Lactic acid metabolism

Under certain circumstances, and very rarely, the inhibition of gluconeogenesis by metformin may suppress lactic acid metabolism and precipitate a potentially fatal lactic acidosis. Impairment of renal function, liver disease, alcoholism, conditions that give rise to increased lactate production (e.g. congestive heart failure, infections) are therefore contraindications for the application of metformin. 

Otto Fritz Meyerhof (1884-195 ) was bom in Hanover, Germany, and received an M.D. from the University of Heidelberg. After holding several posts in Gerfnany, he fled to the United States in 1940 and became Research Professor at the University of Pennsylvania. He received the 7922 Nobel Prize for medicine for his work on the relationship between oxygen uptake and lactic acid metabolism in muscles. 

In spite of the number of different structural types lipids share a common biosyn thetic origin m that they are ultimately derived from glucose During one stage of car bohydrate metabolism called glycolysis glucose is converted to lactic acid Pyruvic acid IS an intermediate... 

Yeast (qv) metabolize maltose and glucose sugars via the Embden-Meyerhof pathway to pymvate, and via acetaldehyde to ethanol. AH distiUers yeast strains can be expected to produce 6% (v/v) ethanol from a mash containing 11% (w/v) starch. Ethanol concentration up to 18% can be tolerated by some yeasts. Secondary products (congeners) arise during fermentation and are retained in the distiUation of whiskey. These include aldehydes, esters, and higher alcohols (fusel oHs). NaturaHy occurring lactic acid bacteria may simultaneously ferment within the mash and contribute to the whiskey flavor profile. 

Glycolysis Metabolic pathway involving the conversion of glucose to lactic acid or ethanol. 

Lactic acid, QH C, is a weak organic acid present in both sour milk and buttermilk. It is also a product of carbohydrate metabolism and is found in the blood after vigorous muscular activity. A buffer is prepared by dissolving lactic acid, HLac (ffa = 1.4 X 10-4), and sodium lactate, NaC3H503, NaLac. Calculate [H+] and the pH of the buffer if it is made of... 

The lactic acid (C3H603(flg), AG = —559 kj) produced in muscle cells by vigorous exercise eventually is absorbed into the bloodstream, where it is metabolized back to glucose (AG = —919 kj) in the liver. The reaction is... 

Glycolysis is the process by which glucose is metabolized to lactic acid according to the equation... 

In metabolic terms there are three dearly distinguishable types of compound to deal with. Firstly, compounds which are obviously waste products - end products of one or more pathways which would normally be excreted from the cell (for example lactic acid). Secondly, compounds which are end products of pathways but which are not waste products and whose synthesis is normally very carefully controlled (for example amino adds). Thirdly, compounds which are intermediates of pathways and hence not normally considered as end products or wastes at all (for example ritric add). 

Lack of oxygen in blood or tissues. Tissue hypoxia can be caused by injury, inflammation, or tumor growth, due to disruption of blood supply. Tissue hypoxia is normally associated with acidosis, as anaerobic metabolism leads to production of lactic acid. 

Metabolic acidosis is caused by the release into the bloodstream of excessive amounts of lactic acid and other acidic byproducts of metabolism. These acids enter the bloodstream, react with hydrogen carbonate ion to produce H2CX)5, and shift the ratio HC03 /H2C03 to a lower value. Heavy exercise, diabetes, and fasting can all produce metabolic acidosis. The normal response of the body is to increase the rate of breathing to eliminate some of the CO,. Thus, we pant heavily when running uphill. 

Metabolic acidosis can also result when a person is severely burned. Blood plasma leaks from the circulatory system into the injured area, producing edema (swelling) and reducing the blood volume. If the burned area is large, this loss of blood volume may be sufficient to reduce blood flow and oxygen supply to all the body s tissues. Lack of oxygen, in turn, causes the tissues to produce an excessive amount of lactic acid and leads to metabolic acidosis. To minimize the decrease in pH, the injured person breathes harder to eliminate the excess C02. However, if blood volume drops below levels for which the body can compensate, a vicious circle ensues in which blood flow decreases still further, blood pressure falls, C02 excretion diminishes, and acidosis becomes more severe. People in this state are said to be in shock and will die if not treated promptly. 

The chemical engineering approach began with an analysis of the biochemistry of platelet metabolism. Like many cells, platelets consume glucose by two pathways, an oxidative pathway and an anaerobic pathway. The oxidative pathway produces carbon dioxide, which makes the solution containing the platelets more acidic (lower pH) and promotes anaerobic metabolism. This second metabolic pathway produces large amounts of lactic acid, further lowering pH. The drop in pH from both pathways kills the platelets. 

This polymer is used to make body implants needed for only a short time. Eventually the polymer is converted back to lactic acid, which is metabolized to CO2 and water in the same manner as natural lactic acid. Thus, the body absorbs the polymer without leaving any permanent residue. Draw at least four repeat units of the stracture of the polymer made from lactic acid. 

The selective utilization of prebiotics by some, but not all, of the resident species alters the assemblages, densities and metabolic activities of the GIT bacteria. Of importance is the ability of prebiotics to increase the proportion of the resident bacteria represented by the lactic acid producing bacteria (LAB), resulting in changes of GIT and systemic functions (Swanson et al.. 

Propylene glycol is partially excreted by the kidney unchanged and partially metabolized by hepatic alcohol dehydrogenase to lactic acid and pyruvate. 

These goals may minimize an overshoot metabolic alkalosis = Remember that ketoacids and lactic acid are metabolized to bicarbonate... 

The principal function of the circulatory system is to supply oxygen and vital metabolic substrates to cells throughout the body, as well as removal of metabolic waste products. Circulatory shock is a life-threatening condition whereby this principal function is compromised. When circulatory shock is caused by a severe loss of blood volume or body water it is called hypovolemic shock, the focus of this chapter. Regardless of etiology, the most distinctive manifestations of hypovolemic shock are arterial hypotension and metabolic acidosis. Metabolic acidosis is a consequence of an accumulation of lactic acid resulting from tissue hypoxia and anaerobic... 

This isotonic volume expander contains sodium, potassium, chloride, and lactate that approximates the fluid and electrolyte composition of the blood. Ringer s lactate (also known as lactated Ringer s or LR) provides ECF replacement and is most often used in the perioperative setting, and for patients with lower GI fluid losses, burns, or dehydration. The lactate component of LR works as a buffer to increase the pH. Large volumes of LR may cause metabolic alkalosis. Because patients with significant liver disease are unable to metabolize lactate sufficiently, Ringer s lactate administration in this population may lead to accumulation of lactate with iatrogenic lactic acidosis. The lactate is not metabolized to bicarbonate in the presence of liver disease and lactic acid can result. 

Oliguria often follows hypotension because of decreased perfusion. Metabolic acidosis ensues because of diminished clearance by the kidneys and liver of lactic acid. 

Lactic acidosis A condition caused by build-up of lactic acid in the body. It leads to acidification of the blood (acidosis), and is a form of metabolic acidosis. 

Metabolic acidosis An acid-base disorder caused by overproduction or accumulation of acid (often lactic acid see lactic acidosis) or a deficit of base (i.e., bicarbonate). 

Accumulation of lactic acid due to the anaerobic metabolism that occurs during ischemia... 

During the recovery period from exercise, ATP (newly produced by way of oxidative phosphorylation) is needed to replace the creatine phosphate reserves — a process that may be completed within a few minutes. Next, the lactic acid produced during glycolysis must be metabolized. In the muscle, lactic acid is converted into pyruvic acid, some of which is then used as a substrate in the oxidative phosphorylation pathway to produce ATP. The remainder of the pyruvic acid is converted into glucose in the liver that is then stored in the form of glycogen in the liver and skeletal muscles. These later metabolic processes require several hours for completion. 

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