Gluconeogenesis Flashcards

1
Q

When do we need gluconeogenesis?

A

In exercise- when lactate is produced this can be converted to glucose
- Short term fasting- intermediates of carb synthesis (oxaloacetate / pyruvate) –> aa e.g. alanine (aa)–> glucose
- Diabetes- ironically gluconeogenic pathway turned on although blood glucose levels in blood are high not detected by liver cells believe insufficient glucose in cell
Leads to more glucose pumped into blood–>exacerbate hypoglycaemia as cells not taking glucose up
- Trauma- insulin receptors don’t get to surface as well as they should- hence gluconeogenesis stimulated

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2
Q

How much glucose is required?

A

• Glycogen levels run out 12 hrs after ingestion
• After this there is an increase in the gluconeogenic pathway
• This will last a few days
• In starvation conditions (where haven’t eaten for a few days) we still have some gluconeogenesis but also switch to fat metabolism
And we have ketone body formation
- enough glycogen stores to last about 1 day

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3
Q

What cells prefer glucose as substrate

A
  • Brain and RBC (as no mitochondria so no oxidative phosphorylation- need glucose for glycolysis)
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4
Q

What molecules go through gluconeogenic pathway?

A
  • Lactate (–> glucose)
  • aa e.g. alanine
  • Triglycerides form adipose tissue break down (glycerol–> gluconeogenic pathway and free fatty acids- B-oxidation pathway)
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5
Q

Which tissues undergo gluconeogenesis?

A
  • Liver (main tissue)
  • Kidney
  • Small intestine
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6
Q

Where does this take place and why?

A
  • cytosol- as most enzymes same as those for glycolysis
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7
Q

Explain pathway

A
  • Reversal of glycolysis
  • Except for 3 steps:
    Pyruvate–> PEP
    Fructose 1,6 bisphosphate–> F6P
    G6P–> Glucose
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8
Q

Explain in further detail 1st step that differs to glycolysis in gluconeogenic pathway

A
  • pyruvate–> PEP (2-phosphoenolpyruvate) in the MITOCHONDRIA-
    pyruvate +CO2 +ATP–> oxaloacetate + ADP + Pi
  • via pyruvate carboxylase (mito.)
  • requires CO2 and cofactor biotin (B6)
  • oxaloacetate converted to malate
    oxaloacetate+ NADH + H+–> NAD+ + malate (malate shuffle)
  • Malate passes out of nitochondria
  • once in cytosol using NAD+ back to oxaloacetate
  • oxaloacetate + GTP–> PEP + GDP +CO2 via PEP carboxylase
  • super mouse if PEP in XS
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9
Q

Why is pyruvate carboxylase useful?

A
  • Found in all tissues
  • antipleuritic reaction (restoring intermediates- in this case of the TCA cycle)
  • Forms oxaloacetate from pyruvate
  • oxaloacetate needed to form a-ketoglutarate, isocitrate etc
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10
Q

Explain in further detail 2nd step that differs to glycolysis in gluconeogenic pathway

A

fructose 1,6 BP to fructose 6 phosphate via fructose 1,6- diphosphatase
- reciprocal regulation with glycolysis enzyme phosphofructokinase
- fructose 1,6-biphosphate +H2O–> fructose 6-phosphate +Pi
(imagine P group being replaced by OH)

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11
Q

Explain in further detail 3rd step that differs to glycolysis in gluconeogenic pathway

A
  • G6P + H2O–> glucose +Pi

imagine P being replaced by OH

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12
Q

Overall reaction

A

2 pyruvate +4ATP +2GTP +2NADH +6H2O–> glucose +4ADP +2GDP+ 8Pi +2NAD +2H+

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13
Q

Outline how glycolysis and gluconeogenesis is controlled

A
  • allosteric effectors

- hormonal regulators

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14
Q

What are allosteric regulators of glycolysis/ glycogenolysis

A

Glycolysis- phosphofructokinase: activated by F2,6-BP, AMP
Inhibited by citrate, H+ and ATP
Gluconeogenesis: instead inhibited by AMP, F2,6- BP
activated by citrate
Also inhibition/ activation going from pyruvate to phosphoenolpyruvate

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15
Q

Hormonal regulation of gluconeogenesis/ glycolysis

A
  • Insulin- promotes synthesis of glycolytic enzymes (phosphofructokinase- fructose-6P–> fructose 1,6-BP)
    Also inhibit synthesis of PEPCK- phosphoenolpyruvate carboxylase (oxaloacetate–> phosphoenolpyruvate) REM pyruvate–> oxaloacetate via pyruvate carboxylase
  • Glucagon- increases expression PEPCK and F1,6BPase
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16
Q

What is the cori cycle?

A
  • In muscle pyruvate converted to lactate in anaerobic respiration via lactate dehydrogenase
  • Travels in bloodstream to liver lactate–> pyruvate–> glucose
  • In liver many gluconeogenic enzymes
  • Including LDH in different isoform which can bind lactate
  • this can go back in blood to brain or to muscle
17
Q

How can aa be used as gluconeogenic precursors

A
  • remove amino group
  • carbon skeleton converted to glucose
  • transamination reaction
    e. g. alanine can have amino group removed to get pyruvate, then can be converted to oxaloacetate (via pyruvate carboxylase) and join gluconeogenic pathway
18
Q

Explain how glycerol can be used as a substrate for gluconeogenesis

A

Formed from breakdown adipose tissue

  • Triacylglycerol–> FFA (free fatty acids)+ glycerol
  • Glycerol used as substrate but not fatty acids
  • Glycerol–> DHAP (dihydroxyacetone phosphate)–> glyceraldehyde 3-phosphate via triose isomerase and back into gluconeogenic pathway
19
Q

Why would a large alcohol intake lead to hypoglycaemia and ketoacidosis?

A
  • Removing alcohol requires NAD+ to form a lot of NADH
  • NAD+ needs to be regenerated via pyruvate–> lactate pathway
  • Hence elevated lactic acid in individual
  • OR get NAD+ from oxaloacetate–> malate
  • depletes stores pyruvate and oxaloacetate both needed for gluconeogenic pathway