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ENERGY METABOLISM - kroosita2's blog · Diseases and Blood Sugar Regulation Elevated glucose levels are present in diabetes mellitus, Cushing's syndrome, liver disease, and hyperthyroidism.

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Page 1: ENERGY METABOLISM - kroosita2's blog · Diseases and Blood Sugar Regulation Elevated glucose levels are present in diabetes mellitus, Cushing's syndrome, liver disease, and hyperthyroidism.

ENERGY METABOLISM KATRIN ROOSITA, MSI.

Page 2: ENERGY METABOLISM - kroosita2's blog · Diseases and Blood Sugar Regulation Elevated glucose levels are present in diabetes mellitus, Cushing's syndrome, liver disease, and hyperthyroidism.

METABOLISME ENERGI……

Page 3: ENERGY METABOLISM - kroosita2's blog · Diseases and Blood Sugar Regulation Elevated glucose levels are present in diabetes mellitus, Cushing's syndrome, liver disease, and hyperthyroidism.

Fig 1. METABOLISM

(Courtesy: Rimbawan, 2007)

Page 4: ENERGY METABOLISM - kroosita2's blog · Diseases and Blood Sugar Regulation Elevated glucose levels are present in diabetes mellitus, Cushing's syndrome, liver disease, and hyperthyroidism.

Organ utama

pengaturan

metabolisme: hati,

jaringan lemak

(adipose), otot , dan

otak.

Peran: penyimpanan,

penggunaan dan

penyediaan sumber

energi (substrat).

Page 5: ENERGY METABOLISM - kroosita2's blog · Diseases and Blood Sugar Regulation Elevated glucose levels are present in diabetes mellitus, Cushing's syndrome, liver disease, and hyperthyroidism.

SISTEM PENGATURAN

METABOLISME

KETER SEDIAAN

SUBSTRAT

SISTEM HORMON

SISTEM SARAF

Page 6: ENERGY METABOLISM - kroosita2's blog · Diseases and Blood Sugar Regulation Elevated glucose levels are present in diabetes mellitus, Cushing's syndrome, liver disease, and hyperthyroidism.

Hubungan

substrat – hormon- sistem

saraf

Substrat (glukosa dan protein)

mempengaruhi sekresi hormon

Hormon dan sistem saraf mengatur

metabolisme dan transport substrat.

Page 7: ENERGY METABOLISM - kroosita2's blog · Diseases and Blood Sugar Regulation Elevated glucose levels are present in diabetes mellitus, Cushing's syndrome, liver disease, and hyperthyroidism.

Kadar glukosa plasma vs sekresi hormon

Page 8: ENERGY METABOLISM - kroosita2's blog · Diseases and Blood Sugar Regulation Elevated glucose levels are present in diabetes mellitus, Cushing's syndrome, liver disease, and hyperthyroidism.

HORMON UTAMA METABOLISME

Page 9: ENERGY METABOLISM - kroosita2's blog · Diseases and Blood Sugar Regulation Elevated glucose levels are present in diabetes mellitus, Cushing's syndrome, liver disease, and hyperthyroidism.

EFEK BIOLOGIS GLUKAGON

Page 10: ENERGY METABOLISM - kroosita2's blog · Diseases and Blood Sugar Regulation Elevated glucose levels are present in diabetes mellitus, Cushing's syndrome, liver disease, and hyperthyroidism.

http://www.medbio.info/Horn/PDF%20files/homeostasis_2a.pdf

Page 11: ENERGY METABOLISM - kroosita2's blog · Diseases and Blood Sugar Regulation Elevated glucose levels are present in diabetes mellitus, Cushing's syndrome, liver disease, and hyperthyroidism.

Fungsi insulin

en.wikipedia.org

Page 12: ENERGY METABOLISM - kroosita2's blog · Diseases and Blood Sugar Regulation Elevated glucose levels are present in diabetes mellitus, Cushing's syndrome, liver disease, and hyperthyroidism.

http://www.medbio.info/Horn/PDF%20files/homeostasis_2a.pdf

Page 13: ENERGY METABOLISM - kroosita2's blog · Diseases and Blood Sugar Regulation Elevated glucose levels are present in diabetes mellitus, Cushing's syndrome, liver disease, and hyperthyroidism.

CONTOH:

http://www.medbio.info/Horn/PDF%20files/homeostasis_2a.pdf

Page 14: ENERGY METABOLISM - kroosita2's blog · Diseases and Blood Sugar Regulation Elevated glucose levels are present in diabetes mellitus, Cushing's syndrome, liver disease, and hyperthyroidism.

Aktivitas insulin di Sel Target

Page 15: ENERGY METABOLISM - kroosita2's blog · Diseases and Blood Sugar Regulation Elevated glucose levels are present in diabetes mellitus, Cushing's syndrome, liver disease, and hyperthyroidism.

Ketersediaan Substrat

Berbeda antara kondisi:

- post absorpsi

- puasa/starvation

- olahraga berat

- terjadi gangguan metabolisme dan kondisi

sakit.

Page 16: ENERGY METABOLISM - kroosita2's blog · Diseases and Blood Sugar Regulation Elevated glucose levels are present in diabetes mellitus, Cushing's syndrome, liver disease, and hyperthyroidism.

POST ABSORPTIVE STATE

2 - 4 HOURS period after

ingestion of a normal meal :

POST ABSORPTIVE STATE

INCREASES in plasma glucose, amino acids, and

triacylglycerols

baby-growths.com

Page 17: ENERGY METABOLISM - kroosita2's blog · Diseases and Blood Sugar Regulation Elevated glucose levels are present in diabetes mellitus, Cushing's syndrome, liver disease, and hyperthyroidism.

lipogenesis

Page 18: ENERGY METABOLISM - kroosita2's blog · Diseases and Blood Sugar Regulation Elevated glucose levels are present in diabetes mellitus, Cushing's syndrome, liver disease, and hyperthyroidism.

MECHANISMS OF HEPATIC- AMINO ACID

METABOLISM (in the absorptive period)

The surplus amino acids ARE NOT STORED, but are either:

a. released into the blood for all tissues to use in

protein synthesis,

b. they are with the resulting carbon skeletons being

degraded by the liver pyruvate, acetyl CoA, or TCA

cycle intermediates, these metabolites can be

oxidized for energy or used in fatty acid synthesis.

Page 19: ENERGY METABOLISM - kroosita2's blog · Diseases and Blood Sugar Regulation Elevated glucose levels are present in diabetes mellitus, Cushing's syndrome, liver disease, and hyperthyroidism.

METABOLISM OF

ADIPOSE TISSUE

in Post Absorptive State

A. Carbohydrate metabolism

1. Increased glucose transport

2. Increased glycolysis:.

3. Increased activity in the hexose monophosphate (HMP) pathway.

Page 20: ENERGY METABOLISM - kroosita2's blog · Diseases and Blood Sugar Regulation Elevated glucose levels are present in diabetes mellitus, Cushing's syndrome, liver disease, and hyperthyroidism.

B. Fat Metabolism

1. Increased synthesis of fatty

acids.

2. Increased triacylglycerol

synthesis

3. Decreased triacylglycerol

degradation

Page 21: ENERGY METABOLISM - kroosita2's blog · Diseases and Blood Sugar Regulation Elevated glucose levels are present in diabetes mellitus, Cushing's syndrome, liver disease, and hyperthyroidism.

METABOLISM OF RESTING MUSCLE

in Postabsorptive State

1. Increased glucose transport

2. Increased glycogen synthesis 3. Increased protein synthesis 4. Increased uptake of amino acids.

Page 22: ENERGY METABOLISM - kroosita2's blog · Diseases and Blood Sugar Regulation Elevated glucose levels are present in diabetes mellitus, Cushing's syndrome, liver disease, and hyperthyroidism.

METABOLISM OF BRAIN IN

POSTABSORPTIVE STATE

Page 23: ENERGY METABOLISM - kroosita2's blog · Diseases and Blood Sugar Regulation Elevated glucose levels are present in diabetes mellitus, Cushing's syndrome, liver disease, and hyperthyroidism.
Page 24: ENERGY METABOLISM - kroosita2's blog · Diseases and Blood Sugar Regulation Elevated glucose levels are present in diabetes mellitus, Cushing's syndrome, liver disease, and hyperthyroidism.

http://www.medbio.info/Horn/PDF%20files/homeostasis_2a.pdf

Page 25: ENERGY METABOLISM - kroosita2's blog · Diseases and Blood Sugar Regulation Elevated glucose levels are present in diabetes mellitus, Cushing's syndrome, liver disease, and hyperthyroidism.

FASTING METABOLISM

Fasting

a. an inability to obtain food,

b. the desire to lose weight rapidly,

c. in clinical situations in which an individual cannot eat because of trauma, surgery, burns, and so forth.

Physiology of Fasting: the absence of food, plasma levels of glucose, amino acids, and triacylglycerols fall, triggering a decline in insulin secretion and an increase in glucagon release.

Page 26: ENERGY METABOLISM - kroosita2's blog · Diseases and Blood Sugar Regulation Elevated glucose levels are present in diabetes mellitus, Cushing's syndrome, liver disease, and hyperthyroidism.

This sets into motion an exchange of substrates between

liver, adipose tissue, muscle, and brain :

1. the need to maintain adequate plasma levels of glucose

to sustain energy metabolism of the brain and other

glucose-requiring tissues.

2. the need to mobilize fatty acids from adipose tissue, and

the synthesis and release of ketone bodies from the

liver, to supply energy to all other tissues.

INSULIN / GLUCAGON RATIO

availability of circulating substrates

CATABOLIC PERIOD: by degradation of triacylglycerol, glycogen, and protein.

Page 27: ENERGY METABOLISM - kroosita2's blog · Diseases and Blood Sugar Regulation Elevated glucose levels are present in diabetes mellitus, Cushing's syndrome, liver disease, and hyperthyroidism.
Page 28: ENERGY METABOLISM - kroosita2's blog · Diseases and Blood Sugar Regulation Elevated glucose levels are present in diabetes mellitus, Cushing's syndrome, liver disease, and hyperthyroidism.

Diseases and Blood Sugar

Regulation

Elevated glucose levels are present in diabetes mellitus, Cushing's syndrome, liver disease, and hyperthyroidism.

Decreased glucose levels are present in Addison's disease, hyperinsulinism, and hypothyroidism.

The most prevalent of these diseases is diabetes mellitus (DM).

Type I DM (insulin-dependent or juvenile-onset) diabetes mellitus, when pancreatic beta cells are destroyed by an erroneous attack by the body's own immune system.

Type II DM, insulin secretion is not reduced; however, there is a reduced sensitivity of target cells to insulin, a phenomenon known as insulin resistance. (Paul I, 2007).

Page 29: ENERGY METABOLISM - kroosita2's blog · Diseases and Blood Sugar Regulation Elevated glucose levels are present in diabetes mellitus, Cushing's syndrome, liver disease, and hyperthyroidism.
Page 30: ENERGY METABOLISM - kroosita2's blog · Diseases and Blood Sugar Regulation Elevated glucose levels are present in diabetes mellitus, Cushing's syndrome, liver disease, and hyperthyroidism.

OVERVIEW OF METABOLIC PATHWAYS

AND SYSTEMS OF ENERGY METABOLISM

GLYCOGEN PROTEIN TRIACYLGLYCEROLS

Pyruvate

Nucleic

Acids

Ribose-5-P

Acetyl-CoA

Amino

Acids Glucose-6-P Glucose

Lactate

Ketone

Bodies

Free Fatty Acids

ATP Figure 2. Energy systems (DR. RImbawan, 2007)

Urea/NH3

H2O CO2

Page 31: ENERGY METABOLISM - kroosita2's blog · Diseases and Blood Sugar Regulation Elevated glucose levels are present in diabetes mellitus, Cushing's syndrome, liver disease, and hyperthyroidism.

METABOLISME ENERGI SAAT

AKTIVITAS FISIK (OLAH RAGA)

Page 32: ENERGY METABOLISM - kroosita2's blog · Diseases and Blood Sugar Regulation Elevated glucose levels are present in diabetes mellitus, Cushing's syndrome, liver disease, and hyperthyroidism.

METABOLISME GLIKOGEN

Liver glycogen stores increase during

the well-fed state .

Muscle glycogen is not affected by

short periods of fasting (a few days)

and is only moderately decreased in

prolonged fasting (weeks).

Muscle glycogen is synthesized to

replenish muscle stores after they

have been depleted, for example,

following strenuous exercise.

Page 33: ENERGY METABOLISM - kroosita2's blog · Diseases and Blood Sugar Regulation Elevated glucose levels are present in diabetes mellitus, Cushing's syndrome, liver disease, and hyperthyroidism.

Terima kasih atas

perhatiannya

alternativemagazineonline.co.uk

Page 34: ENERGY METABOLISM - kroosita2's blog · Diseases and Blood Sugar Regulation Elevated glucose levels are present in diabetes mellitus, Cushing's syndrome, liver disease, and hyperthyroidism.

REFERENCES

http://www.medbio.info/Horn/PDF%20files/homeostasis

_2a.pdf. Insulin_Glucagon Role in Metabolism.pdf

Tom Brody. Nutritional Biochemistry, 2nd edition,

Academic Press, 1999

Pamela C. Champe & Richard A. Harvey

Biochemistry, 2nd edition, J.B. Lippincott Company,

Philadelphia, 1994.

Illingworth. 2007. Biochemistry for Biologists

Fitness Training.

www.bmb.leeds.ac.uk/.../bioc1110/index.htm .

Rimbawan, 2007. Metabolism Slides

Page 35: ENERGY METABOLISM - kroosita2's blog · Diseases and Blood Sugar Regulation Elevated glucose levels are present in diabetes mellitus, Cushing's syndrome, liver disease, and hyperthyroidism.

Review Article

Teori Dasar Biokimia ttg:

a. Regulasi : hormonal dan saraf

b. Ketersediaan Substrat

c. Parameter /biomarker

d. Metode

e. Hasil