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Pelley Objectives Test 2
Pelley Objectives Test 2
881
Biochemistry
Professional
11/07/2012

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Term
Location(s) of fructokinase?
Definition
Liver, kidney, intestine
Term
Action of fructokinase?
Definition
Traps fructose as fructose-1-phosphate (DIFFERENT from glycolytic intermediate fructose-6-phosphate)
Term
Describe the reaction catalyzed by Aldolase B.
Definition
Fructose-1-phosphate <-> glyceraldehyde and dihydroxyacetone phosphate
Term
What is Aldolase B?
Definition
An isozyme of aldolase
Term
Isozyme
Definition
Isozymes (also known as isoenzymes or more generally as Multiple forms of enzymes) are enzymes that differ in amino acid sequence but catalyze the same chemical reaction.
Term
Aldolase B is located where?
Definition
Found in liver, kidney, and intestine (same as fructokinase)
Term
Which product of Aldolase B is not phosphorylated?
Definition
Glyceraldehyde
Term
Glyceraldehyde the non phosphorylated product of Aldolase B is phosphorylated by?
Definition
It is phosphorylated by coupling of ATP -> ADP by Triokinase to form glyceraldehyde-3-phosphate (G3P).
Term
Which major regulatory step in glycolysis is bypassed by aldolase B?
Definition
Fructose-6-phosphate to fructose-1,6-bisphosphate by PFK.

(Because Aldolase B turns F-1-P into Dihydroxyacetone phosphate (& and Glyceraldehyde), the Dihydroxyacetone phosphate is then converted into F-1,6-BP by aldolase (bypassing F-6-P to F-1,6-BP by PFK in the glucose pathway)
Term
F-1-P stimulates ______.
Definition
pyruvate kinase
Term
Fructose metabolism is unregulated because it ______
Definition
bypasses PFK step
Term
Explain how excess fructose can lead to excess lactate production.
Definition
Fructose metabolism creates pyruvate faster (more glycolytic intermediates coming in via triose phosphates, and F-1-P stimulates pyruvate kinase) and leads to excess pyruvate production. If TCA gets saturated, lactate can build up. Fructose metabolism is unregulated (bypasses PFK step).
Term
How can excess fructose can elevate the blood sugar of an untreated type 1 diabetic.
Definition
The activity of fructokinase exceeds that of aldolase B, and F-1-P accumulates, directing glucose into glycogen synthesis. Fructose is metabolized faster than glucose and goes through the pathway unregulated.
Term
Name the defective enzyme in essential fructosuria.
Definition
Fructokinase
Term
Is Essential Fructosuria a dangerous condition?
Definition
No, it’s benign. No clinical presentation except elevated blood and urine fructose.
Term
How would you detect Essential Fructosuria if you had lab data on the reducing sugar concentration of the urine along with an enzymatic test for glucose?
Definition
Elevated blood and urine glucose. Reducing sugar should be positive; glucose oxidase should be negative in the blood.
Term
Name the defective enzyme in Hereditary Fructose Intolerance
Definition
Aldolase B
Term
What is the pathology associated with Hereditary Fructose Intolerance?
Definition
Nausea, cirrhosis, and hypoglycemia. (treat by limiting fructose)
Term
What metabolite accumulates in Hereditary Fructose Intolerance?
Definition
Fructose-1-phosphate (because Aldolase B is deffective). Hepatotoxic
Term
Describe the conversion of galactose to UDP-glucose in the cell.
Definition
1. Galactose -> Galactose-1-P by Galactokinase coupling with ATP->ADP.

2. Galactose-1-P -> UDP-Galactose by "Galactose-1-P Uridyl Transferase" by the coupling of UDP-Glucose to Glucose-1-P

3. UDP-Galactose -> UDP-Glucose by UDP-Galactose 4-Epimerase

4. Reaction 2, the coupling to form G-1-P
Term
What are the products of the galactokinase reaction?
Definition
Galactose to Galactose-1-P by Galactokinase by the coupling of ATP->ADP
Term
What are the substrates for the galactose 1-phosphate uridyl transferase reaction?
Definition
Galactose-1-phosphate is converted to UDP-galactose.

UDP-glucose also goes to glucose-1-phosphate.
Term
UDP-galactose interconverted into _____ by _____ enzyme.
Definition
UDP-glucose, catalyzed by UDP-galactose 4-epimerase.
Term
What are epimers?
Definition
Epimers are monosaccharides differing in the orientation of substituents around one of their asymmetrical carbons.
Term
Classical Galactosemia results from a deficiency in ____
Definition
transferase enzyme (Galactose-1P uridyl transferase)
Term
Classical Galactosemia results in a toxic buildup of _____.
Definition
Gal-1-P
Term
Symptoms of Classical Galactosemia?
Definition
Nausea, avoidance of feeding, mental retardation, cataracts
Term
Cataracts associated with Classical Galactosemia is a result of?
Definition
due to elevated galactitol in lens
Term
With Classical Galactosemia, Galactitol is produced by ______.
Definition
aldose reductase

(reduced aldehyde group into an alcohol  polyol pathway)
Term
Two types of galactosemia: _____
Definition
Galactokinase deficiency (Minor)

Classical Galactosemia
Term
Galactokinase deficiency results in _____
Definition
Elevated blood galactose
Term
Galactokinase deficiency can result in ______ in advanced stages.
Definition
Cataracts
Term
What enzyme is defective in classical galactosemia?
Definition
Galactose-1P uridyl transferase
Term
What enzyme is defective in the minor form of galactosemia?
Definition
Galactokinase
Term
What symptom is produced in both types of galactosemia and what is the agent that causes the disease?
Definition
Cataracts. Caused by galactitol formed by aldose reductase
Term
What is the offending metabolite in classical galactosemia that leads to liver dysfunction and mental deficiency?
Definition
Galactose-1-P
Term
Describe the steps in the polyol pathway for the synthesis of fructose from glucose.
Definition
1. Glucose -> Sorbitol by Aldose Reductase coupled with the oxidation of NADPH->NAD+

2. Sorbitol -> Fructorse by Sorbitol DH coupled with the reduction of NAD+ -> NADH

3. NADPH is also oxidized by Aldose Reductase in conversion of Galactose to Galactitol (Toxis product that causes cataracts in galactosemia)
Term
Where does the polyol pathway occur in the body?
Definition
Seminal vesicle, eyes (retina, lens), peripheral nerves, blood vessels
Term
What cofactors are required for the polyol pathway?
Definition
NADPH -> NADP+ and NAD+ -> NADH
Term
Explain the formation of cataracts in patients with uncontrolled diabetes.
Definition
Excess blood glucose leads to buildup of sorbitol. Accumulation in the lens can lead to cataracts (lens proteins precipitate out.)
Term
Which polypol causes cataracts in diabetics?
Definition
Sorbitol
Term
Which polypol causes cataracts in galactosemia?
Definition
Galactitol
Term
Explain the formation of cataracts in patients with uncontrolled diabetes.
Definition
Excess blood glucose leads to buildup of sorbitol. Accumulation in the lens can lead to cataracts (lens proteins precipitate out.)
Term
Which polypol causes cataracts in diabetics?
Definition
Sorbitol
Term
Which polypol causes cataracts in galactosemia?
Definition
Galactitol
Term
Oxidative branch of the pentose phosphate pathway provides a continual source of _____
Definition
NADPH and ribulose-5-phosphate
Term
Regulated step of the Oxidative branch of the pentose phosphate pathway?
Definition
1st

Glucose-6-P -> 6-Phosphoglucono-Delta-Lactone by Glucose-6-P DH which is coupled to the reduction of NADP+ to NADPH

Regulated by NADP+, produces NADPH
Term
Start product and End Product of the Oxidative Branch of the Pentose Phosphate Pathway?
Definition
G-6-P

Ribulose-5-Phosphate
Term
For the Oxidative Branch of the Pentose Phosphate Pathway, how many NADPH are produced per glucose?
Definition
2
Term
What is the end metabolite of the oxidative pathway of PPP?
Definition
Ribulose-5-phosphate
Term
How is glucose 6-phosphate dehydrogenase of the Oxidative Branch of the PPP regulated?
Definition
Regulated by NADP+ concentration. Cells contain more NADPH than NADP+. When NADP+ increases, G6PD is activated to make more NADPH. When there is a lot (enough) NADPH or not enough NADP+, then G6PD is inactivated.

NADP+/NADPH = 1/70, so NADP+ is limiting.
Term
The non-oxidative branch of the pentose phosphate pathway links ribulose-5-phosphate to ____ and _____ pathways
Definition
glycolytic

gluconeogenic
Term
What vitamin does transketolase of the non-oxidative branch of the PPP use as a cofactor?
Definition
Thiamine
Term
Which enzyme of the non-oxidative branch of the PPP catalyzes the formation of ribose 5-phosphate? What is the substrate?
Definition
Pentose phosphate isomerase:
ribulose-5-phosphate -> ribose-5-phosphate

ribulose-5-phosphate
Term
Which tissues have the greatest pentose phosphate pathway activity?
Definition
Tissues with active fatty acid or cholesterol synthesis:
- Liver
- Adipose tissue
- Adrenal cortex
- Lactating mammary gland
- Cells exposed to high oxygen partial pressure (ex: Cornea of eye)
- MINIMAL in brain or muscle
Term
Describe how the pentose phosphate pathway can produce ribose only.
Definition
Use non-oxidative branch only. Have to come down thru glycolysis, make G3P and F6P, go through nonoxidative branch and make ribose.
Term
Describe how the pentose phosphate pathway can produce NADPH only.
Definition
Oxidative branch plus nonoxidative branch. 5C is recycled thru glycolysis. G3P and F6P are made from nonoxidative branch, and they are recycled to glucose-6-phosphate in gluconeogenic reactions. Theoretically, whole glucose molecule oxidized to CO2 and NADPH.
Term
Describe how the pentose phosphate pathway can produce NADPH and ribose.
Definition
Oxidative branch only.
Term
Describe the reduction of glutathione by glutathione reductase.
Definition
The reduced form of glutathione(GSH) acts as a reducing agent for peroxides. Only the reduced form of glutathione is an antioxidant (neutralizes free radicals). Glutathione reductase takes glutathione from oxidized state GSSG with a disulfide bond, back to GSH so it can neutralize more free radicals.
Term
With G6P DH deficiency, less _____ is made in the pentose phosphate pathway.
Definition
NADPH
Term
Glutathione reductase needs ____, so people with G6P DH deficiency don’t have as good _____ defense.
Definition
NADPH

antioxidant
Term
Glucose 6-phosphate dehydrogenase deficiency leaves one vulnerable to ______.
Definition
peroxides
Term
____ can come from fava beans
Definition
peroxides
Term
Glucose 6-phosphate dehydrogenase deficiency is typically ______, until administered _____ drugs.
Definition
asymptomatic

peroxide producing
Term
With peroxide-producing drugs, more of the enzyme ______ is needed to turn GSSG -> GSH, which requires _____ as a cofactor.
Definition
GSH reductase

NADPH
Term
Following adminstration of peroxide producing drugs in a Glucose 6-phosphate dehydrogenase deficienct individual, Membrane proteins become ______,aggregates of _____ become visible in cell, and ____ crisis in 2-3 days.
Definition
covalently cross-linked

oxidized hemoglobin

hemolytic
Term
What is glutathione?
Definition
Tripeptide antioxidant
Term
What is glutathione's role in the cell?
Definition
Reduces free radicals through GSH peroxidase
Term
Describe the basic structure of a fatty acid.
Definition
R-COOH. Unbranched hydrocarbon chain with carboxyl at one end.
Term
Do fatty acids carry a charge at physiologic pH?
Definition
pK is close to 4.8. So yes
Term
Are fatty acids branched?
Definition
No
Term
What is a saturated fatty acid saturated with?
Definition
Hydrogens. Single bonds only!
Term
Are fatty acids with an odd number of carbons found in humans?
Definition
Yes but most are even-numbered because acetyl-CoA is C2
Term
What does amphipathic mean?
Definition
Amphipathic: containing hydrophilic and hydrophobic portions in the same molecule.
Term
_____ are formed by single-chain fatty acids because the ____ ends aggregate in the middle and the _____ stay on the outside.
Definition
Micelles

hydrophobic

polar (hydrophilic heads)
Term
Describe the major classes of fatty acids by length.
Definition
Short: 2-4 C Medium: 6-12 C Long: 14-26 C (most of the fats we eat are of this type)
Term
Give the number of carbons in butyric, lauric, palmitic, and stearic acid.
Definition
Butyric: 4 (short)
Lauric: 12 (long)
Palmitic: 15 (long)
Stearic: 18 (long)
Term
Give the unsaturated counterparts for palmitic acid.
Definition
Palmitic -> Palmitoleic (16:1;9)
Term
Give the unsaturated counterparts for stearic acid.
Definition
Stearic -> Oleic (18:1;9) Linoleic (18:2;9,12) alpha-linolenic (18:3;9;12;15)
Term
α-linolenic is a ______
Definition
omega-3 fatty acid
Term
Linoleic is a ____
Definition
omega-6 fatty acid
Term
α-linolenic is a _____
Definition
omega-6 fatty acids
Term
Name a fatty acid that is 20 carbons in length with four double bonds.
Definition
Arachadonic acid
Term
Is there free rotation around the double bond of cis or trans?
Definition
No
Term
______ configuration favors extended hydrocarbon chain.
Definition
Trans
Term
Cis forms angle of ______.
Definition
120
Term
Which is common in nature,cis or trans configurations of fatty acids?
Definition
Cis
Term
Bent shape of ____ configuration in fatty acids allows fluid motion of membranes
Definition
cis
Term
List the factors that decrease melting temperature of fatty acids.
Definition
- Double bonds decrease the melting temperature
- Fewer carbons in the carbon chain
Term
Unsaturated fatty acid is USUALLY on carbon ___ of a triglyceride.
Definition
2
Term
Saturated fatty acid is USUALLY on carbon ___ of a triglyceride.
Definition
1,3
Term
Bond formed between the fatty acid and glycerol?
Definition
ester (Glycerol Esterification)
Term
Binding of epinephrine to its receptor increases ______.
Definition
cAMP levels
Term
Binding of epinephrine to its receptor increases cAMP levels, which then increases ______.
Definition
PKA levels (Protein kinase levels)
Term
Describe the action of epinephrine in mobilizing fatty acids.
Definition
1) Receptor binding increases cAMP
2) cAMP increases PKA (protein kinase A)
3) PKA phosphorylates enzymes.
Term
Where does epinephrine mobilize fatty acids?
Definition
In muscle and adipose tissue
Term
In epinephrine mobilizing fatty acids it leads to the activation of _______ in adipose tissue, which is the only regulated step in fat oxidation.
Definition
hormone sensitive lipase
Term
Fat-associated perilipin and hormone-sensitive lipase are _____ during mobilization.
Definition
phosphorylated
Term
Non-phosphorylated perilipin does what?
Definition
protects fat from degradation.
Term
Fat mobilization is needed during fasting to provide energy for _____ in liver.
Definition
gluconeogenesis
Term
Fat mobilization needed during _____.
Definition
fasting
Term
Epinephrine (and norepinephrine) work in _______.
Definition
muscle and adipose tissue
Term
With Fat Mobilization, insulin works in ______
Definition
Insulin works in all three: liver, muscle and adipose tissue.
Term
With Fat Mobilization, insulin works in liver, muscle and adipose tissue by leading to the _____ of hormone-sensitive lipase and ______ of protein phosphatase activity
Definition
inactivation

stimulation of
Term
Epinephrine (and norepinephrine) lead to the ______ of hormone-sensitive lipase in adipose
Definition
activation
Term
How do short and medium chain fatty acids get into the mitochondria?
Definition
Short and medium chain fatty acids can just diffuse passively through the membrane to get in
Term
How do Long chain fatty acids get into the mitochondria?
Definition
long chain fatty acids need the carnitine shuttle to enter MT.
Term
_______ join and release long chain FFA to and from Carnitine
Definition
Carnitine-palmitoyl transferase (I and II)
Term
Carnitine-palmitoyl transferase (I and II) are inhibited by ______
Definition
malonyl-CoA (cytoplasmic precursor for FFA synthesis)
Term
malonyl-CoA is a cytoplasmic precursor for ______
Definition
FFA synthesis
Term
Where does beta-oxidation occur?
Definition
MT matrix
Term
FFA are metabolically activated to ______.
Definition
CoA-thioesters
Term
_____ FFA chains are activated in the mitochondrion.
Definition
Short and medium
Term
_____ chain fatty acids are activated in the cytoplasm by enzymes on ER membrane and outer mitochondrial membrane.
Definition
long
Term
Can acyl-CoA molecules diffuse into the mitochondrion?
Definition
No
Term
How do acyl-CoA molecules get into the mitochondrion?
Definition
Short and medium chains can diffuse and be activated in the mitochondrion. Long chains (> 12 C) are activated in the cytoplasm and transported via carnitine shuttle
Term
How many forms of carnitine palmitoyl transferase are there?
Definition
2 (I & II)
Term
What is the product of the cytoplasmic form of carnitine palmitoyl transferase (I)?
Definition
-CoA-SH
-Acyl-carnitine (which is then shuttled across IMM)
Term
What is the product of the MT form of carnitine palmitoyl transferase (II)?
Definition
-Carnitine
-Acyl-CoA
Term
Long chain FFA activated in?
Definition
Cytoplasm
Term
Short-Medium Chain FFA activated in?
Definition
MT
Term
Beta-oxidation is regulated mainly at level of _____ because it depends on plasma free fatty acid level.
Definition
hormone-sensitive adipose tissue lipase
Term
Each cycle of beta oxidation produces:
Definition
- 1 acetyl-CoA
- 1 FADH2
- 1 NADH
- 1 n-2 acyl-CoA
Term
Does the oxidation occur at the omega end of the molecule or the alpha end?
Definition
alpha

It’s called beta oxidation because it oxidizes the beta carbon (3rd)
Term
Acyl-CoA dehydrogenase cofactor?
Definition
FAD
Term
3-L-hydroxyacyl-CoA dehydrogenase cofactor?
Definition
NAD+
Term
B-ketothiolase cofactor?
Definition
CoA-SH
Term
B-ketothiolase catalyzes what reaction?
Definition
The final one of Beta Oxidation, the addition of a CoA group to the Beta Carbon.

Produces Acyl-CoA and Acetyl-CoA
Term
What happens to the products of the reaction catalyzed by B-ketothiolase (final step of beta oxidation)
Definition
Acetyl-CoA ->TCA Cycle
Acyl-CoA -> Recycled until the end of the beta oxidation cycle when the final C4 produces two Acetyl-CoA
Term
Acetyl CoA is _C
Definition
2
Term
How is the β-oxidation pathway is regulated?
Definition
Regulated by SUPPLY OF FATTY ACIDS only.
Term
If fatty acids get out of the fat cell they will be _____ and can pile up in the liver by ______ and lead to _____
Definition
oxidized

esterification

fatty liver
Term
Carnitine-palmitoyl transferase is allosterically inhibited by ____, which is made in _____.
Definition
malonyl-CoA

fatty acid synthesis
Term
Fatty acid oxidation is inhibited when ______ is active.
Definition
fatty acid synthesi
Term
List the different forms of acyl-CoA dehydrogenase (1st step of Beta Oxidation) and give their substrate specificity.
Definition
3 forms for long, medium, and short chain fatty acids.
Term
Carnitine deficiency produces what symptoms?
Definition
fasting nonketotic hypoglycemia (Fat burning provides only source of energy for gluconeogenesis, so can’t make glucose in fasting state)
&
heart arrhythmias (heart, next to brain, highest consumer of CO2. Loves burning fat)
Term
With a Carnitine deficiency FFA would still go to the liver, but but wouldn’t be able to get into cell ____, which leads to _____.
Definition
mitochondria

fatty liver
Term
Carnitine deficiency treat by eating _____
Definition
medium chain fatty acids
Term
With a (Medium) Acyl-CoA dehydrogenase deficiency, FFA are oxidized until _____
Definition
FFA oxidized until 10-12 carbons
Term
(Medium) Acyl-CoA dehydrogenase deficiency produces what symptoms?
Definition
Fasting nonketotic hypoglycemia (Fat burning provides only source of energy for gluconeogenesis, so can’t make glucose in fasting state).
Term
(Medium) Acyl-CoA dehydrogenase deficiency is dangerous only in ______
Definition
only extreme or frequent fasting.
Term
Unsaturated fatty acids enter the beta-oxidation pathway through ____ to resemble _____ via _____ enzyme.
Definition
Double bond modified to resemble the trans-enoyl intermediate via enoyl-CoA isomerase.

This is the second intermediate in B oxidation
Term
Unsaturated FFAs enter ____ β-oxidation after modification to trans configuration by isomerase enzyme
Definition
normal
Term
With Odd-chain Fatty Acid Oxidation, Normal β-oxidation proceeds until _____
Definition
propionate is formed (Propionyl-CoA)
Term
With Odd-chain Fatty Acid Oxidation, Propionyl-CoA converted to ______, which is then ______
Definition
succinyl-CoA

fed into the TCA which is also in the MT Matrix
Term
List the CoA intermediates involved in odd-chain FFA oxidation.
Definition
Propionyl CoA -> D-methylmalonyl-CoA via methylmalonyl-CoA racemase (requires Biotin)



L-methylmalonyl-CoA -> succinyl CoA involves methylmalonyl-CoA mutase (B12)
Term
What is the last CoA derivative produced by beta-oxidation of odd numbered FFA’s?
Definition
Propionyl-CoA (eventually converted to succinyl-CoA)
Term
How is Propionyl-CoA converted methylmalonyl-CoA?
Definition
Propionyl-CoA carboxylase
Term
Propionyl-CoA carboxylase requires what cofactors?
Definition
biotin
Term
Does the conversion of Propionyl-CoA to methylmalonyl-CoA by Propionyl-CoA carboxylase require energy?
Definition
Yes

ATP->ADP
Term
Methylmalonyl CoA mutase, along with _____ cofactor, converts L-methylmalonyl-CoA to ______.
Definition
Vitamin B12

succinyl CoA
Term
α-oxidation, Oxidizes ______ and releases ______, shortening fatty acid by ___carbon at a time.
Definition
C2 (α-carbon)

C1 as CO2

ONE
Term
α-oxidation used for ____ FFA.
Definition
> 20 C
Term
Refsum disease is an inherited defect of ______ that causes a accumulation of _____.
Definition
peroxisomal α-oxidation

phytanic acid.
Term
α-oxidation is needed for the oxidation of _______.
Definition
methylated fatty acid (ex: phytanic acid)
Term
Methylated ____ carbon cannot be ___-oxidized
Definition
beta

beta
Term
____ is needed to shorten phytanic acid by one C, followed by β-oxidation that yields ______ rather than acetyl-CoA
Definition
α-oxidation

propionyl-CoA
Term
Refsum disease Leads to abnormal ______ symptoms
Definition
neurologic
Term
Peroxisomes required for beta oxidation of _________.
Definition
very long chain FFA (20-26C)
Term
With Peroxisomal β-oxidation no ____ produced but shortened enough for ______.
Definition
NADH

mitochondria to metabolize
Term
No ____ is produced in peroxisomal Beta oxidation.
Definition
NADH
Term
_____ is produced in Peroxisomal β-oxidation and then degraded by ______.
Definition
H2O2

Catalase
Term
Formation of ketone bodies only occurs where?
Definition
The Liver
Term
If fat is metabolized quickly, _____ will accumulate and will be shunted towards ketone body formation.
Definition
Acetyl CoA
Term
What are the precursors for the synthesis of 3-hydroxy-3-methylglutaryl CoA (aka,HMG CoA)? {Ketone Body Formation}
Definition
2 acetyl CoA <-> acetoacetylCoA via Beta-Ketothiolase
acetoacetylCoA <-> HMG CoA via HMG-CoA Synthase

Also fatty acids can make acetoacetyl-CoA via B-oxidation
24.2 What
Term
What are the two different fates of HMG CoA in ketone body formation?
Definition
Acetoacetate and acetyl-CoA
Term
HMG CoA -> Acetoacetate and acetyl-CoA by the enzyme _______.
Definition
HMG CoA lyase
Term
What steroid is made from HMG CoA?
Definition
Cholesterol
Term
What is the fate and function of acetone formed in the liver?
Definition
No biological function. Exhaled through the lungs.
Term
How is acetone formed in the liver?
Definition
One of two pathways for Acetoacetate, in which it undergoes spontanteous decarboxylation
Term
How is acetoacetate formed in the liver?
Definition
Acetoacetate is formed in addition to Acetyl-CoA from HMG-CoA by HMG-CoA Lyase {Ketone Body Formation}
Term
What is the fate of acetoacetate formed in the liver?
Definition
sent from liver to other tissues for oxidation. Makes energy.
Term
What is the fate of 3-hydroxybutyrate formed in the liver?
Definition
sent from liver to other tissues for oxidation. Makes energy. Reversible reaction to acetoacetate (via B-hydroxybutyrate dehydrogenase) makes NADH
Term
How is 3-hydroxybutyrate formed in the liver?
Definition
It is formed from Acetoacetate via beta-hydroxybutyrate DH {Ketone body formation}
Term
______ used to make acetyl-CoA from acetoacetyl-CoA.
Definition
Β-ketothiolase
Term
Ketone bodies are only used by the brain when?
Definition
Used by brain only in starvation
Term
What limits the entry of acetyl CoA into the citric acid cycle eventually leading to its conversion into ketone bodies?
Definition
- When the body has no free carbohydrates available, fat must be broken down into acetyl-CoA in order to get energy. Acetyl-CoA is not being recycled through the citric acid cycle because the citric acid cycle intermediates (mainly oxaloacetate) have been depleted to feed the gluconeogenesis pathway, and the resulting accumulation of acetyl-CoA activates ketogenesis.
Term
What physiological conditions will lead to the limiting conditions that lead to ketone body formation?
Definition
Accumulation of Acetyl CoA, because not being fed into TCA, because all intermediates have been consumed in gluconegoensis, thus Starvation or low-carb diet will lead to this limiting conidition.
Term
3-hydroxybutyrate to acetoacetate results via _____ results in the formation of ______.
Definition
B-hydroxybutyrate DH

NADH
Term
_____ is needed for acetoacetate to acetyl-CoA, because _____
Definition
Succinyl-CoA

CoA comes from succinyl-CoA
Term
How is acetoacetate activated in the peripheral tissues?
Definition
Beta-Hydroxybutyrate is converted back into acetoacetate resulting in the formation of NADH.

Acetoacetate is then reacted with Succinyl-CoA, forming Acetoacetyl-CoA + Succinate (Liver lacks the enzyme for this reaction)

Acetoacetyl-CoA is combined with CoA-SH breaking it into 2 Acetyl-CoA by B-Ketothiolase (Beta Oxidation Enzyme)
Term
Do ketones form in a carnitine deficiency?
Definition
No
Term
Ketogenesis occurs when ___ is metabolized too quickly and ____ piles up.
Definition
fat

acetyl-CoA
Term
In carnitine deficiency, long-chain fatty acids can’t get into the mitochondria as quickly for ____.
Definition
B-oxidation
Term
Acyl-CoA that cannot be transported into mitochondrion is diverted into ______ synthesis leading to _____ condition.
Definition
triglyceride

fatty liver/ muscle
Term
Carnitine deficiency in the liver leads to ______ during periods of extended fasting.
Definition
hypoketotic hypoglycemia
Term
During fasting, beta-oxidation is needed to produce ____ for ketogenesis and ___ for gluconeogenesis, therefore both pathways are compromised in _____ deficiency.
Definition
acetyl-CoA

ATP

carnitine
Term
carnitine deficiency causes ____ & ____ upon exertion.
Definition
weakness and muscle cramps
Term
HMG-CoA Synthase does what?
Definition
Turns acetoacetyl-CoA into HMG-CoA {Ketone Body Formation}
Term
HMG-CoA Lyase does what?
Definition
cleaves HMG-CoA into Acetyl-CoA and Acetoacetate {Ketone Body Formation}
Term
HMG-CoA Reductase does what?
Definition
involved in cholesterol synthesis; reduces HMG-CoA to mevanolate
Term
Ketone bodies are used as a _____ energy source.
Definition
Extrahepatic
Term
During fasting, large amount of _____ are released.
Definition
free fatty acids
Term
Acetyl-CoA formed by β-oxidation is not readily used for _____ during fasting
Definition
biosynthesis
Term
Oxidation of Acetyl-CoA by TCA cycle is minimal because NADH and FADH2 formed during _____ provide enough fuel for respiratory chain
Definition
β-oxidation
Term
What is the rate limiting enzyme of Ketogenesis?
Definition
HMG-CoA synthase
Term
HMG-CoA synthase the rate limiting enzyme of Ketogenesis is stimulated by: ______
Definition
fasting, dietary fat, fatty acids, and insulin deficiency.
Term
Two ways that ethanol metabolism can contribute to acidosis are?
Definition
Through Ketone bodies and Lactic Acid
Term
How does ethanol metabolism contribute to acidosis through lactic acid?
Definition
Ethanol metabolism leads to large amounts of NADH being produced which causes pyruvate to build up and then converted to lactate
Term
How does ethanol metabolism contribute to acidosis through ketone bodies?
Definition
Ethanol -> Acetaldehyde -> Acetate -> Acetyl CoA -> Ketone bodies
Term
How can ethanol metabolism can produce hypoglycemia?
Definition
Impairs gluconeogenesis

- Decrease in amount of pyruvate due to increased NADH
- Depletion of OAA
Term
Ethanol Metabolism leads to a _____NADH/NAD+ ratio
Definition
higher
Term
Ethanol Metabolism leads to a higher NADH/NAD+ ratio, which increases the rate of conversion of DHAP-> ______
Definition
G3P
Term
Ethanol metabolism leads to _____ synthesis of triacylglycerol
Definition
increased
Term
Ethanol metabolism leads to ______ VLDL levels
Definition
Increased
Term
What is the site of action for pancreatic lipase?
Definition
Pancreatic lipase: Intestinal lumen (breaks down triglycerides for absorption)
Term
Site of action of hormone-sensitive lipase
Definition
adipose tissue – inside the cells
Term
Hormone-sensitive lipase function?
Definition
Works in adipose tissue – inside the cells (degrades fat droplet and hydrolyze triglycerides -> creates free fatty acids
Term
Site of action for Hepatic lipase?
Definition
Outside liver cells, in contact with blood or extracellular fluid
Term
Hepatic lipase converts ____ to ____ by hydrolyzing excess triglyceride and phospholipid
Definition
IDL

LDL
Term
Site of action for Lipoprotein lipase is located where?
Definition
capillary, on surface of endothelial cell in muscle, heart, and adipose tissue.
Term
Lipoprotein lipase releases FFA from _____ or _____ for uptake by adipose tissue.
Definition
chylomicrons or VLDL
Term
Lipoprotein lipase requires _____ cofactor
Definition
Apo CII
Term
In the intestinal lumen Triglyceride in the gut is broken down into __________.
Definition
2-monoacylglycerol and 2 free fatty acids.
Term
Triglyceride in the gut is broken down into 2-monoacylglycerol and 2 free fatty acids. These components enter the ______
Definition
mucosal cell (ER)
Term
The two fatty acids that are adsorbed by the mucosal cell into the ER from the intestinal lumen is then converted into ______ by ______ enzyme that uses _____ in order to ______.
Definition
converted into 2 acyl-CoA

Acyl-CoA synthetase

ATP to AMP

activate them in order to keep them within the cell
Term
The Acyl-CoAs formed by the activation of the FFA in the Mucosal Cell ER then react with _______ to reform ________.
Definition
2-monoacylglycerol

triglyceride
Term
The triglycerides reformed in the Mucosal ER is then assembled into _______.
Definition
Fat Droplets called Chylomicrons
Term
Fat Droplets called Chylomicrons assembled in the Mucosal ER are then transported through the _____ and into the ______.
Definition
lymph

blood
Term
Endothelium {Wiki}
Definition
The endothelium is the thin layer of cells that lines the interior surface of blood vessels and lymphatic vessels
Term
On the endothelial cells of the capillaries there are _______ lipases.
Definition
lipoprotein lipases (LPLs)
Term
On the endothelial cells of the capillaries there are lipoprotein lipases (LPLs) that bind to the chylomicrons and hydrolyze the triglycerides into ______ for cell uptake.
Definition
back to free fatty acids and 2-monoacylglyceral
Term
Feeding raises LPL (lipoprotein lipases) in ____, but reduces it in _____.
Definition
adipose

skeletal muscle
Term
Which two forms of fatty acid are absorbed from the gut?
Definition
2 free fatty acids and 1 molecule of 2-monoacylglycerol (fatty acid still on C2).
Term
What enzyme is involved in fatty acid activation?
Definition
Acyl-CoA synthetase (uses ATP).
Term
Why is it necessary for Acyl-CoA synthetase to activate FFA in the Mucosal ER?
Definition
Traps fatty acid in the cell
Term
Is phosphatidic acid involved in triglyceride synthesis in the intestinal mucosa?
Definition
No, it is in the liver
Term
Phosphatidic acid {WIKI}
Definition
hosphatidic acids are the simplest diacyl-glycerophospholipids.[1]
Term
What is the source of glycerol for triglyceride esterification in the mucosa?
Definition
2-monoacylglycerol.
Term
Are the triglycerides that are assembled in the mucosa picked up by the hepatic portal like all the other products of digestion?
Definition
No
Term
How do the triglycerides that are assembled in the mucosa get into the general circulation?
Definition
They go through the lymph first, and are carried to the left brachiocephalic vein by the thoracic duct.
Term
Long chain TG packaged in _____ and transported _______.
Definition
chylomicrons

by lymph system to the blood
Term
Short and medium chain TG FFA transported ________, attached to ______.
Definition
directly thru portal to liver

albumin
Term
_____ TG circulate to tissues
Definition
Long chain
Term
Which is less hydrophobic Short and Medium chain TG or Long chain TG
Definition
Short and Medium Chain TG
Term
How are free fatty acids are transported in blood
Definition
Albumin
Term
Glycerol-3-phosphate dehydrogenase converts _____ to glycerol-3-phosphate
Definition
DHAP
Term
DHAP is a _____ intermediate.
Definition
Glycolytic
Term
Insulin triggers fat storage during _____ state and breakdown during ______.
Definition
well-fed

fasting
Term
Insulin inhibits ______ lipase in adipose tissue
Definition
hormone sensitive lipase
(so it remains unphosphorylated and can’t digest the fat droplet)
Term
insulin _____ the mobilization of fat from triglycerides.
Definition
suppresses
Term
Insulin _____ LPL in capillaries of adipose tissue.
Definition
stimulates

induction of glycerol phosphate-acyl transferase (adds first fatty acid to glycerol phosphate in biosynthetic pathway)
Term
Insulin stimulates glycolytic pathway, so more ____ is made that can be made into ______ and into triglycerides.
Definition
DHAP

glycerol-3-phosphate
Term
What key fat synthesis enzymes are stimulated by insulin?
Definition
Acetyl-CoA carboxylase (makes malonyl-CoA from acetyl-CoA)

PP2A (protein phosphatase 2A), which dephosphorylates acetyl-CoA carboxylase to activate it
Term
Which form of Acetyl-CoA carboxylase is active?
Definition
Dephosphorylated form
Term
What dephosphorylates Acetyl-CoA carboxylase?
Definition
PP2A (protein phosphatase 2A)
Term
Name a key fat mobilizing enzyme that is inhibited by insulin?
Definition
Hormone-sensitive lipase (mediated by activation of cAMP-degrading phosphodiesterase).
Term
Hormone-sensitive lipase is inhibited by _____
Definition
insulin
Term
Hormone-sensitive lipase works in the adipose cells by _______
Definition
cleaving TG into FFA for transport in the blood by albumin
Term
What is the first committed step of FA synthesis.
Definition
converting acetyl CoA to malonyl CoA by Acetyl-CoA carboxylase
Term
Acetyl-CoA carboxylase reaction...
Definition
Converts Acetyl-CoA into Malonyl CoA by the use of CO2 and the hydrolysis of ATP to ADP

it is the first committed step of fat synthesis
Term
How is Acetyl-CoA carboxylase similar to pyruvate carboxylase?
Definition
Both use ATP and biotin
Term
What is the rate limiting step in the synthesis of fatty acids?
Definition
First step, acetyl-CoA -> malonyl-CoA
Term
acetyl CoA carboxylase is inhibited by ______
Definition
palmitoyl-CoA, the eventual product (downregulates synthesis when there is an excess of free fatty acids)
Term
acetyl CoA carboxylase is stimulated by _____
Definition
citrate (to ensure that fatty acid synthesis proceeds in the fed state)
Term
What stimulates the kinase that phosphorylates and deactivates acetyl CoA carboxylase?
Definition
AMP
Term
How does insulin affect acetyl CoA carboxylase?
Definition
It stimulates PP2A which dephosphorylates and therefore activates acetyl CoA carboxylase
Term
What does the presence of high concentrations of citrate in the cytoplasm indicate?
Definition
We are making fat! Citrate in the cytoplasm is broken down into acetyl-CoA for fatty acid synthesis
Term
Epinephrine and glucagon affect on acetyl CoA carboxylase?
Definition
inhibits PP2A -> inactivates acetyl-CoA carboxylase (Insulin stimulates it)
Term
Is the phosphorylated form of acetyl CoA carboxylase active or inactive?
Definition
Inactive
Term
Initiation of the synthesis of a new fatty acid molecule involves binding of _____ & ______ to the Fatty acid synthase complex.
Definition
acetyl-CoA and Malonyl-CoA
Term
After acetyl-CoA and Malonyl-CoA is bound to the Fatty acid synthase complex, acetyl-CoA is transferred onto the _____ (the _____ _____ carbon is ridded of via decarboxylation to produce carbon dioxide).
Definition
malonyl-CoA

malonyl-CoA’s 3rd
Term
After acetyl-CoA and Malonyl-CoA is bound to the Fatty acid synthase complex, acetyl-CoA is transferred onto the malonyl-CoA(the malonyl-CoA’s 3rd carbon is ridded of via decarboxylation to produce carbon dioxide). So, you end up with a four-carbon chain with two ____ groups, called ______
Definition
keto

β-ketoacyl ACP
Term
What vitamin is found in both CoA and the acyl carrier protein?
Definition
Panthothenic acid (B vitamin)
Term
What enzyme complex in FA synthesis contains the acyl carrier protein?
Definition
Fatty acid synthase
Term
What is the primary role of the acyl carrier protein (ACP) in FA synthesis?
Definition
Binds growing chain during synthesis
Term
What happens to the CO2 that is added to acetyl CoA by acetyl CoA carboxylase?
Definition
Knocked off when acyl-CoA binds to malonyl-CoA
Term
Identify the cofactor that reduces the 3-ketoacyl group on the elongating chain that is attached to the ACP
Definition
NADPH.
Term
After the decarboxylation following the attachment of Acetyl-CoA to Malonyl-CoA you end up with two keto groups, the ____ keto group is fully _____, and the chain is translocated to the other site, from which it will eventually be translocated onto a new ______.
Definition
distal

reduced

Malonyl-CoA
Term
Elongation system of FA Synthesis adds _____ carbons at a time through the addition of ______.
Definition
two

malonyl-CoA
Term
Cycle of FA synthesis continues until a ______ is produced
Definition
16-C (palmityl-ACP)
Term
Cycle of FA synthesis continues until a 16-C (palmityl-ACP) is produced, after which ____ cleaves off the ACP, leaving palmitate and ACP as final products
Definition
thioesterase
Term
How is acetyl-CoA transported from the mitochondria into the cytoplasm?
Definition
It is combined with Oxaloacetate to form citrate by citrate synthase
Term
How is acetyl-CoA transported from the cytoplasm into the mitochondria?
Definition
Citrate is reconverted into OAA and acetyl-CoA by ATP-citrate lyase (uses an ATP)
Term
Can OAA cross the MT membrane?
Definition
no
Term
Cycling of OAA:

OAA and Acetyl-CoA are combined to form _______ by _____ in the MT matrix, which is then shuttled across the MT membrane. In the cytoplasm ______ is then broken down back into OAA and Acetyl CoA by the enzyme ______, which requires ______. Acetyl-CoA is then used in ______, while OAA is then reduced into ______ by the _____ enzyme by oxidizing _____ in the process.
Definition
Cycling of OAA:

OAA and Acetyl-CoA are combined to form Citrate by Citrate Synthase in the MT matrix, which is then shuttled across the MT membrane. In the cytoplasm citrate is then broken down back into OAA and Acetyl CoA by the enzyme ATP-Citrate Lyase, which requires ATP. Acetyl-CoA is then used in Fatty Acid Synthesis, while OAA is then reduced into malate by the malate DH enzyme by oxidizing NADH in the process.
Term
Cycling of OAA:

OAA and Acetyl-CoA are combined to form Citrate by Citrate Synthase in the MT matrix, which is then shuttled across the MT membrane. In the cytoplasm citrate is then broken down back into OAA and Acetyl CoA by the enzyme ATP-Citrate Lyase, which requires ATP. Acetyl-CoA is then used in Fatty Acid Synthesis, while OAA is then reduced into malate by the malate DH enzyme by oxidizing NADH in the process. Malate can then be transported directly back into the MT Matrix and then oxidized into _____ by ______ through the reduction of ______...
Definition
OAA

Malate DH

NAD+
Term
Cycling of OAA:

OAA and Acetyl-CoA are combined to form Citrate by Citrate Synthase in the MT matrix, which is then shuttled across the MT membrane. In the cytoplasm citrate is then broken down back into OAA and Acetyl CoA by the enzyme ATP-Citrate Lyase, which requires ATP. Acetyl-CoA is then used in Fatty Acid Synthesis, while OAA is then reduced into malate by the malate DH enzyme by oxidizing NADH in the process. Malate can then be transported directly back into the MT Matrix and then oxidized into Malate by Malate DH through the reduction of NADH, or it can remain in the cytoplasm and be converted into _____ by _____ enzyme, which results in the formation of ____ & _____ byproducts, one of which goes to be used in _______.
Definition
pyruvate

Malic Enzyme

NADPH and CO2

NADPH FA Synthesis
Term
Pyruvate can be converted into OAA by _____ enzyme that uses ____ & _____.
Definition
Pyruvate Carboxylase

CO2 and ATP
Term
In the cycling of OAA for Fatty Acid Synthesis, which enzyme has a cytoplasmic and mitochondrial form?
Definition
Malate DH
Term
Malate DH:

Reaction in mitochondria?

Reaction in Cytoplasm?
Definition
In mitochondria, malate -> OAA (NAD+ -> NADH) In cytoplasm, OAA -> malate (NADH -> NAD+)
Term
In the cycling of OAA for Fatty Acid Synthesis what enzyme requires NADP+ as a cofactor?
Definition
Malic Enzyme

Malate NADP+ -> Pyruvate + CO2 and NADPH
Term
In the cycling of OAA for Fatty Acid Synthesis what enzyme requires NAD+ as a cofactor?
Definition
Malate DH
Term
What is the source of carbons for building fatty acids?
Definition
Acetyl-CoA
Term
Where does fatty acid synthesis occur?
Definition
Cytoplasm
Term
Where does beta oxidation of FFA occur?
Definition
Matrix
Term
So, acetyl-CoA is made in the mitochondria, but fatty acid synthesis occurs in the cytoplasm. That’s why we need _____ to bring it across.
Definition
citrate
Term
_______ elongate past 16C (palmitate)
Definition
Microsomes (in ER)
Term
_____ system of fatty acid elongation prefers fewer than 16 C
Definition
Mitochondrial
Term
Fatty acids are elongated at ____C per time.
Definition
2
Term
_______ donates carbons for fatty acid elongation in mitochondria
Definition
Acetyl-CoA
Term
_____ donates carbons for fatty acid elongation in the ER.
Definition
Malonyl-CoA
Term
What is the final product of fatty acid synthase?
Definition
Palmitate (16C)
Term
What is the fatty acid that results from Palmitate's elongation called?
Definition
Stearate (18C)
Term
Hexadecanoic acid = ______
Definition
has 16 carbons (palmitic acid).
Term
What products do you get when you desaturate palmitate?
Definition
palmitoleic acid
Term
What products do you get when you desaturate Stearate?
Definition
oleic acid
Term
What enzyme desaturates palmitate and stearate?
Definition
desaturase
Term
In the desaturation of palmitate & Stearate into palmitoleic & oleic acid respectively, where is the double bond added by desaturase?
Definition
Delta 9
Term
Could we make arachidonate (5,8,11,14), if we were deficient in linoleic acid (18:2;9,12)?
Definition
No. We can’t add double bonds past Δ9.
Term
List the five major components of lipoprotein particles:
Definition
- Phospholipid (phosphatidylethanolamine, phosphatidylcholine, phosphatidylserine, sphingomyelin)
- Free cholesterol
-Cholesterol ester
- Triglycerides
- Apolipoprotein
Term
What is the protein component of lipoproteins called?
Definition
apolipoprotein
Term
Apoproteins regulate ____enzymes in the blood
Definition
lipid-metabolizing
Term
Apoproteins facilitate the transfer of lipids between ______ and between lipoproteins and cells.
Definition
lipoprotein classes
Term
Apoproteins mediate the ____ of lipoproteins by binding to ________.
Definition
endocytosis

cell surface receptors
Term
List the functions of the apoproteins found in lipoprotein particles.
Definition
-Structural
- Receptor binding
- Lipase activation
- Lipid transfer
Term
Order the lipoprotein particles by density
Definition
Density: α-lipoproteins (HDL) > β-lipoproteins (LDL) > pre-β-lipoproteins (VLDL) > chylomicrons
Term
Which class of lipoproteins migrates the fastest toward the anode (positive) and how does its density compare with the rest of the lipoproteins?
Definition
HDL (α-lipoproteins). Most dense.
Term
Pre-beta lipoproteins = ____ lipoprotein
Definition
VLDL
Term
Beta-lipoproteins = ____ lipoprotein
Definition
LDL
Term
Source of Chylomicrons?
Definition
Intestines
Term
Source of VLDL?
Definition
Liver
Term
Source of LDL?
Definition
VLDL
Term
Source of HDL?
Definition
Liver and Intestine
Term
What increases density of lipoproteins?
Definition
protein content
Term
What is the major role of chylomicrons?
Definition
Transports triglycerides
Term
chylomicrons are present when?
Definition
after fatty meal
Term
____ are the precursors of LDL
Definition
VLDL
Term
What is the origin of IDL particles?
Definition
VLDL remnants
Term
What is the major role of the VLDL particles?
Definition
Lipids synthesized by liver and released as VLDL. Precursor of LDL.
Term
What is the origin of LDL particles? and what action is required for this?
Definition
VLDL -> IDL -> LDL

(requires hydrolysis of excess triglyceride and phospholipid by hepatic lipase)
Term
Apoprotein A-1 function?
Definition
Activates lechithin-cholestrol acyltransferase in HDL
Term
Apoprotein B-48 Function?
Definition
Structural portein for chylomicrons
Term
Apoprotein B-100 function?
Definition
structural protein for VLDL and LDL

Contains LDL receptor binding domain
Term
Apoprotein C-II function?
Definition
activates extrahepatic lipoprotein lipase
Term
Apoprotein E function?
Definition
Mediates uptake of chylomicron remnants by the liver
Term
Where is Apo B-48 found?
Definition
chylomicrons. Intestine
Term
Where is Apo B-100 found?
Definition
VLDL, LDL. Liver.
Term
Apo B-100 has a LDL receptor-binding domain that is responsible for __________
Definition
attaching to peripheral tissue and unloading cholesterol
Term
What function does Apo B-100 have that Apo B-48 doesn’t have?
Definition
Apo B-100 serves as a structural protein for VLDL and LDL instead of chylomicrons. Most importantly, B-100 contains LDL-receptor binding domain.
Term
How does the extra function of Apo B-100 correlate with its role in delivering cholesterol to the tissues?
Definition
Contains LDL-receptor binding domain. Most of LDL ends up hydrolyzed by the liver, but in extrahepatic tissues, LDL receptor is the major external source of cholesterol.
Term
Which lipoprotein particles receive the Apo E?
Definition
VLDL, chylomicrons
Term
Which receptor binds Apo E?
Definition
lipoprotein receptors including the LDL receptor
Term
After triglycerides are synthesized, they are assembled into chylomicrons in the ___ of an ______ cell with only ________ apoproteins.
Definition
ER

intestinal mucosal

only A and B48 apoproteins
Term
What is the only apoprotein not associated with chylomicrons?
Definition
B-100
Term
After the chylomicron is released from the intestinal mucosal cell with apoproteins A and B48 into the _______ and eventually into the blood, in the blood it receives _____ apoproteins from ______.
Definition
the lymph

apoC and E

HDL
Term
When a chylomicron (apo A, B48, C, E) gets to an endothelial cell of a capillary _____ removes _______. This activity depends on _____
Definition
LPL (lipoprotein lipase)

triglycerides

LPL activity depends on apoCII on surface of chylomicron.
Term
LPL activity depends on _____ on surface of chylomicron.
Definition
apoCII
Term
After the chylomicron's TG have been removed by LPL at the endotheial cells, the now _______ receives ____ & _____ from _______ & gives up: ______ to _____.
Definition
Chylomicron Remnant

ApoE and Cholestrol Esters from HDL

apoC, phospholipids, and cholesterol to HDL.
Term
After the chylomicron remnant has traded with HDL it then binds to lipoprotein receptors by Apo_ and is uptaken by the _____.
Definition
ApoE

Liver
Term
Origin of Apo C & E for chylomicrons
Definition
C & E in blood the blood from HDL

C before delivery, E after deliver of TG
Term
ApoCII activates ______
Definition
Extrahepatic Lipase (Needed to hyrdolyze the TG off of chylomicrons at the endothelial cells in the blood)
Term
Chylomicron remnants are the result of hydrolyzation of chylomicrons by ______
Definition
LPL Lipoprotein lipases
Term
One more time, what is the role of Apo E?
Definition
facilitates binding and uptake of remnants by the liver
Term
VLDL are synthesized by the liver and can be processed by ____ into LDL so that is can go to ______
Definition
Hepatic Lipase

Tissues
Term
VLDL can be rebound by the ____ and endocytosed
Definition
liver
Term
Where do the fatty acids that make up the VLDL normally come from?
Definition
liver
Term
Where do the cholesterol esters come from?
Definition
HDL (Given to Chylomicron Remnants)
Term
lecithin:cholesterol acyl transferase (LCAT) binds to the surface of ____ where it becomes activated by ______.
Definition
HDL

ApoA
Term
Lecithin:cholesterol acyl transferase (LCAT) catalyzes what reaction?
Definition
Cholesterol + Phosphatidylcholine -> cholesterol ester + 2-lysophosphatidylcholine (lysolecithin)
Term
2-lysophosphatidylcholine (lysolecithin) a product of Lecithin:cholesterol acyl transferase (LCAT) is transferred to _____, while the other product cholestrol ester is ______.
Definition
albumin

goes to the center of HDL
Term
How is the acyl CoA:cholesterol acyl transferase (ACAT) enzyme different from the LCAT?
Definition
Acyl CoA:cholesterol acyl transferase (ACAT) Catalyzes: cholesterol + acyl-CoA -> cholesterol ester + CoA-SH
Source of fatty acid is different (acyl-CoA vs. phosphatidylcholine). Also, ACAT is inside cell tissue
Term
Where are ACAT and LCAT found?
Definition
LCAT: attached to HDL in bloodstream
ACAT: intracellular. ER
Term
Cholesterol in HDL can either be _____ via _____ and go to the center of HDL or can be transfered to other lipoproteins and remnants in exchange for ______, and eventually go to the liver via ________.
Definition
esterified via LCAT

TG

via cholesterol ester transfer protein CETP
Term
During HDL maturation, it becomes ____ shaped
Definition
spherical
Term
During HDL maturation LCAT makes ______ and ______ from cholesterol and phosphatidylcholine.
Definition
cholesterol ester

lysolecithin
Term
During HDL maturation cholesterol esters_____.
Definition
sink into center of HDL
Term
A mature HDL contains?
Definition
Contains phospholipids, cholesterol esters, cholesterol, and trigylcerides, along with apoE, apoA’s, apoC’s, CETP, and LCAT on the surface
Term
What kind of interchange occurs between HDL particles and VLDL and chylomicron particles?
Definition
Give cholesterol esters alone or in exchange for triglycerides. Also gives them lipoproteins (apoC and apoE).
Term
What is the term for immature HDL?
Definition
Nascent HDL
Term
During triglyceride hydrolysis, VLDL transfers: _________ to HDL.
Definition
triglycerides, phospholipids, apoC, and some apoE
Term
What is the shape of immature HDL?
Definition
Discoidal
Term
What are the contents of an immature HDL?
Definition
apoAI, apoAII, apoE, apo-C’s, phospholipids, and cholesterol
Term
What apoproteins are contained in liver HDL?
Definition
Liver: apoA-I, apoA-II, apoE, and C-I, II, III.
Term
What apoproteins are contained in intestinal HDL?
Definition
Intestinal HDL formed with only apoA-I
Term
What enzyme is contained in HDL particles?
Definition
Lecithin-cholesterol acyl transferase (LCAT)
Term
What functions do HDL particles have?
Definition
Cholesterol transport

giving apoproteins to other lipoproteins
Term
HDL particles deliver cholesterol to ______ or take it back to _____.
Definition
tissue

liver
Term
In Type I: hyperchylomicronemia, _____ is elevated in the plasma and there is a deficiency of ______.
Definition
TG

lipoprotein lipase (LPL) or apo CII
Term
In Type II: hypercholesterolemia, _____ is elevated in the plasma and there is a deficiency of ______.
Definition
- LDL elevated
- LDL receptor deficiency or secondary causes (diabetes, obesity, hypothyroidism, baby back ribs)
Term
In Type III: dysbetalipoproteinemia also known as ________, results from a genetic _______ and has elevated ______.
Definition
dysbetalipoproteinemia; homozygous recessive apoE2 (elevated remnants)
Term
Which type of hyperlipoproteinemias has the highest risk of coronary heart disease?
Definition
II

Type II: hypercholesterolemia - LDL elevated - LDL receptor deficiency or secondary causes (diabetes, obesity, hypothyroidism, baby back ribs)
Term
Type I hyperlipoproteinemia stems from impaired hydrolysis of _______
Definition
chylomicron triglycerides (Deficiencies of lipoprotein lipase or apo CII)

Type I (hyperchylomicronemia)
Term
Familial hypercholesterolemia is what type of hyperlipoproteinemias?
Definition
II
Term
People with Familial Hypercholesterolemia (Type II) have elevated _____
Definition
LDL
Term
Type I hyperlipoproteinemias is _____
Definition
hyperchylomicronemia
Term
Type II hyperlipoproteinemias is _____
Definition
hypercholesterolemia
Term
Type III hyperlipoproteinemias is _____
Definition
dysbetalipoproteinemia
Term
Type II hyperlipoproteinemia (Familial hypercholesterolemia) has elevated _____
Definition
LDL
Term
Type II hyperlipoproteinemia (Familial hypercholesterolemia) heterozygots have 2x normal ______, because of _____ synthesis is stimulated. Homozygotes are dead by ____
Definition
LDL

Endogenous Cholestrol

20
Term
Type II hyperlipoproteinemia (Familial hypercholesterolemia) patients are at risk for ______
Definition
CHD & atherosclerosis
Term
What is a characteristic of both homo and heterozygotes of Type II hyperlipoproteinemia (Familial hypercholesterolemia)?
Definition
Xanthomas (subcutaneous yellow lipid deposits)
Term
The defect associated with Type III hyperlipoproteinemia is impaired homozygous for ______, which results in elevated _____
Definition
(Type III: dysbetalipoproteinemia)

recessive apoE2

remnants
Term
What is elevated in Type I hyperlipoproteinemia?
Definition
TG
Term
What is elevated in Type II hyperlipoproteinemia?
Definition
LDL
Term
What is elevated in Type III hyperlipoproteinemia?
Definition
Chylomicron remnants
Term
Gluconeogenesis is the Synthesis of glucose from: _______.
Definition
amino acids, lactate, and glycerol.
Term
Is the Breakdown of glycogen gluconeogenesis?
Definition
No
Term
non-glucose precursors for gluconeogenesis means what?
Definition
The carbons that contribute to glucose can come from amino, acids, lactate, and glycerol. NOT glycogen for gluconeogenesis.
Term
Glucose -> G6P by hexokinase is bypassed in gluconeogenesis by _____
Definition
Glucose-6-phosphatase: Glucose-6-phosphate -> Glucose [irreversible]
Term
Fructose-6-phosphate -> Fructose-1,6-bisphosphate by PFK is bypassed in gluconeogenesis by _____
Definition
Fructose-1,6-bisphosphatase: Fructose-1,6-bisphosphate -> Fructose-6-phosphate [irreversible]
Term
PEP -> Pyruvate by pyruvate kinase is bypassed in gluconeogenesis by _____
Definition
1. Pyruvate to OAA by Pyruvate Carboxylase using ATP to ADP

2. OAA to PEP by PEP-Carboxylase using GTP to GDP
Term
How many high energy bonds are required per glucose synthesized?
Definition
6ATP/GTP and 2 NADH

2 ATP – pyruvate carboxylase
2 GTP – PEP carboxykinase
2 ATP – phosphoglycerate kinase (3-phosphoglycerate -> 1,3 bisphosphoglycerate)
Term
Enzyme that bypasses the hexokinase reaction?
Definition
Glucose-6-phosphatase
Term
Where is Glucose-6-phosphatase found?
Definition
The liver and kidneys only, not in the skeletal muscle
Term
Why is Glucose-6-phosphatase not found in skeletal muscle?
Definition
Skeletal muscle regenerates glucose through glycogen breakdown
Term
Name the enzyme that bypasses the phosphofructokinase?
Definition
Fructose-1,6-bisphosphatase
Term
ATP affect on PFK and phosphofructokinase?
Definition
Stimulates phosphofructokinase

Inhibits PFK
Term
Citrates affect on PFK and phosphofructokinase?
Definition
Stimulates phosphofructokinase

Inhibits PFK
Term
Fructose-2,6-bisphosphate activates ____ and is a competitive inhibitor of ______.
Definition
PFK

fructose-1,6-bisphosphatase
Term
With respect to Fructose-2,6-bisphosphate and PFK; Insulin elevates level of _____, stimulates _____, inhibits _____.
Definition
F-2,6-BP

PFK

F-1,6-BP
Term
Glucagon _____ PFK/glycolysis, ____ F-1,6-BP
Definition
inhibits

stimulates
Term
What is meant by reciprocal regulation?
Definition
Stimulators in one direction will be inhibitors in the other, and vice versa, to prevent futile cycle.
Term
What allosteric effectors stimulate PFK?
Definition
Fructose-2,6-bisphosphate.
Term
What allosteric effectors inhibit PFK?
Definition
ATP and citrate
Term
Which of the PFK allosteric effectors is the most important?
Definition
Fructose-2,6-bisphosphate. Insulin and glucagon stimulate and inhibit PFK through this.
Term
Give the two reactions that convert pyruvate back into PEP.
Definition
- Pyruvate -> OAA via pyruvate carboxylase (ATP->ADP)

- OAA -> PEP via PEP carboxykinase (GTP -> GDP)
Term
The first step of gluconeogenesis: Pyruvate -> OAA via pyruvate carboxylase (ATP->ADP) is activated and inhibited by?
Definition
Acetyl CoA

its product ADP
Term
What vitamin cofactor does pyruvate carboxylase require?
Definition
Biotin
Term
pyruvate carboxylase requires biotin in order to bind ____ and transfer it to _____.
Definition
CO2

Pyruvate to form OAA
Term
PEP -> pyruvate is inhibited during glycolysis by _______.
Definition
ATP and Alanine
Term
PEP -> pyruvate is activated during glycolysis by ________.
Definition
fructose-1,6-bisphosphate (feedforward stimulation)
Term
OAA -> PEP via PEP carboxykinase requires _____ as an energy source and gives off _____ as a byproduct.
Definition
GTP to GDP

CO2 (CO2 added in previous step by pyruvate carboxylase)
Term
PEP-carboxykinase reaction takes place in the _____.
Definition
cytoplasm
Term
Pyruvate carboxylase reaction takes place in the _____.
Definition
Mitochondrion
Term
Give the gluconeogenic step that requires NADH.
Definition
1,3-bisphosphoglycerate -> glyceraldehyde-3-phosphate (Produces NADH in glycolysis)
Term
Lactate is converted to ____ by _____ to provide the carbon skeleton for gluconeogenesis.
Definition
Pyruvate

Lactate DH
Term
Alanine is converted to ____ by _____ to provide the carbon skeleton for gluconeogenesis.
Definition
Pyruvate

deamination
Term
Amino Acids other than Alanine are converted to ____ to provide the carbon skeleton for gluconeogenesis.
Definition
OAA through the TCA Cycle
Term
Glycerol for gluconeogenesis come from ____ tissue.
Definition
adipose
Term
Glycerol enters the gluconeogenic pathway at the level of _____.
Definition
triose phosphates
Term
Glycerol is converted into _____ by the enzyme _____, which is only found in the _____, in order to enter the gluconeogenic pathway.
Definition
Glycerol 3P (NOT Glyceraldehyde-3-P as seen in Glycolysis)

glycerol kinase

found ONLY in liver
Term
Glycerol kinase is only found in ______
Definition
the liver
Term
After glycerol kinase has converted glycerol into G3P in order to prep it for gluconeogenesis it is then converted into ________, by _______ producing _____ in the process.
Definition
DHAP

Glycerol Phosphate DH

NAD+ -> NADH
Term
Glycerol enters the gluconeogenic pathway as ______.
Definition
DHAP
Term
Glycerol Kinase converts Glycerol to G3P in the liver, consuming ____ in the process.
Definition
ATP to ADP
Term
Where is glycerol kinase found?
Definition
Liver
Term
Is Acetyl CoA a source of OAA for gluconeogenesis?
Definition
no
Term
_____ is a bifunctional enzyme.
Definition
PFK-2
Term
2 PFK-2 activities?
Definition
Phosphatase and kinase
Term
PFK-2 kinase activity phosphorylates ______, which produces ______.
Definition
F-6-P

F-2,6-P
Term
PFK-2 kinase activity phosphorylates F-6-P, which produces F-2,6-P. This increases the rate of ______.
Definition
Glycolysis
Term
PFK-2 Phosphatase activity dephosphorylates ____, producing ______.
Definition
F-2,6-P

F-6-P
Term
PFK-2 Phosphatase activity dephosphorylates F-2,6-P, producing F-6-P, which then eventually goes on ______
Definition
through glycolysis to become F-1,6-P
Term
Dephosphorylated PFK2 is a ______.
Definition
KINASE
Term
What hormone stimulates the phosphorylation of PFK-2.
Definition
Insulin
Term
What hormone stimulates the dephosphorylation of PFK-2.
Definition
glucagon
Term
Dephosphorylated PFK-2 is a _____.
Definition
Kinase
Term
Glucagon _____ [F-2,6-BP]
Definition
decrease
Term
Insulin ______ [F-2,6-BP]
Definition
increases
Term
Phosphorylated PFK-2 is a _____.
Definition
phosphatase
Term
PFK-2 is phosphorylated in response to _____
Definition
glucagon
Term
PFK-2 is dephosphorylated in response to _____
Definition
insulin
Term
What effect does glucagon have on the formation of cAMP?
Definition
Glucagon increases cellular cAMP
Term
PFK-2 is phosphorylated by the _____activated protein kinase ____ in response to _____.
Definition
cAMP

A

Glucagon
Term
What effect does cAMP have on PFK-2 activity?
Definition
decreases F26BP
Term
Less fructose 2,6-bisphosphate creates more F6P, driving the reaction in the ____ way.
Definition
gluconeogenic
Term
Give the tissues that contain the gluconeogenic pathway
Definition
Liver, kidney (less significant)
Term
Does skeletal muscle make and release glucose?
Definition
Glucose is made, but immediately rephosphorylated and used for glycolysis. NOT released into the bloodstream (as in liver).
Term
Is glycogen branched or linear?
Definition
Branched
Term
Glycogen has branches every ____ residues.
Definition
8-12
Term
glycogen is held together with _____ bonds and its branch points are formed by _____ bonds.
Definition
α-1,4 glycosidic bonds

α-1,6 glycosidic bonds
Term
Glycogenin attached to the _____ of glycogen.
Definition
reducing end
Term
What is the osmotic advantage of glycogen?
Definition
If you were to simply store free glucose molecules in the cell, the osmotic gradient created would cause the cell to suck up water like a “delirious camel,” and eventually cause it to burst. By using polymers (glycogen), you effectively eliminate this problem.
Term
Which ends of the glycogen molecule give a reaction with Fehling’s solution?
Definition
reducing end
Term
Exactly which bonds are the glycosidic bonds?
Definition
Acetal or ketal bonds involving the anomeric carbon of one of the participating monosaccharides. Bonds between each glucose residue.
Term
Explain the role of glycogenin in limiting the size of glycogen molecules.
Definition
Glycogen synthase adds the glucose residues, but it must always be in contact with glycogenin. Eventually, a size is reached where that can no longer occur. Glycogenin determines the total number of glycogen molecules.
Term
Glycogenin {wiki}
Definition
Glycogenin is an enzyme involved in converting glucose to glycogen. It acts as a primer, by polymerizing the first few glucose molecules, after which other enzymes take over
Term
Explain the term “reducing sugar.”
Definition
Carbonyl carbon has reducing properties, which are lost when carbon (usually anomeric carbon 1) forms glycosidic bond. Conventionally, nonreducing end is written on the left and reducing on the right.
Term
Starch structure, linear or branched?
Definition
Linear (no branching)
Term
Starch bonds?
Definition
α-1,4 glycosidic bonds (same as glycogen)
Term
Glycogen synthesis uses _ high energy phosphate bonds per glucose
Definition
2 (1 ATP for hexokinase rxn, and 1 UTP for creation of UDP glucose.
Term
1) Synthesis of UDP-glucose (activation) for glycogen synthesis steps: ______
Definition
- Glucose-6P -> Glucose-1P (via phosphoglucomutase)

- Glucose-1P -> UDP-glucose (via UDP-glucose pyrophosphorylase; UTP) **IRREVERSIBLE

- Pyrophosphate  2Pi
Term
Glycogen Synthase (Polymerization Step, Linear Bond Formation) reactions: _______
Definition
1. UDP-glucose + Glycogen{n} -> Glycogen{n+1} + UDP (via glycogen synthase) creating a α-1,4 glycosidic bond

2. UDP +ATP -> UTP + ADP (Regenerating UTP for the 1st step, activation)
Term
What is the product of the phosphoglucomutase reaction in the direction of glycogen synthesis?
Definition
Glucose-6P -> Glucose-1P
Term
What are the products of the UDP-glucose pyrophosphorylase reaction?
Definition
Glucose-1P -> UDP-glucose. Pyrophosphate breaks off as 2 free Pi
Term
Glycogen synthase uses ____ as a precursor for glycogen polymerization.
Definition
UDP-Glucose
Term
Glycogen synthase transfers glucose from UDP-glucose to 4-hydroxyl group at ____ end.
Definition
nonreducing
Term
What are the products of the polymerization reaction of Glycogen Synthesis?
Definition
Glycogen + UDP
Term
What type of glycosidic bond is formed by glycogen synthetase?
Definition
Glycogen synthase: α-1,4
Term
What type of glycosidic bond is formed by branching enzyme?
Definition
Branching enzyme: α-1,6
Term
Does branching occur at the same site that glycogen synthetase is acting (i.e. the end of the chain)?
Definition
NO
Term
Branching Enzyme transfers a string of about 7 glucose residues from the end of an unbranched chain to ___ of a glucose residue in a more interior location
Definition
C6
Term
About how many glucose residues are involved in starting a branch?
Definition
7
Term
glycogenolysis is _____
Definition
breakdown of glycogen
Term
Glycogenolysis uses _____ to cleave a glucose residue from the _____ end of glycogen.
Definition
inorganic phosphate

nonreducing
Term
Glycogenolysis Does or does not cleave the α-1,6 glycosidic bonds at the branch points?
Definition
Doesn't
Term
Glycogen Phosphorylase stops ____ residues before a branch. At this point the ____ enzyme takes over.
Definition
4

debranching
Term
The debranching enzyme transfers a block of __ glucose residues from the end of the chain to the C_____ end of another chain.
Definition
3

C4
Term
The debranching enzyme transfers a block of 3 glucose residues from the end of the chain to the C4 end of another chain. Leaving one glucose molecule at the branch point which is then ______
Definition
hydrolyzed off
Term
Debranching enzyme has 2 activities, ___ & _____.
Definition
transferase

hydrolase (glucosidase)
Term
What are the two products of the glycogen phosphorylase reaction?
Definition
Glucose-1-phosphate and the rest of glycogen chain
Term
What happens to the glucose 1-phosphate produced by the glycogen phosphorylase reaction?
Definition
Glucose-1-phosphate can be converted to UDP-glucose for glycogen synthesis or it can be converted to G-6-P and enter glycolysis in the muscle or make glucose to be released in the liver (catalyzed by glucose-6-phosphatase).
Term
Does glycogen phosphorylase act on reducing ends or nonreducing ends?
Definition
NRE
Term
What is the product of the transferase step of debranching enzyme action?
Definition
Linear chain elongated by 3C and one glucose left where the branch was
Term
What is the product of the Glucosidase step of debranching enzyme action?
Definition
Linear chain and 1 free glucose
Term
glycogen metabolism activation?
Definition
epinphrine causes cAMP to be produced
cAMP converts protein kinase A to active form
Phosphorylates phosphorylase kinase b and turns it into active phosphorylase kinase a, which phosphorylates phosphorylase and makes it active
Term
Glycogen synthase is _____ in dephosphorylated state
Definition
active
Term
Glycogen phosphorylase is ____ in phosphorylated state
Definition
active
Term
Protein Kinase A _____ glycogen phosphorylase
Definition
stimulates
Term
Protein Kinase A _____ glycogen synthase
Definition
inhibits
Term
G6P ____ glycogen synthase.
Definition
stimulates
Term
Protein phosphatase 1 affect on glycogen synthase/ phosphorylase?
Definition
glycogen synthase- stimulates

glycogen phosphorylase- inhibits
Term
Insulin: ____ glycogen synthesis in ______
Definition
stimulates

liver and skeletal muscle
Term
Insulin: _____ protein phosphatase 1
Definition
Stimulates
Term
Glucagon: ____ protein kinase A by _____.
Definition
Stimulate

phosphorylating it.
Term
Glucagon: _____ glycogen degradation in ______.
Definition
Stimulates

liver but NOT MUSCLE
Term
Is phospho-glycogen synthase fully active or less active?
Definition
Less active
Term
Is phospho-phosphorylase fully active or less active?
Definition
Active
Term
What is the effect of insulin on cAMP concentrations?
Definition
Decreased
Term
What tissue responds to epinephrine?
Definition
muscle and liver (mostly muscle)
Term
What tissue responds to Glucagon?
Definition
liver only. NO muscle
Term
What is the effect of increased cAMP concentrations?
Definition
Increased cAMP: activated protein kinase A -> inactivation of glycogen synthase -> activation of glycogen phosphorylase
Term
What is the effect of reduced cAMP concentrations?
Definition
Decreased cAMP: deactivated protein kinase A -> activation of glycogen synthase -> deactivation of glycogen phosphorylase
Term
In ____ disease trapped glucose6-phosphate affects multiple pathways
Definition
Von Gierke’s
Term
Resulting Hypoglycemia from Von Gierke’s ____ insulin and ____ glucagon.
Definition
reduces

increases
Term
Gluconeogenesis is _____ in Von Gierke’s
Definition
accelerated
Term
In Von Gierke’s Pyruvate shunted to _____
Definition
lactate
Term
Defficient enzyme in Von Gierke’s
Definition
glucose-6-phosphatase
Term
In Von Gierke’s inactive form of glycogen synthase is stimulated by excess _____.
Definition
G6P
Term
What enzyme if deficient in Cori’s disease?
Definition
Debranching
Term
Cori’s disease limited amount of glucose is available beyond _____.
Definition
last branch point
Term
What enzyme if deficient in Andersen’s disease?
Definition
branching enzyme
Term
Andersen’s disease results in ______.
Definition
Unbranched long chains (amylopectin) cause cirrhosis

(Deficient branching enzyme)
Term
Glycogen is turned over in _____
Definition
lysosome
Term
Pompe’s disease is deficient in?
Definition
α-1,4-glucosidase (“acid maltase”) for the lysosome
Term
What happens in Pompe’s disease?
Definition
If we don’t break down glycogen in lysosomes, we end up with engorged liver, lysosomes full of glycogen

Death from cardiac failure in infants
Term
What enzyme if deficient in McArdle’s disease?
Definition
glycogen phosphorylase
Term
In McArdle’s disease patients cannot make lactate from _____.
Definition
glycogen
Term
Injection of ____ has no effect In McArdle’s disease.
Definition
epinephrine
Term
____ appears in urine (produced by severe cramping) in McArdle’s disease.
Definition
Myoglobin
Term
Can make lactate from _____, but not from ______ in McArdle’s disease.
Definition
glucose

glycogen
Term
Positive nitrogen balance implies ______, but total _____ is affected
Definition
net protein synthesis

amino acid pool
Term
Positive nitrogen balance is present in what conditions: _______
Definition
Recovery from starvation; growth; pregnancy
Term
Negative nitrogen balance: Nitrogen consumed ___ nitrogen excreted
Definition
<
Term
Negative nitrogen balance implies mobilization of _____
Definition
amino acids
Term
Tissue Necrosis is evident in positive or negative nitrogen balance?
Definition
Negative
Term
Negative nitrogen balance is present in what conditions: _______
Definition
Starvation (kwashiorkor/marasmus), burns, surgery (normal wound healing involves breakdown and synthesis), infection/inflammation
Term
______ amino acids cannot be produced by the body and must be consumed in the diet.
Definition
Essential
Term
Non-essential amino acids can be made endogenously by _______.
Definition
transamination
Term
How is glutamic acid synthesized from alpha-ketoglutarate.
Definition
Glutamic acid is synthesized from alpha-ketoglutarate by the amination of alpha-keto glutarate
Term
The conversion of glutamic acid to alpha-ketoglutarate is done by what enzyme and requires what cofactor?
Definition
glutamate dehydrogenase

NADPH or NADH

NADP+ or NAD+ in the reverse direction
Term
How is glutamine synthesized from glutamic acid? And requires what?
Definition
Glutamate + ATP + NH3 -> Glutamine + ADP + Pi

glutamine synthetase. Requires ammonia and ATP
Term
What enzyme removes free ammonia from glutamine?
Definition
Glutaminase
Term
Glutaminase catalyzes what reaction? and requires what?
Definition
Glutamine -> Glutamate and releases ammonia.

water
Term
Alanine is synthesized from _____ by ____ enzyme.
Definition
Pyruvate

Alanine Transaminase
Term
What methyl donor is an intermediate in the pathway for conversion of methionine to cysteine?
Definition
Methyl donor: S-adenyl methionine (SAM).
Term
What other non-essential amino acid is required for conversion of methionine to cysteine?
Definition
Serine
Term
What amino acid is a precursor for proline synthesis?
Definition
Glutamate
Term
What four carbon citric acid cycle intermediate is transaminated to from aspartate?
Definition
Oxaloacetate
Term
What is the nitrogen source for the conversion of aspartate to asparagine?
Definition
Ammonia, NH3.
Term
What is the nitrogen source for the conversion of glutamate to glutamine?
Definition
Ammonia, NH3.
Term
Asparagine Synthase requires ______.
Definition
Ammonia and ATP (ATP-ADP)
Term
Gulaminase catalyzes what reaction?
Definition
Glutamine to glutamate
Term
Glutamine Synthase reaction?
Definition
ATP + NH3 + Glutamate -> ADP + Pi + Glutamine
Term
Conversion of Serine to Glycine reaction?
Definition
Serine + THF <-> Methylene-THF + Glycine
Term
Is the conversion of serine to glycine reversible?
Definition
Yes
Term
Conversion of Glycine to Serine?
Definition
Glycine + Methylene-THF -> Serine + THF
Term
Interconversion of Glycine and Serine provides a route from glycine to pyruvate, because serine is _______.
Definition
serine is synthesized from and degraded to 3-phosphoglycerate
Term
Interconversion of Glycine and Serine requires what vitamin cofactor?
Definition
Folate (THF) or its active form methylene-THF
Term
Purpose of amino acid catabolism during fasting?
Definition
- Energy production
- Gluconeogenesis (usually from muscle protein breakdown)
- Production of ketone bodies
Term
What energy producing pathway receives the carbon skeletons of most amino acids?
Definition
TCA cycle
Term
How is nitrogen removed from amino acids prior to the catabolism of their carbon skeletons?
Definition
Transaminases
Term
Transaminases needed to remove nitrogen from most amino acids. The nitrogen is removed from amino acid -> α-keto acid, given to ______ to form ______, and then _____ is acted on by ______ to form ammonia.
Definition
α-ketoglutarate

glutamate

glutamate

glutamate dehydrogenase
Term
Transaminases needed for most amino acids (Nitrogen is removed by amino acid  α-keto acid, given to α-ketoglutarate to form glutamate, and then glutamate is acted on by glutamate dehydrogenase to form ammonia. The released ammonia then produces ______
Definition
Urea
Term
Most important ammonia-forming reaction is catalyzed by _______.
Definition
glutamate dehydrogenase
Term
Which amino acid carries nitrogen from muscle tissue to the liver?
Definition
Alanine, through alanine cycle
Term
In the alanine cycle: Alanine is converted to glucose in the _____, so it can go back to ____.
Definition
liver

muscle
Term
In the alanine cycle: Alanine is deaminated in the liver to form _____, the NH3 is then feed into the ______.
Definition
Pyruvate

NH3
Term
In the alanine cycle: Alanine is deaminated in the liver to form Pyruvate, pyruvate is then converted into _____ and then into ______.
Definition
G6P

Glc
Term
In the alanine cycle: In the muscles glucose is converted into G6P and then into Pyruvate, pyruvate is then converted into alanine by ______.
Definition
Transamination of a BCAA, converting pyruvate into alanine and the BCAA into an BCKA all in the muscle.
Term
In the fasting state, degradation of muscle protein provides the carbon skeletons for liver ________.
Definition
gluconeogenesis
Term
The pathway of degradation of BCAAs happens only in the _____.
Definition
muscles
Term
The BCKA formed by degradation of BCAAs and pyruvate in the muscles throughout the alanine cycle can then be ______, the alanine formed then ______.
Definition
Fed into the TCA Cycle

goes back to the liver to continue the alanine cycle
Term
Which of the TCA cycle intermediates serve as an entry point for amino acid carbons?
Definition
- Pyruvate (not technically a TCA intermediate)
- Acetyl-CoA
- OAA
- α-ketoglutarate
- Succinyl-CoA
- Fumarate
Term
Why is leucine considered to be ketogenic?
Definition
- Can’t feed into TCA cycle
- Makes acetoacetate and acetyl-CoA
Term
What are the purely ketogenic aa?
Definition
Lysine

Leucine
Term
_____ Amino Acids are ketogenic and glucogenic
Definition
Isoleucine and 3 aromatics (tyrosine, phenylalanine, tryptophan) are both.
Term
The ketogenic amino acids make ______, which is a ketone body.
Definition
acetoacetate
Term
What is a glucogenic amino acid?
Definition
- Feeds into TCA cycle or glycolysis
- Can be used for gluconeogenesis
Term
If skeletal muscle is consuming amino acid carbon skeletons for energy, how is all of the extra nitrogen disposed of?
Definition
Goes to the liver on alanine through the alinine cycle, through urea cycle, and excreted in the urine.
Term
Is glutamate glucogenic?
Definition
YES. Nonessential and glucogenic.
Term
Glutamate dehydrogenase Takes NH3 off glutamate to turn it into _____ it then uses H2O & the conversion of _________ to then release NH4+, a process known as ______
Definition
α-ketoglutarate

NAD(P)+ -> NAD(P)H

Oxidative deamination.
Term
1st reaction of the Urea Cycle?
Definition
NH4+ (From Glu DH) + CO2 + 2ATP -> Carbamoyl Phosphate by Carbamoyl Phosphate Synthetase (CPSI)
Term
Where does the 1st step of the urea cycle occur?
Definition
MT
Term
Which reactions of the urea cycle take place in the MT?
Definition
1. Carbamoyl phosphate synthesis (enzyme- Carabomyl Phosphate Synthesis, CPS 1)
2. Citrulline synthesis
(enzyme- Orthine transcarbamoylase)
Term
What is the rate limiting step of Urea Cycle?
Definition
1. Carbamoyl phosphate synthesis (enzyme- Carabomyl Phosphate Synthesis, CPS 1)
Term
Cytoplasmic reactions of the Urea Cycle?
Definition
3. Arginosuccinate formed
4. Arginine formed
5. Ornithine and urea formed
Term
The _____ formed in the 5th reaction, in addition to urea, and is fed back into the MT from the cytosol.
Definition
Ornitine
Term
1st reaction of the Urea Cycle: _____
Definition
CO2 + NH4+ + 2ATP -> 2ADP + Pi + Carbamoyl Phosphate

MT
Term
2nd reaction of the Urea Cycle: ______
Definition
Ornithine + Carbamoyl Phosphate (From 1st reaction) -> Pi + Citrulline (Fed into Cytoplasm)

MT
Term
What is the source of ammonia for carbamoyl synthetase I?
Definition
Glutamate thru GDH reactions
Term
What is carbamoyl synthetase II?
Definition
an enzyme that catalyzes the reactions that produce carbamoyl phosphate in the cytosol. Used in pyrimidine synthesis
Term
What reaction is catalyzed by ornithine transcarbamoylase?
Definition
2nd of the Urea Cycle

Ornithine + Carbamoyl phosphate -> Citrulline + Pi
Term
Where does the reaction catalyzed by ornithine transcarbamoylase occur?
Definition
mitochondria
Term
Where does citrulline react with aspartate and what enzyme catalyzes this reaction?
Definition
Cytoplasm

Arginosuccinate synthetase
Term
Arginosuccinate synthetase reaction?
Definition
Citrulline + aspartate + ATP -> argininosuccinate + AMP + 2 Pi

3rd reaction
Term
Which are the energy requiring steps in the urea cycle?
Definition
1st- Carbamoyl Phosphate synthesis by CPS-I

3rd reaction argininosuccinate syntehsis
Term
4 ATP is used in synthesis of 1 urea molecule
Definition
2 ATP -> 2 ADP (1st reaction)
1 ATP -> 1 AMP, takes two ATP to get AMP back to ATP, so really 2 ATP (3rd Reaction)
Term
What enzyme cleaves argininosuccinic acid and what are the products of the reaction?
Definition
Argininosuccinate lyase

fumarate and arginine.
Term
Which product of the Urea Cycle is a TCA intermediate and at what step does it occur?
Definition
Fumarate

4th by Argininosuccinate lyase

Argininosuccinate -> Fumarate + Arginine
Term
Where does the Argininosuccinate lyase catalyzed reaction occur?
Definition
Cytoplasma
Term
Which enzyme releases urea from arginine and what are the products of the reaction?
Definition
Arginase

Products are urea and ornithine
Term
Arginase reaction occurs where?
Definition
cytoplasmic
Term
Short-term regulation of the urea cycle is accomplished after a high protein meal that leads to high production of _______. _____ is also found in higher concentrations ______, which upregulates _____ enzyme.
Definition
ammonia

N-acetylglutamate

Carbamoyl Phosphate Synthase I (1st step)
Term
N-acetylglutamate is a positive effector of ________ not _______.
Definition
positive effector for CPS I, MT (CPS II – cytoplasmic – not affected)
Term
Long-term regulation of the Urea Cycle occurs through ____ activation of urea cycle enzymes.
Definition
Gene
Term
For Long-term regulations of the Urea Cycle occurs during starvation by Elevated ____ levels causin increased expression of urea cycle enzymes, which comes from the metabolism of muscle _____ during prolonged starvation.
Definition
NH4+

proteins
Term
Under extreme starvation, are urea cycle enzyme concentrations increased or decreased? Why?
Definition
Increase because of breakdown of proteins
Term
How is the mitochondrial form of carbamoyl synthetase regulated?
Definition
N-acetylglutamate activates it (positive effector)
Term
How is N-acetylglutamate synthesized?
Definition
from glutamate and acetyl-CoA.
Term
Hyperammonemia is more severe with deficiency at _____ or ______.
Definition
CPS-I (reaction 1)

ornithine transcarbamoylase (reaction 2)
Term
With Hyperammonemia the metabolite prior to block are ____ in blood, e.g. ______.
Definition
elevated

argininosuccinic aciduria
Term
Hyperammonemia can cause ____, which is characterized by neurological symptoms.
Definition
Encephalopathy
Term
With Hyperammonemia with secondary orotic aciduria, _______ is deficient.
Definition
Ornithine transcarbamoylase deficiency
Term
In Hyperammonemia with secondary orotic aciduria excess _______ leaks into the ______ and pushes _____ pathway
Definition
Carbamoyl phosphate

cytoplasm

pyrimidine pathway
Term
Hyperammonemia with secondary orotic aciduria, Orotic acid excess not converted to _____.
Definition
UMP
Term
What small molecule with an alkaline pK accumulates when the urea cycle is genetically impaired?
Definition
ammonia
Term
How does protein restriction help with the accumulation of ammonina when the urea cycle is genetically impaired?
Definition
Reduces the release of ammonia from amino acids by bacterial ureases
Term
amino acid component of hippuric acid?
Definition
Glycine
Term
Orotic Acid is formed by ring closure from ______.
Definition
carbamoyl phosphate
Term
Hyperammonemia is treated with Conjugation with ______ & _____; excreted in urine
Definition
benzoic acid and phenylacetic acid
Term
hippuric acid synthesis.
Definition
Benzoate + Glycine -> Hippuric acid
Term
benzoic acid becomes conjugated with _____ to form _____ so it can be eliminated through the urine.
Definition
glycine

hippurate
Term
phenylacetate becomes conjugated with _____ to form _____ so it can be eliminated through the urine.
Definition
glutamine

phenylacetylglutamine
Term
Why would you administer benzoic acid or phenylacetate to a patient?
Definition
They become conjugated with glycine and glutamine, and conjugation products (hippurate and phenylacetylglutamine) are excreted in the urine. Used for disposal of unwanted organic acids from dietary sources.
Term
How old is a patient likely that you administer benzoic acid or phenylacetate to?
Definition
Patient is likely to be a newborn if enzyme deficiency and adult if it’s cirrhosis.
Term
What amino acid is joined to benzoic acid to produce hippuric acid?
Definition
Glycine
Term
What happens to hippuric acid?
Definition
Excreted in the urine
Term
List the amino acids that are converted to pyruvate: _______
Definition
- Alanine
- Glycine
- Cysteine
- Serine
- Threonine
- Tryptophan
Term
synthesis of glutamine: _____
Definition
Glutamate + NH3 + ATP -> ADP + Glutamine

glutamine synthase
Term
degradation of glutamine: _____
Definition
Glutamine -> NH3 + Glutamate

by glutaminase
Term
Synthesis of asapargine: ______
Definition
aspartate + NH3 + ATP -> Asparagine
Term
Glutamate can be made via transamination of _______.
Definition
α-ketoglutarate
Term
Glutamate can be made from glutamine via _____.
Definition
glutaminase
Term
asparaginase reaction: _____
Definition
Asparagine + H2O -> Aspartate + NH3
Term
What type of metabolites are produced during branched-chain amino acid (BCAA) degradation?
Definition
BCKA
Term
In BCAA Degradation, BCAAs are ______ to _______
Definition
transaminated

branched-chain α-keto acids (BCKA)
Term
In BCAA Degradation, BCAAs are transaminated to BCKAs, which are converted to _____ by multienzyme complexes similar to ______ & _____ complexes.
Definition
CoA thioesters

pyruvate and α-ketoglutarate DH complexes
Term
The BCAA Valine and isoleucine are converted into _______ CoA thioesters through BCAA Degradation, which are glucogenic or ketogenic?
Definition
succinyl CoA (glucogenic)
Term
The BCAA Leucine is converted into _______ CoA thioesters through BCAA Degradation, which are glucogenic or ketogenic?
Definition
acetoacetyl CoA (ketogenic)
Term
In Maple syrup urine disease there is an enzyme deficiency of _______.
Definition
BCKA dehydrogenase complexes (used in the Degradation of BCCA, in the step BCKA to thiol CoA esters)
Term
In Maple syrup urine disease, _____ products give diapers a “burnt-sugar, maple syrup” odor
Definition
Alpha-ketoacid
Term
Maple syrup urine disease is characterized by _____ symptoms and is precipitated by ____ & ______
Definition
neurological

fever infection
Term
BCKA are an additional source of ______.
Definition
propionyl CoA
Term
BCKA -> ______ -> Propionyl CoA
Definition
succinyl-CoA
Term
methylmalonic acidemia is a ______ disease
Definition
Branched chain amino acid
Term
propionyl-CoA feeds into _____ pathway; spills into urine with either ____ deficiency or enzyme deficiency so it is not converted into ______
Definition
methylmalonic pathway (Off Odd Chain Beta Oxidation)

cobalamin (Vitamin B12)

succinyl-CoA (typical end product)
Term
Amino Acid Degradation, all roads lead to _____
Definition
TCA cycle
Term
glutamine, proline, arginine, and histidine enter the TCA cycle through _______, which is then converted into _____.
Definition
glutamate

α-ketoglutamate
Term
Conversion of _____ to ____ can be used to test for folate deficiency
Definition
histidine
glutamate
Term
Overall reaction for the conversion of histidine to glutamate test for folate deficiency?
Definition
Histidine -> FIGLU

FIGLU -> Glutamate requires THF (Folate)
Term
The conversion of FIGLU to Glutamate requires ______.
Definition
THF (Folate)
Term
Folate deficiency can be tested for with oral administration of ______, which produces _____ in urine when folate is deficient.
Definition
histidine

FIGLU
Term
amino acids that can be converted to acetyl-CoA: ______.
Definition
Isoleucine & Leucine
Term
Amino acids feed into the TCA primarily through _____.
Definition
pyruvate
Term
Amino acids entering the TCA cycle can serve as precursors for ______.
Definition
glucose synthesis
Term
Isoleucine & Leucine are converted to acetyl-CoA under which conditions?
Definition
Fasting, low carb state
Term
key reaction that allows amino acids to provide carbon skeletons for glucose synthesis?
Definition
Nitrogen disposal (ammonia to urea cycle)
Term
Nitrogen disposal (ammonia to urea cycle) provides carbon skeletons for glucose synthesis through ______.
Definition
Fumarate

Argininosuccinate -> Fumarate + Arginine
Argininosuccinate Lyase
Term
homocysteine -> cystathionine by _______.
Definition
Cystathionine synthase
Term
S-Adenosylmethionine (SAM) metabolic function is?
Definition
Methyl Donor
Term
In the Methonine cycle S-Adenosylmethionine (SAM) eventually becomes?
Definition
Homocysteine
Term
What molecule does ATP react with to yield SAM?
Definition
Methionine
Term
What adenosyl containing molecule is produced when SAM donates its carbon?
Definition
S-adenosylhomocysteine (SAH)
Term
What are some of the molecules that require donations from SAM in their synthesis?
Definition
"Methylated Products"
- Epinephrine
- Choline
- Creatine
- Nucleotides
- Melatonin
Term
How is homocysteine converted to methionine?
Definition
- Vitamin B12 removes the methyl group methyltetrahydrofolate (methyl-THF) to produce tetrahydrofolate (THF)
- Methylated vitamin B12 (methyl-B12) transfers methyl group to homocysteine, producing methionine.

M-THF + B12 -> M-B12 + THF


Homocysteine + M-B12 -> methionine + B12
Term
Homocystinuria is produced by a ______ enzyme deficiency
Definition
Cystathionine synthase deficiency
Term
Homocystinuria, in addition to Cystathionine synthase deficiency can be produced by ______ or _____ deficiencies.
Definition
Folate and/or cobalamin (B12) deficiency

used in the metyhlation of homocysteine back into methonine
Term
If homocysteine builds up it is passed out of the methonine pathway and eventually converted into ____, which then goes onto the ______.
Definition
Succinyl-CoA

TCA cycle
Term
Folate polyglutamylation results when folate is _____ in the cell by ______.
Definition
trapped

polyglutamate tail (active form)
Term
______ (_____ analog, cancer drug) also can also be polyglutamated
Definition
Methotrexate

folate
Term
With Methyl trap in ____ deficiency, _____ cannot convert to other forms & and all of the folate can be tied up as ______.
Definition
B12

Methyl folate

methyl folate
Term
alkaptonuria is produced by a Deficiency for _______.
Definition
homogentisate oxidase
Term
Because of the homogentisate oxidase deficiency in alkaptonuria, ______ accumulates and is ____ to black product making the urine black.
Definition
Homogentisate

oxidized
Term
In addition to depositing in the urine, Homogentisate also deposits in the _______, known as _______.
Definition
deposits in cartilage (ochronosis)
Term
Homogentisate deposits in cartilage (ochronosis) affects ____, resulting in ______ by 30 and _____ by 50.
Definition
vertebral column

back pain by age 30

joint replacements by age 50
Term
Alkaptonuria results in an inability to breakdown Homogentisate, which is formed from the eventual breakdown of ______ into _____, which is eventually converted into Homogentisate.
Definition
Phenylalanine

Tyrosine
Term
In PKU, there is a deficiency of _______, which forms _____ from _____.
Definition
phenylalanine hydroxylase

Tyrosine from Phenylalanine
Term
In PKU patients tyrosine cannot be formed and therefore ______ cannot be formed from it.
Definition
DOPA
Term
DOPA is made into ______ or _____.
Definition
catecholamines

Melanin
Term
DOPA is made from?
Definition
Tyrosine
Term
phenylalanine hydroxylase catalyzes what reaction?
Definition
Phenylalanine -> Tyrosine
Term
What cofactor is required by phenylalanine hydroxylase?
Definition
Tetrahydrobiopterin (BH4).
Term
Which minor metabolites of phenylalanine build up in PKU?
Definition
Phenylpyruvate, phenyllactate, phenylacetate
Term
Why do Phenylpyruvate, phenyllactate, phenylacetate build up in PKU?
Definition
Because phenylalanine is usually converted into tyrsoine, but with the phenylalanine hydroxylase deficiency, the phenylalanine instead is converted into the listed metabolites
Term
What damage is caused in PKU? and causes what?
Definition
Neurotoxic, causes mental retardation
Term
_____ is an essential amino acid for PKU patients.
Definition
Tyrosine
Term
With PKU, the altered metabolites are neurotoxic up to age ___
Definition
6
Term
How is PKU treated?
Definition
Low phenylalanine diet
Term
“Secondary” form of PKU results from a ______ block
Definition
Dihydrobiopterin reductase block
Term
Dihydrobiopterin reductase does what?
Definition
BH2-> BH4 (BH4 -> BH2 by phenylalanine hydroxylase in the conversion of phenylalanine to tyrosine)

reduces dihydrobiopterin back to tetrahydrobiopterin, which is needed for Phe -> Tyr reaction (uses NADPH)
Term
What cofactor is required by phenylalanine hydroxylase?
Definition
Tetrahydrobiopterin (BH4)
Term
PKU 1 results from a ____ block.
Definition
phenylalanine hydroxylase block
Term
With PKU 1, Phenylalanine can’t be converted into ______.
Definition
tyrosine
Term
PKU _ cannot be treated by a low phenylalanine diet.
Definition
2
Term
Why do you still get neurological damage even on a low Phe diet with PKU2?
Definition
tetrahydrobiopterin (BH4) is also involved in formation and regeneration of neurotransmitters
Term
Tetrahydrobiopterin is needed for formation and regeneration of some ______.
Definition
neurotransmitters
Term
What is the amino acid precursor for serotonin and melatonin?
Definition
Tryptophan
Term
Serotonin: produced in: ______
Definition
brain, pineal gland, chromaffin cells in gut
Term
Melatonin is made from _______.
Definition
Serotonin
Term
Melatonin produced in: ______
Definition
produced in pineal gland
Term
Serotonin functions in _____ & ______.
Definition
Peripheral Vasodilation

Neurotransmitter
Term
Carnitine synthesis pathway requires ____ & _____.
Definition
Pathway requires ascorbate and iron produces carnitine
Term
Deficiencies in carnitine production produce _______ symptoms
Definition
myopathic (muscle only) or systemic symptoms
Term
Which amino acid is the precursor for carnitine synthesis?
Definition
lysine
Term
Niacin is synthesized from ______.
Definition
tryptophan
Term
Niacin is synthesized from tryptophan, from part of a _____ pathway.
Definition
degradative pathway
Term
Is the synthesis of Niacin from tryptophan sufficient?
Definition
NO
Term
Cystinuria is a result of impaired reabsorption of ______ in the _____ & _____.
Definition
dibasic amino acids (Lys, arg, ornithine, cystine (remember: 2 cysteines with disulfide bond, cys-S-S-cys)

kidneys and intestinal lumen
Term
Patients with Cystinuria can develop Kidney stones from the _____.
Definition
cystine (2 cysteines with disulfide bond, cys-S-S-cys)
Term
The impaired reabsorption of Cystinuria is caused by a defective _______.
Definition
membrane transporter
Term
Hartnup disease is caused by Defective intestinal absorption of _____ & _____
Definition
tryptophan and niacin
Term
Patients with Hartnup disease present with ____ symptoms.
Definition
Pellegra symptoms (fand neurological)
Term
What are the precursors for synthesis of creatine?
Definition
Arginine, glycine, SAM
Term
creatine phosphate provides a store of a ______.
Definition
high-energy phosphate bonds
Term
In resting muscle, most creatine is present as ______ (ATP/ADP starts high).
Definition
creatine phosphate
Term
When muscle is used and ATP declines, creatine phosphate can create an instant energy source thru the reversible ______ reaction
Definition
creatine kinase
Term
Creatine is not degraded ______.
Definition
enzymatically
Term
Creatine _____ spontaneously to ______ instead of being broken down by enzymatic degradation.
Definition
Cyclizes

creatinine
Term
creatinine is utilized in urinalysis as test of _____.
Definition
glomerular filtration rate (GFR)
Term
Overall reaction and precursors for Melanin: ______
Definition
Phenylalanine -> Tyrosine -> DOPA -> melanin
Term
DOPA is converted into Melanin by the enzyme?
Definition
tyrosinase
Term
Melanin functions as a ______
Definition
UV sponge
Term
____ absorbs UV light; aromatic rings
Definition
Tyrosine
Term
Melanin is polymerized _____ (from _____); potent UV screen
Definition
dopaquinone

tyrosine
Term
melanin is located where?
Definition
distal to nucleus, sunny side
Term
Overall reaction and precursors for Melatonin: _______
Definition
Tryptophan -> 5-hydroxy tryptophan -> serotonin -> melatonin
Term
Melatonin function?
Definition
induces sleep
Term
location of melanin synthesis
Definition
skin, hair, iris, and retinal pigment epithelium
distal to nucleus (sunny side)
Term
phosphoglycerides (aka glycerophospholipids) are like triglyceride, but instead of 3rd fatty acid, you have a _____ group.
Definition
phospholipid
Term
What is the name and structure of the core phospholipid from which all the others are derived?
Definition
Phosphatidic acid
Term
Why are phospholipids amphipathic?
- Hydrophobic tails: _____ tails
- Hydrophilic head: ____ head group
Definition
fatty acid

phosphotidyl
Term
Which phospholipid has a role in intracellular signaling?
Definition
Phosphatidyl inositol
Term
What structural feature distinguishes plasmalogens from the other phospholipids?
Definition
Unsaturated fatty acid at carbon 1. Ether linkage at carbon 1 (vs. ester)
Term
What fundamental structure is joined in a dimer to form cardiolipins?
Definition
phosphatidylglycerol
Term
______(de novo) pathway for the synthesis of phosphoglycerides
Definition
Phosphatidic
Term
Phosphatidic (de novo) pathway for the synthesis of phosphoglycerides involves the activation of ______.
Definition
phosphatidic acid
Term
_____ is the major component of mitochondrial inner membrane.
Definition
Cardiolipin
Term
______ is an intermediate in phosphoglyceride synthesis
Definition
Phosphatidic acid
Term
Two pathways for phosphoglyceride synthesis: _______
Definition
de novo and salvage
Term
The phosphatidic (de novo) pathway involves the Synthesis of phosphatidic acid from _______
Definition
glycerol 3-phosphate
Term
The phosphatidic (de novo) pathway involves the reaction of phosphatidic acid with ____ to form activated intermediate _____
Definition
CTP

CDP- DAG (CDP diacyl glycerol)
Term
Reaction of CDP- DAG to attach _____.
Definition
inositol
Term
Inositol synthesized from ______.
Definition
glucose 6P
Term
In the salvage pathway we are activating ______ instead of the ______ in the
Definition
the group we are attaching instead of the intermediate (phosphatidic acid) as is done in the de novo pathway
Term
phosphatidic acid is an intermediate for which pathway(s)?
Definition
Both de novo and salvage
Term
phosphatidic acid is an intermediate in _____ synthesis
Definition
phosphoglyceride
Term
phosphatidic acid can make either ____ or _____.
Definition
phosphoglyceride or triglyceride
Term
phosphatidic acid synthesized from _____
Definition
glycerol-3-phosphate
Term
Outline the steps in the formation of phosphatidylinositol from CTP and phosphatidic acid.
Definition
> Synthesis of phosphatidic acid from glycerol-3-phosphate
> Reaction of phosphatidic acid with CTP to form activated intermediate (CDP-diacylglycerol)
> Reaction of CDP-DAG to attach inositol (inositol synthesized from glucose 6P)
Term
Outline the steps in the formation of phosphatidylcholine from free choline and CTP.
Definition
> Phosphatidate loses the Pi
> Choline is activated by phosphorylation (ATP -> ADP), then reacts with CTP to form CDP-choline (vs. phosphatidic acid being activated in de novo)
> DAG and CDP-choline joined to form lecithin
Term
How is choline activated in salavage pathway for phosphoglyceride synthesis?
Definition
CTP to make CDP-choline
Term
What type of linkage do CDP-diglyceride and CDP-choline share in common?
Definition
phosphoanhydride
Term
In the Remodeling Of Phosphoglycerides, Phospholipases do what?
Definition
remove fatty acids
Term
Phospholipase A1: _____
Definition
cleaves fatty acid off C1
Term
Phospholipase A2: ______
Definition
cleaves fatty acid off C2
Term
Phospholipase C: ______
Definition
cleaves off entire phospho group of C3 and R3 Group
Term
Phospholipase D: ______
Definition
cleaves R3 group and O connecting P to R3
Term
What type of fatty acid usually winds up on position 1?
Definition
C1: saturated
Term
What type of fatty acid usually winds up on position 2?
Definition
C2: unsaturated
Term
What is attached to the carbon at position 3?
Definition
phospholipid
Term
In the remodeling Of Phosphoglycerides, Acyltransferases do what?
Definition
replace the fatty acids (Phospholipases remove fatty acids)
Term
Tissues differ in ____ components
Definition
membrane
Term
Phosphatidyl _____ is remolded to form phosphatidyl choline
Definition
serine
Term
In the remodeling of phosphatidyl serine to form phosphatidyl choline, the first step takes place in the liver ______, where phosphatidyl serine loses ______ to become the intermediate ______.
Definition
MT

CO2

phosphoethanolamine
Term
For the second step of the emodeling of phosphatidyl serine to form phosphatidyl choline, it takes place in the liver _______, where phosphoethanolamine recieves three _____ groups from three _____
Definition
microsomes

methyl groups

3 SAMs
Term
Describe the steps in the remodeling of phosphatidyl serine to form phosphatidyl choline.
Definition
- In liver mitochondria, CO2 leaves phosphatidylserine to become phosphoethanolamine
- In liver microsomes, 3 SAM donate 3 CH3 to phosphoethanolamine to make phosphatidylcholine
Term
_______ are major components of membrane in brain and muscle
Definition
Plasmalogen
Term
__________ (_____)
Definition
Platelet Activating Factor (PAF)
Term
What is the name of the methyl donor for the remodeling of phosphatidyl serine to form phosphatidyl choline?
Definition
SAM
Term
Platelet Activating Factor (PAF) And _______ Derived From Same Pathway
Definition
Ethanolamine Plasmalogen
Term
What type of linkage joins the acyl group to position 1 for PAF and Ethanolamine Plasmalogen?
Definition
ether
Term
What is the main difference between the acyl groups attached to position 2 for PAF and Ethanolamine Plasmalogen?
Definition
R group (fatty acid) on ethanolamine plasmalogen vs. CH3 on PAF
Term
PAF functions: _______
Definition
vasodilation (can make you faint, lightheaded, platelet adhesion (blood clotting enhanced), chemotaxis (fighting infection)
Term
Ceramide is an example of a _____
Definition
Sphingolipids
Term
Phosphatidic Acid is an example of a _____
Definition
Phospholipids
Term
Ceramide Is Like A _______
Definition
Diglyceride
Term
Ceramide is a sphingosine with a ____ side chain on the _C
Definition
acyl

C2
Term
What substitutes for glycerol in sphingolipids?
Definition
sphingosine
Term
ceramide role?
Definition
Derivative for a lot of different sphingolipids. Different things attach at C1.
Term
What type of lipid is sphingomyelin?
Definition
Phosphosphingolipid.
Term
What is a glycosphingolipid?
Definition
Carbohydrate attached to a ceramide
Term
Where are Carbohydrates added to the ceramide in glycosphingolipids?
Definition
C1
Term
___ substance gives rise to a and b substance.
Definition
H
Term
The sugars in H,A, and B substances are attached to a _______.
Definition
Ceramide.
Term
The sugars in H,A, and B substances are an example of a _____ liped
Definition
glycosphingolipid
Term
Formation of A substance: ______
Definition
From H substance by GalNAc Transferase, which adds a GalNAc group using UDP-GalNAc as an activated carrier
Term
Formation of B substance: ______
Definition
From H substance by Gal Transferase, which adds a Gal group using UDP-Gal as an activated carrier
Term
Blood Group O is Represented by ___ substance.
Definition
H
Term
Blood Group A is Represented by ___ substance.
Definition
B
Term
Blood Group B is Represented by ___ substance.
Definition
A
Term
Are there different genes for the enzymes that produce the blood types?
Definition
No just different alleles
Term
what are alleles anyway?
Definition
Alleles = variants of the same gene
Term
Can you be Hetero with O type?
Definition
No
Term
How do you get the type A or type B phenotype?
Definition
AA, AO, BB, or BO
Term
Can you be hetero for type A or type B phenotype?
Definition
Yes
Term
A substance contains ______ sidebranch
Definition
N-acetyl galactose
Term
B substance contains ____ sidebranch
Definition
galactose
Term
Both A& B are derived from H substance, a ____.
Definition
ceramide
Term
Most common types of Lysosomal Storage Diseases are _____ & ______.
Definition
Tay-Sachs and Gaucher Disease
Term
In Tay Sachs which enzyme is deficient?
Definition
2
Term
In Gaucher which enzyme is deficient?
Definition
6
Term
In Fabry which enzyme is deficient?
Definition
4
Term
In Krabbe which enzyme is deficient?
Definition
7
Term
In Metachromatic Leukodystrophy which enzyme is deficient?
Definition
8
Term
Lysosomal Storage Diseases, The Sphingolipidoses are resultant of inability to break down ______
Definition
sphingolipids (examples we did are of glycosphingolipid)
Term
Two types of sphingolipids: _____
Definition
Sphingomyelin & glycosphingolipid.
Term
How long is the side chain on cholesterol?
Definition
8 carbons
Term
1st precursor in cholesterol synthesis?
Definition
Acetyl-CoA
Term
What modifications are made to the CPPP ring in cholesterol structure?
Definition
- Hydroxyl group (on C3)
- 2 methyl groups (on C10 and C13)
- Branched hydrocarbon chain (on C17)
Term
How is the side chain on cholic acid different from that of cholesterol?
Definition
- Cholic acid side chain only has 5 carbons (Cholesterol has 8), one of which is a COO- group
Term
How is deoxycholic acid different from cholic acid?
Definition
Missing an OH group from C12
Term
What makes the bile acids amphipathic?
Definition
The direction their side chains are pointing.
Term
Bile acids being amphipathic allows them to ______
Definition
attach hydrophobic side to fat droplets and emulsify
Term
In cholesterol synthesis, Acetyl-CoA is converted into _____.
Definition
HMG-CoA
Term
In cholesterol synthesis, HMG-CoA is then _____ into _____ by _____ enzyme using ______ in the process.
Definition
reduced into Mevalonate by HMG-CoA Reductase using 2 NADPH in the process
Term
In cholesterol synthesis, Mevalonate is further reacted into _______ & its isomer ______.
Definition
Isopentyl Pyrophosphate

Demethylallyl Pyrophosphate
Term
In cholesterol synthesis, Isopentyl Pyrophosphate an intermediate has a _____.
Definition
Isoprene tail
Term
Isopentyl Pyrophosphate & Demethylallyl Pyrophosphate are eventually converted to _____
Definition
Squalene
Term
Squallene is converted to ____ in cholesterol synthesis.
Definition
Lanosterol
Term
_____ is converted into cholesterol
Definition
Lanosterol
Term
HMG-CoA reductase uses _____ to reduce HMG-CoA into ______
Definition
NADPH

Mevalonate
Term
What is the regulated and committed step of cholesterol synthesis?
Definition
HMG-CoA reductase
Term
HMG-CoA reductase is regulated by _____
Definition
Feedback inhibition by free cholesterol (non esterfied)
Term
HMG-CoA reductase is stimulated by ______
Definition
insulin
Term
____ is the basic ring structure of cholesterol and bile acids
Definition
CPPP
Term
Does squalene have the intact CPPP (cyclopentanoperhydrophenanthrene) nucleus?
Definition
No
Term
How many carbons in squalene?
Definition
30
Term
Squalene -> _____ -> cholesterol
Definition
lanosterol
Term
HMG-CoA reductase uses _ NADPH
Definition
2
Term
HMG-CoA reductase is inhibited by?
Definition
Free Cholesterol
Term
Give the site of action of cholesterol lowering drugs (e.g. the statins: lovastatin, mevastatin).
Definition
HMG-CoA reductase inhibitors
Term
Bile Acids are converted from?
Definition
Cholesterol
Term
Primary bile acids come from where?
Definition
made by us in our liver
Term
Secondary bile acids come from where?
Definition
when exposed to intestinal flora, made by bacteria
Term
Secondary bile acids include: _____
Definition
deoxycholic acid

lithocholic acid
Term
deoxycholic acid is produced from?
Definition
Cholic acid (via intestinal bacteria)
Term
lithocholic acid is produced from?
Definition
Chenodeoxycholic acid (via intestinal bacteria)
Term
What are bile acids needed for?
Definition
Emulsifying fats, lipid absorption
Term
What are the two major bile acids produced from cholesterol?
Definition
Cholic and and chenodeoxycholic acid
Term
How does the quantity of bile acid production compare to other uses of cholesterol?
Definition
Approximately 1/2
Term
What is the rate limiting step in the conversion of cholesterol into bile acids?
Definition
Cholesterol -> 7α-hydroxycholesterol via 7α-hydroxylase
Term
7α-hydroxylase converts ____ into 7α-hydroxycholesterol using: ________.
Definition
Cholesterol

O2 molecular oxygen, H+, and NADPH
Term
Bile acids ____ level of 7α-hydroxylase
Definition
reduce
Term
____ & _____ induce α-hydroxylase synthesis
Definition
Cholesterol and thyroid hormones
Term
What is a conjugated bile acid?
Definition
Bile acids conjugated with glycine or taurine
Term
Conjuation of: Chenodeoxycholyl-CoA -> ____ or _____
Definition
Glycochenodeoxycholic acid and taurochenodeoxycholic acid
Term
7 α-hydroxylase is regulated by ______
Definition
feedback inhibition by bile acids
Term
Synthesis of the secondary bile acids by _____.
Definition
intestinal bacteria.
Term
Conjuation of: Cholyl-CoA -> ____ or _____
Definition
Glycocholic acid and taurocholic acid
Term
Pancreatic lipase gains access to _____ with the help of bile salts.
Definition
dietary fat (TG)
Term
_____ plus ____ are absorbed at the brush border of the mucosal cell in the intestines.(unstirred layer)
Definition
2 FFAs

2-acyl glycerol
Term
Resynthesis of TG after their adsorption into the intestinal mucosal cell requires “activated” FFA in form of _____.
Definition
CoA ester
Term
* What happens to the Long-chain TG reformed in the intestinal mucosal cells? the short & medium?
Definition
Long- Packaged into chylomicrons and dumped into the lymph and then into the blood

Short- and medium-chain FFA transported directly through portal to liver; attach to albumin
–NO!!!!!!!! resynthesis of short- and medium-chain TG
Term
____-chain TGs circulate as chylomicrons or VLDL
Definition
Long
Term
______ releases FFA from chylomicrons or VLDL for uptake by adipose tissue
Definition
Lipoprotein lipase LPL
Term
Free glycerol trapped by ____ in liver
Definition
glycerol kinase
Term
TG synthesis: _____ + 3 Fatty Acyl CoAs
Definition
G3P
Term
Where does the G3P for TG synthesis come from in the adipose?
Definition
DHAP (Glycolysis)
Term
Where does the G3P for TG synthesis come from in the liver?
Definition
DHAP (Glycolysis)

or

Glycerol -> G3P by glyerol Kinase
Term
FFA are activated for TG synthesis in the adipose and liver by ______ enzymes like in the intestinal lumen
Definition
acyl-CoA synthetase
Term
______ synthesis in both the liver and adipose supports esterification to TGs
Definition
Glycerol 3P
Term
FFA are transported on _____ upon release from the adipose tissue, and the glycerol is transported to the _____.
Definition
albumin

liver
Term
_____ Regulation Of Glycerol 3P Synthesis and its future involvement in TG synthesis.
Definition
Insulin
Term
Malonyl-CoA is formed how for TG syntheis?
Definition
Acetyl CoA + ATP + CO2 -> ADP + Malonyl CoA

Enzyme-> Acetyl CoA Carboxylase
Term
Acetyl CoA Carboxylase is active in phosphorylated or dephosphoryalted form?
Definition
dephosphoryalted
Term
What dephosphorylates Acetyl-CoA Carboxylase
Definition
PP2A (Activates it)
Term
PP2A allosteric effectors
Definition
- glucagon, epinhephrine

+ insulin
Term
Kinase that phosphorylates Acetyl-CoA Carboxylase, allosteric regulations
Definition
+ AMP (low energy, don't need to synthesize TG)
Term
Acetyl-CoA Carboxylase is allosterically regulated by?
Definition
Citrate +
Palmitoyl-CoA -
Term
What key fat synthesis enzymes are stimulated by insulin?
Definition
PP2A (protein phosphatase 2A), which dephosphorylates and activates Acetyl-CoA carboxylase (forms malonyl CoA from Acetyl CoA)
Term
Fatty Acid Synthase Complex; Multienzyme complex; ____ polypeptide
Definition
one
Term
Acyl carrier protein (ACP) of the Fatty Acid Synthase Complex contains ______.
Definition
pantothenic acid
Term
FA synthesis occurs in Polymerization of ___ units
Definition
C2
Term
Elongation cycle of FA synthesis reverses steps in ______.
Definition
β-oxidation
Term
Elongation cycle of FA synthesis uses _____ to reduce.
Definition
NADPH
Term
____ is a signal that the TCA is full.
Definition
Citrate
Term
When TCA is full, ____ is transported to the cytoplasm to deliver Acetyl CoA for FA synthesis.
Definition
Citrate -> OAA + Acetyl CoA
Term
Desaturases can’t insert beyond _____
Definition
C9 – “Δ9 limit”
Term
Blood sample from apoE deficiency would produce both a _____ form the _____ solution and a ____ layer at the top from the ______.
Definition
cloudy (VLDL and remnants build up)

fatty (chylomicrons build up)
Term
B-100 contains ____-receptor binding domain, so that _____ can be endcytosed and deliver cholesterol to _______.
Definition
LDL

LDL

Peripheral Tissues
Term
**5.6 Which receptor binds Apo E?
Definition
lipoprotein receptors including LDL receptor & chylomicron receptors on the Liver Cell
Term
Three way regulation of cholesterol levels in the liver: ________ *****
Definition
1. down regulation of receptors, apoE (gene regulation)
2. inhibition of HMG-CoA reductase (Enzyme in formation of cholesterol)
3. stimulation of ACAT:
Cholesterol + Acyl-CoA -> Cholesterol Ester + CoA-SH
Term
Cholesterol esters are given from HDL to ______
Definition
chylomicron remnants
Term
10.3 What kind of interchange occurs between HDL particles and VLDL and chylomicron particles? Give cholesterol esters alone or in exchange for triglycerides. Also gives them lipoproteins (apoC and apoE).
Definition
Yup
Term
HDL do not contain ____ apo
Definition
apoB
Term
Nascent HDL starts of with ______
Definition
apo A-I Phospholipids and Cholesterol
Term
What does ApoAI allow HDL to do?
Definition
Bind to periph tissue to uptake Cholesterol
Term
HDL binds to the Liver and _____ hrydrolyzes off ______ of HDL and into the liver.
Definition
Hepatic Lipase

Cholesterol Esters
Term
Where do nascent HDLs come from?
Definition
the intestines and liver
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