Review of Metabolism Flashcards

(25 cards)

0
Q

What are the three main fates of consumed glucose?

A

Oxidation for energy
Synthesis of many compounds
Storage in glycogen and TAG

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1
Q

What is the caloric content of glucose per gram? Fatty acids? Protein?

A

Glucose: 4 kcal/g
Fatty acids: 9 kcal/g
Protein: 4 kcal/g

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2
Q

What are the three main fates of consumed amino acids?

A

Oxidation for energy
Protein synthesis
Synthesis of nitrogen containing compounds

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3
Q

What are the three main fates of consumed fatty acids?

A

Synthesis of membrane lipids
Beta oxidation for energy
Storage in adipose as TAG

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4
Q

What does insulin levels do to glucagon?

A

Higher levels inhibit release of glucagon

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5
Q

What hormones will be released from a high protein diet?

A

High glucagon, low insulin

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6
Q

What hormones will be released from a high carb meal?

A

Lots of insulin, low glucagon

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7
Q

What two pathways are activated by the insulin receptor?

A

MAPkinase and protein phosphorylase 1

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8
Q

What types of cells release glucagon?

A

Pancreatic alpha cells

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9
Q

How does the brain respond to being in the fed state? Fasted?

A

Oxidizes glucose through oxidative phosphorylation

Uses glucose and ketone bodies for the TCA cycle

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10
Q

How do red blood cells respond to a fed, fasted, or starved state?

A

ALWAYS glucose fermentation to pyruvate and lactate

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11
Q

How do white fat cells react to the fed state? Fasted state?

A

Ferments glucose to glycerol 3 phosphate, the backbone for TAG synthesis
Fasted: Lipolysis of triacylglycerol produces fatty acids for use in liver and cardiac muscle. Also releases glycerol for liver gluconeogenesis

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12
Q

How do skeletal muscles react to being in the fed state? Fasted?

A

Fed: Glycolysis, fatty acid metabolism, glycogenogenesis, protein synthesis
Fasted: Proteolysis produces amino acids. Branched chain amino acids are used for fuel. Alanine/glutamine transported to liver for gluconeogenesis

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13
Q

How do cardiac muscle react to being in the fed state? Fasted?

A

Fatty acid beta oxidation (60-80%)
Glucose metabolism (20-40%)
Fasted: Fatty acid comsumption increases, glucose decreases

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14
Q

What three things are converted to alpha ketoglutarate by the intestinal epithelial cells during the fast state?

A

Glutamine, glutamate, aspartate

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15
Q

What do coloncytes do in the fasted state?

A

Use short term fatty acids produced by gut bacteria

16
Q

How long after eating is considered the fasted state?

17
Q

Where does the intestinal epithelium primary source of glutamine come from during the fasted state?

A

Blood, proteolysis

18
Q

What molecule becomes the predominant fuel source in the prolonged fast state?

A

ketone bodies

19
Q

What are some things that would cause a hypercatabolic state?

A

Trauma, sepsis, rapid blood loss, burns, surgery

20
Q

What is epinephrine’s role in the hypercatabolic state?

A

Activates epinephrine sensitive lipase, mobilize fat from adipose tissue

21
Q

What is cortisol’s role in a hypercatabolic state?

A

Activates proteolytic activity in muscles, increases amino acid mobilization

22
Q

What is glucagon’s role in hypercatabolism?

A

Activates hepatic glycogenolysis and gluconeogenesis

23
Q

What is the equation for nitrogen balance?

A

Nitrogen balance = Consumed Nitrogen - (Urine Urea Nitrogen Level + 2)

24
What cells have adapted to use glutamine as a fuel source? What do they have in common?
Gut epithelial cells, lymphocytes, malignant cells | They have rapid turnover