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11 Cards in this Set
- Front
- Back
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Ethanol
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CH3CHOH
-7 kcal/g -average is 4-6% of kcal (alcoholics up to 50%) -Absorption in stomach, then intestine -it is 100% metabolized in mucosa (20% for male and 5% for female) which is why women need less alcohol -highly soluble in water |
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Ethanol Process
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1. Ethanol
2. ADH 3. Acetaldehyde 4. ALDH 5. Acetate 6. CO2 and water 7. ATP |
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Metabolism (3 Ways)
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1. Alcohol/aldehyde dehydroginase
-hepatic (liver) -specific for EtOH 2. Cytochrome P450 -hepatic -part of many enzymes to catabolize xenobiotics 3. Peroxisomal (Catalase) -minor route |
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Alcohol/Aldehyde Dehydroginase
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Consequences
-acetaldehyde inhibits some TCA cycle enzymes -increased cystolic NADH incr pathways use NADH --> hypoglycemia -increased FA synthesis - fat storage in abdomen, increase VLDL, decrease FA oxidation, alters energy metabolism of the heart -stunts fuels away from oxidative phosphorylation, reduced strength and endurance |
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Cytochrome P450
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induced frequent EtOH exposure
-handles more EtOH at high concentration -spares NAD, less lactate Problem P450 induction -alters drug metabolism (faster) -increase cancer risk |
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Consequences of Alcohol
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-alcohol intolerance
-ketone body damage (reacts with free amines on proteins and disrupts or damages protein function) -altered membrane fluidity (disrupts receptor signally and reduces insulin sensitivity). |
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One Drink
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-11-15g EtOH
-12 oz beer -5 oz wine -1 oz hard liqueur |
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Chronic Alcohol Damage
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-hypertension
-gastritis -pancreatitis -cardiovascular disease -liver damage -brain damage |
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Alcoholism
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-withdrawal symptoms
-unsuccessful attempts to cut down -give up important events to drink -EtOH taken in larger amounts and shorter periods than intended -continued to use despite recognized adverse consequences -genetic link -altered neurotransmitter function in pleasure center |
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Fetal Alcohol Syndrome
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-major cause of mental retardation in the US
-Primary risk is conception-8 weeks -Embryo has 5% of adult ADH -Lesions (foreshortened facial bones, abnormal heart, deranged or absent brain neurons) -mechanism is unsure |
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Positive Effects
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3-9 drinks a week
-raises HDL -reduces CVD risk -does not apply if hypertensive (high BP) Polyphenols in red win -reduce clotting (grape juice is more effective) -reduce CVD risk |