Week 1 Flashcards
Vitamin A disorders
- leads to visual issues
- due to malnutrition
- excess leads to liver toxicity
Vitamin D disorders
- deficiency leads to brittle bones
- hypocalcemic tetany
vitamin C disorders
- deficiency causes scurvy
- needed for collagen synthesis
Normal fasting blood glucose
70-100mg/dL, 4-8mM
>126mg/dL = diabetes
Starch
amylose- unbranched
amylopectin- branched
sucrose
glucose+fructose
glycemic index
foods effect on blood glucose levels
propensity to increase blood glucose
Essential Fatty Acids
linoleic acid (C18:2) Linolenic acid (C18:3) Arachidonic acid (C20:4)
Isoprenoids
5C building blocks for steroids
Lipid soluble Vitamins
Vitamin A
Vitamin D
Vitamin E
Vitamin K
Cystine
dimer of two cysteines
- from oxidation of -SH group of cysteine
- oxidizing environment needed
- glutathione prevents oxidizing environment in cytosol
forms stones in kidneys, ureter and bladder
homocysteine
from methionine
homocystine is dimer of homocysteine
Protein tertiary structure interactions
hydrophobic interactions
disulfide bonds
metal ions
hydrogen bonding
Vitamin B2
riboflavin
from milk and eggs
Vitamin B3
niacin from: - meat - fruit - veg - tryptophan
Vitamin C
ascorbic acid
vitamin B1
thiamine
coenzyme for PDH
Vitamin B6
pyridoxine
needed by pyridoxal phosphate
Beriberi
thiamine (B1) deficiency
edema, anorexia, muscle weakness
active form of Vitamin D
calcitriol
Thiamine pyrophosphate (TPP)
Coenzyme for PDH and a-ketoglutarate dehydrogenase
pyridoxal phosphate
Coenzyme for:
- Glycogen phosphorylase
- ALA synthase
- Aminotransferases
Lipoic acid
Coenzyme for PDH complex
Ferric reductase
Reduces Fe3+ to Fe2+
reduction allows entry into cell
Ferroportin
allows transport of Fe2+ into blood from cell
Tranferrin
Transports two Fe3+ to liver, spleen and marrow
Enzyme classes
Oxidoreductase Transferase isomerase Lyase (Synthases) ligases (synthetases) Hydrolase
Apoenzyme
enzyme without cofactor
haloenzyme
cofactor bound and enzyme active
ariboflavinosis
deficiency in riboflavin (B2)
decreased FAD synthesis
reduced glutathione reductase activity (FAD needed)
competitive inhibition
Km increased
Vmax unchanged
uncompetitive inhibition
Binds only enzyme substrate complex
Km and Vmax lowered
noncompetitive inhibition
binds both free and substrate bound enzyme complex
Vmax lowered
Km unchanged
GLUT1
ubiquitous
Km 1mM
GLUT 2
Liver and pancreas
Km 10mM
GLUT3
neurons
kM 1mM
GLUT4
skeletal muscle, adipose, heart
regulated by insulin
Km 5mM
Gluconeogenesis Irreversible enzymes
Pyruvate carboxylase
PEPCarboxy Kinase (PEPCK)
Fructose 1,6 Bisphosphatase
Glucose 6 phosphatase
Glycolysis irreversible enzymes
Hexokinase/glucokinase
phosphofructokinase-1
pyruvate kinase
Glucose sensor
GLUT 2 in pancreatic ß-cells
causes release of insulin
transport is facilitated diffusion duh
Mechanism of glucose sensing
Increase glucose metabolism = increase ATP
High ATP closes ATP-dependent K+ channels
depolarizes PM
VG Ca2+ channels open = increase intracellular Ca
insulin vesicles fuse with PM
Falconi-Bickel syndrome
mutated GLUT2
stunted growth and hepatomegaly (
hyperglycemia, hypoglycemia between meals
glucose from gluconeogenesis not released from liver
defective insulin release
cystic fibrosis
defective CFTR protein Cl- channel defective NaCl accumulates in cell followed by H20 mucous thick recurrent infections
acetylation
acetylation of histone relaxes DNA for transcription
Acylation
attachment of fatty acid to protein
Glycosylation
Attachment of sugars to protein
glycosylation of RBC determines blood type
Hemoglobin A1C
high levels of glycosylated hemoglobin observed in diabetic patients
zymogen
inactive precursor of enzyme
Glyceropospholipids
glycerol backbone
phosphatidylcholine, phosphatidyl serine, phosphatidylinositol
Sphingolipids
sphingosine backbone
glycolipids
have sphingosine backbone and carbohydrate residue
found in outer leaflet
Outer PM sheet
phosphatidylcholine
sphingomyelin
glycolipids
inner PM sheet
phosphatidylinositol
phosphatidylserine
phosphatidylethanolamine
marker for apoptosis
phosphatidylserine moved to outer PM sheet
recognized by phagocytes
Niemann-Pick disease
deficiency of acid sphingomyelinase (lysosomal enzyme)
sphingomyelin accumulates in liver, spleen and CNS
Hepatosplenomegally
Erythroblastocic fetalis
mom is Rh-
fetus is Rh+