Biochemistry-II - Integrated Metabolism

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Study GuideBiochemistry-IIIntegrated Metabolism1.Exercise and MetabolismExercise and fasting place special demands on the body’s metabolism. The type of activityshort andintense or long and sustaineddetermineswhich energy systems are usedandhow nucleotideslike ATP are regenerated.1.1Immediate Energy for Exercise: Creatine PhosphateRole of Creatine PhosphateSprinting requires avery rapid supply of energy. The first energy source used by muscles iscreatine phosphate (Cr~P).Creatine contains aguanidino group, similar to arginineIt acts as astorage system for high-energy phosphate bondsin muscleThe free energy of hydrolysis of creatine phosphate is about10.3 kcal/mol, which ishigherthan ATPThis makes creatine phosphate an excellenttemporary energy reservoir.Creatine Kinase ReactionCreatine phosphate transfers its phosphate group to ADP to regenerate ATP.Although this reaction favors the left side under standard conditions,real muscle cells are not instandard conditions.ATP : ADP ratio in active muscle can be50100 : 1This drives the formation and use of creatine phosphateCreatine phosphate functions like acharged battery or water reservoir, storing energy forrapid release

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Study GuideAnaerobic Exercise: SprintingDuring short, intense exercise (such as sprinting), the following sequence occurs:1.ATP is rapidly consumedduring muscle contraction2.ADP levels increase3.Creatine phosphate transfers phosphate to ADP, regenerating ATP4.Creatine phosphate storesseveral times more energy than ATP5.This system supplies energy for onlya few seconds6.Anaerobic glycolysisthen becomes the primary ATP sourceGlycolysis and Lactate FormationGlucose comes frommuscle glycogenIt is converted tolactate, which enters the bloodstreamATP levels still fall as demand continuesAt this point, the enzymemyokinase (adenylate kinase)helps salvage ATP:This reaction allows one ATP molecule to be formed from two ADP molecules.Fatigue During SprintingEventually:ATP levels fall too low to support myosin bindingProtons (acid) from metabolism accumulateOxygen is released more easily from hemoglobin (Bohr effect)Metabolism begins shifting towardaerobic pathwaysLactate and acidity contribute tomuscle fatigue, limiting speed and power.

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Study GuideIn most people, this occurs after about400 meters, which explains why this distance feels especiallyexhausting.1.2Aerobic Metabolism: Prolonged ExerciseLimits of GlycogenHumans store only a limited amount of glycogen:Total glucose + glycogen ≈600700 kcalThis supply lasts1.52 hoursduring aerobic exerciseTo continue exercising, the body must rely on:Fat oxidationSometimesmuscle protein breakdownStrategies Used by Endurance AthletesTo improve performance during long-distance exercise, athletes use several strategies:Fat mobilizationearly in exerciseCaffeine, which:oPrevents cAMP breakdownoActivates glycogen phosphorylaseoMimics epinephrine and glucagonoPromotes lipid mobilizationCarnitine supplementation, which helps transport fatty acids into mitochondriaCarbohydrate loading, a two-step process:1.Low-carbohydrate diet + heavy exercise to deplete glycogen2.High-carbohydrate intake to overfill glycogen stores beyond normal levels

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Study GuideNutritional State and MetabolismHumans normally alternate between two metabolic states:Well-fed stateFasting stateThe key difference between these states is thesource of glucose, especially for the brain.1.3The Well-Fed State (04 Hours After a Meal)During this state:Glucose and amino acids are absorbed from the intestineExcess energy is converted tofat in the liverFat and triglycerides are stored inadipose tissueThe pancreas releasesinsulinInsulin promotes:Glucose → glycogenAmino acids → proteinFatty acids → triglyceridesA lack of insulin leads todiabetes mellitus, where glucose remains elevated in the blood.The Fasting StateAs fasting begins:Glycogen breakdownsupplies glucoseGluconeogenesisstarts using amino acids, lactate, and pyruvateFatty acids fuel peripheral tissuesGlycerol is converted to glucose in the liver

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Study GuideAfter about16 hours:Gluconeogenesis becomes more important than glycogen breakdownStarvation and Ketone BodiesAfter2 days without food:Fat breakdown producesketone bodiesKetones become a major fuel for the brainGlucose use by the brain decreasesThis marks the beginning ofstarvation, which may last610 weeks.Metabolic Consequences of StarvationDuring starvation:The body entersnegative nitrogen balanceProtein breakdown exceeds protein intakeLimited glucose is reserved for:oBrainoKidneysoRed blood cellsFat and ketone bodies supply most energyOnce fat stores are exhausted:Muscle protein becomes the only energy sourceNitrogen is excretedOrgan failure eventually occurs

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Study GuideKey TakeawaysCreatine phosphateprovides immediate energy for sprintingAnaerobic glycolysissustains short-term high-intensity activityAerobic metabolism and fat oxidationsupport long-term exerciseNutritional state strongly affects metabolic pathwaysStarvation leads to ketone body use and protein breakdown2.Hormonal RegulationWhat Are Hormones?Hormones arechemical messengersthat regulate metabolism and coordinate activities betweendifferent tissues.A hormone can be defined as:Asignaling moleculeReleased by one cell into thebloodstream or extracellular fluidThatchanges the metabolismof the same cell or a different cellHormones differ from:Gap junction signaling, which requires direct cell-to-cell contactNeurotransmitters, although this distinction is not strict(Some neurotransmitters act like hormones, and some hormones act like neurotransmitters.)2.1How Hormones Work: ReceptorsHormones act by binding toreceptors, which are usuallyproteins.Each receptor hastwo major functions:1.Bindingthe hormone2.Transducing the signal, meaning converting the hormone signal into a metabolic or geneticresponse inside the cell

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Study GuideWhat Determines a Cell’s Response to a Hormone?A cell’s response depends on two properties of its receptors:1. Receptor NumberHow many receptors are present on the cell surface or inside the cell2. Receptor AffinityHow tightly the receptor binds the hormoneMeasured by thedissociation constant (Kd)Theactual responsedepends on thenumber of occupied receptors, not simply how muchhormone is present.2.2HormoneReceptor Binding EquilibriumThe binding of a hormone (H) to a receptor (R) forms a hormonereceptor complex (RH).Alow Kdmeanshigh affinityAhigh Kdmeanslow affinityRearranging the EquationWe can rearrange the equation to calculate hormone concentration.This equation shows how hormone concentration, receptor number, and affinity work together.

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Study GuideReceptor Number vs Receptor Affinity: An ExampleSuppose:50 occupied receptorsare required to trigger a metabolic responseThis can happen in two ways:100 receptors with50% occupancy55 receptors with90% occupancyBoth situations give the same response becausethe number of occupied receptors is the same.If the second receptor hastenfold higher affinity, the same hormone concentration will bind morereceptors.Two Receptor Types Responding to the Same HormoneIf two receptor types (Rand R) bind the same hormone:If both receptor types have50 occupied receptors:Rrequires50 unoccupied receptorsRrequires only5 unoccupied receptorsThis meansRhas higher affinity.Responsiveness to Hormone ChangesIf hormone concentration increases by 50%:Rresponds stronglyRis nearly saturatedand shows little additional response

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Study GuideKey concept:A receptor system ismost sensitiveto changes in hormone concentration when:The receptor isabout half occupiedThe receptor’s Kd is close to thephysiological hormone concentrationAgonists and AntagonistsNot all molecules that bind receptors are hormones.AgonistsBind to receptorsMimic the hormoneActivate the receptorAntagonistsBind to receptorsDo not activatethemBlock hormone actionExamples:Isoproterenol: agonist that increases blood pressurePropranolol: antagonist used to lower blood pressureBoth are structurally related toepinephrine.Down-Regulation of ReceptorsWhen receptors areconstantly occupied, cells protect themselves byreducing receptor numbers.This process is calleddown-regulation.Diabetes as an ExampleType I DiabetesPancreas cannot produce insulinCaused by insulin deficiency

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Study GuideType II DiabetesMore commonAssociated with obesityHigh insulin levels persist in bloodCells down-regulate insulin receptorsAs a result:Fewer occupied receptorsPoor glucose regulationHigh blood glucose levelsThis leads to complications such as:Vision problemsPoor circulation2.3Types of Hormone ReceptorsHormone receptors fall intotwo main categories.1. Cell-Surface Receptors (Water-Soluble Hormones)Examples:EpinephrineGrowth hormoneInsulinMechanism:Hormone binds to amembrane receptorAsecond messengeris producedThis triggers metabolic changes inside the cell
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