Chapter 9: Carbohydrate metabolism I: Glycolysis, glycogen, gluconeogenesis, and the pentose phosphate pathway Flashcards

1
Q

The MCAT is most likely to test you on the rate limiting enzymes for each process and these are some examples:

A

Glycolysis: Phosphofructokinase- 1

Fermentation: lactate dehydrogenase.

Glycogenesis: Glycogen synthase.

Glycogenolysis: Glycogen phosphorylase.

Gluconeogenesis: Fructose-1,6 bisphosphatase.

Pentose phosphate pathway: Glucose-6-Phosphate dehydrogenase.

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2
Q

Oxidation and reduction reactions.

A

Oxidation is increased bond to oxygen or other heteroatoms on paper and thesis atoms besides carbon and hydrogen) and reduction is increased bond to hydrogen.

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2
Q

There are 4 glucose transporters called GLUT 1 through GLUT 4.

A

GLUT 2 is in hepatocytes and pancreatic cells. It captures the excess glucose primarily for storage. Much of the remainder bypasses the liver and enters the peripheral circulations. The Km of GLUT 2 is quite high, approximately 15 mM. The liver will pick up excess glucose and store it preferentially after a meal when blood glucose levels are high.

GLUT 4 in adipose tissue and muscle and response to the glucose concentration in peripheral blood. The rate of glucose transport in these two tissues is increased by insulin Which stimulates the movement of additional GLUT 4 transporter to the membrane by a mechanism involving exocytosis. The Km of GLUT 4 is close to normal glucose levels in the blood. This means that the transporter saturated when blood glucose levels are just a bit higher than normal. When a person has high blood sugar concentrations, this transporters will still permit only a constant rate of glucose influx because they will be saturated. By increasing the number of GLUT 4 transporter their surface. Although basal levels of transport occur in all cells independently of insulin, the transport rate increases in adipose tissue and muscle when insulin levels rise.

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3
Q

Glycolysis

A

Cytoplasmic pathway that converts glucose into two pyruvate molecules. Releasing a modest amount of energy captured into substrate level phosphorylations and one oxidation reaction.

In the liver, glycolysis, the part of the process by which exit glucose is converted to fatty acid for storage.

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4
Q

What happens in red blood cells?

A

Red blood cells extrude their mitochondria during development. This helps them carry out their functions, which is carrying oxygen in two ways: Maximizing volume available for hemoglobin, the primary oxygen carrying protein. Stopping the red blood cell from utilizing the oxygen it’s supposed to be carrying to oxygen depleted bodily tissues.

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5
Q

Hexokinase and Glucokinase.

A

The first step in glucose metabolism in any cell are transport across the membrane and phosphorylation by kinase enzymes inside the cell to prevent glucose from leaving the transporter. Glucose entered the cells by facilitated diffusion or active transport. These kinases convert glucose to glucose 6 phosphate.

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6
Q

Hexokinase

A

Widely distributed in tissues and is inhibited by its product glucose 6 phosphate. It traps the glucose inside the cell.

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7
Q

Glucokinase.

A

Found only in the liver cells and patriotic cells. In the liver, glucokinase is induced by insulin. He has a high Km.

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8
Q

Pyruvate kinase.

A

Catalyzes the substrate level phosphorylation of ADP using the high energy substrate phosphoenolpyruvate. It’s activated by fructose 1, 6-bisphosphate from the PFK-1 reaction. This is referred to as feed for activation, meaning that the product of the early reaction of glycolysis simulates a later reaction in glycolysis.

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8
Q

Phosphofructokinase (PFK-1 and PFK-2)

A

It is the rate limiting enzyme and main control point in glycolysis. In this reaction, fructose 6 phosphate is phosphorylated to fructose1,6- biphosphate using ATP. PFK-1 is inhibited by ATP and citrate and activated by AMP.

Insulin stimulates and Glucagon inhibits PFK-1 in hepatocytes via indirect mechanism, involved PFK 2 and fructose 2, 6-biphosphate. Insulin activates phosphofructokinase 2 (PFK 2 ) which converts a tiny amount of fructose 6-phosphate to fructose 2,6-phosphate (F2,6-BP). This activates PFK 1.

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8
Q

Glyceraldehyde 3 phosphate dehydrogenase.

A

It catalyzes an oxidation and addition of inorganic phosphate to its substrate, glyceraldehyde 3 phosphate. This result in the production of a high energy intermediates 1,3-bisphosphoglycarate and the reduction of NAD + to NADH.

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8
Q

3 Phosphoglycerate kinase.

A

Transfers the high energy phosphate from 1,3-bisphosphoglycarate To ADP forming ATP and 3-phosphoglycerate. ADP is directly phosphorylated to ATP using a high energy intermediate is referred to as substrate level phosphorylation. This is the only way to produce ATP in anaerobic tissue.

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9
Q

Important intermediates of glycolysis.

A

Dihydroxyacetone phosphate (DHAP) is used in hepatic and adipose tissue for triglycerol synthesis. It is formed from fructose 1,6-biphosphate and it can be isomerized to glycerol 3-phosphate which can be converted to glycerol. The backbone of triglycerides.

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9
Q

Fermentation.

A

In the absence of oxygen, lactate dehydrogenase oxidizes NADH to NAD+. Without mitochondria and oxygen, glycolysis would stop when all the available NAD + has been reduced to NADH. By reducing pyruvate to lactate and oxidizing and NADH to NAD+ , lactate dehydrogenase prevents this potential problem from developing. When oxygenation is poor, most cellularity beats generated by anaerobic glycolysis and lactate production increases.

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10
Q

irreversible enzymes.

A

There are three points that are irreversible in glycolysis. The enzymes are glucokinase/ hexokinase, PFK-1, pyruvate kinase.

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11
Q

Glycolysis in erythrocytes.

A

Erythrocytes, or red blood cells, are anaerobic, glycolysis represents the only pathway for ATP production, yielding a net of two ATP per glucose. Red blood cells have biphosphoglycerate mutase, which produces 2,3-bisphosphoglycerol (2,3-BPG) from 1,3-BPG in glycolysis. 2,3-BPG Binds allosterically to the beta chains of hemoglobin and decreases its. Affinity to oxygen. This effect of 2,3-BPG It’s been an oxygen dissociation curve for HbA. The right word, shifting the curve is sufficient to allow unloading of oxygen in tissues, but still allows 100% saturation in the lungs. HbF In the fetus has a higher affinity for oxygen than maternal HbA This allows transplacental passage of oxygen from mother to fetus.

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12
Q

Galactose Metabolism.

A

An important source of galactose in the diets is a disaccharide lactose present in milk. Lactose is hydrolyzed to galactose and glucose by lactase. Once transported into tissues, galactose is phosphorylated by galactokinase, trapping it in the cell. The resulting galactose 1-phosphate is converted to glucose 1-phosphate by galactose 1-phosphate uridyltransferase and epimerase.

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13
Q

Epimerases

A

Are enzymes that catalyze the conversion of 1 sugar epimer to another.

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14
Q

Fructose Metabolism.

A

Fructose is found in honey and fruits and as part of the disaccharide sucrose. Sucrose is hydrolyzed by the duodeno brush border enzyme sucrase. The liver phosphorylates fructose, using fructokinase to trap it in the cell. The resulting fructose 1-phosphate is then cleaved into glyceraldehyde and DHAP by aldolase B.

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15
Q

Primary lactose and secondary lactose intolerance.

A

Primary lactose intolerance is caused by a hereditary deficiency of lactase. Secondary lactose intolerance can be precipitated at any age by gastrointestinal disturbances that cause damage to the intestinal lining where lactase is found. Common symptoms of lactose intolerance include vomiting. The symptoms can be attributed to bacterial fermentation of lactose, which produces a mixture of acids.

15
Q

What are the functions and key regulators of following enzymes? Which ones are reversible?

A

Hexokinase phosphorylates glucose to form glucose 6 phosphate, trapping glucose in the cell. It is inhibited by glucose 6 phosphate and it is irreversible.
Glucokinase also phosphorylates in traps, glucose and livers and pancreatic cells, and works with GLUT 2 as part of the glucose sensor in beta islet cells. It is irreversible.

PFK-1 catalyzes the rate limiting step of glycolysis, phosphorylating fructose 6-phosphate to fructose 1, 6-biphosphate using ATP. It is inhibited by ATP, citrate and Glucagon. It is activated by AMP, fructose 2,6-biphosphate and insulin. It is irreversible.

Glyceraldehyde 3-phosphate dehydrogenase generates NADH while phosphorylating glyceraldehyde 3-phosphate to 1,3 -bisphosphoglycerate. It is reversible.

3-phosphoglycerate Kinase performs a substrate level phosphorylation, transferring a phosphate from 1,3 –bisphosphoglycerate Two ADP forming ATP and 3-phosphoglycerate. It is reversible.

Pyruvate kinase performs another substrate level phosphorylation, transferring a phosphate from phosphoenolpyruvate to ADP, forming ATP and pyruvate. It is activated by fructose 1,6 6-biphosphate. It is irreversible.

16
Q

Pyruvate dehydrogenase.

A

Pyruvate from aerobic glycolysis entries microconidia where it may be converted to What? for entry into the citric acid cycle if ATP is needed. The pyruvate dehydrogenase complex reaction is irreversible and cannot be used to convert acetylcholine to pyruvate or to glucose. Pyruvate dehydrogenase in the liver is activated by insulin, whereas in the nervous system the enzyme is not responsive to hormones. In a well fed state, the liver should not only burn glucose for energy, but shift the fatty acid equilibrium towards production and storage. Pyruvate dehydrogenase is inhibited by its product acetyl Co-A.

16
Q

Why must pyruvate undergo fermentation for Glycolysis to continue?

A

Must occur to generate NAD+, which is in limited supply in cells.

Why is it necessary that Fetal hemoglobin does not bind 2,3-BPG?

The binding of 2,3-BPG Decrease his hemoglobin to affinity for oxygen. Fetal hemoglobin must be able to steal oxygen from maternal hemoglobin at the placental interface.

How does insulin promote glucose entry into cells?

GLUT 4 is saturated when glucose levels are only slightly above 5 mM, so glucose entry can only be increased by increasing the number of transporters. Insulin promotes the fusion of vesicles containing preformed GLUT 4 with the cell membrane.

17
Q

What are the fates of Pyruvate?

A

Conversion to acetyl Co A by PDH. Conversion to lactate by lactate dehydrogenase or conversion to oxaloacetate by pyruvate carboxylase.

18
Q

Glycogen

A

A branched polymer of glucose represents a storage form of glucose. Glycogen is stored in the cytoplasm as granules. Each granule has a central protein Cora, with polyglycol chain radiating outwards to form a sphere.

19
Q

Difference between glycogen in the liver and in the muscle.

A

Liver glycogen is broken down to maintain a constant level of glucose in the blood. Muscle glycogen is broken down to provide glucose to the muscle during vigorous exercise.

20
Q

Glycogenesis

A

It is the synthesis of glycogen granulose. It begins with the core protein called glycogenin. Glucose addition to granule begins with glucose 6 phosphate, which is converted to glucose 1 phosphate. The glucose 1 phosphate is then activated by coupling to a molecule of uridine diphosphate (UDP). Which permits its integration into the glycogen chain by glycogen synthase. Glycogen synthase is the rate limiting enzyme of glycogen synthesis and forms the Alpha-1,4-glycosidic bond found in the linear glucose chains of the granule. It is stimulated by glucose 6, phosphate and insulin.

21
Q

Branching enzyme.

A

Responsible for introducing alpha 1,6-linked branches into the granule as it grows.

22
Q

Glycogen phosphorylase.

A

Breaks the Alpha-1,4-glycosidic bond, Releasing glucose 1 phosphate from the periphery of the granule. Glycogen phosphorylase is activated by Glucagon in the liver. In skeletal muscle, it is activated by AMP and epinephrine, which signals that the muscle is active and requires more glucose. It is inhibited by ATP.

23
Q

Glycogenolysis

A

The rate limiting enzyme of glycogenolysis, the process of breaking down glycogen, is glycogen phosphorylase. The glucose 1 phosphate formed by glycogen phosphorylase is converted to glucose 6 phosphate.

24
Q

Debranching enzyme.

A

Is it 2 enzyme complex that this construct the branches in glycogen that have been exposed by glycogen phosphorylase. Breaks Alpha-1,4-glycosidic bond Adjacent to the branch point and moves the small Oligoglucose chain that is released to the exposed end of the other chain. Then it forms a new Alpha-1,4-glycosidic bond. Lastly, hydrolyzes the Alpha-1,6-glycosidic bond Releasing the single residue at the branch point as a free glucose.

25
Q

Gluconeogenesis.

A

The liver maintains glucose levels in blood during fasting through gluconeogenesis. This pathway is promoted by Glucagon and epinephrine, which acts to raise blood sugar levels and are inhibited by insulin. During fasting, glycogen reserves drops. And gluconeogenesis increases.

26
Q

Glycogen storage diseases.

A

Von Gierk’s disease. A defect in glucose 6 phosphatase. Because this enzyme is also the last step of gluconeogenesis, this process is also affected. These patients therefore need continuous feeding with carbohydrates to maintain blood sugar.

27
Q

Insulin

A

Insulin acts to lower blood sugar levels. The counter regulatory hormones, which include Glucagon, epinephrine, cortisol and growth hormone act to raise blood sugar levels by stimulating glycogenolysis and glycogenesis.

28
Q

What are the important gluconeogenesis substrates?

A

Glycerol 3 phosphate (from stored fats or Triacylglycerols in adipose tissue). Lactate (from anaerobic glycolysis) Glucogenic amino acids. Lactate is converted to pyruvate by lactate dehydrogenase. Alanine is converted to pyruvate by alanine aminotransferase.

29
Q

Important enzymes to gluconeogenesis.

A

It catalyzed reactions that circumvent the reversible steps of glycolysis in the liver. Because like always contains 3 irreversible stamps, different enzymes must exist in gluconeogenesis to allow the body to reverb pyruvate to glucose.

30
Q

Pyruvate carboxylase.

A

Is activated by Acetyl Co A. The product of Acetyl Co A is a citric acid cycle intermediate. The fact that Acetyl Co A activates pyruvate carboxylase is an important point. Acetyl Co A inhibits pyruvate dehydrogenase because a high level of pseudocode implies that the cell is an energetically satisfied and need not to run the citric acid cycle in the forward direction. Fatty acids must be burned to provide this energy.

31
Q

Fructose 1, 6- bisphosphatase.

A

In the cytoplasm is a key control point of gluconeogenesis and represents the rate limiting step of the process. A common pattern to note is that phosphatases opposes kinases. This enzyme is activated by ATP and inhibited by AMP and fructose 2,6-bisphosphate.

31
Q

Phosphoenolpyruvate carboxykinase (PEPCK)

A

Is induced by Glucagon and cortisol, which generally act to raise blood sugar levels. It converts oxaloacetate to phosphoenolpyruvate. The combination of pyruvate carboxylase and this enzyme are used to circumvent the action of pyruvate kinase by converting pyruvate back into PEP.

32
Q

Glucose 6 phosphatase.

A

Is only found in the lumen of the endoplasmatic reticulum in liver cells. Is used to circumvent glucokinase and hexokinase, which converts glucose to glucose 6 phosphate.

33
Q

Functions of NADPH.

A

In the cell, NAD+ acts as a high energy electron acceptor from a number of biochemical reactions. Therefore it is reduced itself. The NADH produced from this reaction of NAD+ can then feed into the electron transport chain to indirectly produce ATP.

NADPH primarily acts as an electron donor in a number of biochemical reactions, and therefore it is oxidized itself. It is used in biosynthesis in the immune system and to help prevent oxidative damage. It’s biosynthesis purposes are mainly of fatty acids and cholesterols. It assists in cellular bleach production in certain white blood cells, thereby contributing to bactericidal activity. There’s maintenance of a supply of reduced glutathione to protect against reactive oxygen species (acting as the body’s natural antioxidant)

33
Q

Red blood cells are lack mitochondria.

A

They cannot carry out aerobic metabolism. Rather, pyruvate is converted to lactic acid to generate NAD plus. However, lactate is acidic. It must be removed from the bloodstream to avoid acidifying the blood. Red blood cells delivered this lactate to the liver where it can be converted back into pyruvate and through glycogenesis become glucose for the red blood cells to use. This is known as the Cori cycle. Glucose is converted to lactate in red blood cells and lactate is converted to glucose and liver cells.

34
Q

Pentose phosphate pathway.

A

Also known as the Hexose monophosphate shunt. Occurs in the cytoplasm of all cells where it serves two major functions: production of NADPH and serving as a source of ribose 5 phosphate for nucleotide synthesis. The first part of the PPP begins with glucose 6 phosphate and ends with ribulose 6-phosphate. It is irreversible. This spark produces NADPH and involves the important rate limiting enzymes glucose 6 phosphate dehydrogenase (G6PD). G6PD Is induced by insulin because the abundance of sugar entering the cell under insulin stimulation. Be shunted into both fuel utilization pathway, glycolysis, aerobic respiration. The shunt is also inhibited by its product and NADPH and its activated by one of its reactants NADP+.

35
Q

Under what physiological condition should the body carry out Gluconeogenesis?

A

Gluconeogenesis occurs when an individual has been fasting for over 12 hours. To carry out gluconeogenesis, hepatic cells must have enough energy to drive the process of glucose reaction, which requires sufficient fat stores to undergo beta oxidation.

36
Q

Glutathione

A

Is a reducing agent that can help reverse radical formation before damage is done to the cell.

37
Q

How does acetyl Co-A shift the metabolism of pyruvate?

A

acetyl Co-A inhibits pyruvate dehydrogenase complex while activating pyruvate carboxylase. Then the effects are to shift from burning pyruvate in the citric acid cycle to creating new glucose molecules for the rest of the body. The acetyl Co-A For this regulation comes predominantly from beta oxidation, not glycolysis.

38
Q

What are the two major metabolic products of the pentose phosphate pathway?

A

The two major metabolic products of pentose phosphate pathway are ribose 5-phosphate and NADPH.

38
Q

Given the glycogen storage disorder, von Gierke’s disease affects the last enzyme of gluconeogenesis predict the associated metabolic arrangement that occurs.

A

The lessons I’m in gluconeogenesis is glucose 6 phosphatase, so patients with Von Gerks disease are unable to perform gluconeogenesis in addition to glycogenolysis. This means patients will be unable to produce glucose during periods of fasting.

39
Q

What are the three primary functions of NADPH?

A

Is involved in lipid biosynthesis, bactericidal bleach formation in certain white blood cells, and maintenance of Glutathione stores to protect against reactive oxygen species.