Module 19: Metabolism and Nutrition

Lesson 1: Overview of Metabolic Reactions

Tổng Quan Về Phản Ứng Chuyển Hóa

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Dưới đây là danh sách những thuật ngữ Y khoa của module Metabolism and Nutrition.
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Medical Terminology: Metabolism and Nutrition

absorptive state
also called the fed state; the metabolic state occurring during the first few hours after ingesting food in which the body is digesting food and absorbing the nutrients
acetyl coenzyme A (acetyl CoA)
starting molecule of the Krebs cycle
anabolic hormones
hormones that stimulate the synthesis of new, larger molecules
anabolic reactions
reactions that build smaller molecules into larger molecules
ATP synthase
protein pore complex that creates ATP
basal metabolic rate (BMR)
amount of energy expended by the body at rest
beta (β)-hydroxybutyrate
primary ketone body produced in the body
beta (β)-oxidation
fatty acid oxidation
bile salts
salts that are released from the liver in response to lipid ingestion and surround the insoluble triglycerides to aid in their conversion to monoglycerides and free fatty acids
biosynthesis reactions
reactions that create new molecules, also called anabolic reactions
body mass index (BMI)
relative amount of body weight compared to the overall height; a BMI ranging from 18–24.9 is considered normal weight, 25–29.9 is considered overweight, and greater than 30 is considered obese
calorie
amount of heat it takes to raise 1 kg (1000 g) of water by 1 °C
catabolic hormones
hormones that stimulate the breakdown of larger molecules
catabolic reactions
reactions that break down larger molecules into their constituent parts
cellular respiration
production of ATP from glucose oxidation via glycolysis, the Krebs cycle, and oxidative phosphorylation
cholecystokinin (CCK)
hormone that stimulates the release of pancreatic lipase and the contraction of the gallbladder to release bile salts
chylomicrons
vesicles containing cholesterol and triglycerides that transport lipids out of the intestinal cells and into the lymphatic and circulatory systems
chymotrypsin
pancreatic enzyme that digests protein
chymotrypsinogen
proenzyme that is activated by trypsin into chymotrypsin
citric acid cycle
also called the Krebs cycle or the tricarboxylic acid cycle; converts pyruvate into CO2 and high-energy FADH2, NADH, and ATP molecules
conduction
transfer of heat through physical contact
convection
transfer of heat between the skin and air or water
elastase
pancreatic enzyme that digests protein
electron transport chain (ETC)
ATP production pathway in which electrons are passed through a series of oxidation-reduction reactions that forms water and produces a proton gradient
energy-consuming phase
first phase of glycolysis, in which two molecules of ATP are necessary to start the reaction
energy-yielding phase
second phase of glycolysis, during which energy is produced
enterokinase
enzyme located in the wall of the small intestine that activates trypsin
evaporation
transfer of heat that occurs when water changes from a liquid to a gas
FADH2
high-energy molecule needed for glycolysis
fatty acid oxidation
breakdown of fatty acids into smaller chain fatty acids and acetyl CoA
flavin adenine dinucleotide (FAD)
coenzyme used to produce FADH2
glucokinase
cellular enzyme, found in the liver, which converts glucose into glucose-6-phosphate upon uptake into the cell
gluconeogenesis
process of glucose synthesis from pyruvate or other molecules
glucose-6-phosphate
phosphorylated glucose produced in the first step of glycolysis
glycogen
form that glucose assumes when it is stored
glycolysis
series of metabolic reactions that breaks down glucose into pyruvate and produces ATP
hexokinase
cellular enzyme, found in most tissues, that converts glucose into glucose-6-phosphate upon uptake into the cell
hydroxymethylglutaryl CoA (HMG CoA)
molecule created in the first step of the creation of ketone bodies from acetyl CoA
inactive proenzymes
forms in which proteases are stored and released to prevent the inappropriate digestion of the native proteins of the stomach, pancreas, and small intestine
insulin
hormone secreted by the pancreas that stimulates the uptake of glucose into the cells
ketone bodies
alternative source of energy when glucose is limited, created when too much acetyl CoA is created during fatty acid oxidation
Krebs cycle
also called the citric acid cycle or the tricarboxylic acid cycle, converts pyruvate into CO2 and high-energy FADH2, NADH, and ATP molecules
lipogenesis
synthesis of lipids that occurs in the liver or adipose tissues
lipolysis
breakdown of triglycerides into glycerol and fatty acids
metabolic rate
amount of energy consumed minus the amount of energy expended by the body
metabolism
sum of all catabolic and anabolic reactions that take place in the body
minerals
inorganic compounds required by the body to ensure proper function of the body
monoglyceride molecules
lipid consisting of a single fatty acid chain attached to a glycerol backbone
monosaccharide
smallest, monomeric sugar molecule
NADH
high-energy molecule needed for glycolysis
nicotinamide adenine dinucleotide (NAD)
coenzyme used to produce NADH
oxidation
loss of an electron
oxidation-reduction reaction
(also, redox reaction) pair of reactions in which an electron is passed from one molecule to another, oxidizing one and reducing the other
oxidative phosphorylation
process that converts high-energy NADH and FADH2 into ATP
pancreatic lipases
enzymes released from the pancreas that digest lipids in the diet
pepsin
enzyme that begins to break down proteins in the stomach
polysaccharides
complex carbohydrates made up of many monosaccharides
postabsorptive state
also called the fasting state; the metabolic state occurring after digestion when food is no longer the body’s source of energy and it must rely on stored glycogen
proteolysis
process of breaking proteins into smaller peptides
pyruvate
three-carbon end product of glycolysis and starting material that is converted into acetyl CoA that enters the Krebs cycle
radiation
transfer of heat via infrared waves
reduction
gaining of an electron
salivary amylase
digestive enzyme that is found in the saliva and begins the digestion of carbohydrates in the mouth
secretin
hormone released in the small intestine to aid in digestion
sodium bicarbonate
anion released into the small intestine to neutralize the pH of the food from the stomach
terminal electron acceptor
oxygen, the recipient of the free hydrogen at the end of the electron transport chain
thermoneutral
external temperature at which the body does not expend any energy for thermoregulation, about 84 °F
thermoregulation
process of regulating the temperature of the body
transamination
transfer of an amine group from one molecule to another as a way to turn nitrogen waste into ammonia so that it can enter the urea cycle
tricarboxylic acid cycle (TCA)
also called the Krebs cycle or the citric acid cycle; converts pyruvate into CO2 and high-energy FADH2, NADH, and ATP molecules
triglycerides
lipids, or fats, consisting of three fatty acid chains attached to a glycerol backbone
trypsin
pancreatic enzyme that activates chymotrypsin and digests protein
trypsinogen
proenzyme form of trypsin
urea cycle
process that converts potentially toxic nitrogen waste into urea that can be eliminated through the kidneys
vitamins
organic compounds required by the body to perform biochemical reactions like metabolism and bone, cell, and tissue growth
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Metabolic processes are constantly taking place in the body. Metabolism is the sum of all of the chemical reactions that are involved in catabolism and anabolism. The reactions governing the breakdown of food to obtain energy are called catabolic reactions. Conversely, anabolic reactions use the energy produced by catabolic reactions to synthesize larger molecules from smaller ones, such as when the body forms proteins by stringing together amino acids. Both sets of reactions are critical to maintaining life.

Because catabolic reactions produce energy and anabolic reactions use energy, ideally, energy usage would balance the energy produced. If the net energy change is positive (catabolic reactions release more energy than the anabolic reactions use), then the body stores the excess energy by building fat molecules for long-term storage. On the other hand, if the net energy change is negative (catabolic reactions release less energy than anabolic reactions use), the body uses stored energy to compensate for the deficiency of energy released by catabolism.
Catabolic reactions break down large organic molecules into smaller molecules, releasing the energy contained in the chemical bonds. These energy releases (conversions) are not 100 percent efficient. The amount of energy released is less than the total amount contained in the molecule. Approximately 40 percent of energy yielded from catabolic reactions is directly transferred to the high-energy molecule adenosine triphosphate (ATP). ATP, the energy currency of cells, can be used immediately to power molecular machines that support cell, tissue, and organ function. This includes building new tissue and repairing damaged tissue. ATP can also be stored to fulfill future energy demands. The remaining 60 percent of the energy released from catabolic reactions is given off as heat, which tissues and body fluids absorb.

Structurally, ATP molecules consist of an adenine, a ribose, and three phosphate groups (Figure 1). The chemical bond between the second and third phosphate groups, termed a high-energy bond, represents the greatest source of energy in a cell. It is the first bond that catabolic enzymes break when cells require energy to do work. The products of this reaction are a molecule of adenosine diphosphate (ADP) and a lone phosphate group (Pi). ATP, ADP, and Pi are constantly being cycled through reactions that build ATP and store energy, and reactions that break down ATP and release energy.

The energy from ATP drives all bodily functions, such as contracting muscles, maintaining the electrical potential of nerve cells, and absorbing food in the gastrointestinal tract. The metabolic reactions that produce ATP come from various sources (Figure 2).

Of the four major macromolecular groups (carbohydrates, lipids, proteins, and nucleic acids) that are processed by digestion, carbohydrates are considered the most common source of energy to fuel the body. They take the form of either complex carbohydrates, polysaccharides like starch and glycogen, or simple sugars (monosaccharides) like glucose and fructose. Sugar catabolism breaks polysaccharides down into their individual monosaccharides. Among the monosaccharides, glucose is the most common fuel for ATP production in cells, and as such, there are a number of endocrine control mechanisms to regulate glucose concentration in the bloodstream. Excess glucose is either stored as an energy reserve in the liver and skeletal muscles as the complex polymer glycogen, or it is converted into fat (triglyceride) in adipose cells (adipocytes).

Among the lipids (fats), triglycerides are most often used for energy via a metabolic process called β-oxidation. About one-half of excess fat is stored in adipocytes that accumulate in the subcutaneous tissue under the skin, whereas the rest is stored in adipocytes in other tissues and organs.

Proteins, which are polymers, can be broken down into their monomers, individual amino acids. Amino acids can be used as building blocks of new proteins or broken down further for the production of ATP. When one is chronically starving, this use of amino acids for energy production can lead to a wasting away of the body, as more and more proteins are broken down.

Nucleic acids are present in most of the foods you eat. During digestion, nucleic acids including DNA and various RNAs are broken down into their constituent nucleotides. These nucleotides are readily absorbed and transported throughout the body to be used by individual cells during nucleic acid metabolism.
In contrast to catabolic reactions, anabolic reactions involve the joining of smaller molecules into larger ones. Anabolic reactions combine monosaccharides to form polysaccharides, fatty acids to form triglycerides, amino acids to form proteins, and nucleotides to form nucleic acids. These processes require energy in the form of ATP molecules generated by catabolic reactions. Anabolic reactions, also called biosynthesis reactions, create new molecules that form new cells and tissues, and revitalize organs.
Catabolic and anabolic hormones in the body help regulate metabolic processes. Catabolic hormones stimulate the breakdown of molecules and the production of energy. These include cortisol, glucagon, adrenaline/epinephrine, and cytokines. All of these hormones are mobilized at specific times to meet the needs of the body. Anabolic hormones are required for the synthesis of molecules and include growth hormone, insulin-like growth factor, insulin, testosterone, and estrogen. Table 1 summarizes the function of each of the catabolic hormones and Table 2 summarizes the functions of the anabolic hormones.
The chemical reactions underlying metabolism involve the transfer of electrons from one compound to another by processes catalyzed by enzymes. The electrons in these reactions commonly come from hydrogen atoms, which consist of an electron and a proton. A molecule gives up a hydrogen atom, in the form of a hydrogen ion (H+) and an electron, breaking the molecule into smaller parts. The loss of an electron, or oxidation, releases a small amount of energy; both the electron and the energy are then passed to another molecule in the process of reduction, or the gaining of an electron. These two reactions always happen together in an oxidation-reduction reaction (also called a redox reaction)—when an electron is passed between molecules, the donor is oxidized and the recipient is reduced. Oxidation-reduction reactions often happen in a series, so that a molecule that is reduced is subsequently oxidized, passing on not only the electron it just received but also the energy it received. As the series of reactions progresses, energy accumulates that is used to combine Pi and ADP to form ATP, the high-energy molecule that the body uses for fuel.

Oxidation-reduction reactions are catalyzed by enzymes that trigger the removal of hydrogen atoms. Coenzymes work with enzymes and accept hydrogen atoms. The two most common coenzymes of oxidation-reduction reactions are nicotinamide adenine dinucleotide (NAD) and flavin adenine dinucleotide (FAD). Their respective reduced coenzymes are NADH and FADH2, which are energy-containing molecules used to transfer energy during the creation of ATP.

OpenStax. (2022). Anatomy and Physiology 2e. Rice University. Retrieved June 15, 2023. ISBN-13: 978-1-711494-06-7 (Hardcover) ISBN-13: 978-1-711494-05-0 (Paperback) ISBN-13: 978-1-951693-42-8 (Digital). License: Attribution 4.0 International (CC BY 4.0). Access for free at openstax.org.

Adenosine triphosphate (ATP) is the energy molecule of the cell. During catabolic reactions, ATP is created and energy is stored until needed during anabolic reactions.

During catabolic reactions, proteins are broken down into amino acids, lipids are broken down into fatty acids, and polysaccharides are broken down into monosaccharides. These building blocks are then used for the synthesis of molecules in anabolic reactions.

HormoneFunction
CortisolReleased from the adrenal gland in response to stress; its main role is to increase blood glucose levels by gluconeogenesis (breaking down fats and proteins)
GlucagonReleased from alpha cells in the pancreas either when starving or when the body needs to generate additional energy; it stimulates the breakdown of glycogen in the liver to increase blood glucose levels; its effect is the opposite of insulin; glucagon and insulin are a part of a negative-feedback system that stabilizes blood glucose levels
Adrenaline/epinephrineReleased in response to the activation of the sympathetic nervous system; increases heart rate and heart contractility, constricts blood vessels, is a bronchodilator that opens (dilates) the bronchi of the lungs to increase air volume in the lungs, and stimulates gluconeogenesis

HormoneFunction
Growth hormone (GH)Synthesized and released from the pituitary gland; stimulates the growth of cells, tissues, and bones
Insulin-like growth factor (IGF)Stimulates the growth of muscle and bone while also inhibiting cell death (apoptosis)
InsulinProduced by the beta cells of the pancreas; plays an essential role in carbohydrate and fat metabolism, controls blood glucose levels, and promotes the uptake of glucose into body cells; causes cells in muscle, adipose tissue, and liver to take up glucose from the blood and store it in the liver and muscle as glycogen; its effect is the opposite of glucagon; glucagon and insulin are a part of a negative-feedback system that stabilizes blood glucose levels
TestosteroneProduced by the testes in males and the ovaries in females; stimulates an increase in muscle mass and strength as well as the growth and strengthening of bone
EstrogenProduced primarily by the ovaries, it is also produced by the liver and adrenal glands; its anabolic functions include increasing metabolism and fat deposition
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Script:
  1. In the body, metabolism is the sum of all catabolic reactions, meaning break down processes, and anabolic reactions, meaning synthesis processes.
  2. The metabolic rate measures the amount of energy used to maintain life.
  3. An organism must ingest a sufficient amount of food to maintain its metabolic rate if the organism is to stay alive for very long.
  4. Catabolic reactions break down larger molecules, such as carbohydrates, lipids, and proteins from ingested food, into their constituent smaller parts.
  5. They also include the breakdown of ATP, which releases the energy needed for metabolic processes in all cells throughout the body.
  6. Anabolic reactions, or biosynthetic reactions, synthesize larger molecules from smaller constituent parts, using ATP as the energy source for these reactions.
  7. Anabolic reactions build bone, muscle mass, and new proteins, fats, and nucleic acids.
  8. Oxidation-reduction reactions transfer electrons across molecules by oxidizing one molecule and reducing another, and collecting the released energy to convert phosphatidylinositol and ADP into ATP.
  9. Errors in metabolism alter the processing of carbohydrates, lipids, proteins, and nucleic acids, and can result in a number of disease states.
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