Transcript Chapter 25

Metabolism
Chapter 25 - pages 962-987
Linking anabolism & catabolism
Topics in Chapter 25
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In A&P I glucose catabolism  ATP was
discussed
This semester in Ch 25 focus on:
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Glucose anabolism
Lipid metabolism
Protein metabolism
Metabolism during absorptive and post absorptive
states
Heat and energy balance
Nutrition
Glucose
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Most glucose catabolized to make ATP
Some used in anabolic rxns:
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To produce glycogen
To produce more glucose from lipid and protein
components
Do not confuse these terms!
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Glucose
Glycogen
Glucagon
Glycolysis
Glycogenolysis
Glycogenesis
Gluconeogenesis
Glycogenesis
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Glucose storage
Occurs when glucose not immediately needed for
ATP synthesis
_____________- stimulates hepatocytes &
skeletal muscle cells to carry out
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fig 25.11
From pancreatic beta cells
______________ - polysaccharide, polymer of
glucose and only stored carb in our body
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75% stored in skeletal muscle
25% in hepatocytes
Glycogenolysis
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Glucose release
Body activities require ATP  glycogen stores in
hepatocytes break down
Glucose  blood  cells for catabolism
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fig 25.11
Glucose  ATP
Lactic acid (in muscle)  glucose (in liver)
Phosphorylase activated by ____________ (from
pancreatic alpha cells) & ___________ (adrenal
medulla)
Reversal of steps in glycogenesis
Glycogenesis & glycogenolysis
Insulin
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Released in response to  blood glucose
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pg 646-649
Ach released from vagus nerve  _________________
Certain amino acids in blood (after protein meal)
________ – s.i. hormone released due to glucose in gi tract
Accelerates facilitated diffusion of glucose
 glycogenesis (glucose  glycogen)
 a.a uptake for  protein synthesis
 f.a. synthesis
Slows glycogenolysis
Slows gluconeogenesis
Fig 18.18
Figure 18.19
Glucagon
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Stimulates ________________ in liver cells
Stimulates ________________
Glucose released into blood
Secretion stimulated by:
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Low blood glucose
 activity of sympathetic NS (as w/exercise)
 a.a in blood if blood glucose is low (after high
protein meal)
Gluconeogenesis
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Newly formed glucose
Non carbohydrate sources:
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Lactic acid
Glycerol
Amino acids – about 60% of a.a. in body can be
used for this
Stimulated by:
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_______________(glucocorticoid)
_______________
Gluconeogenesis
fig 25.12
Glucose tolerance
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Test body’s ability to process glucose
Diagnostic for hypoglycemia, __________
__________, or malabsorption syndrome
Dependent upon ability of:
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Pancreas to produce & release insulin
Cell response to insulin (membrane sensitivity)
Small intestine to absorb glucose
Liver to take up & store glucose
Glucose tolerance (2)
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________ mg/100 mL blood =normal, fasting
“Load”  glucose  within 1 hour
Normal – followed by gradual decline
Abnormal – glucose levels remain elevated
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Insulin response major factor
See lab manual, exercise 3 for more info
Diabetes mellitus
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Endocrine disorder, inability to produce (type
1) or use (type 2) insulin
4th leading cause of death by disease in US
Type 1= insulin-dependent diabetes mellitus
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____________________ destroys pancreatic beta cells
Insulin injections required to prevent death
Type 2- non-insulin dependent
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More common than type 1  >90% of cases
Often obese >35 yr, but, type 2 obese children & teens 
Target cells ____________ to insulin, downreg of receptors
Lipoproteins are transporters
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__________________- lipid & protein combination
 Outer- proteins, phospholipids, & cholesterol
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Proteins help solubilize lipids in body fluids
Inner core- triglycerides and other lipids
Categorized by _________ (lipids = low, proteins = high density)
 Chylomicrons- s.i., many dietary lipids  adipose
 VLDLs- very low density lipoproteins, form in hepatocytes,
lipids adipocytes for storage or muscle
 LDLs- carry ≈75% of total cholesterol in blood which goes to:
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Cell membranes for repair, synthesis of steroid hormones, bile salts
When in excess deposit in smooth muscle of arteries  fatty plaque
HDLs- remove excess cholesterol from cells liver (elimination)
Lipoprotein
figure 25.13
Pathways of lipid metabolism
Metabolic regulation depend on:
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Chemical environment in cell
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ATP level
Oxygen
Nervous system
Endocrine system
Some functions of metabolism depend ontime since last meal
Absorptive state
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Ingested ______________________
necessary for 2 main events of this state:
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Oxidation of glucose for ATP production
Storage of excess food molecules occurring (for
later use between meals)
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figure 25.17
Hepatocytes, adipocytes, skeletal muscle
 4 hours for complete absorption
_____________ dominates during this state
Reactions (absorptive state) figure 25.17
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≈50% glucose absorbed from meal  _________
Most glu that enters liver (≈10%)  ___________
Some f.a. & triglycerides syn in liver
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Adipocytes uptake glu (≈40%) _____________
Most dietary lipids  adipose tissue
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Some stay in liver
Most  VLDLs to carry lipids to adipose
Chylomicrons, VLDLs, or synthesized
Many a.a. liver Krebs- ATP, or syn glu & fa
Some a.a.  hepatocytes synthesize proteins
a.a not taken up in hepatocytes  body cells
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synthesis of proteins, hormones, or enzymes
Absorptive state
Regulation of metabolism- absorptive
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GIP+  blood glu (& some aa)______________
Insulin:
(see table 25.3)
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 enzymes of anabolism & syn to storage molecules
 enzymes of catabolism
Promotes glucose & a.a  ____________________
Stim. phosphoyrlation of glu - hepatocytesG6P
Stim. G6P  glycogen in liver & muscle
Enhances _____________________(liver & adipose)
Stim. protein syn throughout body
Postabsorptive state
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figure 25.18
________ of nutrients from GI tract ________
Bodily energy needs being met by fuel
already created
If no snacks, times  4 hours spent in
postabsorptive state (late morning, late
afternoon, most night)
__________________ involved in regulation
Glucose production & glucose conservation
Postabsorptive – glucose production
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ATP dominant fuel in ______ (fa can’t cross bbb)
RBC get ATP from glycolysis - lack mitochondria
Rxns that _____________________ in this state:
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Breakdown of liver glycogen
Lipolysis
Gluconeogenesis using lactic acid
Gluconeogenesis using amino acids
Postabsorptive– glucose conservation
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Reactions to _______________ in this state:
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Oxidation of fatty acids
Oxidation of lactic acids (in cardiac muscle)
Oxidation of amino acids (in hepatocytes)
Oxidation of ketone bodies
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Can be used by heart, kidneys, & other tissue  ATP
breakdown of muscle glycogen
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Glycogen  G6P (glycolysis)  ATP
Postabsorptive state
Regulation of metabolism – postabsorb
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Hormones
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______________ hormones:
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Glucagon-  gluconeogenesis & glycogenolysis
See table 25.4 for summary
Sympathetic NS
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Glucose sensitive neurons activate release of NT
norepinephrine
Adrenal medulla releases
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Epinephrine – stimulates glycogen breakdown
Norepinephrine – both NE & E stimulate lipolysis
Metabolism- fasting & starvation
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___________- w/out food several hours – few days
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_______________- weeks or months of food
deprivation or inadequate intake
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Glycogen stores depleted within hours
Protein catabolism > anabolism, aa gluconeo
Triglyceride & proteins stores- last several weeks
Amt of adipose tissue determines survival time
During both:
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Nervous tissue & RBC use glucose  ATP
 ketone bodies in hepatocytes  plasma  bbb
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 glu needed for ATP syn,  need for gluconeo,  catabolism
of muscle proteins
Heat and energy
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Heat- form of energy
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Measured by temperature
Expressed in units- calories
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calorie (cal) = amt of heat to  temp of 1g of water 1°C
cal is small  use kilocalories (kcal) or Calorie (Cal)
Core body temp = 37°C, shell = 1-6°C less
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Too high  denatures body proteins
Too low  cause cardiac arrhythmias ( death)
Heat production
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________________
Hormones–thyroid, testosterone, insulin, hGH
_________________ – NE & E
Body temp -  body temp   biochem rxns
Ingestion of food – energy cost of digestion
________ – child > elderly ( during growing)
Others: gender (males > females, exceptionpregnancy ), climate, sleep, malnutrition
Metabolic Rate
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Overall rate at which metabolic rxns use energy
_________________- body quiet, resting & fasting
BMR- measure amt of oxygen used per kilocalorie of
food metabolized
1L ____________ to oxidize mix of carbs, proteins &
fats  4.8 Cal of energy released
BMR ≈ 1200-1800 Cal/day in adults
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Added calories needed: 500 small relatively inactive
person  3000 for a person training for the Olympics
Accounts for ≈60% of energy expenditure
Thyroid hormones & metabolism
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TRH (hypothalamus)  TSH (pituitary)
release thyroid hormones
___________________ in skin &
hypothalamus sense temp   TRH release
Thyroid hormones released in bloodstream
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Slowly  _____________ by stimulating cell resp.
Cells use more O2  body temp 
1°C rise in core temp  biochemical rxns by 10%
Part of negative feedback loop (fig 25.19)
Vitamins–fat vs. water soluble, table 25.6
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Vitamins – organic nutrients- small amt to maintain growth & metab
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_______________ vitamins- absorbed w/dietary lipids in
chylomicrons, need lipids to be absorbed adequate quantities
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Can be stored in cells (esp. hepatocytes)
Vitamins A, D, E, K -- see table for functions
Water soluble vitamins- dissolved in bodily fluids
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Do not provide energy, function as coenzymes
Most must be ingested, cannot be synthesized
Excess quantities excreted in urine
Several B vitamins, vitamin C – see table
C, E and beta-carotene-________________________
Vitamin
Source
Function
A, fat soluble
Carotene (veg),
liver, milk
General health of
epi cells, antiox.
B complex, fat
Whole grain,
egg, pork, nuts,
liver & yeast
Citrus, tomatoes,
green vegetables
C, water
D, fat
K, fat
metabolism, Ach
synthesis, steroid
hormones
Protein syn, Ab,
collagen form,
antioxidant
Fish-liver oil, egg Absorb Ca & P,
yolk, fortified milk works w/PTH
Intes bacteria,
spinach, cauli,
cabbage, liver
Synthesis of
several clotting
factors by liver
Importance of minerals
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table 25.5
Minerals – inorganic elements occur naturally in earth’s crust
 4% of total body mass, heavily conc in _____________
 Body generally uses ion form
Na – distribution of water, bicarbonate buffer, AP
K – generation & conduction of AP
Ca – form bones & teeth, clotting, nerve & muscle activity, endo
& exocytosis, cell & chromosome motility, glycogen metab, rel NT
& hormones
Fe – component of Hb & cytochromes in ETC
P – form bones & teeth, blood buffer system, nerve & muscle
activity, energy transfer (ATP), part of DNA, RNA
I – req by thyroid to make hormones, reg metabolic rate
Nutrition
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Nutrients- chemical substances in food body
cells use (growth, maintenance, & repair)
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figure 25.20
Water, carbs, lipids, proteins, minerals, vitamins
Dietary Reference Intake (DRI)- or
Recommended Daily Allowance (RDA)
http://fnic.nal.usda.gov/nal_display/index.php
?info_center=4&tax_level=2&tax_subject=25
6&topic_id=1342&placement_default=0
Proteins listed as macronutrients on website
Amino acids
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Building blocks for structural & functional cmpds in
the body (enzymes, membrane carriers, hormones)
_______________amino acid or
________________amino acid – that which cannot
be synthesized by the body and must be acquired
through dietary intake
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Histidine, isoleucine, leucine, lysine, methionine,
phenylalanine, theronine, tryptophan & valine
Nonessential amino acid – can be made by human
body
Protein types and sources
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_____________ proteins – the 9 indispensible a.a.
are found in animal sources – meat, fish, poultry,
eggs, milk, cheese and yogurt
Incomplete proteins- sources that lack 1 of the 9
indispensible a.a., are found in plants, legumes,
seeds, grains, nuts, & vegetables
Complementary protein combinations- those that
give all the indispensible a.a. by combining
incomplete with complete protein sources
DRI establishment – see www.nap.edu
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Are developed from recommended daily allowance
& adequate intake
Increases from infancy thru childhood to adulthoodRDA = for males & females up to the age of 13 = 34
g/day
RDA levels off:
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age 19-30 males = 56g/d
Age 14-18 females = 46g/d
Males have higher RDA than females
Pregnancy – double amt of 9-13 yr old girl (71g/d)
Lactation – same as pregnancy