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Biochem-Alcohol Metabolism-WVSOM Class of 2012

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Question
Answer
in the MEOS system, what enzyme is used?   cytochrome p450 enzyme cyp2e1  
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what is the cofactor in the meos system? is this molecule oxidized or reduced?   nadph; oxidized  
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what can the liver make out of acetyl coa?   go into tca, fa synthesis, cholesterol synthesis, ketone synthesis  
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how can nadh make energy?   ox phos, various dehydrogenases  
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what tissues aside from liver can use acetate?   kidney, heart, skeletal muscle  
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which adh isoenzyme has highest km in liver   adh2  
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excessive nadh increases what reactions?   g-3-p production, lactate production, and malate production  
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excessive nadh decreases what reactions?   tca activity, b-oxidation, and glycolysis  
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what is effect of excess acetaldehyde on protein?   decrease synthesis, decrease lipoprotein synthesis, decrease lipoprotein export  
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why does ketoacidosis occur in high etoh intake?   decrease tca cycle activity, decreased acetyl coa going into the tca cycle, increased use of acetate instead of ketones  
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why does gout occur in increased etoh levels?   uric acid competes with lactate for excretion  
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why do carbon sources decrease for gluconeogenesis inhigh etoh levels?   decreased alanine available, g-3-p not converted to dihydroxyacetone phosphate  
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glutathione aside, how else do reactive oxygen species occur in increased etoh?   increased cyp2e1 and increased p450 enzymes  
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where does the meos system occur?   on the ER  
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which aldh is mitochondrial? which is major oxidizer of aldh?   aldh2; aldh2  
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decreased acetaldehyde clearance more commono in heterozygotes or homozygotes?   homozygotes  
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high nadh levels may exceed liver's ability to oxidize via what pathway?   oxidative phos  
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why does tca cycle activity decrease in high nadh?   allosteric inhibition of isocitrate dehydrogenase  
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why does b-oxidation decrease in high nadh?   not enough nad substrate  
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why does glycolysis activity decrease in high nadh?   decreased g3pd activity due to lack of substrate  
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why does g3p activity increase in high nadh?   can't go forward from dihydroxyacetone through glycolysis due to decreased g3pd activity  
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why does lactate production increase in high nadh?   reaction uses increased nadh to move reaction from pyruvate to lactate  
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why does malate production increase in high nadh?   malate comes from oxaloacetate due to nadh favoring that direction of the reaction  
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what things contribute to fatty liver?   increased g3p activity and decreased b-oxidation result in increased trigylceride synthesis  
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in a pathological situation, what does acetaldehyde bind to?   amino acids  
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what lipoprotein contributes to fatty liver?   vldl  
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why does gluconeogenesis decrease in high nadh?   decreased dihydroxyacetone, pyruvate, and alanine substrates  
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