Carb metabolism Flashcards
Zaise 7/31
Glut1
High affinity, is ubiquitous but found in RBC and brain
Glut 2
low affinity (so high Km) found in liver, kidneys
- does all glucose, galactose and fructose
- only on BL side not apical (lumen)
Glut3
High affinity, neurons
Glut 4
Insulin dependent!! SK and heart and adipose tissue
Glut4 depndecy
Dependent on insulin, is sequestered until insulin binds to membrane insulin receptor, after a kinase mediated insulin cascade th microvesicles fuse w membrane
Glycolysis location and net yield
occurs in cytoplasm, yields 2 ATP, 2 NADH, 2 pyruvate
3 phases of glycolysis
Investment: req 2 ATP
Splitting: 1 six C molecule to 2 three C molecules
Recoup/payoff: 4 ATP generated
hexokinase
traps glucose in cell making G6P. in all cells, low Km and high affinity, substrate is glucose and other sugars, Inhibited by G6P
Glucokinase
Only in liver/pancreas, high Km & low affinity, high Vmax, substate is glucose only, not inhibited by G6P, F6P translocates to nucleus, F1P moves it to cytosol, insulin induces and glucagon inhibits
Rate limiting step for glycolysis
PFK-1; uses ATP converts F6P to F1,6-BisPhos
PFK-1 regulation
Activated by PFK-2/FBPase-2,AMP inhibited by ATP, citrate
PFK-2/FBPase-2
dimeric enzyme: is kinase when dephosphorylated and a phosphatase when -P; de-P favored by insulin, -P favored by glucagon
Tarui disease
Deficiency in PFK-1; exercise induced muscle cramps & weakness, hemolytic anemia, high blirubin/jaundice
Pyruvate Kinase
PEP into pyruvate; (+): F1,6-BP (feed fwd) y insulin, (-): ATP, Alanine, glucagon; high insulin: phosphatase dephospho PK= active; glucagon: cAMP activates PKA, Phosphorylation = PK inhibited
G6P is junction point
PPP: ribose, NADPH
Glycogenesis: glycogen
Glycolysis: pyruvate-F6P
Gluconeogenesis: Glucose
disorders of glycolysis
most defects cause hemolytic anemias (since RBCs only have glycolysis)
-95% of disorders are defects in PK
Carb. metabolism orchestrated by…
relative amounts of insulin and glucagon in blood
diabetes
group of diseases caused by hyperglycemia
Type 1 diabetes
severe insulin deficiency due to defective pancreatic Beta cells (likely due to immune destruction)
Type 2 diabetes
insulin resistance that progress to loss of beta cell function
Fasting blood glucose levels:
70-100 mg/dL
prediabetic: 100-125
above 12 is diabetic
Hemolytic anemia clinical markers
elevated LDH in plasma (due to cells breaking and releasing), unconjugated bilirubin
Fanconi-Bickel Syndrome
AR, mutation in Glut 2, unable to take up glucose, fructose, galactose
- failure to thrive, hepatomegaly, tubular nephropathy, abdominal bloating, resistant rickets
- treat w vit. D and phosphate
Body needs of glucose vs reserve
whole body: 160g (brain is 120 of that)
present in body fluids: 20
present in glycogen reserves: 190g
so have about a days worth in reserve wo replenish