Unit 4 and Course Review Flashcards

1
Q

What enzyme is regulated by N-Acetyl Glutamate (NAGs)?

A

CPS 1

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2
Q

What AA is considered non-essential because it is generated by the Urea cycle?

A

Arginine

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3
Q

The reaction of freee ammonia with alpha-ketoglutarate is catalyzed by _____ and requires _____ as a reactant.

A

Glutamate Dehydrogenase (GDH)

NADH or NADPH

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4
Q

Transamination of all AA requires what cofactor?

A

PLP (Pyridoxal Phosphate)

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5
Q

What enzyme will be the first initiator that activates all the pancreatic zymogens required for protein digestion?

A

Enteropeptidase

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6
Q

Pepsinogen is activated by what mechanism(s)?

A

Change in pH (high Acidity HCL in stomach)
or
Autocleavage

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7
Q

When is the process of autophage most likely occurring within the cell?

A

When there is low energy in the cell: ratio of AMP/ATP is greater than 1

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8
Q

mTOR pathway is related to the process of autophagy. When mTOR is active, this is most consistent with what in regards to autophagy?

A

Autophagy is inhibited

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9
Q

A deficiency in which of the following enzymes will not result in an increase in orotic acid?

  1. Arginosuccinate lyase
  2. Arginosuccinate synthetase
  3. N-Acetylglutamate
  4. Ornithine transcarbamolayse
A
  1. N-Acetylglutamate (will only effect lack of Carbamoyl phosphate synthesis due to lower output from CPS 1)
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10
Q

Which of the following will contribute to elevated Triglycerides in individuals with Type 2 Diabetes?

  1. Increased Glycolysis
  2. Decreased Beta-oxidation
  3. Reduced activity of LPL
  4. Increased activity of PPP
A
  1. Reduced activity of Lipoprotein lipase
    - if insulin sensitivity is lacking, LPL activity will be reduced, this will result in a decrease in TG storage and increase in circulation levels
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11
Q

Alanine can be shuttled from the skeletal muscle to the liver where it is deaminated by what enzyme ?

A

Alanine aminotransferase

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12
Q

The primary role of glutamine in the brain is to provide substrate for the synthesis of which following compounds?

  1. Glutamate
  2. Neurotransmitters
  3. BCAAs
  4. Urea
A
  1. Neurotransmitters
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13
Q

During exercise, the pathways of ______ and ______ are integrated as means of providing energy and reducing NH4+ levels.

A

BCAA catabolism and Purine Degradation

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14
Q

Which GLUT transporter facilitates glucose uptake in skeletal muscle?

A

GLUT 4

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15
Q

In the case of an individual in a sedentary lifestyle eating a diet consisting of 50%carbs, 30% protein, 20% fat, this individual would be in ________ nitrogen balance.

A

Neutral

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16
Q

Glutamine is metabolized to bicarbonate ion in the ______ to replenish this important component of the blood buffering system.

17
Q

True or False:

The Pool of AA is strictly controlled, similar to blood glucose.

18
Q

Under fasting conditions what will the liver transition to the use of for energy?

A

Fatty acids (not ketones)

19
Q

True or False:

GNG and Beta Oxidation are coupled. Beta oxidation helps facilitate GNG by providing Acetyl CoA as substrate for GNG

A

False- They are coupled but Actetyl CoA can not be a substrate for GNG
-it is only for allosteric activation of Pyruvate Carboxylase required for GNG (makes Pyruvate into OAA)

20
Q

What can a deficiency in pyruvate carboxylase do ?

A

prevents GNG from occurring as Pyruvate is not coverted to OAA
- instead excess goes to make excess lactate

21
Q

Release of ACTH , from the pituitary, can be inhibited by which hormone?

A

Cortisol (from adrenal cortex)

22
Q

What two things can inhibit the release of GH from the anterior pituitary?

A

Somatostatin

IGF-1

23
Q

When cortisol is elevated, _____ _______ synthesis is enhanced.

A

Hepatic protein

protein translation

24
Q

Exams can be stressful and elicit release of Cortisol. This will help the body maintain supply to your brain of glucose by decreasing ____ _____ in the skeletal muscle.

A

glucose uptake

25
In a patient with DECREASED secretion of Growth Hormone due to a pituitary tumor, there would be an ______ _______ from hypothalamus, and ______ _____ secretion from the liver.
increased GHRH Diminished IGF-1
26
Within the pancreas, somatostatin (delta cells) inhibits the release of ____ from Alpha cells.
Glucagon
27
In an individual with a pituitary tumor that leads to increase in cortisol secretion from adrenal gland, both _____ and ____ would be elevated .
ACTH and Cortisol (Figure 43.7) -because the ACTH is abnormally secreted by tumor to stimulate more cortisol and cancelling out inhibition is happening by the cortisol on the pituitary
28
_____ is required for muscle and fat cells to synthesize and release lipoprotein lipase to bind to the capillary walls. In the abscence of this hormone, LPL what will occur?
Insulin TG would be elevated in blood due to reduced removal from cholymicrons and VLDL
29
A patient with ornithine transcarbamoylase deficiency exhibits orotic aciduria, this occurs due to the bypassing the regulated step of de novo _______ synthesis because elevated ______ ______ will escape the MT and bypass the regulation of CPS-2 to make it anyways.
Pyrimidine Carbamoyl Phosphate
30
Activation of FA requires a two step reaction. In the first _____ donates AMP to form a covalent bond with the _______ ___ of the FA, releasing Pyrophosphate.
ATP Carboxylic Acid
31
In the second step of FA activation, _____ ___ displaces the AMP on the Carboxylic acid , forming ______ _____.
Coenzyme A Fatty-acyl CoA
32
Of BCAAs leucine, isoleucine, and Valine, only ____ and _____ can be converted to glucose in the liver. ____ is strictly ketogeneic and cannot generate glucose.
Valine and Isoleucine Leucine (high abundance of these BCAAs in proteins so play important role in whole body amino acid metabolism)
33
Pepsinogen at a neutral pH is folded that promotes ionic interactions between AA side chains. After a meal when pH drops to 2.0 it will unfold due to what?
Protonation of carboxylic acid side chains (their pKa is abou 4.0- so when pH of stomach is 2.0 they will be protonated)