CARBOHYDRATES Flashcards
Rapoport-Luebering shunt pathway
- Found in RBCs where the reaction catalyzed by phosphoglycerate kinase is bypassed
-
1,3-BPG → 2,3-BPG
- Enzyme: Bisphosphoglycerate mutase
Lysosomal acid maltase deficiency
Pompe disease (Type II)
- ↑ Glycogen in lysosomes
- Juvenile onset: hypotonia, death from heart failure by age 2
- Adult onset: muscle dystrophy
Essential fructosuria
Fructokinase deficiency
• Fructose → Fructose-1-P
• Enzyme: Fructokinase or hexokinase
What is the substrate of PPP?
Glucose-6-phosphate
Liver phosphorylase deficiency
Hers disease (Type VI)
• Hepatomegaly, mild hypoglycemia
* No liver Glycogen Phosphorylase, so no liver glycogen breakdown = glycogen accumulates there = hepatomegaly
Discuss this graph
most common enzyme defect in glycolysis?
Pyruvate kinase
- converts PEP to pyruvate
- presents as hemolytic anemia
2 steps in glycolysis produce ATP via substrate-level phosphorylation
-
1,3-Bisphosphoglycerate → 3-Phosphoglycerate
- Enzyme: Phosphoglycerate kinase
-
Phosphoenolpyruvate → Pyruvate
- Enzyme: Pyruvate kinase
Differentiate PFK-1 and PFK 2
non-reducing sugar
Sucrose
Discuss the process of GLUCONEOGENESIS
Rate-limiting step of glycogenolysis
Shortening of glycogen chains
Enzyme: Glycogen phosphorylase
What type of glycolysis is utilized by:
- Cells with mitochondria
- Cells with adequate supply
AEROBIC GLYCOLYSIS AKA Embden-Meyerhof-Parnas Pathway
End product: Pyruvate
Heinz bodies and bite cells are found in what disorder?
G6PD deficiency
Second Phase of PPP
Nonoxidative and Reversible
- Enzymes:
- Transketolases (Cofactor: Thiamine)
- Transaldolases
- Products:
- Ribose-5 phosphate
- Fructose-6phosphate
- Glyceraldehyde-3phosphate
NADPH functions
o Reductive biosynthesis of fatty acids and steroids
o Glutathione reduction inside RBCs
o Cytochrome P450 monooxygenase system
o Oxygen-dependent bactericidal mechanism of WBCs
o Synthesis of nitric oxide
- Flatulence and diarrhea after ingestion of dairy products
- Seen in up to 90% of adults of African or Asian descent are lactase-deficient
Lactose intolerance
Lactase deficiency
GLUT 1 is found in ___
Brain, kidney, colon, placenta, RBC
Mono-saccharides
(Hexoses)
Glucose, Fructose, Galactose and mannose
- Isomers that differ in configuration around only one specific carbon atom (except the carbonyl carbon)
- Examples: glucose and galactose (differ only in position of –OH in C4), glucose and mannose (differ only in position of –OH in C2)
EPIMERS
Mono-saccharides
(Pentoses)
Ribose, Ribulose and Xylulose
What type of glycolysis is utilized by:
- Cells without mitochondria
- Cells without sufficient O2
ANAEROBIC GLYCOLYSIS
End product: Lactate
Muscle phosphorylase deficiency
McArdle syndrome (Type V)
Poor exercise tolerance, muscle cramps and myoglobinuria but no lactic acidosis, high muscle glycogen
* because muscle lacks the phosphorylase enzyme, it cannot retrive glucose residues from glycogen, leading to cramps.
* No GP in the muscle, (GP is the rate-limiting enzyme in
glycogenolysis), so no GP, no muscle glycogen breakdown
GLut 4 is found in ___
Heart and skeletal muscle, adipose tissue
“FHM” fat, heart, muscle
Purpose of PENTOSE PHOSPHATE PATHWAY Also known as the Hexose MonoPhosphate shunt
o Produces NADPH
o Produces ribose 5-phosphate required for biosynthesis of nucleotides
o Provides a mechanism for the metabolic use of 5-carbon sugars
o Take Note: Neither produces nor consumes ATP
- Characterized by Deficiency in NADPH oxidase
- Converts molecular oxygen into superoxide in leukocytes (especially neutrophils and macrophages) and used in the respiratory burst that kills bacteria
- Severe, persistent, and chronic pyogenic infections caused by catalase-positive bacteria
CHRONIC GRANULOMATOUS DISEASE
*In the absence of NADPH oxidase, neutrophils will not be able to convert oxygen to superoxide, which is used to kill bacteria that they’ve engulfed.
Insulin is needed in ___
GLUT 4 transporter (“FHM” - fat, heart, muscle)
Important products of PPP
NADPH and Ribose-5-phosphate
Most common cause of congenital lactic acidosis
Pyruvate dehydrogenase deficiency
- X-linked dominant
- ↑ lactate (anaerobic glycolysis) + ↓ acetyl CoA (citric acid cycle) leads to brain deprived of acetyl CoA leading to psychomotor
- retardation and death
- Treat with ketogenic diet
Where does TCA occur?
- In all cells with mitochondria
- Mitochondrial matrix
- Except: succinate dehydrogenase (inner mitochondrial membrane)
What are the fates of Pyruvate?
Glucose 6 phosphatase is present in ___
The liver but not in the muscle.
The end product of glycogenolysis in the muscle is Glucose - 6 - Phosphate
GLUT 5 is found in ___
Small intestine (lumen)
for the Absorption of fructose
ATP yield of Glycolysis
This final step is shared by gluconeogenesis and glycogenolysis, because both pathways yield glucose.
GLUCOSE-6-PHOSPHATE → GLUCOSE
Enzyme: Glucose 6-phosphatase
Classic galactosemia
(Galactose-1-phosphateuridyltransferase deficiency)
Galactose-1P + UDP-glucose → UDP-galactose + Glucose-1P
Enzyme: Galactose-1-P uridyl transferase (GALT)
- Autosomal recessive
- More severe symptoms
- Galactosemia, galactosuria, cataracts, diarrhea, vomiting, jaundice
- Poor growth in children, severe mental retardation, and liver damage
- Premature ovarian failure in females