Turco 5 Flashcards

(38 cards)

1
Q

Glycogen bonds

A

Alpha 1,4 - most common

Alpha 1,6 - branch

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2
Q

All glycogen link to

A

Glycogenin protein

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3
Q

Why make a polymer vs free glucose?

A

Polymer will not draw as much water

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4
Q

Where is glycogen made?

A

Liver and muscle

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5
Q

Why branched vs linear glycogen?

A

Branched is more soluble because more terminal glucoses
Branched can make glycogen available more quickly…need to increase muscle contraction, need ATP, need to oxidize glucose, glucose needs to be available

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6
Q

Why not make more than 1 pound of glycogen?

A

Glycogen must have water so it would take up too much space

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7
Q

Glycogen problems often manifest as

A

___megalies

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8
Q

Advantage to TG storage

A

No water accompanies TGs

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9
Q

Glycogen synthesis process

A

Glucose enters via GLUT2/4
Made into G-6-P, then G-1-P then UDP-glc
Glycogen synthase forms alpha 1,4 bonds and branching enzyme forms alpha 1,6 bonds

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10
Q

Glucose-6-phosphate important

A

Can go to glycogen synthesis, pentose phosphate, or glycolysis

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11
Q

Glycogen syntahse regulation

A

Insulin will increase activity by dephosphorylating

Off by epinephrin and glucagon

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12
Q

Glycogen degradation

A

Glycogen phosphorylase uses INORGANIC PHOSPHATE to break alpha 1,4
Debranching enzyme hydrolyzes alpha 1,6
This forms glucose-1-P, then glucose-6-phosphate
G-6-P in liver ONLY, forms glucose via glucose-6-phosphatase

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13
Q

Muscle vs. liver with glycogen

A

Muscle will NOT release glucose back into bloodstream because no glucose-6-phosphatase…liver will

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14
Q

Glycogen phosphorylase mechnaism

A

Off by insulin via dephosphorylation

On by epinephrine and glucagon

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15
Q

In hard working muscle ONLY

A

AMP can allosterically activate glycogen phosphorylase

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16
Q

Allosteric effects of AMP in hardowrking muscle

A

Turn on glycogen phosphorylase
INcrease GLUT4 on muscle surface to increase glucose uptake
Turn on PFK1 to drive glycolysis

17
Q

Type 1 name, enzyme, structural/clinical consquences

A

von Gierke’s
G-6-Pase
Severe postabsorptive hypoglycemia, lactic acidemia, hyperlipidemia, hepatomegaly***

18
Q

Explanation for type 1 symptoms

A

Hypoglycemia because can’t mobilize glucose from liver
Hyperlipidemia because severe hypoglycemia so glucagon and cortisol secreted and turn on HSL which breaks down TGs and FAs released into blood

19
Q

Type 2 name, enzyme, clinical

A

Pompes
Lysosomal alpha galactosidase (acid maltase)
Glycogen grnaules in lysosome and cardiomegaly

20
Q

Explanation of Type 2

A

Alpha 1,4 glucosidase affected

21
Q

Type 3 name, enzyme, clinical

A

Cori’s
Debranching enzyme
altered glycogen structure and hypoglycemia

22
Q

Type 4 name, enzyme, clinical

A

Anderson’s
Branching enzyme
Altered glycogen structure

23
Q

Type 3 vs. 4

A

4 - structure will be linear like starch

3 - single glucose stubs that can’t be removed

24
Q

Type 5 name, enzyme, clinical

A

McArdle’s
Muscle phosphorylase
Excess muscle glycogen deposition, exercise induced cramps and fatigue

25
Type 6 name, enzyme, clinical
Hers Liver phosphorylase Hypoglycemia (not as severe as von Gierke's) and hepatomegaly
26
Why is type 6 not as severe as type 1 hypoglycemia
Can make G-6-P from glycogen or gluconeogenesis Type 6 interferes with just the glycogen degradation Type 1 interferes with G-6-P conversion to glucose
27
Type 5 mech
Child running around, epinephrine released, muscle targeted, glycogen synthase off and phosphorylase on and can't break down
28
Myopathic carnitine def vs. type 5
MC def - build up of TGs in muscle cytoplasm (Oil Red O or Sudan Black stain) Type 5 - PAS stain will show glycogen in cytoplasm
29
Liver glycogen supply
12 hours sitting | 1 hour exercising
30
RBCs cannot use
FAs or KBs
31
Methylmalonyl CoA mutase presnetation
Peripheral neuropathy with methylmalonyl acidemia and aciduria
32
MCAD presentation
Hypoglycemia and dicarboxylic acidemia
33
Energy of fuels
Carbs - 4 Fat - 9 Alcohol - 7
34
When does KB synthesis begin?
90 minutes after last meal
35
FA glucose
FA cannot be made into glucose but can be made from glucose
36
Where are KBs formed?
Liver
37
Acylcarnitines indicate
MCAD
38
Urea cycle and B-oxidation
B-oxidation powers urea cycle so if problem with B-oxidation then hyperammonia