Nutrient Metabolism in the Well-Fed State

Liver:

Carbohydrate Metabolism

1. ­ phosporylation of glucose

2. ­ glycogen synthesis

3. ­ production of NADPH

4. ­ glycolysis

5. ¯ gluconeogensis

Fat Metabolism

6. ­ FA synthesis

7. ­ triglyceride synthesis

8. Packaging of triglycerides into VLDL

Amino Acid Metabolism

9. ­ protein synthesis

10. degradation of surplus AA

 

Adipose Tissue:

Carbohydrate Metabolism

1. ­ glucose transport and phosphorylation

2. ­ glycolysis

3. ­ NADPH

Fat Metabolism

4. ­ FA synthesis

5. ­ triglyceride synthesis

Amino Acid Metabolism Not metabolized by adipose tissue

 

Skeletal Muscle:

Carbohydrate Metabolism

1. ­ glucose transport and phosphorylation

2. ­ glycolysis & TCA (Krebs)

3. ­ glycogen synthesis

Fat Metabolism minor importance as energy substrate due to high glucose

Amino Acid Metabolism

4. ­ uptake of AA

5. ­ protein synthesis

 

Brain:

Carbohydrate Metabolism

1. Brain uses glucose exclusively for energy

Fat Metabolism FA can not cross the blood-brain barrier

Amino Acid Metabolism Certain AA function as neurotransmitters

 

 

 

Nutrient Metabolism During Starvation

Liver:

Carbohydrate Metabolism

1. ­ glycogen degradation

2. ­ gluconeogensis

Fat Metabolism

3. ­ b -oxidation of FA derived from adipose tissue

4. ­ synthesis of ketone bodies

Amino Acid Metabolism

5. ­ uptake of AA for gluconeogenesis

 

Adipose Tissue

Carbohydrate Metabolism Glucose transport into adipose tissue is inhibited

Fat Metabolism

1. ­ degradation of triglycerides

2. ­ release of triglyceride derived FA into blood

3. Glycerol backbone is used as a gluconeogenic precursor by the liver

Amino Acid Metabolism AA not metabolized by adipose tissue

 

Skeletal Muscle

Carbohydrate Metabolism Glucose transport into muscle cell is inhibited

Fat Metabolism

1. Use of FA from adipose tissue & ketones from liver as energy sources during early starvation

2. Use of FA as energy source during prolonged starvation. Spares ketone bodies so they can be used by brain

Protein Metabolism

3. Rapid breakdown of muscle protein during first few days of starvation

4. AA are used by liver for gluconeogenesis

 

Brain:

Metabolism of energy substrates

1. Brain uses glucose from gluconeogenesis during early starvation

2. Brain uses ketones during prolonged starvation