Gluconeogenesis Flashcards

1
Q

When is gluconeogenesis initiated and where does it occur?

A
  • Initiated during periods of starvation and exercise

- Occurs mainly in liver and to a smaller extent in cortex of the kidney

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

What are the differences between glycolysis and gluceoneogenesis?

A

o 3 irreversible reactions occur in glycolysis which need their own reactions in order to return from pyruvate to glucose.

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

What type of process is gluconeogenesis and what does it require?

A
  • IMPORTANT: it is an energy-consuming process (requires 6 ATP/GTP) and requires a source of carbon
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Why is gluconeogenesis needed?

A
  • Brain and erythrocytes need glucose.
  • Brain can use ketones but glucose is preferred (uses around 100g per day); erythrocytes have no mitochondria so have to use glucose
  • Body maintains blood glucose at around 4.0 to 5.5mmol/L (72-99mg/dL)
  • Glycogen degradation is fast and doesn’t use ATP but only have around 100g in liver
  • Gluconeogenesis can produce glucose from different starting materials and is the only source of glucose when fasting
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the three sources of carbon in gluconeogenesis and where do they come from?

A

o Lactate from muscle (glycolysis)
o Glycerol from fat breakdown (lipolysis)
o Amino acids from proteolysis

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

What are the sources of energy in gluconeogenesis?

A

o ATP – from glycolysis and Krebs cycle

o Fatty acids cannot be used as a source of carbon, only broken down to supply ATP

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

What are the three irreversible steps in pyruvate metabolism and which enzymes are involved?

A
  • 1: G6P -> glucose : glucose-6-phosphatase
  • 2: F1,6BP -> F6P: fructose-1,6-bisphosphatase
  • 3: pyruvate -> PEP: more complicated
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How is the reaction from PEP different in gluconeogenesis and what intermediates are required? What is this process called and why?

A
  • In glycolysis, the reaction from phosphoenolpyruvate (PEP) to pyruvate is a single step reaction. The reverse reaction is a bit more complicated and requires a number of intermediates:
  • Oxaloacetate (lacks transporters in the mitochondria)
  • Malate (can be transported out of mitochondria)
  • Require 1 ATP and 1 GTP molecule
  • Two enzymes
  • Called the malate cycle: catalysed by malate dehydrogenase.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How is glycolysis different to gluconeogenesis?

A

o 2 ATPs generated overall in glycolysis
o 6 ATPs/GTPs consumed in gluconeogenesis
o 4 in reaction from pyruvate to PEP (gluconeogenesis)
o 2 in reaction from 3-phosphoglycerate to 1,3 bisphosphoglycerate (gluconeogenesis)

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

How can triglycerides be used in gluconeogenesis?

A
  • Fats (triglycerides) are made up of a glycerol backbone and 3 fatty acid side chains.
  • Glycerol -> can be used to create pyruvate -> gluconeogenesis
  • Fatty acids -> acetyl Co-A -> cannot be converted to pyruvate/glucose
  • Acetyl Co-A is then used to generate the energy (ATP) needed for gluconeogenesis.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the additional role of Acetyl Co-A?

A
  • Acetyl Co-A also regulates enzymes:
    o Activates pyruvate carboxylase (PC)
    o Inhibits pyruvate dehydrogenase complex (PDC)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How is gluconeogenesis utilised in energy draining conditions such as fasting or exercise?

A
  • In muscle: glucose  lactate during anaerobic conditions
  • Lactate in liver is oxidized back to glucose by gluconeogenesis
  • Glucose sent back to muscle to do work – no net synthesis of glucose.
  • Interaction between muscle and liver called the Cori Cycle.
  • During fasting same process of gluconeogenesis occurs to maintain constant glucose levels.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What conditions allow the Cori Cycle?

A
  • Cori cycle only works if you conserve pyruvate and avoid its conversion to acetyl Co-A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What does fatty acid metabolism produce and how does this affect energy production?

A
  • Fatty acid metabolism: produces acetyl Co-A which inhibits the function of the PDC (enzyme complex that converts pyruvate to acetyl co-A to enter the Kreb’s cycle) – good or bad?
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the two functions of fatty acids in gluconeogenesis?

A

o Supply the energy

o Prevent conversion of pyruvate to acetyl-co-A

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

How and where does gluconeogenesis from glycerol occur?

A
  • Glycerol is produced from the breakdown of triglycerides (fat).
  • Glycerol can then be converted to dihydroxyacetone phosphate only in the liver and kidneys
17
Q

Where does gluconeogenesis from amino acids occur and which amino acids may be used?

A
  • Mostly in muscle, proteins are broken own (proteolysis) into amino acids that can feed to different stages of gluconeogenesis.
  • Examples of amino acids that undergo gluconeogenesis include alanine and glutamine.
  • Glucogenic AA can provide carbons to gluconeogenesis
  • Ketogenic AA (lysine and leucine) cannot provide carbons, but can be used in fatty acid metabolism to produce energy for gluconeogenesis.
  • Together, lactate, glycerol, alanine and glutamine account for 90% of the gluconeogenic molecules!
18
Q

How is gluconeogenesis controlled hormonally and how is this similar to glycolysis?

A
  • Since gluconeogenesis is the reversal of glycolysis, much of the hormonal control also occurs in reverse of glycolysis.
  • Glucagon and adrenaline work towards promoting gluconeogenesis while insulin inhibits gluconeogenesis and promotes glycolysis.
  • Cortisol (hormone releases during stress ex. starvation) also promotes gluconeogenesis.
19
Q

What happens when gluconeogenesis goes wrong? The function of what may be altered?

A
  • Inborn errors of gluconeogenesis exist that alter the function of each of the four enzymes that regulate the uni-directional process of gluconeogenesis.
  • General symptoms occur due to the build up of acetyl Co-A (ketosis), lactate (acidosis) and hypoglycaemia (low glucose levels).
  • Can cause seizures, coma, hyperventilation, apnea and death!
  • Complicates diabetes!
20
Q

What are the symptoms of diabetic ketoacidosis?

A
  • Nausea/vomiting
  • Fatigue
  • Weight loss
  • Hunger
  • Increased urination
  • Drowsiness
  • Thirst
  • Abdominal pain
21
Q

What is the process that can lead to diabetic ketoacidosis

A
  • Absolute or relative insulin deficiency
  • Hyperglycaemia
  • Glucosuria (urinary loss of water and electrolytes)
  • Dehydration and hypovolemia
  • Increased lactate
  • Acidosis
  • Increased counter-regulatory hormones (glucagon, cortisol, growth hormone, adrenaline)
    (all whilst liver produces ketone bodies/beta-hydroxybutyrate and actetone through glycerol gluconeogenesis)