Metabolism of fructose, galactose, and pentose phosphate pathway Flashcards
Is fructose and galactose entry into a cell insulin dependent?
no
which sugars do not promote secretion of insulin
fructose and galactose
which is faster: fructose metabolism or glucose metabolism
fructose
fructose is phosphorylated by fructokinase to form ____
fructose-1-p
dietary fructose is metabolized mainly in the ____ by _____
liver by glycolysis
what cleaves fructose-1-p to DHAP and glyceraldehyde?
aldolase B
enzyme that turns glyceraldehyde into glyceraldehyde 3P
triose kinase
DHAP to glyceraldehyde 3-P performed by what enzyme
triose-P isomerase
this can be cleaved by aldolase A, B, and C
F1,6BP
Fructose 1-P can only be cleaved by ____
aldolase B
hereditary fructose intolerance is a deficiency in what enzyme and what gene
aldolase B, ALDOB gene
what is the consequence of having high levels of fructose 1-P accumulate due to hereditary fructose intolerance?
inorganic P is not available for glycolysis
without Pi what happens to glycolysis and ATP production?
inhibited
Decreased hepatic ATP from hereditary fructose intolerance causes _____ to become inhibited
gluconeogenesis
Symptoms of hereditary fructose intolerance include
hypoglycemia
lactic acidosis
hyperuricemia
liver failure
To prevents liver failure and possible death due to hereditary fructose intolerance ____ is removed from the diet
fructose
Diagnosis of hereditary fructose intolerance include:
gene (DNA) sequencing
fructose test in urine
Essential fructosuria is deficiency of what gene
KHK gene
Essential fructosuria is caused by what
inability of fructokinase to convery to fructose 1-P
In essential fructosuria, hexokinase converts fructose to _____ which is metabolized in glycolysis. The hexoinase has (low or high) affinity for fructose.
fructose 6-P. low affinity
when there is no threshold for fructose and it accumulates in the urine, what disease process
essential fructosuria
essential fructosuria: does it have toxic metabolites and is it malignant or benign?
no toxic metabolites. benign
hepatocytes, ovaries, and seminal vessicles use what pathway to generate fructose from glucose?
polyol pathway
describe steps of polyol pathway
- glucose to sorbitol through aldolase reducase
2. sorbitol to fructose through sorbitol dehydrogenase
kidneys, lens, retina, and schwann cells lack what enzyme that causes sorbitol to accumulate
sorbitol dehydrogenase
cells that lack sorbitol dehydrogenase are
kidney, lens, retina, and schwann cells
accumulated sorbitol triggers what to these cells?
influx of water causing them to swell
damage by sorbitol accumulation can manifest as
retinopathy, cataracts, and peripheral neuropathy
uncontrolled diabetes/hyperglycemia cause lots of glucose to accumulate in cell and when sorbitol accumulates what disease processes occur
peripheral neuropathy, cataracts, nephropathy, and retinopathy