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UCI SOM Thompson

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Question
Answer
Fructokinase is found where   liver  
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Fructose metabolism pathway   fructose (fructokinase) fructose-1-P (aldolase b) dihydroxyacetone-P + glyceraldehyde (triose kinase) glyceraldehyde-3-P  
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Fructokinase deficiency   benign  
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Aldolase b defficiency   hereditary, liver damage and failure, death, hypoglycemic; Pi is sequestered as fructose-1-P; treat by removing fructose  
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Fructose synthesis occurs where   liver, seminal vesicles, ovaries  
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Fructose synthesis pathway   glucose, sorbitol, fructose  
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Lactose synthesis pathway   glucose1P, UDP-glucose, UDP-galactose, lactose  
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Galactose degradation pathway   galactose (galactokinase) galactose1P (galactose1P uridylytransferase)glucose1P  
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Galactokinase deficiency   galactose in blood and urine, cataracts  
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Uridyl transferase deficiency   galactose in blood and urine, cataracts, dysfunction of liver, kidney, spleen, intestine, and brain, DEATH  
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UDP glucose is used in what   glycogen, proteoglycans, lactose synthesis  
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Proteoglycans   core protein attached to many long, linear chains of glycosaminoglycans  
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Glycoproteins   proteins that contain short chains of oligosaccharides that are usually branched  
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Hurler’s syndrome   mucopolysaccharide disease with corneal clouding  
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Hunter’s syndrome   mucopolysaccharide disease with no corneal clouding, x-linked  
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Location of fatty acid synthesis   liver, fat cells  
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Location of gluconeogensis   liver, kidney  
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Location of heme synthesis   bone marrow  
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Location of PPP   liver, fat cells, adrenal cortex, mammary gland  
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Location of amino acid synthesis and breakdown   liver  
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Location of urea synthesis   liver  
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Location of cholesterol synthesis   liver  
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Location of steroid hormone synthesis   adrenal cortex, gonads  
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Enantiomers   mirror images  
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Do we have D or L sugars   D sugars  
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Epimer   sugars that differ only in one hydroxyl group position  
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Amylose/amylopectin   starch  
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Carbohydrate digestive enzymes in intestine   isomaltase, glucoamylase, lactase, sucrase  
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How do most cells get glucose past the membrane   facilitated diffusion  
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Glut1 and Glut3   basal transporters for the brain; high affinity, low Km  
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Glut 2   glucose transporter in intestine, liver, and kidney  
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Glut 4   glucose transporter in adipose and muscle tissue; regulated by insulin  
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Glut 5   transports fructose  
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SGLT1   glucose (or galactose) and sodium transporter into enterocyte cells  
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Lactose intolerance is cause by   inability to make lactase  
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Difference between glucokinase and hexokinase   glucokinase is only in the liver, has a high Km and a high Vm, and is not inhibited by glucose6P  
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Why phosphorylate glucose   1)net negative charge traps molecule in cell 2)conserves energy 3)commits the cell to use the glucose  
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Glucose to pyruvate structure names, no enzymes   glucose, glucose6P, fructose6P, fructose16bP, glyceraldehyde3P, dihydroxyacetoneP, 13bisphosphoglycerate, 3Pglycerate, 2Pglycerate, phosphenolpyruvate, pyruvate  
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Glucose to pyruvate enzymes   hexokinase (glucokinase), phosphoglucose isomerase, phosphofructokinase 1, aldolase, triose phosphate isomerase, glyceraldehyde3PDH, phosphoglycerate kinase, phosphoglycero mutase, enolase, pyruvate kinase  
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Regulated steps in glycolysis (enzyme names)   hexokinase, PFK1, pyruvate kinase  
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what is 2,3BPG used for   lowers Hb’s affinity for O2  
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hexokinase regulation   -G6P, +insulin  
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PFK1 regulation   +F26BP, +AMP, -ATP, -citrate  
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Pyruvate kinase regulation   -alanine, +F16BP, (in liver, -phosphorylation from cAMP)  
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Pyruvate to lactate biproduct   NADH goes to NAD+  
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What kind of Fatty acids feed into glycolysis   only odd number FA through succinyl CoA  
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Is inactive pyruvate kinase phosphorylated or not   inactive pyruvate kinase is phosphorylated  
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Pyruvate DH: number of subunits and enzymes; cofactors and regulation   2 subunits, 3 enzymes, 5 cofactors (NAD, FAD, CoA, lipoic acid, TPP), -acetyl CoA, -NADH  
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Congenital lactic acidosis   pyruvate DH not working; bypass with ketogenic diet  
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TCA cycle (enzymes included)   acetyl CoA with Oxaloacetate (citrate synthase) citrate (aconitase) isocitrate (isocitrate DH) alpha ketoglutarate (alpha ketoglutarate DH) succinyl CoA (succinate thiokinase) succinate (succinate DH) fumarate (fumurase) malate (malate DH) oxaloacetate  
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NADH in TCA comes from what rxns   isocitrate DH, alpha ketoglutarate DH, malate DH  
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FADH in TCA comes from what rxn   succinate DH  
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GTP in TCA comes from what rxn   succinate thiokinase  
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CO2 in TCA leaves from what rxn   isocitrate DH, alpha ketoglutarate DH  
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Alpha ketoglutarate cofactors   FAD, NAD, TPP, lipoic acid, CoA  
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Regulated TCA steps   citrate synthase, isocitrate DH, alpha ketoglutarate DH  
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TCA regulators   -ATP, -NADH, -Succinyl CoA, +ADP  
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Anapleurotic rxns   (fill up) replenish depleted cycle intermediates  
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Amphibolic cycle   eg TCA cycle; both degredation and biosynthesis processes occur  
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Other citrate uses   make fatty acids and cholesterol  
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Other alpha ketoglutarate uses   glutamate and glutamine  
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Other succinyl CoA uses   needs odd chain fatty acids, isoleucine, methionine, valine; used to make porphyrins  
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Other fumarate uses   needs aspartate, phenylalanine, tyrosine  
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Other malate uses   glucose formation  
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Other oxaloacetate uses   needs/makes amino acids; made from pyruvate and CO2  
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Glycerol-phosphate shuttle   dihydroxyacetone phosphate oxidizes NADH (cytoplasmic glycerol3PDH) glycerol3P reduces FAD (mitochondrial Glycerol3PDH) only 2 ATP’s  
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Malate-aspartate shuttle   3ATP’s  
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Superoxide dismutase   conversts superoxide to hydrogen peroxide  
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Mutations in superoxide dismuatese leads to   LAS (lu Gherig’s disease)  
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Glutathione   used in turning hydrogen peroxide into water  
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Enzymes in converting hydrogen peroxide into water   glutathione peroxidase and glutathione reductase  
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NADPH   used to reduce glutathione  
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Goals of PPP   NADPH and nucleotide biosynthesis  
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Pathways that require NADPH   reduce glutathione, FA synthesis, FA chain elongation, cholesterol synthesis, neurotransmitter synthesis, nucleotide synthesis  
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PPP oxidative steps   glucose6P to ribulose5P givine off 2 NADPH and CO2  
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PPP first step enzyme   glucose 6PDH  
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Transketolase   rxns 5 and 7 in PPP; requires TPP; transfers 2 Carbons  
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Transaldolase   rxn 6 in PPP; transfers 3 carbons  
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Glucose6PDH deficiency   acute hemolytic anemia  
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Tissue dependent on glucose   Brain, RBC, kidney medulla, cornea of eye  
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% of guconeogenesis in liver and kidney   90% liver 10% kidney  
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3 purposes of gluconeogenesis   1)production of blood sugar 2)maintain levels of TCA cycle intermediates 3) clears lactate  
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gluconeogenesis cycle   lactate (lactate DH) or alanine (transamination) to pyruvate (pyruvate carboxylase) oxaloacetate (PEP carboxykinase)… glyceraldehyde3P… (fructose 16Bisphosphotase)… (glucose6phosphotase)  
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formation of dihydroxyacetoneP in gluconeogenesis   glycerol (kinase) glycerol3P (glycerol 3PDH) dihydroxyacetoneP  
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is Acetyl CoA a precursor for gluconeogenesis   NO NO NO NO NO  
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required for pyruvate carboxylase   biotin, CO2, ATP  
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where is glucose6Pase found   liver and kidney  
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how many ATP equivalents are needed to make one glucose molecule through gluconeogensis   6  
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regulation of pyruvate carboxylase   +acetyl CoA  
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regulation of PEP carboxykinase   +glucagon, +epinephrine, +glucocorticoids, -insulin  
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regulation of fructose1,6BPase   -F26BP, +ATP, +citrate, +glucagon  
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regulation of glucose6Pase   +glucagon  
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cori cycle   reconversion of lactate to glucose in liver  
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problem with too much ethanol on an empty stomach   makes lots of NADH which then moves NADH rxns towards lactate, glycerolBP, and malate. Also, lactate, alanine, and glycerol are not used for gluconeogenesis  
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effect of insulin in liver   -cAMP, -PKA, noP on PFK2/F26BPase, +PFK2/-F26BPase, +glycolysis  
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effect of glucagon/epinephrin in liver   +cAMP, +PKA, P on PFK2/F26BPase, -PFK2/+F26BPase, +gluconeogenesis  
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effect of epinephrine in muscle   +PKA, P on PFK2/F26BPase, +PFK2/-F26BPase, +glycolysis  
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effect of insulin in muscle   -PKA, no P on PFK2/F26BPase, -PFK2/+F26BPase, -glycolysis, glucose goes to glycogen  
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where in the cell is glycogen stored   cytoplasmic granules  
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3 reasons for glycogen   1)rapid mobilization 2)source of ATP even in absence of O2 3)maintain blood glucose levels  
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glycogenen   protein that starts it all off; adds up to 8 glucose molecules onto itself after which glycogen synthase takes over  
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glycogen degredation   glycogen phosphorylase uses an inorganic phosphate (not ATP) to make Glucose1P; debranching enzyme moves last 3 of 4  
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phosphoglucomutase   glucose1P to glucose6P  
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glycogen synthesis   glucose1P with UTP (UDP glucose pyrophosphorylase) UDP glucose with 2Pi; UDP glu can’t add until there are 8 glu molecules; UDP glucose (glycogen synthase) branching enzyme (must be 4 glc between each branch)  
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regulation of glycogen synthase   +G6P, -cAMP dep P  
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regulation of glycogen phosphorylase   -G6P, -ATP, +P of phosphorylase kinase, (-glucose (liver), + AMP (muscle))  
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regulation of phosphorylase kinase   +Ca2+, +cAMP dep P  
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glycogen regulation by epinephrine in liver or muscle   +cAMP, +PKA, P of phosphorylase kinase (active), P of phosphorylase (active), degredation of glycogen  
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glycogen storage diseases   most are recessive  
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glucose 6 phosphatase defficiency   increased amount of glycogen with normal structure; liver enlarged, failure to thrive, severe hypoglycemia, ketosis, hyperuricemia, hyperlipemia (give frequent high carb feedings)  
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