Biochemistry II Flashcards
What are some inborn errors of fructose and galactose metabolism?
- Classical galactosemia
- Essential fructosuria
- Hereditary fructose intolerance (type 2)
What is classical galactosemia?
Defect: deficiency of Gal-1-phosphate uridylyl transferase leads to galactose accumulation in the body
- *Symptoms and signs:**
- Aversion to milk
- failure to thrive
- hepatomegaly
- cataracts
- mental retardation
- hypoglycemia
What is the mechanism of classical galactosemia?
- accumulation of Galactose-1-phosphate in liver and galactose in blood and all tissues
- high Gal-1-P in liver leads to liver damage
- high galactose –> accumulation of galactitol in lens of eye and brain, which lead to cataracts and mental retardation
galactose ==> Galactitol
(Enzyme: aldose reductase)
(NADPH –> NADP)
Why is neonatal screening done for classical galactosemia?
Detecting the disorder early allows for elimination of all dietary galactose and prevents the development of more serious complications
- it is thought that the majority of mental retardation occurs in the womb
Where does fructose enter glycolysis?
- After* control point, PFK-1, as Dihydroxy Acetone Phosphate (DHAP) and Glyceraldehyde-3-Phosphate (G3P)
- this is so it can rapidly produce lactate and/or fatty acids
Where is fructose metabolized?
Mostly in the Liver
What are the reactions that allow fructose to enter glycolysis?

What happens to fructose in tissues other than the liver?
It is phosphorylated to Fructose-6-kinase by hexokinase, then enters glycolysis
How is glucose converted into fructose?
Glucose ==> Sorbitol
(Enzyme: Aldose Reductase)
(NADPH –> NADP)
Sorbitol ==> Fructose
(Enzyme: Sorbitol Dehydrogenase)
(NAD –> NADH)
How does Glycerol enter glycolysis?
Glycerol ==> Glycerol-3-P
(Enzyme: Glycerol Kinase)
(ATP –> ADP)
Glycerol-3-P ==> Dihydroxy Acetone Phosphate
(Enzyme: Glycerol-3-P dehydrogenase)
(NAD –> NADH)
(Also part of the glycerol phosphate shuttle)
How is galactose metabolized?

How do people with lactose intolerance acquire galactose?
UDP-glucose is made from Glucose-1-P by UDP-glucose pyrophosphorylase
UDP-Glucose is then made into UDP-Galactose by epimerase
Why is galactose necessary for life?
UDP-galactose is needed for glycoprotein and proteoglycan synthesis
Why does a build up of galactitol lead to?
In Classical galactosemia, galactose is not metabolized and is then converted to galactitol
- galactitol accumulates in cells, increasing their osmotic pressure and promoting cell swelling
- cell swelling leads to damage of nerves, lenses of the eye, and liver cells
What is Essential Fructosuria?
-Defect: hepatic fructokinase (fructose cannot be made into fructose-1-P)
-
Symptoms: Fructosemia
Fructosuria after fructose injection
Benign condition
What is Hereditary Fructose Intolerance (Type 2)?
-Defect: Hepatic Aldolase B with greater affinity for Fructose-1-P cleavage than F-1,6-BP, but will not cleave F-1-P and will not release it from active site
-Symptoms: get sick when ingest fructose
fasting hypoglycemia
hepatomegaly
failure to thrive
Note: Doesn’t seem to be an issue with breast milk
Why does Hereditary fructose interolerance (Type 2) cause hypoglycemia while fasting?
- Fructose-1-P is a competitive inhibitor of phosphorylase and aldolase
- cells continue to make an accumulation of F1P during fasting which causes depletion of Pi and ATP
- Pi is a substrate for glycogen phosphorylase, therefore, glycogen stores cannot be used to get free glucose
Fill in the blank

- 2 NADP+
- 2 NADPH
- Ribulose-5-Phosphate
- Xylulose-5-Phosphate
- Ribose-5-Phosphate
- Nucleotide synthesis
- CO2
8, 9, 10. Fatty Acid Synthesis
Glutathione Reduction
Other rxns such as detox
PPP Oxidative rxns
Fill in the blank

- Glucose-6-P
- NADP –> NADPH
- 6-Phosphogluconolactone
- H20 –> H+
- 6-Phosphogluconate
- NADP –> NADPH
- Ribulose-5-phosphate
- CO2
- Glucose-6-Phosphate dehydrogenase
- Lactonase
- 6-Phosphogluconate dehydrogenase
What is the overall reaction of PPP oxidative reactions
Glucose-6-phosphate + 2 NADP + H20 ==>
Ribose-5-phosphate+ 2 NADPH + 1 H+ +CO2
What is the flow of the PPP when more Ribose-5-Phosphate than NADPH is needed?
- Oxidative phase is off
- only glycolysis and non-oxidative phase rxns are necessary

What is the flow of the PPP when both NADPH and Ribose-5-Phosphate are required?
- Only oxidative phase is used
- Isomerase converts Ribulose-5-P to Ribose-5-P

What is the flow of the PPP when more NADPH than Ribose-5-Phosphate is needed?
- Both oxidative and non-oxidative rxns are required
- Ribose-5-P is converted back to G3P by non-oxidative and glycolysis rxns

What is the flow of the PPP when both NADPH and pyruvate are required?
- Both oxidative and non-oxidative rxns are required
- G3P is further converted to Pyruvate through glycoslysis

(homotrimer)