Alcohol Metabolism + Oxidative Stress Flashcards

1
Q

Where is alcohol metabolised?

A

> 90% is metabolised in the liver, the rest is excreted in urine and in breath.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Describe alcohol metabolism

A

Alcohol is oxidised by alcohol dehyrdrogenase to acetaldehyde, then to acetate by aldehyde dehydrogenase.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What causes a ‘hangover’

A

Acetaldehyde is a toxic metabolite, an accumulation of this causes the hangover

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How is acetate used?

A

It is conjugated to coenzyme A to form acetyl-CoA, then it’s metabolised in TCA cycle or is utilised for fatty acid synthesis.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the consequences of increased acetyl-CoA?

A

This leads to increased synthesis of fatty acids and ketone bodies -> increased synthesis of triacylglycerol -> Fatty liver.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is used to treat alcohol dependence?

A

Disulfiram is used as it is an inhibitor of aldehyde dehydrogenase, so patients will have symptoms of a ‘hangover’.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is a free radical?

A

An atom or molecule that contains one or more unpaired electron

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is ROS equation?

A

Oxygen-> Superoxide-> Hydrogen peroxide-> water + Hydroxyl radical

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is RNS equation?

A

Superoxide + Nitric oxide -> Peroxynitrite

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the two main types of ROS damage to DNA?

A

ROS reacts with base- modified base can lead to mispairing and mutation. ROS reacts with sugar- can cause strand break and mutation on repair.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How can ROS damage proteins?

A

Can react with backbone-> fragmentation-> Protein degradation. Can react with sidechain-> modifies amino acid-> change in protein structure-> Protein degradation/Loss of function/Gain of function.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How can ROS damage damage lipids?

A

Causes lipid peroxidation-> hydrophobic environment of bilayer disrupted and membrane integrity fails.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How does respiratory burst destroy bacteria?

A

There’s a rapid production of superoxide and H2O2 from phagocytic cells. ROS and peroxynitrite destroy invading bacteria.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Roles of superoxide dismutase and catalase?

A

SOD coverts superoxide to H2O2 and oxygen. Catalase coverts hydrogen peroxide to water and oxygen.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Role of glutathione?

A

GSSG reduced back to GSH by glutathione reductase which catalysed the transfer of electrons from NADPH to disulfide bond. NADPH is essential for protection against free radical damage.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are free radical scavengers?

A

They reduce free radical damage by donating hydrogen atom to free radicals. Vitamin E is a lipid soluble antitoxidant, Vitamin C is a water soluble antitoxidant.

17
Q

What are Heinz bodies?

A

They are aggregates of haemoglobin, a clinical sign of G6PDH deficiency.

18
Q

Describe NAPQI.

A

A toxic metabolite which has direct toxic effects-> oxidative damage to liver cell: Lipid peroxidation/damage to proteins/damage to DNA.