Exam 2 Flashcards
Galactokinase Deficiency
Elevated Galactose in the blood (galactosemia)and urine (galactosuria). Elevated galactisol = cataracts. Treatment is dietary restriction
Galactose 1 Phosphate uridylytransferase deficiency
Symptoms - Galactosemia, Galactosuria, vomiting and diarrhea
Effects- Liver damage , intellectual disability, cataracts
Treatment - Remove galactose from diet
Galactose Metabolism
From lactose in milk, digested by lactase in intestinal brush-borders.
*Lactose Intolerance from lactase deficiency causes diarrhea, bloating and
abdominal cramps following milk ingestion.
*Galactosemias are autosomal recessive diseases due to a defect in the gene
encoding galactokinase or galactose 1-uridyltransferase (classic galactosemia –
more severe).
*Patients have elevated levels of plasma galactose.
*Signs and symptoms of Classical Galactosemia include lethargy, vomiting after
ingesting lactose, hypotonia, mental retardation, cataracts and failure to thrive.
They are prone to bacterial infections eg
E.coli
*Jaundice (hyperbilirubinemia) results from the accumulated galactose 1-
phosphate which inhibits phosphoglucomutase (converts glucose 1-phosphate to
glucose 6-phosphate). This inhibits recycling of UDP-glucose that is used for
UDP-glucuronate synthesis - UDP-glucuronate is used for bilirubin conjugation.
*Treatment involves a galactose free diet.
*In well fed states glucose 1-phosphate is
channeled into glycogenesis.
*In hypoglycemia, galactose administration
can increase blood glucose levels.
*Galactose accumulation in the blood can lead
to its conversion to galactitol in the lens by
aldolase reductase causing osmotic swelling
and cataract formation in the lens and nerve
damage.
This is why
diabetics are
at risk.
These pathways occur in the
lens, kidneys and Schwann
cells. They lack sorbitol
dehydrogenase which
results in cataracts,
retinopathy and peripheral
neuropathy
Fructose Metabolism
From fruits, honey, sucrose(table sugar),corn syrup and
sorbitol. Most tissues phosphorylate fructose through
hexokinase slowly but the liver and kidneys use
fructokinase.
*Because the DHAP and glyceraldehyde 3-phosphate are
downstream from the key regulatory step in glycolysis
(PFK1), fructose is a quick source of energy and can also be
readily used for triglyceride biosynthesis.
Fructokinase deficiency (Essential Fructosuria)
mild disorder, Benign conditin, Auto Somal recessive , fructose not trapped in cells, no cataract (ketone) fructosuria. is an
autosomal recessive disorder with a mild phenotype
because fructose is not trapped within cells, there is no
cataract because fructose is a ketose not an aldose.
Aldolase B deficiency
Fructose 1 accumulation = depletion of ATP
Inhibits production of dihydroxyacetone and glyceraldehyde to produce pyruvate = no glucose made
Symptoms : hypoglycemia , vomiting, jaundice , hemorrhage, hepatomegaly , renal dysfunction , hyperuricemia
Primary Purposes for Pentose Phosphate Pathway
Biosynthetic:
NADPH
Ribose 5-phosphate and others
Protective:
NADPH
* Metabolism of
xenobiotics
* Removal of reactive
oxygen
Can operate in several different
modes depending on cellular
conditions
Two branches: Oxidative and non-
oxidative
Pentose Phosphate Pathway key facts
NADH - has a phosphate group to allow certain molecule to bind like nucleotides
An alternate pathway of glucose metabolism
Occurs in the cytoplasm of all cells especially
lactating mammary glands, liver, adrenal cortex
and RBCs
Does not yield ATP
It leads to the formation of NADPH for fatty acid
biosynthesis and maintaining reduced glutathione
for antioxidant activity
It also leads to the formation of ribose sugars for
nucleic acid synthesis.
Pentose Phosphate Pathway main functions
Generate NADPH
Pentose Sugar Ribose
Pentose Phosphate Pathway happens when
NADPH is low
Insulin triggered
Oxidative
Stops at Ribose 5 Phosphate
Produced 2 NADPH
DNA formation
Non Oxidative
Bring metabolites back into glycolysis to gluconeogenesis pathway to form intermediates
Pentose Pathway Location
Cytoplasm of all cells especially lactating mammary glands , liver adrenal cortex and RBC
Key Steps in the pathway
The rate-limiting step is catalyzed by Glucose 6-phosphate
dehydrogenase(G6PD)
It involves an irreversible oxidative phase involving G6PD and 6-
phosphogluconate dehydrogenase with the production of ribulose 5-
phosphate and the production of NADPH.
G6PD is induced by insulin and inhibited by NADPH and activated by NADP
This is followed by the reversible oxidative phase beginning with ribulose 5-
phosphate producing an equilibrated pool of sugars used in biosynthetic
reactions
Fructose 6-phosphate and glyceraldehyde 3-phosphate are intermediates
of this pathway and can be channeled into glycolysis directly.
Transketolase is important for these interconversions and is thiamine-
dependent. It is the only thiamine dependent enzyme in erythrocytes.
(can be used to evaluate a patient’s nutrituional status for thiamine
USES OF
NADPH
- Relax smooth muscles
- Prevent platelet aggregation
- Acts as a neurotransmitter in
brain - Mediates tumoricidal and
bactericidal actions of
macrophages
G6PD Deficiency
X-linked recessive disease, common in areas where malaria is
endemic.
Peroxides generated in RBCs are destroyed by glutathione
peroxidase/reductase system (which uses NADPH. Other cells
that produce NADPH by using alternate enzymes like malate
dehydrogenase are not susceptible to this oxidative damage
like RBCs are.
Patients have episodic acute hemolysis because of
accumulated ROS, protein denaturation and lipid peroxidation
– membrane fragility.
Fava beans(favism), Infections, moth balls (naphthalene) and
some drugs(primaquine, dapsone, isoniazid) predispose to
hemolysis in these patients – strong oxidizing agents!
Carbohydrate
Catabolism
Key Point:
* The citric acid cycle IS the Engine that drives energy
production regardless of the source:
* Carbohydrate -> acetyl CoA
* Lipid -> acetyl CoA
* Protein -> acetyl CoA
* Certain nucleotides -> acetyl CoA
How does NADH
get into the
mitochondria?
Very polar: ie cannot diffuse
through the mitochondrial
membrane.
- NADH doesn’t actually cross the
membrane: The electrons are
moved across the membrane:
Organ specific transport
mechanisms:
Heart and Liver use a common transport
mechanism
* Brain and skeletal muscle use a different
mechanism
Transport of NADH into the mitochondria
TCA occurs in the mitochondria: NADH is already inside
Glycolysis occurs in cytosol: NADH must be
transported
Complex I
NADH + Q-> NAD+
+ QH2
* Electrons enter from the matrix
* H+ ions are “pumped” out of the mitochondria in
response to the electrons moving through the
complex from NADH to Q
* This transfer is highly favorable
* One arm extends
into the matrix
* The other is fully
membrane
bound
* CoQ: Eo’ = 0.045
Complex II
Succinate + Q -> Fumarate
+ QH2
Complex II
* Not a pump, so no contribution to the membrane
potential or ATP formation
* Like complex I, electrons are delivered to Q
* Both Complex I and II contribute to the pool of QH2
in the mitochondrial membrane
Complex III
QH2 + 2Cytc(ox) -> Q + 2H+ + 2Cytc(red)
DEo’ = 0.19 V
DGo’ = -36.6 KJ/mol
contains high and low potential heme cofactors
- Stoichiometry changes: 1 QH2 reduces 2
cytochrome c - Cytochrome c is a peripheral membrane protein
that migrates along the out surface of the inner
mitochondrial membrane.
Complex III is also a “pump” that moves H+ ions
across the membrane from inside to outside and
helps to generate the membrane potential.
Complex IV
4 Cytcred + O2 + 4
H+–> 4 Cytcox + 2 H2O
- Electrons finally reach their ultimate home.
- Lowest energy state for the electrons is on oxygen
in the form of water. - The movement of these electrons to their lowest
energy state is coupled to the generation of a
membrane potential (a charged battery) - The mitochondrial membrane is now ready to
produce ATP by allowing a H+ “current” to pass
through.
How does electron flow drive H+ translocation and what is it’s significance?
Energy is stored in the proton gradient!
ATP Synthase: Features
Lolipop structure
F1 subunit extends into the matrix of the mitochondria
This is where ATP is synthesized
F0 unit is membrane bound
Molecular Motion in ATPase
A look down the 3-fold axis of the F1 ATPase.
Channel is lined with hydrophobic amino acids.
Perfect for slippery surface for rotation
Why is rotation important?
Binding change mechanism
ATP release is key to catalysis
In T-state, ATP synthesis occurs spontaneously
Transport of Material
ATP has -4 charge
ADP has -3 charge
Proposed Rotary Action
Protons want to move from bottom to top.
Only way to move is through rotation of the c ring with respect to the alpha3beta3
Uncoupling: A source of Heat
Hibernating animals can generate heat this way. “Brown Fat”
Honey bees and futile cycles