Integrative Tissue Metabolism Quiz

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Questions and Answers

What is the primary source of glucose during gluconeogenesis?

  • Glycogen
  • Lactate
  • Muscle protein (correct)
  • Fatty acids

During starvation, which process continues to provide glucose after glycogen stores are depleted?

  • Gluconeogenesis (correct)
  • Oxidative phosphorylation
  • Lipolysis
  • Glycogenolysis

What is the fate of muscle protein degradation after approximately 7 days of starvation?

  • It continues at the same rate
  • It accelerates significantly
  • It slows down (correct)
  • It ceases completely

Which of the following molecules can serve as an energy source for the brain during starvation?

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

In skeletal muscle, which of the following is NOT a method of ATP generation?

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

What type of glycolysis occurs in skeletal muscle when oxygen is lacking?

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

Which receptors are primarily located in the liver and responsible for the effects of glucagon?

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

What substrate conversion by the phosphagen system allows for the rapid resynthesis of ATP during a sprint?

<p>ADP to ATP (B)</p> Signup and view all the answers

What is the role of GLUT4 in glucose uptake?

<p>Stimulates glucose uptake in response to insulin (C)</p> Signup and view all the answers

Which substrate is NOT used for gluconeogenesis when glycogen stores are depleted?

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

What is the primary source of glucose during fasting?

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

Which enzyme is primarily involved in the conversion of pyruvate to Acetyl-CoA?

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

What process provides substrates for gluconeogenesis after glycogen depletion?

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

During fasting, fatty acids are primarily mobilized from which tissue for energy production?

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

In the absence of insulin, which of the following processes is likely to increase?

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

Which of the following statements about fatty acid synthesis is true?

<p>It requires Acetyl-CoA as a building block. (A)</p> Signup and view all the answers

What is the immediate energy source for up to 15 seconds of muscle activity?

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

Which metabolic pathway starts when the muscle requires additional ATP beyond what is provided by phosphocreatine?

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

Which type of muscle activity primarily relies on oxidative phosphorylation for ATP production?

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

What does Acetyl CoA primarily derive from in muscle activity?

<p>Fatty acids and glucose (D)</p> Signup and view all the answers

During intense muscle activity lasting a few seconds, which source of ATP is almost fully depleted after 3 seconds?

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

Which pathway generates the least amount of ATP per glucose molecule compared to others?

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

What is the primary substrate for the TCA cycle during muscle activity?

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

How many ATPs are produced during glycolysis?

<p>2 ATP (C)</p> Signup and view all the answers

What is the primary role of the liver during the well-fed state?

<p>Storing and processing nutrients while performing metabolic conversions (D)</p> Signup and view all the answers

Which of the following statements best describes the action of insulin in the liver during the well-fed state?

<p>Insulin stimulates glycogenesis and lipogenesis processes (D)</p> Signup and view all the answers

How does the liver maintain normal plasma glucose levels during the well-fed state?

<p>By storing glucose as glycogen and producing insulin (C)</p> Signup and view all the answers

What happens to excess amino acids in the liver during the well-fed state?

<p>They are converted into fatty acids, while nitrogen is processed through the urea cycle (A)</p> Signup and view all the answers

What does the liver synthesize in addition to fatty acids during the well-fed state?

<p>Chylomicrons to transport dietary fats (B)</p> Signup and view all the answers

Why is the liver described as a 'lipogenic liver' during the well-fed state?

<p>It produces and stores lipids when energy intake exceeds energy expenditure (A)</p> Signup and view all the answers

Which hormone is primarily responsible for facilitating glucose uptake in tissues during the fed state?

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

What is the role of GLUT2 in the liver?

<p>Promotes glucose uptake in spaces devoid of insulin (D)</p> Signup and view all the answers

What metabolic effect does insulin have on glucose uptake in the liver?

<p>Increases glucose uptake (A)</p> Signup and view all the answers

Which enzyme is directly activated by insulin to promote glycogenesis?

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

Which metabolic pathway is NOT promoted by insulin in a well-fed state?

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

What is the role of Acetyl-CoA carboxylase in the liver under the influence of insulin?

<p>Promotes fatty acid synthesis (D)</p> Signup and view all the answers

Which enzyme is involved in cholesterol synthesis that is activated by insulin?

<p>HMG CoA reductase (D)</p> Signup and view all the answers

How does insulin affect the metabolic state in resting skeletal muscle?

<p>Uses glucose as an energy source (B)</p> Signup and view all the answers

Which of the following processes is stimulated by insulin during a well-fed state?

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

What is the primary role of glucokinase in carbohydrate metabolism?

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

In the context of insulin action, which of the following pathways is activated?

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

What is the common outcome of high insulin levels in the liver?

<p>Promotion of lipogenesis (C)</p> Signup and view all the answers

What is the effect of glucagon on glycogen breakdown in the liver?

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

How does low plasma glucose influence gluconeogenesis in the liver?

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

Which enzyme is inhibited by glucagon during glycolysis in the liver?

<p>PFK-2 (C)</p> Signup and view all the answers

What metabolic pathway is primarily activated by glucagon to produce ketone bodies?

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

What happens to glycogen storage during prolonged fasting?

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

Which of the following statements is true regarding fatty acid mobilization during fasting?

<p>Free fatty acids are released into the bloodstream (B)</p> Signup and view all the answers

What role does fructose 2,6-bisphosphatase play in the presence of glucagon?

<p>Activated to promote gluconeogenesis (A)</p> Signup and view all the answers

Which key substance is produced from amino acids during gluconeogenesis facilitated by glucagon?

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

What is the main target for glucagon in adipose tissue during fasting?

<p>Fatty acid mobilization (C)</p> Signup and view all the answers

Which cycle is involved in the conversion of Acetyl CoA to ketone bodies?

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

Flashcards

Well-fed state metabolism

In the well-fed state, high glucose levels trigger insulin release, promoting glucose uptake by insulin-dependent tissues (e.g., muscles, adipose) via GLUT4. The liver independently takes up glucose via GLUT2, and insulin then enhances glycolysis, glycogenesis (glycogen storage), lipogenesis (fat storage), and protein synthesis in the liver. Dietary fats are processed into chylomicrons and transported to tissues. Excess amino acids are converted into fats.

Insulin's role in metabolism

Insulin promotes glucose uptake, glycogen storage, fat synthesis, and protein synthesis, especially in the liver, muscles, and adipose tissue. It promotes energy storage rather than breakdown when sufficient energy is available.

Glucose uptake (well-fed)

Elevated blood glucose levels trigger insulin release. Insulin activates glucose transport into specific tissues (like muscles and adipose) via GLUT4 receptors. The liver also takes up glucose independently through GLUT2 receptors.

Glycogenesis

The process of converting glucose into glycogen for storage in the liver and muscles.

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Lipogenesis

The process of synthesizing fats from excess nutrients, primarily glucose, in the liver.

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Liver's role in metabolism

The liver is the central hub for carbohydrate, lipid, and protein metabolism. It stores glycogen, produces glucose, synthesizes fats, and processes amino acids.

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Chylomicrons

Packages of dietary fats transported via the lymphatic system, then the bloodstream to peripheral tissues for storage or use.

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Gluconeogenesis

The process of producing glucose from non-carbohydrate sources, crucial during fasting states.

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Lipogenic Liver

The state of the liver when it is actively converting excess glucose and other nutrients into fatty acids for storage.

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Insulin's Role in Lipogenesis

Insulin stimulates the liver to synthesize fatty acids from excess glucose, promoting fat storage.

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What happens to glucose in the liver?

The liver takes up glucose via GLUT2, utilizes it for energy, or converts it into glycogen for storage. If energy is abundant, it gets converted into fatty acids for storage.

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What's the role of Acetyl-CoA Carboxylase?

This enzyme catalyzes the first step in fatty acid synthesis, converting Acetyl-CoA into Malonyl-CoA.

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What's the role of Fatty Acid Synthase?

This enzyme plays a key role in converting Acetyl-CoA into fatty acids, using Malonyl-CoA as a building block.

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How does the fed state affect the liver?

In the well-fed state, the liver's main focus shifts to storage. It takes up glucose, stores it as glycogen, and converts excess glucose into fat.

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What happens to excess amino acids in the fed state?

Excess amino acids can be used for protein synthesis, but also converted into pyruvate and then into Acetyl-CoA, contributing to fatty acid synthesis.

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What are chylomicrons?

Chylomicrons are packages of dietary fats (triglycerides) that are transported via the lymphatic system and then the bloodstream to tissues for storage or use as energy.

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How does the liver handle dietary fats?

The liver processes dietary fats into chylomicrons, which transport triglycerides to tissues that need them.

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How does insulin affect glucose uptake in the liver?

Although the liver independently takes up glucose via GLUT2, insulin enhances this uptake and promotes glucose utilization for energy, glycogen synthesis, and fatty acid synthesis.

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What is the main source of glucose for the body in a fasting state?

The liver is the primary source of glucose during fasting, using glycogen stores and then gluconeogenesis.

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What are three substrates for gluconeogenesis?

Amino acids (from muscle), glycerol (from adipose tissue), and lactate (from anaerobic glycolysis) are all used to make glucose during gluconeogenesis.

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What happens to fatty acids during fasting?

Fatty acids are mobilized from adipose tissue and used for energy in muscles and ketones in the liver.

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How does the liver use fatty acids during fasting?

The liver uses fatty acids for energy production and to create ketone bodies, which can be used as fuel by the brain and other tissues.

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Fasting State

The metabolic state when the body is not receiving enough glucose from food, and must rely on stored energy reserves.

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Glucagon's Role

Glucagon, a hormone released during fasting, stimulates the liver to release stored glucose (glycogenolysis), produce new glucose (gluconeogenesis), and break down fat (lipolysis).

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Lipolysis

The breakdown of stored fat in adipose tissue to release fatty acids into the bloodstream.

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Prolonged Fasting

A state where glycogen stores are depleted, and the body relies primarily on fat breakdown and gluconeogenesis for energy.

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Metabolic Shift in Prolonged Fasting

The body shifts from using glucose as the primary energy source to relying on fatty acids and ketone bodies, produced by breaking down stored fat and amino acids.

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Target Effects of Glucagon

Glucagon activates processes like glycogenolysis, lipolysis, gluconeogenesis, and ketogenesis, while inhibiting pathways like glycolysis.

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Impact on Liver Metabolism

In the fasting state, the liver becomes the central hub for fuel regulation, releasing glucose, producing ketones, and breaking down fat.

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Gluconeogenesis in Starvation

The process of producing glucose from non-carbohydrate sources, primarily amino acids from muscle, glycerol from fat, and lactate from anaerobic glycolysis. Gluconeogenesis is crucial for maintaining blood glucose levels during prolonged fasting.

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Muscle Protein Degradation During Starvation

Muscle protein breakdown occurs during starvation to provide amino acids for gluconeogenesis. This process initially sustains blood glucose levels, but it slows down after about 7 days.

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Glycerol Role in Starvation

Glycerol, released from adipose tissue breakdown, serves as a substrate for gluconeogenesis, providing a steady source of glucose production during starvation.

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Ketone Bodies in Starvation

During prolonged starvation, the body starts producing ketone bodies from fat breakdown. These are a major energy source for the brain, helping to spare glucose.

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What is the main source of glucose production during starvation?

Gluconeogenesis is the primary source of glucose production during starvation. The body uses non-carbohydrate sources, like amino acids, glycerol, and lactate, to make glucose.

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What happens to muscle protein after 7 days of starvation?

Muscle protein degradation slows down after 7 days of starvation. The body prioritizes preserving muscle mass for essential functions.

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Where are glucagon receptors found?

Glucagon receptors are primarily located on the liver cells. Glucagon, released in response to low blood glucose, binds to these receptors, activating various metabolic processes in the liver, including gluconeogenesis.

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Beta-Adrenergic Receptors in Fed and Fasting State

Beta-adrenergic receptors are found in the liver and muscle cells. They play a crucial role in regulating metabolism, especially during the fasting state, by responding to adrenaline.

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ATP for 3 seconds

The body mainly relies on pre-existing ATP and creatine phosphate (CP) for the first 3 seconds of intense muscle activity, like weightlifting.

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ATP for 15 seconds

After the initial 3 seconds, the body uses up its CP stores. Once depleted, it relies on anaerobic glycolysis to produce ATP for the next 12 seconds.

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Anaerobic glycolysis

This process breaks down glucose without oxygen to quickly produce ATP. It results in lactate as a byproduct.

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ATP for longer activity

For longer, sustained activity, the body relies on aerobic metabolism, which uses oxygen to break down glucose and fatty acids for ATP production.

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What is oxidative phosphorylation?

This is the process of using oxygen to generate ATP from glucose, fatty acids, and other energy sources. It provides energy for prolonged, intense activities.

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How do muscles get ATP for extreme activities?

For activities like marathons, muscles primarily obtain ATP through oxidative phosphorylation of acetyl-CoA, which can be produced from both glucose and fatty acids.

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What is β-oxidation

This process breaks down fatty acids into acetyl-CoA, which can then be used in oxidative phosphorylation.

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What is the TCA cycle?

This cycle is part of aerobic respiration, where acetyl-CoA is further broken down and electrons are released to drive ATP production.

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Study Notes

Integrative Tissue Metabolism

  • Dr. Alawi Habara, Assistant Professor in the Department of Biochemistry at Imam Abdulrahman Bin Faisal University (IAU), is the presenter.
  • Dr. Habara has degrees in MBBS, MSc (Medical Genetics), and PhD (Molecular & Translational Medicine).

Learning Objectives

  • Understand the differences in fuel metabolism during various body states (fed, fasting, and starvation).
  • Understand how hormones (insulin & glucagon) affect metabolism.
  • Learn about heart muscle energy production.
  • Learn about skeletal muscle energy systems.
  • Understand red blood cell and glutathione production.

The Liver

  • The liver is critical for maintaining overall body homeostasis.
  • It performs numerous biochemical processes essential for life.
  • The liver processes, stores, and distributes almost all nutrients.
  • The liver is central to carbohydrate, lipid, and protein metabolism.
  • It plays a key role in regulating plasma glucose levels by storing glycogen and producing glucose (gluconeogenesis).
  • The liver synthesizes fatty acids and proteins.

The Well-Fed State: Lipogenic Liver

  • Blood glucose levels are high during the fed state.
  • Elevated glucose stimulates insulin secretion from the pancreas.
  • Insulin triggers glucose uptake by tissues with insulin-dependent transport channels (e.g., GLUT4).
  • The liver, via GLUT2, takes up glucose independently.
  • Insulin promotes glycolysis and glycogen synthesis in the liver.
  • The liver can store approximately 5% of its weight as glycogen.
  • Lipogenesis occurs, allowing the liver to store a small percentage of fat.
  • Dietary triglycerides (TAGs) are packaged into chylomicrons in the intestines, enter the bloodstream, and are then taken up by peripheral tissues.
  • Amino acids are delivered to the liver for protein synthesis.
  • Excess amino acids are converted to fatty acids and used for protein synthesis or enter the urea cycle.

The Fasting State: Glucogenic Liver

  • Glycogen stores are utilized to release glucose.
  • When glycogen stores are depleted, gluconeogenesis becomes the primary source of glucose.
  • Substrates for gluconeogenesis include alanine from muscle, glycerol from adipose tissue, and lactate from anaerobic glycolysis.
  • Fatty acids from adipose tissue are used for energy production in muscle and liver, and converted to ketone bodies.
  • Ketone bodies are utilized by the brain during prolonged fasting.

Prolonged Fasting

  • Glycogen stores are depleted.
  • Muscle protein breakdown provides amino acids for gluconeogenesis.
  • The body utilizes glycerol from adipose tissue and lactate from anaerobic glycolysis for gluconeogenesis.
  • Ketone bodies become a significant fuel source for the brain.

Starvation

  • Gluconeogenesis continues to produce glucose.
  • Muscle protein degradation continues for amino acid input into gluconeogenesis, but will slow down after approximately 7 days of starvation.
  • Glycerol from adipose tissue and lactate from anaerobic glycolysis are also used for gluconeogenesis.
  • The brain adapts to using ketone bodies as an energy source.

Bi-Enzymatic Activity of PFK-2/FBPase-2

  • PFK-2/FBPase-2 is a crucial enzyme in regulating glucose metabolism.
  • Its activity differs significantly between the fed and fasting states.
  • Insulin promotes PFK-2 activity (enhancing glucose uptake), while glucagon promotes FBPase-2 activity (enhancing glucose output).

Adipose Tissue in Fed and Fasting States

  • In the fed state, insulin promotes triglyceride synthesis, facilitating the storage of fats.
  • In the fasting state, glucagon and catecholamines stimulate triglyceride breakdown, releasing fatty acids into the bloodstream for use by other tissues.
  • Glucagon receptors are in the liver, and beta-adrenergic receptors are in the liver and muscle.

Skeletal Muscle

  • Skeletal muscle utilizes various mechanisms to generate ATP, including free ATP, the phosphagen system, glycolysis, aerobic glycolysis, anaerobic glycolysis, oxidative phosphorylation, glucose, fatty acids, and ketone bodies.

Heart Muscle

  • Fatty acids are the primary energy source for cardiomyocytes (heart muscle cells).
  • 60-90% of ATP production comes from the oxidation of long-chain fatty acids.
  • 10-30% of ATP originates from glucose oxidation.
  • Unlike skeletal muscle, heart muscle cannot produce significant energy from anaerobic glycolysis.
  • Heart muscle does not store significant amounts of lipids or glycogen.

Red Blood Cells (RBCs)

  • RBCs lack mitochondria and rely on anaerobic glycolysis for energy production.
  • Glucose is the sole energy source for RBCs.
  • The pentose phosphate pathway (pentose phosphate shunt) in RBCs is critical for producing NADPH, an important antioxidant.

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