Alcohol Metabolism & Oxidative Stress Flashcards

(44 cards)

1
Q

Aldehyde dehydrogenase has a low km for acetylaldehyde, why is this good?

A

Km = 1/2 vmax (speed). Low Km means the toxic acetyladldehyde is converted to less damaging acetate more quickly.

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2
Q

what do excess NADH and acetyl coA lead to?

A

Changes in liver metabolism:
Fatty liver (increased Acetyl coA = fatty liver)
Alcoholic hepatitis
Alcoholic cirrhosis

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3
Q

What is the classic treatment for alcoholics?How does it work?

A

Disulfiram- It inhibits the enzyme aldehyde dehydrogenase leading to a build up of acetylaldehyde which produces hangover symptoms. Now there is a negative association with alcohol.

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4
Q

Why do reactive oxygen species (ROS) and reactive nitrogen species (RNS) do to cells?

A

Damages nuclei acids, proteins and lipids.

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5
Q

What is the link between oxidative stress and disease?

A

When cell defences such as antioxidants do not counterbalance oxidative stress can increase the risk of many disease states (Rheumatoid arthritis, Parkinson’s, Alzheimer’s.

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6
Q

What is a free radical?

A

An atom/ molecule with at least one unpaired electron

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7
Q

How do free radicals cause damage?

A

They are reactive. They ‘steal’ the electrons of other atoms/ molocules in order to provide an electron for their unpaired electron(s). This action usually generates another radical - generating more damage.

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8
Q

Molecular oxygen is what kind of radical?

A

Biradical (2 unpaired electrons)

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9
Q

How is superoxide formed?

A

Adding one electron to molecular oxygen

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10
Q

How can hydrogen peroxide be damaging?

A

Not a free radical but can react with iron (Fe) to produce free radicals. It is readily diffusable.

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11
Q

What is the most damaging radical?

A

Hydroxyl - reacts with almost anything!

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12
Q

What can a hydroxyl radical be reduced to form?

A

Water

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13
Q

Super oxide reacts with what to produce peroxynitrite?

A

Nitric oxide

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14
Q

Why is peroxynitrite worrying?

A

Not a free radical but it is a powerful oxidant that can damage cells.

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15
Q

How can ROS damage to DNA lead to cancer?

A

Can react with DNA 1. A base —> can lead to mispairing and potential mutation —>potential for cancer or
2. A deoxy/ribose sugar —>causes strand break and potential mutation on repair —> potential for cancer

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16
Q

How can ROS damage to proteins lead to issues?

A

Damages

  1. Backbone - fragmentation –> protein degraded
  2. Sidechain –> failure in repair can lead to mutation and to cancer OR to a change in protein structure (modified amino acid) such as a disulphide bond and either a loss/ gain of function or protein degradation.
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17
Q

When a carbon is bonded to a SH the group is called a ______ group

A

Thiol

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18
Q

Why can a ROS cause damage if takes electrons from cysteine?

A

Can cause inappropriate disulphide bond formation from cysteines causing misfiling, cross linking or disruption of function.

19
Q

Why can lipid peroxidation be harmful to cell membranes?

A

Composed of phospholipids. The bilayer can be disrupted by lipid peroxidation and it’s integrity fails.

20
Q

Explain the process of lipid peroxidation

A
  • Free radical extracts hydrogen from a polyunsaturated fatty acid
  • lipid radical formed which can react with oxygen to form a lipid peroxyl radical
  • chain reaction formed as lipid peroxyl radical extracts H from nearby fatty acid
  • hydrophobic environment of bilayer disrupted and membrane integrity fails.
21
Q

Name 3 sources of biological oxidants in the human body

A
  1. Electron transport chain
  2. Nitric oxide synthases
  3. NADPH oxidases
22
Q

How are free radicals created from the ETC?

A

Occasionally electrons escape ETC and react with dissolved o2 to form superoxide

23
Q

3 different types of nitric oxide synthases?

A
  1. iNOS Inducible nitric oxide synthase (phagocytes use for direct toxic effect)
  2. eNOS Endothelial nitric oxide synthase (signalling- used in vasodilation of blood vessels)
  3. nNOs Neuronal nitric oxide synthase (signalling- neurotransmission)
24
Q

What is a respiratory burst?

A
  • Rapid release of superoxide and hydrogen peroxide from phagocytotic cells (neutrophils and monocytes).
  • ROS and peroxynitrite destroy invading bacteria
25
Describe the biochemical reactions involved in a respiratory burst
Phagocytes contain iNOS and NADPH oxidase. 1. NADPH oxidase reduces O2 to form superoxide. This can then gain hydrogen and electrons -->hydrogen peroxide. Myleoperoxidase released from cells reacts with hydrogen peroxide to produce bleach to kill cells. 2. iNOS creates nitrous oxide --> reacts superoxide to make peroxynitrite --> kills bacteria.
26
What is Chronic granulomatous disease?
Genetic defect in NADPH oxidase complex - enhanced susceptibility to bacterial infections - pneumonia - abcesses - Cellulitis
27
Name an important cellular defence that converts superoxide to water and oxygen
SOD -Converts superoxide to hydrogen peroxide and oxygen -primary defence as superoxide is good as starting chain reactions -3 isoenzymes: -mitochondira -cystolic -extracellular Catalase -Convers hydrogen peroxide to water and oxygen --widespread enzyme. Important in immune cells to protect vs oxidative burst -grey hair!
28
How does glutathione work as a cellular defence?
-protects vs oxidative damage -Thiol group of Cys donates e- to ROS to stop from damaging the body -GSH reacts another GSH to form disulphide (GSSG) this is catalysed by glutathione peroxidase. CONVERTS back: Glutathione reductase catalyses transfer of electrons from NADPH to disulphide bond to reduce GSSG.
29
Which pathway in metabolism is an important source for NADPH and is therefore important for preventing oxidative damage?
Pentose Phosphate Pathway
30
Glutathione peroxidase requires what nutrition to continue working?
Selenium
31
Where does pentose phosphate pathway start from?
glucose-6-phosphate
32
Why is NADPH required in the body?
- reducing power for biosynthesis - maintenance of GSH levels - detoxification reactions
33
What is produced via pentose phosphate pathway?
- reducing power - C5 sugar ribose for creation nucleotides, DNA, RNA - NO ATP - CO2 produced
34
Rate limiting enzyme in PPP?
Glucose 6-phosphate dehydrogenase
35
What is the role of free radical scavengers?
Donate hydrogen atoms (and its electron) to free radical | The reaction is NONENZYMATIC
36
Why is vitamin E important in terms of preventing damage to membranes?
- radical scavenger - lipid soluble (so can reach cell membranes) - important for protection against lipid per oxidation
37
Why is vitamin C important for preventing radical damage?
-water soluble -important role in regenerating reduced form of vitamin E
38
What can lead to a cataract?
--> galactosaemia --> increased activity of aldose reductase consumes excess NADPH --> compromised defences against ROS damage --> crystallin protein in lens of eye denatured
39
Why can a G6PDH deficiency result in oxidative damage?
G6PDH key enzyme in PPP. PPP used to create NADPH. NADPH regenerates glutathione. Lack glutathione = less protection from oxidative stress. -Lipid peroxidation --> cell membrane damage -protein damage --> aggregates of cross-linked haemoglobin --> Heinz bodies
40
Why are Heinz bodies an issue for RBC?
- bind to cell membrane and alter rigidity - increase likelihood of mechanical stress on RBC - Increased likelihood haemolysis
41
What can be a clinical sign in RBC of G6PDH deficiency?
blister cells created by spleen removing Heinz bodies
42
Why is excess consumption of paracetamol harmful?
-cannot be converted into normal metabolites Glucuronide and Sulphate as that pathway is saturated -creates NAPQI - toxic Glutathione can take e- to make less toxic --> using glutathione stores up!
43
How does a paracetamol overdose damage hepatocytes?
- lipid peroxidation - damage to proteins - damage to DNA
44
What treatment for overdose paracetamol and how does it work?
- Acetylcysteine | - Replenishes glutathione levels