Session 1-Energy Production I Flashcards
What is stage 1 of metabolism of dietary carbs?
Breakdown to building blocks
Which enzyme is present in saliva to digest carbs and which reaction does it catalyse?
Amylase
Starch/glycogen -> dextrins
Which enzyme is present in the pancreas to digest carbs?
Amylase
Which enzymes are present on the brush border membrane of epithelial cells?
Lactase
Sucrase
Pancreatic amylase
Isomaltase
What causes primary lactase deficiency?
Absence of lactase persistence allele
True or false: primary lactase deficiency occurs in children and adults
FALSE - only adults
What causes secondary lactase deficiency?
Injury to small intestine: Gastroenteritis Coeliac disease Crohn's disease Ulcerative colitis
True or false: secondary lactase deficiency occurs in both infants and adults
TRUE
What is congenital lactase deficiency?
Autosomal recessive defect in lactase gene
What are the symptoms of lactose intolerance?
Bloating/cramps Flatulence Diarrhoea Vomiting Rumbling stomach
How does the absorption of monosaccharides occur by active transport?
Active transport by sodium-dependent glucose transporter 1 (SGLT1) into intestinal epithelial cells and then, via GLUT2, into blood supply
Apart from active transport, in which other way can monosaccharides be absorbed?
Uptake into cells from blood via facilitated diffusion using transport proteins (GLUT1-GLUT5)
Where is GLUT2 found?
Kidney
Liver
Pancreatic beta cells
Small intestine
Where is GLUT4 found?
Adipose tissue
Striated muscle
Which cells have an absolute requirement for glucose? (4)
1) RBCs
2) Neutrophils
3) Innermost cells of kidney medulla
4) Lens of eye
Why do RBCs have an absolute requirement for glucose?
No mitochondria so can only carry out glycolysis
Why do the innermost cells of the kidney medulla have an absolute requirement for glucose?
Kidney cortex has a very high oxygen demand so the innermost cells need glucose
Why do the lens of the eye have an absolute requirement for glucose?
They have a poor oxygen supply (absorb directly from the atmosphere) so rely on glycolysis
True or false: CNS can use ketone bodies for some energy requirements but it prefers glucose as a fuel
TRUE
What are the functions of glycolysis? (4)
1) oxidation of glucose
2) NADH production (2 per glucose)
3) synthesis of ATP from ADP
4) produces C6 and C3 intermediates
What is the net ATP production per glucose?
2 ATP
True or false: glycolysis only occurs in selected tissues
FALSE - occurs in all tissues
True or false: there is no loss of CO2 in glycolysis
TRUE
True or false: glycolysis is the only pathway that can operate anaerobically
TRUE - but with additional enzyme (pyruvate dehydrogenase=PDH)
What is the difference between hexokinase and glucokinase?
Hexokinase has a lower affinity for glucose and is inhibited by glucose-6-P whereas glucokinase isn’t inhibited by glucose-6-P
Where is glucokinase found?
Liver