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HNF 461
exam 2
33
Other
Undergraduate 4
10/28/2008

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Term
ketone exposure
Definition
-long-term fasting: glycogen stores depleted, but still need glucose
-Glycolysis occuring in adipose tissue
-fatty acids metabolized in liver
-Once processes occur, acetyl ketone can leave the liver and brain can use them
-over time, 40-50% energy can be derived from ketones after long-term fasting.
-major source of carbon for gluconeogenesis is amino acids
-nitrogen excreted thru urine (along w/ water and electrolytes)--> death
Term
ketogenesis
Definition
occurs in liver
-smell acetone on breath
-occurs when blood NEFA concentration is high (starvation, low carb or Atkins, Diabetes)
Term
ketones
Definition
energy source
-produced in liver, but used in muscle and brain for oxidation
-water soluble
fatty acid B oxidation-->acetyl CoA-->leave liver thru blood into muscle--> interconverted into acetyo acetate-->TCA cycle-->use as energy
Term
Ketosis
Definition
excess prod. of ketones-high plasma NEFA
-ketones in urine incr. urine output and loss of electrolytes
-loss of apetite, incr. free fatty acids from adipose tissue
-ketones are ketoacids and may lower blood pH
Term
ketoacidosis
Definition
SERIOUS!
-blood pH drops, food intake drops, vomiting, irritability
-incr. urination, dehydration
-reduce NEFA mobilization fromadipose tissue to stop this and decrease glucagon release and increase insulin release (eat more carbs to slow this)
-buffer systems rely on nml lung/kidney fxn--> if compromised (pneumonia, etc), you get acidosis
-can lead to death
Term
Lipids
Definition
20-35% of energy
<300mg cholesterol
-no more than 10% PUFA and saturated fatty acids
-monounsaturated fatty acids better (plant sources)
Term
Triglycerides
Definition
major lipid in food
95% of dietary fat
major storage form in body
Term
Chylomicrons contain primarily ____.
Definition
Triglycerides
Term
VLDL's _____
Definition
Generate LDL particles in the blood
Term
n-3 fatty acids ______.
Definition
are stored in phospholipids
Term
Apo C2
Definition
activates lipoprotein lipase
Term
Bile
Definition
essential for lipid absorp.
-Bile includes bile acids, cholesterol, phospholipids
Bile acid=free acid
2-5g bile acids
-90% bile acids recycled in Ileum (back to liver/gallbladder)
-1/2 cholesterol in bile comes into intestine, some is used but most is excreted
Term
Major lipid in the diet is _____
Definition
Triglycerides
Term
PUFA intake _____
Definition
should be no more than 10% of energy
Term
C18:1
Definition
has one double bond at delta 9, omega 9, and is oleic acid
Term
beta hydroxybutyrate _____
Definition
formed in the liver and is usedin the heart as an energy source
-is not synthesized from pyruvate
-is used in muscle but not formed
Term
Coconut oil
Definition
Exceptionally high in saturated fatty acids --shorter chain
Term
About __ % of lipid digestion occurs in stomach
Definition
15%
Term
Bile acids are ____
Definition
synthesized in intestine, reabsorbed in ileum, recycled only small amount lost
Term
Chylomicrons
Definition
synthesized in intestine, metabolized by hormone lipoprotein lipase, and carry dietary cholesterol to liver.
Term
LDL
Definition
-Has the highest % cholesterol
-Synthesized by lipoprotein lipase action and from VLDL.
-In the blood
Term
Beta hydroxybutyrate
Definition
-May be used to synthesize acetyl CoA
-Synthesized primarily in liver
-Transported during fasting ad fed state b/c water-soluble
Term
In the fasted state fatty acids for VLDL synthesis arise from ______.
Definition
plasma NEFA's from adipose tissue in the fasted state.
Term
A HDL cholesterol concentration of ____mg/dl is a CVD risk factor
Definition
<40
Term
LDL
Definition
Lipoprotein that carries cholesterol to tissues for steroid hormone synthesis
Term
ACAT
Definition
Enzyme that esterifies cellular cholesterol
Term
Person w/ elevated fasting blood triglycerides ____.
Definition
should increase % fat in diet and should consume fiber rich foods.
Term
Consumption of ____ will _____ hepatic LDL receptor content
Definition
C14:0, Lower
Term
Foam cells are derived from _____.
Definition
smooth mm. cells or macrophages
Term
It is desirable to have a ____ Apo-B and ____ Apo-A1 concentration in blood when fasting.
Definition
low, high
Term
Eicosapentaeonic acid is ____
Definition
C20:5
Term
Essential fatty acids are concentrated in the _____
Definition
phospholipids.
Term
major PUFA in phosphatidylinositol is ___
Definition
C20:4
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