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23 Cards in this Set

  • Front
  • Back
what is the principle organ for Gluconeogenesis?
Liver
List the six different carbon sources for glucose.
Lactate(cori cycle)
Alanine (Alanine Cycle)
Glycerol (early)
Alpha keto acids (Late)
Proprionic acid (odd chain FA)
monosaccharides
were to Alanine and Cori cycle happen? what are the energy cost of each
Liver and Muscle
Alanine --> 12 ATP
Cori --> 6 ATP
Where does energy needed for gluconeogenesis come from?
Fat oxidation.
Acetyl-CoA is the carbon source.
What are the two major Amino Acids in the blood?
Glutamine and Alanine
Glutamine is used as a nitrogen source for DNA synthesis in rapidly dividing cells.
Alanine is used to generate glucose.
What two amino acids can't be used in gluconeogenesis?
Lysine and Leucine
True or False: Reversal of every enzyme in glycolysis forms glucose.
False
Three steps are irreversible
1. hexokinase
2. Phosphofructokinase
3. Pyruvate Kinase
True or False: only the liver can release glucose into the blood via a glucose-6-phosphatase in the ER
True
What disease is associated with a dificiency of pyruvate kinase?
Hemolytic anemia
How common is hemolytic anemia? and are two signs and symptoms?
5 per 100,000 people
Name two of any of the following
Gallstones
Enlarged spleen
Tachypnea
Tachycardia
pallor
Splenectomy
Bone marrow transplant
Blood transfusions
Name two enzymes needed to reverse pyruvate kinase
which one is rate limiting
Pyruvate caroxylase
PEP carboxykinase--> rate limiting
This is hard, but I want you to name all the steps and all the enzymes required for gluconeogenesis.
a. Alanine is processed into glucose via the alanie cycle:
i. Alanine --> pyruvate (via Alanine aminotransferase)
b. Lactate is processed into glucose via Cori Cycle
i. Lacate --> pyruvate (via lactate dehyrogenase)
c. Pyruvate becomes oxaloacetate to produce glucose…
i. Pyruvate --> oxaloacetate (via Boitin(vitamin cofactor) and pyruvate carboxylase)
d. Oxaloacetate has two pathways to become glucose
i. OAA-->Malate (via malate dehydrogenase)
ii. OAA--> Aspartate (via Aspartate aminotransferase)
*Note, Both malate and aspartate are transitory as they are only used to shuttle carbon out of the mitochondrion.
Why does alcohol inhibit gluconeogenesis?
g. Alcohol inhibits gluconeogenesis by increasing the amount of NADH present in the cell. This prevents Lactic acid dehydogenase and Malate dehydrogenase from working.
How does acetyl-CoA force pyruvate into gluconeogenesis and away from the TCA cyle?
a. Acetyl-CoA inhibits Pyruvate dehydrogenase complex and increases the activity of pyruvate carboxylase.
Bonus -->This happens because during beta-oxidation as lots of NADH, ATP and Acetyl-CoA are produced.
What two factors regulate pyruvate carboxylase activity?
What is important cofactor for pyruvate carboxylase?
Acetyl CoA increases activity
ADP decreases activity.
Boiton is cofactor
What two things regulate phophoenolpyruvate carboxykinase activity
Glucagon increases protein synthesis of PEP carboxykinase
Insulin decreases synthesis.
what enzyme reverses phosphofructokinase-1 and how is it regulated?
Fructose-1,6-bisphosphatase reverses phosphofrucokinase-1

Fructose 2,6-bisphosphate inhibits Fructose-1,6-bisphosphatase
what is the purpose of futile cycling?
Amplify metabolic signals
Generate heat
9. How does citrate help to prevent futile cycling?
a. Citrate stimulates Fructose-1,6-bisphosphatase and inhibits phosphofructokinase-1.
b. Citrate does for gluconeogenesis what cAMP and fructose 2,6-bisphosphate do for glycolysis…
8. How does AMP help to prevent futile cycling?
a. AMP inhibits Fructose-1,6-bisphosphatase and stimulates phosphofructokinase-1.
7. How does fructose 2,6-bisphosphate help to prevent futile cycling?
a. fructose 2,6-bisphosphate greatly increases glycolysis by inhibiting Fructose-1,6-bisphosphatase and stimulating phosphofructokinase-1
What disease is a genetic defect in Raynodine receptor which causes extra Ca to be released. This Ca causes heat through futile cycling of ATP-dependent Ca re-uptake.
Malignant hyperthermia
What is the insidence of Malignant hyperthermia? An how is it treated?
1:15,000
Ice packs/ cooling blankets, lasix/ mannitol/ fluids, IV Dantroleene, and bicarb