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20 Cards in this Set

  • Front
  • Back
In normal circumstances, what are fatty acids and amino acids metabolized to in the liver?
Acetoacetate
Beta-Hydroxybutyrate
What is depleted in prolonged starvation or diabetic ketoacidosis?
Oxaloacetate
(needed for gluconeogenesis)
Shunts Glucose and FFA toward Ketone Production
What is the citrate shuttle for?
Synthesis o f gatty acids starting with acetyl CoA shuttle to the cell cytoplasm
What is the carnitine shuttle for?
Fatty acid breakdown by shuttleing Acyl-CoA into the mitochondria
What is necessary to transport long chain fatty acids into the mitochondria?
Carnitine
What are the findings in carnitine deficiency?
toxic accumulation of LCFAs,
Weakness, hypotonia,
Hypoketotic Hypoglycemia
What is utilized in a 100 m dash?
Stored ATP, creatine phosphate, anaerobic glycolysis
(seconds)
What is utilized in a 1000 m run?
Stored ATP, creatine phosphate, anaerobic glycolysis PLUS
Oxidative Phosphorylation
(minutes)
How long does it take for glycogen reserves to be depleted in starvation?
1 day
What become the main energy source for the brain and heart after 3 days of starvation?
Ketone Bodies
What is the rate limiting step of cholesterol synthesis?
HMG-CoA Reductase
(HMG-CoA--> Mevalonate)
What do statins inhibit?
HMG-CoA Reductase
What is deficient in Abetalipoproteinemia?
apoB-100 and apoB-48
What are the findings of Abetalipoproteinemia and when does it start showing up?
FTT, Steatorrhea, Acanthocytosis,
Ataxia, Night Blindness,
Within the first few months of life
What is the inheritance pattern of Abetalipoproteinemia?
Autosomal Recessive
What familial dyslipidemia is Autosomal Dominant?
IIa- Familial Hypercholesterolemia
What are the findings in Familial Hypercholesterolemia?
Accelerated Atherosclerosis,
Achilles Xanthomas,
Corneal Arcus
What are the findings in Type I familial dyslipidemia?
Increased Chylomicrons and Elevated TG and Cholesterol in the blood
What is the pathophysiology of hyperchylomicronemia?
Pancreatitis, H/S megaly, eruptive/pruritic xanthomas
NO increased risk of atherosclerosis
What causes Type IV familial dyslipidemia, Hypertriglyceridemia?
Hepatic overproduction of VLDL leading to increased VLDL and elevated blood levels of TAGs. (pancreatitis)