insulin and ketones SDL Flashcards

1
Q

which hormones increase in the blood as a results of feed deprivation

A
  • Glucagon
  • Cortisol
  • Epinephrine
  • Growth hormone
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2
Q

when an animal enters negative energy balance, what storage form of lipid is broken down and what are the products

A

triglyceride is hydrolysed into glycerol and three fatty acids

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3
Q

what is the name of the process via which fatty acids are used to generate energy

A

beta oxidation
- occurs in the mitochondria of the liver
- generates ATP
- end product is acetyl coA

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4
Q

why are dairy cows in peak lactation likely to suffer from negative energy balance

A

The cow is struggling to produce huge amounts of milk when she is at peak lactation (3 to 6 weeks into lactation). Milk production requires glucose and the cow must make all of her own glucose via gluconeogenesis. Since milk production requires so much glucose, a relative deficiency of oxaloacetate develops. This inhibits movement of acetyl CoA into the TCA cycle (creates a “bottleneck” at the entrance to this metabolic pathway), which causes more acetyl CoA to be diverted into ketone production.

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5
Q

Why are ewes with twins/ triplets likely to suffer from a negative energy balance?

A

Milk production would be increased compared to an ewe with just one lamb = risk of ketosis increases with the number of foetuses and length of gestation
This means that the demand for energy by the foetuses is higher so the ewe needs to produce more glucose - the larger demand = negative energy balance - this is a problem as ruminants must produce all glucose themselves via gluconeogenesis

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6
Q

ruminants are particularly susceptible to ketosis because bacteria within the rumen consume all the glucose found in the feed. how then do ruminants generate glucose

A

ruminants are reliant on extensive and continuous gluconeogenesis for survival and productivity

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7
Q

explain why obesity would be likely to make ketosis worse

A

Negative energy balance is causing insulin levels to fall and the concentrations of the 4 hormones (glucagon, epinephrine, growth hormone and cortisol) to rise. This stimulates hormone-sensitive lipase (HSL), which breaks down triglyceride within the adipose tissues. This causes a large movement of fatty acids into the blood. These fatty acids are taken out the blood by the liver and should be used for energy via beta oxidation.

Animals (particularly ruminants) that are in negative energy balance develop a relative lack of oxaloacetate, which must combine with acetyl CoA in order for it to enter the TCA cycle.

Since the downstream pathway (entrance to the TCA cycle) is not keeping pace, there are two outcomes: 1) excess fatty acids are converted back into triglyceride and stored (causes hepatic lipidosis) or 2) they are used for energy via beta oxidation, but the excess acetyl CoA is diverted into ketones.

The more fatty acids being mobilized from the adipose tissues, the more acetyl CoA is diverted into ketones.

More fatty acids would be mobilized in an obese animal because:
1. There is a greater mass of stored triglyceride
2. The animal is likely to suffer from insulin resistance. The dampening effect of insulin on HSL will be lost and the enzyme will be more active.

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8
Q

what are the 3 ketones

A
  • acetoacetate
  • beta hydroxybutyrate
  • acetone
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9
Q

why is ketosis more likely to occur in the insulin resistant animal

A

more fatty acids are mobilised from adipose tissues in response to negative energy balance.

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9
Q

which ketone is removed from the body via the respiratory tract

A

acetone

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10
Q

what enzyme is found within adipose tissues and aids lipolysis

A

hormone sensitive lipase

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11
Q

what hormones normally enhance the activity of hormone sensitive lipase

A
  • corticotropin releasing hormone
  • adrenaline
  • noradrenaline
  • glucagon
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12
Q

why does the activity of hormone sensitive lipase increase with insulin resistance

A

insulin usually supresses this enzyme to prevent lipolysis, therefore if insulin is no longer having an effect, it cant mediate lipolysis

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13
Q

what is metabolic acidosis

A

large quantities of ketones act as acids and lower the ph

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13
Q

which hormones normaly supresses hormone sensitive lipase activity

A

insulin

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14
Q

why is acidosis harmful

A

It causes a decrease in pH which alters many chemical reactions and enzymatic processes. Also makes the animal feel unwell – loss of appetite, lethargy, depression.

15
Q

diabetes mellitus results from:

A
  • inadequate insulin production
  • loss of insulin action in the tissue
16
Q

how does diabetes mellitus affect lipid mobilization from adipose stores

A

increases mobiliation because hormone sensitive lipase is not being inhibited by insulin

17
Q

how might diabetes mellitus affect oxaloacetate production

A

decreased oxaloacetate production by converting it back to glucose via gluconeogenesis since it is overstimulates. leads to increased ketone production

18
Q

why would a dog develop diabetic ketoacidosis

A

decreased oxaloacetate availibility and increased fatty acid mobilisation (because loss of hormone sensitive lipase inhibition)

19
Q

what are the main clinical signs of diabetic ketoacidosis in dogs

A
  • pu/pd
  • lethargy
  • inappetance
  • vomiting
  • weight loss
  • diarrhea
  • dehydration