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174 Cards in this Set
- Front
- Back
AA with a H side-chain
|
Glycine
|
|
Only AA with a Nitrogen ring side-group
|
Proline
|
|
Hydrophobic AA
|
LIV PTT
leucie, isoleucine, valine phenylalanine, tyrosine, tryptophan |
|
AA with Hydroxyl side-chains
|
serine, threonine
|
|
AA with Sulfur
|
cysteine, methionine
-Ox of 2 cysteine sulfhydryl groups produces cystine |
|
AA that are amides
|
asparagine, glutamine
|
|
2 parts of a glycolipid
|
-glycerol backbone
-esterified fatty acid |
|
phosphoglyceride
|
glycerol with FA at positions 1 & 2, and a phosphoryl group at postion 3 (phosphocholine)
|
|
3 classes of sphingolipids
|
sphingomyelin-contains phosphocholine
cerebrosides-contain sugar residue gangliosides- contain >1 sugar residue |
|
precursor of prostaglandins and leukotrienes
|
aracidonic acid
|
|
4 functions of proteins in cell membranes
|
1 .transport
2. enzymes 3. receptors 4. mediators of signal transduction/2nd messengers |
|
2 rings of a nucleotide
|
purine and pyrimidine
|
|
nucleoside structure
|
nucleotide w/ sugars linked to a nitrogenous base
|
|
nucleotide structure
|
nucleoside w/ phosphoryl groups
|
|
nucleotide functions (5)
|
1. energy stores (ATP)
2. conenzymes (NAD+) 3. signaling intermediates (cAMP) 4. allosteric modifier of enzymes 5. Genetic information (DNA/RNA) |
|
Where is fructose metabolized?
|
Liver-
-fed-->pyruvate -fasting-->gluconeogenesis |
|
What is the pathway of fructose metabolism
|
1. phosphorylated by ATP to F-1-P by frutokinase
2. F-1-P to DHAP & glyceraldehyde by aldolase B 3. glyceraldehyde converted to G-3-P and along with DHAP goes into glycolysis. |
|
Deficiency of aldolase B causes
|
hereditary fructose intolerance-->fructose cannot be metabolized and can lead to life-threatening buildup in liver
|
|
deficiency of fructokinase causes
|
benign fructosuria-fructose accumulates in urine & excreted
|
|
higher affinity for glucose-
hexokinase or glucokinase |
glucokinase
hexokinase Km is ~5% that of glucokinase |
|
aldose reductase
|
glucose to sorbitol
pathway to produce fructose from glucose |
|
how do you generate fructose fro glucose
|
glucose-->sorbitol (aldose reductase)-->fructose (sorbitol dehydrogenase)
|
|
metabolism of galactose
|
1. galactose-->galactose-1-P (galactokinase)
2.G-1-P+ UDP-glucose=glucose-1-P + UDP-galactose (galactose-1-P uridylytransferase 3. UDP-galactose-->UDP-glucose (epimerase) 4. cycle |
|
galactosemia
|
deficiency of galactose 1-P uridylyltransferase
hepatomegaly, jaundice, hypoglycemia, convulsions, lethargy |
|
glycolysis steps
|
glucose-->G-6-P (glucokinase)-burns an ATP
G-6-P-->F-6-P F-6-P-->F-1,6-bisP (PFK-1)-burns an ATP F-1,6-bisP-->DHAP & Glyceraldehyde-3-P DHAP & Glyceraldehyde-3-P-->1,3-bisphosphoglycerate (G-3-P DH)-Creates an NADH+H+ -->generates ATP-->-->PEP PEP-->pyruvate (pyruvate kinase)- generates an ATP nets 2 ATP, 1 NADH |
|
PPP- oxidative pathway
|
G-6-P-->ribulose-5-P (2 NADPH+CO2)
ribulose-5-P-->xylulose-5-P X-5-P-->ribose-5-P-->nucleotide synth OR X-5-P-->F-6-P (reenter glycolysis) |
|
PPP- nonoxidative pathway
|
glycolysis-->F-6-P
F-6-P-->ribose-5-P-->nucleotide synth *reversible* |
|
glucose-6-P dehydrogenase
|
G-6-P--> -->--> ribulose-5-P in PPP
|
|
Uses for NADPH
|
FA synth
Glutathione reduction Other |
|
transketolase
|
Non-ox PPP
requires TPP (thiamine pyrophosphate) |
|
glutathione uses
|
-prevent oxidative damage by reducing H2O2
-transport of AA across membranes of some cells |
|
How is ribose-5-P generated?
|
Through the PPP:
If NADPH is high-->non-ox path If NADPH is low-->oxidative path product inhibition |
|
What is ribose-5-P used for?
|
nucleotide synthesis
|
|
Polyol pathway
|
glucose-->sorbitol-->fructose
for sperm fuel reduction (glucose-->sorbitol) NADP oxydation (sorbitol-->fructose) NADH |
|
Why might a diabetic develop cataracts
|
High blood sugar (esp. fructose, galactose, & sorbitol) increase osmotic pressure in eye, lead to glycosylation of lens proteins
|
|
benign fructosuria
|
fructokinase deficiency
-high blood fructose (excreted in urine) -hexokinase can still metabolize at a reduced rate |
|
hereditary fructose intolerance
|
-aldolase b deficient
-F-1-P buildup-no metabolic fate -Locks up cellular Pi -Inhibits glycogenolysis and gluconeogenesis -AMP metabolized b/c no Pi to regenerate ATP (fatigue) -develop aversion to fructose |
|
lactose deficiency
|
-reduced lactase activity
-Primary-->activity declines over years -Secondary-->brush border damage -congenital-->rare, no lactase at all |
|
classical galactosemia
|
Galactose-1-P uridyltransferase deficiency
-serious -hepatomegaly, jaundice, hypoglycemia, convulsions, lethargy, cataracts, sepsis (E.Coli infections) |
|
galactokinase deficiency
|
-high galactose in blood
-converted to galactictol -can lead to liver & brain damage, cataracts |
|
key regulatory steps of glycolysis and regulation mechanism
|
1. hexokinase (PI)
2. PFK-1 (AI-->ATP, AA-->AMP, F-2,6-bP) 3. Pyruvate kinase (PEP-->pyruvate, inhibited by phosphorylation |
|
key regulatory steps of gluconeogenesis and regulation mechanism
|
1. pyruvate-->PEP
PEP carboxykinase (transcrition) 2. F-1,6-bP-->F-6-P F-1,6-bPase (transcriptionally activated by fasting, inhibited by AMP, F-2,6-bP) 3. G-6-P-->glucose G-6-Pase (PI) |
|
Steps in glycolysis
|
glucose
G-6-P F-6-P F-1,6-P DHAP glyceraldehyde-3-P 1,3-bisphosphoglycerate 3-phosphoglycerate 2-phosphoglycerate phosphoenolpyruvate (PEP) pyruvate |
|
Steps in gluconeogenesis
|
pyruvate
phosphoenolpyruvate (PEP) 2-phosphoglycerate 3-phosphoglycerate 1,3-bisphosphoglycerate glyceraldehyde-3-P DHAP F-1,6-bP F-6-P G-6-P glucose |
|
What cells require glucose as fuel
|
brain, RBC
|
|
3 sources of carbon for gluconeogenesis
|
anaerobic glycolysis-->lactate (lactate dehydrogenase)
deg. of muscle protein-->AA, mostly alanine (transamination w/ a-ketogluterate<-->glutamate) TG lipolysis-->glycerol |
|
Source of energy for gluconeogenesis
|
oxidation of beta-FA-->ATP
|
|
where is pyruvate-->PEP
|
cytosol
|
|
where does most of gluconeogenesis occur
|
mito matrix
|
|
what is the first step of gluconeogenesis
|
pyruvate-->OOA (pyruvate carboxylase w/biotin cofactor and ATP-->ADP)
OOA directly converted to PEP |
|
what is the second step of gluconeogenesis
|
OOA--> either aspartate or malate
OOA cannot cross the mito membrane, must be converted and transported via malate-aspartate shuttle reconverted to OOA in cytosol |
|
how does cortisol effect blood glucose levels
|
cortisol-->binds SRE
glucagon-->cAMP-->PKA-->phosphorylates CRE -PEP-CK gene activated -PEP-CK protein expressed -gluconeogenesis Cortisol stimulates gluconeogenesis and increases blood glucose |
|
How is futile cycling prevented in gluconeogenesis
|
In the fasted state:
1. pyruvate kinase is inhibited by PKA 2.PDH inhibited by acetyl CoA (from FA ox) 3. pyruvate carboxylase rx favored (pyruvate-->OOA) b/c of high acetyl CoA (PI) 4. PEP-CK trascription activated by PKA Prevents synthesized PEP from being converted back to pyruvate |
|
what pathway is PFK-1 involved it and how is PFK-1 regulated
|
Glycolysis:
Activated by AMP & F-2,6-bP Inhibited by ATP & citrate |
|
What pathway is F-1,6bPase involved in and how is it inhibited
|
Gluconeogenesis:
Inhibited by AMP & F-2,6-bP |
|
How do F-2,6-bP and AMP function to regulate gluconeogenesis
|
Activate-->glycolysis (PFK-1)
Inhbit-->gluconeogenesis (F-1,6-bPase) |
|
F-2,6-bP activates and inhibits which pathways
|
Activates glycolysis (PFK-1)
Inhibits gluconeogenesis (F-1,6-bPase) |
|
What does pyruvate carboxylase do and how is it activated
|
pyruvate-->OOA
activated by acetyl CoA |
|
What does PDH (pyruvate dehydrogenase) do and how is it inactivated
|
pyruvate-->acetyl CoA
NADH, acetyl CoA, & ATP from FA-->Acetyl CoA rx |
|
What does (PK) pyruvate kinase do and how is it inactivated
|
Glycolysis:
PEP-->pyruvate + ATP Inhibited by glucagon (via cAMP and PKA, phosphorylates PK to inactivate) Inhibits reformation of pyruvate from new PEP |
|
What does PFK-1 do and how is it regulated?
|
F-6-P-->F-1,6-bP
Activated by F-2,6-bP, AMP Inhibited by ATP, citrate |
|
What does F-1,6-bPase do and how is it regulated?
|
F-1,6-bP-->F-6-P
Inhibited by F-2,6-bP |
|
What does glucokinase do and does it have a high or low Km for glucose
|
glucose<-->G-6-P
High Km -Inactive in low glucose situations (fasting/gluconeogenesis) -Active in high glucose situations (fed/glycolysis) |
|
What is the major AA that feeds gluconeogenesis
|
Alanine
|
|
What happens to the nitrogen in AA metabolism
|
converted to urea and excreted
|
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where is glycerol derived from and what is it used for
|
derived from TG breakdown, used for ketone body synthesis and can-->glycerol-3-P-->DHAP-->glucose via gluconeogenesis
|
|
What role do even-chain FA function in gluconeogenesis
|
-no net synth of glucose
-provide ATP for gluconeogenesis |
|
What does pyruvate dehydrogenase do?
|
Pyruvate-->acetyl CoA
-not reversible -high [acetyl CoA] inhibits, as in FA oxidation during gluconegenesis |
|
What role do odd-chain FA function in gluconeogenesis
|
3 carbons at omega-end converted to propionate, which enters TCA cycle as succinyl CoA
Succinyl CoA-->malate (intermediate for glucose formation) |
|
Where does energy for gluconeogenesis come from
|
Beta-ox of even-chain FA
|
|
How much glucose will 1 mol pyruvate make?
|
1/2 mol (2 pyruvate/1 glucose)
|
|
How many net phosphate bonds does it require for 1 mol glucose (from pyruvate)
|
6 mol phosphate
|
|
How many net phosphate bonds does it require for 1 mol glucose (from glycerol)
|
2 mol
|
|
What effect will a high carbo meal have on blood glucagon levels
|
glucagon will decrease
|
|
what effect will a high protein meal have on glucagon levels
|
glucagon will increase
|
|
What effect will a balanced meal have on glucagon levels
|
glucagon will remain relatively constant, insulin will increase
|
|
how does glucose enter the liver
|
insulin-dependent GLUT-2 transporters
|
|
excess glucose becomes:
|
glycogen & TG in VLDLs
|
|
how does insulin stimulate glycogen synthesis
|
insulin stimulates glycogen phosphatase-->dephosphorylates (activates) glycogen synthase
|
|
what is the fate of dietary glucose in:
liver? muscles? adipose tissue? |
liver-->glycogen & TG's
muscles-->glycogen adiopcytes-->glycerol |
|
How long does it take for glucose levels to return to fasting levels after a meal
|
~2 hours (80-100mg/DL)
|
|
How long after a meal does it take for glucagon levels to begin to rise?
|
~2 hours
|
|
How long after a meal does it take for the liver to supply glucose from gluconeogenesis and glycogenolysis?
|
~4 hours
|
|
What stimulates cAMP production in the liver
|
glucagon
|
|
what effects does glucagon secretion by the liver have on fasting glucose production
|
glucagon activates cAMP in the liver, causing 2 effects:
1. activates glycogenolysis (need more energy) 2. inhibits PEP-->pyruvate cycling (futile cycling, forces PEP into glyceraldehyde-3-P & DHAP products for gluconeogenesis) |
|
TG's produce what products in lipolysis
|
Glycerol-->gluconeogenesis carbon
FA-->ketone bodies &ATP for gluconeogenesis via beta-ox |
|
how long does glycogenolysis supply fuel for the body?
|
~8-12 hours
|
|
how long does gluconeogenesis supply fuel for the body?
|
starts at ~4 hours, increasing role as glycogen is consumed
equal to glycogenolysis at ~16 hours only source after ~30 hours |
|
how does metformin work and what is it used for
|
management of type 2 diabetes
inhibits hepatic gluconeogenesis |
|
what happens in starvation?
|
after 5-6 weeks, gluconeogenesis slows, ketone body synthesis increases
b/c gluconeogenesis slows, urea production decreases muscle protein is spared |
|
how does muscle tissue maintain glucose levels during exercise
|
1. ATP is consumed
2. creatine phosphate, then glycogen oxidation regenerates ATP 3. High AMP levels activate phosphorylase b, Ca2+/calmodulin activates phosphorylase kinase, epinephrine causes cAMP to be produced, all of which stimulate glycogenolysis 4. |
|
What molecule is synthesized when calorie consumption exceeds expenditure
|
Acetyl CoA is directed to Fatty Acid synthesis (rather than the TCA Cycle)
High NADH from the isocitrate-->alpha-ketogluterate rx inhibits isocitrate dehydrogenase |
|
what is the pyruvate/malate cycle?
|
mitochondrial pyruvate-->OOA & acetyl CoA-->citrate-->cytosol citrate-->OOA & acetyl CoA
acetyl CoA-->FA synth OOA-->malate +NAD+-->pyruvate+NADPH (malic enzyme) |
|
what is the purpose of the pyruvate/malate cycle
|
1. transports acetyl CoA from mitochondria to cytosol
2. produces NADPH for FA synthesis |
|
malonyl CoA regulates what
|
FA oxidation. It is an allosteric inhibitor of carnitine palmitoyl transferase-1
|
|
what is the rate-limiting step in FA synthesis
|
Acetyl CoA-->malonyl CoA (acetyl CoA carboxylase)
|
|
What is the rx sequence of beta-oxidation of FA's
|
1. Oxidation
2. Hydration 3. Oxidation 4. Bond Cleavage |
|
What is the rx sequence of FA synthesis and what enzyme performs each step
|
1. Oxidation
2. Reduciton 3. Dehydration 4. Reduction Fatty acid synthase |
|
What cofactor is incorporated in FA Synthase
|
phosphopantetheinyl
-reactions of FA synth take place bonded to it -when 4 steps are complete, the 2-carbon complex is transferred to the growing chain at a cysteine residue |
|
how long does FA Synthase make the FA chain
|
16 carbons long
palimitate |
|
3 uses for FA's
|
1. energy storage
2. signaling 3. cell membrane constituents |
|
Can FA chains exceed 16 carbons? How?
|
palimitate is transferred to a CoA (plamitoyl CoA)
-elongation can continue in the ER by the same process as by FA Synthase |
|
What are the two most important dietary FA's? Why?
|
Linoleic and linolenic.
Aracadonic acid (and thus, eicosinoid) producion |
|
Can humans produce omega-3 and omega-6 fatty acids?
|
No. Primary source is fish oil. Essential for eicosinoid synthesis
|
|
How many carbons long does a FA need to be to make an unsaturation.
|
At least 9
|
|
What are the 4 main types of FA's
|
1. Triacylglycerols (storage)
2. Glycerophospholipids 3. Phospholipids 4. Sphingolipids 2-4-->structure and signaling |
|
What are the precursors for TG synthesis
|
Glycerol-3-P and palmitoyl CoA
Diacylglycerol is an intermediate, important for signaling |
|
What is the function of LPL?
|
Facilitates transfer of TG's from VLDL's to adipocytes.
*TG's must be broken down into FA+glycerol to leave the VLDL and enter the adipocyte |
|
4 Functions of glycerophospholipids
|
1. Cell membranes
2. Lung surfactant 3. Bile 4. Lipoproteins |
|
What is the prefix of many glycerophospholipids?
|
phosphatidyl...
|
|
What enzyme modifies phosphatidylinositol?
|
Can be phosphorylated to form phosphatidylinositol phosphate (PIP...or PIP2, or PIP3)
|
|
What is the basic structure of a glycerophospholipid?
|
Glycerol backbone, 2 FA chains,
a phosphate (position 3) attached to a head group (variable) |
|
What are ether glycerolipids (plasmalogens)?
|
Glycerol backbone
Pos. 1-->ether Pos. 2-->FA Pos. 3-->Phosphate-Headgroup |
|
What are plasmalogens used for?
|
Myelin sheath of neurons (ethanolamine)
Platelet activating factor (choline head group) |
|
What is a sphingolipid?
|
Ceramide backbone (serine & palimtoyl CoA).
Serine can be phosphorylated posttranslationally to act as a switch for the protein Very important for signaling |
|
Sphingomyelin purpose?
|
Sphingolipid in the myelin sheath.
|
|
What two major peptide hormones are secreted from adipocytes?
|
Adiponectin and leptin
|
|
What cell does adiponectin come from?
|
Adipose tissue
|
|
What tissue does leptin come from?
|
Adipose tissue
|
|
What does adiponectin do?
|
1. Senses rise in TG levels (like the TG insulin)
2. Insulin sensitizer 3. Decreases FA synth and Increases FA oxidation 4. As size of adipocyte increases, adiponectin secretion decreases |
|
What does leptin do?
|
Satiety hormone.
Released in response to high TG levels. |
|
What is the mechanism of leptin activation?
|
1. Leptin binds to receptor, dimerizes
2.JAK protein phosphorylates receptor to create a docking site 3. STAT protein attracted to docking site, docks and is phosphorylated 4 STAT enters nucleus to trigger transcription of anorexigenic factors |
|
pH in a lysosome?
|
4.5-5, maintained by ATP-driven proton pumps
|
|
how are lysosomal proteins directed to the lysosome?
|
mannose-6-phosphate tag
|
|
How can fetal lung function be assessed?
|
Ratio of phosphatidylcholine to sphingomyelin
|
|
Phospholipid backbone?
|
Glycerol
Phosphatidyl... |
|
Cerebrosides and gangliosides use what for a backbone/
|
Serine
|
|
Cerebrosides are made of?
|
Ceramide base plus a glucose or galactose
|
|
What are globosides?
|
Cerebroside (ceramide+glucose or galactose) with two or more sugars
|
|
What is a ganglioside?
|
A cerebroside/globoside with oligosaccarides, plus NANA
|
|
Defects in enzymes that cause glycolipid breakdown are called?
|
Lysosomal storage diseases.
|
|
Examples of lysosomal storage diseases?
|
1. Niemann-Pick
2. Fabry 3. Krabbe 4. Gaucher 5. Tay-Sachs 6. Meatchromatic leukodystrophy |
|
What causes Tay-Sachs?
|
Lysosomal storage disease
Inability to break down gangliosides Enzyme hexosamidinase A (1 alpha/2 beta chains) alpha-chain defective. In Standoff's, beta-chain is defective and both hexosamidinase a & b affected (beta-chain defective) |
|
What causes Gaucher's?
|
inability to metabolize cerebrosides
|
|
What causes Fabry disease?
|
inability to metabolize glucose-galactose-galactose globosides
|
|
What are proteoglycans?
|
Highly glycosylated proteins
-long, unbranched disaccaride chains -extracellular -"shock absorbers" -bottle brush -negative charge, readily absorb water |
|
Where might you find proteoglycans?
|
-synovial fluid
-cartilage -vitreous humor of eye |
|
What is the difference between type A, B, and O blood?
|
A & B have a single sugar difference in a carbohydrate chain on the cell surface.
O is missing both of these sugars |
|
What causes jaundice?
|
heme breakdown produces biliverdin, reduced to bilirubin, which is glycosylated by 2 glucuronates to make it more soluble for excretion. Exceeding the system's capacity results in bilirubin buildup.
|
|
What are 4 types of jaundice?
|
1. Neonatal--glucuornate conjugating system is immature
2. Hemolytic--excessive RBC destruction 3. Hepatocellular--low-functioning liver, as in alcoholics 4. Obstructive--bile drainage blocked (stones, tumor, etc.) |
|
How many ATP are netted per NADH, FADH2, and total for the ETC?
|
NADH-->10 ATP/NADH*3=30
FADH2-->6 ATP/FADH2*1=6 36 total ATP, plus 2 from glycolysis=38 |
|
What happens if you don't get enough O2?
|
ETC slows, causes fatigue.
|
|
What is the major vitamin in the cofactor FADH2?
|
Riboflavin
|
|
What molecules provide the electrons used to produce ATP in the ETC?
|
NADH & FADH2
|
|
Where is the pH higher, in the IMS or the mito matrix?
|
Matrix
|
|
Where is the pH lower, in the IMS or in the mito matrix?
|
IMS (Intermembrane space)
|
|
How do protons cross the inner mito membrane
|
1. Through ATP synthase
2. Proton leakage 3. Uncoupling agents |
|
What are some ETC uncoupling molecules and where do they act?
|
1. Rotenone-->complex I/coenzyme Q
2.Antimycin A-->cytochrome C (complex III) 3. CN-, CO-->complex IV O2 delivery/reduction |
|
How many protons are pumped for each NADH each complex in the ETC?
|
I-->4
II-->0 III-->2 IV-->4 10 total 12 H+ fill 3 rx spots (3 ATP)=4 H+/ATP=2.5 ATP/NADH |
|
How many protons are pumped for each FADH2 in each complex of the ETC?
|
I-->0
II-->0 III-->2 IV-->4 6 total 4 H+/ATP= 1.5 ATP/FADH2 |
|
What chemical inhibits ATP Synthase?
|
Oligomycin (binds to stalk)
|
|
How does an iron deficiency effect the ETC?
|
Most of the ETC enzyme complexes have FeS centers on them.
|
|
What matrix ETC enzyme is also a part of the TCA cycle?
|
Succinate dehydrogenase (succinate-->fumerate)
The rx contributes FADH2 to the ETC |
|
Which ETC complex doesn't pump any e- into the IMS?
|
Complex II
|
|
Which part of the ETC can generate free radicals?
|
Quinone in Coenzyme Q
|
|
What is unique about quinone?
|
Can accept either one or two e-, possibly generating free radicals.
|
|
What happens to the ETC if there is no ADP in the matrix?
|
It slows. The cell has enough energy.
-[H+] rises in the IMS -NAD+ + H+ is inhibited, so [NADH] rises -(-) on TCA cycle, shunts products to other, biosynthetic pathways |
|
What byproduct is produced when e- are passed through the ETC?
|
Heat
|
|
What does thermogenin do?
|
Uncouples ATP synthesis to generate heat in infants.
|
|
What is dinitrophenol and what does it do?
|
ATP synthase uncoupler. Generates heat, sold as a weightloss drug in the 1930's.
Dangerous b/c it can cause hyperthermia |
|
What is the role of xyulose-5-P?
|
Signals to the liver that there is energy to process.
|
|
What does PFK-2Pase do and how is it regulated?
|
Converts F-6-P to F-2,6-bP.
Activated by PP2A-(protein phosphatase 2A) (increases F-2,6bP) Inhibited by PKA phosphorylation (glucagon).(decreases F-2,6-bP) |
|
How is X-5-P a key regulator of energy regulation in the body?
|
X-5-P activates PP2A which:
1. Activates PFK-2Pase which increases [F-2,6-P] and thus, glycolysis. 2. Activates ChREBP in the nucleus to activate transcription, activating the following: A. LPK (liver pyruvate kinase) B. 5 different areas of TG synthesis |
|
What is a major function of the PPP in RBC's?
|
PPP produces NADPH (energy) to maintain a reduced form of glutathione (protection from H2O2)
|
|
What is the rate-limiting step of the TCA cycle?
|
malate<--> OOA
|
|
How do pancreatic beta-cells detect glucose (for insulin release)?
|
Increasing [NADPH] from the TCA cycle.
|
|
What are NEFA's?
|
Non-esterified fatty acids. Free-floating FA's in the blood.
|
|
What is a leading theory behind insulin resistance?
|
NEFA's are absorbed by beta-cells and metabolized to create NADPH in the cytosol (beta-ox).
TCA is reversed in cytosol, from citrate to malate Malate-->pyruvate+NADPH (malic enzyme) Also, isocitrate-->a-ketogluterate+NADPH Artificially increases [NADPH], so when glucose is introduced, cell doesn't detect a significant increase in [NADPH] and doesn't secrete insulin |
|
What behavior would rats exhibit if leptin transcription was knocked out?
|
Hyperphagia...never full.
|
|
What adipokine is responsible for clearing FA's?
|
Adiponectin
|
|
How are adiponectin levels influenced by obesity?
|
Secretion decreases, leading to decreased clearance of FA's.
|
|
How does obesity affect GLUT4 expression
|
GLUT4 expression is decreased.
|
|
What effect do high plasma SRBP levels have on the body?
|
SRBP's impair muscle insulin response and activate liver gluconeogenesis.
This is the last thing you want, b/c you are already hyperglycemic! |
|
What can cause SRBP levels to increase?
|
Obesity.
|