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Metabolism
The chemical process that occurs within an organism in order to maintain life.
Anabolism
The synthesis of complex molecules in living organisms from simpler ones together with the storage of energy; constructive metabolism
Catabolism
The breakdown on complex molecules in living organisms to form simpler ones, together with the release of energy, destructive metabolism
Summarize local and hormonal regulation of metabolism
Local metabolism serves the needs to an individual cell, hormonal regulation defends the entire organism
Name the three major categories of energy expenditure
Basal metabolic rate (60-70 percent), Thermogenesis (dietary and obligatory, 5-15%), physical activity (20-30%)
Outline how the brain utilizes nutrients
The brain does not store energy; it requires glucose but can use ketones
Outline how the heart utilizes nutrients
The heart does not store energy; the heart requires glucose but can use fatty acids and ketones
Outline how the liver utilizes nutrients
The liver exports glucose only, it can synthesize glucose (also called gluconeogenesis) and release glucose from glycogen (glycogenolysis)
Outline how the adipose tissue utilizes nutrients
Most energy reserves are contained in adipose tissue
Indicate the primary circulating form and storage form (including location) of carbs
Circulating form is glucose, it is stored in the liver and muscle as glycogen
Indicate the primary circulating form and storage form (including location) of proteins
The primary circulating form and storage form is amino acids, and it is stored in the muscle only
Indicate the primary circulating form and storage form (including location) of fats
The primary circulating form is free fatty acids, and the primary storage form is fat in adipose tissue
Define glycogenesis, glycogenolysis, gluconeogenesis and glycolysis. Under which circumstances (feed or fast) would each of these processes occur?
Look at Quizlet for definition. Come back to card with answers regarding feeding and fasting
Describe how glucose enters cells and which tissues require insulin.
Glucose requires a carrier to cross the cell membrane, so they must utilize carrier proteins called GLUTS in order to enter the cell by sodium independent facilitated diffusion. GLUTS are bidirectional AND REGULATED BY INSULIN. Everything but the GI tract, kidney and brain require insulin.
Outline the pathway/steps for glucose under anaerobic conditions
Glucose -Pyruvate-Lactate
Outline the pathway/steps for glucose under aerobic conditions
Glucose-Pyruvate-AcetylCoa-TCA cycle-Oxidative phosphorylation for ATP
Name the two hormones that exert major hormonal regulatory control on glycolysis
Insulin and glucagon (insulin stimulates production of pyruvate in a fed state, glucagon inhibits pyruvate production when in a fasting state or during diabetes
Explain why maintenance of blood glucose in the brain is critical for brain function
A concentration gradient must be present in the brain, and this concentration is usually established through glucose (obligate glucose user)
Name the four “counter-regulatory” hormones
Catecholamines, glucagon, cortisol and growth hormone
Explain how FAs circulate in the bloodstream, enter cells and enter mitochondria.
FFAs are released from fat via lipolysis and bind to albumin. Then, the FFAs are released into the bloodstream. FFAs enter the mitochondria via carnitine transport and undergo beta oxidation in the mitochondria to yield Acetyl CoA.
List three pathways for FA’s in the hepatocyte.
SPEND by undergoing complete beta oxidation for energy, SAVE by forming triglycerides that travel as lipoproteins in the blood or CONVERT to ketones that occurs during the fasting state
Compare the roles and mechanisms of lipoprotein lipase and hormone lipase. Describe what could happen if there was a defect in the function of lipoprotein lipase.
Lipoprotein lipase acts upon chylomicrons and lipoproteins to release FAs to adipose tissue, skeletal and cardiac muscle. Insulin stimulates lipoprotein lipase. Hormone lipase allows FAs to be released from TAGs. Hyperlipidemia could occur if lipoprotein lipase did not function properly.
Outline the pathway/steps for amino acid utilization by cells; include what happens to the by-product, NH3,
that is generated from transamination
Amino acids can either be converted to intermediates in TCA, Acetyl CoA or Pyruvate. NH3 is processed through the urea cycle.
Describe the conditions from which ketones are formed and name the organ that synthesizes ketones
Ketones are synthesized from the liver by Acetyel-CoA. Ketones are formed during the fates state, during diabetes mellitus, excessive acetyl-CoA formation, and can lead to ketoacidosis if excessive.
Outline the pathway/steps for ketone utilization by cells, and which tissues can use them.
Converted to Acetyle CoA-TCA cycle-Oxidative Phosphorylation-Making ATP. Both the brain and the heart can utilize ketones.
Name the three ketone bodies and explain which one is not metabolizable
ACETONE IS NON-METABOLIZEABLE, Acetoacetate (dissociates to acetoacetic acid), and beta-hydroxybutyrate (dissociated to beta hydroxybutyric acid
Describe the condition under which lactate is produced and give two examples.
Lactate is produced with no oxygen, such as intense exercise or shock
Explain what the Cori cycle is and what it’s purpose is
When exercising, lactate is generated and enter circulation. Lactate then is converted to glucose in the liver and released back into circulation
Explain how plasma lactate level could provide information about the severity of circulatory shock
If circulatory shock occurs, there will be a lack of oxygen in the system. Due to decreased ATP from the inability to undergo oxidative phosphorylation, cells will rely on anaerobic glycolysis. This will lead to a higher concentration of lactate in circulation, which could be an indicator of lactic acidosis.
List two other names for the TCA cycle and explain how it is regulated
Two other names for the TCA cycle is the Krebs cycle and the citric acid cycle.