Lactic Acid and Lactate Metabolism
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Questions and Answers

What percentage of the total lactate metabolized is disposed of by the kidneys?

  • 5 to 10%
  • 30 to 40%
  • 20 to 30%
  • 10 to 20% (correct)
  • Which process primarily converts lactate to glucose in the liver?

  • Glycolysis
  • Gluconeogenesis (correct)
  • Fermentation
  • Lactate oxidation
  • What is the primary method through which kidneys dispose of lactate?

  • Gluconeogenesis and oxidation
  • Excretion, gluconeogenesis, and oxidation (correct)
  • Excretion and glycolysis
  • Oxidation only
  • What is the ATP cost for converting lactate to glucose via gluconeogenesis in the liver?

    <p>6 ATP</p> Signup and view all the answers

    Which statement is true about other tissues' processing of lactate?

    <p>They can oxidize lactate to CO2 and water.</p> Signup and view all the answers

    What is the predominant stereoisomer of lactate produced by the body?

    <p>L-lactate</p> Signup and view all the answers

    Which of the following is a source of intracellular L-lactate?

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

    Under which condition is lactate produced from pyruvate?

    <p>Anaerobic conditions</p> Signup and view all the answers

    What is the primary enzyme responsible for the conversion of pyruvate to lactate?

    <p>LDH (Lactate Dehydrogenase)</p> Signup and view all the answers

    What condition leads to the pathologic buildup of lactate?

    <p>Increased lactate production</p> Signup and view all the answers

    In which organ is lactate metabolized?

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

    During the transamination reaction, which amino acid is primarily converted to generate L-lactate?

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

    Which metabolic pathway is overwhelmed leading to anaerobic lactate production?

    <p>Citric acid cycle</p> Signup and view all the answers

    Study Notes

    Lactic Acid

    • Lactic acid is a hydrocarboxylic acid with two stereoisomers: L-lactate (predominant) and D-lactate.
    • The main sources of intracellular L-lactate are glucose and alanine, which is converted to pyruvate through transamination catalyzed by ALT.
    • Pyruvate is reduced into lactate in anaerobic conditions by LDH when pyruvate oxidation in the citric acid cycle is overwhelmed.

    Lactate Metabolism

    • Lactate is metabolized primarily in the liver and kidney.
    • In the liver, lactate is converted to glucose through gluconeogenesis via the Cori cycle, which utilizes 6 ATP molecules.
    • The kidneys contribute to lactate removal, accounting for approximately 10-20% of the total lactate metabolized.
    • The kidneys eliminate lactate through excretion, gluconeogenesis, and oxidation.

    Other Tissues

    • Other tissues can utilize lactate as a substrate and oxidize it to CO2 and water.
    • Only the liver and kidneys possess the enzymes necessary for converting lactate to glucose.

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    Description

    This quiz explores the structure and function of lactic acid, specifically its stereoisomers and metabolic pathways. Learn about the role of the liver and kidneys in lactate metabolism, including the conversion of lactate to glucose through gluconeogenesis. Test your understanding of lactate's role in energy production and utilization in various tissues.

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