Metabolic Control in Tissues
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Questions and Answers

What percentage of the body's solid mass is made up of skeletal muscles?

  • One half (correct)
  • Three fifths
  • Three quarters
  • One quarter
  • What is the primary source of energy for resting muscles?

  • Amino acids
  • Ketone bodies
  • Glucose
  • Fatty acids (correct)
  • What is the purpose of creatine phosphate in exercising muscles?

  • To increase ATP production
  • To decrease ATP degradation
  • To maintain ATP levels (correct)
  • To increase lactate production
  • What is the name of the cycle that occurs when lactate produced by exercising muscles is converted back into glucose in the liver?

    <p>Cori cycle</p> Signup and view all the answers

    What happens to skeletal muscle proteins during prolonged fasting and starvation?

    <p>They are broken down to provide carbon skeletons for gluconeogenesis</p> Signup and view all the answers

    What is the result of increased amino acid degradation in skeletal muscles during prolonged fasting and starvation?

    <p>The glucose-alanine cycle</p> Signup and view all the answers

    How much glycogen is stored in skeletal muscles in the average adult male?

    <p>250 grams</p> Signup and view all the answers

    What is the main difference between the metabolic patterns of short duration, vigorous exercise and low power-output, long distance running?

    <p>Energy source used</p> Signup and view all the answers

    What is the primary source of ATP in mammalian erythrocytes?

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

    What is the purpose of lactate produced in RBCs?

    <p>To be used as a precursor for gluconeogenesis in other tissues</p> Signup and view all the answers

    What is the primary function of ATP in RBCs?

    <p>To maintain electrolyte balance via Na+/K+ ATPase</p> Signup and view all the answers

    What is the primary fuel stored in adipose tissues?

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

    Why do adipocytes use glucose for the provision of dihydroxyacetone phosphate?

    <p>Because they lack the enzyme glycerol kinase</p> Signup and view all the answers

    What percentage of body weight is stored as triacylglycerols in an average male?

    <p>12%</p> Signup and view all the answers

    What happens to the brain's glucose consumption after 24 hours of starvation?

    <p>It decreases significantly</p> Signup and view all the answers

    Why is the adaptation of the brain to use ketone bodies crucial during starvation?

    <p>To preserve skeletal muscle proteins</p> Signup and view all the answers

    What type of muscle fibers do sprinters possess?

    <p>White muscle fibers</p> Signup and view all the answers

    During the first seconds of a 100-meter sprint, what is the primary source of energy for ATP resynthesis?

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

    What is the primary source of energy for ATP synthesis in marathon running?

    <p>Aerobic oxidation of fatty acids</p> Signup and view all the answers

    What is unique about the heart's metabolism?

    <p>It is completely aerobic</p> Signup and view all the answers

    What is the primary source of fuel for the brain?

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

    What happens when the blood glucose falls below 2 mm in the brain?

    <p>Serious irreversible brain damage may occur</p> Signup and view all the answers

    What is the primary source of energy generation in the body after depletion of whole body TAG reserve?

    <p>Skeletal muscle protein degradation</p> Signup and view all the answers

    What is the result of blocked blood vessels in the heart?

    <p>The supplied tissue of the heart dies</p> Signup and view all the answers

    What is the role of glucokinase in the liver during a well-fed state?

    <p>Catalyzes the phosphorylation of glucose to G-6-P</p> Signup and view all the answers

    What is the primary function of the liver in regulating blood sugar levels?

    <p>Control of blood glucose levels</p> Signup and view all the answers

    What is the role of ketone bodies in the brain?

    <p>They are used in prolonged fasting or starvation</p> Signup and view all the answers

    What is the ultimate consequence of skeletal muscle protein degradation as a sole source of energy generation?

    <p>Cardiac and respiratory failure</p> Signup and view all the answers

    What is the estimated daily glucose uptake by the brain after three weeks of starvation?

    <p>35 grams/day</p> Signup and view all the answers

    What is the primary role of the liver in steroid metabolism?

    <p>Synthesis of steroids</p> Signup and view all the answers

    What determines the total period of time a person can survive without food intake?

    <p>Size of the fat deposits</p> Signup and view all the answers

    What is the fate of glucose-6-phosphate in the liver during a well-fed state?

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

    What is the primary fate of amino acids arriving at the liver in the fed state?

    <p>Used for protein synthesis</p> Signup and view all the answers

    What is the primary source of energy for hepatocytes during fasting?

    <p>Fatty acids oxidation</p> Signup and view all the answers

    What is the result of glucagon stimulation of its receptor on hepatocytes during fasting?

    <p>Glucose release into the blood</p> Signup and view all the answers

    What is the primary function of the hexose monophosphate shunt?

    <p>Pentose phosphate synthesis</p> Signup and view all the answers

    What is the primary fate of acetyl-CoA in the liver during the fed state?

    <p>Used for synthesis of TAG and phospholipids</p> Signup and view all the answers

    What is the primary hormone that stimulates glucose release into the blood during fasting?

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

    What is the byproduct of glycolysis that can be converted into acetyl-CoA?

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

    What is the primary function of glucose 6-phosphatase in the liver and kidney?

    <p>Dephosphorylation of glucose</p> Signup and view all the answers

    Study Notes

    Tissues that Regulate Overall Body Metabolism

    • Liver, muscle, brain, and adipose tissues are the vital tissues that regulate overall body metabolism.

    Metabolism in Skeletal Muscles

    • Skeletal muscles make up about half of the body's solid mass and dominate energy metabolism.
    • Muscles can use a wide variety of fuels, including glucose, fatty acids, and ketone bodies.
    • Muscle energy demand varies with activity, with resting muscles depending mainly on fatty acid oxidation.
    • Glucose derived from muscle glycogenolysis is primarily used by muscles only (no G-6-Phosphatase).
    • Characteristics of energy metabolism in skeletal muscles:
      • Store about 250 grams of glycogen in the average adult man.
      • Lactate produced by exercising muscles diffuses to blood and is converted back into glucose in the Cori cycle.
      • Prolonged fasting and starvation cause increased rate of degradation of skeletal muscle proteins to provide carbon skeleton for gluconeogenesis.
      • Increased amino acid degradation results in the glucose-alanine cycle.
      • Creatine phosphate is necessary for maintaining ATP levels during exercise.

    Differences between Sprinters and Marathon Runners

    • Sprinters have large muscle mass, mainly consisting of white muscle fibers with high anaerobic capacity, and store considerable amounts of glycogen and creatine phosphate.
    • Marathon runners have muscles consisting mainly of highly aerobic red muscles, densely packed with mitochondria and myoglobin.
    • During the first seconds of a 100-meter sprint, ATP is rapidly reformed at the expense of phosphocreatine, catalyzed by creatine kinase.
    • In marathon running, ATP synthesis is mainly powered by aerobic oxidation involving an increased rate of fatty acid mobilization and acetyl-CoA oxidation.

    Metabolism in the Heart

    • Heart muscles have a regular rhythm of contraction and relaxation.
    • Heart has completely aerobic metabolism at all times.
    • Mitochondria are more abundant in heart muscles than in skeletal muscles.
    • Heart uses blood glucose, ketone bodies, and fatty acids, which are oxidized aerobically.
    • There is also phosphocreatine in the heart.
    • When blood vessels are blocked, the supplied tissue of the heart dies, leading to myocardial infarction or heart attack.

    Metabolism in the Brain

    • The brain of adult mammals normally uses only glucose as fuel.
    • It has very active aerobic metabolism.
    • It uses oxygen up to 20% of total consumption at rest.
    • It does not store glycogen but depends on fresh glucose from the blood.
    • When blood glucose falls below 2 mm (hypoglycemia), serious irreversible brain damage may occur.
    • The brain does not use fatty acids from the blood but can use ketone bodies in prolonged fasting or starvation, which reserves muscle proteins from degradation.

    Metabolism in Blood Cells

    • Mammalian erythrocytes contain no mitochondria, thus are exclusively dependent on anaerobic glycolysis.
    • They produce lactate, which diffuses to plasma, and can be used as a precursor for gluconeogenesis.
    • RBCs use ATP for maintaining electrolyte balance via the action of Na+/K+ ATPase.

    Metabolism in Adipose Tissues

    • Adipocytes are the main fuel-storing tissues in the body, storing triacylglycerols that can support energy generation for several weeks.
    • Because adipocytes lack the enzyme glycerol kinase, they use glucose for the provision of dihydroxyacetone phosphate required for the formation of glycerol-3-phosphate.
    • Body response to starvation:
      • The total body reserve of fuel is sufficient to support energy demand for several weeks.
      • The average man possesses about 12% of his body weight as triacylglycerols, while females may store up to 25% of their body weight as fat.
      • The amount of carbohydrates stored is only about 2% of the fuel reserve.
      • The liver glycogen will be exhausted just a few hours after a meal.
      • The human body adapts metabolically during starvation by increasing the use of fuels other than carbohydrates.

    Liver Metabolism

    • The liver is a central organ in metabolism, containing all enzymes of major metabolic pathways.
    • Unique pathways in the liver include:
      • Control of blood glucose levels.
      • Regulation of circulating fatty acids, amino acids, and other metabolites.
      • Steroid synthesis, bile acids, and vit-D activation.
      • Synthesis of most plasma proteins.
      • Disposal of toxic metabolites such as ammonia and bilirubin.
      • Inactivation and excretion of hormones and drugs.
      • Synthesis and export of essential nutrients and precursors.

    Fate of Different Substances in the Liver

    • In a well-fed state, glucose is taken up by hepatocytes and phosphorylated to G-6-P in a reaction catalyzed by glucokinase.
    • Fates of glucose-6-P:
      • Glycogenesis.
      • G-6-P may be oxidized via glycolysis.
      • Pyruvate is the end product of aerobic glycolysis.
      • About 15% of G-6-P may be oxidized via the hexose monophosphate shunt.
      • Pyruvate may be converted into acetyl-CoA by PDHC.
      • Very little of acetyl-CoA derived from glycolysis in the liver is oxidized in the citric acid cycle for energy generation.

    Fate of Absorbed Amino Acids and Lipids in the Liver

    • Amino acids arriving at the liver in the fed state condition will primarily be used for protein synthesis.
    • The liver is constantly turning over its protein to adjust its metabolic activities.
    • In the fed state condition, the liver may actively use acetyl-CoA for synthesis of TAG and it also synthesizes phospholipids and cholesterol.

    Fuel Metabolism in the Liver during Fasting

    • 2-3 hours after the last meal, the levels of blood glucose start to decline, and insulin secretion decreases with a concomitant increase in glucagon release.
    • This hormonal change will switch on and off the major metabolic pathways in the liver to conserve blood glucose concentration and promote the use of stored fuels.
    • The glucagon stimulation of its receptor on hepatocytes will promote glucose release into blood by activating the enzymes of glycogenolysis and gluconeogenesis.
    • The fatty acids oxidation becomes the principle source of energy in hepatocytes during fasting to synthesize ketone bodies (the acetoacetate and β-hydroxybutyrate).

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    Description

    This quiz covers the vital tissues that regulate overall body metabolism, including liver, muscle, brain, and adipose tissues. It also discusses metabolism in skeletal muscles.

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