What is the fed state?
The absorptive state
The 2-4 hour period after ingestion of a normal meal
The time after you’ve eaten something
The 8 hours after ingestion
What happens during the fed state?
Plasma levels of CHO, AAs and TAGS rise
Plasma levels of CHO, AAs and TAGs fall
Islet tissue responds
An anabolic period
A catabolic period
Glucose used as fuel
Gluconeogenis is mainly used
Metabolic response dominated by alterations in the liver, adipose tissue, muscle and brain
What factors control the flow of intermediates through metabolism?
Availability of substrates
Allosteric activators and inhibitors
Synthesis of new enzyme molecules
Covalent modification of enzymes
When does fasting begin?
If no food is ingested after the absorptive period
Once ingestion of a meal ends
When eating stops
Before the absorptive period begins
How quickly does the availability of substrates affect the flow of intermediates through metabolism?
Minutes
Minutes to hours
Seconds
Hours to days
How quickly does the allosteric activators and inhibitors affect the flow of intermediates through metabolism?
How quickly does the covalent modification of enzymes affect the flow of intermediates through metabolism?
How quickly does the synthesis of new enzyme molecules affect the flow of intermediates through metabolism?
The fed state is a ...
anabolic period
catabolic period
osmotic period
During the fed state nutrients are captured as...
Glycogen
TAG
proteins
alcohol
sugar
Glucokinase has a _______ Km for glucose
high
low
How does the liver respond to high blood glucose levels?
by increasing the phosphorylation of glucose
by decreasing the phosphorylation of glucose
by ingesting glucokinase
by allowing sodium into the cell to counteract the blood glucose levels
by releasing insulin
What enzyme phosphorylates glucose?
glucokinase
fructokinase
amalase
glucolase
Glucose uptake by the hepatocyte __________ rate limiting
is
is not
What trasports glucose iinto the liver?
GLUT 4
insulin
In the well fed (absorptive state) Glycogen Synthase has a part in one of the major metabolic pathways. What is glycogen synthase activated by?
glucose 6-P
glucose 7-P
What GLUTs do adipocytes contain?
the insulin sensitive GLUT 4
the insulin sensitive GLUT 3
the non - insulin sensitive GLUT 4
the non-insulin sensitive GLUT 3
the insulin sensitive GLUT 2
Carbohydrate metabolism in the fed state causes.....
Increased glucose transport
increased glycolysis
increased PPP
increased TAG storage
Fat metabolism in the fed state causes...
Increased TAG storage
In the absorptive state, CHO Metabolism causes ____________ in Skeletal muscle.
increased glucose transport
increased glycogen synthesis
increased Fatty Acids
increased protein degradation.
increased glucose synthase
The absorptive state is the same as the fed state
In the absorptive state, Fat Metabolism causes ____________ in Skeletal muscle.
Fatty acids from chylomicrons by lipoprotein lipase
increased uptake of BCAAs
hunger
In the absorptive state, Amino Acid Metabolism causes ____________ in Skeletal muscle.
increased protein synthase
Increased uptake of BCAAs
FA breakdown
Protein breakdown
amalgamation of amino acids
During the absorptive state the grain completely....
oxidizes glucose to CO2 and Water
oxidizes glycogen to CO2 and Water
oxidizes glycogen to O2 and Water
oxidizes glucose to O2 and Water
What is the main GLUT used in the brain?
insulin insensitive GLUT-1
insulin sensitive GLUT-1
insulin insensitive GLUT-3
insulin sensitive GLUT-3
During the fasting state, plasma levels of glucose, amino acids and TAG fall triggering a ....
decline in insulin secretion
increase in insulin secretion
increase in inulin secretion
decline in glucagon secretion
increase in glucagon secretion
the fasting state is __________
catabolic
anabolic
One of the ❌ priorities during the ❌ state is the need to maintain adequate ❌ levels of ❌ to sustain energy metabolism of the ❌ ❌s and other glucose requiring tissues.
The other priority in the ❌ state is the need to mobilize ❌ acids from ❌ tissue, and the synthesis and release of ketone bodies from the ❌ to supply ❌ to all other tissues.
Hepatic _________ maintains blood glucose
glycogenolysis
glucose synthase
glycogen metabolism
osmolarity
glucofructokinase
Which of these are used in the liver for gluconeogenesis?
lactate
glycerol
alanine
glucose
What cycle is important in hepatic gluconeogenesis?
the cori cycle
the acetyl CoA cycle
the plasma cycle
cycle against suicide
glucose cycle
What cannon be used for NET glucose synthesis?
acetyl CoA
What proteins from muscle are important for net glucose synthesis?
glutamine
asphargine
calamine
glucomine
When is the postabsoprtive state?
once you stop eating
after an overnight fast
during the fed state
at the end of the fed state
What is the early phase of starvation?
gluconeogenic phase
glycolysis phase
fasting phase
fed phase
hepatomatic phase
How long does the gluconeogenic phase last?
until the 2nd or 3rd day of absolute starvation
until the end of the 1st day of absolute starvation
until the 2nd or 3rd week of absolute starvation
until the the 7th day of absolute starvation
When is the period of adaptation to starvation (approx) ?
over the first 3 weeks
over the first 5 days
over the 1st week
over the first year
During the phase of adaptation to starvation what happens to the active thyroid hormone?
levels increase
levels decrease
it becomes more effective
it becomes less effective
When does the period of adapted starvation begin?
from 3 weeks onwards
from 3 days onwards
from 7 weeks onwards
from 7 days onwards
Initially during fasting, levels of fatty acids in the blood are...
Raised
Decreased
Normal
During fasting in the liver, fatty acid oxidation provides
ATP for gluconeogenis
ATP for glycogenolysis
ADP for gluconeogenis
ADP for glycogenolysis
During fasting, when ,Evelyn of ketone bodies (that are released from the liver) are high, they supply the brain, completely replacing glucose
Ketone bodies prevent...
Muscle wasting by decreasing protein degradation
Wasting of the brain by decreasing protein degradation
Fatty acid oxidation
Hunger
Lethargy
During the fasting state the pancreas released...
Glucagon
Fatty acids
Bile
Ketones
Basal energy requirements can be reduced by reducing production of the active thyroid hormone up to
25%
50%
100%
75%
10%
Late stage fasting occurs after...
3 hours
3 days
10-12 hours
6 hours
1 day
During late stage fasting...
There is little to no glycogen left
The body is dependent on hepatic gluconeogenesis
Gbuconeogensis occurs primarily from lactate glycerol and alanine
Which of these occur in the liver in fasting?
Increased glycogen degradation
Increased gluconeogenesis
Increased fatty acid oxidation
Increased synthesis of ketone bodies
Increased degradation of TAGs
Which of these occur in adipose tissue during fasting?
Carbohydrate metabolism
GLUT4 depressed - decreased glucose uptake
Increased degradation of TAG
Increase release of FAs
Decreased uptake of FAs
Increased FA oxidation
Resting muscle uses .... as a fuel source during fasting
Glycogen stores
During fasting which of these does exercising muscle use as fuel?
What becomes the dominant fuel source in muscle during fasting once all other sources are gone?
Lactate
TAG from adipose tissue
In early fasting the brain exclusively uses...
Glucose
Proteins
After 2 weeks of starvation the brain uses ... as a fuel source?
Protein
Which of these are true about the kidney in long term fasting?
Contains enzymes for gluconeogenesis including glucose 6 phosphate
In late fasting 50% of gluconeogenesis occurs here
Maintains pH balance
Counteracts acidosis caused by raised ketone bodies in the plasma
AlphaKG is used with ammonia as a substrate for gluconeogenesis
Glutamine is converted to alphKG