physiology of lipid disorders SDL Flashcards

1
Q

what change would be expected of insulin in a state of negative energy balance

A

decrease

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2
Q

what change would be expected of glucagon in a state of negative energy balance

A

increase

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3
Q

what change would be expected of growth hormone in a state of negative energy balance

A

Increases - Stimulates lipolysis to provide glucose for energy and stimulates tissue growth and repair. This preserves muscle mass and encourages the breakdown of adipose tissue for energy.

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4
Q

what change would be expected of cortisol in the state of a negative energy balance

A

Increases - promotes glycogenolysis and gluconeogenesis

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5
Q

what change would be expected of catecholamines in the state of a negative energy balance

A

Increase - promote glycogenolysis from liver, stimulate lipolysis, dilate airways, and constricts blood vessels.

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6
Q

what change would be expected of thyroxine in the state of negative energy balance

A

decrease - T4 has an energy conserving function which is not useful when there is a negative energy balance.

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7
Q

in ruminant physiology, which volatile fatty acids can be used to generate glucose or ketones

A

proprionate

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8
Q

what does hormone sensitive lipase do

A

Promotes the breakdown of triglycerides stored in adipocytes to glycerol and 3 fatty acids, in order to mobalise fatty acids. these released fatty acids can then be used as an energy store by various tissue in the body.

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9
Q

How is HSL inhibited and stimulated?

A

-Under normal conditions (positive energy balance) HSL is inhibited by insulin
-Other hormones eg. glucagon can reduce the inhibition by insulin
-Or other hormones can directly activate it eg. catecholamines, ACTH, cortisol, GH
-It is stimulated in negative energy states

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10
Q

triglycerides are released from adipocytes and cleaved to free fatty acids and glycerol. what is the consequence of too much FFAs for the liver to process for energy?

A

Excess fatty acids are converted back into triglycerides and stored in hepatocytes

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11
Q

triglycerides are released from adipocytes and cleaved to free fatty acids and glycerol. what is the consequence of too much acetyl CoA for availible oxaloacetate

A

Excess acetyl CoA is diverted into ketones (hydrophillic molecule containing a ketone group)

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12
Q

What clinical syndromes are to be expected in a periparturient cow with a negative energy balance and excessive lipid mobilisation

A

ketosis and fatty liver

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13
Q

What clinical syndromes are to be expected in a pregnant ewe with a negative energy balance and excessive lipid mobilisation

A
  • ketosis
  • fatty liver
  • pregnancy toxaemia
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14
Q

What clinical syndromes are to be expected in an overweight pony with a negative energy balance and excessive lipid mobilisation?

A
  • Hyperlipaemia
  • Negative energy balance leads to mobilisation of fatty acids to provide source of energy.
  • Overweight animals with a significant amount of stored fat may lead to an excessive amount of fatty acids released.
  • this can overwhelm the liver, making it unable to process and export the excess fatty acids effectively.
  • This leaves high levels of circulating fatty acids - hyperlipaemia.
  • This can lead to an accumulation of fatty acids in the liver, which can lead to fatty acid disease.
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15
Q

What clinical syndromes are to be expected in an overweight cat with a negative energy balance and excessive lipid mobilisation?

A
  • Hepatic lipidosis
  • Lipids mobalised to make up for negative energy balance
  • Overweight cat has a lot of stored fat so a lot of fatty acids are released into bloodstream.
  • This overwhelms the liver which cannot process and export the fatty acids efficiently enough.
  • Excess fatty acids are converted back to triglycerides and stored in hepatocytes.
  • This leads to fatty infiltration, which can impair the livers normal function.
  • As fat accumulates, hepatic lipidosis develops.
  • This can lead to impair its ability for detoxification and synthesising essential proteins.
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