CH. 31 Integration of Metabolism

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1
Macronutrients a)   b)  c)   d)  that come from food are processed into simple molecules before it is metabolized for energy purposes mainly by liver
Macronutrients a) carbohydrates (starch, glycogen) b) proteins c) fats d) nucleic acids that come from food are processed into simple molecules before it is metabolized for energy purposes mainly by liver
2
Zona glomeruloa (salt) = releases  
Zona glomeruloa (salt) = releases aldosterone -> mineralocorticoids
3
Zona fasciulata (sugar) = releases  
Zona fasciulata (sugar) = releases glucocorticoids -> cortisol
4
Zona reticularis (sex) = releases  
Zona reticularis (sex) = releases androgens
5
Though there is lingual lipases and alpha-amylases that breaks down molecules in a
limited way, majority of the action happens in the  ,  , and minimally in  
Though there is lingual lipases and alpha-amylases that breaks down molecules in a
limited way, majority of the action happens in the stomach, duodenum, and minimally in small intestine
6
Stomach aids can denature proteins which then can be digested by   into
 
Stomach aids can denature proteins which then can be digested by pepsin into
oligopeptides
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Oligopeptides are cleaved even further into dipeptides in duodenum by proteases
( ,  ,  ) that are secreted by 
Oligopeptides are cleaved even further into dipeptides in duodenum by proteases
(trypsin, chymotrypsin, elastase) that are secreted by pancreas
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The breakdown of oligopeptides into dipeptides is controlled by the peptide hormone 
The breakdown of oligopeptides into dipeptides is controlled by the peptide hormone secretin
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Dipeptides are further cleaved into
individual amino acids by intestinal epithelium bound  
Dipeptides are further cleaved into
individual amino acids by intestinal epithelium bound dipeptidases.
10
Partially digested starch and glycogen are broken down in duodenum mainly to monosaccharide (glucose)
by  
Partially digested starch and glycogen are broken down in duodenum mainly to monosaccharide (glucose)
by pancreatic alpha-amylase
11
Intestinal epithelium absorbed monosaccharides and individual amino
acids are then transported by hepatic portal system to liver where it can be signaled by   to be packaged to form   and   respectively.
Intestinal epithelium absorbed monosaccharides and individual amino
acids are then transported by hepatic portal system to liver where it can be signaled by insulin to be packaged to form glycogen and proteins respectively.
12
The dietary source of fats is acted on by
  aided by   in small intestine.
The dietary source of fats is acted on by
pancreatic lipase aided by bile salts in small intestine.
13
Bile acids are synthesized and conjugated
to form bile salts in liver and stored in  
Bile acids are synthesized and conjugated
to form bile salts in liver and stored in gall bladder.
14
Cholecystokinin (CCK) stimulates the
  and secretion of   from gall bladder.
Cholecystokinin (CCK) stimulates the
contraction and secretion of bile salts from gall bladder.
15
Fatty acids in the intestinal epithelium
are reformed into   and packaged with proteins to form  .
Fatty acids in the intestinal epithelium
are reformed into triacylglycerol (triglyceride) and packaged with proteins to form chylomicrons.
16
Chylomicrons from intestinal epithelium are transported into liver through  
Chylomicrons from intestinal epithelium are transported into liver through lymphatic system.
17
In liver chylomicrons are converted into   which then is delivered to adipose tissue where
lipids can be stored as 
In liver chylomicrons are converted into VLDL which then is delivered to adipose tissue where
lipids can be stored as triglycerides (triacylglycerol).
18
When the blood glucose levels are high it
stimulates the synthesis and secretion of   from pancreas which then signals the  
course of events
When the blood glucose levels are high it
stimulates the synthesis and secretion of insulin from pancreas which then signals the anabolic
course of events
19
Liver responds to peptide hormones  and  
Liver responds to peptide hormones insulin and glucagon
20
Insulin in general
promotes  . Glucagon stimulates .
Insulin in general
promotes synthesis. Glucagon stimulates catabolism.
21
Glucose that is produced in the liver is pumped into  to be picked by glucose
utilizing tissues like brain, RBC, and various glucose metabolizing tissues.
Glucose that is produced in the liver is pumped into blood stream to be picked by glucose
utilizing tissues like brain, RBC, and various glucose metabolizing tissues.
22
Since brain does not
use  as an energy source   produced by liver is essential under normal metabolic
condition.
Since brain does not
use fatty acid as an energy source glucose produced by liver is essential under normal metabolic
condition.
23
Skeletal muscle and Cardiac muscle can normally metabolize   or   as an
energy source.
Skeletal muscle and Cardiac muscle can normally metabolize glucose or fat as an
energy source.
24
The source of glucose for muscle tissues are  
The source of glucose for muscle tissues are its own glycogen stores
25
The muscle
stored glycogen is mobilized by hormones such as  ,  , and  .
The muscle
stored glycogen is mobilized by hormones such as epinephrine, norepinephrine, and cortisol.
26
In general epinephrine goes through   system to activate
the production of  
In general epinephrine goes through beta-adrenergic G-protein coupled receptor system to activate
the production of cAMP
27
With epinephrine, cAMP dependent protein kinases activate   and then as needed, fatty acid degradation is also activated to provide energy for active muscle, during exercise.
With epinephrine, cAMP dependent protein kinases activate glycogenolysis and then as needed, fatty acid degradation is also activated to provide energy for active muscle, during exercise.
28
Norepinephrine goes through
 system to produce   and  .   activates the release of   from
sarcoplasmic reticulum. Both   and   activates muscle glycogenolysis and its
contraction.
Norepinephrine goes through
alpha-adrenergic system to produce IP3 and DAG. IP3 activates the release of calcium from
sarcoplasmic reticulum. Both DAG and calcium activates muscle glycogenolysis and its
contraction.
29
In flight or fight, Adrenal glands produce  which activates skeletal muscle
  to provide quick energy for muscle
In flight or fight, Adrenal glands produce adrenalin (epinephrine) which activates skeletal muscle
glycogenolysis to provide quick energy for muscle
30
Cortisol is synthesized and secreted by
adrenal gland during physical or another   in general.
Cortisol is synthesized and secreted by
adrenal gland during physical or another stressful situation in general.
31
How does cortisol get released?
Hypothalamus releases
 releasing   from brain which stimulates   production by pituitary.   secreted from pituitary glands then stimulate   to produce cortisol.
How does cortisol get released?
Hypothalamus releases
corticotropin releasing hormone (CRH) from brain which stimulates ACTH production by pituitary. ACTH secreted from pituitary glands then stimulate adrenal cortex to produce cortisol.
32
Cortisol activates   in liver,   in adipose tissue, and   in
skeletal muscle
Cortisol activates gluconeogenesis in liver, lipolysis in adipose tissue, and protein degradation in
skeletal muscle
33
The protein that is stored in skeletal muscle is there for   reasons. But
under extreme conditions and during prolonged   muscle protein can undergo
  stimulated by  .
The protein that is stored in skeletal muscle is there for structural reasons. But
under extreme conditions and during prolonged starvation muscle protein can undergo
proteolysis stimulated by cortisol.
34
Individual amino acids released from   are   and the ketoacids directly or in processed form are transported via blood into the liver where  happens through  .
Individual amino acids released from proteolysis are transaminated and the ketoacids directly or in processed form are transported via blood into the liver where glucose synthesis happens through gluconeogenesis.
35
The glucose produced by the breakdown of amino acids is transported back into   for energy (via the  ). The  from the amino acid is a toxic product that is converted into urea through urea cycle, for excretion.
The glucose produced by the breakdown of amino acids is transported back into muscle for energy (via the glucose-alanine/Cori cycle). The ammonia nitrogen from the amino acid is a toxic product that is converted into urea through urea cycle, for excretion.
36
Urea cycle happens only in  
Urea cycle happens only in liver.
37
Though   has some sets of urea
cycle enzyme it doesn’t have the complete urea cycle enzymes.
Though kidney has some sets of urea
cycle enzyme it doesn’t have the complete urea cycle enzymes.
38
Thus, liver is a  
both in terms of primary (carbohydrate, lipid, protein, and nucleic acids) and secondary (for e.g.,
activation of vitamins to coenzymes, drug, alcohol metabolism etc..).
Thus, liver is a metabolic factory
both in terms of primary (carbohydrate, lipid, protein, and nucleic acids) and secondary (for e.g.,
activation of vitamins to coenzymes, drug, alcohol metabolism etc..).
39
Skeletal muscle and cardiac muscle can
also use ketone bodies (  and  ) for its energy purposes.
Skeletal muscle and cardiac muscle can
also use ketone bodies (acetoacetate and beta-hydroxybutyrate) for its energy purposes.
40
Ketone bodies are synthesized (ketogenesis) in  and through ketogenolysis, is produced in ketone body producing tissues where it can be sent into   for complete
oxidation of acetyl for eventual   production.
Ketone bodies are synthesized (ketogenesis) in liver and through ketogenolysis, acetyl CoA is produced in ketone body producing tissues where it can be sent into TCA cycle for complete
oxidation of acetyl for eventual ATP production.
41
Brain as a tissue relies solely on   as an energy source under normal conditions.   are not metabolized in brain for energy purposes. However, during starvation brain can use
  as an energy source.
Brain as a tissue relies solely on glucose as an energy source under normal conditions. Fatty
acids
are not metabolized in brain for energy purposes. However, during starvation brain can use
ketone bodies as an energy source.
42
In ketone body synthesis
1.   of acetyl CoA are condensed to   by   in the
mitochondrial matrix.
2. Another molecule of acetyl is condensed with  to form  by   (enzyme).
3.   then cleaves HMG CoA into  which then directly enters blood
where it can be picked by ketone body utilizing tissue
4. Acetoacetate is also converted into   by a   and then beta-hydroxybutyrate leaves liver into blood
stream which then is taken up by tissues like renal cortex (kidney), brain, and muscles.
In ketone body synthesis
1. two moles of acetyl CoA are condensed to acetoacetyl CoA by thiolase in the
mitochondrial matrix.
2. Another molecule of acetyl is condensed with acetoacetate to form HMGCoA by HMG-CoA synthase (enzyme).
3. HMG CoA lyase then cleaves HMG CoA into acetoacetate which then directly enters blood
where it can be picked by ketone body utilizing tissue
4. Acetoacetate is also converted into betahydroxybutyrate by a dehydrogenase and then beta-hydroxybutyrate leaves liver into blood
stream which then is taken up by tissues like renal cortex (kidney), brain, and muscles.
43
The
ketone body utilizing tissue express special enzyme   that can convert acetoacetate
into   of  .
The
ketone body utilizing tissue express special enzyme thiophorase that can convert acetoacetate
into 2 moles of acetyl CoA.
44
Thiophorase is  in liver the ketogenic tissue.
Thiophorase is Absent in liver the ketogenic tissue.
45
Schematic for Alcohol
Metabolism in
Liver
46
  activates insulin gene expression and secretion
Calcium activates insulin gene expression and secretion
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