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LECTURE 12
PEM occurs in 2 forms: Marasmus and Kwashiorkor which differ in clinical features but
have many problems in common - Table 6-4
A high protein intake increases the work of the kidneys as they labor to excrete the excess
nitrogen as urea. For this reason, water intake should be increased if protein intake is high.
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2. Food protein is the only practical source of nitrogen for making nonessential amino
acids and other nitrogen-containing biological molecules, such as the nucleotides in
DNA and RNA.
For persons over the age of 19, the RDA (recommended dietary allowance) for protein is: 0.8
g/kg, or 56 g/70 kg person
Athletes do NOT need to increase their protein intake, because most American diets provide
far more protein than needed.
What food servings provides 8g protein? 1 ounce of meat contains 8g of protein, as does 1 cup of
milk; 1 slice of bread contains 3g. A chicken breast contains 69g of protein. Americans on average eat
330g meat/day! (about lb meat/person)
Muscle work builds muscle, protein supplements do not, and athletes don't need them. (And,
they are expensive!)
Amino acid supplements: the human body evolved under conditions of protein nutrition
where the proteins contain a mixture of all the 20 amino acids.
Supplements provide amino acids in high concentration and in unusual combinations the
body is not designed to handle, and amino acid supplements can be risky.
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This chapter answers the question: How do we obtain energy from food?
Dictionary:
1. the capacity of producing an effect;
2. an entity rated as the most fundamental of all physical concepts, usually
regarded as the power to do work
Almost all living things depend on the sun's energy (energy in the form of light):
Green plants convert light energy into chemical energy that can be used to synthesize
carbohydrates from carbon dioxide and water, in a process called photosynthesis:
In terms of light-driven carbohydrate formation from CO2, photosynthesis can also be called
carbon dioxide fixation:
light energy + 6 CO2 + 6 H2O C6H12O6 + 6 O2
This process of using energy and water to "fix" carbon dioxide and form carbohydrate is the
source of all of the oxygen (O2) now present in our atmosphere.
In effect, we reverse the process of CO2 fixation when we use carbohydrates in food as our source of
energy:
Recall from Lecture 07 that carbohydrates such as glucose are broken down in the body to
produce carbon dioxide, water, and energy:
Much like cellulose [a glucose polymer] in wood releases energy in the form of heat when it
is burned in the fireplace.
An important difference is that our cells have biochemical mechanisms for capturing the energy
that is released. This energy is captured in the form of chemical energy, rather than allowing it
all to be lost as heat, the lowest form of energy.
Cells accomplish this remarkable feat by breaking up the oxidation of carbohydrate into a sequence
of 19 separate reactions, releasing the energy in small steps along the way. Similar rxns capture
energy from fat and protein.
We can see several features and anticipate certain requirements that must be met in order for this
process to take place within the orderly confines of a cell:
1. Hydrogens are removed from the carbon atoms and transferred to oxygen atoms to form
water. It turns out that this transfer isnt direct, so a hydrogen carrier is needed. The
hydrogen carrier for this purpose in cells is a chemical derivative of niacin (niacin is one
of the B vitamins) known as NAD+ when it's not loaded with hydrogen, and NADH
when it is (Another B vitamin is riboflavin). (NADH = Nicotinamide Adenine
Dinucleotide)
2. Energy is released in small amounts (a large and instantaneous release of energy w/in the
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cell would damage the cell) and carried to the many energy-requiring processes in the cell
by an energy carrier, a substance called ATP; its structure is shown in Figure 7-3
(ATP=Adenine TriPhosphate). Energy from catabolism is carried to anabolism by ATP.
The breakdown of one molecule of glucose in a cell drives the formation of more than 30
molecules of ATP.
A bomb calorimeter measure the amt of energy in a substance by measuring the amt of heat
released when the substance reacts w/ O2
The sum of all the chemical reactions that go on in living cells is known as metabolism (from
the Greek word metabole, meaning "change").
The sum of the chemical changes that converts nutrients into energy and the chemically
complex molecules found in the cells. Metabolism consists of hundreds of enzyme rxns
organized into discrete pathways
Two fundamental kinds of metabolism take place in cells: catabolism and anabolism
When a chemical bond is broken in the process of catabolism, energy is released either in the form
of heat or it is captured via the creation of a new bond, or both.
Our body temperature is almost 100 F because of the heat released in metabolic reactions.
Often, as one compound is broken apart, some of the energy is released as heat and some of it is
Captured and used to put together another compound, such as ATP.
Coupled Reactions: When the energy released in the breakdown of one compound can be
used to
put together another compound, the two reactions together are called coupled reactions:
Reaction 1):
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Reaction 2):
Coupling 1) and 2) allows the energy released in reaction 1) to drive reaction 2), the formation of
compound B.
The energy released in catabolism (which we can think of as a series of reactions of type 1) is used
to drive the formation of ATP from ADP + P (which is the common coupling reaction of type 2
used by cells).
And, we can use this energy in productive ways, for example to drive an anabolic reaction to put
two smaller molecules together to make a bigger one, by coupling the energy-releasing reaction of
ATP breakdown to the energy-requiring anabolic reaction.
Cells form ATP using the energy released in catabolic reactions and transfer this energy to
anabolic reactions by coupling such reactions with to the energy-releasing reaction of ATP
breakdown into ADP + P.
Figure 7-4 illustrates how ATP energy can be used to fuel the bodys work, such as put together a
new compound.
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A Typical Cell - Figure 7-1
Cells are highly organized entities, with each part or compartment dedicated to a specific metabolic
function.
Mitochondria are referred to as the "powerhouses" of cells because most of the ATP formation
from ADP + P occurs within them ppt slide
At an even finer level of organization, a specific enzyme is dedicated exclusively for each of the
thousands of reactions in metabolism.
Some enzymes need organic molecules known as coenzymes to help them carry out their reactions.