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127 Cards in this Set

  • Front
  • Back
2 main sites of metabolism:
-Mitochondria
-Cytoplasm
What 3 metabolic pathways are limited to MITOCHONDRIA?
-FA B-oxidation
-AcCoA production
-Krebs cycle
What 5 metabolic processes occur in the CYTOPLASM?
-Glycolysis
-FA SYNTHESIS
-HMP shunt
-Protein synthesis (rER)
-Steroid synthesis (SER)
What 3 metabolic pathways take place in BOTH the mitochondria AND cytoplasm?
-Heme synthesis
-Urea cycle
-Gluconeogenesis
What is ATP made up of?
-Adenine
-Ribose
-3 phosphates
How many ATP are produced from Aerobic metabolism of one glucose molecule? Via which shuttle?
38 via the Malate shuttle

36 via the G3P shuttle
How many net ATP are produced by ANAEROBIC metabolism of one glucose molecule?
Only 2!!
What is ATP used for?
Hydrolysis and release of energy coupled to energetically unfavorable reactions.
What is the activated carrier of phosphoryl?
ATP
What are three activated carriers of electrons?
-NADH
-NADPH
-FADH2
What are 2 activated carriers of Acyl?
Coenzyme A
Lipoamide
What is the activated carrier of CO2?
Biotin
What is the activated carrier of 1-carbon units?
THF - tetrahydrofolate
What is the activated carrier of methyl groups?
SAM - s-adenosyl methionine
What is the activated carrier of Aldehydes?
TPP
What IS SAM?
The methyl donor man
What is SAM made up of?
ATP + Methionine
What does SAM do?
SAM transfers methyl units!
What is regeneration of methionine, and hence SAM, dependent on?
Vitamin B12
What are the universal electron acceptors?
NAD, FAD, and NADP
What are NAD and NADP?
Nicotinamides
What is FAD?
Flavin nucleotide
Where is NADPH produced?
HMP shunt
What is NAD+ used in?
CATABOLIC PROCESSES - carries reducing equivalents away as NADH
What is NADPH's general use?
ANABOLIC processes as a SUPPLY of reducing equivalents
What 3 process is NADPH used in?
-Anabolic processes
-Respiratory burst
-P450 enzyme reactions
What are the 2 main anabolic processes that use NADPH?
-Steroid production
-Fatty acid synthesis
Where is the Oxygen dependent Respiratory Burst seen?
In neutrophils' phagolysosomes
What are the 6 enzymes employed by the Respiratory burst?
1. NADPH oxidase
2. Superoxide dismutase
3. Myeloperoxidase
4. Catalase/peroxidase
5. Glutathione reductase
6. G6PD dehydrogenase
What does NADPH oxidase do?
Oxidizes NADPH as it reduces Oxygen into Superoxide radicals
What happens to the Superoxide?
Superoxide dismutase turns it into Peroxide H2O2
What happens to Peroxide?
Cl gets added to it by Myeloperoxidase to make BLEACH
What does the Bleach (HOCl) do?
Kills bacteria in the phagolysosome
What happens to Peroxide that is not converted to bleach?
It gets into the cytosol where it is converted to WATER by GSH peroxidase and by catalase.
What happens to GSH peroxidase in the process of converting H2O2 to H2O?
GSH becomes GSSG
What is necessary to regenerate GSH from GSSG?
Glutathione reductase and NADPH
What is the source of NADPH?
HMP shunt
What is necessary for regenerating NADPH from NADP+ which is produced by GSSG reductase?
Glucose-6P and G6PDehydrogenase
What is the 1st thing that happens when cells take up glucose?
Phosphorylation
What enzyme phosphorylates glucose at ubiquitous sites?
Hexokinase
What enzyme phosphorylates glucose in the liver?
Glucokinase
What is the affinity/capacity of
-hexokinase
-glucokinase
Hexokinase: High affinity/Low capacity
Glucokinase: Low affinity/High capacity
So what is the Km for glucose of
-hexokinase
-glucokinase
Hexo = low Km

Gluco = high Km
How are Hexokinase and Glucokinase regulated?
Hexo: by neg feedback inhibition

Gluco: not inhibited
Why is it good that Glucokinase has low affinity but does not exhibit neg FB inhibition?
The liver only takes up glucose in the FED state when glucose is in excess; but there is not capacity.
So what is the 1st step in glycolysis?
D-glucose is phosphorylated to Glu-6P by hexo/glucokinase
What inhibits this first step?
G6P
What is the next important step in Glycolysis?
The RATE LIMITING STEP!!!
Phosphofructokinase-1 converts G6P to Fructose 1,6-BP
What inhibits/stimulates PFK1?
Inhib: ATP and Citrate

Stim: AMP/F2,6-BP
What is the next important step in Glycolysis?
PEP -> Pyruvate by Pyruvate kinase
What is Pyruvate kinase inhibited by? Stimulated?
Inhib: ATP and Alanine

Stim: F1,6-BP
What happens to Pyruvate?
Pyruvate Dehydrogenase converts it to AcCoA
What inhibits PDH?
ATP, NADH, and AcCoA
So what is the MOST POTENT ACTIVATOR of Phosphofructokinase-1? Which step is this again?
F26BP! This is the RLS of glycolysis
How potent of an activator IS F26BP?
It even overides the inhibiting effects of ATP and Citrate
What enzyme MAKES F26BP?
Fructose Bisphosphatase 2
When is Fructose Bisphosphatase 2 active? Why?
In the fasting state - to produce F26BP, TO ACTIVATE PFK1!!
What is PFK2's action?
Breaks DOWN F26BP into F6P
When is PFK2 active?
In the FED state
So what is the most potent activator of PFK1 and when is it elevated then?
F26BP - high in the fasting state when Fructose Bisphosphatase 2 is active
What are Glycolytic enzyme deficiencies associated with?
HEMOLYTIC ANEMIAS
Why are glycolytic enzyme deficiencies associated with HA's?
Because RBCs are utterly dependent on glucose for their survival
HOW do RBCs use Glucose?
ANAEROBICALLY - they have NO MITOCHONDRIA for aerobic metabolism.
So what are RBCs solely dependent on for their energy?
Glycolysis
What are the top 2 most common glycolytic enzyme deficiencies?
-Pyruvate Kinase 95%

-Glucose 6phosphate dehydrog? 4%
What is the Pyruvate dehydrogenase complex made up of?
3 enzymes requiring 5 cofactors
What are the 5 cofactors of the PDH complex?
-First four B vitamins
-Lipoic acid
What are the B vitamins that are cofactors for PDH complex?
-Thiamine Pyrophosphate -B1 TPP
-FAD - B2, Riboflavin
-NAD - B3, Niacin
-CoA - B5, Pantothenate
-Lipoic acid
What other enzyme complex is very similar to PDH?
alpha-Ketoglutarate dehydrogenase - same cofactors, similar substrates
What inhibits LIPOIC ACID?
Arsenic!
What does Arsenic inhibition of Lipoic Acid do?
MAKES YOU GO TO YOUR GRAV
-Garlic breath
-Ricewater stools
-Vomiting
(Arsenic)
What is the reaction catalyzed by PDH complex?
NAD + CoA + Pyruvate goes to AcCoA + NADH + CO2
What is the PDH complex reaction activated by?
Exercise
What substrates activate PDH complex?
-NAD+/NADH ratio elevation
-ADP
-Calcium
What happens if the PDH complex enzyme is deficient?
Pyruvate and Alanine build up and cause lactic acidosis
What are 2 ways that PDH deficiency can occur?
-Congenital defect
-Alcoholics - lack Vit B1
What are the clinical findings when PDH complex is deficient?
Neurologic deficits
What is the treatment for PDH complex deficiency?
Increased intake of FAT or KETOGENIC substrates - Lysine and Leucine
Why Lys/Leu?
These are the only purely ketogenic amino acids!
Once PYRUVATE is made, what are 4 fates of what it can become? What enzyme does each thing?
-Alanine (ALT)
-Oxaloacetate (P Carboxylase)
-AcCoA (PDH)
-Lactate (LDH)
How many ATP equivalents are required for generating GLUCOSE FROM Pyruvate?
6 ATP!
What is the main role of Alanine generated by ALT conversion of Pyruvate?
To take Amine groups from MUSCLE to LIVER
What are the 2 main functions of OOA?
-Replenish the TCA cycle
-Gluconeogenesis
What will Pyruvate conversion to AcCoA contribute to?
The TCA cycle and ETC!
What is Lactate?
The endproduct of anaerobic metabolism
In what 6 sites is Anaerobic metabolism the MAIN pathway of glycolysis and energy production?
-Lens
-Cornea
-Testes
-Renal medulla
-RBCs/WBCs
What is the Cori Cycle?
Transfer of Lactate from Muscle/RBCs to the liver
What does the LIVER do with the lactate?
Converts it back to pyruvate and glucose - gluconeogenesis
Why do Muscle/RBCs need the Cori cycle?
To get rid of the reducing equivalents (Lactate) and shift that metabolic burden to the liver, which allows Muscle/RBCs to function anaerobically
And what is the NET ATP production of Anaerobic glycolysis?
2ATP
Where does the TCA cycle occur?
In mitochondria
What are the 8 substrates in the TCA? Acronym?
Can I keep selling sex for money officer?
Citrate, Isocitrate, a-KG, Succinyl-CoA, Succinate, Fumarate, Malate, Oxaloacetate
What feeds the TCA?
Pyruvate from the PDH complex reaction
And what inhibits PDH complex again?
ATP, NADH, and AcCoA
What makes Citrate? What inhibits it?
Citrate synthase
-inhib by ATP
How much NADH is made by the TCA? At what reactions?
3 NADH
-Isocitrate dehydrogenase
-a-KG dehydrogenase
-Malate dehydrogenase
What other electron carrier is reduced in the TCA? What reaction?
FAD makes FADH2
Succinate dehydrogenase making succinate -> fumarate
How many CO2 produced in the TCA and at what reactions?
2 CO2
-a-KG dehydrogenase
-Succinyl CoA synthase
What ELSE does the Succinyl CoA synthase reaction make?
GTP!
So what is the net production from the TCA cycle per 1 AcCoA?
-3NADH
-1FADH2
-2CO2
-1GTP
And how many ATP are then made per AcCoA? Where?
12 - by the ETC
3 ATP per NADH x 3 = 9
2 ATP per FADH2 x 1 = 2
plus the GTP
What is important to remember about a-KG dehydrogenase?
-Same cofactors as PDH complex
-Substrate is a-ketoglutarate
Where does the ETC and Oxidative phosphorylation take place?
MITOCHONDRIA
What does the ETC consist of? where?
Complex 1, 3, 4, and 5
On the inner mitochondrial membrane
What happens as electrons pass through the ETC?
Protons get pumped into the intermembranous space, setting up a PROTON MOTIVE FORCE
Where does NADH get reduced?
Complex I
Where do electrons flow from complex I to?
Coenzyme Q in the membrane
Where does FADH2 get reduced?
Complex II - CoQ
Where do electrons flow from CoQ?
To Complex III, then cytochrome C
What happens at Complex IV?
1/2 O2 gets converted to H2O
What is Complex V?
ATP synthase
What happens at Complex V?
ADP + Pi -> ATP + H2O on the mitochondrial MATRIX surface as protons flow into the matrix from the intermembranous space
How many ATP are made
-per NADH
-per FADH2
NADH = 3 ATP
FADH2 = 2 ATP
What are 3 types of oxidative phosphorylation poisons?
-ETC inhibitors
-ATP synthase inhibitors
-Uncoupling agents
What are 4 ETC inhibitors?
-Rotenone
-Cyanide
-Antimycin A
-Carbon monoxide CO
What effect will inhibition of the ETC have?
Decreased PMF, blocks ATP synthesis
What is an ATPase inhibitor?
Oligomycin
What effect will ATPase inhibition have?
Blocks ATP synthesis, but INCREASES the PMF
Will ATP be produced in the presence of Oligomycin?
No - it stops up the ETC and stops electron flow.
What are 3 uncoupling agents?
UCP
2,4-dinitrophenol
Aspirin
What is the mechanism of uncoupling agents?
Decreased membrane permeability decreases the proton gradient and oxygen consumption.
What effect do uncoupling agents have on
-ATP production
-ETC flow
ATP synthesis stops
ETC continues
So what is the main effect uncoupling agents have?
Blow off a lot of steam
So what are the ETC INHIBITORS:
CCAR
-Cyanide
-CO
-Antimycin A
-Rotenone
And what is the ATP synthase inhibitor?
Oligomycin
And what are the 3 uncoupling agents?
2,4-dinitrophenol
Aspirin
UCP
What are the 4 irreversible enzymes in GLUCONEOGENESIS?
1. Pyruvate carboxylase
2. PEP carboxykinase
3. F16-bisphosphatase
4. Glucose6phosphatase