Carbohydrates 3 Flashcards

1
Q

Location of GNG

A

mainly in liver; after prolonged starvation kidneys can as well–only liver produces the G-6-Pase enzyme that can free glucose from the phosphate so it may enter circulation

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2
Q

Precursors for GNG

A

amino acids (mainly alanine), lactate, glycerol; all of these can readily be converted into pyruvate or OAA

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3
Q

4 Rxns of GNG that are needed to pass the 3 irreversible rxns of glycolysis (energy requirements if applicable)

A
  1. Pyruvate –> OAA –> PEP (pyruvate carboxylase, PEP carboxykinase; both require input of energy) (requires 2 ATP’s and 1 GTP per pyruvate so 4 ATP’s and 2 GTP’s for one molecule of glucose by GNG)
  2. F-1,6-BisP –> F-6-P (fructose-1,6-bisphosphatase)
  3. G-6-P –> Glucose (Glucose-6-Phosphatase)
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4
Q

Regulation of Pyruvate Carboxylase

A

pyruvate–> OAA; inhibited by insulin

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5
Q

Regulation by Fructose-1,6-Bisphosphatase

A

F-1,6-BisP –> F-6-P; inhibited by F-2,6-BisP and AMP

stimulated by Citrate MAIN REGULATION STEP

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6
Q

Regulation of PEP carboxylase

A

OAA–> PEP; Inhibited by insulin, AMP

Stimulated by Glucagon, cAMP

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7
Q

Regulation of Glucose-6-Phosphatase

A

G-6-P –> Glucose; inhibited by insulin

stimulated by glucagon

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8
Q

Insufficient GNG activity

A

Mutation in F-1,6-BisPase–classical symptoms of fasting hypoglycemia w/ metabolic acidosis;
also can be caused by liver disease or active alcohol metabolism

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9
Q

Cells w/ high levels of NADH have what problem?

A

holding onto pyruvate; if NADH levels are high, cell will ferment pyruvate to lactate to regenerate NAD+; GNG requires a well-function liver w/ low levels of NADH

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10
Q

Role of Acetyl-CoA in GNG/Glycolysis

A

High levels stimulate pyruvate carboxylase so GNG proceeds and inhibit PDH complex so less acetyl-CoA is made

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11
Q

Why is Pentose Phosphate Pathway (PPP) important? Where does it occur?

A

Ties together GNG and glycolysis to adjust cellular metabolism to the demands of ATP, NADH and NADPH; alternative pathway for glucose degradation; MAIN source of NADPH/riboses for biosynthesis rxns; PPP occurs in cellular cytosol

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12
Q

Oxidative Stage of PPP

A

G-6-P –> Ribose-5-Phosphate(pentose); gives off 2 NADPH molecules

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13
Q

Non-Oxidative Stage of PPP

A

reversible transketolase and transaldolase rxns; carbon pentoses are rearranged to form glycolytic intermediates

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14
Q

Regulated Step of PPP

A

G-6-P –> Phosphogluconolactone (G-6-P dehydrogenase)

Inhibited by NADPH!

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15
Q

Glucose-6-Phosphate Dehydrogenase Insufficiency

A

limits ability of PPP to generate NADPH for reduction of glutathione in RBC’s; RBC’s become sensitive to high levels of H2O2 which can cause hemolytic episodes; hemolysis occurs during infections, administration of H2O2 producing drugs, consumption of fava beans

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16
Q

Beri-Beri

A

Thiamin Deficiency; thiamin required for trans ketolase rxns of PPP; malnourished alcoholic patient