6th


Kartei Details

Karten 104
Sprache English
Kategorie Chemie
Stufe Universität
Erstellt / Aktualisiert 15.05.2018 / 07.06.2018
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Why vitamin D3 is important in intestine?

  • Vitamin D most dramatic effect is to facilitate intestinal absorption of calcium, although it also stimulates absorption of phosphate and magnesium ions.

  • In the absence of vitamin D, dietary calcium is not absorbed at all efficiently.

  • Vitamin D stimulates the expression of a number of proteins involved in transporting calcium from the

    lumen of the intestine, across the epithelial cells and into blood. The Calcium transporter protein is called Calbindin.

What is 25-hydrocholecalciferol and where?

  • It is a metabolite of vitamin D3 that is produced primarily in the liver and is the circulating form of vitamin D in the body.

  • In the liver the cholecalciferol (Vitamin D3) is hydroxlylates by 25-hydroxlase to 25- hydroxycholecalciferol.

Processes responsible for drug/drug interactions

  • Hydroxylation via Cytochrome P450.

  • A drug might change the effect of a second drug via enzyme induction or inhibition.

  • For example warfarin is used as a anticoagulant which is metabloized by CyT 2C9. if the patient takes Phenobarbital addizionaly, it increases the metabolism of warfarin. Therefore a higher dosage is needed. Even after removal of Phenobarbital, it might come to increased risk of bleeding, since because warfarin is is still remained at high dosage.

What does 11-cis-retinal become upon photon absorption?

  • Absorption of the energy of a photon triggers isomerization of 11–cis-retinal to yield all-trans-retinal.

  • As a result of this photochemical process, the shape of the retinal molecule changes which induces the

    allosteric conversion of inactive rhodopsin to its active form

Give an example of second messengers (at least four)

  1. cAMP
  2. cGMP
  3. IP3
  4. Ca2+

 

Light entering the eye passes progressively through
 

  1. Cornea 
  2. Lens
  3. Retina 

Explain Rhodopsin

  • membrane-spanning protein with 7 alfa helices  (belongingto the 7-TM receptor family).
  • is a light-sensitive chromoprotein.
  • It consistsof opsin (the proteinaceouspart)   and 11–cis-retinal bound to the e-amino group of a lysine residue.

Name functions of carbohydrates 

  1. storage form of enegy in the body 
  2. serving as cell membrane components 
  3. structural component of many orgaism (e.g. cell walls of bacteria, exoskeleton of insects + fibrous cellulose of plants) 

Explain Isomers 

  • componds with the same chemical formula but different structures
  • e.g. fructose, glucose, mannose, galactose same formula C6H12O6

Explain Epimers

  • Carbohydrate isomers that differ in configuration around only one specific C-Atom 
  • e.g. glucose + galactose on C4
  • e.g. glucose + mannose on C2

Name dietary carbohydrates 

  1. Glycogen
  2. Starch 
  3. Sucrose
  4. Lactose
  5. free pentoses & hexoses 

What are the principal sites of digestion of carbohydrates 

Mouth and Intestine 

Name the products of digestion of carbohydrates that are absorbed by the enterocytes? 

  1. Glucose
  2. Galactose
  3. Fructose

 

Which enzyme acts in the mouth? (carbohydrates)

salivary alpha amylase 

→ hydrolyzes 1,4- glycosidic bonds of starch + glycogen

getting oligosaccharides

- activator is Cl-

Explain salivary alpha amylase

  • takes part of digestion of carbohydrates 
  • acts in the mouth 
  • hydrolyzes 1,4- glycosidic bonds of starch + glycogen
  • activated by Cl-

What happens to the acidic content of the stomach when it reaches the small intestine? 

  • Pancreas secretes bicarbonate to neutralize
  • pancreatic alpha amylase continues the process of starch digestion getting short disaccharides/ maltotriose/ maltose/ isomaltose 

Explain Pancreatic alpha amylase 

  • acts in the small intestine
  • coninues the process of carbohydrate digestion into smal disaccharides/ maltotrioses/ maltose/ isomaltose
  • activator: Cl- / Ca2+

Which enzymes are involved in the final step of digestion of carbohydrates and where does it happen? 

  • Final digestive process occur primalily at mucosal lining of upper jejunum
  • includes action of several disaccharidases

For example:

  • isomaltase - isomaltose = glucose 
  • maltase - maltose/ maltotriose = glucose 
  • sucrase - sucrose = glucose + fructose 
  • lactase (beta- galactosidase) - lactose = galactose + glucose

getting Monosaccharides Glucose/ galactose / Fructose 

Where are the carbohydrates absorbed? 

the upper jejunum absorbs the bulk of monosaccharides & they are transported to portal circulation to liver 

how can it happen that an undigested carbohydrate reaches the small intestine? 

digestive enzyme deficiencies - lead to diarrhea, cramps 

  • genetic defect of specific disaccharidases result in intolerance 
  • alterations in disaccharide degradation can also be caused by intestinal diseases, malnutrition, drugs

Explain Lactose intolerance

  • caused by small variations in DNA sequence on chromosome 2 that controls expresssion of gene for lactase 
  • treatment: reduced milk consumption, eating green vegetables, use lactase treated products or take lactase in pill form prior to eating 

what is important by the absorption of carbohydrates?

different sugars have different mechanisms for absorption! 

Absorption of Galactose and Glucose 

  • they are taken into enterocytes by secondary active transport 
  • this requires concurrent uptake of sodium 
  • transport protein is sodium dependent glucose transporter 1 (SGLT-1) 

Absorption of Fructose 

  • Fructose utilizes an energy - and Na-independent monosaccharide transporter (GLUT-5) 

How is Glucose transportet into the cells?

Glucose can not diffuse directly into cells, but can enter on two transport mechanisms:

  1. Na+-indepenent, facilitated diffusion transport system 
  2. Na+- monosaccharide cotransporter system 

Na+-indepenent, facilitated diffusion transport system is :

  • 14 glucose transporters in cell membranes GLUT-1 to GLUT14 
  • passive system mediated by GLUT1,4
  • monomeric and contain 12 transmembran helices with carbohydrate chain on outer surface 
  • exist in 2 conformational states 
  • extracellular glucose binds to the transporter, which alters it confirmation and transport gucose across the cell membrane 
  • UNIPORTER 

 

GLUT 1

abundant in RBC & blood brain barrier but low in adult muscle 

Function: primarily in glucose uptake from the blood 

GLUT 2

abundant in Liver, kidney, pancreatic beta cells, intestine 

Function: can either transport glucose into cell when glucose level is high or transport glucose from cells to the blood when blood glucose level is low

GLUT 3

Primary in Neurons (Brain)

Function: glucose uptake from blood 

 

GLUT 4

SENSITIVE TO INSULIN 

in muscle and adipose tissue, heart 

Frunction: glucose uptake from blood 

GLUT 5 

muscle & spermatozoa 

Function: primary transporter of FRUCTOSE in small intestine and testes 

Na+- monosaccharide cotransporter system is

  • Sodium and ATP dependent cotransport system
  • energy requiring process - transports glucose againts a concentration gradiemt 
  • movement of glucose is coupled to concentration of Na+
  • transports glucose against concentration gradient, while Nagoes with its conetration gradient 
  • occurs in epithelial cells of intestine, renal tubules and choroid plexus 

Explain Insulin 

  • peptide hormone produced by the beta cells of pancreas (most glucose- sensing cells in the body 
  • most important hormone coordinating the ues of fuels by tissues 
  • promotes glucose storage, most prominent in liver, muscle & adipose tissue 

Insulin in the Liver & Muscle 

Insulin in the Muscle and Adipose tissue 

Insulin in the Liver 

decreases the production of glucose through the inhibition of glyconeolysis and gluconeogenesis

Significance of the phosporylation of monosaccharides

  • effectively traps the sugar as cyclic glucose-6-phosphate because there are no specific transmembrane carriers for phosphorylated monosaccharide
  • too polar to diffuse through lipid core of membrane 

insulin is released from the pancreas - signals the tissues to uptake glucose-glucose enters the cells via glucose transporters, there is a chance for them to leave the cell.

If we are in need of energy- don't want glucose to leave the cell.- glucose is phosphorylated by ATP to become glucose-6-phosphate, which now bears a charge. This disqualifies it from leaving through glucose transporters.

First Energy Investment Stage 

Glucose catalyzed by isozymes of hexokinase to Glucose-6-phosphate 

by using ATP to ADP

Hexokinase 1-3 

Hexokinase 4 (glucokinase)

Explain Hexokinase 1-3

  • inhibited by endproduct G-6-P
  • low Km - high affinity for glucose 
  • low Vmax 

Hexokinase 4

  • Glucokinase 
  • in liver parenchymal cell & pancreatic beta cells
  • High Km
  • High Vmax
  • Not inhibited by G-6-P