Gluconeogenesis Flashcards

1
Q

What is Gluconeogenesis?

A

Synthesis of Glucose using Non-Carbohydrate precursors

  • Lactate, Alanine and Glycerol
  • Used to make Pyruvate
  • Pyruvate converted to → Glucose
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2
Q

Why is Gluconeogenesis Important?

A
  1. To remove blood lactate post exercise
  2. Form Glucose from Amino Acids/Glycerol
    during fasting
  3. Body has limited capacity to store Glucose,
    Gluconeogenesis needed to sustain levels
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3
Q

Where does Gluconeogenesis Occur and Why?

A
  1. Kidney and Liver have Specialized Enzymes
  2. Enzymes overcome Irreversible steps of
    Glycolysis
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4
Q

What Is Step 1 Of Glycolysis?

A

Formation of Oxaloacetate

  1. Acetyl CoA allosterically activates
    Mitochondrial Pyruvate Carboxylase
  2. Mitochondrial Pyruvate Carboxylase uses
    ATP to convert Pyruvate → Oxaloacetate
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5
Q

What Is Step 2 Of Glycolysis?

A

Formation of Malate and Mitochondrial Exit

  1. Oxaloacetate → Malate (In Mitochondria)
  2. Malate exits Mitochondria → Cytoplasm
  3. Malate converted → Oxaloacetate by
    formation of NADH
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6
Q

What Is Step 3 Of Gluconeogenesis?

A

Components:
Oxaloacetate (OAA)
Phosphoenolpyruvate (PEP)
Phosphoenolpyruvate Carboxykinase (PEPCK)

PEPCK uses GTP to convert OAA → PEP

Important Step Because:

It reverses irreversible pyruvate kinase reaction of glycolysis (Bypasses Glycolysis)

Energetically expensive process

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7
Q

What Is Step 4 Of Glycolysis?

A

Components:
Glyceraldehyde 3-Phosphate (G3P) Dihydroxyacetone Phosphate (DHAP)
Fructose 1,6 Biphosphate (F1,6 BP)

  1. Aldolase Combines G3P + DHAP to form F1,6
    BP
  2. Hydrolysis adds water molecule to F1,6 BP
  3. Fructose 6-Phosphate Formed + Pi Released
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8
Q

What Is Step 5 Of Glycolysis?

A

Glucose Formation

Components:
Fructose 6-Phosphate (F6P)
Glucose 6-Phosphate (G6P)
Glucose (Glu)

Isomerization:
1. Phosphohexose isomerase Converts
Fructose Backbone of F6P → Glucose Backbone

Dephosphorylation:
2. Glucose 6-Phosphatase irreversibly
Dephosphorylates G6P→ Glucose

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9
Q

How Is Gluconeogenesis Regulated?

A
  • Hormonal Regulation
  • Favored By High ATP + Low AMP/ADP
  • Substrate Availability
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10
Q

How Do ATP and AMP/ADP Levels Regulate Glycolysis?

A

When Energy Is Needed:
1. High AMP
2. Glycolysis Activated

When ATP Is high + AMP Is low:
1. Gluconeogenesis activated

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11
Q

How Is Gluconeogenesis Regulated Using Substrate Availability?

A

Gluconeogenesis favored by Availability of Substrates for Energy Production in The Citric Acid Cycle

Citrate: Inhibits Phosphofructokinase

Acetyl CoA: Stimulates Pyruvate Carboxylase

  1. Acetyl-CoA Produced During Fatty Acid
    Oxidation (common in fasting/starvation)
  2. Acetyl CoA allosterically activates Pyruvate
    Carboxylase, which converts pyruvate to
    OA (Part 1 of gluconeogenesis)

Mechanism:
1. High acetyl-CoA signals abundant energy
(from fat breakdown)

  1. This enables the liver to prioritize glucose
    synthesis for the brain and RBCs
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12
Q

How is Gluconeogenesis Regulated Using Citrate?

A

Citrate: Metabolic Signal

Allosteric Regulation:

  1. (In Cytoplasm) Citrate Inhibits PFK-1,
  2. PFK-1 is a key glycolytic enzyme
  3. Glycolysis is slowed
  4. Competition for substrates reduced
  5. Metabolism shifted toward Gluconeogenesis

Substrate Supply:

  1. Citrate transported from mitochondria to
    cytoplasm
  2. Citrate cleaved into acetyl-CoA and OAA
  3. Precursors provided for gluconeogenesis

Link To The Citric Acid Cycle:

High citrate : Indicate a well-fed state (active CAC)

During fasting: Citrate’s role shifts to balancing
glycolysis/gluconeogenesis.

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13
Q

How Does Insulin Regulate Gluconeogenesis?

A

Released By Pancreatic β Cells

Main Effects:

  1. Promotes Glucose Uptake
  2. Promotes Glycolysis + Glycogenolysis
  3. Inhibits Gluconeogenesis

Mechanism:

  1. Insulin activates Protein Phosphatases
  2. Key Enzymes Dephosphorylated
  3. Increase In F2,6BP
  4. This Activates PFK-1 (Glycolysis Accelerator)
  5. Inhibits Fructose-1,6-Bisphosphatase
  6. Suppresses transcription of Gluconeogenic
    enzymes e.g. Glucose 6 Phosphate
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14
Q

How Does Glucagon Regulate Gluconeogenesis?

A

Glucagon: Produced by Pancreatic α-Cells

  1. Stimulates Gluconeogenesis
  2. Stimulates Glycogenolysis
  3. Inhibits Glycolysis

Mechanism:

  1. Glucagon binds to liver receptors
  2. This Activates cAMP/PKA pathway
  3. PKA phosphorylates enzymes
  4. This Inactivates Pyruvate Kinase
    (Slowing Glycolysis)
  5. It also Activates PEP Carboxykinase
    (Promoting Gluconeogenesis)
  6. F2,6BP levels reduced
  7. Glycolysis stimulation and gluconeogenesis
    Inhibition removed
  8. Transcription of Gluconeogenic Enzymes
    increased
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15
Q

How Does Fructose 2,6 Biphosphate Act as a Molecular Switch?

A

Insulin Triggers High Conc of F2,6 BP:

Activating Glycolysis
Inhibiting Gluconeogenesis

Gluconeogenesis Causes F2,6 BP Conc to Drop

Inhibiting Glycolysis
Activating Gluconeogenesis

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16
Q

How is F2,6 BP Acquired?

A

Fructose 6-Phosphate + ATP → Fructose 2,6 Biphosphate

17
Q

What is The Cori Cycle?

A

Metabolic Partnership Between Muscles and Liver To Prevent Lactic Acid Buildup

Prevents Lactic Acidosis during exercise
Recycles Energy

18
Q

Describe The Stages of The Cori Cycle.

A
  1. Muscles Rapidly Break Down Glucose
    (Glycolysis) During Intense Exercise
  2. Lactate produced in Anaerobic Conditions
    as byproduct
  3. Lactate diffuses into bloodstream and
    travels to liver
  4. Liver converts Lactate → Glucose
    (Via gluconeogenesis, requires ATP)
  5. Newly Synthesized Glucose released into
    Bloodstream + Transported back to muscles.
  6. Muscles take up Glucose and fuel further
    activity, completing the cycle.
19
Q

What Is The Cost Of The Cell Cycle?

A

Gluconeogenesis uses 6 ATP to make 1 Glucose from 2 lactate molecules

Glycolysis produces 2 ATP

“ATP debt” Repaid by Liver to Support Muscle Activity

20
Q

What is The Glucose Alanine Cycle?

A

Metabolic Partnership Between Muscles and the Liver

Recycles Glucose (During Fasting/Starvation)

Transports Nitrogen → Liver
(For Disposal as Urea)

21
Q

Describe The Glucose Alanine Cycle?

A

During Fasting/Exercise:

  1. Protein Breakdown Releases Amino Acids.
  2. Pyruvate reacts with glutamate via Alanine
    Aminotransferase (ALT):
  3. Alanine released into bloodstream and
    Transported → Liver
  4. (In Liver) Alanine converted back → Pyruvate
    (Using Aminotransferase)
  5. Pyruvate enters Gluconeogenesis →
    Synthesized into glucose
  6. Glucose released into blood, used by
    Muscles and other tissues
  7. Amino group from Glutamate (Generated in
    Liver) enters Urea Cycle → converted to Urea
    and excreted in urine.
22
Q

How Is Glucose Generated From Glycerol?

A

Body breaks down Triglycerides in Adipose Tissue (Lipolysis) → Glycerol + Fatty Acids

  1. Glycerol Kinase uses Pi from ATP to
    Phosphorylate Glycerol
    Products: Glycerol-3-phosphate + ADP(Most Tissues Lack Glycerol Kinase, Process
    Primarily Occurs in Liver)
  2. G3P Oxidized → Dihydroxyacetone
    Phosphate using G3P Dehydrogenase(DHAP Key intermediate
    Glycolysis/Gluconeogenesis)
  3. DHAP Converted → Glyceraldehyde 3-
    Phosphate via Isomerization

x2 Glyceraldehyde 3-Phosphate Combine, forms F1,6 BP
F1,6 BP proceeds through Gluconeogenesis → Glucose

23
Q

What Happens During A Sprint?

A
  1. Muscle Cells produce Lactate from Glucose
  2. Cardiac Cells convert Lactate → Pyruvate
  3. Gluconeogenesis in Liver keeps Muscle Cells supplied
    with Glucose