WEEK TWELVE - Nutrition and metabolism 2 Flashcards

1
Q

Carbohydrate metabolism; explain the processes in which glucose is catabolised to produce ATP

A

glycolysis
- occurs rapidly in cell cytoplasm –> yields **2 ATP **
- anaerobic
- series of conversions splits glucose molecule –> 2 pyruvic acid molecules
1. phosphorylation
2. priming
3. cleavage
4. oxidation
5. dephosphorylation

**aerobic respiration
**- yields ~ 36 ATP
- completely oxidises pyruvic acid –> CO2 + H2o
- ATP generates in mitochondria + requires o2 as final electron acceptor
- eg krebs cycle, ETC and oxidative phosphorylation

principal steps
1. matrix reactions [Krebs cycle] controlling enz = in mitochondrial matrix
- Pyruvic acid converted → acetyl-CoA → enters citric acid cycle
- 2 NAD+ → converted to NADH per/cycle
- 1 ATP produced/per cycle

  1. membrane reaction whose enzyme are bound to mitochondrial membrane [ECT]
    - Electrons transferred along transport chain –> Protons [H+] pumped → into intermembrane space
    - Movement of H+ ions through enzyme SPINS it
    = creates energy needed to form ATP from ADP + Pi [inorganic phosphate]
    - Oxygen = final electron acceptor [water molecule]

anaerobic fermentation
- occurs in absence of o2 and reduces pyruvic acid to lactic acid
- NADH donates pair of electrons –> pyruvic acid = reducing it to lactic acid and degenerating NAD+
- the lactic acid leaves cell and travels to liver [stored as glycogen or released as glucose]
- when O2 available again, the liver oxidizes lactic acid back to pyruvic acid and it undergoes aerobic respiration
- fermentation = inefficient = not favoured by brain/heart

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2
Q

Glycogen metabolism; describe the synthesis and breakdown of glycogen within the body

A

ATP = used quickly after it is formed –> extra glucose will be stored as glycogen

glycogenesis
- glucose –> glycogen
- stim by insulin [avg adult contains 450g]

glycogenolysis
- glycogen –> glucose
- Stimulated by glucagon, cortisol, and epinephrine
- only liver cells can release glucose back to blood

gluconeogenesis
- glycerol and AAs –> glucose
- When carbohydrates stores = LOW = the body needs to use non-carbohydrate sources

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3
Q

Describe the processes of lipid catabolism and anabolism

A

Triglycerides = STORED in adipocytes
- Constant turnover of molecules every 3 weeks
- Released → blood then transported and either oxidised or redeposited in other fat cells

Lipogenesis
- Synthesising fat from other sources
- AAs + sugars used to make fatty acids + glycerol

Lipolysis
- Breaking down fat for fuel
- Glycerol enters glycolysis and fatty acids broken down = acetyl-CoA

Ketogenesis
- Fatty acids catabolised → acetyl groups

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4
Q

Describe the processes of protein catabolism and anabolism

A

catabolism
- from AA pool –> dietary AAs + 100g of tissue protein broken down/day –> free AAs
- may be used to synth new proteins or can be converted –>** fat/glucose** to be used as fuel for energy production

anabolism
- AAs undergo deamination of NH2 group = keto acid –> then converted to pyruvci acid, acetyl-CoA, or other citric acid cycle intermediates
- NH2 becomes NH3 [converted to urea by liver - ornithine cycle]

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5
Q

Define the absorptive state of metabolism and explain what happens to the macronutrients in this state

A
  • abs state occurs with the arrival of food to the stomach/intestines where the abs of nutrients will occur
  • lasts ~4 hrs after meals [time of nutrient abs + use for energy needs]
  • in the abs state, glucose is readily available as ATP fuel, preventing the body from drawing on stored fuel eg glycogen
    -in the abs state incoming nutrients are used for short-term metabolism and the excess is used for the anabolism of energy stores.
  • excess glucose is converted into its storage form - glycogen which is then stored in the liver or musc. [facilitated by insulin sec by pancreas]
  • AAs are used for protein synthesis, supporting tissue growth and repair
  • **fatty acids **are converted into triglycerides and stored in adipose tissue as long term energy storage.
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6
Q

Define the post-absorptive state of metabolism and explain what happens to the macronutrients in this state

A
  • func = homeostatically regulated blood glucose conc between 90-100 mg/dL which is critical for proper brain function
  • reg mainly by symp.NS and glucagon but also insulin and cortisol
  • when stomach/intest are empty, body uses stored fuels to ensure glucose supply

carbs
- glucose is drawn from glycogen reserves for up to 4 hrs then synthesised from other compounts

fat
- adipocytes and hepatocutes convert glycerol –> glucose in gluconeogenesis
- FFAs are oxidised by liver = ketone bodies [used as alternate energy source, leaving more glucose for the brain]

protein
- if glycogen and fat reserves are depleted, protein is used as fuel eg musc protein

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7
Q

Describe the hormonal and nervous regulation of each state

A
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8
Q

Define basal metabolic rate and state factors that alter it

A

Amount of calories burnt whilst doing NO activity
- measured 12 hrs after a meal in thermoneutral environment

Affected by
Gender - M ^ than F
Prolonged dieting - decreases BMR
Thyroid hormone lvls - decreased lvls = LOWER BMR
Exercise - elevated following exercise
Age - decreases w/ age due to decreased muscle mass
Increased muscle mass from exercise = increased metabolic rate

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9
Q

Describe how sex is determined by chromosomes

A

Each zygote inherits 23 chromosome from mother // 23 from father
- 22 pairs of homologous autosomal chromosomes
- 23rd pair = sex chromosomes [x and y]
- every egg contains an X chromosome but half of sperm carry X and other carry Y chromosome
- if fertilsation w/ XX = F
- XY = M

> > sex determined by sperm which penetrate egg at fertilisation

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10
Q

Describe how sexual phenotype is determined

A

in 5-6 week old embryo - an undifferentiated gonadal ridge develops = homologous tissue of gonad EITHER develops into testes or ovaries

M
- testies-determining factors [TDF] [product of SRY gene on Y chromosome] = conversion to testes, developement of seminiferous tubules and Leydig cells

leydig cells sec testosterone
- begins 8th week and peaks at 12-14th wk
- Masculinises embryonic structures then T declines to very low levels until puberty

F
In 5-6 wk old embryo → Absence of Y chromosome and TDF = female ovaries
- Ovarian follicles do not appear until 2nd trimester

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11
Q

Describe how the accessory sex organs & external genitalia develop

A

Presence/absence of testes determines the accessory sex organs/external genitalia

M accessory organs derived from Wollfian/mesonephric ducts
- under the influence of TESTOSTERONE [stims wolffian duct]
- sertoli cells sec Mullerian Inhib Factor [MIF]
- genital tubercle enlarges –> forms penis
- urethral groove elongates and closes completely
- Urethral folds give rise to the penile urethra
- Labioscrotal swellings develop into the scrotum

F accessory organs derived from Mullerian/paramesonephric ducts
- develops in absence of testosterone
- absence of MIF = development of mullerian ducts
- in absence of testosterone = wolffian ducts regress
- genital tubercle –> forms clitoris
- Urethral groove remains OPEN as the vestibule
- Urethral folds → labia minora
- Labioscrotal swellings become labia majora

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12
Q

State which male and female reproductive organs are homologues of each other

A

M and F organs that develop from the same embryonic structure are said to be homologous or homologues of each other

Penis [glans] x clitoris
Male urethra x labia minora
Scrotum and x majora

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13
Q

Describe the anatomical features of the scrotum and testes

A

scrotum
Pouch of skin, muscle and CT that contains testes
Keeps the testes 3 degrees LOWER then core body temperature [needed for sperm production] [cremaster reflex]

Testes = male gonad
Functions
- Hormone production [testosterone and inhibin]
- Gamete production by spermatogenesis [spermatozoa]
- each teste surrounded by two tunics
1. inner tunica albuginea
- fibrous capsule

  1. outer tunica vaginalis
    - derived from peritoneum

CT septa divide testes into 250-300 lobules, each containing 1-3 seminiferous tubules
- surrounding the lobules are Leydig/interstitial cells which sec testosterone

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14
Q

Explain how the testes are kept 3°C lower than core temperature

A

THREE MECH
1. dartos
- smoo.musc that wrinkles/relaxes scrotal skin
- wrinkling = thickens scrotal skin to minimise heat loss
- relaxing - thins skin = promotes heat loss

  1. cremaster reflex
    - bands of skel.musc originating from external oblique which elevate that testes
  2. pampiniform plexus ‘
    - Counter-Current Heat Exchange
    - warm arterial blood passes the plexus and transfers heat to venous blood = cooling effect
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15
Q

Describe the anatomical features of the epididymis, vas deferens & urethra

A

epididymis
- func = storage and maturation of sperm
- long, coiled tube which transports sperm from testes –> vas deferens [ductus deferens]
- 3 regions - head, body, tail

vas deferens
- runs from epididymis –> through inguinal canal –> pelvic cavity
- terminus expands to form ampulla then joines the duct of seminal vesicle forming the **ejaculatory duct **
- propels sperm from epididymis to urethra via peristalsis
- vasectomy includes the cutting/ligating of the vas deferens

urethra
- converys both urine and semen [at dif times]
- THREE regions
1. prostatic urethra
- portion surrounding prostate
- carries urine/sperm –> out of body

  1. membranous urethra
    - from prostate gland –> perineum
  2. spongy / penile
    - runs through penis, opens to outside at external urethral orifice
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16
Q

List the accessory reproductive glands and state their contribution to the composition of semen

A

Prostate gland
contributes ⅓ of fluid to the total semen volume

Seminal vesicle
~ 60% of semen

Bulbourethral Gland /Cowper’s Gland
Most alkaline mucus, trace amounts
- precum
- neutralises acidity of vagina for sperm transport

17
Q

Describe the anatomical features of the penis

A

copulatory organ used for insemination of sperm into the vagina

erection - erectile tissue fills w blood during excitement = causing penis enlargment and rigidity
- Corpus spongiosum = surrounds urethra and expands to form the glans and bulb of penis
- Corpora cavernosa - paired dorsal erectile bodies

18
Q

Detail the pathway of sperm from formation to ejaculation

A

> seminiferous tubules > rete testis > efferent ductules > epididymis > vas deferens > inguinal canal > ejaculatory duct > urethra

19
Q

Define puberty, state what causes it and when it occur in males

A

physical change - child’s body matures → adult body capable of sexual reproduction + enable fertilisation
- Between onset of gonadotrophin secretion until first menstrual period [~ 12 yo] OR first ejaculation of viable sperm [~ 14yo]

Reproductive system remains dormant for years after birth
- Surge of pituitary gonadotrophins begins development
- **10-12 in M **
- 8-10 in F

20
Q

List the hormones of the hypothalamo-pituitary-testicular axis and state their actions on the axis

A
  1. GnRH → ant.pit. → LH + FSH
  2. FSH → sertoli/sustentacular cells → androgen binding protein [ABP]
  3. LH → leydig/interstitial cells → testosterone
  4. ABP + testosterone = spermatogenesis
  5. Testosterone → stims libido + development of secondary sex organs + characteristics
  6. Testosterne = - feedback of GnRH secretion + v pit. sens. To GnRH
  7. sertoli/sustentacular cells → inhibin → selectively inhibits FSH sec = reduce spermatogenesis
21
Q

List the actions of testosterone

A
  • embryonic development of reproductive structures
  • development of secondary sex characteristisc during puberty
  • maintenance of spermetogenesis
  • proper functioning of accessory reproductive glands
  • regulation of gonadotrophin secretion
  • maintains sex drive
  • may enhance aggressive behaviour
  • stims hair growth
  • hypertrophy of larynx → deepening of voice + adams apple
22
Q

State how older age affects the reproductive system in men

A

Decline in testosterone secretion w age
- Peak sec at **7mg/day at age 20 **
- Declines to 20% of that by 80yo

andropause = gradual reduction of testosterone with increasing age
= ^ in FSH and LH after ~ 50yo produces male climacteric [andropause]
Reduced negative feedback of testosterone causes :
- Mood changes, hot flashes, insomnia, weight gain, memory/musc/bone loss

23
Q

Briefly describe meiosis

A

Cell division only to produce gametes
- Meiosis = chromosomes are halved from 2n → n = gamete formation

24
Q

Name the stages in meiosis and state what happens to chromosome number after each division

A
25
Q

Define spermatogenesis? State the name of the cells at each stage and what happens at each division

A

Sequence of events that produces sperm in seminiferous tubules of testes
- Production of haploid spermatozoa FROM diploid spermatozoa

Spermatogenic cells give rise to
- Mitosis = spermatogonia → spermatocytes
- Meiosis = spermatocytes → spermatids
- Spermiogenesis → spermatids → sperm

[spermatogonia > spermatocytes > spermatids > sperm]

spermatogonia [OUTERMOST cells in contact w/ epithelial basal lamina]
- Type A cells = remain at basement membrane → maintain **germ line **
- Type **B cells **= move toward lumen → becomes **primary spermatocytes **

Primary spermatocytes undergo meiosis I
= TWO haploid cells - secondary spermatocytes

Secondary spermatocytes undergo meiosis II
= spermatids [daughter cells]

26
Q

Define spermiogenesis

A

spermatids are haploid but NON motile
- undergo spermiogenesis –> lose cyotoplasm –> form tail and become spermatozoon/sperm

27
Q

State the role of the Sertoli (sustentacular) cell

A

Nourish developing sperm

Form a blood-testis barrier = isolate sperm cells from immune sys

Secrete **inhibin and ABP **

28
Q

Describe the structure of the spermatozoon

A

head
- contains DNA and acrosome w/ hydrolytic enz that allow penetration

midpiece
- contains mitochondria around tail fliament

tail
- flagellum

29
Q

List the components of semen and state from which organ each is produced

A

Each ejaculate
~2-5 mL
15 - 130 million sperm / mL

semen contains sperm + accessory gland sec
composition
- seminal vesicle - 60%
- prostate gland - 30% [prostatic fluid]
- sperm - 10%
- trace amts bulbourethral fluid

30
Q

State the key processes in a) erection and b) ejaculation

A

**excitement [erection]
**- PS NS stimulates → release of nitric oxide from blood vessel walls, deep artery dilation, relaxation of trabecular muscle and compression of drainage veins= allows engorgement of erectile tissue → erection

  • Bulbourethral glands sec bulbourethral fluid [precum]

orgasm - emission
- Peristalsis in ductus deferens → propels sperm → ampulla → contracts and moves sperm to urethra

  • Prostate + seminal vesicles secrete components of seminal + prostatic fluid → urethra
  • stim by efferent signals from SC L1-L2

orgasm - expulsion
- semen presence in urethra sends afferent sig –> SC L1-L4

  • Efferent symp.signals stim:
    Additional prostate + seminal vesicle sec
    Internal urethral sphincter contracts → retains urine in bladder
  • Efferent somatic signals stims contraction of **bulbocavernosus muscle ** → compresses penis bulb/root = ejaculation

resolution
- Internal pudendal artery constricts = reduces BF → penis

  • Trabecular muscles contract = squeezes blood from erectile tissues
  • Penis → flaccid [detumescent]