Podcast
Questions and Answers
The conversion of creatine to creatinine is an enzymatic process.
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.
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?
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?
What is the primary function of glycogen in the body?
Which of these is NOT a factor that can cause an elevated creatinine level?
Which of these is NOT a factor that can cause an elevated creatinine level?
Match the following terms with their corresponding definitions:
Match the following terms with their corresponding definitions:
Glycogen is synthesized by a protein called glycogenin.
Glycogen is synthesized by a protein called glycogenin.
What are the two main forms of long-term energy reserves in the body?
What are the two main forms of long-term energy reserves in the body?
What is the primary role of phosphocreatine in the body?
What is the primary role of phosphocreatine in the body?
Excess ATP cannot be converted back to creatine.
Excess ATP cannot be converted back to creatine.
What indicates tissue damage and is used in the diagnosis of myocardial infarction?
What indicates tissue damage and is used in the diagnosis of myocardial infarction?
Creatinine is primarily cleared from the body through the ______.
Creatinine is primarily cleared from the body through the ______.
Where is creatine synthesized in the body?
Where is creatine synthesized in the body?
Creatinine is a breakdown product of creatine phosphate in muscle.
Creatinine is a breakdown product of creatine phosphate in muscle.
What happens to blood creatinine levels if kidney filtration is deficient?
What happens to blood creatinine levels if kidney filtration is deficient?
Match the following terms with their descriptions:
Match the following terms with their descriptions:
What is the first step in glycogen degradation?
What is the first step in glycogen degradation?
Glucose 6-phosphate can only be used in glycolysis.
Glucose 6-phosphate can only be used in glycolysis.
What activated form of glucose is required for glycogen synthesis?
What activated form of glucose is required for glycogen synthesis?
The hormone signaling in glycogen metabolism regulates _____ of enzymes.
The hormone signaling in glycogen metabolism regulates _____ of enzymes.
Match the fates of glucose 6-phosphate with their descriptions:
Match the fates of glucose 6-phosphate with their descriptions:
Which of the following is NOT a fate of glucose 6-phosphate?
Which of the following is NOT a fate of glucose 6-phosphate?
Glycogen metabolism is solely regulated by allosteric responses.
Glycogen metabolism is solely regulated by allosteric responses.
What allows glycogen degradation to integrate with glycogen synthesis?
What allows glycogen degradation to integrate with glycogen synthesis?
What is the primary function of creatine phosphate in the body?
What is the primary function of creatine phosphate in the body?
Creatine phosphate can only be found in the muscle cells.
Creatine phosphate can only be found in the muscle cells.
What two amino acids are converted into guanidinoacetate (GAA) in the kidneys?
What two amino acids are converted into guanidinoacetate (GAA) in the kidneys?
Creatine phosphate is transformed into phosphocreatine by the enzyme __________.
Creatine phosphate is transformed into phosphocreatine by the enzyme __________.
Which enzyme adds a methyl group to guanidinoacetate?
Which enzyme adds a methyl group to guanidinoacetate?
Match the following substances with their roles:
Match the following substances with their roles:
A 70 kg man contains approximately __________ grams of creatine.
A 70 kg man contains approximately __________ grams of creatine.
What percentage of creatine in the body is found as creatine phosphate?
What percentage of creatine in the body is found as creatine phosphate?
What is the primary enzyme responsible for the breakdown of glycogen?
What is the primary enzyme responsible for the breakdown of glycogen?
Muscle cell glycogen can be released into the bloodstream to provide glucose to other cells.
Muscle cell glycogen can be released into the bloodstream to provide glucose to other cells.
What hormone counteracts the effects of insulin and stimulates glycogen breakdown?
What hormone counteracts the effects of insulin and stimulates glycogen breakdown?
Glycogen is stored in cells in a hydrated form, associated with approximately 0.45 millimoles of _______ per gram of glycogen.
Glycogen is stored in cells in a hydrated form, associated with approximately 0.45 millimoles of _______ per gram of glycogen.
Match the following hormones with their primary effects on glycogen:
Match the following hormones with their primary effects on glycogen:
What happens to the glucose taken up by liver cells in a postprandial state?
What happens to the glucose taken up by liver cells in a postprandial state?
Glycogen is an osmotic molecule and can disrupt cellular osmotic pressure.
Glycogen is an osmotic molecule and can disrupt cellular osmotic pressure.
What process is stimulated by glucagon in order to increase blood glucose levels?
What process is stimulated by glucagon in order to increase blood glucose levels?
Flashcards
What is Creatine Phosphate?
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?
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?
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?
What is Creatinine?
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Why is Creatine Phosphate important for muscles?
Why is Creatine Phosphate important for muscles?
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What are some uses of Creatine Phosphate?
What are some uses of Creatine Phosphate?
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Phosphocreatine
Phosphocreatine
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Creatine Kinase (CK)
Creatine Kinase (CK)
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Creatine Kinase-MB (CK-MB)
Creatine Kinase-MB (CK-MB)
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Creatinine
Creatinine
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Glomerular Filtration
Glomerular Filtration
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Tubular Reabsorption
Tubular Reabsorption
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Elevated Blood Creatinine
Elevated Blood Creatinine
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Creatine Synthesis
Creatine Synthesis
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What is glycogen?
What is glycogen?
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What does insulin do to glycogen?
What does insulin do to glycogen?
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What is the role of glucagon in glycogen metabolism?
What is the role of glucagon in glycogen metabolism?
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What happens to glycogen in the liver after a meal?
What happens to glycogen in the liver after a meal?
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What is the liver's role in maintaining blood glucose levels after a meal?
What is the liver's role in maintaining blood glucose levels after a meal?
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What is the function of glycogen in muscle cells?
What is the function of glycogen in muscle cells?
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What is glycogenolysis?
What is glycogenolysis?
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What is gluconeogenesis?
What is gluconeogenesis?
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What is Creatinine Clearance (CrCl)?
What is Creatinine Clearance (CrCl)?
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What is Glomerular Filtration Rate (GFR)?
What is Glomerular Filtration Rate (GFR)?
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Why might creatinine levels be high?
Why might creatinine levels be high?
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What is the structure of glycogen?
What is the structure of glycogen?
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What is the function of glycogen?
What is the function of glycogen?
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What is glycogen metabolism?
What is glycogen metabolism?
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Glycogen degradation
Glycogen degradation
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Fates of glucose 6-phosphate
Fates of glucose 6-phosphate
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Pentose phosphate pathway
Pentose phosphate pathway
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Glycogen synthesis
Glycogen synthesis
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Allosteric regulation
Allosteric regulation
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Hormonal regulation
Hormonal regulation
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Integrated regulation of glycogen metabolism
Integrated regulation of glycogen metabolism
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UDP-glucose
UDP-glucose
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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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