Energy Metabolism Pathways

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Questions and Answers

During strenuous muscle activity, what adaptation prevents muscle cells from exhausting their entire ATP supply, thereby avoiding cellular damage?

  • Muscle fatigue, reducing activity intensity to match ATP production. (correct)
  • Elevated lactate accumulation to maintain anaerobic glycolysis.
  • The Cori cycle, converting lactate back to glucose in the muscles.
  • Increased glycogen storage within muscle cells.

In the context of metabolic integration, how does the liver prioritize fuel usage during the first few hours after a carbohydrate-rich meal?

  • It prioritizes fatty acid hydrolysis.
  • It immediately mobilizes stored glycogen to maintain blood glucose levels.
  • It undergoes gluconeogenesis to produce glucose for transport to the brain.
  • It stores abundant glucose as glycogen while stimulating fatty acid synthesis. (correct)

Why might the kidneys become a significant source of glucose during prolonged starvation?

  • To directly supply glucose to the brain, bypassing liver metabolism.
  • To filter more urea from the blood.
  • To compensate for the liver's reduced capacity for gluconeogenesis due to protein degradation. (correct)
  • To maintain blood pH by utilizing excess urea in gluconeogenesis.

In an individual with a defect preventing the conversion of $NH_4^+$ to urea, which of the following metabolic consequences is most likely to occur?

<p>Cirrhosis of the liver, leading to impaired detoxification and metabolic functions. (B)</p> Signup and view all the answers

How does the distribution of creatine and phosphocreatine in skeletal muscle contribute to energy availability during intense exercise?

<p>Phosphocreatine provides a readily available pool of high-energy phosphate to regenerate ATP. (D)</p> Signup and view all the answers

In the context of integrating metabolic pathways, what is the strategic importance of glucose-6-phosphate (G6P)?

<p>G6P can be selectively directed into glycogen synthesis, glycolysis, or the pentose phosphate pathway, depending on cellular needs. (C)</p> Signup and view all the answers

In what way does the heart rely on aerobic metabolism in order to maintain continuous activity?

<p>The heart possesses a high proportion of mitochondria, ensuring efficient ATP production through oxidative phosphorylation. (C)</p> Signup and view all the answers

A long-distance endurance athlete primarily relies on which metabolic fuel source during a marathon?

<p>Aerobic metabolism of glucose, glycogen, and fatty acids. (D)</p> Signup and view all the answers

What role does AMP-activated protein kinase (AMPK) play in cellular energy homeostasis when ATP levels are low?

<p>It allosterically activates multiple targets that stimulate ATP-producing pathways and reduce ATP consumption. (D)</p> Signup and view all the answers

Why is an understanding of metabolic integration essential for comprehending the pathophysiology of diabetes?

<p>Diabetes mellitus is characterized by dysregulation of metabolic pathways and hormonal signals involved in glucose homeostasis. (D)</p> Signup and view all the answers

What is the significance of 'branched points' in metabolic pathways?

<p>They are sites which only a few metabolites link pathways. (B)</p> Signup and view all the answers

During a normal feeding cycle, what is the liver's response in the 'few hours after meal' stage?

<p>Gluconeogenesis is stimulated in the liver, transporting glucose to the brain. (D)</p> Signup and view all the answers

What is the role of the hormone leptin?

<p>It reduces hunger. (A)</p> Signup and view all the answers

Under starvation / fasting conditions, what is produced in the liver from Acetyl-CoA?

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

What is the metabolic adaptation during starvation that allows utilization of fat for energy while conserving glucose for the brain?

<p>Ketone body synthesis in the liver. (A)</p> Signup and view all the answers

In the context of metabolic fuel preference, how do organs like the liver, muscle, and brain adapt during prolonged starvation to ensure survival?

<p>They shift their primary fuel source to ketone bodies, synthesized from fatty acids, to spare glucose. (C)</p> Signup and view all the answers

How is blood glucose used once inside the cell?

<p>Converted to glucose-6-phosphate, which can be used for glycogen synthesis, glycolysis, or the pentose phosphate pathway. (A)</p> Signup and view all the answers

In adipocytes, what is the primary mechanism for triacylglycerol synthesis when adequate glucose is available?

<p>Esterification of glycerol-3-phosphate. (D)</p> Signup and view all the answers

How does the metabolic function of 'brown fat' differ from that of white adipose tissue, particularly in newborns and hibernating animals?

<p>It oxidizes fatty acids for heat production rather than ATP synthesis due to the presence of thermogenin. (D)</p> Signup and view all the answers

Why does anaerobic metabolism become more prominent in skeletal muscle under high exertion conditions?

<p>To rapidly produce ATP when oxygen supply is limited, although less efficiently. (B)</p> Signup and view all the answers

During starvation, what triggers the increased reliance on gluconeogenesis in the liver and kidneys to maintain blood glucose levels?

<p>Depletion of glycogen stores. (D)</p> Signup and view all the answers

In diabetes, why does glucose accumulate in the blood, leading to hyperglycemia, despite its abundance?

<p>Cells cannot utilize it effectively due to insufficient insulin or insulin resistance, impairing glucose uptake. (A)</p> Signup and view all the answers

What is the fundamental metabolic defect in type 1 diabetes that leads to hyperglycemia?

<p>Inability of the pancreas to produce sufficient insulin. (B)</p> Signup and view all the answers

How can increased levels of free fatty acids in the bloodstream paradoxically contribute to insulin resistance in tissues like muscle and liver?

<p>By inhibiting glucose transport into cells, leading to glucose accumulation in the bloodstream. (D)</p> Signup and view all the answers

What is the primary reason that a very-low-carbohydrate diet, such as the Atkins diet, can lead to rapid initial weight loss?

<p>The body shifts to using stored glycogen and fat reserves for energy, accompanied by water loss due to reduced insulin levels. (B)</p> Signup and view all the answers

Why might individuals on a very-low-carbohydrate diet experience difficulty concentrating or other cognitive impairments?

<p>The brain's primary and preferred fuel source, glucose, is limited, forcing it to rely more heavily on less efficient ketone bodies. (D)</p> Signup and view all the answers

What is the underlying cause of the sweet, fruity odor on the breath of individuals in severe ketosis?

<p>Acetone, a ketone body produced during fatty acid metabolism, is exhaled. (C)</p> Signup and view all the answers

Following an overnight fast, what metabolic process is primarily responsible for maintaining blood glucose levels?

<p>Gluconeogenesis in the liver (B)</p> Signup and view all the answers

What role does glucagon signaling play after dropping blood glucose levels?

<p>Promotion of glycogen breakdown (D)</p> Signup and view all the answers

Following a high-carbohydrate meal, what is the immediate metabolic response of muscle tissue in relation to glucose?

<p>muscle tissue stores it as glycogen for later use. (B)</p> Signup and view all the answers

Why is the integration of metabolic pathways crucial for adapting to diverse dietary intake?

<p>Integration allows conversion of excess nutrients into storage forms or alternative fuels. (B)</p> Signup and view all the answers

What is the Cori cycle?

<p>A complex process where lactate produced in muscles is transported to the liver to be converted back into glucose through gluconeogenesis. (C)</p> Signup and view all the answers

Flashcards

Metabolic Integration

The study of how organisms obtain, store, and utilize energy. It integrates pathways and organ functions.

Metabolic Pathway

Series of biochemical reactions, transforming specific reactants to products. Can be linear, cyclic, or spiral.

Catabolism

A reaction that breaks down molecules to release energy.

Anabolism

A reaction that synthesizes molecules, requiring energy.

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Key Metabolic Intermediates

Include: Glucose-6-phosphate, Pyruvate, Acetyl-CoA, NADH, and ATP.

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AMP-activated Protein Kinase (AMPK)

The cellular energy sensor; activates when ATP is low, regulating energy balance.

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Glycogen

A fuel depot in liver and muscle.

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Triacylglycerols

A fuel depot in adipose tissue.

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Protein

Last resort fuel depot in skeletal muscle.

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Cori Cycle

Cycle where liver converts muscle-derived lactate back to glucose.

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Phosphocreatine

Acts to buffer ATP levels; provides ATP for short burst activities.

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ketone bodies

A liver product from fatty acid degradation during starvation.

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Brain Metabolism

The metabolic profile of the brain.

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Skeletal Muscle Metabolism

The metabolic profile of skeletal muscle.

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Adipose Tissue Metabolism

The metabolic profile of adipose tissue.

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Liver Metabolism

Buffers blood glucose, detoxifies, and has many metabolic fates.

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Kidney Metabolism

Filters waste, regulates pH, and produces glucose during starvation.

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Metabolism Right After a Meal

Results in increased blood glucose and stimulated insulin secretion.

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Metabolism a Few Hours After a Meal

Results in decreased blood glucose and stimulated glucagon secretion.

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Metabolism During Starvation

Utilizes glycogen, triacylglycerols, and protein for energy.

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Dieting Metabolism

A state similar to a moderate and controlled version of fasting/starvation.

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Obesity

How much over ideal body weight is considered Obese?

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Diabetes

An imbalance; glucose is abundant but cannot be used by cells.

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Ghrelin

Hormone produced by ghrelinergic cells in the gastrointestinal tract.

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Leptin

Helps regulate the synthesis of thyroid hormones

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Study Notes

Major Energy Metabolism Pathways Review

  • Glycolysis converts glucose to pyruvate, yielding 2 ATP and 2 NADH, and occurs in the cytoplasm under anaerobic conditions in skeletal muscle and brain cells
  • The TCA Cycle oxidizes acetyl-CoA to CO2, producing 2 GTP, 6 NADH, and 2 FADH2 per glucose in the mitochondrial matrix during aerobic metabolism; pyruvate dehydrogenase complex converts pyruvate to acetyl-CoA
  • Electron Transport & Oxidative Phosphorylation uses NADH and FADH2 to generate a proton gradient, driving ATP synthesis in the mitochondrial matrix, generating 32 ATP from one glucose molecule
  • Photosynthesis converts 6 CO2 and 6 H2O into glucose and O2, requiring 18 ATP and 12 NADPH through light and dark reactions in the chloroplast-thylakoid membrane; 8 quanta yields 1 O2 which can produce 2.57 ATP
  • Gluconeogenesis converts 2 pyruvate (from lactate or glycerol) into glucose, and requires 6 ATP. It happens in the cytoplasm, with pyruvate carboxylase in the mitochondria, bypassing three irreversible glycolytic enzymes in the liver

Glycogen, Pentose Phosphate, Fatty Acids, Amino Acids & Nucleotides

  • Glycogen degradation breaks down glycogen using glycogen phosphorylase to form Glycogen-1-P, influenced by insulin
  • Glycogen biosynthesis synthesizes glycogen from UDP-Glucose using glycogen synthase, influenced by glucagon/epinephrine
  • The pentose phosphate pathway converts glucose-6-P to Ribose-5-P and NADPH in the cytoplasm of the liver and adipose tissue
  • Fatty acid degradation (β-oxidation) breaks down fatty acids into acetyl-CoA in the mitochondrial matrix through oxidation, hydration, and cleavage
  • Synthesizing fatty acids from acetyl-CoA in the cytoplasm of liver and adipose tissue requires ACP, NADPH, and Malonyl-CoA through C-C bond formation, reduction, dehydration, and reduction
  • Amino acids undergo nitrate assimilation (NO3- → NH4+) and nitrogen fixation (N2 → NH4+) with NH4+ converted to organic N (CPS-I, GDH, GS) using pyruvate, OAA, 3PG, and αKG
  • Nucleotides synthesis starts with adding atoms to R5P for purines or forming the pyrimidine ring first, with purines ultimately forming uric acid and pyrimidine degrading into NH4+ + CO2 + alanine

Metabolic Pathway Intermediates

  • Few metabolites act as branch points linking pathways
  • Glucose-6-Phosphate links glycolysis, glycogen metabolism, and the pentose phosphate pathway
  • Pyruvate, oxaloacetate, and α-ketoglutarate link amino acid metabolism, glucose metabolism, and pyruvate metabolism
  • Phosphoenolpyruvate links glycolysis and gluconeogenesis as a high-energy phosphate compound
  • Acetyl-CoA and succinyl-CoA connect amino acid metabolism and serve as degradation products in catabolism, are an offshoot of fatty acid beta-oxidation
  • NADH and FADH2 act as electron acceptors in glycolysis, PDC, TCA cycle, beta-oxidation and electron donors in oxidative phosphorylation reactions
  • ATP and NADPH are the only two compounds that directly link catabolism with anabolism

ATP Coupling and Thermodynamics

  • Thermodynamically unfavorable reactions of anabolism are driven by energy released upon ATP hydrolysis
  • During respiration, C6H12O6 + 6 O2 are converted to 6 CO2 + 6 H2O, maintaining the same number of atoms before and after the reaction
  • Obligate Coupling Stoichiometry involves coupling biological electron donors and acceptors, leading to 6 O2 reduction to 12 H2O
  • Stoichiometry of ATP in metabolism results from biological adaptation & evolution
  • Chemiosmotic coupling hypothesis: A proton gradient drives ATP synthesis and consensus P/O ratio
  • Two main roles of ATP: energy coupling reactions and allosteric regulation

Energy Balance Regulation

  • AMP-activated protein kinase (AMPK) acts as the cellular energy sensor, regulating cellular energy homeostasis
  • AMPK is inactive when ATP levels are high, and allosterically activated when ATP levels are low
  • Allosterically activated AMPK phosphorylates targets, controlling cellular energy production and consumption when ATP is low
  • AMPK is an αβγ heterotrimer, where the α-subunit is the catalytic subunit and the γ-subunit is regulatory; the β-subunit includes an αγ-binding domain
  • Eating behavior, hormones, and exercise affect AMPK activation
  • Leptin and adiponectin activate AMPK
  • Insulin secretion, fatty acid synthesis, cholesterol synthesis, and gluconeogenesis all suppress AMPK
  • Fatty acid uptake and oxidation, glucose uptake, and mitochondrial biogenesis activate AMPK

Metabolic Integration in Multicellular Organisms

  • Organ systems in complex multicellular organisms arose to fulfill specific functions
  • Specialization relies on coordinated metabolic responsibilities among organs for organismal thriving
  • Organs vary in the fuels preferred as substrates for energy production
  • In animals, key fuel depots include glycogen in liver and muscle tissue, triacylglycerols in adipose tissue, and protein primarily in skeletal muscle
  • Preference for energy is glycogen>triacylglycerol>protein
  • Brain: Glucose (ketone bodies during starvation), None
  • Skeletal muscle (resting): Fatty acids, None
  • Skeletal muscle (strenuous exercise): Glucose from glycogen, Lactate
  • Heart muscle: Fatty acids, None
  • Adipose tissue: Fatty acids, glycerol
  • Liver: Amino acids, glucose, fatty acids, Fatty acids, glucose, ketone bodies

Phosphocreatine & Glucose-6-Phosphate

  • Phosphocreatine buffers ATP levels via ATP Recycling
  • Phosphocreatine + ADP creatine + ATP, providing energy to muscles
  • Supports instantaneous needs for short-duration, high-intensity activities like weightlifting
  • Glucose-6-phosphate provides a source for prolonged ATP generation
  • Fate of G6P includes blood glucose, glycogen, acetyl-CoA for energy, acetyl-CoA for FA & cholesterol synthesis, and pentose phosphate pathway to make NADPH & ribose-5-phosphate

Creatine Supplements

  • The creatine pool in a 70-kg human is about 120 grams
  • About 95% of creatine stores are in skeletal and smooth muscles, with 70% as phosphocreatine
  • Supplementing with 20 to 30 grams of creatine daily for 4-21 days can increase muscle creatine by up to 50%
  • Supplementation can improve performance in high-intensity, short-duration events, but not endurance events
  • The FDA advises consulting a physician before creatine supplements

Metabolic Profiles of Six Tissue Types

  • Brain: Uses 20% of the total energy demands of the whole body, prefers glucose from a bloodstream, uses no fuel reserves or glycogen, fats or protein, uses ketone bodies synthesized from the liver, which uses fatty acid beta-oxidation
  • Heart Muscle: Maintains continuous activity, uses fats(preferred), as well as glucose from limited stores of glycogen, pyruvate, and lactate keto bodies can be used, and needs aerobic metabolism
  • Adipose Tissue: Long-therm energy storage, uses 15kgs of fats sustainable for 3 months, esterifies glycerol with fatty acids if glucose is available, and uses brown fat to uncouple the electron transport change to produce heat instead of ATP
  • Liver: The central hub for the metabolism in the body uses glycogen and amino acids for the body's nutrients and levels
  • Kidney: Filters product urea, maintains the blood, generates 50% glucose

Metabolic Responses to Stressful Conditions

  • Humans and animals respond quickly to stresses that can unbalance metabolism
  • Right after a meal, blood glucose and insulin secretions increase while fatty acid synthesis and glucose abundance stored in glycogen is used and maintained
  • A few hours after a meal, the body uses glycogen in the liver while glucose synthesis in the liver is transported to the brain
  • Starvation/Fasting utilizes glycogen, triaclyglycerols, and protein reserves
  • Fat degradation creates ketone bodies in the liver to help replenish the brains glucose needs
  • Ketosis can lead to acidosis which leads to coma and death
  • The body is forced to use biochemical adjustments in moderation while Dieting (a.k.a the Atkins Diet)
  • Side effects of the Atkins Diet is dehydration, an electrolyte imbalance, bad breath, osteoporosis, and depression
  • Diabetes (Type I and II) means that the body is losing its main source
  • Exercise: Sprinting uses Anaerobic metabolism to increase the amount of II muscle fiber, while Endurance can increase the amount of I muscle fibers

Biochemical Factors in Obesity

  • Obesity is 20% over an ideal standard weight, causing diabetes, heart disease, high blood pressure, stroke and cancers
  • Factors regulated by the neuroendocrine system controlled hormones include Ghrelin, Leptin and GLP-1
  • Ghrelin signals hunger by increasing appetite
  • Leptin decreases appetite in order to regulate energy, by stimulating hormone secretions
  • GLP-1 aids in the absorption of fat cells and in the liver

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