Gluconeogenesis Flashcards

1
Q

Increased NADH leads to _______ lactate formation

A

Increased

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Decreased NADH leads to _______ lactate formation

A

Decreased

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the effect of ethanol metabolism on the NADH/NAD ratio?

A

Increases it

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

When you consume ethanol, you become hyper/hypoglycemic?

A

Hypoglycemic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

When consuming ethanol, oxaloacetate is depleted as a precursor and instead converted into ________

A

Malate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

When consuming alcohol, pyruvate is depleted as a precursor and instead converted to ___________

A

Lactate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What enzyme is needed for the following reaction?

Glucose 6-phosphate –> glucose

A

Glucose 6-phosphatase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What enzyme is needed for the following reaction? Fructose 1,6-bisphosphate –> Fructose 6-phosphate

A

Fructose 1,6-bisphosphatase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What enzyme is needed for the following reaction? Oxaloacetate –> phosphoenolpyruvate

A

Phosphoenolpyruvate carboxykinase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What enzyme is needed for the following reaction?

pyruvate –> oxaloacetate

A

Pyruvate carboxylase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the sum of the reaction of mixing pyruvate with ethanol?

A

Ethanol + Pyruvate –> Acetaldehyde + lactate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the sum of the reaction of oxaloacetate and ethanol?

A

Ethanol + oxaloacetate –> acetaldehyde + malate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

High NADH _________ gluconeogenesis

A

Opposes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Removal of pyruvate and OAA from the pool of gluconeogenic precursors during alcohol metabolism contributes to what condition?

A

Hypoglycemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the irreversible enzymes of glycolysis?

A

Glucokinase, PFK1, and pyruvate kinase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What hormone increase the synthesis of glycolytic enzymes

A

Insulin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What hormones increase the synthesis of gluconeogenic enzymes?

A

Glucagon and epinephrine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are the 4 irreversible enzymes of gluconeogenesis?

A

Glucose-6-phosphatase, Fructose 1,6-bisphosphatase, Phosphoenolpyruvate carboxykinase, and pyruvate carboxylase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is an example of glucagon altering gene expression?

A

PEPCK

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

How does glucagon alter gene transcription?

A

Glucagon acts on a GPCR glucagon receptor, and Gs stimulates adenylate cyclase to produce cAMP. cAMP activate PKA, which facilitates the conversion of CREB to CREB-P. CREB-P turns on CRE, promoting PEPCK transcription

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Which state, fed or fasted, would increase synthesis of gluconeogenic enzymes?

A

Starvation/Fasted states

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is the effect of increased cAMP on gluconeogenic enzymes

A

Increased synthesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is the effect of insulin and glucose on gluconeogenic enzymes

A

Decreased synthesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What is the effect of insulin and glucose on glycolytic enzymes

A

increased synthesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What is the effect of decreased cAMP on glycolytic enzymes?

A

Increased synthesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What is the effect of elevated acetyl coA on pyruvate carboxylase and subsequently gluconeogenesis

A

Activator, increases pyruvate –> phosphoenolpyruvate, increases gluconeogenesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What is the effect of increased glucagon on PEPCK?

A

Activator, increases phosphoenolpyruvate –> oxaloacetate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What is the effect of insulin on PEPCK?

A

Inhibits it (since you must be fed if you have insulin circulating)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

What are the activators of pyruvate kinase in glycolysis?

A

F-1,6-BP, glucose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

What are the inhibitors of pyruvate kinase in glycolysis?

A

Glucagon and ATP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

What is the reaction catalyzed by F16BPase?

A

Fructose 1,6-bisphosphate to fructose 6-Phosphate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

What are the inhibitors of F16BPase

A

F26BP and AMP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

What are the inhibitors of phosphofructokinase in glycolysis

A

ATP and citrate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

What are the activators of PFK in glycolysis

A

F26BP and AMP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

What are the effects of each of the following on G6Pase

  1. insulin
  2. glucagon
  3. Glucose
A
  1. inhibits
  2. promotes
  3. inhibits
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

What are the effects of insulin and glucose on glucokinase

A

Promote

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

What is the reaction catalyzed by Glucose-6-phosphatase

A

G6P to glucose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

Is G6Pase deficiency dominant or recessive?

A

Autosomal recessive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

What is another term for G6Pase deficiency

A

GSD type 1, or Von Gierke disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

What are the characteristics of G6Pase deficiency

A

poor tolerance to fasting, growth retardation, hepatomegaly due to accumulation of glycogen and fat in the liver, elevated serum uric acid, and elevated serum lactate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

What processes are inhibited by a G6Pase deficiency?

A

Gluconeogenesis and glycogenolysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

What step is inhibited by a G6Pase deficiency

A

Conversion of G6P to glucose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

What enzyme is only found in the liver, kidney, and intestines that is important for gluconeogenesis and glycogenolysis

A

G6Pase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

Which side of the ER does the catalytic surface of G6Pase face?

A

Lumen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

What transporter does glucose 6 phosphate enter the ER through?

A

ubiquitous transporter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

What are the steps to get from F16BP and water to Glucose and Pi

A

F16bp+H20 –F16BPase–> F6P+Pi G6P+H20 –G6Pase–> Glucose+Pi

47
Q

What reaction is inhibited by F26BP and AMP

A

F16BPase (F16BP -> F6P +Pi)

48
Q

What energy-carrying molecule is required by PEPCK?

A

GTP

49
Q

What reaction is catalyzed by PEPCK?

A

Oxaloacetate + GTP –> PEP + CO2 + GDP

50
Q

Why would PC (pyruvate carboxylase) deficiency cause acidosis?

A

Elevated lactic acid levels

51
Q

What are symptoms of someone who has PC deficiency?

A

failure to thrive, developmental delay, recurrent seizures, metabolic acidoses

52
Q

What accumulates in PC deficiency?

A

Pyruvate in the plasma, which converts to lactate by LDH, causing elevated plasma lactic acid

53
Q

What is found in the serum of someone with PC deficiency?

A

High alanine

54
Q

Why would gluconeogenesis and urea cycle both be inhibited as a result of PC deficiency?

A

Because

  1. pyruvate would not convert to OAA
  2. OAA is a precursor for aspartate, which is a precursor for both urea cycle and gluconeogenesis
55
Q

Is PC a mitochondrial enzyme or a cytoplasmic enzyme?

A

Mitochondrial

56
Q

What cofactor does PC require?

A

biotin

57
Q

What molecule activates PC?

A

Acetyl CoA

58
Q

What reaction does pyruvate carboxylase catalyze?

A

Pyruvate –> OAA

59
Q

What high-energy molecule does PC need to work?

A

ATP

60
Q

What are the 4 control points of gluconeogenesis

A

G6Pase, F16BPase, PEPCK, and PC

61
Q

What are the 3 control points of glycolysis?

A

Hexokinase, PFK, pyruvate kinase

62
Q

What are the mitochondrial enzymes required to reverse the irreversible steps of glycolysis?

A

PC

63
Q

What are the cytoplasmic enzymes required to reverse the irreversible steps of glycolysis?

A

F16BPase, PEPCK, and G6Pase

64
Q

Propionyl CoA is a good precursor for ______

A

Gluconeogenesis

65
Q

What does propionyl CoA form as a result of?

A

B-oxidation of odd-chain FA, isoleucine, valine, and alpha-ketoburytuc acid

66
Q

How much glucose is produced from 1 propionyl CoA?

A

1/2

67
Q

What gluconeogenic precursor does propionate form?

A

Oxaloacetate

68
Q

Glycerol is a precursor for the synthesis of _____ and _____ in the liver and adipose tissue

A

TAGs and phospholipids

69
Q

What reaction is catalyzed by glycerol kinase

A

Glycerol –> glycerol 3-phosphate (which goes into fat)

70
Q

What reaction is catalyzed by glycerol 3-phosphate dehydrogenase?

A

Glycerol 3-phosphate –> Dihydroxyacetone phosphate

71
Q

What can be made from dihydroxyacetone phosphate?

A

1/2 glucose molecule or lactate

72
Q

What high energy molecule is needed by glycerol kinase

A

ATP

73
Q

What high energy molecule is needed for glycerol 3-phosphate dehydrogenase?

A

NAD+ (gets reduced to NADH)

74
Q

What gluconeogenic precursor does glycerol form?

A

triose phosphate

75
Q

Can acetyl-CoA be used to make glucose?

A

No. It is committed to either FA synthesis or Krebs cycle

76
Q

What forms Acetyl CoA?

A

Breakdown of FA and pyruvate via PDH

77
Q

Gluconeogenesis from all precursors requires ____

A

ATP

78
Q

Gluconeogenesis from amino acids requires ____ ATP, which is used for ___

A

additional; ureagenesis

79
Q

What is the major source of ATP for gluconeogenesis during an overnight fast?

A

Oxidation of FAs

80
Q

What reaction does galactokinase catalyze?

A

Galactose –> Galactose-1-phosphate

81
Q

What reaction does UDP-Glc:Gal-1-P Uridyltransferase catalyze?

A

Galactose-1-phosphate –> glucose-1-phosphate

82
Q

What reaction does phosphoglucomutase catalyze?

A

Glucose-1-P –> Glucose-6-P

83
Q

What reaction does glucose-6-phosphatase catalyze

A

G6P –> Glucose

84
Q

Which step of the process from galactose to glucose requires ATP?

A

Galactokinase (galactose –> galactose-1-P)

85
Q

Which precursor can be used to directly synthesize glucose?

A

Galactose

86
Q

Define fructolysis

A

Conversion of fructose into lactate

87
Q

What reaction does fructokinase catalyze?

A

Fructose –> F1P

88
Q

What reaction does aldolase B catalyze?

A

F1P –> glyceraldehyde + dihydroxyacetone phosphate

89
Q

What reaction does triose kinase catalyze?

A

Glyceraldehyde –> lactate

90
Q

Which steps of fructolysis require ATP?

A

Fructokinase (fructose –> F1P) and triose kinase (glyceraldehyde –> Glyceraldehyde 3P)

91
Q

What gluconeogenic intermediate is formed from fructose?

A

triose phosphate

92
Q

What is the cori cycle?

A

Using glucose to make lactate

93
Q

What are the steps of the Cori cycle starting from glucose in the liver

A

Glucose enters RBC, glycolysis happens, 2ATP and 2 Lactate are produced, the 2 lactate can return to the liver to be used for gluconeogenesis

94
Q

How many ATP does 2 Lactate –> Glucose require?

A

6

95
Q

How does pyruvate become alanine in the skeletal muscle during the alanine cycle?

A

It is transaminated

96
Q

What is the fate of alanine entering the liver?

A

Ureagenesis and deamination to produce pyruvate for gluconeogenesis

97
Q

How many ATP are required to go from 2 pyruvate to glucose?

A

6

98
Q

What gluconeogenic intermediate is formed by amino acids like alanine and by lactate?

A

Pyruvate

99
Q

Where does lactate for pyruvate generation for gluconeogenesis come from?

A

Glycolysis in other tissues

100
Q

Where does the aspartic acid for OAA comes from for gluconeogenesis?

A

Breakdown of muscle protein

101
Q

Where does the glycerol for dihydroxyacetone phosphate for gluconeogenesis come from?

A

TAG

102
Q

What do trioses get converted into in gluconeogenesis?

A

F16BP

103
Q

Why are neonates at risk for hypoglycemia?

A

Because it takes hours to induce PEPCK to make glucose from lactate or alanine

104
Q

Neonate’s brain is very dependent on glucose from ____ and _____

A

glycogen degradation and gluconeogenesis

105
Q

What are the 3 major gluconeogenic precursors

A

Lactate, glucogenic AAs like alanine, and glycerol

106
Q

Where do we get lactate as a gluconeogenic precursor?

A

general metabolism, RBC metabolism, muscle metabolism

107
Q

Where do we get glucogenic AAs like alanine as precursors for gluconeogenesis?

A

Overnight degradation of muscle AAs

108
Q

Where do we get glycerol as a precursor for gluconeogenesis

A

degradation of adipose tissue triacylglycerols

109
Q

Oxaloacetate can be viewed as an _______ form of pyruvate

A

activated

110
Q

The two mechanisms of maintaining glucose levels are _________

A

gluconeogenesis and glycogen

111
Q

Glucagon and epinephrine have 3 effects during starvation, what are they?

A
  1. promote gluconeogenesis
  2. increase gene transcription of gluconeogenic enzymes
  3. promote mobilization of glucose via glycogen degradation
112
Q

How do glucagon/epinephrine block glycolysis?

A

Inhibit PFK2 to inhibit PFK1

113
Q

What three genes do glucagon and epinephrine decrease gene transcription of?

A

Glucokinase, PFK1, and pyruvate kinase