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55 Cards in this Set

  • Front
  • Back

Which two metabolic pathways are upregulated in response to decreased nutrient intake?

Gluconeogenesis


Ketogenesis/ketolysis

What is gluconeogenesis?

Synthesis of glucose from non-carbohydrate precursors

Give some common substrates for gluconeogenesis?

Lactate


Glycerol


Amino acids such as alanine and glutamine

Where does gluconeogenesis occur?

In the liver, and also slightly in the kidney

Which cellular compartments are used in gluconeogenesis?

Mitochondria and cytosolic + a small ER section

Which tissues cannot utilise fat as a fuel source?

Brain


RBCs


Renal medulla

What is the daily glucose requirement of the brain?

110g

What is the daily glucose requirement of muscle?

30g

What is the daily glucose requirement of the renal medulla?

30g

What is the daily glucose intake of red blood cells?

25g

What is the recommended daily glucose intake?

~100g

How many grams glucose are present in the blood?

15g

How long do glycogen stores last during a fasted state?

12-16 hours

For how long after a meal is exogenous glucose the main source of glucose?

4 hours

Glycogen is the bodies main source of glucose during which time period after a meal?

4-16 hours

Gluconeogenesis is the bodies main form of glucose during which time period after a meal?

16 hours - 2 days

Which other pathway is gluconeogenesis similar to? Give examples of some differences

Glycolysis



- the irreversible reactions in glycolysis require different enzymes in order to reverse them


- Gluconeogenesis requires 6 ATPs, while glycolysis produces 2


- they have different control mechanisms


- Gluconeogenesis involves the mitochondria as well as the cytoplasm

What is the goal of the mitochondrial stage of gluconeogenesis? Why does this stage have to happen at all?

To convert pyruvate into phosphoenolpyruvate. Because the reverse is an irreversible reaction in glycolysis, another pathway is required to get around the 'block'

Write out the sequence of reactions required to convert pyruvate to phosphoenolpyruvate

- imported into mitochondria


- pyruvate + ATP => OAA (pyruvate carboxylase)


- OAA + NADH => Malate + NAD+ + H+ (malate dehydrogenase)


- malate exported into cytosol


- malate + NAD+ + H+ => OAA + NADH (malate dehydrogenase)


- OAA + GTP => PEP (PEP carboxykinase)

Which 3 enzymes found in glycolysis are not found in gluconeogenesis and why?

Pyruvate kinase


Phosphofructokinase-1


Glucokinase



These are all the irreversible reactions of glycolysis, so to go backwards you need a new enzyme

Which enzyme takes the place of Phosphofructokinase-1 in gluconeogenesis? Write out the equation that uses this enzyme

Fructose-1,6-bisphosphatase



F16BP => F6P

Which enzyme replaces Glucokinase in gluconeogenesis? Write out the equation that involves this enzyme. Where does this reaction occur?

Glucose-6-phosphatase



G6P => glucose



Takes place in ER

How many energy molecules are required to produce one molecule of glucose from gluconeogenesis?

4 ATPs


2 GTPs

How is lactate incorporated into the gluconeogenic pathway?

Lactate + NAD+ => Pyruvate + NADH



catalysed by lactate dehydrogenase

How is alanine incorporated into the gluconeogenic pathway?

Alanine => Pyruvate + NH3



Catalysed by alanine aminotransferase

Where is lactate produced?

Anaerobically respiring muscle


RBCs


Renal medulla

How is glutamine incorporated into the gluconeogenic pathway?

Glutamine => glutamate +NH3


Glutamate => @ketoglutarate + NH3


@ketoglutarate moves around the Krebs cycle to malate, where it is exported as part of gluconeogenic pathway


How is glycerol incorporated into the gluconeogenic pathway?

Glycerol => glycerol-3-phosphate


G3P => DHAP, which is in gluconeogenic pathway (in equilibrium with glyceraldehyde-3-phosphate

Why can you make glucose out of triglycerides but not fatty acids?

Fatty acids contribute AcCoA to the Krebs cycle, adding 2 carbons. However, those two carbons are lost as CO2 as the Krebs cycle turns, negating their effect. Triglycerides can be utilised for their glycerol, but the fatty acids are useless

How is fructose-1,6-bisphosphatase acutely regulated?

Stimulated by citrate


Indirectly stimulated by glucagon

How is PEP carboxykinase acutely regulated?

Stimulated by glucagon (GPCR activation)

How is pyruvate kinase acutely regulated?

Inhibited by glucagon (GPCR activation)

How is pyruvate carboxylase acutely regulated?

Stimulated by AcCoA

How do hormones regulate the enzymes in gluconeogenesis and glycolysis?

They affect transcription of the enzymes and so increase or decrease their production

Which gluconeogenic/glycolytic enzymes are upregulated by glucagon/glucocorticoids?

Pyruvate carboxylase


PEP carboxykinase


Fructose-1,6-bisphosphatase


Glucose-6-phosphatase

Which gluconeogenic/glycolytic enzymes are downregulated by glucagon/glucocorticoids?

Glucokinase


Pyruvate kinase

Which gluconeogenic/glycolytic enzymes are upregulated by insulin?

Glycogen synthase


Hexokinase


Phosphofructokinase


Pyruvate kinase

Which gluconeogenic/glycolytic enzymes are downregulated by insulin?

Pyruvate carboxylase


PEP carboxykinase


Fructose-1,6-bisphosphatase


Glucose-6-phosphatase

How long into fasting does gluconeogenesis start to decrease?

Around 2 days

What are Ketones?

Small, 4 carbon molecules


Water-soluble

What are the two main metabolically active Ketones?

Acetoacetate


beta-hydroxybutyrate

Which two Ketones are produced from acetoacetate, and what are the types of reaction that produce them?

Acetone by spontaneous decarboxylation


Beta-hydroxybutyrate by enzymatic oxidation

What is Ketogenesis and where does it occur?

Production of Ketone bodies


Occurs in the mitochondria of liver cells

What is ketolysis? Where does it occur?

Breakdown and utilisation of Ketone bodies


Occurs in the mitochondria of peripheral tissues such as CNS during starvation

Why does ketolysis not occur in the liver?

Because it would be wasteful for the liver to produce Ketone bodies just to break them down again, futile cycle

What are the precursors of the starter molecule for ketogenesis? Where do they come from and how do they get to the liver?

NEFAs


Released from adipocytes due to lack of insulin which activates hormone sensitive lipase

What is HSL and how does it work?

Hormone-sensitive lipase, which regulates lipolysis. Can be activated by phosphorylation

Once the NEFAs arrive at the liver, what happens to them?

They are broken down in the exact same way as in beta-oxidation, into AcCoA

Write out the reactions required for ketogenesis, starting with two AcCoAs.

- 2 AcCoA => Acetoacetyl coA (Acetoacetyl coA thiolase)


- Acetoacetyl coA + AcCoA => HMG-coA (HMG-coA synthase)


- HMG-coA => Acetoacetate + AcCoA (HMG-coA lyase)



Acetoacetate is the principal ketone

Write the reaction that converts Acetoacetate into beta-hydroxybutyrate

Acetoacetate + NADH => Beta-HB + NAD+



Beta-HB dehydrogenase

What drives the diversion of AcCoA into ketogenesis?

Because OAA is being diverted into the gluconeogenic pathway, the amount that can combine with AcCoA to restart the Krebs cycle goes down. This leads to a buildup of AcCoA that can't go through the Krebs cycle, so it undergoes ketogenesis instead

What must also be occurring for ketogenesis to take place?

Gluconeogenesis

Which enzyme is lacking in the liver that means it can't carry out ketolysis?

3-ketoacyl CoA Transferase

Write out the reactions of ketolysis, starting from beta-HB

- Beta-HB + NAD+ + H+ => Acetoacetate + NADH (B-HB dehydrogenase)


- acetoacetate + succinyl coA => Acetoacetyl coA + succinate (3-ketoacyl CoA transferase)


- Acetoacetyl CoA + CoASH => 2x AcCoA (Acetoacetyl CoA thiolase)

What is diabetic ketoacidosis?

When, as a result of type 1 diabetes, your tissues can't take up glucose, resulting in high Ketone body concentrations to provide an emergency fuel source



Ketones are acidic, so they lower the blood pH, which can lead to coma and death