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40 Cards in this Set

  • Front
  • Back
A unconscious patient comes in after being deprived of Oxygen. Why is the most likely acid-base disturbance found in this patient?
Lactic Acidosis

lactate buildup
Dihydroxyacetone phosphate ---> 3-phosphoglycerol

(NADH + H+ ---> NAD+)

what enzyme catalyzes this reaction?
3-phosphoglycerol dehydrogenase
3phosphoglycerol ---> Dihydroxyacetone phosphate

FAD----> FADH2

what enzyme catalyzes this reaction?
flavoprotein dehydrogenase
What is the Malate-Aspartate shuttle?
Transfers H+

across inner mitochondrial membrane
Electron transfer in the ETC involves ? reactions
redox
Lack of Oxygen will affect the ETC how?
Oxygen is required to take electrons from Fe2+

without oxygen, this causes a back up in the ETC and causes failure of the system.

NADH builds up way too high and body has to find a different way to reduce NADH ---> NAD+
? glycolysis is the ATP synthesizing strategy used by erythrocytes and cells that lack oxygen.
Anaerobic glycolysis
Protein complexes in the ? generate the proton gradient in mitochondria.
Inner mitochondrial membrane
Mitochondira allow what type of glycolysis?
Aerobic
Which complex in the ETC creates ATP?

ATP are created where in the mitochondria?
Complex V

mitochondria matrix (pumped out by ATP transporter)
True or False

ETC is composed of proteins from both Mitochondrial and Nuclear genomes
True
Cyanide inhibits ? of cytochrome oxidase (Complex IV).
Cytochorome a3
The conenzymes of complex I can have ? different oxidation states. They can can carry up to ? electrons.
3 different oxidation states

hold up to 2 electrons
True or False

During normal metabolism, oxygen is converted into reactive oxygen species -- then finally converted to H2O
True
Primary sites of ROS formation in mitochondrial metabolism are ? and ? in the ETC.
Complex I

Complex III
What powers ATP synthase in the mitochondria?
H+ gradient

intermembrane space ----> matrix
True or False

ATP synthase is similar to flagellum motors
True

both are driven by H+ gradient
If the H+ gradient is too low to generate ATP in the mitochondria what can be done to maintain the proton gradient?

When would this occur?
ATP synthase will start to reverse

instead of MAKING ATP it will hydrolyze the ATP and make ADP causing the H+ to be pumped back into the intermembrane space.

HAPPENS DURING HYPOXIA!!
What is the purpose of salicylates?

Why is this bad?
Salicylates can cross membranes in both ACID and CONJUGATE BASE forms.

Transports protons across the membrane DOWN their concentration gradient.

inner membrane of mitochondria is IMPERMEABLE to ions --- salicylates will destroy the H+ gradient.
Aerobic metabolism consumes pyruvate by conversion to AcCoA and then catabolism to ? in the TCA cycle
CO2
TCA cycle begins with AcCoA and converts these to what byproducts?
Co2

3 NADH
1 FADH2
1 GTP
What enzymes create NADH in the TCA cycle?
Isocitrate Dehydrogenase

α-ketoglutarate dehydrogenase complex

Malate dehydrogenase
What enzyme creates FADH2 in the TCA?
Succinate Dehydrogenase
What enzyme creates GTP in the TCA cycle?
Succinyl-CoA synthetase
The conversion of succinate ---> fumerate occurs by enzymes found in what complex of the ETC?
Complex II
What is the electron carrier during the succinate ---> fumerate reaction?
Coenzyme Q
Fumarase deficiency will cause?
fumarate to build up

this causes a back up in the TCA cycle

also affects Complex II in the ETC
What enzymes in the TCA cycle are irreversible?
Citrate Synthase

Isocitrate Dehydrogenase

α-ketoglutarate dehydrogenase multienzyme complex
What are the 3 regulatory enzymes of the TCA?
Citrate Synthase

Isocitrate Dehydrogenase

α-ketoglutarate dehydrogenase multienzyme complex
? causes an INCREASE in TCA cycle production.
Ca2+
What substrate in the TCA cycle allows conversion to amino acids?
α-ketoglutarate
Synthesis of Cholesterol and Fatty acids occurs from what substrate in the TCA?
Citrate
Synthesis of Porphyrins occurs from what substrate in the TCA cycle?
Succinyl-CoA
What elevated levels are found in healthy prostate?

Decreased levels of this may indicate malignant prostate cancer!
Citrate
True or False

Malignant Prostate cancer will exhibit use of Zinc.
False

NO ZINC = Cancer
Oxidative phsophorylation requires Oxygen --> where does the oxygen end up (byproduct)?
In H2O

NOT CO2
REMEMBER

Metabolic Disease characterisitcs
-elevated blood lactate
-acidosis, ketoisis or hyperlactatemia
REMEMBER

Metabolic Disease characterisitcs
-elevated blood lactate
-acidosis, ketoisis or hyperlactatemia
a high NADH/NAD+ ratio will activate what type of synthesis?
Lactate synthesis

to compensate for all the high NADH (body needs NAD+ so lactate synthesis occurs to replenish)
What is the source of bicarbonate for metabolic acidosis derived from?
CO2 ---from TCA cycle in the mitochondria
Mitochondria enables aerobic oxidation and is KEY for converting ? to ? because of oxygen accepting electrons.
NADH ----> NAD+