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