T3A1 Flashcards

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1
Q

Lactose

A

a sugar that is common in milk and dairy products, can serve as a primary energy source

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2
Q

Lactase role

A

B-galactosidase hydrolyzes lactose to the monosaccharides glucose and galactose

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3
Q

Lactase present on

A

apical surface of absorptive intestinal enterocyte cells

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4
Q

Galactose gets converted into

A

glucose 6 phosphate

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5
Q

Galactokinase

A

enzyme that adds phosphate group to proteins

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6
Q

Gal-1-P Uridyltransferase and UDP-Gal Epimerase are

A

Galactose to glucose enzymes

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7
Q

Weaning

A
  • adult mammals other than humans lactase production decreases significantly (environmental factors)
  • 65% humans have reduced ability to digest lactose after weaning
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8
Q

Mutations that keep lactase gene permanently on common in

A

individuals whose ancestors has access to domesticated dairy animals
- 7500-9000 years ago in middle east and north africa, then brought to europe

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9
Q

Lactase mutations arose in what gene?

A

MCM6 (enhances lactase gene transcription through lifetime)

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10
Q

90% lactase gene expression through whole life populations

A

Swedes, Danes, pastoralist African

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11
Q

50% lactase gene expression through whole life populations

A

Spanish, French, Pastoralist Arab

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12
Q

Low in lactase gene expression through whole life populations

A

non-pastoralist Asian and African

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13
Q

Lactose intolerance

A

individuals born without the ability to express lactase gene that codes for lactase protein - congenital lactose deficiency

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14
Q

Lactose intolerance results

A

excessive lactose in intestine attracts water molecules, which prevents water from being properly absorbed into bloodstream. Bacteria ferments > bloating, diarrhea, dehydration

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15
Q

LCT gene on chromosome 2 codes for lactase enzyme > mutations in coding region

A

changes that alter single amino acids or lead to polypeptides that are too short

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16
Q

Galactosemia

A

galactose in the blood, individuals born without enzymes needed for galactose processing

17
Q

Galactosemia type I gene

A

GALT gene (Galactose-1-phosphate uridylyltransferase)

18
Q

Galactosemia type II gene

A

GALK1 gene (Galactokinase)

19
Q

Galactosemia type III gene

A

UDP-Gal Epimerase

20
Q

Galactosemia mutations in what genes?

A

GALT, GALE, GALK1 and genes on chromosome 9. Alter single amino acids or polypeptides too short

21
Q

Galactosemia effects

A

toxic accumulation of galactose. Cataracts, kidneys, liver affected

22
Q

Galactosemia clinical landmark

A

jaundice

23
Q

Lactose intolerance treatment

A
  • omitting lactose
  • pretreating milk with purified lactase
24
Q

Galactosemia treatment

A

omitting galactose consumption

25
Q

Who pioneered the original modern hypothesis of the positive role of certain bacteria

A

Elie Metchnikoff

26
Q

Elie Metchnikoff observed

A

populations in rural Europe that lived on fermented milk exceptionally long lived

27
Q

Milk fermented with lactic acid producing bacteria inhibits

A

growth of proteolytic bacteria due to low pH produced by fermentation of lactose

28
Q

Lactic acid producing bacteria

A

Lactobacillus
Lactococcus
Bfidobacteria

29
Q

What does lactic acid producing bacteria do?

A

ferment carbs in milk (lactose>glucose and galactose)

30
Q

Microbial B-galactosidase in yogurt is present

A

in active forms in duodenum

31
Q

B-galactosidase enhances

A

lactose metabolism in lactase deficient individuals

32
Q

Low pH environments reduce

A

enzyme activity (irreversible denaturing)

33
Q

How does enzyme retain function in duodenum after passing through stomach?

A

protection by bacterial cell membrane
buffering capacity of yogurt

34
Q

pH of stomach while yogurt passing through

A

4

35
Q

Can lactase enzyme supplement help people experiment

A

after 4 people were given treatments to modify intestine bacterial contents (yogurt, capsules, mix of bacterial strains), measured feces, bifidobacteria has made it through.

36
Q

Can lactase enzyme supplement help people results

A

supplementation with probiotics modified amount of bacteria and increased bgalac in feces of lactose intolerant subjects. probiotic cannot stimulate endogenous intestinal lactase enzyme activity in small intestine