Galactose + fructose metabolism Flashcards

1
Q

sucrose

A

glucose + fructose

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2
Q

2 pathways fructose can take

A

Mainly metabolised in liver
liver: fructokinase—aldolase B

extrahepatic tissues_ Hexokinse—glycolysis pathway

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3
Q

what property does hexokinase have

A

its not just specific to glucose works on fructose too

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4
Q

how are fructose 6 phosphate and fructose 1 phosphat produced

A

liver _ fructose 1 p produced

extrahepatic - fructose 6 phosphat

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5
Q

job of aldolase B

A

in the liver

converts fructose 1 p into GAP and DHAPN

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6
Q

clinical cases for fructose

A

due to a deficiency of fructokinase. you get an accumulation of fructose in blood (4x5) release in urine -MELITURIA (sugar in urine)

howver is metabolised normally in the muscles where there is no defect .

deficiency of aldolase B in liver :
a build up of fructose 1 p which has an inhibitory effect on fructokinase leading to fructosuria

vomit - after ingesting sucrose
hyperphosphatemia- phosphate pook gets less so cant make atp- liver damage
inhibition of gluconeogenesis and glycogenolysis - which leads to hypoglcyemia

treatment- avoid sucrose

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7
Q

how is fructose absorbed

A

by glut 5 faciliated diffusion

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8
Q

how is galactose absorbed

A

S GLUT - secondary active transport (the same as glucose)

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9
Q

which 2 monosacchardes are epimers

A

glucose and galactose

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10
Q

how is lactose broken down

A

galactosidase

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11
Q

metabolism of galactose

A

like fructose its mainly in the liver but can be in extrahepatic tissues too

liver :
galactokinans forms galactose 1 phopshate

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12
Q

how does glucose 1 phosphate become glucose 6 p

A

phosphoglucomutase

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13
Q

clinical cases with galactose

A

galactokinase deficiency
causes elevation of galactose in blood - galactosemia and urine galactosuria.

galctosemia can be caused by a defect of 3 enzymes

  • galactokinase
  • GALT
  • UDP galactose 4 epimerase

when too much galactose it gets reduced in the eye by enzyme aldose reductase to form galacttitiol - cataracts

classical_
deficiency of GALT
build up of galactose 1 p
high level inhibits galactokinase and glucose metabolism

symptoms
increase eye presure 
brain damage 
short rbc survival + hemolysis
hypoglycemia
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14
Q

non classical galactosemia and classical

A

classical - deficincy of GALT - galactose 1 phosphate uridyl transferase

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15
Q

leloir pathway

A

galactose

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16
Q

STRUCTURE OF glycolgen

A

linear part _ a1/4 glycosidic bond
branched - 1,6 glycoside bond
majority is a- 1/4
glycogen has a protein called glycogenin

17
Q

glycogenolysis

A

3 enzymes involved
-glycogen phosphorylase- only breaks a 1/4 glycosidic bonds and stops 4 residues away from a 1/6 glycosidic bond
-glycogen debranching enzyme- remodel is a bifunctional enzyme that contains 2 different catalytic sites catalysing 2 different reactions
consists of glucan transferase-
amylo a 1/6 glucosidase- breaks 1-6 bond
-phosphoglucomutase

  1. release glucose 1 p
  2. restructure the glycogen molecule (so you can release more glucose 1 p)
  3. convert 1 to 6
18
Q

glucose 6 phosphatase

A

found only in gluconeogenesis organs so liver, kidney sI

19
Q

what is the fat of glucose 6 phosphate

A
  1. glycoloysis- muscles
  2. PPP
  3. gluconeogenenesis in liver
20
Q

when we break down glycogen what are the proportions of glucose 1 p and actual glucose

A

only 10 % is actual glucose

90% is glucose 1 phosphate

21
Q

glycogenosis

A

glucose —–glucose 6 p—–glucose 1 p—-glycogen

  1. hexokinase
  2. phopshoglucomutase
  3. glycogenn synthase
22
Q

glycogen synthase

A

uses UDP glucose as a substrate releasing UDP in the process

can’t begin from scratch needs a primer of more than 4 glucose monomers long

also just like glycogen phosphorolase it can only add 1-4 bonds

23
Q

how do we form udp glucose to form glycogen

A

glucose 1 p + UTP——udp glucose pyrophosphorylase—-UDP glucose

24
Q

enzymes involved in glycogen synthesis

A
  1. glycogen synthase

2. glycogen branching enzyme

25
glycogen branching enzyme
cleaves off 7 or more residues | another chain cannot be added to close to a prexisting chain , has to be at least 4 residues away
26
glycogen phosphorylase co enzyme
PLP
27
glycogen phosphorolase regulation
has 2 isozymes liver - muscles
28
glycogen synthase regulation
1. OP - inactive OH- active activated by insulin
29
clinical cases regarding glycogen
glycogen storage disease are enzyme disorders affecting with glycogen synthesis or breakdown, typically within liver cells or muscle cells liver- hypoglycemic muscle- weak muscles especially when exercising type 1 - von Gierke type 2 - pompe - unable to degrade glycogen in lysoosmes due to glucosidase enzyme deficiency type 3 - absence of debranch- Forbes type 4 - absence of branch- Andersons type 5 - abscence of phosphorolase - Mc ardles
30
clinical cases regarding glycogen
glycogen storage disease are enzyme disorders affecting with glycogen synthesis or breakdown, typically within liver cells or muscle cells liver- hypoglycemic muscle- weak muscles especially when exercising type 1 - von Gierke type 2 - pompe - unable to degrade glycogen in lysoosmes due to glucosidase enzyme deficiency type 3 - absence of debranch- Forbes type 4 - absence of branch- Andersons type 5 - absence of phosphorolase - Mc ardles
31
where does gluconeogenesis take place
liver | kidney
32
aa producing glucose
either get degraded to alanine or oxaloacetate which lead to glucose
33
what cofactor does hexokinase use
Mg
34
committed step in glycolysis
phosphofructokinase
35
job of aldolase in glycolysis
break down fructose 1, 6 biphosphate is into DHAP and glycerladehyde 3 p
36
what happens to the DHAP produced in glycolysis
needs to be converted to GAP via enzyme TP isomerase
37
how many NADH produced from glycolysis
2