Physiology · MU Sofia

53. Metabolism: general characteristics. Carbohydrate metabolism. Regulation of blood glucose level.

Covers the general characteristics of metabolism, including anabolism and catabolism, enzyme control, and nervous, humoral and feedback regulation. Moves on to carbohydrate metabolism: the three fates of glucose, glycolysis, the pentose phosphate pathway, glycogenesis, glycogenolysis and gluconeogenesis. Closes with how insulin, glucagon, adrenaline, cortisol and the sympathetic and parasympathetic systems regulate blood glucose, followed by recap questions.

Inside: 1 section · 3 labelled pictures · 15 flashcards · 3 min

Topic 53 of 104 in the MU Sofia syllabus for Physiology (Medicine, Year 2). The free AceMed note covers it in 1 section, about 385 words (3 min of reading), with 15 flashcards.

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  1. Metabolism: general characteristics. Carbohydrate metabolism. Regulation of blood glucose level.

Metabolism: general characteristics. Carbohydrate metabolism. Regulation of blood glucose level.

General Characteristics of Metabolism-

  • Metabolism encompasses all reactions within the body, including anabolism (formation, e.g., glycogenesis) and catabolism (breakdown, e.g., glycolysis).
  • All metabolic processes are driven by enzymes, whose activity is regulated to maintain metabolic control.
  • Regulation of metabolism occurs via:
  • Nervous regulation: The central nervous system signals endocrine glands to modify secretions.
  • Humoral regulation: Hormones regulate enzyme synthesis/breakdown and alter cell membrane permeability.
  • Feedback regulation: Enzymes can be inhibited by their products.

Carbohydrate Metabolism.

  • Carbohydrates are broken down in the GI tract into simpler molecules for metabolism.
  • Glucose is the most important carbohydrate, serving as the primary energy source.
  • Metabolic fates of glucose:
  • Used to produce ATP.
  • Stored as glycogen in the liver or muscles.
  • Converted into fatty acids and stored as triglycerides in adipose tissue.
  • Key processes in carbohydrate metabolism:
  • Glycolysis: Glucose oxidation to generate ATP and pyruvate; pyruvate enters the Krebs cycle in mitochondria for further energy production.
  • Pentose Phosphate Pathway: Converts hexoses to pentoses (for nucleotide synthesis) and NADPH (for lipid synthesis).
  • Glycogenesis: Excess glucose stored as glycogen.
  • Glycogenolysis: Breakdown of glycogen into glucose.
  • Gluconeogenesis: Synthesis of glucose from non-carbohydrate sources (e.g., amino acids).
  • Summary of Glucose Metabolism: Pyruvate oxidation leads to acetyl coenzyme A, which enters the Krebs cycle to generate energy carriers (NADH, FADH) and GTP for ATP synthesis.

Regulation of Blood Glucose Level.

  • Blood glucose levels indicate the amount of glucose circulating in the blood.
  • Humoral regulation of blood glucose:
  • High blood glucose: Pancreatic β-cells release insulin, promoting glucose conversion into glycogen (storage).
  • Low blood glucose (Hypoglycemia): Pancreatic α-cells release glucagon, while epinephrine, cortisol, and growth hormone are also released to raise blood sugar.
  • Neural regulation of blood glucose:
  • Sympathetic stimulation: Promotes carbohydrate catabolism (breakdown).

This is done via the Hypothalamus sending signals (via hormones) to Pituitary gland and the pituitary to Thyroid gland and Adrenal gland (epinephrine & cortisol). (e.g. epinephrine activates Protein kinase A which breaks down Glycogen → Glucose)

  • Parasympathetic stimulation: Promotes carbohydrate anabolism (formation of stores).

Recap Questions

  • What are the two main categories of metabolic reactions, and what are some examples of each?
  • Describe the three main metabolic fates of glucose.
  • Explain the key processes involved in carbohydrate metabolism.
  • How do insulin and glucagon regulate blood glucose levels?
  • What are the roles of the sympathetic and parasympathetic nervous systems in blood glucose regulation?

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