Multiple Choice
Passage
The sirtuins are a class of enzymes that regulate various metabolic processes by removing post-translational modifications from enzymes. SIRT4 is an autosomally encoded sirtuin protein that colocalizes with the pyruvate dehydrogenase complex. It deacylates lysine residues on certain metabolic proteins by removing methylglutaryl and hydroxymethylglutaryl units. Methylglutaryl-CoA and hydroxymethylglutaryl-CoA are intermediates in leucine catabolism, and scientists hypothesized that SIRT4 regulates this pathway. To test their hypothesis, livers from wild-type (WT) and SIRT4 knockout (KO) mice were treated with α-keto acid derivatives of several amino acids, including the derivative of leucine, α-ketoisocaproate (αKIC) . Figures 1 and 2 show the rate of oxidation of α-keto acids and oxygen consumption in both WT and KO livers, respectively.
Figure 1 Box plot showing the rate of oxidation of α-ketoisocaproate (αKIC) , α-ketoglutarate (αKG) , and pyruvate in SIRT4 knockout livers (Note: Asterisk indicates p < 0.05 relative to WT level)
Figure 2 Oxygen consumption in WT and KO livers in the presence and absence of succinate and reduced cytochrome C (Cyt-C) Because leucine is known to regulate insulin secretion, scientists injected WT and KO mice with leucine and measured plasma insulin levels over time. They then injected mice with insulin and monitored blood glucose levels (Figure 3) .
Figure 3 (A) Plasma insulin levels after injection with leucine and (B) blood glucose levels after injection with insulin in both WT and KO mice
Adapted from Anderson KA, Huynh FK, Fisher-Wellman K, et al. SIRT4 Is a Lysine Deacylase that Controls Leucine Metabolism and Insulin Secretion. Cell Metab. 2017;25(4) :838-855.e15.
-Which conclusion about the effect of SIRT4 on blood glucose levels can be drawn from the data in Figure 3?
A) SIRT4 causes insulin secretion, leading to decreased glucose uptake.
B) SIRT4 facilitates glucose uptake by preventing insulin resistance.
C) SIRT4 increases insulin sensitivity, causing increased blood glucose.
D) SIRT4 reduces insulin secretion, inducing increased glucose uptake.
Correct Answer:

Verified
Correct Answer:
Verified
Q214: Passage<br>Mitochondria are double membrane-bound cellular organelles that
Q215: Passage<br>ATP synthase, also known as Complex V,
Q216: Passage<br>Whole grains have been shown to reduce
Q217: Which of the following steps in the
Q218: Passage<br>The bacterium Clostridium difficile secretes protein toxins
Q220: Passage<br>The cystic fibrosis transmembrane conductance regulator (CFTR)
Q221: Researchers measured the activity of two enzymes
Q222: Which event could alter a protein's primary
Q223: Passage<br>Oxidative stress occurs in cells when reactive
Q224: Passage<br>A newborn girl is diagnosed with a