Carb Metabolism Flashcards
Taruai Disease
PFK1 deficiency. No ATP. muscle weakness Hemolytic anemia from Na pumps requiring ATP.
Hemolytic anemia
most common from glycolytic enzyme defects, 95% time PK. Na pumps requiring ATP don’t function right. Na+ pulls water into cell lysing it.
PFK2 kinase active
Insulin. Dephosphorylated. Produces F2,6BP that activates PFK1
PFK2 phosphatase active
Glucagon. Phosphorylated. F2,6BP converted to F6P and sent to gluconeogenesis. glycolysis decreased.
gluconeogenesis location
Liver, kidney and small intestine
Malate dehydrogenase
Converts OAA to Malate oxidizing NADH in mitochondria of Gluconeogenesis. Converts Malate back to OAA reducing NAD+ in cytosol. COMMITMENT check for gluconeogenesis.
Pyruvate carboxylase and cofactor
Biotin cofactor. ATP dependent. Converts Pyruvate to OAA using ATP in mitochondria for gluconeogenesis. 1st irreversible glycolytic step bypassed.
PEP carboxylase
Converts OAA to PEP in cytosol of gluconeogenesis. 2nd glycolytic Step Bypassed.
Fructose 1,6 bisphopsphatase
Converts F1,6BP to F6P by removing a phosphate in gluconeogenesis. RATE LIMITING and 3rd glycolytic bypassed step.
Glucose 6 phosphatase function and name both pathways
converts G6P to Glucose by removing a phosphate. SKIPS HEXO/GLUCOKINASE
4th and last glycolytic step passed during gluconeogenesis.
Glycogenolysis - liver uses it to make glucose
glycolytic intermediates used in gluconeogenesis
PEP converted to pyruvate when ATP high/glucagon present.
F2,6BP converted to F6P when glucagon high
F1,6BP deficiency
Similar to tarui disease (PFK1 deficiency)(glycolysis). F1,6BP deficiency results inability to complete gluconeogenesis and results in hypoglycemia and lactic acid buildup from cori cycle.
Cori Cycle
oxygen cannot keep up with ATP need in muscle. Anerobic glycolysis produces ATP and lactate. Lactate sent from muscle to liver, recycled into glucose, and sent back to muscle. Unsustainable over time.
Gluconeogenesis precursors
Fructose Galactose Glycogen - glycogenolysis glycerol - FAs Lactate - Cori Cycle AA's - TCA intermediates converted to malate
Von Gierke disease (GSD1a) gluconeogenesis
G6P deficiency results in lack of glucose being produced from gluconeogenesis. hypoglycemia.
GLUT 1
High glucose affinity. brain
GLUT 3
high glucose affinity. neurons
Glut 4
Medium glucose affinity. Skeletal muscle. heart.
Glut 2
Low glucose affinity. liver pancrease.
Glucose + fructose
Sucrose
Galactose + glucose
Lactose
Fructose enterocyte absorption
GLUT5
Fructose basolateral transport protein into blood
GLUT2 and GLUT5
SGLT1
enterocyte membrane protein absorbs galactose and glucose
Fructose, galactose, and glucose transport protein from enterocyte basolateral membrane into blood
GLUT2
aldose reductase
reduces glucose to sorbitol