Biochemistry: Monosaccharides & Disaccharides
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Questions and Answers

What is a physiological implication of high galactose levels in the context of metabolism?

  • It indicates healthy liver function.
  • It triggers enzyme activation.
  • It results in low blood sugar levels.
  • It may lead to cataracts. (correct)

Which test is used as a confirmatory assay for galactose metabolism issues?

  • Lactate dehydrogenase assay
  • Complete blood count
  • Blood glucose level measurement
  • Galactose 1-Phosphate Uridyl Transferase (correct)

What dietary change is typically recommended for patients with galactosemia?

  • Increased intake of dairy products
  • Inclusion of fruits and vegetables
  • Diet high in sugar
  • Galactose-free diet (correct)

Which hormone inhibits protein B synthesis during pregnancy?

<p>Progesterone (B)</p> Signup and view all the answers

What is lactose classified as?

<p>Disaccharide (A)</p> Signup and view all the answers

What symptom could indicate the onset of liver damage related to galactose metabolism?

<p>Mild jaundice (A)</p> Signup and view all the answers

Which sugar is produced from the synthesis of lactose?

<p>Galactose (D)</p> Signup and view all the answers

How does high reducing sugar levels without glucose relate to galactose metabolism?

<p>It confirms the presence of galactosemia. (B)</p> Signup and view all the answers

Which enzyme is responsible for lactose synthesis?

<p>Lactose synthase (B)</p> Signup and view all the answers

What is the primary dietary management for galactosemia?

<p>Removing galactose and lactose from the diet (A)</p> Signup and view all the answers

Which of the following is a common symptom in an infant with galactosemia?

<p>Failure to thrive (D)</p> Signup and view all the answers

In the diagnosis of galactokinase deficiency, which laboratory finding is indicative?

<p>Presence of reducing sugars in urinalysis (B)</p> Signup and view all the answers

What is a potential outcome of galactose accumulation in infants?

<p>Cataracts (B)</p> Signup and view all the answers

Which enzyme deficiency is primarily associated with galactosemia?

<p>Galactose 1-Phosphate Uridyl Transferase (D)</p> Signup and view all the answers

Which condition results from the effect of aldose reductase on galactose?

<p>Formation of galactitol leading to osmotic damage (B)</p> Signup and view all the answers

What major action does therapy aim to achieve in managing galactosemia?

<p>Rapid diagnosis and removal of dietary galactose (B)</p> Signup and view all the answers

What is a likely laboratory result for a patient with galactosemia?

<p>High levels of galactose in urine and serum (D)</p> Signup and view all the answers

What can be a long-term risk in female patients with galactosemia?

<p>Premature ovarian failure (C)</p> Signup and view all the answers

What is the primary role of UDP-glucuronate in polysaccharide biosynthesis?

<p>It serves as a donor for the glucuronyl moiety in some polysaccharides. (A)</p> Signup and view all the answers

Which statement accurately describes the consequence of a defect in xylulose reductase?

<p>Xylulose can accumulate and lead to significant urinary excretion. (A)</p> Signup and view all the answers

In the context of the uronic acid pathway, which drug is noted to elevate glucose conversion rates to glucuronate?

<p>Chlorobutanol (B), Barbital (C)</p> Signup and view all the answers

What can xylulose, as a reducing sugar, cause when measured using alkaline copper reagents?

<p>False positive results for glucose. (D)</p> Signup and view all the answers

Which polysaccharide biosynthesis component is formed by oxidizing UDP-glucose?

<p>UDP-glucuronate (D)</p> Signup and view all the answers

What condition is characterized by the presence of excess xylulose in urine?

<p>Essential Pentosuria (D)</p> Signup and view all the answers

Which enzyme primarily phosphorylates fructose in the liver?

<p>Fructokinase (B)</p> Signup and view all the answers

What is the product when fructose is phosphorylated by fructokinase?

<p>Fructose 1-phosphate (D)</p> Signup and view all the answers

Which statement is true regarding hexokinase's affinity for fructose?

<p>It has a high Km for fructose. (D)</p> Signup and view all the answers

In which tissue is fructokinase predominantly active?

<p>Liver (B)</p> Signup and view all the answers

Which substrate do all hexokinases, including hexokinase itself, primarily phosphorylate?

<p>Glucose (B)</p> Signup and view all the answers

How does the activity of fructokinase respond to changes in feeding and fasting states?

<p>It remains unchanged in feeding-fasting cycles. (C)</p> Signup and view all the answers

Which compound serves as the phosphate donor for the fructokinase reaction?

<p>ATP (C)</p> Signup and view all the answers

Which of the following sugars is considered the most common monosaccharide consumed by humans?

<p>Glucose (C)</p> Signup and view all the answers

Which statement best describes the activity of hexokinase in relation to fructose and other hexoses?

<p>Hexokinase can phosphorylate several hexoses including fructose. (A)</p> Signup and view all the answers

What is the main function of protein A (β-D-Galactosyltransferase) in lactating mammary glands?

<p>To transfer galactose from UDP-galactose to N-acetyllactosamine (D)</p> Signup and view all the answers

Which hormone's elevation stimulates the synthesis of galactosyl transferase and β-lactalbumin?

<p>Prolactin (C)</p> Signup and view all the answers

Where is protein B, α-lactalbumin, predominantly found?

<p>In lactating mammary glands (D)</p> Signup and view all the answers

What type of linkage is formed between galactose and glucose in lactose production?

<p>β-1,4 linkage (C)</p> Signup and view all the answers

What role does lactase play in the digestion of lactose?

<p>It hydrolyzes lactose into glucose and galactose (B)</p> Signup and view all the answers

Which form of lactase is typically present in adults?

<p>Mature lactase (B)</p> Signup and view all the answers

What is a common result of lactose intolerance?

<p>Inability to hydrolyze lactose effectively (B)</p> Signup and view all the answers

Which compound does protein A preferentially transfer galactose to in non-lactating tissues?

<p>N-acetyl-D-glucosamine (B)</p> Signup and view all the answers

What triggers the synthesis of prolactin after birth?

<p>Significant drop in progesterone (B)</p> Signup and view all the answers

Which of the following components is formed when galactose is transferred by protein A in lactating tissues?

<p>Lactose (A)</p> Signup and view all the answers

Flashcards

Glucose

Most common monosaccharide used for energy.

Fructose and Galactose

Important monosaccharides that provide cellular energy.

Monosaccharide Metabolism

Enzymes play a key role in processing monosaccharides.

Hexokinase

Enzyme that phosphorylates glucose in all cells.

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Hexokinase and Fructose

Hexokinase's affinity for fructose.

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Hexokinase Role in Fructose Conversion

Converts a small amount of fructose to fructose 6-phosphate in muscle.

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Fructokinase

Primary enzyme for phosphorylating fructose, forming fructose 1-phosphate.

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Fructokinase Location

Organs where fructokinase is mainly located.

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Galactosemia

A genetic disorder resulting from enzyme deficiencies, leading to high galactose levels.

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Galactokinase Deficiency

Accumulation of galactose leads to cataract formation.

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Aldose Reductase

Enzyme that reduces galactose to galactitol.

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Galactosemia Diagnosis

Urinalysis showing reducing sugars without glucose may indicate this.

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Galactosemia Treatment

Main dietary treatment for galactosemia.

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Lactose Synthase

Enzyme that transfers galactose from UDP-galactose to glucose.

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Lactose Synthase Components

Two proteins involved in lactose synthesis in mammary glands.

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Progesterone

Hormone that inhibits protein B synthesis during pregnancy.

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Prolactin

Hormone that stimulates lactose production after birth.

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Lactase

Enzyme hydrolyzes lactose into glucose and galactose.

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Lactose Intolerance

Condition due to lactase insufficiency, causing digestive issues.

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UDP-Glucuronate

Used to synthesize polysaccharides like heparin.

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Essential Pentosuria

Rare condition with excess xylulose in urine.

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Xylulose Reductase Deficiency

Deficiency leading to essential pentosuria.

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Increased Glucuronate Conversion

May result if drugs enhance glucose entry into the uronic acid pathway

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Fructokinase Regulation

Constant enzyme activity, unaffected by insulin or nutrition

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Ketohexokinase

Another name for fructokinase.

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Galactosemia Cause

Enzyme deficiency resulting in elevated galactose levels.

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Galactose 1-Phosphate Uridyl Transferase Assay

Enzyme assay used to confirm galactosemia.

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β-D-Galactosyltransferase

Protein A is also known as

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α-lactalbumin

Protein B is also known as

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Excessive Xylulose

Can lead to false positives on urinary glucose tests

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Study Notes

Introduction to Metabolism of Monosaccharides and Disaccharides

  • Glucose is the most commonly consumed monosaccharide in humans.
  • Fructose and galactose serve as significant cellular energy sources.
  • Metabolism pathways involve various enzymes influencing monosaccharide metabolism.

Phosphorylation of Fructose

  • Hexokinase:

    • Phosphorylates glucose in all cells; acts on various hexoses.
    • Low affinity for fructose (high Km), resulting in minimal direct conversion.
    • Converts a small amount of fructose to fructose 6-phosphate (F6P) in muscle.
  • Fructokinase (Ketohexokinase):

    • Primary enzyme for fructose phosphorylation.
    • Converts fructose to fructose 1-phosphate using ATP as a phosphate donor.
    • Located mainly in the liver, kidney, and small intestinal mucosa.
    • Its activity remains constant regardless of nutritional state or insulin levels.

Galactose Metabolism and Disorders

  • Galactosemia:

    • Results from enzyme deficiencies leading to elevated galactose levels in blood and tissues.
    • Symptoms include vomiting, diarrhea, jaundice, and overall failure to thrive in infants.
  • Galactokinase Deficiency:

    • Accumulation of galactose leads to cataract formation due to reduced galactitol by aldose reductase in the lens.
  • Aldose Reductase Effects:

    • Present in many tissues but physiologically insignificant unless galactose levels become excessively high.
  • Diagnosis:

    • Urinalysis shows reducing sugars without glucose.
    • Elevated levels of galactose in urine and serum.
    • Galactose 1-Phosphate Uridyl Transferase assay confirms enzyme deficiency.
  • Treatment:

    • Galactose-free diet; avoidance of milk and dairy products as the patient matures.

Lactose Metabolism

  • Lactose Synthesis:

    • Primarily involves lactose synthase, which transfers galactose from UDP-galactose to glucose.
    • Involves protein A (β-D-Galactosyltransferase) and protein B (α-lactalbumin) in mammary glands.
  • Hormonal Control:

    • Before and during pregnancy, mammary glands synthesize N-acetyllactosamine.
    • Progesterone inhibits protein B synthesis during pregnancy, but prolactin levels rise post-birth, stimulating lactose production.
  • Lactose Utilization:

    • Lactase enzyme hydrolyzes lactose into galactose and glucose in the intestines.
    • Two forms of lactase exist, specific to infants and adults.
  • Lactose Intolerance:

    • Occurs due to insufficient lactase enzyme leading to digestive issues when consuming lactose.

UDP-Glucuronate Metabolism

  • Important for synthesizing polysaccharides like heparin.
  • UDP-glucuronate is derived from UDP-glucose and serves as a donor for polysaccharide components.

Essential Pentosuria

  • Rare hereditary condition marked by excessive xylulose in urine due to xylulose reductase deficiency.
  • Can lead to false positives in urinary glucose tests.
  • Certain drugs can enhance glucose entry into the uronic acid pathway, increasing conversion rates to glucuronate and other compounds.

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Description

Explore the metabolism of monosaccharides and disaccharides in this biochemistry quiz. Delve into the critical processes such as D-phosphorylation of fructose and the role of specific enzymes like hexokinase. Test your knowledge and understanding of essential metabolic pathways.

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