Biology 2402 AP   II   Lecture Notes 
  GI: Metabolism
Dr. Weis

CHEMICAL Reactions :: make Energy (E) available to various systems of the cell -->

1. muscle contraction
2. gland secretion
3. membrane potentials
4. synthesis      
5. absorption

Chemical reactions occur in series.... the product of one reaction becomes the substrate for another.

Determined by concentration of enzymes and the rate is determined by the limiting or slowest step in the reaction, also called the rate limiting step.

The energy liberated by complete oxidation of food is measured in calories/mole. 
A calorie is the quantity of heat needed to raise the temperature of 1 gram of H20, 1 degree Celsius 

A Kilocalorie (C) is equal to 1000 calories (c).

Metabolism is all the biochemical reactions in the body and involve the following processes :

a. Anabolic :: synthesis, build small to large
b. Catabolic :: degrade, breakdown from large to small

examples --> 
Hydrolysis  (add water back)
Cellular respiration (Krebs Cycle)


Three stages of metabolism ::

1. digestion/absorption in gi track
2. cytoplasm......both catabolic and anabolic reactions
3. mitochondria.... catabolic (Krebs cycle)


Reactions :
:

oxidation reaction --> lose electrons (e-), lose E

reduction reactions --> gain electrons (e-), gain E

An oxidation/reduction reaction is called a REDOX reaction

1. catalyzed by enzymes

2. coenzymes available as reversible hydrogen ion (H+) acceptors/donators.  Examples of coenzymes are B vitamins nicotin (NAD) and flavin (FAD).

ATP synthesis.... Energy captured in high E bonds by

1. substrate level phosphorylation B> the phosphate is added directly, occurs in the cytoplasm & mitochondria

2. oxidative phosphorylation : by the e- transport system in the mitochondria.

ATP  is adenine + ribose + 3 phosphates

AMP + P --> ADP  ,    ADP + P --> ATP

ADP becomes the rate limiting step for almost all reactions

Chemical reactions also involve inter conversions, that is making new molecules from old, therefore synthesis reactions using E.


Nutrients :: 6 groups

Carbohydrates (CH2O), Fats, Proteins, Nucleic acids, Vitamins, Minerals, H20

Essential nutrients : those that cannot be synthesized and are required in the diet.

Nonessential nutrients: those that can be made in the body from essential nutrients.

I. Carbohydrates (CH2O) ::

source....primarily from plants

a. sugars....... milk, honey, fruits

b. starches .... grains, vegetables;  cellulose --> nondigestible fiber

Glucose is the primary body fuel and is MOST ALWAYS the final product for transport into the cell.

CH2O digestion starts in the mouth with salivary amylase and continues in the stomach until the pH = 4. 
Then it continues in the small intestine with pancreatic amylase and brush border enzymes to complete the breakdown. Absorbed in the portal venous system of the SI

Transport into cells involves one of two processes ::

1. facilitated diffusion :: protein carrier in cell membrane, moves glucose along its concentration gradient (from high to low).  NO ENERGY is used.

            Transport is enhanced by insulin, to increase the rate of glucose transport into the cell.

2. Co-transport with Na+.  Uses energy to pump Na+ occurs in the gi epithelium and renal tubules.

Once in the cell :: glucose is trapped by phosphorylation to form glucose 6 phosphate, and is an IRREVERSIBLE reaction ,  EXCEPT in cells that have the enzyme to reverse the process. 

These cells are ::

1. liver

2. gi epithelium

3. renal tubules

The captured glucose may be used for E or stored.

If used for E, then ultimately becomes Glucose + O2 ---> H20 + CO2 + ATP + Heat

IF stored, will become glycogen by a process called :Glycogenesis.

 All cells can store glucose. The majority of the glycogen storage is located in the liver and muscle.  To retrieve stored glucose (glycogen), the process is called Glycogenolysis and is stimulated by the hormone glucagon from the alpha cells of the pancreatic islets.  This hormone does this by stimulation of enzyme activation by formation of cAMP (cyclic AMP).


METABOLIC PATHWAYS FOR GLUCOSE ::        

1. Glycolysis :: occurs in the cytoplasm, anaerobic glucose is split into 2 3carbon molecule and involve sugar activation, sugar cleavage (2, 3Carbon), and sugar oxidation (lose e-) with the final products  and end results of glycolysis that are :

                         a. 2 pyruvic acid molecules     

                         b. 2 NADH + H    

                         c. 2 net ATP   (4 were made, 2 were used)


2. Pyruvic acid can then go to the mitochondria, if oxygen is available and undergo further  processing

a. decarboxylation (removal of carbon from the pyruvic acid, and release of C02)
b. oxidation (remove H+)
c. form Acetyl CoA

    Acetyl CoA will then combine with oxaloacetic acid to form citric acid to start the Krebs or Citric acid cycle.  This involves 8 steps, as carbons are removed from citric acid, releasing C02 and oxidation process (e- loss)

   The oxidation of hydrogen splits the hydrogen atom into H+ and e- and used for oxidative phosphorylation.

a. ionized H+ will combine with coenzymes to form NADH + H+  (e- removed)
b. e- enters the electron transport chain which are cofactors (proteins bound to metal ions) that form the inner membrane of the mitochondria, called the crista

Cofactor examples include ::

cytochromes (iron pigments)

vitamins (flavin)


c
. e- are shuttled until reaching the last part of the transport chain :

Cytochrome A3  (cytochrome oxidase).  At this point oxygen becomes the final e- acceptor.

d. H+ is removed from the coenzyme & combine with oxygen to form H2O.


Energy is released as e- goes through the chain, and use to attach phosphate to ADP  (ADP + P --> ATP). Flow of e- is based on a proton gradient because ::

1. H+ ions are pumped from the inner matrix to the area between the inner and outer membrane so the inner matrix is more negative (-) and (+) between the membranes

2. High concentrations of H+ are maintained since the crista are impermeable to H+  This creates a strong negative electric potential needed for e- transport.  IF the gradient is gone, e- transport stops.

TOTAL ATP production for each molecule of glucose = 38 ATP

Control of glycolysis is based on negative feedback for the enzymes and the levels of AMP/ADP/ATP and the availability of ADP and citrate ion

Glucose is converted to glycogen for storage first, then when cells are saturated, will be stored as fat in the liver or adipose tissue.  Processes involved ::

Glucose 6 phosphate --> store :: glycogenesis

          --> release :: glycogenolysis

Glucose from protein/fat :: gluconeogenesis, (new sugar from a non CHO source)

In anaerobic processes :: O2 unavailable for oxidative phosphorylation will cause the build up of pyruvic acid and NADH + H+ that react to form LACTIC ACID.  When O2 available, lactic acid can be converted to glucose using Energy.

Alternate pathway for glucose metabolism occurs in the liver and fat cells and involves the PENTOSE-PHOSPHATE pathway.  Glucose is eventually converted to CO2 and H20 with ATP production.

Homeostatic mechanisms will try to maintain blood glucose levels around 90 mg/dl.

Range is 70 mg/dl to 120 mg/dl for most mammals.

Problems ::  high blood glucose (Hyperglycemia), low blood glucose (hypoglycemia)


Lipids : Neutral fats (triglycerides), phospholipids, cholesterol and prostaglandins.

  Various functions ::

Triglycerides :: energy source, storage --> cushion, temp

Phospholipids :: cell membrane, transport, myelin sheath, clotting factors (thromboplastin)

Cholesterol   :: cell membrane, bile salts, steroid hormones, skin to prevent H2O loss

Prostaglandins:: local hormones

Fats :: digestion by pancreatic lipase, emulsified by bile salts

Triglycerides are broken into 2 Fatty Acids (FA) and one monglyceride and mixed with bile salts to form MICELLES.  AT the ileum of the small intestine, the FA and glycerol are absorbed and reformed along with cholesterol, free fatty acids, and phospholipids and coated with a protein to form a lipoprotein called a CHYLOMICRON.  Chylomicrons are absorbed in the lactaeal and transported in the lymphatic system and emptied in to the circulatory system (superior vena cava).

Enyzmes in the capillary system hydrolyze the chylomicrons and release fatty acids and glycerol which are absorbed by the cells.

Glycerol --> glycerol 3 phosphate --> pyruvic acid --> Krebs

FA --> mitochondria and undergo BETA OXIDATION to form :

2 Acetyl CoA, that will combine with oxaloacetic acid to form citric acid to start the Krebs cycle

If FA/glycerol not needed, then recombined to neutral fat and stored as fat, by a process called lipogenesis.

To retreive fat :: lipolysis, and cause the breakdown of fat intoFA and glycerol. 

Transport of FA to other tissues involves binding to a protein carrier. 

            The FA + protein carrier is called a free fatty acid.

Fats are used when CH2O levels are decreased and depends on hormonal effects of GH,TH, Epi/Norepi, Insulin, and glucocorticoids (GCC).

In the liver, FA will be degraded to AcetylCoA, and if not used in the Krebs cycle with oxaloacetic acid, then the 2 AcetylCoA will combine to form KETONE BODIES ::

Acetoacetic acid, which can then form two more ketone bodies --> acetone and betahydroxybutyric acid in a process called ketogenesis.

If ketone bodies accumulate will cause KETOSIS and drop the pH and create a metabolic acidosis

If CH2O excess, will first be stored as glycogen, then as triglycerides.

Fatty acid synthesis from CH2O important because :

1. most cells do not have much glycogen storage
2. Fats have increased E per gram

Synthesis will not occur if insulin levels are decreased, because of decreased glucose entry into fat and liver.

PHOSPHOLIPIDS :: formed by all cells, but primarily liver

  fxn : (see beginning section for list)


CHOLESTEROL :
:  source --> in diet , and liver synthesis, will always have a basal amount of cholesterol from the liver.

Fxn : (see list at beginning of section)

Increased ingestion will decrease liver synthesis

High saturated fats will stimulate liver synthesis

because Incr conc of fats --> incr acetylCoA --> cholesterol

Unsaturated fats will decrease the concentration of cholesterol and enhance excretion of cholesterol

Decreased insulin and decreased TH (thyroid hormone) will increase the concentration of cholesterol

     Transport of cholesterol involves lipoproteins.  Most lipoproteins are formed in the liver ::

Initial synthesis begins with very low density lipoproteins (VLDL) and have a high concentration of triglycerides (vs. cholesterol)

VLDL are metabolized and the triglycerides are removed to create a low density lipoprotein (LDL) that is high in cholesterol and phospholipids.

LDL are the bad cholesterol, since these lipoproteins are transporting cholesterol to the tissues for deposit.

The liver also makes high density lipoproteins (HDL) that are rich in phospholipids

These (healthy) HDL will transport cholesterol from the tissue to the liver for excretion in the bile.  HDL are the "GOOD" cholesterol (its good that we can get rid of it)

So what about chylomicrons, we said they were lipoproteins too,  they are very very low density lipoproteins:: VVLDL.

Fat deposits :: storage as triglycerides in

adipose --> dynamic liquid state, turned over, no old

liver --> controlled by rate of lipids used for E.

PROTEINS :: complete (all amino acids present to meet req)

  incomplete (some amino acids missing)

ALL amino acids must be present and available for protein synthesis to occur

Function --> linear for structure (collagen, keratin)

   globular for enzymes, transport, muscle

3 major types ::

Albumin for colloid osmotic pressure, transport

Globulin for immune system, enzymes

Fibrinogen for coagulation

Structure : chemistry sites involve an acidic group (COOH) and an amine group (NH2) joined by peptide bonds

 R group will vary and create 20 different AA

Digestion and Transport of proteins::

Breakdown by pepsin from chief cells of stomach and pancreatic enzymes (trypsin, chymptrypsin), and brush boarder enzymes

Absorption across cell membrane by ::

facilitated diffusion co-transport with Na+  (renal epithelium to prevent loss in urine) absorbed as AA in the ionized state
and recombined into
polypeptides under the direction of mRNA & rRNA & tRNA (per DNA)

Nitrogen balance ::

Protein synthesis = protein breakdown

+ balance means increased synthesis and tissue built
- balance occurs in malnutrition, starvation because proteins are being broken down

AA are at an equilbrium between plasma and cytoplasm of cell

Excess AA can be used for other products --> E or converted to fat or glycogen

Essential AA :: 10 are essential and required in the diet, while the other 10 can be synthesized in the liver

This synthesis of nonessential AA depends on the precursor formation of alpha keto acids

In synthesis :: in the liver  will involve several steps

1. NH2 is removed from AA to form keto acid

2. This amino radical is transferred to a Krebs cycle keto acid (alpha keto acid) to form an AA (glutamic acid). 

            This process is called --> TRANSAMINATION.

3. Keto acid production from DEAMINATION (step 1)

can be used in the following ways ::

a. changed to pyruvic acid, acetyl CoA, alpha keto acid, oxaloacetic acid (KREBS CYCLE stuff)
b. degraded and used for E if converted to a CH2O intermediate
c. synthesis of glucose --> gluconeogensis and fatty acid --> ketogenesis

4. Deamination occurs in the liver and involves removal of the amino groups, from glutamic acid or other AA if in excess.

The amine group is removed as NH3 (ammonia) **** AMMONIA is toxic to the brain *****

5. The liver converts ammonia to urea

2NH3 + CO2  -->  urea + H2O

The urea diffuses into the blood and is eliminated by the kidneys

Hormone regulation of protein metabolism ::

a. Growth hormone --> increased rate of protein synthesis, enhance transport into cells
b. Insulin --> decrease will decrease protein synthesis, incr will increase AA transport
c. GCC --> increase AA plasma concentrations, stimulate protein metabolism
d. Testosterone --> increase protein deposition
e. Thyroxine --> depends on availability of CH2O, Fats if these available, will increase   protein synthesis if not available, proteins will be used for E

VITAMINS ::

            source in diet, colon bacteria for B & K

            stored in all cells, some vitamins primarily in the liver (A, D)

Fat soluble --> ADEK, absorbed in micelles

H2O soluble --> B, C  diffusion

Toxicities  :: hypervitaminosis (usually fat sol)

Deficiencies :: hypovitaminosis  (usually H2O sol)


Vitamin A : carotenoid pigment that will be changed to Vit A

  further changed for visual pigments (retinal)

  a decrease will cause keritinization of epithelial cells


Thiamin (B1) : function in metabolic system, need for final metabolism of CH2O and AA
decrease the affect CNS and heart


Niacin :
coenzyme Hydrogen acceptors (NAD) decrease will decrease oxidative delivery of E


Riboflavin (B2) : coenzyme Hydrogen acceptor (FAD),
decrease will decrease oxidative delivery of Energy (E)


Vit
B12 (Cobalamin) : H+ acceptor, necessary for genetic replication

 RBC formation and maturation (remember, intrinsic factor from the stomach is needed)


Folic Acid : synthesis of purine and thymine (DNA formation) required for gene replication
promote growth and RBC maturation


Pyridoxine (B6) : coenzyme for AA/protein metabolism and transamination,
Involved in AA transport across cell membrane


Pantothenic
Acid (B5): incorporated into coenzyme A  (CoA), involved in CH2O/fat metabolism


Ascorbic Acid (Vit C) : activating enzyme involved with collagen formation
decrease affect bone, teeth, cartilage and affect wound healing


Vit
D : increase Ca++ absorption from GI track and promote active transport through ileum


Vit
E : prevent oxidation of unsaturated fatty acids; helps in membrane structure


Vit
K : necessary for some blood clotting factors, synthesis by colon bacteria, found in diet

YOU NEED TO KNOW

                         3 Fat soluble vitamins and what they do, and

                         2 water soluble vitamins and what they do

                                     for any test questions you might see in the future.  Your choice


Minerals :: ionized or incorporated into structures

Two types :: Bulk and trace.   Various functions --> see text book for this information.

 You are responsible for 2 bulk minerals and 1 trace mineral and what they do

Some examples are listed below.  Its your choice

Bulk Minerals :: Such as Na+, K+, Cl-

Mg++ : enzyme catalyst primarily in CH2O metabolism
Ca++ : stored in bone, involved in heart, CNS, muscle
Pi  : phosphates for ATP

Trace Minerals ::

Iodine --> thyroid hormone
Zinc --> involved with enzyme carbonic anhydrase and  in lactic acid conversions
Fluorine --> blocks enzymes that cause dental caries
Iron (Fe) --> form HgB, e- carriers (cytochromes)

Water ::  Balance between input and output

Input --> foods, liquids, metabolism

Output -->  urine, feces, evaporation (skin, resp)

Requirements will vary according to environment and metabolic activity.

*****************************************************************************

Summary of LIVER  METABOLIC FUNCTIONS ::

1. CH2O :: stores, converts

2. FAT :: stores, lipoproteins, synthesis of cholesterol, beta oxidation of fats --> ketone bodies

3. Protein : deamination, transamination

       urea formation

       plasma protein synthesis

4. MISC :: storage of Vit A, D, minerals, Fe+++ (iron)

      drug metabolism : synthesis and activation

      heme conversion to bilirubin


ENERGY USAGE will include two processes

1. ABSORPTIVE STATE :: nutrients absorbed from gi track that can be used for energy

a. CH2O --> monsacch B> liver --> glucose

glucose available in blood to all cells for E or to liver and adipose tissue to be stored

b. FAT --> lymph --> chylomicrons B> FA/glycerol, if not used, stored as triglycerides

c. AA --> liver for deamination B> Krebs cycle

or for protein synthesis in the liver

          Under hormone control by INSULIN


2. POSTABSORPTIVE STATE :: energy sources supplied by breakdown in body reserve.  Goal is to maintain a blood glucose level of 90-100 mg/dl

Sources for blood glucose ::

glycogen :: glycogenolysis in liver, muscle
triglycerides :: lipolysis --> glycerol --> liver --> glucose
deamination in liver --> AA -> glucose

Glucose sparing :: The brain receives glucose first, other organs switch to fat (lipolysis)

Hormone control ::

1. Sympathetic NS.  --> catecholamines (epinephrine)

2. Glucagon from alpha cells of pancreatic islets

a. liver :: glycogenolysis, gluconeogenesis
b. adipose :: lipolysis

3. GH, T4, Gonadal hormones

ENERGY BALANCE :: fuel burned consumes O2, liberates Heat

Total E intake = total energy output

Energy output involves :: heat, work and energy stored

Regulation of food intake :

1. nutrient signals --> plasma concentrations of glucose, AA and Fatty Acids

2. Hormones --> Insulin/Glucagon/ Epi/CCK

3. Body temp  (incr temp, decreased appetite)

4. Psychological


METABOLISM :: all chemical reactions in the body

Metabolic rate --> rate of heat liberated during chemical reaction

Energy :: ATP used for

1. synthesis of ::

2. Muscle contraction

3. Active transport for

4. Gland secretion

5. Nerve conduction

Energy storage :: when ATP in excess --> E stored in high energy phosphate bonds of PHOSPHOCREATININE. 
Will transfer E with ATP.......
Phosphocreatinine +  ADP  -------->   ATP  + Creatinine

Metabolic Rate :: Energy use per time

Basal Metabolic Rate (BMR) :: the E needed for only the most essential activity

measured in Kcal/m2/hr

factors --> age, weight, sex, and surface area in meters squared

  hormones :: thyroxine, GH, testosterone

Total Metabolic Rate (TMR) :: Energy for all activities

Metabolic rate measured by Calimeter

1. measure total quantity of heat liberated
2. measure rate of O2 usage


TEMPERATURE

Balance between heat loss (transfer) and production (metabolism)

Maintained in narrow range

Blood serves as heat transfer between internal body (core) and external body (skin)

Heat is the kinetic energy of molecules in motion and will flow down a concentration gradient from warm to cool (high energy to low energy)

Heat Transfer Mechanisms

1. Radiation --> loss of electromagnetic radiation (thermal)
2. Conduction --> between two objects in contact
3. Convection --> air movement across to remove heat
4. Evaporation --> H20 absorbs heat, will increase E and change to vapor. 

Losses occur with the skin, resp, sweat.

Temperature Regulation by the Hypothalamus ::

Thermoregulatory center

a. anterior ....thermostat, at set point
b. posterior .... receives signals from receptors located peripherally in the skin and centrally in the blood

Reflex Mechanisms :

I. Promote Heat and increase Temp

a. vasoconstriction of cutaneous blood
b. behavioral.... clothing, posture
c. piloerection of hairs on skin

d. increased heat production ::  

1. shivering --- incr muscle tone
2. Hormone TRF -> TSH -> TH -> thyroxine
3. Sympathetic ... increase Metabolic rate by norepinephrine


II. Loss of Heat, Decrease Temp

a. vasodilation

b. sweating

Abnormalities in temp regulation

Hyperthermia
Heat exhaustion
Heat stroke
Hypothermia
Fever :: controlled hyperthermia, resetting of the
hypothalamic thermostat by pyrogens
Acute or Chronic  (also called fever of unknown origin....FUO  {not UFO})