export_endocrine 1 Flashcards

(65 cards)

1
Q

Macromolecules

A

1) proteins (AAs)
2) carbs (glucose)

3) fats (lipids)

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2
Q

where does energy from food go?

A

heat loss
1) food assimilation (5-10%)

2) biochemical inefficiency (50%)
3) conversion to high energy bonds (basal metabolic) (20-40%)
4) external work (5-25%)

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3
Q

anabolic state

A
  • digestion/absorption
  • some for immediate needs

-rest stores until postabsorptive state (~4 hours after meal)

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4
Q

energy conversion

A
  • chemical (food) to kinetic (exercise)
  • between chemical (AA to glucose)

-heat lost in conversions

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5
Q

fxns of carbs

A
  • energy (4kcal/g)

- required by brain, nerves, RBCs

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6
Q

what happens to carbs (glucose?)

A
  • stored as fat/glycogen
  • 1/4-1/3 in liver glycogen
  • 1/3-1/2 muscle glycogen
  • large portion to FA synthesis (later in day)
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7
Q

glucose storage trail…

A

GI–>liver–>
1) glycogen

2) a-glycerol phosphate
3) FAs

2-3–> triglycerides–>VLDL–>adipose tissue

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8
Q

glucose goes to 4 places…

A

1) use as energy (brain)
2) liver

3) adipose (–>a-glycerol phosphate or FAs–>triglycerides)
4) muscle (glycogen)

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9
Q

what metabolizes glucose?

A

glucokinase

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10
Q

products of glucose

A

1) glycogen
2) a-glycerol phosphate

3) FAs
4) non-essential AAs
5) nucleic acids
6) energy

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11
Q

what absorbs nutrients and brings them to the liver?

A

portal vein

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12
Q

how does glucose enter adipose tissue?

A

via insulin responsive glucose transporter (GLUT4)

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13
Q

insulin after meal

A

increases with glucose

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14
Q

fructose pathway

A

liver –> a-gp –> triglycerol –> VLDL

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15
Q

fxns of fat

A

1) energy (~85% of stored)
2) structure of cell membrane

3) temp regulation
4) signaling molecules

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16
Q

essential FAs and fxns

A

linolenic and linoleic
-formation of healthy cells

  • development of brain and NS
  • hormone like substances (BP, immune, etc)
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17
Q

storage of lipids..

A

GI–> chylomicrons –> adipose tissue –> monoglyceride/FAs –> trigyceride

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18
Q

what breaks down lipids?

A

bile salts

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19
Q

where do chylomicrons go?

A

lymphatic system

-hydrolyzed by lipases in adipose and skeletal muscle

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20
Q

how do lipids get to the liver?

A

from FAs from lipolysis in adipose tissue

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21
Q

what does the liver do with FAs?

A

packaged into VLDLs then reexported

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22
Q

low insulin and lipids in liver…

A

ketone bodies from incomplete FA oxidation

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23
Q

what happens to FA in adipose tissue?

A

FA reesterified into triglycerides

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24
Q

fxns of AAs

A
  • 15% stored energy
  • structural component of proteins
  • precursors neurotransmitters
  • urea from amine groups
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25
nonessential AAs
derived de novo from carbs
26
important essential AAs for nutrient signaling 
- valine - luecine -isoluecine all branching
27
destinations of AAs (and path):
1 ) liver --> a-ketoacids --> CO2+H20+energy or FAs 2) liver --> NH3 --> urea 3) muscle -->proteins
28
anabolism
keeping AA for TCA cycle to build on
29
digestions of proteins:
breakdown by pancreatic proteases into AAs or dipeptides | -transported by specific AA transporters
30
what can be done with AA in the liver?
- oxidation for gluconeogenesis - deamination to keto acids (enter TCA and moved to FAs) -detox to urea
31
what do muscles use for gluconeogenesis?
AAs
32
problems during postabsorptive state
1) no new glucose | 2) plasma glucose must be stable (60-80 when waking up)
33
compensation methods in postabsorptive state
1) produce glucose from stores (gluconeogenesis and glycogenolysis) 2) sparing glucose by use of fat for energy
34
gluconeogenesis
- done in liver, kidney, and intestines - TAG metabolism releases glycerol --> glucose - muscle catabolized to AAs - ala and glu primary AAs that enter pathway directly
35
hormones that control gluconeogenesis
1) glucagon (inc glucose production) 2) epinephrine (inc ") 3) cortisol (in ") 4) insulin (dec ")
36
can fats be made into glucose?
NO | -only used as energy as keytone bodies
37
glycogenolysis
glycogen released from liver as glucose | -or glycogen from muscle through Cori cycle
38
how does glycogen from muscle turn into glucose (Cori cycle)?
glycogen --> G-6-P --> glycolysis in blood--> pyruvate and lactate --> liver --> gluconeogenesis --> glucose
39
why store energy as lipids?
1) more energy dense 2) doesn't need to store with water 3) spares glucose for neurons
40
can neurons use FAs?
NO
41
lyposysis
glucose sparing but doesn't contribute to glucose
42
how does liver prep for a fast?
FAs --> oxidized --> Acetyl CoA --> ketones
43
anabolic steriods
insulin, sex steriods, GH, thyroxine
44
catabolic steroids
glucagon, epinephrine, glucocoricoids, GH, thyroxine
45
what controls fast/fed state?
insulin
46
main effects of insulin?
inc glucose oxidation and fat, glycogen, protein synthesis
47
inc levels of glucagon affect
inc glycogenolysis, gluconeogenesis, ketogenesis
48
cortisol
turns on PEPCK, necessary for liver to do gluconeogenesis
49
where is insulin and glucagon released from?
pancreas B-cell- insulin a-cell- glucagon
50
insulin/glucagon in high/low glucose environment?
high- inc insulin, dec glucagon | lox- dec insulin, inc glucagon
51
when insulin levels are high where does glucose go?
- inc uptake to adipocytes and muscle - liver stops producing de novo -liver uptakes
52
hormones released from GI to pancreas?
- GLP-1 (enhance insulin sec) (from bile) | - GIP
53
3 types of signals from GI to pancreas
1) hormones 2) neural 3) nutrients
54
what is GLUT4 translocation?
inc insulin, moves GLUT4 to cell surface, inc intake of glucose into cells
55
absorptive state overview
- inc insulin - cell uptake of glucose - glycogen storage in liver and muscles - trigly storage in adipose - uptake of AA and protein synth
56
post absorptive state overview
- glucagon inc - stim glycogenolysis in liver (G6P) - muscle, <3, liver, kidneys use FA and major fuel source - stim lipolysis and ketogenesis
57
how much energy for muscles comes from FA metabolism?
85%
58
effects of glucagon in liver
- inc glycogenolysis - inc gluconeogenesis -inc ketogenesis
59
epinephrine
- released from adrenal medulla - stimulates cAMP -inc glucose levels
60
cortisol
- secreted by adrenal gland - acts like glucagon -needed for gluconeogenesis
61
type 1 diabetes
- destruction of B-cells | - lack of insulin production
62
type 2 diabetes
-insulin resistance
63
pancreatectomy
- no insulin or glucagon - rely on cortisol and epi to inc blood glucose -if treated with insulin can counteract bc no glucagon
64
type 1 diabetes effects on glucagon
- inc glucagon - inc gluconeogenesis and glycogenolysis - inc FA and glycerol due to unchecked lipolysis - inc ketones due to incomplete oxidation of FAs
65
diabetic ketoacidosis
extreme elevated ketone levels