Lecture 24 - Glycogen Storage Diseases 1 Flashcards

(35 cards)

1
Q

What are the tissues with the most glycogen storage

A

Liver and Muscle

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2
Q

What is GSD1 also known as

A

Type 1 Glycogenosis
or Von Gierke disease

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3
Q

What is G6Pase

A

G6Pase is an enzyme involved in the terminal step of both glycogen breakdown
(glycogenolysis) and gluconeogenesis (the formation of glucose from non-glucose
precursors e.g. pyruvate or lactate)

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4
Q

What are the 3 tissues G6Pase is located in

A

Liver G6Pase - hepatocytes

Small Intestine - present in enterocyctes (absorptive cells) on vili

Kidney - Proximal convoluted tubule cells of nephron

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5
Q

What does the liver do

A

Gluconeogenesis mostly from lactate and the new glucose is sent back to the muscle

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6
Q

Why is glucose 6 phosphatase important

A

catalyses terminal steps of glycogenolysis and gluconeogenesis
(slide 7)

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7
Q

What is glycogen turned into after it is catalysed by glycogen phosphorylase

A

Glycogen n-1 + glucose-1-phosphate

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8
Q

Revise Cori cycle

A
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9
Q

What is the conversion of glucose to glucose 6-phosphate catalysed by

A

Hectokinase
Glucokinase (liver only)

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10
Q

What are the 2 broad types of liver cells

A

Parenchymal - hepatocytes

Non-parenchymal - Cholangiocytes (bile duct epithelial)
Endothelial
Fat storing (ITo) - vitamin A

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11
Q

What is the use of mucus in the intestines

A

Prevent acid from stomach breaking down villi

peristalsis

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12
Q

What do paneth cells contain

A

Bacteriacidal lysozyme

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13
Q

What do enter-endocrine cells contain

A

GLP-1 receptors

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14
Q

What does GLP-1 do

A

Signals to the stomach to delay emptying

Prepare intestine for onslaught of food

Improves insulin sensitivity

Improves beta cell sensitivity

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15
Q

Where is the G6Pase localised in the cell of eg. a hepatocyte

A

Endoplasmic Reticulum

facing inside of the lumen

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16
Q

What are the two parts to the ER

A

Lumen and cytoplasmic contacting part

17
Q

Is glucose 6-phosphate lipid or water soluble

A

Water - ER is mostly lipids

18
Q

What do T1 do

A

Transport G6P into the ER

19
Q

What T2 and T3 do

A

Transport Glucose (T3) and inorganic phosphate (T2) out of the ER

20
Q

What do stabilising proteins do

A

Maintain integrity of catalysing subunit

21
Q

What would happen if glucokinase was present in the cytoplasm of a hepatocyte with glucose present

A

Glucose converted to G6P before ER converts it back to glucose (futile cycle)

22
Q

How do you get around the futile cycle during high glucose times

A

GLUT2 in membrane
glucose will enter and be converted to G6P by glucokinase enters glycolysis

23
Q

What happens in times of low glucose levels

A

GK moves away into the nucleus, no G6P is made, futile cycle is created, glucose leaves cell and increases blood glucose levels

24
Q

What is G6Pase an example of

A

Multi-component enzyme system

25
What is the defect for each component of the system
Ia - Catalytic subunit Ib Glucose-6-phosphate Transporter (T1) Ic Inorganic Phosphate Transporter (T2) IaSP Stabilising protein (calcium-dependent)
26
What is the rate of GSD type 1
1/100,000 births
27
Where is the G6Pase gene located
Chromosome 17 (17q21)
28
What is an example of a glucocorticoid
Cortisol
29
What is cortisol secretion controlled by
Anterior pituitary gland (ATCH)
30
What are the 3 different steroids (secreted from adrenal cortex)
Mineralocorticoids Glucocorticoids ???
31
What is secreted from the adrenal glands medulla
????
32
What is the Glucocorticoid mechanism of action
Binding of cortisol to the glucocorticoid receptor induces translocation of the hormone/receptor complex into the nucleus. Here the complex acts as a transcription factor regulating the expression of target genes through the glucocorticoid response element (GRE) in the promoter region of genes
33
What are some symptoms of GSDI
1. Protruding abdomen – this is due to hepatomegaly (enlarged liver – as a result of increased deposition of glycogen) 2. Fasting-induced hypoglycaemia (occurs 2-4hr post-prandially) Normal glucose concentration is approximately 5.0-5.5mM (100mg/dl) GSDI glucose concentration is less than 4.0mM (<70mg/dl) 3. Growth failure
34
What are some biochemical characteristics of GSD1
1. Hypoglycaemia 2. Hyperlacticacidemia 3. Hyperlipidaemia 4. Hyperuricemia
35