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Adaptation to Energy Depletion—The Energy Stress ResponseCells try to maintain their adenosine nucleotide pool in triphosphorylated,energized state, which is in the form of ATP. When there-phosphorylation rate of AMP and ADP to ATP does not keepup with the rate of ATP use, because, for example, oxidative phosphorylationis impaired or ATP use for muscle contraction or ionpumping is excessive, the ratio of AMP to ATP increases. A cellularmechanism has evolved to sense this menacing energy deficitand, in order to compensate, boosts ATP production and curtailsATP consumption (Hardie et al., 2006). The sensor is a ubiquitousheterotrimeric intracellular protein complex called AMP-activatedprotein kinase (AMPK). AMP strongly activates AMPK allosterically,and also by making it susceptible for phosphorylation by proteinkinase LKB1 (or by the calmodulin dependent protein kinasekinase, CaMKK, in neurons). The phosphorylated, and thus activatedAMPK, targets two sets of proteins. One set includes thosewhose activation facilitates ATP production from catabolism of glucoseand fatty acids as well as by promoting the biogenesis of mitochondria.For example, AMPK activation increases (a) glucoseuptake (via recruiting to the cell membrane or activating glucosetransporters GLUT4 and GLUT1), (b) glycolysis (via phosphorylationand activation of 6-phosphofructo-2-kinase (PFK-2) whoseproduct, fructose-2,6-bisphosphate is a glycolytic activator), and (c)fatty acid oxidation in mitochondria (via phosphorylation and inactivationof acetyl-CoA-carboxylase, whose product, malonyl-CoA, isan allosteric inhibitor of carnitine palmitoyltransferase-1, or CPT-1,which mediates uptake of long-chain fatty acid CoA esters intomitochondria). Another set of proteins, which are inactivated byAMPK (directly or indirectly), include those that are involved inbiosynthetic ATP consuming reactions. Thus, AMPK inhibits (a)glycogen synthesis via phosphorylation and inactivation of glycogensynthase, (b) lipid synthesis by phosphorylating and inactivatingacetyl-CoA-carboxylase, whose product, malonyl-CoA, is anessential substrate for fatty acid synthesis, (c) cholesterol synthesisby phosphorylating and inactivating HMG-CoA reductase, (d)glucose synthesis via inactivating phosphorylation of a transcriptionalcoactivator, TORC2, which then decreases expression of keygluconeogenetic enzymes, such as phosphoenolpyruvate carboxykinase(PEPCK) and glucose-6-phosphatase, and (e) protein synthesis,and thus cell growth, by inhibiting the protein kinase mTOR(Fig. 3-25). AMPK-mediated modulation of cellular energy supplyand consumption involves mainly kinase reactions rather than newprotein synthesis. Therefore, this adaptation is a rapid process. It canbe a response to any harmful condition that compromises oxidativephosphorylation, such as hypoxia, hypoglycemia (especially in neurons)dan toksisitas mitokondria induksi pembungan secara kimia. Sebagai contoh,sel-sel yang terkena arsenite menunjukkan kenaikan cepat AMP/ATPrasio dan aktivitas AMPK, dengan penurunan seiring HMG-CoAaktivitas reduktase serta lemak asam dan kolesterol sintesis(Corton et al., 1994).Setelah mengamati mekanisme utama selular adaptasi untuktoxicants, sangat mudah untuk mengenali noxa bahwa satu mungkin memulai beberaparespons adaptif. Sebagai contoh, sel-sel yang terkena lingkungan hipoksiadapat cepat merespon dengan kedua program AMPK-dimediasi.energi stabilisasi, dan adaptasi HIF-1α-diarahkan untuk oksigenkekurangan. Secara teoritis, toxicant electrophile yang dapat mengikat berikatan kovalen denganuntuk seluler makromolekul dan juga dapat menghasilkan oksidatifstres redoks Bersepeda quinone, diharapkan untuk menginduksisejumlah proses adaptif, termasuk electrophile respon,panas-shock respon, respon stres endoplasmic-sarkoplasma,respon kerusakan DNA, dan respon proliferatif, dan jika itu
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