Ketone Body Synthesis Quiz

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Questions and Answers

What is the end product of TAG hydrolysis by hormone-sensitive lipase?

  • Free fatty acids and glycerol (correct)
  • Acetoacetate and acetone
  • Acetyl-CoA and glycerol kinase
  • Triacylglycerol

In tissues like the liver and kidney, what is glycerol converted into?

  • Triacylglycerol
  • Acyl-CoA
  • Glycerol 3-phosphate (correct)
  • Ketone bodies

What enzyme is responsible for converting FFA to acyl-CoA in adipose tissue?

  • Hormone-sensitive lipase
  • Gluconeogenesis enzyme
  • Acyl-CoA synthase (correct)
  • Glycerol kinase

When does the accumulation of FFA in plasma occur?

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

What is the alternative fuel source for cells during conditions like starvation according to the text?

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

Which additional functional group do phospholipids have?

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

In which group do fatty acids fall in terms of being hydrophilic or hydrophobic?

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

What is the predominant lipid found in cell membranes?

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

Which class of lipids includes glycerophospholipids?

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

Which part of phospholipids forms the hydrophobic group?

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

What is the role of thiolase in the process described?

<p>It catalyzes the breakdown of HMG-CoA into acetoacetate and acetyl-CoA (B)</p> Signup and view all the answers

What is the purpose of the non-enzymatic decarboxylation of acetoacetate to acetone?

<p>To facilitate the release of acetone in breath, which can be used as a diagnostic marker (A)</p> Signup and view all the answers

In the context of ketolysis, what is the role of succinyl-CoA?

<p>It provides a CoA molecule for the conversion of acetoacetate to acetoacetyl-CoA (B)</p> Signup and view all the answers

What is the primary reason for the production of ketone bodies in individuals with type I diabetes?

<p>Lack of insulin leads to the inability to use glucose as a fuel source, so fat is used instead (B)</p> Signup and view all the answers

What is the role of NADH in the ketolysis process?

<p>It is produced during the oxidation of 3-hydroxybutyrate to acetoacetate (C)</p> Signup and view all the answers

What is the significance of the liver constantly synthesizing ketone bodies during fasting?

<p>It provides an alternative energy source when glucose is unavailable (C)</p> Signup and view all the answers

Flashcards

End product of TAG hydrolysis

Free fatty acids and glycerol

Glycerol conversion (liver/kidney)

Glycerol 3-phosphate

FFA to acyl-CoA enzyme (adipose)

Acyl-CoA synthase

Plasma FFA accumulation cause

Lipolysis

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Alternative fuel source (starvation)

Ketone bodies

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Phospholipid additional group

Phosphate group

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Fatty acid property

Hydrophobic

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Main cell membrane lipid

Phospholipids

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Lipid class including glycerophospholipids

Steroids

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Hydrophobic phospholipid part

Fatty acids

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Thiolase role in ketone bodies

Catalyzes HMG-CoA breakdown

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Acetoacetate decarboxylation purpose

Acetone release (diagnostic marker)

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Succinyl-CoA's ketolysis role

Provides CoA for conversion.

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Type 1 diabetes ketone production reason

Glucose unavailability, fat use.

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NADH's role in ketolysis

Produced during 3-hydroxybutyrate oxidation

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Liver's constant ketone synthesis (fasting) reason

Alternative energy source during glucose shortage

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Study Notes

Lipolysis and Re-Esterification

  • TAG undergoes hydrolysis by hormone-sensitive lipase to form free-fatty acids (FFA) and glycerol
  • Glycerol is transported to liver and kidney, where it is converted to glycerol 3-phosphate by glycerol kinase
  • FFA can be reconverted to acyl-CoA by acyl-CoA synthase and re-esterified with glycerol 3-phosphate to form triacylglycerol
  • There is a continuous cycle of lipolysis and re-esterification within the tissue

Importance of Carbohydrates

  • Carbohydrates are essential for metabolism of fat
  • Acetyl-CoA from fatty acid can enter and be oxidized in TCA cycle when carbohydrates are available

Ketogenesis

  • Ketogenesis occurs when carbohydrates are unavailable, such as in starvation, fasting, and diabetes mellitus
  • Acetyl-CoA formed from fatty acid oxidation is converted into ketone bodies (acetoacetate, 3-hydroxybutyrate, acetone)
  • Liver mitochondria convert acetyl-CoA from fatty acid oxidation into ketone bodies

Type I Diabetes Mellitus

  • Characterized by ↓ insulin and ↑ glucagon
  • Biochemical findings:
    • ↑Blood glucose
    • ↓Blood pH
    • ↓HCO3
    • Benedict’s test positive → Glucose
    • Rothera’s test positive → Ketone bodies
    • Free fatty acids in plasma
  • Hepatic output of ketone bodies
  • Ketoacidosis: Ketonemia – 90 mg/dl, Keturia – 5000 mg/24hr
  • Fruity odour on breath

Phospholipids

  • Complex lipids with phosphate as the additional functional group
  • Amphipathic molecules with hydrophilic and hydrophobic groups
  • Phosphate and nitrogen base (e.g. choline, ethanolamine) forms the hydrophilic group
  • Fatty acids form the hydrophobic group
  • Predominant lipids of cell membranes (Phospholipid bilayer)
  • Two classes of phospholipids: Glycerophospholipids and Sphingophospholipids

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