Block 1 Flashcards

1
Q

what do enzymes increase

A

speed of reaction

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2
Q

what type of molecule are most enzymes

A

proteins

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3
Q

what is an apoenzyme

A

enzyme without its co-factor
non functional

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4
Q

a cofactor that is tightly bound to the enzyme is called what

A

prosthetic group

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5
Q

cofactors that are complex organic molecules are called what

A

coenzymes

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6
Q

what are isoenzymes

A

same enzyme, different structure

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7
Q

what is a zymogen

A

an inactive enzyme that must be cleaved to become active

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8
Q

what are 2 examples of zymogens

A

trypsin and chymotrypsin

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9
Q

what are the 4 basic steps of enzyme catalyzed reactions

A
  1. binding of substrate
  2. formation of enzyme substrate complex
  3. conversion of substrate to product
  4. release of product from active site
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10
Q

the active site of an enzyme is composed of the __ site and the __ site

A

catalytic and substrate binding

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11
Q

what does the induced fit model tell

A

interaction of substrate with enzyme induces conformational changes so the binding is a better fit

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12
Q

what do enzymes reduce

A

activation energy

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13
Q

what is the transition state for enzymes

A

peak of energy curve where reactants convert to products

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14
Q

what is involved in catalysis by bond strain

A

rearrangement when enzyme is bound to substrate induces strain

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15
Q

what is involved in covalent catalysis

A

formation of a covalent intermediate

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16
Q

what is an example of a covalent intermediate in covalent catalysis

A

serine proteases

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17
Q

what amino acids make up the serine protease triad

A

histidine
serine
glutamate (or aspartate)

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18
Q

co-enzymes are often what

A

water soluble vitamins

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19
Q

increased transcription of a gene or decreased proteolysis of enzyme protein increases or decreases enzyme activity

A

increases

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20
Q

effect of temperature on enzyme activity

A

too high= denature
too low= slow down

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21
Q

pH effect on enzyme activity

A

too high or low= denature

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22
Q

what is Km

A

the substrate concentration at 1/2Vmax

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23
Q

small Km means high or low enzyme affinity for substrate

A

high

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24
Q

high enzyme affinity means high or low substrate concentration

A

low

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25
Q

what do oxido-reductases do

A

transfer H+ or e-

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26
Q

what do hydrolases do

A

cleave bonds by addition of water

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27
Q

what do transferases do

A

transfer a group (not hydrogen or oxygen) from one molecule to another

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28
Q

what do isomerases do

A

interconvert isomers

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29
Q

what do lyases do

A

alter bonds without addition of water

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30
Q

what do ligases do

A

link 2 molecules

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31
Q

what is hydrolysis

A

bond cleavage by addition of water

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32
Q

what do racemases and epimerases do

A

interconvert optical isomers

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33
Q

what do dehydrogenases do

A

remove H

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34
Q

what does the y intercept represent in lineweaver burk plots

A

1/Vmax

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35
Q

what does the x intercept represent in lineweaver burk plots

A

-1/Km

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36
Q

what are 3 classifications of reversible inhibitors

A

competitive
noncompetitive
uncompetitive

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37
Q

where does the inhibitor bind in competitive inhibition

A

active site

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38
Q

where does the inhibitor bind in noncompetitive inhibition

A

allosteric site (changes shape)

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39
Q

where does the inhibitor bind in uncompetitive inhibition

A

enzyme-substrate complex

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40
Q

what effect does competitive inhibition have on Vmax and Km

A

Vmax unchanged
Km increases

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41
Q

what is an example of a competitive inhibitor in the citric acid cycle

A

malonate with succinate for succinate dehydrogenase

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42
Q

what is an example of a drug that is a competitive inhibitor

A

viagra

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43
Q

what effect does noncompetitive inhibition have on Vmax and Km

A

Vmax decreases
Km unchanged

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44
Q

what type of reversible inhibition can be reversed by increasing substrate concentrations

A

competitive inhibition

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45
Q

what effect does uncompetitive inhibition have on Vmax and Km

A

both decrease

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46
Q

what is an example of an uncompetitive inhibitor used to treat manic depression

A

lithium

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47
Q

what effect does irreversible inhibition have on Vmax and Km

A

Vmax decreases
Km unchanged
*same effects as reversible noncompetitive inhibition

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48
Q

irreversible inhibition has the same effects on Vmax and Km as what type of reversible inhibition

A

noncompetitive

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49
Q

what is an example of a toxin that is an irreversible inhibitor

A

cyanide

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50
Q

how does cyanide act as an irreversible inhibitor

A

binds to cytochrome oxidase and inhibits complex IV of ETC

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51
Q

what is an example of an irreversible inhibitor type of drug

A

aspirin

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52
Q

how does aspirin work

A

inhibits cyclo-oxygenase (COX) –>decreased pain and inflammation

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53
Q

what is an example of a reversible inhibitor drug that acts in the same way as aspirin

A

ibuprofen

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54
Q

what is an example of an allosterically regulated protein

A

PFK-1

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55
Q

what does phosphatase do

A

removes phosphate

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56
Q

what are the usual sites for phosphate addition to proteins (3 amino acids)

A

serine
threonine
tyrosine

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57
Q

does phosphorylation of glycogen phosphorylase activate or inactivate glycogen utilization

A

activates

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58
Q

does phosphorylation of glycogen synthase inhibit or activate glycogen synthesis

A

inhibit

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59
Q

what is enthalpy

A

amount of heat absorbed or released

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60
Q

what is the symbol for enthalpy

A

delta H

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61
Q

in endothermic reactions, are reactants or products at a higher energy level

A

products

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62
Q

are endothermic reactions anabolic or catabolic

A

anabolic

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63
Q

what does bioenergetics describe

A

transfer and utilization of energy

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64
Q

do catabolic or anabolic reactions release heat

A

catabolic

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65
Q

what is the standard free energy for each of the 2 terminal phosphates that ATP can release

A

-7.3 for each

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66
Q

what is Gibbs free energy

A

energy available to do work

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67
Q

what do negative delta G^0’ tell

A

it is an exergonic reaction proceeding to the right (to lower energy state)
spontaneous

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68
Q

what do positive delta G^0’ tell

A

it is an endergonic reaction proceeding to the left (to lower energy state), nonspontaneous

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69
Q

phosphorylation of glucose by ATP is catalyzed by what 2 enzymes

A

hexokinase and glucokinase

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70
Q

what is involved in reaction coupling

A

product of one reaction is the reactant of another

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71
Q

what is the common intermediate compound in coupled reaction in living cells

A

ATP

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72
Q

how can all sugars be activated

A

by adding a nucleotide

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73
Q

what is reduction potential a measurement of

A

the tendency for a substrate (reactant) to accept electrons

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74
Q

how can the proportions of NAD+ and NADH in a solution be determined

A

UV absorption spectra

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75
Q

a high value at 340nm in UV absorption tells us there is high or low NADH content

A

high

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76
Q

how is UV spectrophotometry used for lactate dehydrogenase

A

pyruvate–>lactate, NADH is consumed= decrease in absorbance at 340nm

lactate–>pyruvate, NADH is produced= increase in absorbance at 340nm

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77
Q

why is ATP called a high energy phosphate compound

A

it has a large negative standard free energy value (-7.3 for each of the 2 terminal phosphates)

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78
Q

what are the 3 main sources of phosphate for ATP

A
  1. oxidative phosphorylation
  2. glycolysis (phosphoglycerate kinase and pyruvate kinase)
  3. citric acid cycle (succinate thiokinase)
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79
Q

what 2 processes does oxidative phosphorylation couple

A

respiration and generation of ATP

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80
Q

how does the inner mitochondrial membrane differ from the outer

A

outer is permeable
inner is impermeable

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81
Q

what is needed due to the impermeability of the inner mitochondrial membrane

A

transporters

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82
Q

what is the function of cristae of the inner mitochondria membrane

A

increase SA

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83
Q

where does the electron transport chain occur in the cell

A

inner mitochondrial membrane

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84
Q

what is the role of the respiratory chain of the mitochondria

A

conversion of food energy to ATP

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85
Q

what is the basis of the ETC

A

high energy molecules (ex: glucose) are metabolized by redox reactions to yield CO2 and water

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86
Q

what do the metabolic intermediates of ETC reactions donate electrons to

A

NAD+ and FAD to form NADH and FADH2

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87
Q

as electrons are passed down the ETC, do they gain or lose free energy

A

lose

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88
Q

what is the energy lost by electrons as they are passed down the ETC used for

A

creating a proton gradient

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89
Q

what processes does oxidative phosphorylation couple

A

electron transport with ATP synthesis

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90
Q

what is the remainder of the free energy not trapped as ATP in the ETC used to drive

A

calcium transport into mitochondria
generate heat

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91
Q

how many complexes make up the inner mitochondrial membrane

A

5

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92
Q

what complexes of the inner mitochondrial membrane are used in the ETC

A

1-4

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93
Q

what are the 2 mobile electron carriers used in the ETC

A

co-enzyme Q
cytochrome c

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94
Q

what is the final e- acceptor of the ETC

A

molecular O2

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95
Q

what process accounts for the body’s use of the greatest amount of oxygen

A

ETC

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96
Q

what is complex 5 of the inner mitochondrial membrane also called

A

ATP synthase

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97
Q

what complex of the inner mitochondrial membrane catalyzes ATP synthesis

A

5

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98
Q

what complexes of the inner mitochondrial membrane do e- pass through

A

1, 3, and 4

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99
Q

what is complex 1 of the inner mitochondrial membrane also called

A

NADH-Q oxidoreductase

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100
Q

what occurs in complex 1 of the inner mitochondrial membrane

A

e- are transferred from NADH to CoQ

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101
Q

what is CoQ also referred to as

A

ubiquinone

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102
Q

what is CoQH2 also known as

A

ubiquinol

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103
Q

what is complex 3 of the inner mitochondrial membrane also called

A

Q-cytochrome c oxidoreductase

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104
Q

what does complex 3 of the inner mitochondrial membrane do

A

pass e- from CoQ to cytochrome c

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105
Q

what is complex 4 of the inner mitochondrial membrane also called

A

cytochrome c oxidase

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106
Q

what does complex 4 of the inner mitochondrial membrane do

A

pass e- to O2, causing it to be reduced to H2O

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107
Q

what is complex 2 of the inner mitochondrial membrane also called

A

succinate-Q reductase

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108
Q

why are e- passed to Q through complex 2 instead of 1

A

the substrate (succinate) has a greater redox potential then NAD+/NADH

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109
Q

NADH carries a free protein. In the ETC, where is this proton transferred to

A

NADH dehydrogenase in complex 1

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110
Q

what complexes of the ETC contain iron-sulfur proteins

A

1, 2, 3

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111
Q

all members of the ETC are proteins with the exception of __ which is a __

A

coenzyme Q
lipid

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112
Q

coenzyme Q in the ETC accepts e- from what 2 complexes

A

1 and 2

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113
Q

coenzyme Q can accept e- from what enzyme in glycolysis

A

glycerophosphate dehydrogenase

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114
Q

coenzyme Q can accept e- from what enzyme in fatty acid oxidation

A

acyl CoA dehydrogenase

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115
Q

cytochromes contain a __ group with iron in a +__ (2 or 3) state

A

heme
3+

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116
Q

what complex of the ETC contains copper

A

4

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117
Q

what is the importance of copper in complex 4

A

required for splitting of O2

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118
Q

complex 4 contains how many heme and how many copper groups

A

2 heme
2 copper (CuA and CuB)

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119
Q

how many protons are pumped in complex 1 of the ETC

A

4

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120
Q

how many protons are pumped in complex 2 of the ETC

A

none

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121
Q

with the proton gradient of the ETC, the matrix side of the mitochondrial becomes positive or negative

A

negative

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122
Q

what does the chemiosmotic theory explain

A

free energy generated by the transport of electrons in ETC is used to produce ATP from ADP+Pi

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123
Q

what complexes of the ETC pump electrons

A

1, 3, 4

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124
Q

what drives the mechanism of ATP synthetase

A

proton motive force by electrochemical potential difference due to impermeability of inner mitochondrial membrane

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125
Q

what complexes act as a proton pump, creating a proton gradient across the membrane

A

I, III, IV

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126
Q

what does ATP synthase convert

A

ADP+Pi–>ATP

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127
Q

is ATP synthase embedded in the inner mitochondrial membrane or mobile

A

embedded

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128
Q

what are the 2 components of ATP synthase structure

A

F0
F1

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129
Q

where is F0 of ATP synthase located

A

inner mitochondrial membrane

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130
Q

where is F1 of ATP synthase located

A

mitochondrial matrix

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131
Q

what are the subunits of F1 of ATP synthase

A

3 alpha, 3 beta

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132
Q

what subunit of F1, alpha or beta, does ADP attach to

A

beta

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133
Q

what subunit of F1, alpha or beta, does ATP attach to

A

alpha

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134
Q

one rotation of ATP synthase produces how many ATP

A

3 (due to having 3 beta subunits)

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135
Q

what makes up the F0 subunit of ATP synthase

A

C protein subunits

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136
Q

what subunit is attached to the C protein subunits of ATP synthase directly

A

gamma

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137
Q

what subunit of ATP synthase, alpha beta or gamma, rotates

A

gamma

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138
Q

what does ATP synthase produce

A

ATP and heat

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139
Q

what is the function of heat produced by ATP synthase

A

maintain body temperature

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140
Q

what is the purpose of the ATP/ADP antiporter

A

as soon as ADP enters and produces ATP, ATP exits

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141
Q

what controls the rate of respiration (ETC/oxidative phosphorylation)

A

availability of ADP

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142
Q

what are 2 examples of substrate level phosphorylation

A

glycolytic reactions
citric acid cycle

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143
Q

for each mole of substrate oxidized by complexes I, III, and IV in respiratory chain (ETC) via NADH, how many moles of ATP are produced

A

2.5

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144
Q

for each mole of substrate oxidized by complexes II, III, and IV in respiratory chain (ETC) via FADH2, how many moles of ATP are produced

A

1.5

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145
Q

what allows molecular oxygen (O2) to act as an efficient final e- acceptor

A

high electronegativity

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146
Q

does each step of the ETC have a positive or negative delta G

A

negative

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147
Q

why is having a -delta G in each step of the ETC important

A

free energy is created and made available to to work and movement of protons

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148
Q

what do uncouplers do to the ETC

A

increase permeability of the membrane to ions/create a channel, interfering with the proton gradient as H+ is allowed to pass without going through ATP synthase (no ATP synthesis)

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149
Q

what is the main result of uncouplers of the ETC

A

energy is released as heat (excess of body heat)

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150
Q

what type of protein does thermogenin act as

A

uncoupling

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151
Q

is thermogenin a physiological or pathological uncoupler

A

physiological

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152
Q

where is thermogenin found

A

brown fat, especially in newborns

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153
Q

what is the function of themogenin

A

production of body heat

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154
Q

is 2,4-dinitrophenol a physiological or pathological uncoupler

A

pathological

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155
Q

what class does 2,4-dinitrophenol belong to

A

uncouplers

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156
Q

how does 2,4-dinitrophenol act

A

reduces electrochemical potential and short-circuits ATP synthase, causing energy to be released as heat rather than used to synthesize ATP

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157
Q

what is the result of 2,4-dinitrophenol in regards to heat production

A

hyperthermia

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158
Q

what class of proteins does high dose asprin and other salicylates act as in the ETC

A

uncouplers

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159
Q

oxidative phosphorylation uncoupling agents __ (increase or decrease) proton gradient and produce heat

A

decrease

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160
Q

electron transport inhibitors __ (increase or decrease) proton gradient

A

decrease

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161
Q

ATP synthase inhibitors __ (increase or decrease) proton gradient

A

increase

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162
Q

what class of antibiotic is oligomycin

A

macrolide

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163
Q

what is the effect of oligomycin

A

binds to F0 of ATP synthase, closing the H+ channel and preventing re-entry of protons
e- transport is stopped so no ATP or heat is produced

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164
Q

do uncoupling agents act on a specific complex

A

no

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165
Q

what complex do Rotenone and metformin act on

A

I

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166
Q

what complex do antimycin A and dimercaprol (BAL) act on

A

III

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167
Q

what complex does H2S, Azide, Cyanide, and CO act on

A

IV

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168
Q

what complex does oligomycin act on

A

ATP synthase (complex V)

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169
Q

what is Rotenone, which acts on complex I, also referred to as

A

fish poison
insecticide

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170
Q

what complex do barbiturates (Amytal) act on

A

I

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171
Q

what complex does malonate inhibit

A

II

172
Q

how does cyanide stop ETC

A

binds Fe3+ and prevents conversion to Fe2+
*oxygen does not bind to Fe3+

173
Q

how does CO stop ETC

A

binds Fe2+ and inhibits release of e- to oxygen

174
Q

what is a common sign of cyanide and CO poisoning

A

cherry red colored skin (hypoxia)

175
Q

how to identify cyanide exposure rather than CO

A

presence of smoke
soot in mouth and nose
odor of bitter almonds

176
Q

what are 2 treatments for cyanide poisoning

A

nitrite (best)
hydroxocobalamin

177
Q

how to identify CO poisoning rather than cyanide

A

obstructed exhaust
power outages
patients in a group/household with similar symptoms

178
Q

how does atractyloside inhibit oxidative phosphorylation

A

inhibits transporter of ADP into ATP

179
Q

what causes fatal infantile mitochondrial myopathy and renal dysfunction

A

absence of oxidoreductases of ETC (ATP synthesis) due to error in mitochondrial DNA

180
Q

what causes MELAS (mitochondrial encephalopathy, lactic acidosis, and stroke)

A

complex I or complex IV deficiency due to mutation in mitochondrial DNA

181
Q

how is mitochondrial DNA (mtDNA) inherited

A

through mother

182
Q

what is the cause of Leber hereditary optic neuropathy

A

mutation in mtDNA

183
Q

what is the cause of Leigh syndrome

A

a mutation in oxidative phosphorylation

184
Q

carbohydrates are primarily composed of what 3 elements

A

C, O, H

185
Q

how much energy does 1 gram of carbohydrate provide

A

4cal

186
Q

what are the most abundant dietary source of energy

A

carbohydrates

187
Q

what 2 cells are mostly dependent on carbohydrates are their energy source

A

brain cells
RBC

188
Q

what is the energy storage form of carbohydrates

A

glycogen

189
Q

what are amino sugars

A

a monosaccharide in which one or more hydroxyl groups are replaced by amino groups

190
Q

chemically, carbohydrates are defines as ___ or ___

A

polyhydroxyl aldehydes or ketones

191
Q

what are 2 examples of monosaccharides

A

glucose
fructose

192
Q

what are 3 examples of dissacharides

A

lactose
sucrose
maltose

193
Q

what are 3 examples of polysaccharides

A

starch
glycogen
cellulose

194
Q

what is a monosaccharide

A

sugars that can’t be hydrolyzed into simpler carbohydrates
(absorbable after digestion)

195
Q

why is glucose identified as an aldose

A

it contains an aldehyde group

196
Q

why is fructose identified as a ketose

A

it contains a ketone group

197
Q

what are isomers

A

compounds with the same chemical formula but different structure

198
Q

why are fructose, glucose, mannose, and galactose all considered isomers

A

they have the same chemical formula C6H12O6 but a different structure

199
Q

what are epimeres

A

isomers that differ around only 1 specific carbon

200
Q

what is an example of a C4 epimer

A

glucose and galactose

201
Q

what is an example of a C2 epimer

A

glucose and mannose

202
Q

what are stereoisomers

A

compounds with the same structural formula but different spatial arrangement

203
Q

what are enantiomeres

A

structures which are mirror images of one another

204
Q

what is an example of an enantiomer

A

D-glucose and L-glucose

205
Q

what is considered the reference carbohydrate when looking at structural arrangement

A

glyceraldehyde

206
Q

naturally occurring monosaccharides in humans are in L or D confirmation

A

D

207
Q

what are anomers

A

structures that differ around carbon 1 (anomeric C)

208
Q

__ and __ are used for anomers which are concerned with carbon __

A

alpha and beta
1

209
Q

epimers are concerned with carbon __

A

2, 3, or 4

210
Q

enantiomers are concerned with carbon __

A

5

211
Q

what does dextrose mean

A

glucose in solution

212
Q

why is glucose in solution referred to as dextrose

A

it is dextrorotary (based on rotation of light)

213
Q

what bond links monosaccharides

A

glycosidic

214
Q

what are disaccharides

A

sugars that yield 2 molecules of monosaccharide (same or different) following hydrolysis

215
Q

lactose produces what 2 molecules following hydrolysis

A

glucose
galactose

216
Q

sucrose produces what 2 molecules following hydrolysis

A

glucose
fructose

217
Q

what is the storage form of carbohydrates in humans

A

glycogen

218
Q

what are the 2 main components of starch

A

amylose
amylopectin

219
Q

what bonds make up amylose

A

alpha 1,4 glycosidic, nonbranching

220
Q

what bonds make up amylopectin

A

1, 4 and 1, 6 (branching)

221
Q

what enzyme hydrolyzes starches

A

amylase

222
Q

amylase acts on what type of glycosidic bonds

A

alpha

223
Q

glycogen has a similar structure to amylose or amylopectin

A

amylopectin

224
Q

what type of glycosidic bonds make up cellulose

A

beta 1,4

225
Q

why can’t cellulose be digested by animals

A

the bonds are beta, alpha amylase that animals (humans) have only breaks alpha bonds

226
Q

what nutritional component is cellulose a major part of

A

fiber

227
Q

what are 2 main functions of dietary fiber

A

decrease absorption of glucose and cholesterol from intestines
increase bulk of feces

228
Q

what are the 2 primary sites of dietary carbohydrate digestion

A

mouth
lumen of intestine

229
Q

what are the final products of carbohydrate digestion

A

glucose
galactose
fructose

230
Q

what are the 2 isoenzymes of alpha amylase

A

salivary and pancreatic

231
Q

why does alpha salivary amylase stop functioning in the stomach

A

due to acidic nature of the stomach

232
Q

where are the enzymes located that break down the disaccharides of carbohydrate digestion

A

brush border in intestines

233
Q

is insulin required with absorption of glucose

A

no

234
Q

what type of transport is involved with absorption of carbohydrates (glucose)

A

secondary active transport

235
Q

how does secondary active transport work in transport of glucose (carbohydrates)

A

Na+/glucose symport into cell
Na+ enters blood through Na+/K+ pump
glucose enters blood through GluT2 glucose uniporter (facilitative diffusion- through channel) on basal surface of intestinal cell

236
Q

D-glucose and D-galactose are absorbed by ___ using ___

A

secondary active transport
SGLT (sodium-glucose/galactose co-transporter)

237
Q

where is the SGLT transporter located

A

intestines
proximal convoluted tubule

238
Q

the sodium ion dependent transport of glucose and galactose co-transports how many sodium ions for each glucose/galactose

A

2

239
Q

the pumping of fructose into the cell uses what transport system

A

facilitative

240
Q

what transporter is used with transport of fructose

A

GLUT5

241
Q

where is GLUT2 located

A

liver, intestine, and pancreatic cells

242
Q

where is GLUT4 located

A

muscle and fat cells

243
Q

where is GLUT5 located

A

small intestine

244
Q

what GLUT transporter is insulin reactive

A

4

245
Q

dietary oligosaccharides enter the ___ and are fermented to form __

A

large intestines
gas

246
Q

what can cause dissacharide degradation

A

intestinal diseases
malnutrition
drugs that injure mucosa of small intestines

247
Q

what causes acquired enzyme deficiency

A

loss of brush border enzymes

248
Q

what type of enzyme is lactase

A

brush border

249
Q

what is primary lactose intolerance due to

A

genetically regulated reduction of lactase production

250
Q

what is secondary (acquired) lactase intolerance due to

A

inflammation or infection

251
Q

what are 2 cases that can cause secondary (acquired) lactose intolerance

A

celiac disease
giardiasis

252
Q

what action is prevented by lactase deficiency

A

lactose–>glucose+galactose

253
Q

without lactase, where is lactose transported from and to

A

from small intestine to large intestine

254
Q

what is produced by lactose breakdown by bacteria in the large intestine without lactase

A

gas

255
Q

what can be measured in the breath to determine lactase deficiency

A

H2

256
Q

as a result of gas produced due to lactose breakdown by bacteria in the large intestine, what 4 symptoms may a patient experience

A

bloating
osmotic diarrhea
dehydration
flatulence (gas)

257
Q

what is the main molecule in carbohydrate metabolism

A

glucose

258
Q

why can glucose produce fructose and galactose

A

they are all epimers

259
Q

what is metabolism

A

catabolic+anabolic pathways

260
Q

proteins, carbohydrates, and fats are all broken down to give off the common product of ___

A

acetyl CoA

261
Q

in glycolysis, 1 molecule of glucose produces __ molecules of pyruvate and __ ATP

A

2
2

262
Q

what is the importance of glycolytic pathways

A

provides energy and intermediates for other metabolic pathways

263
Q

what 2 cells require glycolysis for ATP production

A

brain cells
RBC

264
Q

why do RBC need glycolysis to make ATP

A

they lack a mitochondria

265
Q

where does glycolysis take place

A

cytosol

266
Q

is glycolysis aerobic, anaerobic, or both

A

both

267
Q

the ability of glycolysis to provide ATP in the absense of oxygen is especially important in ___ muscle because it allows the muscle to perform at high levels when oxygen supply is insufficient

A

skeletal

268
Q

in low oxygen condition, pyruvate produced by glycolysis goes on to produce what

A

lactate

269
Q

in normal oxygen condition, pyruvate produced by glycolysis goes on to what pathway

A

TCA

270
Q

what are the 2 glucose transporters

A

Na+ dependent (SGLT)
Na+ independent (GLUT)

271
Q

why is the first part of glycolysis called the investment phase

A

it uses ATP

272
Q

glycolysis produces how many NADH per glucose molecule

A

2

273
Q

what occurs during hexokinase reaction in glycolysis

A

irreversible phosphorylation of glucose, trapping glucose

274
Q

is there conservation of free energy in the hexokinase reaction of glycolysis

A

yes

275
Q

what is a requirement with the hexokinase reaction of glycolysis

A

Mg2+

276
Q

does hexokinase have a high or low Km

A

low

277
Q

why does hexokinase have a low Km

A

it has a high affinity for glucose at baseline

278
Q

is hexokinase or glucokinase used during a fed state

A

glucokinase

279
Q

is glucokinase or hexokinase used during a fasting state

A

hexokinase

280
Q

is glucokinase or hexokinase used by the liver cells and beta cells of pancreas

A

glucokinase

281
Q

is hexokinase or glucokinase used by RBC

A

hexokinase

282
Q

why is glucokinase used instead of hexokinase during a fed state

A

there is a high glucose level that needs to be flooded away

283
Q

what is the function of glucokinase in beta cells of the pancreas

A

acts as a glucose sensor determining threshold for insulin secretion

284
Q

what is the function of glucokinase in liver cells

A

facilitate glucose phosphorylation during hyperglycemia

285
Q

does glucokinase function when glucose levels are high or low

A

high

286
Q

glucokinase functions especially after what type of macromolecule rich meal

A

carbohydrate

287
Q

does glucokinase have a high or low Vmax
why

A

high
removal of flood of glucose post meal

288
Q

what is the effect of glucokinase on hyperglycemia

A

minimizes hyperglycemia during absorptive period

289
Q

what does a decrease in the activity of glucokinase lead to

A

maturity onset diabetes of the young type 2 (MODY2)

290
Q

what inhibits hexokinase

A

glucose-6-phosphate

291
Q

does glucokinase undergo feedback inhibition

A

no

292
Q

what allows hexokinase to work at baseline glucose levels

A

low Km (high affinity)

293
Q

is glucokinase or hexokinase induced by insulin

A

glucokinase

294
Q

what does phosphofructokinase-1 of glycolysis catalyze

A

ATP dependent phosphorylation of fructose 6-phosphate to fructose 1,6-bisphosphate

295
Q

what is the regulatory enzyme of glycolysis

A

phosphofructokinase-1

296
Q

what are 2 inhibitors of PFK-1 in glycolysis

A

ATP
citrate

297
Q

what are 3 activators of PFK-1 in glycolysis

A

fructose 2,6-bisphosphate
ADP/AMP (low ATP= low energy)

298
Q

glycolysis produces how many ATP per glucose molecule

A

4

299
Q

what 2 enzyme steps of glycolysis produce ATP by substrate level phosphorylation

A

phosphoglycerate kinase
pyruvate kinase
(*both kinases)

300
Q

what enzyme step of glycolysis produces NADH

A

glyceraldehyde 3-phosphate dehydrogenase

301
Q

how does arsenic poisoning work in relation to glycolysis

A

it inhibits glyceraldehyde 3-phosphate dehydrogenase by competing with Pi as a substrate

302
Q

what are 2 inhibitors of glyceraldehyde 3-phosphate dehydrogenase

A

aresenic
iodoacetate

303
Q

how does 1,3-bisphosphoglycerate of glycolysis generate ATP

A

substrate level phosphorylation

304
Q

what enzyme of glycolysis is inhibited by fluoride

A

enolase

305
Q

why is enolase inhibition by fluoride important in labs for blood glucose level checks

A

fluoride is added to blood to prevent glycolysis in order to receive an accurate blood glucose concentration

306
Q

what 3 enzymes of glycolysis serve as control sites (regulation)

A

hexokinase
phosphofructokinase
pyruvate kinase

307
Q

what molecule must be recognized for glycolysis to proceed

A

NAD+

308
Q

in anaerobic respiration, pyruvate turns into what

A

lactate

309
Q

in aerobic conditions, pyruvate turns into what

A

acetyl CoA

310
Q

what respiration, anaerobic or aerobic, is required for oxidative phosphorylation

A

aerobic

311
Q

in anaerobic respiration, pyruvate converts to lactate in order to make __ to continue glycolysis

A

NAD+

312
Q

the formation of lactate is always occurring in what main blood cells. why

A

RBC
no mitohcondria

313
Q

intense exercise of skeletal muscles results in elevated ___, favoring reduction of pyruvate to lactose

A

NADH:NAD+ ratio
NADH keeps building up= pyruvate to lactate

314
Q

what enzyme converts pyruvate to lactate

A

lactate dehydrogenase

315
Q

buildup of NADH encourages conversion of __ to __

A

pyruvate to lactate

316
Q

what does buildup of lactate in muscle cause

A

muscle cramps

317
Q

the extra lactate formed during intense exercise is converted to glucose by __ in the liver

A

gluconeogenesis

318
Q

pyruvate to lactate requires __

A

NADH

319
Q

lactate to pyruvate requires __

A

NAD+

320
Q

when do we call glycolysis aerobic

A

when oxygen is required to oxidize NADH

321
Q

when do we call glycolysis anaerobic

A

conversion of glucose to lactate

322
Q

what muscle always oxidizes lactate to CO2 and H2O via TCA cycle

A

heart

323
Q

what process is required to release energy from glycolysis

A

TCA cycle

324
Q

in anaerobic glycolysis, there is a net production of __ ATP and __ NADH

A

2
0 (NADH is used to replenish NAD+)

325
Q

in aerobic glycolysis, there is a net production of __ ATP and __ NADH

A

2
2

326
Q

each NADH produces __ ATP

A

2.5/3

327
Q

in RBC glycolysis, what step can be bypassed

A

substrate level phosphorylation ATP production step (phosphoglycerate kinase)

328
Q

what stimulates the bypass of phosphoglycerate kinase in RBC

A

hypoxia

329
Q

what is formed as a result of hypoxia in RBC in regards to glycolysis

A

2,3- BPG

330
Q

in the presence of 2,3-BPG, oxyhemoglobin unloads __ (more or less) oxygen to tissues

A

more

331
Q

what is 2,3-BPG formation called in RBC

A

BPG shunt

332
Q

the BPG shunt occurs in what

A

RBC

333
Q

transfused blood has a higher or lower 2,3-BPG level

A

lower

334
Q

what is the effect of lower 2,3-BPG in transfused blood

A

less efficient at delivering oxygen to tissue

334
Q

what is the primary anabolic hormone (fed state)

A

insulin

335
Q

what is the primary catabolic hormone (fasting state)

A

glucagon

336
Q

insulin and glucagon hormone regulation are involved in what 3 enzymes of glycolysis

A

glucokinase/hexokinase
phosphofructokinase
pyruvate kinase

337
Q

what is hemolysis

A

high lysis of RBC

338
Q

what enzyme of glycolysis deficiency can lead to hemolytic anemia

A

pyruvate kinase deficiency

339
Q

what are 2 reasons RBC require ATP

A

to maintain biconcave, flexible shape of the cell
(if no ATP= RBC get trapped in narrow capillaries, leads to lysis)
to maintain Na+/K ATPase function (loss of function leads to osmotic fragility= RBC lysis)

340
Q

how is NADH (reducing equivalent) at NADH step of glycolysis transferred to mitochondria from cytosol

A

glycerophosphate shuttle and malate shuttle

341
Q

what is the result of the glycerophosphate shuttle in regards to ATP production

A

since glycerol-3-phosphate dehydrogenase of the mitochondria is linked to a flavoprotein instead of NAD as it is in the cytosol, 1.5 mole of ATP are formed per atom instead of 2.5
*NADH–>NAD+ gives 2.5/3 ATP
FAD+–>FADH2 gives 1.5/2 ATP

342
Q

the glycerophosphate shuttle is present in __ but absent in __

A

brain
heart

343
Q

is the phosphoglycerate or malate shuttle more universal

A

malate

344
Q

what enzyme is used in the glycerophosphate shuttle

A

glycerol-3-phosphate dehydrogenase

345
Q

the glycerophosphate shuttle is linked with what molecule

A

FAD

346
Q

TCA cycle takes place in ___

A

mitochondria

347
Q

what is the final common pathway for the oxidation of fuel molecules

A

TCA cycle

348
Q

carbohydrates, protein, and lipids become __ to enter the __ cycle

A

acetyl CoA
TCA

349
Q

what enzyme links glycolysis to TCA cycle

A

pyruvate dehydrogenase

350
Q

pyruvate is transported into the mitochondria by a ___

A

protein symporter

351
Q

pyruvate goes through __ to become acetyl CoA

A

oxidative decarboxylation

352
Q

pyruvate is converted to acetyl CoA by what complex

A

pyruvate dehydrogenase complex

353
Q

pyruvate dehydrogenase complex is found where

A

mitochondria

354
Q

what are the 2 regulatory enzymes of the pyruvate dehydrogenase complex

A

pyruvate dehydrogenase kinase
pyruvate dehydrogenase phosphatase

355
Q

in pyruvate dehydrogenase complex, e- is transferred from FAD to NAD+. why

A

e- transfer potential of FAD is increased by its association with the enzyme

356
Q

what 3 molecules inhibit pyruvate dehydrogenase complex

A

acetyl CoA
NADH
ATP

357
Q

if an enzyme is under the effect on glucagon, it is active in phosphorylated or dephosphorylated state

A

phosphorylated (kinase enzymes)

358
Q

if an enzyme is under the effect on insulin, it is active in phosphorylated or dephosphorylated state

A

dephosphorylated (phosphatase enzymes)

359
Q

what are the 5 coenzymes of pyruvate dehydrogenase complex

A

thymine, lipoic acid, CoA, FAD, NAD

360
Q

what is the affect of calcium on the pyruvate dehydrogenase complex

A

calcium released during muscle contraction leads to dephosphorylation and activation of pyruvate dehydrogenase complex

361
Q

what can cause lactic acidosis

A

pyruvate dehydrogenase complex deficiency

362
Q

what is the treatment of pyruvate dehydrogenase complex deficiency

A

no treatment, remove carbohydrates from diet, supplementation with thiamine
(pyruvate dehydrogenase complex coenzyme)

363
Q

what causes Leigh syndrome

A

mitochondrial ATP enzyme defects
(defect in enzyme of oxidative phosphorylation, mutation in genes that code for pyruvate dehydrogenase complex, or ATP synthase)

364
Q

how many carbons enter the TCA cycle as acetyl CoA

A

2

365
Q

acetyl CoA entering TCA cycle are balanced by 2 __ exiting

A

CO2

366
Q

how many carbons does acetyl CoA have

A

2

367
Q

in the TCA cycle the first step is acetyl CoA—>citrate. this is catalyzed by

A

citrate synthase

368
Q

the first product of the TCA cycle, citrate, is inhibited by what

A

citrate

369
Q

what are the 3 fates of citrate

A

go into TCA cycle
go to cytosol and activate acetyl CoA carboxylase for FA synthesis
inhibit phosphofructokinase-1 of glycolysis

370
Q

where is the site of the TCA cycle

A

mitochondria matrix

371
Q

citrate is isomerized to isocitrate by what enzyme

A

aconitase

372
Q

is aconitase an Fe-S proteins

A

yes

373
Q

isocitrate dehydrogenase releases what 2 products

A

CO2 and NADH

374
Q

what are the 2 rate limiting steps of the TCA cycle

A

isocitrate dehydrogenase
alpha-ketoglutarate dehydrogenase

375
Q

isocitrate dehydrogenase is activated by

A

ADP
Ca2+

376
Q

isocitrate dehydrogenase is inhibited by __ and ___

A

ATP
NADH

377
Q

what 2 enzymes of TCA release CO2

A

isocitrate dehydrogenase
alpha-ketoglutarate dehydrogenase

378
Q

what is an energy rich compound produced during TCA cycle

A

succinyl CoA

379
Q

the cleavage of thioester bond of succinyl CoA is coupled to phosphorylation of what

A

GDP

380
Q

what are the 2 major concepts of succinyl CoA synthetase (succinate thiokinase)

A

substrate level phosphorylation
GDP–>GTP

381
Q

what is the substrate level phosphorylation enzyme of TCA cycle

A

succinyl CoA synthetase (succinate thiokinase)

382
Q

what is the only enzyme of the TCA cycle that is embedded in the inner mitochondrial membrane

A

succinate dehydrogenase (complex II)

383
Q

what enzyme of the TCA cycle is an FAD containing enzyme

A

succinate dehydrogenase

384
Q

what is the enzyme that allows the link between the TCA cycle and ATP formation

A

succinate dehydrogenase

385
Q

if you see FMN or FAD, what is involved

A

riboflavin

386
Q

FMN is a component of what ETC complex while FAD is a component of what ETC complex

A

FMN- complex I
FAD- complex II

387
Q

malate dehydrogenase releases what

A

NADH

388
Q

how many ATP are produced from one turn of TCA cycle

A

10/12
(3 NADH, 1 FADH2, 1 GTP)

389
Q

what does it mean to say the TCA cycle is amphibolic

A

intermediates can come in and out
(it is both an oxidative and synthetic process)

390
Q

what does it mean to say a reaction is anaplerotic in the TCA cycle

A

generate intermediates

391
Q

can acetyl CoA convert back to glucose

A

no

392
Q

the coenzyme thiamine pyrophosphate of the TCA cycle is derived from what

A

B1/thiamine

393
Q

the coenzymes lipoic acid and CoA of the TCA cycle are derived from what

A

B5/pantotheic acid

394
Q

the coenzyme flavin adenine dinucleotide (FAD) of the TCA cycle is derived from what

A

B2/riboflavin

395
Q

the coenzyme nicotinamide adenine dinucleotide (NAD+) of the TCA cycle is derived from what

A

B3/niacin

396
Q

the complete split of glucose by aerobic respiration produces how many ATP

A

38 (or 32)

397
Q

the complete split of glucose by anaerobic respiration produces how many ATP

A

2

398
Q

why can’t acetyl CoA form glucose

A

acetyl CoA is released as CO2 through oxidative decarboxylation reaction

399
Q

what is beriberi

A

thiamine deficiency leads to low transketolase activity of RBC

400
Q

arsenic poisoning is due mostly to inhibition of enzymes that require __

A

lipoic acid (pyruvate dehydrogenase complex and TCA)

401
Q

arsenic affects what 3 spots of the TCA cycle

A

fluoroacetate
arsenate
malonate

402
Q

what is this only source of fuel for skeletal muscle under anaerobic conditions

A

glucose

403
Q

what does gluconeogenesis help clear

A

lactate and glycerol

404
Q

what is the first source of blood glucose in a fasting state

A

liver glycogen

405
Q

what is gluconeogenesis

A

making glucose from non-carbohydrate sources

406
Q

what are the 5 substrates for gluconeogenesis

A

lactate
pyruvate
glucogenic AA
propionate
glycerol

407
Q

where is the location of gluconeogenesis

A

cytosol

408
Q

during an overnight fast, which organs does gluconeogenesis occur in

A

liver (mostly, 90%)
kidney (10%)

409
Q

during a prolonged fast, which organ is the main organ of gluconeogenesis

A

kidney

410
Q

the 3 reversible steps of glycolysis are catalyzed by what 3 enzymes

A

hexokinase
phosphofructokinase
pyruvate kinase

411
Q

what is required as a cofactor with pyruvate carboxylase in gluconeogenesis

A

biotin

412
Q

where is pyruvate carboxylase of gluconeogenesis located

A

mitochondria

413
Q

what activates pyruvate carboxylase

A

acetyl CoA

414
Q

what is the rate limiting steps of gluconeogenesis

A

pyruvate carboxylase
phosphoenolpyruvate carboxykinase
fructose 1, 6-bisphosphatase
glucose 6-phosphate

415
Q

if there is a carboxylase enzyme, what cofactor is always involved

A

biotin

416
Q

what is a source of biotin deficiency

A

raw egg whites
*contains avidin which binds biotin and prevents it’s absorption

417
Q

in what state is pyruvate carboxylase activated by acetyl CoA

A

fasting

418
Q

where is oxaloacetate of gluconeogenesis located

A

mitochondrial matrix

419
Q

how does oxaloacetate, which is synthesized in the mitochondrial matrix, reach the cytosol to be converted to phosphoenolpyruvate

A

oxaloacetate is converted to malate through malate dehydrogenase
malate reaches the cytosol
malate is converted back to oxaloacetate by malate dehydrogenase

420
Q

what are the 2 regulatory enzymes of gluconeogenesis

A

pyruvate carboxylase
fructose 1,6-bisphosphate

421
Q

what enzyme converts glucose 6-phosphate to glucose in gluconeogenesis

A

glucose 6-phosphatase

422
Q

in what organs is glucose 6-phosphatase, needed to convert glucose 6-phosphate to glucose, mostly located

A

liver
kidneys

423
Q

in what organelle is glucose 6-phosphatase, needed to convert glucose 6-phosphate to glucose, located

A

endoplasmic reticulum

424
Q

where in the body is glucose 6-phosphatase, an enzyme of gluconeogenesis, absent

A

muscle

425
Q

what supplies the ATP required for gluconeogenesis

A

fatty acid oxidation