lecture 34 - alcohol metabolism Flashcards

1
Q

what is ethanol an agonist of

A

the GABAA receptor

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2
Q

how does alcohol effect the nervous system

A

by binding to the GABAA receptor

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3
Q

what is the GABAA receptor

A

membrane bound ligand gated chloride channel

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4
Q

what happens when the GABAA is activated

A

selectively conducts Cl- ions causing an inhibitory effect on neurotransmission by reducing the chance of a successful action potential

= more chloride molecules flow through the membrane

  • damps down responses to other stimuli
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5
Q

how is ethanol converted to acetaldehyde

A

alcohol dehydrogenase
- NAD+ is reduced
- NADH can the be oxidised in the mitochondria

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6
Q

what is acetaldehyde

A

it is a toxin, build up of this causes the feelings of a hangover

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7
Q

what happens to acetaldehyde in the body

A

rapidly removed from the body as it is a toxin

  • aldehyde dehydrogenase reduces NAD+ to convert acetaldehyde to acetate
  • NADH can be sent for oxidative phosphorylation
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8
Q

what are the forms of alcohol dehydrogenase

A

mitochondrial = mostly

also

cytosolic

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9
Q

how can aldehyde dehydrogenase be inhibited clinically

A

by a drug called Antabuse = aldehyde dehydrogenase inhibited so causes build up of acetaldehyde which makes the individual feel unwell

  • good for treating alcohol issues
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10
Q

what converts acetate into Acetyl CoA and what does this mean

A

Acetyl CoA synthetase

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11
Q

does alcohol metabolism have a negative feedback loop

A

no, unlike other pathways alcohol metabolism does not have a negative feedback loop = so it rapidly produces Acetyl CoA

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12
Q

what effects does ethanol metabolism have on other metabolic process in the liver

A

slows the :

  • citric acid cycle
  • electron transport chain
  • pyruvate dehydrogenase
  • glycolysis (phosphofructinase)
  • fatty acid oxidation
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13
Q

ethanol metabolism causes fatty acids to be oxidised to TAG which means …

A

increased triacylglycerol in the liver
- can also result in hypercholesterolaemia and hypertriacyglycerolaemia

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14
Q

ethanol metabolism causes pyruvate to converted to lactate which means …

A

decreased pH = lactate is acidic

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15
Q

ethanol metabolism inhibits glucogenesis which means

A
  • can cause low blood glucose
  • can cause coma
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16
Q

what is the alternative way of metabolising alcohol

A

ethanol converted to acetaldehyde by = oxidase

acetaldehyde converted to acetate by = alcohol dehydrogenase

17
Q

what are the problems with oxidase in the alternative way of metabolising alcohol

A

oxidase can also give rise to reactive oxygen species