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How is ATP made form glycolysis and how is this different than the ETC
ATP in glycolysis is made form the substrate level phosphorilization of ATP, this is contrary to ETC where they use oxidative phosphilization
What molecule from glycolysis is used in triglyceride synthesis
Glycerol 3 phosphate
What intermediate form the TCA is directly used in the urea cycle
Aspartate
What molecule connects glycolysis to the TCA
Pyruvate
What is the major energy source for the urea cycle
ATP
What molecule is a precursor for triglyceride synthesis
Glycerol 3 phosphate
What molecule from glycolysis is used from the urea cycle via transanimation
Alanine
Role of acetyl CoA for triglyceride synthesis
Provides fatty acid chains
What pathway provides the energy for lipogenesis
ETC, remember when we make fats we have plenty of energy. If we were breaking down fats then we would use energy from glycolysis.
How does the ratio of insulin/glucagon regulate the synthesis of glucokinase, PFK-1, and pyruvyte kinase?
As the ratio of insulin/glucagon rises, then we will activate the pathways for storage of glucose.
Ie. All enezymes above will be activated.
As the ratio of insulin/glucagon falls then glycolysis will be inh so we can make glycolysis
Ie. All above enezymes will be inhibited
What is the affect of G-6-P to hexokinase?
Inhibited ie too much tells use we can shut off this pathway.
What is the effect of ATP, citrate and NADH to PFK1, and pyruvate kinase?
What steps is ATP used and made? What is the net form glycolysis for 2 units of pyruvate?
PFK1 makes
Bam, a patient has deficency of fructose 2,6 bisphosphate. How will this affect PFK 1 and what does this tell about PFK2?
A defifriceny in F26BP indiicates a possible issue with PFK2 as PFK2 makes F6BP. Thus PFK1 will not be able to be activates and glycolysis will be affected.
Hormones indirectly regulates PFK1 via synthesis of F26BP
High insulin/glucagon —>increased F26BP —→ increased PFK1 act
Low insulin/glucagon —> decreased F26BP —>decreased PFK1 act
What is GLUT-1 deficiency syndrome? What are the symptoms associated witht his disease?
GUT-1 is found in the RBC and blood brain barrier. Will result in decreased glucose int he CSF —→intractable seizures and dev delay.
WHere is GLUT 1 found
RBCs and blood brain barrier
Where is GLUT 2 found and what is special about this transporter.
Bidirectional transported in lever, kidneys, and pancreas
Where is GLUT 3 found?
Neurons
Where is GLUT4 found and what is so special about this transporter
Inmuscles and adipose tissues, ONLY insulin dependent transporter.
Describe the hormone regulation of PK1 in the liver?
Hormones can indirectly regulate PFK1 via F26BP.
WHEN there is high insulin/glucagon we will activate PFK1
When there is low insulin/glucagon then we will inh PFK1.
A patient comes in GLT1 defificeny, what will we see and what are the labs?
We will see this patient most likely have neuron cell death and seisures. When we test the labs we will see that glucose is low in the CSF
Biochem reasoning: IF GLUT1 is def, the RBC and blood brain barrier will be deplete in glucose.,
What is glut 2 responsible for ?
Bidirectional transport in the liver, kidneys, and pancreas
When neurons are low in gluose what GLUT transport protein is not functioning?
The GLUT 3 transporter
What is so special about the GLUT 4 transpotrer
Only insulin depend transporter,, think muscles and acidoses tissue
Where is the lonely GLUT 5 found
Small intestine and testies
What it’s the realtion fo Kmart Vmax in respect to glucokinase and hexokinase
If Km is small such as int he case with hexokinase then the Vmax will also be low.
Clinical relevance: Liver glucokinase is responsible for initial gloves metabolism in the fed state to prevent hyperglycemia
Pancreatic glucokinase as a gloves receptor, increasing insulin in the fed state.
Why is NADH so important in lactic acid fermentation?
NADH is used int he synthesis of lactate from pyruvate, thus it will resupply glycolysis with NAD+ it needs.
***Very important in lack of oxygen environment
Why is glycolysis so important in relation to other cycles?
G-6-P will send 5 carbon sugars to the Penrose phosphate pathway or non directly to glycerol P combined with FA to make triglycerides
2-3 bsiphophoglycerate from 3 phosphoglycerate or 1-3 bis phosphoglycerate will regulate oxygen realse
Where can Acetly Coa go after its synthesis?
It will go to the TCA or be used for FA synthesis and eventual triglyceride storage.
A patient comes in with arsenic poisoning, what enzymes are being affected in glycolysis?
Glyceraldehyde 3 phosphate dehydrogenase
Where are the 3 or reservable enzymes in glycolysis?
Hexokinase/glucokinase
PFK1
Pyruvate kinase
What two enzymes ar affect
What are the two enzymes which ATP are made and what kind of phosphorilization do these take part in?
Substrate level phosorylization will be affected.
Phosphoglycerate kinase and pyruvate kinase will be affected
Describe to patient B why they have frutose intolerance
Yummy yummy fruits —> needs to be pho in t he liver via frutosekinase before cleavage via aldolase
Clinical relevance: blood —> fructosemia
Urine —> frutocetouria(most used blood test****)
No frutokinase = essential frutotouria (benign , no Sxs)
Explain to patient A why they have aldolase B deficiency
In a healthy person: F1P cleaved by aldolase B —> D Glyceraldehyde and DHAP —> GAP
Clinical relevance : we will see a person become deleterious
Reasoning:
Too much F1P —> ATPn overuse and accum of cAMP —→ Uris acid
depletionof Pi —> low ATP synthesis (low liver E—>liver malfunction)
Diagnosis: aldolase B def leads to hereditary frutose intolerance
If aldolase B does not cleave F16BP what will happen
Accumulation of F16BP, No gap or DHAP —>no ATP, loss of Pi (accumulation of bilirubin —>jaundice)
Clinical devil ace: build of unconjugated bilirubin caused build up in liver causing yellowing
How can aldolase b deficiency cause hypoglycemia?
Accumulation of pyruvate downstream of gluconeogenesis leads to lactic acid
Clinical relivance: When glucose is low, we make it by condensing GAP and DHAP to F16BP —>hypoglycemia
What are the clinical signs of aldolase b deficiency and how does this differ from fructose intolerance
Aldolase B defificenyc leads to hypoglycemia, uricemia, lactic acidemia
Leads to jaundice, vomiting, and hypoglycemia
Autosomal reccesive
Go over the diagrams in lecture and be able to draw out related concept maps