Unit 3: Carbohydrates (Part 1) Flashcards
Carbohydrates are primary source of _______ for brain, erythrocytes, and retinal cells in humans
energy
T/F: Nervous tissue can concentrate/ store carbohydrates
FALSE
T/F: Glucose can cross the BBB
TRUE
T/F: RBC can produce glucose
FALSE
What is the role of glucose to RBC?
Maintains a healthy RBC and free from oxidative stress
Carbohydrates is the major food source and energy supply for the body and stored primarily as ________ in the ________ and _____________
Glycogen; Liver; Muscles
Carbohydrates is involved in two disease states:
Hyperglycemia and Hypoglycemia
Carbohydrates is important for the diagnosis of?
Diabetes mellitus
Carbohydrates are substances containing these 3 elements:
Carbon, Hydrogen, Oxygen
There is 1 _________ per carbon
Water
All carbohydrates contain these two functional groups:
Carbonyl (C=O) and Hydroxyl (OH)
Carbohydrates are hydrates of ____________ because they contain _________
Carbon; Water
Carbohydrates can be classified based on these 4 structural properties:
- Size or number of the base carbon chain
- Location of the CO functional group
- Number of sugar units
- Stereochemistry of the compound
Based on size or number of base carbon chains, carbohydrates can be classified as:
- Trioses (3C)
- Tetroses (4C)
- Pentoses (5C)
- Hexoses (6C)
Examples of Pentose:
Ribose, Deoxyribose
Examples of Hexose:
Glucose, Fructose, Galactose
Smallest carbohydrate, a three-carbon compound
Glyceraldehyde
Based on the location of CO functional group, carbohydrates can be classified as:
- Aldose
- Ketose
In aldoses, the carbonyl group can be found at the:
Terminal
Functional group of aldose
Aldehyde group
In ketoses, the carbonyl group can be found at the:
Middle
Functional group of ketose
Ketone group
Two carbohydrate models
- Fischer projection
- Haworth projection
In Fischer projection, the aldehyde or ketone group can be found at:
the top
In Fischer projection, carbons are numbered starting at the:
Aldehyde or ketone head (at the top)
In Haworth projection, the compounds are represented in:
Cyclic form
Haworth projection is formed when the functional group reacts with ________ group on the same sugar to form a _______
Alcohol; Ring
Based on number of sugar units, carbohydrates can be classified as:
- Monosaccharides
- Disaccharides
- Oligosaccharides
- Polysaccharides
This is the simplest sugar, based on the number of units
Monosaccharides
T/F: Monosaccharides can be hydrolyzed
FALSE
Examples of monosaccharides
- Triose
- Tetrose
- Pentose
- Hexose (Glucose, Fructose, Galactose)
____________ are two monosaccharide units linked by ______________
Disaccharides: Glycosidic bonds
When two monosaccharides are joined together, water is ______________
released
If we want to split disaccharides, _________ is done
Hydrolysis
Water is _________ if disaccharides are split
consumed
Maltose is composed of these two monosaccharides
2 D-glucose units
Lactose is composed of these two monosaccharides
1 unit of glucose + 1 unit of galactose
Sucrose is composed of these two monosaccharides
1 unit of glucose + 1 unit of fructose
Sucrose is also known as:
Common table sugar
Lactose can be found in:
Milk
Oligosaccharides have ________ sugar units
3-10 sugar units
T/F: Oligosaccharides have few sugar units, composed of more than 10 sugar units.
FALSE, while it is true that it is composed of few sugar units. It is only composed of 3-10 sugar units.
Polysaccharides have ______ sugar units
More than 10 sugar units
Examples of Polysaccharides:
Glycogen and Starch
T/F: Central carbons of a carbohydrate are asymmetric
TRUE
This allows for spatial arrangement in the molecules
Chirality
This is the spatial arrangement in the molecules
Stereoisomers (Enantiomers)
Enantiomers are identified by:
Hydroxyl group
Enantiomers cannot be overlapped or ______________
Non-superimposable
Most sugars in humans are in which enantiomeric form?
D-form
Stereoisomers have the same:
Order and types of bonds
Stereoisomers have different:
Spatial arrangement and properties
If the OH group is found on the right of Fischer projection, it is a:
D-isomer
If the OH group is found on the left of Fischer projection, it is a:
L-isomer
Most ingested carbohydrates:
Polymers: Starch and Glycogen
Digestion starts here
Mouth
This enzyme is essential for digestion, and is produced by the salivary gland:
Salivary amylase
Starch is broken down into these two units with the help of amylase:
Disaccharide and Dextrin
_________ stops the action of amylase
Gastric juices
T/F: Amylase is useful for the breakdown of carbohydrates
FALSE
Around _____ of the starch has broken down once it enters the stomach
30%
This enzyme help dissolve the solid food and break down carbohydrates into monosaccharides in the small intestine:
Pancreatic amylase
_____________ is released by the ___________ which further hydrolyze or break down polymers
Maltase; intestinal mucosa
_____________ is derived from the ____ which hydrolyzes sucrose to _________ and ___________
Sucrase; gut; Glucose and Fructose
_____________ is derived from the ____ which hydrolyzes lactose to _________ and ___________
Lactase; gut; Glucose and Galactose
Three essential digestive organs important for carbohydrate digestion:
Mouth, Intestines, Liver
This is the only carbohydrate that can be directly used for energy or storage
Glucose
T/F: Polysaccharides and disaccharides can be absorbed by the gut, stored in the liver, and enter the blood stream.
FALSE, they have to be converted to monosaccharides first
3 Pathways of Glucose Metabolism
- Embden Meyerhof (Parnas) Pathway
- Hexose Monophosphate Shunt (Pentose pathway shunt)
- Glycogenesis
The ultimate goal of the cells where this pathway/shunt are happening is for it to be converted to _______ and ________
Carbon dioxide and Water
During glucose metabolism, the cells obtains _______
ATP
In the Embden Meyerhof Parnas Pathway, glucose is broken down into _______________
2 molecules of pyruvate
10 steps of Glycolysis
- Glucose
- Glucose 6-phosphate
- Fructose 6-phosphate
- Fructose 1,6-bisphosphate
- Glyceraldehyde 3-phosphate
- 1,3-bisphosphoglycerate
- 3-phosphoglycerate
- 2-phosphoglycerate
- Phosphoenolpyruvate
- Pyruvate
Anaerobic glycolysis occurs in the:
Cytosol
The aerobic pathway occurs at the
Mitochondria
What is the conversion of other substrates to glucose
Gluconeogenesis
Other substrates that can be used for gluconeogenesis:
- Lipids
- Fatty acids
- Ketones
For Embden Meyerhof Parnas Pathway:
- ATP used
- ATP produced
- Net ATP
- 2 used
- 4 produced
- 2 net ATP
This is the detour of glucose-6-phosphate from the glycolytic pathway
Hexose Monophosphate Shunt
After going through the Hexose Monophosphate Shunt, glucose 6-phosphate becomes:
6-phosphogluconate (6-phosphogluconic acid)
T/F: There is ATP production in Hexose Monophosphate Shunt
FALSE
This is the pre-cursor of products used for biosynthetic reactions
6-phosphogluconate
These are the byproducts of Hexose Monophosphate Shunt:
- NADPH
- 2G-SH
- Ribose
This has a reducing power; without this the cell membrane would easily be destroyed, eventually leading to cell death
NADPH
This is an anti-oxidant which prevents oxidative stress from the action of free radicals
2G-SH (Glutathione disulfide)
Disease wherein glucose 6-phosphate is not converted to 6-phosphoglycerate
G6PD deficiency
This pathway is used only when the body’s energy requirements are being met
Glycogenesis pathway
This enzyme is important for the conversion of glucose to glycogen
Glycogen synthase
This enzyme is important for converting glycogen to glucose
Glucose 6-phosphatase
This is the process of reverting glycogen back into glucose
Glycogenolysis
T/F: Glycogenolysis can occur in sites other than the liver like the muscles.
FALSE, it can only occur in the liver
This is the reason why Glycogenolysis can only occur in the liver
Glucose 6-phosphatase
For brief fasting, which process can occur?
Glycogenolysis
For fasting more than 24 hours, this process can occur:
Gluconeogenesis
Metabolism of glucose molecule to pyruvate or lactate for production of energy
Glycolysis
Formation of glucose-6-phosphate from noncarbohydrate sources
Gluconeogenesis
Breakdown of glycogen to glucose for use as energy
Glycogenolysis
Conversion of glucose to glycogen for storage
Glycogenesis
Conversion of carbohydrates to fatty acids
Lipogenesis
Decomposition of fat
Lipolysis
Organs involved in carbohydrate metabolism:
- Liver
- Pancreas
- Other endocrine glands
Major hormones involved in carbohydrate metabolism:
- Insulin
- Glucagon
Other hormones involved in carbohydrate metabolism
- Somatostatin
- Epinephrine
- Cortisol
- Thyroxine
- Growth hormone
Insulin is produced by the _______ cells of the ____________ in the _____________
Beta; islets of Langerhans; pancreas
This is the primary hormone responsible for the entry of glucose into the cell
Insulin
Insulin is a ______ agent
Hypoglycemic
Glucagon is produced by the ________ cells of the __________ in the _________
Alpha; islets of Langerhans; pancreas
This is released during stress and fasting states; and is a hyperglycemic agent
Glucagon
Somatostatin is produced by the _______ cells of the _________ in the _______
Delta; islets of Langerhans; pancreas
Somatostatin is also known as
Growth Hormone Inhibiting Hormone (GHIH)
Somatostatin _______ plasma glucose
Increases
This regulates insulin and glucagon
Somatostatin
Epinephrine is produced by the ________
Adrenal medulla
Epinephrine __________ blood glucose
Increases
Epinephrine:
__________ insulin
__________ glycogenolysis
__________ lipolysis
- Inhibits
- Increases
- Promotes
Epinephrine is released in times of _______
Stress
Cortisol is produced by the ____________ (specific)
Adrenal cortex in the Zona fasiculata
Cortisol is stimulated by which hormone?
Adrenocorticotropic hormone (ACTH)
RELATIONSHIP:
_____ cortisol = increased plasma glucose
High
How is glucose increased by cortisol?
When the cortisol levels decreased, the pituitary glands release ACTH, which stimulates cortisol (increasing it), thus increasing glucose
Cortisol:
________ intestinal entry of glucose into the cell
________ gluconeogenesis, lipolysis, glycogenolysis
- Decrease
- Increase
Thyroxine is produced from the _______________
Thyroid gland
The release of Thyroxine is stimulated by?
Thyroid Stimulating Hormone (TSH)
Thyroxine _________ plasma glucose
Increases
Thyroxine _________ glycogenolysis, gluconeogenesis, intestinal absorption of glucose
Increases
Growth hormone is from __________________
Anterior pituitary gland
Growth hormone _____________ plasma glucose
Increases
Growth hormone:
___________ entry of glucose into the cells
___________ glycolysis
- Decreases
- Increases
What stimulates growth hormone?
Low glucose levels
This disease is characterized with high cortisol levels
Cushing’s syndrome
This disease is characterized with low cortisol levels
Addison’s disease
In hyperglycemia, blood sugar is _____________________ when fasting
Higher than 100 mg/dL
For non-fasting, _________ mg/dL is considered hyperglycemic
140 mg/dL
T/F: Hyperglycemia typically occurs before meal
FALSE, after meal
In diabetics, hyperglycemia occurs when the cells of the body are less responsive to insulin. What type of diabetes?
Type 2 diabetes
In diabetics, hyperglycemia occurs if there is lack of insulin in the blood stream. What type of diabetes?
Type 1 diabetes
T/F: In hyperglycemia, the link between hyperglycemia and seizures is clear.
FALSE, it is not clear, still debatable
In hypoglycemia, blood sugar is ___________________ when fasting
lower than 50 mg/dL
Hypoglycemia typically occurs ______ meal.
Before
T/F: Hypoglycemia can also occur after meal if one had a gastric bypass surgery.
TRUE
This can occur if the body produces too much insulin (higher than body needs) after meal.
Postprandial hypoglycemia
T/F: Hypoglycemia occurs when insulin is injected in right amounts.
FALSE; more than
T/F: It’s clear that hypoglycemia can be one of trigger factors of seizures
TRUE
Laboratory findings in Hyperglycemia:
_________ glucose in plasma and urine
_________ urine specific gravity
_________ serum and urine osmolality
Increased
Laboratory findings in Hyperglycemia:
________ found in serum and urine (_______ and _______)
________ blood and urine pH (_________)
________ of electrolytes
- Ketones; Ketonemia; Ketonuria
- Decreased; acidosis
- Imbalance