Considering the metabolic disorder "Ethanol Sensitivity. Which of the following therapeutic approaches could result in improvement for an individual with this disorder? (Select 2 answers) O Pharmacological competitive inhibition of Ethanol Dehydrogenase Pharmacological alloseteric inhibition of cytosolic acetylaldehyde dehydrogenase O Pharmacological activation of cytosolic aldehyde dehydrogenase O Pharmacological uncompetitive inhibition of mitochondrial acetylaldehyde dehydrogenase
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- Predict which one of the five steps of the α-ketoglutarate dehydrogenase complex reaction is metabolically irreversible under physiological conditions and explain why.One of the consequences of ethanol addiction is fattyliver disease, an illness in which liver cells accumulatetriacylglycerols, the esters derived from glycerol and fattyacids. Ethanol is oxidized in the cytoplasm of liver cells byalcohol dehydrogenase and aldehyde dehydrogenase to yieldacetate and 2 NADH. Acetate is then transported into themitochondrion, where it is converted to acetyl-CoA andmetabolized by the citric acid cycle. When alcohol is consumed in excessive quantities, the resulting high levels ofNADH cause metabolic abnormalities, one of which is highlevels of fatty acid synthesis. Fatty acid synthesis, also acytoplasmic process, uses acetyl-CoA as a substrate andNADPH as a reducing agent. Determine how a high level ofcytoplasmic NADH provides a source of NADPH for fattyacid synthesis.Discuss the metabolic control for HMG CoA reductase synthesis and activity
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