Ketosis

KETOSIS

  • It is a condition in which ketone bodies appear in blood and from there in the urine
  • The ketone bodies are acetone, acctoacetic acid, beta – hydroxyl butyric acid
  • Occurs due to decrease in blood glucose due to hypoglycemia or due to decreased utilization of glucose as in diabetes mellitus
  • To compensate for lack of glucose, oxidation of fatty acids provides alternate source of energy.
  • This is accompanied by production of ketone bodies, which serve as a source of cellular energy

Causes

  • Starvation
  • Diabetes mellities
  • Pregnancy
  • Lactation
  • Loss of appetite
  • Digestive disorders

Ketosis

  • Primary Ketosis (simple starvation )
  • secondary ketosis (starvation due to some other disease) 

Symptoms

  • Anorexia
  • Depression
  • Coma
  • Sweet smell derived from ketone bodies

Diagnosis

  • Urinalysis - Strongly positive for acetoacetic acid betahydroxy butyric acid
  • Milk Analysis - for present of Ketone bodies (Acetone)
  • Hyperlipaemia - increased lipid level in blood fatty chages in hepatocytes
  • Acidosis - Depletion of alkali ions – due to neutralization of two Ketone acids
  • Hypoglycemia - Decreased blood glucose level

Ketosis and hypoglycemia

  • Ketosis is the term used to describe the accumulation of excessive quantities of “Ketone bodies” in the blood (Ketonemai).
  • The ketone bodies are β- hydroxybutyric acid, acetoacetic acid, and acetone.
  • Ketosis follows excessive breakdown of adipose tissue as a source of energy when the availability of glucose is limited for any reason.
  • The oxidation of free fatty acids through acetyl-CoA, however, depends on a continuous source of oxaloacetate: this allows its incorporation into the tricarboxylic acid cycle.
  • In the face of active gluconeogenesis, which accompanies increased demands for glucose, inadequate oxaloacetate results and acetyl-CoA is directed to ketogenesis.
  • Normally, small amounts of ketone dobies and continuously generated and oxidized in the tissues.
  • When produced in amounts that exceed tissue utilization, ketones are excreted in the urine (ketonuria); when produced in amounts which exceed the renal capacity for excretion, they accumulate in the blood and lead to ketosis.
  • Ketosis can develop through
    • starvation, because of an increased demand for gluconeogenesis,
    • diabetes mellitus, because of an inability to utilize glucose, and
    • pregnancy and lactation, which place in increased demand for glucose.
  • Diabetes is obviously characterized by hyperglycemia, whereas the other disorders associated with ketosis are usually associated with hypoglycemia.
  • This is clearly an oversimplification of ketosis, but it is beyond the scope of this text to include a comprehensive review of the intermediary metabolism of carbohydrates and lipids.

Bovine ketosis

  • Bovine ketosis can develop through starvation, from diets containing excessive butyric acid; however the usual form is a spontaneous ketosis, seen in lacing dairy cows on an increased plane of nutrition.
  • I believed that the immense demand of the mammy gland to synthesize lactose exceeds the available cose; this leads to hypoglycemia.
  • The desease in characterized by anorexia and depression, or sometimes exorability, incoordination, and terminal coma.
  • Pregnantoxemia of ewes (“Pregant ewe paralysis”) is a disease that develops late in pregnancy, usually in ewes carrying twins or triplets; the ewes have, for some reason, come stressed or deprived of adequate food.
  • This completed with the increased demand for glucose by the leads to ketosis.
  • It is characterized by depression somnolence, and coma, but not true paralysis the outstanding lesion of bovine ketosis and pregnancy toxemia of ewes is sever fatty change in the liver.
Last modified: Friday, 23 March 2012, 7:15 AM