HMP Shunt Flashcards

1
Q

What is the HMP shunt? What are other names for it? Where does it occur? What is the subcellular site?

A

An alternate pathway for glucose oxidation

Also known as

  • pentose phosphate pathway
  • phosphogluconate pathway

Site:

All cells, especially important in

  • liver, adipose tissue, lactating mammary glands
  • testes, ovaries, placenta, adrenal cortex
  • RBCs
  • WBCs

Subcellular site

Cytosol

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2
Q

Why is the HMP shunt important? (7) What are the major coenzymes required for HMP shunt?

A

•Provides NADPH for
üFatty acid synthesis in liver, adipose tissue & lactating mammary glands & cholesterol synthesis in liver
üHydroxylation reactions in liver
üSteroid synthesis in testes, ovaries, placenta & adrenal cortex
üDetoxification of reactive oxygen species in RBCs
üPhagocytosis in WBCs
üNitric oxide synthesis
•Source of ribose 5-P for nucleotide synthesis in dividing cells

Major coenzymes required for HMP shunt

ØNADP (from niacin)
TPP (from thiamine

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3
Q

What are the two phases of HMP SHUNT?

A
  • *•Oxidative phase**
  • irreversible reactions, convert glucose 6-P to a pentose phosphate
  • Generate NADPH
  • Important in tissues that need significant amounts of NADPH
  • *•Non-oxidative phase**
  • reversible interconversion of sugar phosphates ultimately yielding glycolytic intermediates
  • Can produce ribose phosphate without the need for oxidative phase
  • Active in all cells synthesizing nucleotides & nucleic acids
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4
Q

Draw the oxidative phase of HMP shunt

A
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5
Q

•Draw the non-oxidative reaction of HMP shunt! And name all the enzymes used in each step

A
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6
Q

Draw out the HMP shunt in a summary. Which ways can Glucose 6 phosphate enter?

A
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7
Q

What is the significance of HMP shunt? Does the HMP Shunt require any energy or generate ATP? What is the HMP Shunt regulated by? What inhibits the regulator of HMP shunting ? What upregulates the expression of the regulator?

A
  1. Source of NADPH
  2. Source of ribose 5-phosphate required for biosynthesis of nucleotides
  3. Utilization of 5-carbon sugars obtained from the diet or degradation of structural carbohydrates in the body

HMP shunt

  • Can use or reproduce intermediates of glycolysis; ‘shunting’ glycolytic intermediates through an alternative path to yield NADPH or ribose-P
  • Does not directly consume or generate ATP

Regulation of HMP shunt

  • Is regulated at the G6PD reaction
  • NADPH inhibits G6PD activity (high NADPH/NADP ratio slows down G6PD reaction)
  • Insulin upregulates expression of G6PD gene (induction; ­ enzyme synthesis)
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8
Q

What are the functions of NADPH( 2)? What does NADPH do in the second function? What uses HMP shunt mainly as a source of NADPH?

A

1. Reductive biosynthesis

Biosynthesis of fatty acids, cholesterol

2. Reduction of hydrogen peroxide

  • Reactive oxygen species (ROS) produced as byproduct of aerobic metabolism or through reactions with drugs/toxins
  • ROS can react with membrane lipids, proteins, DNA – cause harmful changes, implicated in pathologic processes
  • Antioxidants neutralize ROS; cellular defense mechanism
  • H2O2 Reduced to water by glutathione (antioxidant) which itself gets oxidized
  • NADPH required to keep glutathione in reduced state (important in RBCs since HMP shunt only source of NADPH)
  • NADPH important in RBCs ability to detoxify ROS
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9
Q

Where does the free radicals comes from?

How is Hydrogen peroxide neutralized? Explain how NADPH works

A

Smoking

Macrophages

UV light

Air pollution

Oxidative stress

In the body oxygen becomes water in the ETC. If there is incomplete reduction of oxygen by an addition of one H as a time you will get an intermediate such as hydrogen peroxide, superoxide , hydroxyl radical . To neutralize then you have enzymes such as superoxide dismutase, which converts superoxide to oxygen and hydrogen peroxide . Hydrogen peroxide can be neutralized by catalases and glutathione peroxidases

Glutathione ( is a tripeptide). The thiol group is very important in the antioxidant property . Hydrogen peroxide and glutathione in the reduced state become water. The two glutathione join by the disulfide linkage which is called the oxidized glutathione which is reduced again by glutathione reducase where NADPH donates a H+ ( coupled reaction ). NADPH is from the HMP shunt

Oxidative stress can be seen if there is less detoxification of the free radical. When is this seen? When there is less production of NADPH

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10
Q

What is the cytochrome P450 monooxygenase system ? How does NADPH help the system? Why is Mitochondrial cytochrome P450 system important? (3) Why is Microsomal cytochrome P450 system (in liver) important?

A

3. Cytochrome P450 monooxygenase system

  • Create a hydroxyl group in the substrate (hydroxylation reactions)
  • NADPH provides reducing equivalents

Mitochondrial cytochrome P450 system

  • Hydroxylation of steroids – adrenal cortex, gonads, placenta
  • Bile acid synthesis – liver
  • Activation of vitamin D – kidney

Microsomal cytochrome P450 system (in liver)

  • Detoxification of xenobiotics (foreign compounds) including drugs, pollutants & pesticides
  • Increase the solubility of these compounds, facilitate their excretion
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11
Q

Explain the phagocytosis by WBCS and How NAHPH comes into play

A
  • Occurs in neutrophils & macrophages (monocytes)
  • Microorganisms, foreign particles & cell debris ingested by receptor-mediated endocytosis are destroyed by oxygen-dependent & independent mechanisms
  • Oxygen-dependent system generates oxygen-derived free radicals using NADPH
  • Bacteria are destroyed by the free radicals
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12
Q

Draw out the Phagocytosis by WMCs ( role of NADPH)

A
  1. NADPH oxidase generates superoxide using O2 & NADPH (respiratory burst)
  2. Superoxide generates H2O2 either spontaneously or via SOD
  3. Myeloperoxidase generates HOCl from H2O2
  4. H2O2 can generate hydroxyl radical through Fenton reaction
  5. Nitric oxide synthase (NOS) produces NO using NADPH
  6. NO combines with superoxide to form peroxynitrite (ONOO-)

Bacteria destroyed by the free radicals

SOD: superoxide dismutase

During phacytosis, the membrane invaginates & superoxide is released into the space within the phagosome

iNOS: Inducible nitric oxide synthase

HOCl (hypochlorous acid) – a component of household bleach

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13
Q

What does the deficiency of NADPH oxidase causes? What is this disease characterized by?

A
  • Genetic deficiency of NADPH oxidase causes chronic granulomatous disease
  • Characterized by severe, persistent infections
  • Formation of granulomas (nodular areas of inflammation) that sequester the bacteria which were not destroyed
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14
Q

How is Nitric Oxide synthesized? What are the functions are nitric oxide?(4)

A

Synthesized by nitric oxide synthases (NOS)

L-arginine + NADPH + H+ + O2 -> L-citrulline + NO + NADP+ NO

-Relaxes vascular smooth muscle
-prevents platelet aggregation
-Functions as a neurotransmitter in brain
Mediates bactericidal & tumoricidal actions of macrophages

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15
Q
  • HMP shunt-clinical significance:
  • What is G6PD deficiency ? Where is It most common? What type of inheritance is it? What type of anemia does it cause? What does this deficiency impair? What is most affected by the deficiency and why?
A

•Most common disease-causing enzyme abnormality in humans
•High prevalence in middle-east, tropical Africa & Asia, Mediterranean
•Many different mutations in G6PD gene known; X-linked recessive inheritance
•Mutant enzymes may show decreased activity or stability, decreased binding affinity for substrates
•Major cause of hemolytic anemia (usually precipitated by drugs)
•Deficiency impairs ability of cells to form NADPH; inability to keep glutathione in reduced state
•Impaired detoxification of reactive oxygen species
•RBCs most affected by the deficiency, HMP only source of NADPH

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16
Q

What is required to keep the integrity of the RBC? Explain with a diagram the effects of G6PD deficiency on erythrocytes

A

What is required to keep the integrity of the RBC? Energy ( ATP via Na/K pump) and NADPH to combat the ROS’s . Both of these come from glucose . The picture show that via glycolyisis ATP and NADPH is producedd and via HMP shunt, NADPH is produced -> needed to reduce the glutathione into reduced form which inturn will reduce the hydrogen peroxide to water. This is a coupled reaction. These are all linked to Glucose-6- phosphate dehydrogenase.

So if there is a absence of G6PD what is likely to happen? Dec in the NADPH-> dec in reduced from of glutathione -> hydrogen peroxide will accumulate -> form other radical-> hemolysis

Glutathione is important for hemoglobin ( has many thiol groups that are kept in the reduced form by glutathione ) . If it is not possible to keep them in reduced state they oxidize and cross-link to form Heinz-bodies ( clumps of oxidized protein)

What triggers these features? Infections, certain drugs, fava beans

17
Q

How does G6PD deficiency cause heinz bodies?

A

Oxidation of –SH groups in Hb, denaturation

                        ¯

Form Heinz bodies (insoluble masses); attach to RBC membrane; RBCs become rigid (less deformable)

                        ¯

Membrane damage by ROS & Heinz bodies

                        ¯

                 Hemolysis

                        ¯

   Hemolytic anemia & jaundice

•Neonatal jaundice (1 – 4 days after birth), seen in G6PD deficient neonates

18
Q
  • What are the three factors that cause G6PD deficiency?
  • Which are the oxidant drugs that cause hemolytic episodes?
A

Hemolytic episodes are triggered by certain factors

1.Exposure to oxidant drugs (to be avoided by G6PD patients)

 Antibiotics (sulfamethoxazole, chloramphenicol)

 Antimalarials (primaquine but not chloroquine or quinine)

 Antipyretics (acetanilide but not acetaminophen)

2. Favism

Hemolysis caused by ingestion of fava beans (purine glycosides)

Seen in the Mediterranean variant of G6PD deficiency

3. Infections

  • Inflammatory response to infections generates free radicals in macrophages
  • Diffuse into RBCs, cause oxidative damage
19
Q

Compare Pyruvate kinase deficiency with G6PD deficiency

A
  • (Pyruvate kinase deficiency causes chronic hemolytic anemia whereas G6PD deficiency causes episodic hemolytic anemia)
  • Lifespan of people with severe form of G6PD deficiency maybe shortened as a result of complications arising from hemolysis
  • G6PD patients are resistant to malaria caused by Plasmodium falciparum (selective advantage in malaria endemic areas)
  • G6PD test in RBCs, commonly performed prior to commencing malaria

Malarial parasites require reduced glutathione (GSH) and the products of the pentose phosphate pathway for optimal growth

Life cycle of parasite not completed due to hemolysis, RBCs infected with the malarial parasite undergo phagocytosis at an earlier stage of parasite maturation than do normal red-blood cells with parasitic infection, which could be a further protective mechanism against malaria

20
Q
A