2.1. Van glucose (hexose) nr pyruvaat (triose)................................................................................................ 8
Box 1: vorming v 2,3-BPG in rode bloedcellen...............................................................................................11
2.2. Het lot v pyruvaat: anaëroob metabolisme............................................................................................ 11
2.2.1. Van pyruvaat nr ethanol (gistcel).............................................................................................................11
2.2.2. Van pyruvaat nr lactaat (spiercel)............................................................................................................11
box 2: het melkzuur bij lange afstandslopers.................................................................................................12
3.2. Oxidatieve decarboxylering................................................................................................................... 15
3.2.1. Pyruvaatdehydrogenase-complex............................................................................................................15
3.2.2. Regulatie v pyruvaatdehydrogenase........................................................................................................16
3.3. citroenzuurcyclus/Krebs cyclus.............................................................................................................. 16
3.3.1. van acetyl-CoA nr CO2...............................................................................................................................16
3.3.2. Waar komen de elektronen id citroenzuurcylcus?...................................................................................18
3.3.3. Gereduceerde coenzymen kù bevoorrading v ATP verzorgen..................................................................18
4.1. elektronentransport & ATP synthese: inleiding......................................................................................19
1
, 4.2. Hoeveel energie komt vrij bij het elektronentransport?..............................................................................20
, glucose-omzetting nr Sorbitol........................................................................................................................32
8.3. Synthese v AZ........................................................................................................................................ 36
8.3.1. Novo synthese v niet-essentiëme AZ........................................................................................................36
A) Asparaat & asparagine...............................................................................................................................36
B) Glumataat & glutamine..............................................................................................................................36
C) Serine & glycine..........................................................................................................................................36
Acute lymfoblast leukemie (ALL) bij kinderen kan behandeld worden met asparaginase............................36
8.4. Aminozuurkatabolisme......................................................................................................................... 37
8.4.1. Afbraak vh koolstofskelet v aminozuren..................................................................................................37
Box: fenylketonurie (PKU)= defect in tyrosine vorming.................................................................................37
8.4.2. ureumcyclus ter eliminatie v stikstof........................................................................................................38
8.5. Aminozuurafgeleiden............................................................................................................................ 40
8.5.1. Inleiding....................................................................................................................................................40
8.5.2. Creatine & carnitine..................................................................................................................................40
8.5.3. Synthese & afbraak v haem......................................................................................................................40
a) Synthese.....................................................................................................................................................40
b) Afbraak.......................................................................................................................................................40
8.5.4. Polyaminen...............................................................................................................................................41
8.5.5. Stikstofmonoxide (・NO)..........................................................................................................................41
8.5.6. Neurotransmitters....................................................................................................................................41
9.2. Vetzuursynthese................................................................................................................................... 43
9.2.1. Inleiding....................................................................................................................................................43
9.2.2. Vetzuursynthese volgt niet omgekeerde weg vd ℬ-oxidatie ...................................................................43
9.2.3. De 3 fasen vd vetzuursynthese.................................................................................................................43
9.2.4. Synthese v Malonyl ACP & Acetyl ACP......................................................................................................44
9.2.5. Initiatiereactie v vetzuursynthese.............................................................................................................44
9.2.6. elongatiereacties v vetzuursynthese........................................................................................................44
9.2.7. Activatie v vetzuren (I)..............................................................................................................................44
9.2.8. Vetzuurelongatie -en desaturatie.........................................................................................................45
3
, 9.3. Synthese v triacylglycerolen (triglyceriden) & glycerofosfolipiden..........................................................45
9.4. Synthese v eicosanoïden....................................................................................................................... 45
9.5. synthese v cholesterol........................................................................................................................... 46
9.5.1. stap 1: omzetting v acetyl-CoA nr isopentenyl difosfaat..........................................................................46
9.5.2. stap 2: omzetting v isopentenyl disfosfaat nr squaleen...........................................................................46
9.5.3. stap 3: omzetting v squalene nr cholesterol.............................................................................................46
BOX: regulatie v cholesterolgehaltes.............................................................................................................46
9.6. Oxidatie v vetzuren............................................................................................................................... 47
9.6.1. Inleiding....................................................................................................................................................47
9.6.2. Activatie v vetzuren (II).............................................................................................................................47
9.6.3. ℬ-oxidatie reacties...................................................................................................................................47
9.6.4. Transport v vetzuur acyl CoA id mitochondriën.......................................................................................48
9.6.5. Hoeveel ATP genereert vetzuuroxidatie?.................................................................................................48
9.7. Lokalisatie metabolisme vetten in eukaryoten.......................................................................................48
9.8. Hormonale regulatie v lipidemetabolisme in zoogdieren........................................................................48
9.9. absorptie en mobilisatie v lipiden als brandstof.....................................................................................49
9.9.1. Absorptie v lipiden uit voedin g............................................................................................................49
9.9.2. Lipoproteïnen............................................................................................................................................50
9.9.3. Serum albumine...................................................................................................................................51
9.10. Ketonlichamen als brandstofmoleculen............................................................................................... 51
9.10.1. Ketonlichamen worden gesynthetiseerd id lever...................................................................................51
Lipidenmetabolisme bij suikerziekte..............................................................................................................52
10.5. Interacties tssn glucose- en triglyceridemetabolisme...........................................................................54
10.6. diabetes= toestand v verstoorde glucosehomeostase..........................................................................55
10.6.1. type I diabetes........................................................................................................................................55
BOX: ontdekking v insuline.............................................................................................................................56
10.7. obesitas= verstoorde triglyceridenhomeostase....................................................................................56
BOX: spelen vetcellen een actieve rol in obesitas & metabool syndroom?..................................................56
BOX: is er een link tssn ontstekingen & obesitas?.........................................................................................56
1. Definitie v metabolisme
4
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