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28 Cards in this Set

  • Front
  • Back

2 metabolic states and what drives them

*absorptive: period when ingested nutrients are entering the blood, up to 4hrs posts meal




*postabsorptive: period when GI tract is empty of nutrients and energy must be supplied from catabolism of body stores

Difference between digestion and absorption

digestion: breakdown of food into molecules small enough to be absorbed




absorption: movement of food molecules from GI into the blood




(digestion before absorption)

Describe carb and protein absorption

*absorbed by DI directly into the blood, circulates to the liver via portal vein, and then into systemic circulation

How are ingested fats transformed?

*emulsified by bile salts (forming micelles)




*gut cells transform ingested fat into chylomicrons

What is a chylomicron?

*one major group of lipoproteins that enable fats to move within water-based solution of blood

How do chylomicrons move after their formation in the gut?

travel through the lacteals (lymph vessels) to enter blood via the thoracic duct

Describe the breakdown of chylomicrons in the blood, and then in the liver

*as they enter capillaries of adipose tissue and muscle cells they are broken down into fatty acids and chylomicron remenant




*remenant taken up by the liver and re-packaged as very low density lipoprotein (VLDL) and then resecreted into the blood

What is the role of chylomicrons and VLDLs in the blood?

deliver the fatty acids in their core to adipose tissue for storage or muscle tissue for energy.

name the main lipoprotein types

chylomicrons


VLDLs


LDLs


HDLs

what is the role of LDLs in the blood

carry most of the body's cholesterol and deliver it to cells that need it

what is the role of HDLs in the blood?

*remove excess cholesterol from endothelial lining of blood vessels

what is the main source of energy during the absorptive state?

glucose

what happens to glucose during the absorptive state?

*catabolized to produce ATP within cells




*turned into glycogen in muscle or liver




*turned into fat in adipose tissue after filling glycogen stores

What happens to glucose in the liver (3)? main thing first

*packaged to form VLDLs to ultimately for stored as triglyceride in adipose tissue


*made into glycogen (100g)


*processed to form triglycerides (small storage)



What breaks down absorbed triglycerides? What else is broken down by these?

lipoprotein lipase breaks down chylomicrons into fatty acids, monoglycerides, and chylomicron remnants




VLDLs are also broken down into fatty acids and monoglycerides



What does absorbed fat ultimately become

fat in adipose tissue

What happens to most absorbed amino acids?

majority are taken up by cells for protein synthesis

What happens to absorbed amino acids in the liver?

*make liver proteins


*make plasma proteins


*be converted into keto acids

What can keto acids be used for?

converted to energy or stored as fat

How do you account for the net gain of protein in the absorptive state?

It is replacing protein lost during the post absorptive state (excess protein makes fat)

What is the main goal in the postabsorptive state?

maintain blood glucose levels, despite no glucose absorption from the GI tract

2 main events that maintain normal plasma glucose levels

*processes that provide source of blood glucose


*increased fat utilization

Name the processes that provide sources of blood glucose (3)

*glycogenolysis


*gluconeogenesis from fat


*gluconeogenesis from protein

When do amino acids become the source of blood glucose?

a few hours into postabsorptive state

which portion of a triglyceride goes through gluconeogenesis?

gycerol

How does glycogenolysis in the muscle provide blood glucose?

via the Cori cycle

What macronutrient is preferentially utilized in the post absorptive state?

fat

What is utilization of fat instead of glucose called? What allows this to happen

glucose sparing via accelerated lipolysis