Gluconeogensis Flashcards
what are the sources for liver production of glucose
- glycogen (starch like polymer)
- gluconeogenesis (new synthesis from small molecule precursors)
why two sources of glucose in the liver?
glycogen sustains blood glucose for a few hours after a meal
-gluconeogensis sustains blood glucose for many days in the absence of carb intake
how long does it take for gluconeogenesis to become the primary carb source
-about 16 hours
starting reactant in gluconeogenesis
-pyruvate
where does gluconeogenesis occur?
- Tissue: 80-90% in the liver and the remainder in the kidney but this is primarily for starvation
- subcellular location: pyruvate carboxylation in the mitochondria, most of the reaction in the cytoplasm, removal of phosphate from G6P in the ER
precursors for gluconeogenesis
- pyruvate
- lactate (via pyruvate)
- amino acids (via pyruvate, TCA intermediates)
- glycerol (via DHAP)
transaminases produce what from what
- alpha ketoacids from alpha amino acids
- OAA to aspartate
- alpha KG to glutamate
enzymes unique to gluconeogenesis
- pyruvate carboxylase
- PEP carboxykinase
- FBPase
- glucose 6 phosphatase
adrenergic affects of hypoglycemia
- trembling
- palpitations
- sweating
- anxiety
- nausea
- hunger
- tingling
neuroglycopenic affects of hypoglycemia
- headache
- confusion
- weakness
- drowsiness
- vision changes
- difficulty speaking
- dizziness
- tiredness
- seizures
- coma
- slurred speech
what glucose level or lower will require intervention?
2.8mM or lower
what can pyruvate be derived from?
lactate, alanine
what does it cost molecularly to make glucose
- 4ATP
- 2GTP
- 2NADH
which molecules start at the very beginning of gluconeogenesis?
- pyruvate
- lactate
- alanine
where does glycerol enter gluconeogenesis?
- it goes from glycerol to glycerol 3 P to DHAP and is then converted to F-1,6-BP in order to enter the pathway
- this is in the cytoplasm