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444 Cards in this Set

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Henderson-Hasselbach equation
pH = pKa + log ((A-)\(HA))
When is the buffer capacity highest?
when pH = pKa
1 kcal = x kJ?
1.4 kJ
aromatic AAs
tyrosine, tryptophan, phenylalanine
D- or L- saccharides are important in nature?
D-monosaccharides
anomer
cyclic stereoisomerism (mutarotation) (used for saccharides), alpha and beta
epimer
isomers of saccharides differing in orientation of one -OH group in space
mannose
2-epimer of Glc
Gal
4-epimer of Glc
reducing sugar
any sugar that form carbonyl group (hemiacetal) (=sucrose is not)
cellulose
βGlc(1→4)Glc
Inulin, what, source
Frc β(2→1) (can have terminal glucose), fructan fiber found in plants
coagulation factors acted on by gamma-glutamyl carboxylase
2,7,9,10
Vitamin B1/Thiamine, deficiency-related disorder
1 Beriberi (SEA - processed rice, symptoms - wet beriberi = high-output cardiac failure, dry beriberi = peripheral neuropathy) 2 Wernicke-Korsakoff encephalopathy (ataxia, memory loss - pathonomic = confabulous (make up stories about past events and believes it, breakdown of brain tissue, malnutrition in long-term alcoholism)
Vitamin B1/Thiamine, function
TDP/TPP(Thiamine pyro/diphosphate) is co-factor for several enzymes - transketolase (PPP), alpha-ketoacid decarboxylation (PDH, alphaketoglutarate DH)
Vitamin B2/Riboflavin, deficiency-linked disorder, characteristic
3 mouth disorders - angular stomatitis/cheilitis (inflammation and fissuring radiating from the commissures of the mouth), glossitis, cheilitis (inflammation of lips)
Vitamin B2/Riboflavin, function
form the co-factors FMN (flavin mononucleotide) (complex I) and FAD (flavin adenine dinucleotide) (complex II) (both are not nucleotides because sugar is ribitol not ribose
Vitamin B3/Niacin, deficiency-linked disorder
Pellegra - ''maize diet'' (central and south american indians), 3Ds - diarrhea, dementia, dermatitis (by hartnup disease)
Vitamin B3/Niacin/Nicotinic acid - function
form co-factors NAD (nicotinamide dinucleotide) (catabolism) and NADP (anabolism (FA, cholesterol))
Vitamin B3/Niacin/Nicotinic acid, source
endogenous - from Trp (Trp -> kynurenine -> Niacin)
Vitamin B5/Pantothenic acid, function
in co-factors CoA and ACP (acyl-carrier protein, FA synthesis, not really cofactor)
Vitamin B6/Pyridoxine, function
co-factor pyridoxal phosphate (PLP) (oxidized pyridoxine which is alcohol) - 1 transaminases (form schiff base) 2 glycogen phosphorylase (unknown function) 3 glutamic acid decarboxylase (glutamate to GABA) 4 some deaminations
Vitamin D/Cholecalciferol (calciol), source
7-dehydroxycholesterol –(UV)-> cholecalciferol\calciol –(25-hydroxylase, liver)-> ergocalciferol/calcifediol\25-hydroxycholecalciferol (low activity) –(1-α-hydroxylase, kidney, control point)-> calcitriol\1,25-dihydroxycholecalciferol (high activity)
Vitamin D/cholecalciferol, main effect
hypercalcemic in intestine (VDR in nucleus, gene regulatory complex, calbindin++) and to a lesser degree in kidney, hyperphosphatemic in intestine and kidney (inhibit excretion)
Vitamin K - function
co-factor for gamma glutamyl carboxylase (double carboxylate glutamate at Cgamma, so coagulation factors can bind to Ca2+, one of few carboxylase which don't use biotin)
Vitamin K, vitamin B7/H/Biotin, and vitamin B12/Cobalamin- source
intestinal bacteria (and ingested bacteria)
vitamin K-associated deficiency disorder - cause, signs
newborns (underdeveloped GI flora), hemoorrhage
Warfarin - effect
vitamin K antagonist (by inhibiting vitamin K epoxide reductase (recycles oxidized vitamin K to its reduced form after it has carboxylated))
1-2?
1 nicotinamide 2 Nicotinamide adenine dinucleotide phosphate (NADP+) (NAD+ lack Pi on 2 of adenosine)
?
flavin mononucleotide (FMN)/Riboflavin-5'-phosphate
?
FADH2 (sugar of flavin is ribitol so its not technically a nucleotide, link is C-N not C-O-N (glycosidic)) (the two Hs is attached to the 2 free Ns of flavin)
?
Thiamine
?
TDP/TPP (Thiamine pyrophosphate)
?
Ascorbic acid
aryl
an organic radical derived from an aromatic compound by removing a hydrogen atom
compound?
Riboflavin/B2
excessive vitamin D intake is linked to
1 hypercalcemia 2 hypercalcification of soft tissue 3 stupor 4 inability to eat
imines 1 aldimine - primary and secondary 2 ketimines - primary and scondary
1 primary aldimine = C(R)(H)=NH, secondary aldimine C(R)(H)=NR'' 2 primary ketimine C(R')(R'')=NH, secondary ketimine C(R')(R'')=N-R'''
Schiff base, used by which enzymes (2)
condensation product of aldehyde/ketone w a primary amine (one C) form a secondary imine/schiff base which is C(R')(H/R'')=N(R''/R'''), 1 transaminases (pyridoxine) 2 aldolase
Vitamin A deficiency - signs & symptoms
1 Night blindness 2 Skin disorders 3 Improper bone formation 4 Inadequate tooth enamel
vitamin B6/pyridoxine, deficiency-related disorder
pyridoxine deficiency - neurological = peripheral neuropathy (sensory), scaly dermatitis, anemia
Vitamin D deficiency related disorders
1 Rickets (children) 2 Osteomalacia (adults) 3 melanona (epidemiological linkage)
Vitamin H/biotin/vitamin B7, deficiency-linked disorder
due to raw egg white diet (the thermolabile protein avidin bind biotin, need 20 egg whites/day) - neurological (depression, lethargy), conjunctivitis, dermatitis
Vitamin H/Vitamin B7/Biotin, function
cofactor for most carboxylase reactions (pyruvate carboxylase, PEP carboxylase, acetyl-CoA carboxylase, Propionyl-CoA carboxylase)
beta oxidation, repetitive process
1 oxidation (acyl CoA DH, FAD) 2 hydration (enoyl CoA hydratase, = beta-hydroxyacyl CoA) 3 oxidation (beta-hydroxy acyl CoA DH, = beta-keto acyl CoA) 4 thiolysis (beta-ketothiolase = fatty acyl CoA + acetyl CoA
effect of binding of xenobiotics on excretion time
decreased - can only act on free substances
fatty acid synthesis - repetitive process
1 condensation (acetyl + malonyl, malonyl decarboxylates = beta-ketoacyl) 2 reduction (NADPH, = beta-hydroxyacyl) 3 dehydration (produce double bond between C2-C3) 4 reduction (double bond is reduced by NADPH = four-carbon acyl)
folate - deficiency-linked disorder
1 megaloblastic anemia (due to arrest of DNA synthsis in rapidly dividing cells) 2 neurotubule defects (spina bifida) (both defects are due to folate being able to carry many types of one-carbons (formyl, methyl, methylene), but methyl group can only be removed by b12, methylene-tetrahydrofolate is needed to make thymidine)
folate, function
dihydrofolate reductase (inhibit by methotrexate) reduce it to the co-factor tetrahydrofolate (THF), function as one-carbon donor (from serine, glycine, formaldehyde, histidine, to dUMP (becomes dTMP) and in purine synthesis)
In what 4 ways are pyridoxine needed in the body? (not at biochemical level)
1 antibodies 2 hemoglobin 3 utilization of copper 4 utilization of iron
lipoic acid, involved in which reactions?
oxidation of the keto group of a decarboxylated alpha-ketoacid
testosterones - number of Cs of 1 cholestanes (cholesterol) 2 cholanes (cholic acid) 3 pregnanes (progesterone) 4 androstanes (testosterone) 5 estranes (estradiol)
1 27 2 24 3 21 4 19 5 18
vitamin B12/cobalamin, function
co-factor for 2 enzymes - 1 methyl-malonyl CoA mutase (MUT) (propionyl CoA accumulation in brain = neurological symptoms) (co-factor = adenosylcobalamin) 2 5-methyltetrahydrofolate-homocysteine methyl transferase MTR): homocysteine -> methionine (co-factor = methylcobalamin) (deficiency “traps” THF as 5-methyl-folate)
vitamin B12/Cobalamin, structure
cobalt in a ring that resemble porphyrin
vitamin B12/cobalamin-deficiency linked disorder
cause a functional deficiency of folate (megaloblastic anemia, spinal cord abnormalities), linked to lack of intrinsic factor
vitamin C - function
1 hydroxylation reactions (proline and lysine for collagen) 2 absorption of iron facilitator 3 antioxidant
vitamin C-linked deficiency disorder
Scurvy - easy bruising, muscular fatigue, hemorrhage and anemia
Vitamin E, functions
1 Protect against hemolysis 2 Aid in rbc production 3 Support liver and muscle function (4 cardioprotective in high doses)
Vitamin E/Tocopherol - mechanism behind its cardioprotective effect
vitamin E/tocopherols in high doses (above 2500 units/day) is shown to be cardioprotective in some research (hypothesis = vit D is carried in LDL and help prevent oxidation of LDL particles, main negative effect of LDL is through oxidized particles, must take high dose vitamin C also to recycle oxidized vit E)
albumin binds
1 FFAs 2 Drugs 3 Non-conjugated bilirubin (Gilbert sy) 4 Hormones 5 Some fat-soluble vitamins 6 Ca2+
cytochrome P450 - characteristics
1 important polymorphism (warfarin) 2 broad/low substrate specificity 3 most are inducible (u transcriptional level)
cytochrome P450 - location
hemoproteins in membrane of SER or inner mitochondrial membrane, most abundant in 1 liver 2 small intestine 3 lungs (also involved in biosynthesis of steroids, bile acids, eicosanoids and unsaturated FAs) 4 skin
Cytochrome P450 family - nomenclature (use CYP3A4)
CYP = cytochrome P450, 3 = family, A = subfamily (based on AA-sequence), 4 = isoform
cytochrome P450 system - mechanism
isoenzyme family of a 60, monoxygenase, receive electrons from NADPH-cytochrome P450 reductase and transfer them to FAD for reduction of molecular oxygen (create superoxide) to incorporate it into the substrate
drugs - example of polar and nonpolar
polar = amiodarone, phentanyl (transdermal uptake), non-polar = penicillin
enzyme/reaction of phase I/biotransformation phase of xenobiotic metabolism
1 hydrolases (esterases, peptidases) 2 Cytochrome P450 system (CYP450 family of co-factor)/mixed function oxidase(MFO)(describe their broad specificity)/Monooxygenases (describe their mechanism) 3 deamination, dealkylation 4 amidation 5 carboxylation
how is paracetamol and aflatoxins hepatotoxic?
1st biotransformation reaction create radical. Its hepatoxic by depleting NADPH (CYP450) which result in ability to neutralize radicals and necrosis
metabolism of xenobiotics can cause
1 lowered toxicity 2 increased toxicity 3 bioactivation 4 increasing their water solubility
mixed function oxygenase (MFO)
any monooxygenase that catalyzes AH + O2 + DH2 -> AOH + H2O + D
phase I, biotransformation of xenobiotics, location
ER-membranes and cytoplasm, primary liver also lungs, intestine, skin and kidneys
phases of metabolism of xenobiotics
1 biotransformation (create polar functional groups) 2 conjugation (polar endogenic compounds is attached)
reactions of phase I of xenobiotic metabolism
1 hydrolysis 2 oxidation (hydroxylation, epoxidation) 3 oxidative cleavage (dealkylation, deamination) 3 reduction 4 methylation
simplifed reaction of CYP450 system
o R-H + O2 + NADPH + H+ -> R-OH + H2O + NADP+ (FAD as intermediate electron transporter, create superoxide)
which substances can be epoxidized? by which enzyme?
aryls (aromatic compounds) and alkenes (less frequently), CYP450 system
acetylsalicylic acid (cyclooxygenase inhibitor), degradation
1 ester bond is hydrolyzed (intestine, blood) 2 conjugate w glycine = salicyluric acid
aflatoxin b1 (aromatic 5-ring compound) - carcinogenic effect
its biotransformed carcinogenic epoxide forms guanine adduct
conjugate endogenic substrates and their active form
1 glucuronic acid (UDP-glucuronate) 2 sulfate (PAPS (3-phosphoadenosine-5-phosphosulfate)) 3 acetate (Acetyl CoA) 4 Cysteine (Glutathione) 5 CH3 (SAM) 6 Gly, Glu (amidation)
Cytochrome P450 system - most active enzyme
CYP3A4
degradation of glutathione-conjugated compound (bound to S of cysteine)
1 glutamyl (gamma-glutamyl-transpeptidase) and glycinyl (dipeptidase) is removed 2 acetyl added to amine of cysteine (N-acetyltransferase) 3 mercapturic acid is excreted
how is atherosclerosis linked to alcoholism?
↑ synthesis of FAs and Cholesterol (↑acetyl CoA substrate) -> ↑VLDL and LDL
how is liver cirrhosis (loss of structural arrangement) caused by alcoholism?
via liver steatosis (↑TAG <- ↓VLDL <- ↓protein <- malnutrition) and then liver fibrosis, by ROS-induced necrosis (depleted NADPH)
main enzyme which degrades catecholamines? mechanism?
Catechol O-methyl transferase (COMT), introduce a methyl group from SAM
methanol - toxic and lethal dose
5-10 mL, 30 mL
methanol - why is it toxic? cause of death?
toxic due to formic acid (strongest organic acid), die of metabolic acidosis (loss of sight due to formic acids toxic effect on the optic nerve)
pharmacodynamics of ethanol
90% is metabolized (as energy, not gluconeogenic), 10% excreted (urine, breath, perspiration)
which 3 compounds is absorbed in the stomach?
1 Ethanol 2 Water (aquaporins) 3 SCFAs (short-chain FAs)
which compounds is conjugated by GSH?
electrophilic xenobiotics - ie drugs and carcinogens (which could otherwise form adducts)
which enzyme can degrade/neutralize a carincogenic epoxide (located in ER)
epoxide hydrolase (create diols)
which substances can be conjugated by sulfation?
1 some alcohols 2 arylamines 3 phenols 4 steroids 5 glycolipids 6 glycoproteins
ammonia for urea cycle - produced by
1 glutaminase 2 glutamate DH 3 from aspartate (deamination) 4 catabolism of Ser, Thr, His 5 intestinal bacteria
chondroitin 6-sulfate
glucuronic acid beta (1,3) N-acetylgalactosamine (6S)
Crigler-Najjar
severe congenital jaundice due to mutation of UDP-glucuronosyl-transferase
Fischer projection, arrow? dotted arrow?
arrow = against, dotted arrow = away from
Gilbert syndrome
decreased activity of UDP-glucuronosyl-transferase (UGT), benign, ''stress''-induced jaundice
glutaminase in the kidney, use of product?
ammonia is excreted in the urine to bind to H+
heparin
glucuronic acid (2S) alpha (1,4) glucosamine (2S,6S)
hyaluronan
glucuronic acid beta (1,3) n-acetylglucosamine
keratan sulfate
galactose alpha (1,4) N-acetylglucosamine (6S)
Leigh syndrome, affect which enzyme complex?
complex II/succinate DH/succinate/co-Q reductase (SQR) (cause encephalopathy)
LHON (Leber's hereditary optic neuropathy), affect which enzyme complex?
complex I/NADH dehydrogenase/NADH
MELAS (mitochondrial encepahalopathy, lactic acidosis and stroke-like episodes), affect which enzyme complex?
complex I/NADH dehydrogenase/NADH
reactive nitrogen species (RNS)
1 nitric oxide (NO*) 2 peroxynitrite (OONO-)(not free radical, but still very reactive)
reactive oxygen species, which
1 oxygen/O2** (biradical = 2 unpaired electrons) 2 superoxide/O2-* (oxygen + 1e-) 3 peroxide (O22-) (not a free radical, but very reactive) 4 hydroxyl radical (OH-*)(most reactive)
source of free radicals
1 neutrophils and macrophages (superoxide) 2 NO synthase (signaling, leukocytes) 3 ionizing radiation (create hydroxyl radicals) 4 electron transport chain (I, III, glycerol phosphate DH) 5 ferrous ion (2+) oxidation
ascorbic acid - mechanism as antioxidant
aromatic hydrophilic ring, when its transformed into a free radical its simply excreted (ie reduce ferrous ion (3+) and cuprous ion)
damage of lipids by free radicals
1 free radical take a H+ from a single bond between two double bonds of a unsaturated FA 2 fatty acid = fatty acid radical at C 3 fatty acid radical at C + oxygen = peroxyl radical 4 peroxyl radical take H+ from neighboring FA = FA peroxide + new peroxyl radical
dismutation
type of reaction where two molecules of the same compound react together to form one oxidized and one reduced form
Incretins, what? which?
GI hormones that cause an increase in insulin release after eating before blood glucose levels become elevated, GLP-1 (glucagon-like polypeptide 1) and GIP (gastric inhibitory peptide)
metabolic pathways in SER
1 TAG & PL synthesis 2 elongation and desaturation of FAs 3 steroid synthesis 4 biotransformation of xenobiotics 5 Glu-6Pase
metabolic pathways in the cytosol?
1 glycolysis 2 glycogenesis & lysis (liver & muscle) 3 pentose cycle 4 fatty acid synthesis 5 non-essential AA synthesis 6 transamination reaction 7 purine and pyrimidine metabolism 8 gluconeogenesis (from OAA or glycerol) (9 part of 1 urea synthesis (liver) 2 heme synthesis)
metabolic pathways in the mitochondria
1 PDH complex 2 beta oxidation 3 ketone body synthesis (liver) 4 oxidative deamination of glutamate 5 transaminations 6 citrate cycle (matrix) 7 resp chain (inner mitochondrial membrane) 8 aerobic phosphorylation (Fo F1 ATPase)(inner mitochondrial membrane) (9 part of 1 gluconeogenesis 2 heme synthesis 3 urea synthesis (liver))
most susceptible groups of AAs to free radical damage, what?
cysteine (due to thiol group) (form thiol radical = thiyl -> disulfide, sulfinic acid (hydroxyradical + (-SOH))
NAs, damage of NAs
1 damage at base (attach radical -> hinder base pairing -> mutation) 2 damage sugar (break strand -> repair (non-perfect) -> increased risk of mutation)
peroxidase group, reaction, members
hydrogen peroxide -> water + oxygen, 1 catalase (heme w iron) (high substrate specificity) 2 glutathione peroxidase (thiol of GSH as functional group, create GSSG) (low substrate specificity) (Selenium co-factor (as selenocysteine)
principle of mechanism of small molecule antioxidants
structure = aromatic + long hydrophilic chain, antioxidant by being formed into a radical and stabilizing it to stop the chain reaction (stabilize due to delocalization of unpaired electron), regeneratable (CoQ = complex III, dismutation, Tocopherol = ascorbic acid)
reservatrol, belong to which group? source? effect?
flavonoids/polyphenols (also dark choccolate), red wine, inverse correlation w cardiovascular disease (upregulate Mn-SOD, estrogen-ish effect)
small molecule antioxidants - which
1 Coenzyme Q (CoQ)/Ubiquinone (lipophilic) 2 vitamin E/tocopherol (lipophilic) 3 ascorbic acid (hydrophilic)
sources of NADH?
1 aerobic glycolysis 2 PDH reaction 3 beta-oxidation 4 citrate cycle 5 ethanol oxidation
superoxide dismutase, reaction, isoenzymes
2 superoxides (+2H+) -> (hydrogen)peroxide + oxygen, 2 isoenzymes = Cu/Zn-SOD (u in cytosol), Mn-SOD (mitochondrial)
4 principle mechanisms for regulation of metabolism
1 substrate supply 2 allosteric effectors 3 covalent modification of enzymes (kinase/phosphatase, zymogens) 4 induction/repression (transcriptional, induced by substrate, repressed by product)
co-factor of glucokinase/hexokinase, PFK-1, Phosphoglycerate mutase, Enloase, Pyruvate kinase and isocitrate DH?
Mg2+
examples of cross regulation
1 ↑citrate = inhibit PFK-1 (glycolysis), activate acetyl-CoA carboxylase (FA synthesis) 2 ↑acetyl CoA = inhibit PDH, activate pyruvate carboxylase (gluconeogenesis) 3 ↑malonyl-CoA inhibit CPT-I (beta oxidation)
glutamine is used for
1 nucleotide synthesis 2 detoxifivation of amino (-NH2 transport) 3 citrulline synthesis (for urea cycle)
glycerol phosphate shuttle
electron-transporter. 1 cytosol: cytosolic glycerol-3P DH use NADH to reduce dihydroxyacetone P to glycerol-3P 2 glycerol-3P diffuse to intermembranous space 3 mitochondrial glycerol-3P DH oxidize to glycerol-3P again, giving the electrons to FADH2 (of complex II) = 1 NADH = 1.5 ATP (6H+ due to bypass of complex I)
malate/aspartate shuttle
electron transporter. 1 cytosolic malate DH use NADH to reduce OAA to malate 2 dicarboxylate carrier: malate into mitochondrial matrix, alpha-ketoglutarate out 3 mitochondrial malate DH oxidize it back, releasing NADH 4 aspartate aminotransferase: OAA -> aspartate (glu donate NH2, becomes alpha-ketoglutarate -> dicarboxylate carrier) 5 glutamate\aspartate carrier (asp out, glut in, import 1H+), = 1 NADH -> 9H+ = 2.25 ATP
metabolic reactions in lysosomes
hydrolysis of proteins, saccharides, lipids and NAs
metabolic reactions in peroxisomes
1 oxidative reactions using oxygen 2 use of hydrogen peroxide 3 degradation of long chain FAs (over 20C)
net production of ATP molecules from the oxidation of one molecule of glucose, when the glycerol phosphate shuttle is used
29.5 ATP
substances that affect complex II of respiratory chain
1 malonate (similar to succinate, competitive inhibition of succinate DH) 2 thenoyltrifluoroacetona (inhibit electron flow)
substances that affect complex III of respiratory chain
1 antimycin A 2 myxothiazol (both inhibit electron transfer to cyt C)
substances that affect complex IV of respiratory chain
1 Cyanide 2 Carbon monoxide 3 Azide
substances that affect transport of electrons from complex I to complex III of respiratory chain
1 rotenone 2 piericidin 3 amytal
substances that block the the proton channel/Fo of ATP synthetase
1 Oligomycin 2 DCCD (dicyclohexylcarbodiimide)
what happens w AAs during well fed state?
1 proteosynthesis 2 oxidation (H2O, CO2, urea) 3 transformation to fat in liver 4 enterocytes - Asp, Asn, Glu, Gln -> Ala, Lactate, Citrulline, Pro -> released
conversion factor for kcal (kilocalorie) to kJ
1 kcal = 4.2 kJ
debranching enzyme - components
1 glycosyltransferase 2 alpha(1->6)glucosidase
effect of protein phosphatases 1,2
1 ↓PP-1 inhibitor (by PP2A) 2 ↓phosphorylase kinase (by both) 3 ↑glycogen synthase (PP-1) 4 ↓glycogen phosphorylase 5 ↑FBP-2 (simultaneously inactivate PFK2)
effects of PKA
1 ↓glycogen synthase (a->b) 2 ↑glycogen phosphorylase (b->a) 3 ↑protein phosphatase inhibitor-1 4 ↓protein phosphatase-1 (glycogen phosphorylase a->b) (phosphorylate regulatory site 1 and 2) 5 ↑PFK-2 (simultaneosuly inactivate FPB-2) in cardiomyocytes, opposite in liver 6 ↓liver pyruvate kinase 7 ↑hormone-sensitive lipase
enterocytes, kidney and liver - fate of Gln, Citrulline and Arg?
1 enterocytes: Gln -> citrulline -> released 2 kidneys: citrulline -> Arg -> released 3 liver: Arg -> urea + ornithine (↑Arg -> ↑urea cycle), ↑Gln -> ↑citrulline -> ↑urea synthesis, ↑citrulline -> ↑urea synthesis
enzyme that catalyze: 2ADP -> ATP + AMP
adenylate kinase
glycogen phosphorylase kinase - what is needed for full activation? effect?
1 phosphorylation by PKA (2 sites - on alpha and beta subunit) and Ca2+ (delta subunit - has calmodulin w 4Ca2+ sites)(from alpha-adrenergic stimuli in liver or from sarcoplasmic reticulum in muscle), action by gamma subunit ↑phosphorylase (b->a)(w PKA) + ↓glycogen synthase
GSK-3, full name, what, regulated by?
Glycogen synthase kinase 3, deactivate glycogen synthase, inactivated by PKB/Akt (from PIP3 from insulin)
how is glucose transported from blood to enterocytes?
1 apical membrane: SGLT-1 (also tubule cells of kidney) 2 hexokinase+Glc-6Pase 3 GLUT2
how is glycogenolysis activated?
1 liver: glucaon and adrenaline muscle: adrenaline 2 G protein activate adenylate cyclase: -> cAMP 3 ↑PKA 4 ↑phosphorylase kinase (->phosphorylase (= phosphorylase a) and synthase (to synthase b (inactive)), phosphorylate synthase (= synthase b (inactive))
insulin receptor - effect of kinases
1 translocation (GLUT-4, insulin R, IGF-IIR) 2 enzyme activity (↑insulin R, ↑protein phosphatases(PP1,2), ↓GSK3, ↑cAMP phosphodiesterase 3B) 3 gene transcription (PEPCK, glucagon, hexokinase II (skeletal m), glucokinase....)
insulin receptor - signaling pathway
1 RTK -> ↑IRS 1-4 (insulin receptor substrate) 2 ->↑PI3 kinase (phosphatidyl inositol-3 kinase) (also mSOS which activate MAPK via Ras) 3 -> ↑PDK1\PDPK1 (3-phosphoinositide dependent protein kinase-1) 4 -> ↑PKB\Akt, SGK (Serum and glucocorticoid-inducible kinases), aPKC (atypical PKC), P70S6K (p70 kinase that target S6 ribosomal protein)(also activated by kinase mTOR, from AAs and GFs) -> effect
insulin receptor, type
RTK
protein phosphatase-1, structure, regulation, effect
bound to regulatory subunit G w 2 phosphorylation sites, active when only site 1 is phosphorylated, inactive when both are, site 1 by insulin (PI-3 kinase), site 2 by PKA phosphorylate (-> protein phosphatase-1 dissociate -> inhibited by protein phosphatase inhibitor-1)(can phosphorylate site 1 and 2), action = ↑glycogen synthase, ↓glycogen phosphorylase kinase
the net production of ATP molecules from the oxidation of one molecule of glucose when the malate/aspartate shuttle is used
31 ATP
AMPK (AMP-dependent kinase), from, effect?
↑AMP\ATP -> ↑AMPK -> increase cellular energy levels: inhibit anabolic pathways (FA, protein), stimulate catabolic pathways (FA, GLUT4) ("ischemic kinase")
Asp - use
1 amino donor in urea synthesis 2 pyrimidine synthesis 3 purine synthesis
desaturatases in humans
∆5-, ∆6-, ∆9-fatty acyl CoA desaturase
DHA, full name, formula
docosahexaenoic acid (in fish oil), C22:6n-3
drugs inhibiting HMG CoA reductase of cholesterol synthesis?
Statins (atorvastatin, lovastatin, mevastatin, pravastatin, simvastatin)
Electron transferrer of reduced flavins from acyl CoA dehydrogenase?
Electron-transfer flavoprotein (ETF) -> ETF:ubiquinone oxidoreductase (ETF:QO)
EPA - full name, formula
eicosapentaenoic acid (in fish oil), C20:5n-3
extra enzymes of beta-oxidation of unsaturated FAs?
1 3,2-enoyl CoA isomerase (cis-∆3 double bond to trans-∆2 double bond) 2 2,4-dienoyl Coa reductase (use NADPH to form trans-∆3 enoyl CoA)
FAD-dependent acyl CoA dehydrogenases
1 very-long chain acyl CoA DH(VLCAD) (cant be imported to mitochondria, Long chains (C12-C14 are therefore substrate, and VL are oxidized in peroxisomes) 2 Long chain .. (LCAD)(C8-C20) 3 Medium chain ... (MCAD)(C4-C12) 4 Short chain ... (SCAD, C4-C6)
GLA - full name, formula
gamma-linolenic acid (in evening primrose oil), C18:3n-6
Gly - used for
1 cellular proteins 2 porphyrin 3 collagen 4 purines 5 creatine 6 glutathione 7 bile salt conjugation
intracellular K+ concentration
139 mM
metabolism of adenine
1 nuclease: frees nucleotide 2 nucleotidase: adenosine 3 adenosine deaminase: adenosine + H2O -> inosine + NH4+ 4 purine nucleoside phosphorylase: inosine + Pi -> hypoxanthine + Ribose-1P 5 xanthine oxidase: hypoxanthine + H2O + O2 -> xanthine + H2O2 6 xanthine oxidase: xanthine + H2O + O2 -> uric acid + H2O2
metabolism of guanine
1 nuclease: free nucleotide 2 nucleotidase: guanosine 3 purine nucleoside phosphorylase: guanosine -> guanine + ribose 1P 4 guanase: guanine -> Xanthine + NH3 5 xanthine oxidase: xanthine + H2O + O2 -> uric acid + H2O2
oxoacyl CoA thiolases/Thiolases
1 component of ''trifunctional beta-oxidation enzyme'' (3 last) 2 general thiolase (matrix, broad activity) 3 specific for acetoacetyl CoA
2,3-BPG, found where, effect
2,3-BPG shunt in RBCs (from 1,3-BPG to 3P glycerate), ↓affinity of Hb to O2
?
1 hyaluronic acid 2 link protein 3 GAG 4 proteoglycan 5 core protein 6 proteoglycan aggregate
cori cycle
lactate (from anaerobic glycolysis in muscle) moves to liver, gets converted to glucose, and is released again
GAG
repeating dimer of aminosugar and uronic acid
gluconeogenesis, location
liver (90%), tubule cells of the kidneys (10%)
Glucose-alanine cycle, purpose
remove ammonia from muscle and replenish its energy supply
glucose-alanine, pathway
Muscle: glucose -> pyruvate -> alanine (ALT) -> liver -> pyruvate (ALT) -> glucose
insulin effect on GLUT (glucose transport) proteins
increase number of GLUT-4 transporters in plasma membrane
main transaminase in muscle
alanine transaminase: AA + pyruvate -> alpha-keto acid + Ala
metallothioneines - location and function
1 cytosol, of liver, kidney and enterocytes 2 bind, regulate level, transport metals
name of proteins whose SH group bind metal ions (w 2+) such as Cu2+, Zn2+, Hg2+, Cd2+
metallothioneines (rich in cysteine)
proteoglycan
core protein + GAG
transport of NH3 to liver and kidney, by which AA, via which enzyme
Gln, Gln synthetase
transport of reducing equivalents to mitochondria, mechanisms
malate-aspartate shuttle, glycerol phosphate shuttle
why is ammonia toxic?
interact w alpha-ketoglutarate and make it limiting for krebs cycle
Coenzyme
Organic molecule slightly bound to the apoenzyme - undergo a chemical change and are released (NAD, FAD, CoQ)
Cofactor
A nonprotein component essential for the normal catalytic activity of an enzyme - can be organic molecules = coenzymes/prosthetic group or inorganic ions (apoenzyme + cofactor = functioning holoenzyme)
intracellular bicarbonate concentration
12 mM
Intracellular Cl- concentration
4 mM
Intracellular Na+ concentration
12 mM
intracellular pH value
a 7.2
Isoenzyme
Enzymes that have the same catalytic activity, but different primary structure
Myelin sheath - composition of fat and protein
80% lipid (sphingomyelin and galactocerebroside) and 20% protein (myelin basic protein (MBP), myelin oligodendrocyte glycoprotein (MOG))
Myosin light chain (MLC) and MLCK
MLC is small regulatory subunits found on myosin heads of smooth muscle, MLCK cause crossbridge formation between myosin heads and actin
Prosthetic group
Organic molecule tightly bound to the apoenzyme and remain associated w the enzyme during the reaction (Heme, biotin)
Purine nucleotide cycle - 1-5?
1 Myoadenylate deaminase (AMP deaminase isoenzyme)(mutation = excessive fatigue following excercise) 2 adenylosuccinate synthetase 3 adenylosuccinate lyase 4 Asp 5 Fumarate (TCA anaplerotic for muscle)
Purine nucleotide cycle - function
anaplerotic of fumarate (+OAA) for TCA cycle in skeletal muscle,
Skeletal muscle - mechanism of contraction after release of Ca2+
1 Ca2+ bind to troponin C (troponin = C(Ca2+),T(Tropomyosin)) of actin 2 troponin allosterically alter tropomyosin, troponin T allows tropomyosin = unblock myosin actin binding site 3 Rigor configuration (= rigor mortis)(myosin WO nucleotide is tightly bound to actin) 4 ATP bind to myosin -> reduce its affinity to actin (release) and allows it to move along the filament 5 hydrolysis = ADP and P remain tightly bound 6 Release of Pi -> power stroke (move back to its rigor original conformation)
Skeletal muscle - stimuli for contraction?
1 Ach trigger action potential in muscle 2 Spread through T tubules 3 cause relase of Ca2+ from terminal cisternae of SR (1st dihydropyridine receptors in membrane cause opening of ryanodine receptors in SR)
Skeletal muscle - termination of contraction
Ca2+ is removed by active transport into the SR after the action potential ends
Smooth muscle contraction - mechanism (1-5)?
1 Ca2+ 2 Calmodulin 3 Ca2+-Calmodulin complex 4 MLC 5 MLCK
1st reaction of purine synthesis
Glutamine-PRPP amidotransferase: PRPP + Glu + H2O
1st step of cholesterol synthesis - reaction and enzyme
HMG CoA synthase: acetoacetyl CoA + acetyl CoA -> HMG (acetoacetyl thiolase produce acetoacetyl CoA)
androstenedione to testosterone (C19), reaction, where
hydrogenation of DHEA at 17 in leydig cells (dihydrotestosterone is formed by reduction)
DHEA to androstenedione
isomerization reaction
final step of GMP synthesis
GMP synthetase: XMP (xanthosine) + ATP + Gln -> GMP + ADP + Glu
how is estradiol formed?
Testosterone (C19) -> Estradiol (C18): removal of C18, aromatization (aromatase in ovaries, adipose) of A ring
How is pregnenolone produced from cholesterol?
6C atoms from the side chain is removed (= 21C)
Main difference between purine and pyrimidine synthesis
purine = base is built on ribose, pyrimidine = base is built first, then attached to ribose
Nucleotide salvage pathway - what
synthesis of nucleotides from bases or nucleosides, inhibit de novo synthesis
PAPS - full name, what? created from?
3'-phosphoadenosine-5'-phosphosulfate (PAPS), used as sulfate donor, from 2ATP and S04
Pregnenolone (21C) to aldosterone (21C), chemical changes
1 transformed to progesterone (isomerase) 2 transformed to aldosterone (hydroxylated at 11 and 21) (in zona glomerulosa)
Pregnenolone (21C) to cortisol - chemical changes
1 transformed to progesterone (isomerase) 2 transformed to cortisol (hydroxylated at 11,17,21) (in zona fasciculata)
Pregnenolone (21C) to DHEA (dehydroepiandrostenedione) (C19), chemical changes
2C side chain cleavage, hydroxylation at 17 (in zona reticularis of adrenal cortex)
PRPP (phosphoribosyl-1PP), created by? regulation?
PRPP synthetase: ATP + Ribose-5P/Phosphoribose -> PRPP + AMP, regulated by feedback inhibition of nucleoside di- and triphosphates
substrate common for both pyrimidines and purines?
PRPP
Dihydrofolate reductase can be inhibited by the exogenous agent
Methotrexate
Final step of AMP synthesis
Adenylosuccinase: Adenylosuccinate -> AMP + Fumarate
final step of CTP synthesis
CTP synthetase: UTP + ATP + Gln + H2O -> CTP + Glu + ADP + Pi
Final step of TMP synthesis
Thymidylate synthase: dUMP + methyleneTHF -> TMP + DHF
Final step of UMP synthesis
OMP decarboxylase: OMP -> UMP + CO2
Folate to co-factor tetrahydrofolate (THF)?
Dihydrofolate reductase, 2 steps, use NADPH
form of THF in nucleotide synthesis, co-factor in transferase
methylene-THF, B6/PLP
function of methyl-THF, cofactor
transfer methyl group to homocysteine to make it into met, b12 as cofactor, (met -> homocysteine via SAM)
IMP - full name, base, common precursor to
Inosine monophoshate, hypoxanthine, AMP and GMP
important intermediates of purine synthesis
1 5'-Phosphoribosylamine (precursor to IMP) 2 IMP (inosine MP)
Principle donor of methylene group to THF
Serine (by glycine hydroxymethyltransferase - becomes glycine)
Regulation of nucleotide synthesis
1 PRPP synthetase (purine and pyrimidine nucleoside di- and triphosphates) 2 nucleotide synthesis = feedback inhibition 3 nucleoside diphosphate reductase (+nucleoside triphosphates, - dATP)
regulation of pyrimidine synthesis, feed-forward activation? feed-back inhibition?
feed-back inhibition: and UTP CP synthetase II, UMP on OMP decarboxylase, feed-forward activation: ATP on CPSII and orotate phosphoribosyl transferase
Substrates for pyrimidine synthesis
1 Carbamoyl P (Gln, CO2, 2ATP) 2 Asp 3 PRPP 4 Methylene-THF (only for thymidine)
synthesis of 2-deoxyribonucleotides
ribonucleotide reductase, become free radical to steal H (rare mechanism)(electrons from thioredoxin (regenerated from NADPH))
THF can carry
Methyl, Formyl, Methylene....
AAs w positive side chains
HAL. Histidine, Arginine, Lysine
Allopurinol
competitive inhibitor of xanthine oxidase (hypoxanthine -> uric acid), used for hyperuricemia/gout
Biochemical standard chemical conditions for Gibbs energy - pressure, pH, temperature, molar
pH = 7 (chemical conditions = 0), 1ATM, 25C, 1M
Conditionally essential AAs
Histidine, Arginine
Cystine structure
CySteine contains C-S (Sulphur attached to Carbon)
definition of Gibbs energy
1 Change in Gibbs energy is equal to the maximum amount of work that can be done by the reaction (reaction spontaneous? will it occur?) 2 Change in Gibbs energy is a measure of displacement from equilibrium (∆G = 0 = equilibrium)
difference between purine and pyrimidine metabolism
1 formation of N-glycosidic bond: purines = 1st step, pyrimidine = ring formed first 2 location: purine = cytoplasm, pyrimidine = cytoplasm + CPSII in mitochondria 3 degraded products
Enthalpy (H)
energy released or consumed during a reaction, -/< 0 = release energy/exergonic
Formula of Gibbs free energy: 1 normal 2 related to K
1 ∆G = ∆H - T∆S 2 ∆G = ∆Go + RT ln (equlibrium constant - products on top)
Gibbs energy - when will a reaction occur? when is it at equilibrium? When will it not occur?
1 ∆G= < 0 2 ∆G=0 3 ∆G= > 0
Michaelis-Menten curve, what is competitive inhibiton and what is noncompetitive?
1 competitive inhibition 2 Noncompetitive inhibition
Stages of meiosis
IPMAT. Interphase, Prophase, Metaphase, Anaphase, Telophase
The 10 essential AAs
I saw, he phoned at 3:09 and met licentious (frekk/uanstendig) Argentines - Lucy, Tracey and Val. I saw (Isoleucine) He (Histidine) Phoned at (Phenylalanine) 3:09 (Threonine) Met (Methionine) Licentious (Lysine) Argentines (Arginine) Lucy (Leucine) Tracey and (Tryptophan) Val (Valine) / PVT.(= private in military lingo) TIM HALL: Phe, Val, Thr, Trp, Ile, Met, His, Arg, leu, Lys
The four fates of pyruvate
GALA. G(Glucose)A(Alanine)L(Lactate)A(Acetyl Co-A)
Valine structure
V-shaped group (just stick a V up your R!)
2nd law of thermodynamics
All closed becomes increasingly disordered
Arginine - structure
Argentina PRayiN' for CNN (R = Pr(propyl)-N-CNN(Carbon, Nitrogen, Nitrogen)
Entropy (S)
disorder of system
Leucine - structure
Like the greek letter lambda λ (V with C above as R group)
Lineweaver Burk plot - what is competitive inhibition and what is noncompetitive?
1 Noncompetitive inhibition 2 Competitive inhibiton
Lineweaver-Burke plot - difference between graphs of competitive and non-competitive inhibition
Two crossed swords - in competition. In non-competitive inhibition - they do not cross
Location of catecholamine degrading enzymes
Cytoplasm: COMT(catechol-O-methyltransferase), Mitochondria: MAO A/B
Methionine - structure
C(S)ee CoxSaSkie v (-C-C-S-C)
Ortho-, meta- and para- substititons of aromatic rings
Or-two met-a-tree para-four. Or-two (Ortho-2) Met-a-tree (Meta-3) Para-four (Para-4, parallel to C1)
Proline - structure
R is shaped like a PentagoN with Nitrogen in one corner
Redox reactions - what happends to electons
OIL RIG. Oxidation Is Loss, Reduction Is Gain
Serine - structure
Think of a searin` (brennende) pain caused by drinking methanol (R = CH2OH/methanol)
Synthesis of catecholamines, enzymes
Tired Dopes Dominate Norway. Tired (Tyrosine) Dopes (DOPA/Dihydroxyl-L-phenylalanine) Dominate (Dopamine) Norway (Noradrenaline). Hide de ho: HiDe (hydroxylase), de (decarboxylase), HO (beta-OH-lase/hydroxylase)
Threonine - structure
Threonine has 3 oxygen atoms (three-O) and nine H atoms (-nine) (R = Ethanol)
Urea cycle - mnemonic
Ordinarily careless crappers are also frivolous (lettsindige) about urination. Ordinarily (Ornithine) Careless (Carbamoyl-phosphate) Crappers (Citrulline) Are (Aspartate) Also (Arginosuccinate) Frivolous (Fumarate) About (Arginine) Urination (Urea)
Which nucleotides are purines, and what are they`re shape?
All girls are pure and wear bras. All (Adenine) Girls are (Guanine) Pure (Purine) and wear bras (bras are two-ringed structures - so are purines!)
Adrenaline mechanism
ABC of adrenaline. Adrenaline -> activates beta receptors -> increases cAMP
B vitamin names
The Rhythm Nearly Proved Contagious (in increasing order). Thiamine (B1), Riboflavin (B2), Niacin (B3), Pyridoxine (B6), Cobalamin (B12)
Carbon monoxide - electron transport chain target
CO blocks CO. Carbon monoxide/CO blocks cytochrome oxidase (CO)/complex IV
Chemical processes going on in both cytoplasm and mitochondria
Use both arms to HUG. These reactions occur in both cytoplasm and mitochondria. Heme synthesis, Urea cycle, Gluconeogenesis
Dicarboxylic acids - C2-C8
Oh, My, Such Good Apple Pie. Oxalic, Malonic, Succinic, Glutaric, Adipic, Pimelic
Electron transport chain - rotenone's (inceticide, vs scabies) site of action
Rotenone is a site specific inhibitor for complex one
Glycolysis steps
Goodness Gracious, Father Franklin Did Go By Picking Pumpkins (to) Prepare Pies. Glucose, Glucose-6-P, Fructose-6-P, Fructose-1-6diP, Dihydroxyacetone-P, Glyceraldehyde-P, 1,3-Biphosphoglercerate, 3-Phosphoglycerate, 2-Phosphoglycerate (to), Phosphoenolpyruvate/PEP, Pyruvate ('Did', 'By', and 'Pies' tell you the first part of those three: di-, bi-, py-.
How to differentiate structure of glucsose and fructose
Fructose: five-ring, Glucose: hexaGon
Increased anion-gap acidosis
MUDPIES: Methanol, Uremia, Diabetes, Paraldehyde, Idiopathic (lactic acidosis), Ethylene glycol, Salicylates
Indirect reacting bilirubin - unconjugated or conjugated bilirubin?
Indirect-reacting bilirubin = Unconjugated bilirubin (both start with vowels)
Insulin - what to be imported into cells?
Insulin stimulates 2 things to go. Potassium, Glucose
Normal anion gap acidosis
RAGE: R(renal tubular acidosis, respiratory acidosis) A(acetazolamide, ammonium chloride) G (GI: diarrhea, enteroenteric fistula, ureterosigmoidostomy) E (endocrine: Addisons, spironolactone, triamterene, amiloride, primary hyperparathyroidism)
Phosphorylation cascade - action during low glucose
In the phasted (fasted) state - phosphorylate! (The phosphorylation cascade becomes active when blood glucose levels is low)
Some drugs w zero-order kinetics
Constantly aspiring to phone ethan. Constantly (zero-order kinetics) aspiring (aspirin) to phone (phenytoin) ethan (ethanol)
TCA cycle intermediates mnemonic
A certificate in karma sutra should further my orgasm: Acetyl-CoA, Citrate, Isocitrate, Alpha-ketoglutarate, Succinyl-CoA, Succinate, Fumarate, Malate, Oxaloacetate
Adrenal cortex layers and products
Go find Rex, make good sex. Layers(outer->inner): Glomerulosa, Fasciculate, Reticulata. Respective products: Mineralocorticoids, Glucocorticoids, Sex hormones
Coagulation common pathway - factors in order
10 + 5 - 2 = 13 (factor X -> factor V -> factor II -> factor XIII)
Enzyme kinetics - competitive vs non-competitive inhibition
With kompetitive inhibiton: Km increase, no change in Vmax. With Non-kompetitive inhibition: No change in Km, Vmax decrease
Enzymes - classification
Over The HILL: Oxidoreductases, Transferases, Hydrolases, Isomerases, Ligases, Lyases (enzymes get reactions over the hill)
G6PD: oxidant drugs inducing hemolytic anemia
AAA. Antibiotic (ie sulfamethoxazole), Antimalarial (ie primaquine), Antipyretics (acetanilid)
Gibbs free energy formula
Good Honey Tastes Sweet. (delta)G = H - T(delta)S
Glucagon mechanism
Mr. Gluca has Gone to the cAMP to bring out some Glucose. Glucagon elevates glucose by cAMP
Glycolysis enzymes
High Profile People Act Too Glamorous, Picture Posing Every Place. Hexokinase, Phosphoglucose isomerase, Phosphofructokinase (PFK), Aldolase A, Triose phosphate isomerase, Glyceraldehyde-3-phosphate dehydrogenase, Phosphoglycerate mutase, Enolase, Pyruvate kinase
Golgi complex - functions
Golgi Distributes A SPAM. Distributes proteins and lipids from ER, Add mannose onto specific lysosome proteins, Sulfation of sugars and selected tyrosine, Proteoglycan assembly, Add O-oligosugars to serine and threonine, Modify N-oligosugars on asparagine
Heme synthesis - amino acid precursors to basic units of porphyrins, heme (pyrrole ring)
Dracula wants Suck a Co-ed's blood (think heme) with his Glystening teeth! Succinyl-CoA and Glycine
Malate-aspartate shuttle
MAD commute. Malate in, Alpha-ketoglutarate and D (Aspartate) out
Phenylketonuria - which enzyme is deficient
PHenylketonuria is caused by a deficency of: Phenylalanine Hydroxylase
Sickle cell disease pathophysiology
SICKle cell disease is due to a Substition of the SICKsth amino acid of the B chain
Vitamin B3/Niacin/Nicotinic acid deficiency = pellegra - symptoms
The 3 Ds (note vitamin B3): Dermatitis, Dementia, Diarrhea
Vitamin K-dependent clotting factors
Several Tend To Nicely Stop Clots. Factor Seven, Ten, Two, Nine, Protein S, Protein C
A - base, nucleoside
adenosine, adenine
C, base, nucleoside
cytosine, cytidine
debranching enzyme
amylo-alpha1 → 6-glucosidase
G - base, nucleoside
guanine, guanosine
glycogen branching enzyme
amylo-(1,4-1,6)-transglycosylase
glycogenesis in liver, regulation
+ Glc, - Glucagon
glycogenesis in muscle, regulation
+ insulin, - epinephrine
glycogenesis, regulatory step
by glycogen synthase (phosphorylated\b = inactive)
glycogenesis, step 1-2
1 Glc -> Glc-6-P in hepatocytes by glucokinase, 2 Glc-6-P -> Glc-1P (phosphoglucomutase)
glycogenesis, step 3-4
3 Glc-1P + UTP -> UDP-Glucose (Glc-1P uridylyltransferase) 4 UDP-Glc to glycogen (glycogen synthase, only 1-4)
Glycogenesis, step 5-6
5 6-7 Glc residues is removed and branched on (branching enzyme) 6 elongation by glycogen synthase
glycogenolysis, step 1-2
1 phosphorolysis of 1-4 -> Glc-1P (glycogen phosphorylase) and debranching enzyme2 Glc-1P -> Glc-6P (phosphoglucomutase)
glycogenolysis, step 3
only liver+kidney+enterocyte. 3 Glc-6P -> Glc (Glc-6P phosphatase)
T - base, nucleoside
thymine, thymidine
U - base, nucleoside
uracil, uradine
creatinine
endproduct of creatine phosphate in muscles, excreted in urine
glutathion
peptide which as antioxidant properties
Glycogenolysis, +
Epinephrine+glucagon (via phosphorylase kinase), AMP, Ca2+ (muscle)
glycogenolysis, -
insulin (via phosphorylase kinase), ATP, Glc-6P, Glc
oxidative phase of pentose cycle, regulation
Glc-6P to ribulose 5P+CO2+2NADPH, Glc 6P DH (by NADPH\NADP+ ratio)
pentose cycle, location
all tissue in cytoplasm, pri RBC, liver, mammary gland, testis, adrenal cortex
pentose cycle, purpose
create NADPH+H+, ribose-5-phosphate
pentose cycle, regenerative phase
produce ribose 5P, glyceraldehyde 3P, Fruc 6P
pentose cycle, substrate
Glc-6-P
Pentose cycle, synonym
hexose monophosphate pathway (HMPP)
PFK-2, location
part of bifunctional enzyme (w FBP-2), pri liver
PFK-2, product
Fru-2,6-BP, activate PFK-1 and inhibit Fru-1,6-BPase
PFK-2, regulation
phosphorylated = active PFK-2 by (high insulin/glucagon)
regulatory step of glycogenolysis, active form, regulatory enzyme
glycogen phosphorylase, phosphorylated\a = active, phosphorylase kinase
through inner membrane of mitochondria can go (whole molecule)
citrate
?
1 hyperthyroidism 2 DM 3 normal 4 impaired glucose tolerance 5 myxedema (form of hypothyroidism w hard edema due to mucus = myx)
cortisol (main glucocorticoid), effect
1 ↑proteolysis (↑gluconeogenesis = ↑glycemia) 2 antinflammatory (reduce histamine release and stabilize lysosomal membranes) 3 ↑BP (↑sensitivity of vasculature to catecholamines)
cortisol, stimuli for release
''stress hormone'', hypothalamus secrete CRH (corticotropin-releasing hormone) = pituitary ssecrete ACTH (adrenal corticotropic hormone) = ↑cortisol
glucagon, effect
glycogenolysis (hepatic phosphorylase) &gluconeogenesis + release of glucose from liver (also decrease gastric motility+gastric secretion+pancreatic secretion and increase urinary excretion of N and K)
glucagon, produced by
alpha cells of islets of Langerhans
glucagon, stimuli for release
1 hypoglycemia 2 ↑catecholamines 3 ↑plasma AAs (to protect from hypoglycemia if an all-protein meal is consumed) 4 sympathetic NS 5 CKK
GLUT-4
skeletal muscle, heart muscle, adipose tissue
glycemia-related action of catecholamines
1 ↑insulin secretion 2 ↑glucagon secretion 3 ↑ACTH secretion 4 ↑lipolysis in adipocytes
insulin, effects
1 ↑GLUT-4 2 ↑glycolysis 3 ↑glycogenesis 4 ↑FA synthesis (force adipocytes to take in blood lipids and convert them to TGs) 5 ↑protein synthesis (by increased cellular AA uptake)
isomaltose
two glucose molecules are attached by an alpha1-6 link, from digestion of branching part of amylopectin
lactulose
galactose + fructose (synthetic laxative, colonic acidifer = remove ammonia from blood w liver failure)
Lineweaver-Burke curve, what, detect what
michaelis-menten plot w double reciprocal values (x = 1/s, y = 1/v), 1/vmax = crossing point of y, 1/km = crossing point of x
Michaelis-Menton curve, x and y? detect what?
x = substrate concentration, y = velocity of reaction, Vmax and Km (Michaelis Menten constant, vmax/2)
oGTT, dm2 if
1 morning glycemia higher than 8 2 higher than 11.1 after 2h
oGTT, full name, what
oral glucose tolerance test, 1 fast overnight 2 measure glucose 3 give glucose (75g) 4 measure after (30, 60, 90, 120min)
postprandial glycemia
s-glucose test after meal
alkaline phosphatase (ALP), what
group name of relatively non-specific hydrolytic enzymes that cleave many phosphoric monoesters ( R-O-PO32- + acceptor -> R-OH + acceptor-PO32-)
ALP, function
1 involved in transport processes in the liver 2 participate in bone precipitation by osteoblasts (found on membrane) 3 involved in Ca2+ absorption in intestine
ALP, linked pathologies
hepatic isoform (biliary obstruction, hepatitis, alcohol-induced liver disease, cirrhosis, hepatoma, mononucleosis), bone isoform (hyperparathyroidism, bone fractures, bone tumors (osteosarcoma))
ALP, pH optimum, functioning at
10.5, above 7
ALP, serum value above 15y
0.66-2.20 mkat/L
ALP, which isoforms are measured diagnostically?
Bone and liver
amino acids, pK1 (-COOH) & pK2 (-NH3+) (ca)
2 & 9-10
anion gap, normal value
16-20
base excess
the amount of strong acid that would have to be added /volume of blood to titrate it to 7.4 when pCO2 is 40mmHg
glucose determination by photometer
enzymatic + photometry, 1 glucose oxidase (h2o2+gluconate) 2 peroxidase (phenol+ 4-aminoantipyrine) 3 scarlet color (498 nm)
glucotouch
enzymatic+photometry, 1 glucose oxidase (give h2o2+gluconate) 2 peroxidase (give product w blue color)
hyperparathyroidism
increased PTH = increased Ca2+, decreased Pi
isoenzymes and isoforms of ALP
isoenzymes = placental, intestinal, tissue nonspecific (bone, liver, kidney)
Lambert Beer's law
f (conversion factor) = cST/AST
main AA residues working as buffers, and their r pK
asp - 3.9, glu - 4.1, his 6
oGTT, parts of the curve, dependent on what
1 ascending (rate of resorption from intestine) 2 peak level (liver function (glycogenesis+insulin action in the liver) 3 descending part (insulin action, characteristic of DM)
transporters in ascending loop of henle
Na+K+2Cl- transporter
why can't glutamine's R group work as a buffer
contains amide group
catecholamines and glucagon, most effective on which hyperglycemic reaction?
glycogenolysis
ethanol degrading enzymes
1 alcohol DH (cytoplasm), acetaldehyde DH (mitochondria) (prim responce, inefficient, use (and deplete) NAD+)) 2 microsomal (from centrifugation of ER) ethanol oxidation system (MEOS)/CYP450 2E1 (only replace ethanol DH which is the rate-limiter, use (and deplete) NADPH)
functional unit of liver
hepatic acinus
hepatic encephalopathy - cause
accumulation of ammonia due to liver insufficiency (ammonia from AA metabolism and from intestinal bacteria)
hormones involved in fasting state
1 glucagon 2 catecholamines 3 glucocorticoids
how can acetate go into metabolism?
acetate-CoA ligase (need ATP) activate acetate to CoA
N-acetylneuraminic acid (NeuAc, NANA)
most common form of sialic acids in mammals
pentose cycle is important for
FA synthesis (NADPH), antioxidant systems (NADPH)
perivenous hepatocytes, where, specialized function
in zone III of hepatic acinus (next to central vein), low O2 = glutamate synthesis from ammonia, biotransformation of xenobiotics (SER), reductive reactions (lipid synthesis, ketogenesis, glygoenesis)
sialic acids (Sia), what, where
N- and O- acyl derivates of neuraminic acid, constituents of gangliosides and of many glycoproteins and mucoproteins
total oxygen consumption of the liver?
20-30%
vitamins metabolized in the liver?
1 Vit A/retinoic acid, produced from provitamin (beta caroten) in the liver, stored 2 vit D - 1st hydroxylation
where is periarterial hepatocytes found, and what is their specialized function?
in zone I of liver acinus (next to portal triad), high O2 allow urea synthesis (ATP-demanding) and other oxidative reactions (TCC, rspiratory chain, beta oxidation, gluconeogenesis, proteosynthesis, cholesterol synthesis)
which tissue can we find glucokinase in?
beta cells and liver
Whichs FFAs can be directly absorbed in the blood?
FFAs shorter than 12 C's
Why can't glucose from glycogenolysis from muscle cells be exported?
lack glucose-6 phosphatase
after how many hours of starvation is the contribution of glycogenolysis and gluconeogenesis equal?
a 16h
bile acid, structure
steroids w 24 carbons
carnityl acyltransferase I (transfer FAs into mitochondria), regulation
- malonyl-CoA, increased ratio of insulin/glucagon
effects of alcohol on metabolism
oxidation produce 2 NADH (ethanol DH, acetaldehyde DH), disposal of these cause 1 ↑pyruvate -> lactate (= lactic acidosis (=gout by inability to excrete uric acid), hypoglycemia) 2 lipid synthesis (by hindering beta oxidation)(= more TG = fatty liver, hyperlipidemia = infarcts, ketogenesis)
glucocorticoids, most effective on which hyperglycemic reaction?
gluconeogenesis
how is acetone formed in ketogenesis?
by non-enzymatic decarboxylation from acetoacetate
how is beta-hydroxybutyrate formed in ketogenesis?
acetoacetate by beta-hydroxybutyrate DH
how many ATP is needed to produce 1 urea?
3 ATP (2 for carbamoyl phosphate synthetase I(CPSI)), 1 for argininosuccinate synthetase)
how many ATP is used to create 1 glucose from 2 pyruvate?
6 ATP
secondary bile acids
synthesized in the intestine by dehydroxylation of primary bile acids at C7
spectrin
large cytoskeletal protein found on the inner cell membrane of rbcs associated w actin, mutation = ellipto/spherocytosis
tumor necrosis factor - role in metabolism during stress response
adipose tissue = + TG to FAs, - VLDL deposition
what is added to bile acids to form bile salts?
glycine and taurine
which hormones does the liver produce?
somatomedines (IGF-I and II)
B-vitamins
1 Vitamin B1/Thiamine 2 Vitamin B2/Riboflavin 3 Vitamin B3/Niacin 4 Vitamin B5/Pantothenic acid 5 Vitamin B6/Pyridoxine 6 Vitamin B7/Vitamin H/Biotin 7 Vitamin B9/Folic acid 8 Vitamin B12/Cobalamins
beta-carotene, provitamin for? structure? toxic?
vitamin A/retinol, 2 x retinol, non-toxic
causes of hepatocellular hyperbilirubinemia
1 decreased uptake of bilirubin by hepatocytes 2 deficit in conjugation 3 defect of active transport of bile
how are vitamins classified?
on account of their biological and chemical activity - not their structure, means that 1 vitamin = a number of vitamer compounds that all show the same/similar biological activity
metabolism of vitamins in the liver
1 Provitamins -> vitamins (carotenes -> vit A, 25-hydroxylation of vit D, cleave side chain of vit K) 2 storage (vit b12) 3 synthesize nicotinic acid from Trp 4 b vitamins -> coenzymes
neonatal jaundice, cause
increased hemolysis, decreased activity of glucuronosyltransferase
phase I of starvation, duration, source of glucose
4h, exogenous
phase II of starvation, duration, source of glucose
4-16h, 1 glycogenolysis 2 gluconeogenesis (muscle and adipose tissue use glucose at diminished rate)
phase III of starvation, duration, source of glucose
16h-1.5d, 1 gluconeogenesis 2 glycogenolysis (brain still use glucose)
phase IV of starvation, duration, source of glucose, tissues using glucose
1.5d-24d, gluconeogenesis (also renal), brain (start using KBs), renal medulla, rbcs, (muscle)
phase V of starvation, duration, source of glucose, tissues using glucose
24d->, gluconeogenesis (hepatic and renal), brain (most by KBs), rbcs, renal medulla
retinol and retinoic acid - relation
retinol is oxidized to retinoic acid in 2 steps (retinol - retinal - retinoic acid), process cannot be reversed
Vitamin A/retinol - function
1 prosthetic group to rhodopsin in retina (11-cis/trans retinal) 2 morphogen via Hox genes (RAREs - retinoic acid response elements and RAR - retinoic acid receptor)) (teratogen in high doses) 3 contribute to thyroxine formation
Vitamin D/Cholecalciferol - deficiency disorders
1 Rickets (children, easy breakable bones and deformation(bow legged)) 2 Osteomalacia (adults, easy breakable bones, elderly (malnutrition, no sun))
vitamins
group of organic substances (water/fat soluble), present in minute amounts in natural food - most can't be produced endogenously, essential to normal metabolism, most are co-enzymes
action of PDH kinase
inhibit E1
action of PDH phosphatase
activate E1
anaerobic metabolism predominate in
cornea+lens, kidney medulla, testes, WBCs, RBCs
arsenic poisoning
inhibit enzymes w lipoic acid, antagonist to Pi as substrate for glyceraldehyde 3P dehydrogenase
E1\pyruvate decarboxylase, cofactors
NADH, TPP
E2\dihydrolipoyl transacetylase, cofactor
lipoic acid, CoA
E3\dihydrolipoyl dehydrogenase, cofactor
FAD, NAD+
effect of glucagon on glucokinase, PFK-1 and pyruvate kinase in the liver
inhibit
effect of insulin on glucokinase, PFK and pyruvate kinase in liver
+
enzyme forming lactate, cofactor
lactate dehydrogenase, NADH
enzymes of pyruvate dehydrogenase complex
E1\pyruvate decarboxylase, E2\dihydrolipoyl transacetylase, E3\Dihydrolipoyl dehydrogenase
fructose 2,6-BP
by PFK-2 (kinase+phosphatase, kinase is active when dephosphorylated by protein kinase A (via insulin))
function of glucokinase
pancreas = glucose sensor, liver = facilitate glucose phosphorylation during hyperglycemia
glucokinase, +
glucose (frees glucokinase from regulatory protein in nucleus)
glucokinase, -
fructose-6P (promote regulatory protein (GKRG) to bind glucokinase in nucleus)
glucokinase, properties
high Km, high Wmax
glucose enter cell by
Na+-independent facilitated diffusion, Na+-monosaccharide cotransporter system
GLUT1
abundant in RBC and brian
GLUT2
liver+kidney+pancreas, bilateral transport
GLUT3
primary for neurons
GLUT4
high in adipose and muscle, activated by insulin
GLUT5
small intestine+testes, primarily for fructose
GLUT7
liver+gluconeogenic tissue, mediate across ER membrane
glycolysis, location
cytoplasm
hexokinase, -
glucose-6P
how does insulin regulate glucokinase, PFK1 and pyruvate kinase
stimulate
lactate can be...
used by the liver to make glucose
most common cause of congenital lactic acidosis
deficiency of E1 of pyruvate dehydrogenase complex
most frequent electron donor in anabolic reactions
NADPH
most frequent electron donor in catabolic reactions
NAD
most important control point and rate-limiting step of glycolysis
PFK-1
Na+-independent monosaccharide facilitated diffusion transport
GLUT1-GLUT14
Na+-monosaccharide cotransport system, carrier?
sodium-dependent-glucose transporter (SGLT)
PDH complex, +
Ca2+, Pyruvate
PDH complex, -
acetyl CoA+NADH+
PFK-1, -
ATP, citrate
PFK1, +
AMP, fructose 2,6BP (most potent, via insulin)
properties of hexokinase
low Km, low Kmax
protein kinase A is activated via cAMP, which is regulated by
+ by glucagon, - by insulin
pyruvate carboxylase
pyruvate to OAA, anaplerotic to TCA
pyruvate kinase, +
fructose 1,6BP
pyruvate kinase, -
cAMP-dependent protein kinase A (through glucagon)
regulating enzymes of PDH
PDH kinase, PDH phosphatase
regulation of lactate dehydrogenase
pyruvate\lactate, NADH\NAD+
regulatory enzymes of glycolysis
hexokinase, phosphofructokinase, pyruvate kinase
SGLT, where
epithelial cells of intestine, renal tubules, choroid plexus
where does PDH function
mitochondrial matrix
where is glucokinase found
liver parenchymal cells, islet cells of pancreas