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Carlos Shared "06 Biochem Metabolism" - 40 Picmonics

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06 Biochem Metabolism

Anaerobic Respiration
Cytosol
Glucose
Glycolysis
Substrate-level Phosphorylation
2 NADH
2 Net ATP
2 Pyruvate
Fermentation
NAD+ Regeneration
Waste Byproduct
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2 mins
Aerobic Respiration
Mitochondrial Matrix
2 Pyruvate
Pyruvate Decarboxylation
2 NADH
2 Acetyl-CoA
Krebs Cycle
6 NADH
2 FADH2
2 Substrate Level ATPs
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1 min
Energy Releasing Pathways: Accounting
Characteristics
Anaerobic Respiration
2 ATP
2 NADH
Aerobic Respiration
8 NADH
2 FADH2
2 ATP
Oxidative Phosphorylation
34 ATP
2 ATP Lost
36 Net Total ATP
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2 mins
Pyruvate Dehydrogenase Deficiency
Characteristics
Acquired from Thiamine Deficiency
Backup of Alanine and Pyruvate
Symptoms and Complications
Neurologic Defects
Lactic Acidosis
Interventions
Ketogenic Nutrients
Lysine and Leucine (Ketogenic Nutrients)
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57 secs
Arsenic Poisoning
Symptoms/Findings
Vomiting
Rice-water stools
Garlic breath
Can be found in Pesticides and Contaminated water
Carcinogen
Angiosarcoma
Lung Cancer
Squamous Cell Carcinoma of the Lung
Treatment
Dimercaprol
Succimer
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Pyruvate Metabolism
Glucose
Glycolysis
Pyruvate
Alanine Aminotransferase (ALT)
Alanine
Pyruvate carboxylase
Oxaloacetate
Pyruvate dehydrogenase (PDH)
Acetyl-CoA
Lactic Acid Dehydrogenase (LDH)
Lactate
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Citric Acid Cycle (Krebs Cycle)
Characteristics
Acetyl-CoA + Oxaloacetate
Citric Acid
Isocitric Acid
Produces NADH
Alpha-Ketoglutaric Acid
Produces NADH
Succinyl CoA
Produces GTP
Succinate
Produces FADH2
Fumarate
Uses Water
Malate
Produces NADH
Oxaloacetate
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4 mins
Oxidative Phosphorylation
Inner Mitochondrial Membrane
Electron Transport Chain
Oxygen is Final Electron Acceptor
Proton Pump
Proton Motive Force
ATP Synthase
1 NADH 2.5 ATP
1 FADH2 1.5 ATP
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3 mins
G6PD Mechanism
Turns NADP+ to NADPH
NADPH Used by Glutathione Reductase
Detoxifies Free Radicals and Peroxides
X-linked Recessive
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2 mins
G6PD Deficiency
X-linked Recessive
Hemolytic Anemia
Inflammatory Response
Fava Beans
Sulfonamides
Primaquine
Anti TB Drugs
Heinz Bodies
Bite Cells
Prevalent Among African Americans due to Increased Malarial Resistance
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2 mins
Fructose Metabolism
Fructose
Fructokinase
Fructose-1-P
Aldolase B
Glyceraldehyde
Glycerol
Triose Kinase
Dihydroxyacetone-P
Glyceraldehyde-3-P (G3P)
Glycolysis
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Essential Fructosuria
Autosomal Recessive
Defect in fructokinase
Fructose to fructose 1-P
Benign
Fructose appears in blood and urine
Fructose does not enter cells
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54 secs
Fructose Intolerance
Pathophysiology
Deficiency of Aldolase B
Fructose 1-P To DHAP And GA
Accumulation Of Fructose-1-Phosphate
Inhibition Of Glycogenolysis
Inhibition Of Gluconeogenesis
Clinical Features
Hypoglycemia
Vomiting
Jaundice
Cirrhosis
Autosomal Recessive
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2 mins
Galactose Metabolism
Galactose
Galactokinase
Aldose Reductase
Galactitol
Galactose-1-P
Galactose-1-phosphate Uridyltransferase
UDP-Galactose
UDP-Glucose
Glucose-1-P
Glycolysis/Glycogenesis
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Galactokinase Deficiency
Autosomal Recessive
Galactose to Galactose 1P
Galactose Appears in Blood and Urine
Benign
Infantile Cataracts
Failure to Develop a Social Smile
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2 mins
Classic Galactosemia
Pathophysiology
Autosomal Recessive
Galactose-1-phosphate uridyltransferase is Absent (GALT)
Impaired Galactose-1-P to UDP-Galactose
Galactitol Accumulation in Lens
Signs and Symptoms
Infantile Cataracts
Failure to Thrive
Hepatomegaly
Jaundice
Intellectual Disability
Increased Risk E. Coli Sepsis
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2 mins
Sorbitol Metabolism
SORBITOL METABOLISM
Glucose
Aldose Reductase
Sorbitol
Sorbitol Dehydrogenase
Fructose
Has Sorbitol Dehydrogenase
Liver
Ovaries
Seminal vesicle
Lacks Sorbitol Dehydrogenase
Lens and Retina
Kidney
Schwann Cell
SORBITOL DEHYDROGENASE DEFICIENCY
Cataracts
Diabetes
Retinopathy
Glomerular Disease
Peripheral Neuropathy
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Cahill and Cori Cycle
Protein Lysis
Amino Acids
α-Ketoacids
Energy
α-Ketoglutarate
Glutamate
ALT
Alanine
Alanine in Blood
Alanine
ALT
Pyruvate
Glucose
Glucose
Glucose
Pyruvate
Lactate
Lactate
Lactate
α-Ketoglutarate
Glutamate
GDH
α-Ketoglutarate
NH4
Urea
Kidney
Urine
AST
α-Ketoglutarate
Oxaloacetate
Aspartate
NH3
Muscle to Blood to Liver
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Hyperammonemia
Pathophysiology
Hereditary Urea Cycle Defects
Acquired Through Liver Disease
Inhibits the Citric Acid Cycle
Signs & Symptoms
Somnolence
Slurring of Speech
Tremor
Cerebral Edema
Vomiting
Blurring of Vision
Treatment
Limit Protein in Diet
Lactulose
Benzoate Binds Amino Acid for Excretion
Phenylbutyrate
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4 mins
Ornithine Transcarbamylase Deficiency
Pathophysiology
Most Common Urea Cycle Disorder
X-Linked Recessive
Signs and Symptoms
Hyperammonemia
Decreased BUN
Carbamoyl Phosphate is Converted to Orotic Acid
Pyrimidine Synthesis Pathway
Evident in Babies
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3 mins

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