Energy Metabolism Regulation and Creatine Chemistry

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Questions and Answers

The conversion of creatine to creatinine is an enzymatic process.

False (B)

Creatinine clearance (CrCl) is used to estimate the ______, a measurement of renal function.

glomerular filtration rate (GFR)

Which of these factors can increase daily creatinine excretion?

  • Reduced muscle mass
  • Decreased dietary intake of creatine
  • Increased dietary intake of creatine (correct)
  • Decreased consumption of protein

What is the primary function of glycogen in the body?

<p>Energy storage</p> Signup and view all the answers

Which of these is NOT a factor that can cause an elevated creatinine level?

<p>Increased tubular secretion of creatinine (B)</p> Signup and view all the answers

Match the following terms with their corresponding definitions:

<p>Glycogen = A branched biopolymer of glucose Creatinine = A waste product produced from muscle metabolism GFR = The rate at which blood is filtered by the kidneys α(1→4) glycosidic bonds = The type of bond that links glucose units in linear glycogen chains α(1→6) glycosidic bonds = The type of bond that forms branches in glycogen</p> Signup and view all the answers

Glycogen is synthesized by a protein called glycogenin.

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

What are the two main forms of long-term energy reserves in the body?

<p>Glycogen and triglyceride stores in adipose tissue</p> Signup and view all the answers

What is the primary role of phosphocreatine in the body?

<p>To serve as a high-energy reserve for ATP regeneration (C)</p> Signup and view all the answers

Excess ATP cannot be converted back to creatine.

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

What indicates tissue damage and is used in the diagnosis of myocardial infarction?

<p>Creatine kinase (CK-MB)</p> Signup and view all the answers

Creatinine is primarily cleared from the body through the ______.

<p>urine</p> Signup and view all the answers

Where is creatine synthesized in the body?

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

Creatinine is a breakdown product of creatine phosphate in muscle.

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

What happens to blood creatinine levels if kidney filtration is deficient?

<p>Blood creatinine concentrations rise.</p> Signup and view all the answers

Match the following terms with their descriptions:

<p>Phosphocreatine = High-energy reservoir for ATP regeneration Creatinine = Waste product cleared through urine Creatine Kinase = Enzyme indicative of tissue damage S-Adenosyl Methionine = Compound involved in creatine synthesis</p> Signup and view all the answers

What is the first step in glycogen degradation?

<p>Release of glucose 1-phosphate from glycogen (C)</p> Signup and view all the answers

Glucose 6-phosphate can only be used in glycolysis.

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

What activated form of glucose is required for glycogen synthesis?

<p>UDP-glucose</p> Signup and view all the answers

The hormone signaling in glycogen metabolism regulates _____ of enzymes.

<p>phosphorylation</p> Signup and view all the answers

Match the fates of glucose 6-phosphate with their descriptions:

<p>Glycolysis = Initial substrate for producing energy Pentose phosphate pathway = Produces NADPH and ribose derivatives Free glucose conversion = Released into the bloodstream</p> Signup and view all the answers

Which of the following is NOT a fate of glucose 6-phosphate?

<p>Converted into fat storage (A)</p> Signup and view all the answers

Glycogen metabolism is solely regulated by allosteric responses.

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

What allows glycogen degradation to integrate with glycogen synthesis?

<p>Allosteric regulation and hormonal cascades</p> Signup and view all the answers

What is the primary function of creatine phosphate in the body?

<p>To recycle ATP (B)</p> Signup and view all the answers

Creatine phosphate can only be found in the muscle cells.

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

What two amino acids are converted into guanidinoacetate (GAA) in the kidneys?

<p>arginine and glycine</p> Signup and view all the answers

Creatine phosphate is transformed into phosphocreatine by the enzyme __________.

<p>creatine kinase</p> Signup and view all the answers

Which enzyme adds a methyl group to guanidinoacetate?

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

Match the following substances with their roles:

<p>Creatine = Stored energy ADP = Precursor to ATP Guanidinoacetate = Intermediate in creatine synthesis Creatinine = Byproduct excreted in urine</p> Signup and view all the answers

A 70 kg man contains approximately __________ grams of creatine.

<p>120</p> Signup and view all the answers

What percentage of creatine in the body is found as creatine phosphate?

<p>60%</p> Signup and view all the answers

What is the primary enzyme responsible for the breakdown of glycogen?

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

Muscle cell glycogen can be released into the bloodstream to provide glucose to other cells.

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

What hormone counteracts the effects of insulin and stimulates glycogen breakdown?

<p>glucagon</p> Signup and view all the answers

Glycogen is stored in cells in a hydrated form, associated with approximately 0.45 millimoles of _______ per gram of glycogen.

<p>potassium</p> Signup and view all the answers

Match the following hormones with their primary effects on glycogen:

<p>Insulin = Reduces blood glucose levels Glucagon = Increases blood glucose levels</p> Signup and view all the answers

What happens to the glucose taken up by liver cells in a postprandial state?

<p>It is stored as glycogen. (C)</p> Signup and view all the answers

Glycogen is an osmotic molecule and can disrupt cellular osmotic pressure.

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

What process is stimulated by glucagon in order to increase blood glucose levels?

<p>glycogenolysis and gluconeogenesis</p> Signup and view all the answers

Flashcards

What is Creatine Phosphate?

Creatine phosphate, also known as PCr, is a high-energy molecule found in skeletal muscle and brain. It acts as a readily available energy reserve, quickly converting ADP to ATP, the main energy currency of the cell.

How is Creatine Phosphate made?

Creatine phosphate is synthesized from the amino acids arginine and glycine, with the addition of a methyl group from methionine.

What role does Creatine Kinase play?

Creatine kinase is an enzyme that catalyzes the conversion of creatine to creatine phosphate, and vice versa. This reversible reaction allows for the rapid regeneration of ATP.

What is Creatinine?

Creatine phosphate is broken down into creatinine, which is then excreted in urine. This occurs naturally and can be measured to assess kidney function.

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Why is Creatine Phosphate important for muscles?

Creatine phosphate is particularly important during short bursts of high-intensity activity as it provides a rapid source of energy for muscle contraction.

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What are some uses of Creatine Phosphate?

Creatine phosphate is used intravenously in hospitals for certain cardiovascular problems and is also used by some athletes to enhance performance.

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Phosphocreatine

A high-energy compound found in muscle and brain that acts as a short-term energy reserve.

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Creatine Kinase (CK)

An enzyme that catalyzes the reversible phosphorylation of creatine, creating phosphocreatine.

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Creatine Kinase-MB (CK-MB)

A specific type of creatine kinase found in muscles and brain that is released into the blood upon tissue damage.

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Creatinine

The waste product of creatine phosphate metabolism, excreted through urine.

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Glomerular Filtration

The process of filtering blood in the kidneys, mainly via glomeruli, to remove waste products like creatinine.

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Tubular Reabsorption

The process of reabsorbing useful molecules from the filtered fluid back into the blood, which rarely happens for creatinine.

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Elevated Blood Creatinine

Elevated creatinine levels in the blood, often indicating kidney malfunctions.

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Creatine Synthesis

The process of synthesizing creatine from glycocyamine, mainly in the liver.

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What is glycogen?

Glycogen is a large, branched polymer of glucose stored in the liver and muscles. It is a non-osmotic molecule, meaning it doesn't disrupt the osmotic pressure of the cell.

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What does insulin do to glycogen?

Insulin is a hormone secreted by the pancreas that helps lower blood glucose levels. It stimulates glycogen synthase, an enzyme that adds glucose molecules to glycogen chains.

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What is the role of glucagon in glycogen metabolism?

Glucagon is a hormone secreted by the pancreas that raises blood glucose levels. It stimulates glycogenolysis, the breakdown of glycogen into glucose.

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What happens to glycogen in the liver after a meal?

When blood sugar levels are high, the liver takes in more glucose than it releases, storing it as glycogen.

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What is the liver's role in maintaining blood glucose levels after a meal?

After a meal, the liver releases stored glucose from glycogen to maintain blood sugar levels.

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What is the function of glycogen in muscle cells?

Muscle cells store glycogen as an immediate energy source for muscle contraction. However, they cannot release this glucose into the bloodstream.

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What is glycogenolysis?

The breakdown of glycogen into glucose is called glycogenolysis.

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What is gluconeogenesis?

The production of glucose from non-carbohydrate sources, like amino acids, is called gluconeogenesis. This process can be stimulated by glucagon.

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What is Creatinine Clearance (CrCl)?

Creatinine clearance (CrCl) is a test that measures how well your kidneys filter waste from your blood. It is a measure of glomerular filtration rate (GFR), which is the rate at which waste products are filtered from the blood by the kidneys.

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What is Glomerular Filtration Rate (GFR)?

Glomerular filtration rate (GFR) is a measure of how well your kidneys are filtering waste from your blood. A normal GFR is 90-120 mL/min/1.73 m2, meaning your kidneys are functioning well. A GFR below 60 mL/min/1.73 m2 indicates kidney disease.

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Why might creatinine levels be high?

A high creatinine level may indicate kidney problems or other issues. However, high creatinine could also be due to increased muscle mass or a high protein diet.

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What is the structure of glycogen?

Glycogen is made up of many glucose molecules linked together in a branched chain. The glucose molecules are linked together by α(1→4) glycosidic bonds for linear chains and α(1→6) glycosidic bonds for branches.

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What is the function of glycogen?

Glycogen is important for regulating blood sugar levels and providing energy to the body. When blood sugar levels drop, the body breaks down glycogen to release glucose into the blood.

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What is glycogen metabolism?

Glycogen metabolism refers to the processes involved in the synthesis and breakdown of glycogen. Glycogen is synthesized (made) when blood sugar levels are high and broken down when blood sugar levels are low.

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Glycogen degradation

The breakdown of glycogen into glucose 1-phosphate, the remodeling of the glycogen substrate for further decomposition, and the conversion of glucose 1-phosphate to glucose 6-phosphate for further metabolic processes.

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Fates of glucose 6-phosphate

The process by which glucose 6-phosphate, derived from glycogen breakdown, is utilized for energy production through glycolysis, used in the pentose phosphate pathway for NADPH and ribose synthesis, or converted into free glucose for release into the bloodstream.

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Pentose phosphate pathway

A type of metabolic pathway that generates NADPH, a reducing agent essential for various cellular processes, and ribose, a key component of nucleic acids.

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Glycogen synthesis

The synthesis of glycogen from glucose, a process that requires a specific activated form of glucose called UDP-glucose.

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Allosteric regulation

A regulatory mechanism in glycogen metabolism where enzymes respond to changes in metabolite concentrations, allowing the cell to adapt to its energy needs.

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Hormonal regulation

A regulatory mechanism in glycogen metabolism involving phosphorylation of enzymes by hormones, altering their activity to meet the demands of the entire organism.

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Integrated regulation of glycogen metabolism

The coordinated control of both glycogen synthesis and degradation, ensuring the body's energy needs are met in a balanced manner.

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UDP-glucose

A molecule that plays a vital role in glycogen synthesis, formed by the reaction of UTP and glucose 1-phosphate. It is responsible for adding glucose units to the growing glycogen molecule.

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Study Notes

Regulation of Energy Metabolism

  • This presentation covers creatinine, creatinine phosphate, and glycogen, all vital parts of energy metabolism.
  • Subtopics include the brain's energy metabolism, glucagon and insulin, and fermentative and aerobic metabolism.
  • Creatine phosphate (CP) or PCr (phosphocreatine) is a phosphorylated creatine molecule. It acts as a rapidly mobilizable reserve of high-energy phosphates in muscle and the brain. This reserve recycles ATP (adenosine triphosphate).

Creatine Phosphate Chemistry

  • Creatine phosphate is made from two amino acids-arginine and glycine, catalyzed by the enzyme AGAT.
  • Guanidinoacetate (GAA) is formed then transported to the liver.
  • A methyl group is added from methionine using the GAMT enzyme, forming unphosphorylated creatine.
  • Creatine is released into the blood and is taken up mainly by muscle cells (95%).
  • Inside the cell, unphosphorylated creatine is transformed into phosphocreatine via the enzyme complex, creatine kinase.
  • The human body recycles its body weight in ATP daily through creatine phosphate.

Creatinine Chemistry

  • Creatine phosphate decomposes into creatinine, which is excreted in urine.
  • A 70 kg man typically has 120 grams of creatine, with 40% as unphosphorylated creatine and 60% as creatine phosphate.
  • 1-2% of that amount is broken down and excreted daily as creatinine.

Creatinine Functions

  • Phosphocreatine anaerobically donates a phosphate group to ADP to form ATP during intense muscular or neuronal activity (first 2-7 seconds).
  • Excess ATP is used to convert creatine to phosphocreatine during periods of low effort.
  • Creatine kinase (CK-MB) in blood plasma indicates tissue damage, used in myocardial infarction diagnosis. A cell's ability to generate phosphocreatine from excess ATP (at rest) and repurpose it (during activity) helps buffer ATP concentration.

Glycogen Introduction

  • Glycogen is a multibranched polysaccharide of glucose.
  • It serves as a primary energy storage form in the body.
  • Triglycerides in adipose tissue are the other main energy reservoir.

Glycogen Structure

  • Glycogen is a branched biopolymer of glucose residues.
  • Chains are linked linearly by α(1→4) glycosidic bonds.
  • Branches are connected by α(1→6) glycosidic bonds.
  • Every glycogen granule has a glycogenin protein core.

Glycogen Functions

  • As a meal is eaten, blood glucose rises and the pancreas secretes insulin.
  • Glucose in the portal vein enters liver cells (hepatocytes).
  • Insulin activates several enzymes, including glycogen synthase, allowing glucose to attach to glycogen molecules, storing it.
  • The liver takes in more glucose than releases during the post-meal "fed" state.
  • When blood glucose levels drop (after a meal), insulin secretion reduces.
  • Glycogen is broken down and converted back to glucose by glycogen phosphorylase.
  • Liver glycogen is the primary glucose source for the rest of the body for the next 8-12 hours.
  • Muscle glycogen functions as an immediate stored glucose source only for the muscle cells.

Glycogen Metabolism

  • Glycogen degradation proceeds in three steps: releasing glucose-1-phosphate, remodeling glycogen, and converting glucose-1-phosphate to glucose-6-phosphate.
  • Glucose 6-phosphate can be: used for glycolysis, enter the pentose phosphate pathway (for NADPH and ribose), or converted to glucose to be released into the bloodstream.
  • Glycogen synthesis involves UDP-glucose, which is formed by UTP and glucose 1-phosphate. UDP-glucose attaches to the non-reducing end of glycogen molecules.
  • Glycogen metabolism is complex, with allosteric modulation (responding to metabolites) and hormonal regulation—this regulation assures glycogen synthesis and breakdown work in tandem based on the body's needs.

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