Changes to metabolism Flashcards

1
Q

Alanine to pyruvate.

A

Alanine loses its amino group by transamination to form pyruvate catalysed by alanine aminotransferase.

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2
Q

Aparagine to oxaloacetate.

A

asparagine is hydrolysed by asparaginase, liberating ammonia and aspartate. Aspartate loses its amino group by transamination via the enzyme asparatate aminotranferase to form oxaloacetate.

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3
Q

Glutamine to a-ketoglutarate.

A

glutamine is converted to glutamate and ammonia by the enzyme glutaminase (2). glutamate is converted to a-ketoglutarate by oxidative deamination by glutamate dehydrogenase (1).

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4
Q

Causes of starvation.

A

Inability to obtain food, desire to Lose weight, clinical situations such as; trauma, burns, injury to face, tumour.

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5
Q

During starvation, blood levels of what fall?

A

amino acids, glucose, and triacylglycerols.

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6
Q

During starvation, explain what happens to blood insulin & glucagon levels.

A

Blood insulin levels are very low & and glucagon level are very high.

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7
Q

During starvation, Both insulin and glucagon factors trigger a period of catabolism characterised by the degradation of;

A

glycogen to glucose.
triacylglycerol to fatty acids and glycerol.
protein to amino acids.

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8
Q

During starvation, the results result in an interchange of substrates between…

A

liver, adipose tissue, skeletal muscle, brain

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9
Q

During starvation, what 2 factors determine the fate of the substrates?

A

1) the need to conserve glucose for those cells & tissues that need it i.e. red blood cells, brain.
2) The need to mobilise fatty acids from adipose tissue & ketone bodies from liver to supply energy to all other tissues, & for these other tissues to adapt to the non-glucose substrates.

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10
Q

In all situations, the flow of intermediates through biochemical pathways is controlled by 4 mechanisms, what are they?

A

Availability of substrates.
Allosteric activation/inhibition of enzymes.
Covalent modification of enzymes.
Reciprocal induction or repression of enzyme synthesis.

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11
Q

What happens to the liver during starvation?

A

Glycogen breakdown, then gluconeogenesis to maintain blood glucose levels & sustain energy provision for the brain & other glucose requiring tissues e.g. red blood cells.

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12
Q

What unique ability does the liver have during starvation?

A

Can synthesise glucose and becomes increasingly active as glycogen stores begin to deplete.

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13
Q

Where are carbons skeletons derived from?

A

Glycerol, lactate, amino acids.

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14
Q

What is the main source of energy for liver during starvation?

A

Oxidation of fatty acids derived from adipose tissue.

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15
Q

In starvation, insulin levels are low therefore, glucose isn’t used for what type of synthesis?

A

Fattu acid synthesis.

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16
Q

As insulin is low & glucagon high, phosphorylation and activation of what occurs?

A

Hormone sensitive lipase.

17
Q

In starvation, FAs obtained from hydrolysis of stored adipose TAGS are released into bloodstream, bound to albumin, FAs are transported to lots of tissue for use as what?

A

Fuel.

18
Q

The glycerol produced as a result of complete TAG hydrolysis is used for what by the liver?

A

Gluconeogenesis.

19
Q
A