

Which organs always need glucose?

A

Brain and RBC

19
Q

How do we store glucose in the liver/muscle?

A

As glycogen

20
Q

How do we store glucose in adipose?

A

As fatty acid on triglycerides stored as adipose tissue

21
Q

During the fasting state what happens?

A

Most tissues live on FA from adipose stores

Glycogen breakdown in the the liver helps maintain blood glucose concentrations. Brain and rbc are very dependent on glucose for survival.

As glycogen stores are depleted liver starts gluconeogenesis (creation of glucose from something that isnt glucose/glycogen). Glucose is created from muscle amino acids.

22
Q

Where are energy sources stored in the body and what hormone encourages storage?

A

Liver, muscle, adipose (fat)

Insulin

23
Q

Where are stored energy substrates released in the body and what hormones encourages this?

A

Liver and adipose

Glucagon

24
Q

What is the role of insulin in the fed state?

A

A time to build up!

Role: Adapt to Fed State
increase cellular uptake (muscle & adipose)
increase utilization of glucose by cells (ATP)
Store extra for later (glycogen and fat)

Effects:
Increase uptake of glu by muscle and adipose
Increase glycolysis in liver and adipose
Increase in conversion of glucose to storage forms (glycogen & TG)
Increase of glycogenesis (liver & muscle)
Increase conversion of glucose to fat (liver and adipose)
Increase export of fat from liver and uptake by adipose
Increase protein synthesis

25
Q

Roles of Glucagon in fasting state

A

A time to break down
Role: Adapt to fasting state
Maintain blood glucose concentrations (free brain and rbc)
Increase release of alternative E sources (fat) to feed other tissues

Effects: Increase mobilization of glycogen (liver) and fat (adipose)
Increase glycogenolysis (glycogen breakdown) in liver
Increase lipolysis in adipose tissue
Increase gluconeogenesis in liver

NO EFFECT ON MUSCLE
However a lack of insulin creates a net protein breakdown and amino acids are used for gluconeogenesis in the liver

26
Q

What is the role of Epinephrine in the aroused state (ie fight or flight, mad or scared, during exercise or strenuous activity)?

A

Role: Adapt to exercise (or stress)

Effects:
Mobilize energy resources (into blood)
Increase glycogenolysis in liver

Increase energy production/utilization in muscle
Increase glycogenolysis in muscle (for muscle use only)
Incrase glycolysis in muscle

27
Q

What two tissues have insulin sensitive receptors?

A

Skeletal muscle and adipose tissue

28
Q

Where does the majority of C skeleton come from for gluconeogenesis?

A

Protein from skeletal muscle that breaksdown to amino acids, alanine goes to liver for gluconeogenesis

29
Q

What occurs during exercise in relation to metabolism?

A

increase enhanced uptake of glu during exercise. Maximum availability of all energy substrates.

30
Q

Where do different sources of energy come from during different times?

A

Dietary carbs are good for 3-4 hours of E
during fasting you live on glucose from glycogen breakdown int he liver
eventually as glycogen lvls depleted gluconeogenesis begins

For fat stores-adipose tissues and lipolysis occurs and FFA spill out into the blood
During starvation ketone bodies are formed (couple of days not eating)

RBC must always have glucose
Initially brain can only use glucose but over a few days can shift to using ketone bodies.