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60 Cards in this Set

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How much glycogen is typically present in the liver?
10% of its weight is glycogen
how much glycogen is typically present in the muscle?
1-2% of its weight is glycogen
has 2X the amount of glycogen than liver because it's a bigger tissue than the liver
Can the levels of glycogen stores in the liver and muscle be significantly changed?
YES
A carbohydrate restricted diet would decrease the glycogen levels in both the liver and the skeletal muscle
A diet high in carbohydrates would increase glycogen levels in both the liver and the muscle
With intense training and a diet that is high in carbohydrates, athletes can get their muscle glycogen levels up close to 800 grams
What kind of skeletal muscle forms glycogen?
Every cell form
Type I, IIA, IIB
what kind of skeletal muscle has the highest concentration of glycogen?
Type IIB
fast twitch
glycolytic
What kind of skeletal muscle has the highest concentration of triglycerides?
Type I
Slow twitch
Why do we need a glycogen primer for synthesizing glycogen?
glycogen synthesis cannot begin in response to insulin without a primer
what is the primer for glycogen synthesis?
Glycogenin
a protein that is an enzyme
what is Glycogenin used for?
primer for glycogen synthesis
is used to form 8 glucose residues that are needed to prime glycogen synthase
what makes Glycogenin?
primer for glycogen synthesis
need activated glucose to from the primer and glycogen
Uridine diphosphate glucose (UDP-glucose) is the immediate precursor for glycogen synthesis
List the 5 enzymes that are required for glycogen synthesis
1. Glucokinase
2. Phosphoglucomutase
3. UDP-glucose pyrophosphorylase
4. Glycogen synthase
5. Glucan Transferase
what enzyme is the rate limiting enzyme for glycogen synthesis?
Glycogen synthase
what is the branching enzyme for glycogen synthesis?
Glucan Transferase
why is glycogen highly branched?
-to have multiple sites of phosphorylation and synthase
-synthesis and hydrolysis occur at the reducing ends
-to provide a very large number of reducing ends where synthesis of new glycogen can occur and where hydrolysis can also occur
-allows for much faster synthesis and much faster breakdown
-each reducing end has both glycogen synthase and glycogen phosphorylase attached to it
what forms the branching points on glycogen?
Glycogen synthase forms alpha-1,6-bond branch point
Glucan transferase forms alpha-1,6-bond branch point this is the branching enzyme
branching enzyme cleaves a 7 piece unit off the straight chain formed by glycogen synthase and transfers it to the number 6 hydroxyl group of glucose that is at least 4 residues away from the last branch point and forms an alpha 1,6 glycosidic bond
Explain the difference between glycogen synthase A and glycogen synthase B
Glycogen Synthase A: aka I form
-activity is INDEPENDENT of glucose-6-phosphate levels
-this form is not phosphorylated

Glycogen synthase B: aka D form
-activity requires the PRESENCE of glucose-6-phosphate
-form has been phosphorylated under hormonal control
-even though phosphorylation is intended to inactivate glycogen synthase, glucose-6-phosphate can make it active.
What can activate glycogen synthase if it is phosphorylated?
Glucose-6-phosphate
what is the function of glycogen synthase?
Enzyme involved in converting Glucose to Glycogen
It takes short polymers of glucose and converts them into long polymers
what regulates Glycogen Synthase?
Glucose-6-Phosphate
Phosphorylation
Insulin
Glycogen synthase kinase
AMPK
Protein Kinase A
why would carbohydrate loading help surgery patients?
carbohydrate loading is used in healthcare to optimize the conditions of the patients prior to surgery.
maximizes the glycogen stores in the muscles
what is the preferred storage and metabolic fuels for the brain?
Storage: None mostly, little glycogen in the cerebral cortex
Fuel: Glucose (very little ketone bodies)
what is the preferred storage and metabolic fuels for the liver?
Storage: Glycogen and Triglycerides
Fuel: Amino Acids
what is the preferred storage and metabolic fuels for adipose?
storage: Triglycerides
Fuel: Fatty acids
what is the preferred storage and metabolic fuels for the Cardiac muscle?
Storage: Glycogen
Fuel:
Resting state: Triglycerides
Exercise: Lactic acid
what is the preferred storage and metabolic fuels for the skeletal muscle?
Storage: Glycogen (only in resting, active uses up glycogen)
Fuel:
Resting: Fatty acids
Exercise: Glucose
what are the 5 major hormones that regulate carbohydrate metabolism?
Insulin
Glucagon
Epinephrine
Cortisol
Growth Hormone
How does Insulin regulate carbohydrate metabolism?
Long term control
Decreases Glucose (Cell surface receptor)
Stops: Gluconeogenesis, Glucogenolysis
Increases: Glycolysis, Glycogen synthesis
how does Glucagon regulate carbohydrate metabolism?
Long term control compared to Epinephrine
Increases Glucose (Cell surface receptor)
Stops: Glycogen Synthesis & Glycolysis
Increases: Glycogenolysis and Gluconeogenesis
How does Epinephrine regulate carbohydrate metabolism?
Compare to glucagon this is short term
Fight or Flight reaction
Increases Glucose (cell surface receptor)
Stops: Glycolysis, Glycogen breakdown
Increases: Glycogen synthesis, Gluconeogenesis, protein breakdown, amino acid metabolism
how does Growth Hormone regulate carbohydrate metabolism?
Increases Glucose (triggers liver to release IGF-1 & 2)
Stops: Decreases glucose up-take by muscle
Increases: Gluconeogenesis in liver, lipolysis in adipose, protein synthesis in muscle
List the 5 enzymes that are required for glycogen hydrolysis
Phosphorylase
Transferase
Phosphoglucomutase
Glucose-6-Phophatase
Debranching Enzyme
what does phosphorylase do in glycogen hydrolysis?
Rate limiting enzyme
Removes end of Glucose
Adds Pi
Forms Glucose-1-Phosphate
what does transferase do in glycogen hydrolysis?
moves 3 glucose units
what does debranching enzyme do in glycogen hydrolysis?
two activities
alpha-1,6-glucosidase and transferase
Cuts Alpha-1,6-unit
what does phosphoglucomutase do in glycogen hydrolysis?
Converts Glucose-1-PHosphate to Glucose-6-Phosphate
what does Glucose-6-Phosphatase do in glycogen hydrolysis?
Liver, Kidney, Gut
Doesn't require transporter to move glucose out of liver and kidney
Removes phosphate:
Glucose-6-PHosphate > Glucose + Pi
List the 6 inhibitors of glycogen phosphorylase
Glucose
Caffeine
Creatine Phosphate
ATP
Glucose-6-Phosphate
Phosphoprotein Phosphatase-1
how does Glucose INHIBIT glycogen phosphorylase?
Binds phosphorylase A to inhibit (TENSE state)
Promotes dephosphorylation of A by stimulating Phosphoprotein Phosphatase-1
LIver only: binds phosphorylase B and decreases activity
how does Caffeine INHIBIT glycogen phosphorylase?
Binds phosphorylase A & B and inhibits by converting to tense state
Increases cAMP levels > increases PKA
PKA changes B form to A form by triggering phosphorylation of B form via phosphorylase kinase
how does Creatine Phosphate INHIBIT glycogen phosphorylase?
Skeletal Muscle ONLY
binds to phosphorylase A and converts to tense state
how does ATP INHIBIT glycogen phosphorylase?
binds phosphorylase B and froms tense state
how does Phosphoprotein Phosphatase-1 INHIBIT glycogen phosphorylase?
removes phosphate from phosphorylase A converting it to less active B form
what does a PP-1 inhibitor do?
decreases activity of PP-1
PKA inhibits PP-1 from Epi & Glucagon
Liver only: insulin and Glucose increase PP-1 activity
If the liver increases the activity of PP-1 via insulin and glucose what does this cause?
decreases glycogen breakdown
List the 4 activators of glycogen phosphorylase
AMP
Glycogen
Calcium
Protein Kinase A
How does AMP activate Glycogen Phosphorylase?
binds to phosphorylase B and increases its activity forming the relaxed state
more pronounced in muscle due to higher AMP levels generated by active muscle
How does Glycogen activate Glycogen Phosphorylase?
binds to phosphorylase B and increases the activity of B by putting into the relaxed state
helps prevent the build up of too much glycogen in a cell
How does Calcium activate Glycogen Phosphorylase?
Binds to calmodulin in phosphorylase kinase B to make it active
This enzyme converts Glycogen Phosphorylase B to A via epinephrine binding alpha-adrenergic receptors
How does Protein Kinase A activate Glycogen Phosphorylase?
Phosphorylates Phosphorylase Kinase B to activate it converting B to A
PKA can be formed in response to glucagon or epinephrine
Explain how we get maximum glycogen breakdown in skeletal muscle when we exercise
Exercise produces maximum activity for Phosphorylase Kinase
This gives the maximum glycogen breakdown in both liver and skeletal muscle
Describe the specific cascades involved in maximum glycogen breakdown in skeletal muscle
Epinephrine signals cAMP cascade via beta-adrenergic receptors
Muscle only has b-adrenergic receptors
Liver has alpha & beta
-the stimulation of the veta and calcium together triggers optimal breakdown
Calcium makes muscles contract and makes Phosphorylase kinase active and signals for glycogen breakdown
Explain how caffeine is able to improve human athletic performance
Caffeine has the same affect as glucose on Phosphorylase
However its effects are seen in all tissues with glycogen
It triggers for fat breakdown while sparing glycogen in muscle for later use
describe the mechanism of caffeine allowing for improved human athletic performance
inhibits pohsophodiesterase to increase cAMP while also converting phosphorylase A to B (tense state)
increases FAT availability
Decreases Carbohydrate stores
Decreases threshold for motor unit recruitment
INcreases ion transport within muscle
INcrease catecholamine release
Glycogen storage disease
Von Gierke's Disease
Most common glycogen storage disease
Type 1(a) mutation in Glucose-6-Phosphatase
Symptoms: affects liver, enlarged liver, kidney failure
diagnosed: liver/muscle biopsy
treatment: limited to none
what causes glycogen storage diseases?
mutations within the genes that may lead to excessive glycogen stores and therefor mal-effects
Describe Von Gierke's Disease
most common glycogen storage disease
Type 1 (a) mutation in Glucose-6-Phosphatase
Symptoms: affects the liver, enlarged liver, kidney failure
Diagnosed by liver/muscle biopsy
what type of mutation occurs in Von Gierkes disease?
Type 1(a) mutation in Glucose-6-phosphatase
describe Pompe's disease
Type 2 mutation in Lysosomal Glucosidase
Symptoms: Skeletal and Cardiac muscle affected
infantile form: death by 2 years
juvenile form: muscle defects
Adult form: muscular dystrophy
diagnosis: muscle biopsy
treat: enzyme replacement
what is McArdle's Syndrome
Type 5 mutation in muscle phosphorylase
glycogen storage disease
affects skeletal muscle
exercise induced pain and cramps
myoglobin present in urine
diagnosis: muscle biopsy
NO treatment
What is Cori's disease
type 3(a) mutation in debranching enzyme
glycogen storage disease
affects the liver and myopathy of muscles
diagnosis: muscle or liver biopsy
NO treatment