Metabolism of glycogen (glycogenesis & glycogenolysis) Flashcards

1
Q

What is glycogen ? (7)

A
  • Highly branched homopolysaccharide made of alpha-D glucose units
  • Linear portion has a(1-4) linkages, branch points have a(1-6) linkages between glucosyl residues
  • Branches 8 glucose residues apart
  • Storage form of glucose in animals
  • Main stores found in liver & muscle
  • Well-fed adult liver contains about 100g glycogen (10% of fresh weight)
  • Resting muscle contains 400g glycogen (1-2% of fresh weight)
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2
Q

What is the function of glycogen?

A
  • In the absence of a dietary source of glucose, liver glycogen rapidly degraded to glucose which is released into blood
  • Liver glycogen; meant for maintenance of blood glucose level; important during fasting
  • Muscle glycogen; meant for providing energy for muscle contraction, does not get converted to free glucose (lacks glucose 6-phosphatase)
  • Muscle glycogen extensively degraded during strenuous exercise
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3
Q

What is the definition, site sub cellular site and major enzymes of glycogenesis?

A
Definition: Synthesis of glycogen
Site: Mainly liver & muscle
Subcellular site: cytosol
Requires energy in the form of ATP & UTP
Major enzymes: glycogen synthase
                    branching enzyme
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4
Q

How is glycogen metabolized , use diagram to explain ? Use slide # 6 (diagram)

A

Phosphoglucomutase will change the position of the glucose from carbon 6 to carbon 1. The glucose then reacts with UDP- glucose pyrophosphorylase and forms UDP- glucose ( activated glucose) and then it is attached the the hydroxly group of tyrosine of glycogenin ( protein in the liver that acts as a primer for accepting glucose ). Glycogen synthase will add glucose residues forming a1-4 linkages. Non reducing end is the carbon 4 of glucose. Key: glycogen synthase elongates glucose at the non-reducing end. Branching enzyme breaks the a1-4 linkage and the entire unit of sugars are transferred and a a1-6 linkage is formed. As a result there is a branched glycogen.

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5
Q

Why have a branched glycogen?

A

So alot of glucose can be stored in a short period of time and so the break down can be done simultaneously

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6
Q

Explain the synthesis of Glycogenesis in detail and include all the enzymes used.

A
  • Glycogen synthase can only elongate an existing chain of glucose, requires a primer
  • Primer can be a pre-existing glycogen or a protein called glycogenin
  • The –OH group on the side chain of a specific tyrosine residue in glycogenin serves as the site where the initial glucose is attached.
  • Glycogenin catalyzes the initial few steps of attachment of glucose residues to itself (autoglucosylation)
  • The short glucosyl chain (with (14) linkages) produced serves as a primer which is elongated by glycogen synthase
  • Glycogenin forms the core of the glycogen granule
  • Glycogen synthase adds glucose (from UDPG) to the nonreducing end of primer (C4), creating a(1-4) linkages
  • When the glycogen chain is elongated to about 11-15 residues, branching takes place
  • Branching enzyme: amylo-4,6 transferase, removes a set of 6 – 8 glucosyl residues from the nonreducing end of glycogen chain, attaches it to another glucosyl residue by (16) linkage
  • Breaks a a(1-4) linkage, creates a new (16) linkage
  • The resulting new and the old nonreducing ends are further elongated by glycogen synthase
  • Additional branches are created by branching enzyme
  • A highly branched tree-like structure is formed
  • Branching increases number of nonreducing ends, accelerating the rate of glycogenesis (and its breakdown)
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7
Q

The definition, site sub cellular site and end products and major enzymes of glycogenolysis

A
Definition: Breakdown of glycogen
Site: Mainly liver & muscle
Subcellular site: cytosol
End products: 
Liver: glucose
Muscle: glucose 6-phosphate, which then enters glycolysis producing lactate
Major enzymes: glycogen phosphorylase
                    debranching enzyme
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8
Q

Explain the diagram on slide 10 (glycogenolysis)

A

one by one the glucose residues are being broken by glycogen phosphorylase and the a1-4 linkage and released as glucose-1-phosphate until the oligosacciride( limit dextrin: 4 carbons) is seen.The debranching enzyme comes into action,The 4:4 transferase breaks the a1-4 linkage of the trisaccride and transfers to a 1-4 linkage as a result the terminal glucose is exposed( green). The terminal glucose( green) is broken down by 1:6 glocosidase as free glucose. The linear chain( red) is then broken down by glycogen phosphorylase until it reach the next branch point.

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9
Q

What is the importance of glycogen phosphorylase ?

A
  • glycogen phosphorylase (PLP dependent-> vitamin B6 derivative and required for glycogen phosphorylase ) sequentially removes the glucosyl residues from the nonreducing ends as glucose 1-P by phosphorolysis
  • This will continue until 4 glucose residues remain on each chain before a branch point
  • Next, “oligo α-[1→4]→α-[1→4] glucan transferase” activity of debranching enzyme, removes a unit containing the three outer glucose residues & transfers it to the nonreducing end of another chain, exposing the 1→6 branch point
  • The α-[1,6] glucosidase activity of debranching enzyme releases the free glucose by cleaving the α-[1,6] linkage
  • Glycogen phosphorylase continues to act on remaining glycogen
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10
Q

What is the final product of breakdown of glycogen in the liver and muscle and how is the the final product achieved? explain using a flow chart/diagram

A

The final product of glycogenolysis in the liver is glucose .The final product of glycongenolysis in the muscle is glucose 6-P why? There is a lack of glucose-6-phosphotase

Ans for the diagram in slide 12

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11
Q

What happens to glycogen in the lysosomes? Deficiency of what enzyme causes lysosomal diseases? and what are the names of the diseases?

A

A small amount of glycogen (1 – 3%) is continuously degraded by the lysosomal enzyme -glucosidase (acid maltase)
Deficiency of this enzyme causes accumulation of glycogen in lysosomes (Pompe disease or type II glycogen storage disease)

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12
Q

In the liver and muscle, when does glycogenesis happen and when does glycogenolysis occur?

A

glycogenesis accelerates in well-fed state, glycogenolysis increases in the fasting state

In the skeletal muscle, glycogenolysis occurs during active exercise, glycogenesis begins as soon as muscle is at rest

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13
Q

What are Glycogen synthase & glycogen phosphorylase?

How is the regulation of glycogen metabolism accomplished?(2)

A

regulatory enzymes

Hormonal regulation (by phosphorylation/ dephosphorylation) to meet the needs of the whole body AND Allosteric (by effector molecules) to meet the needs of a particular tissue

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14
Q
  1. Explain the hormonal regulation of glycogenolysis ( use diagram on slide 15)
  2. What does a protein kinase do?
  3. What is the overall effect of glycogen and insulin?
  4. What is the role of Ca+?
  5. What is the role of AMP in muscle?
A
  1. Glycagon binds to the glucagon receptors in the liver and epinephrine binds to the b-adrenergic receptor in the muscle and the liver. Both result in these result in the activation of G-coupled receptor to activate adenyly-cyclase to produce cAMP ( second messengar).

cAMP will activate protein kinase A by binding to the regulatory subunits of protein kinase A causing the protein kinase A to release the active catalytic subunit . Protein kinase phosphorylates the glycogen phosphorylates kinase B. When the glycogen phosphorylase kinase is phosphorylated, it is active. The glycogen phosphorylase kinase when active will phosphorylate glycogen phosphorylase B into the active form and as a result the glycogen is degraded. There is a cascade of phosphorylations that are occurring

  1. It phosphorylates a protein
  2. If insulin is secreted in well feed state , it will phosphodiesterase which will break down the cAMP ( decrease of cAMP)-> less activation of protein kinase-> less phosphorylation of phosphoylase kinase -> less phosphorylation of glycogen phosphorylase
    • Insulin also produces protein phosphotase-1 which acts in two levels . It removes the phosphate from the phosphorylase kinase and glycogen phosphorylase making then inactive.
  • Insulin causes the removal and inactivation of the phosphorylase ( dephosphorylation)-> prevents glycogenolysis
  • Glycogen and epinephrine will activate the cAMP which will activate the protein kinase-> activate the phosphorylase kinase -> acitvate the glycogen phosphorylase switching it on -> promoting glycogenolysis
    4. Ca is released during muscle contraction. The Ca will bind to the calmodium ( calcium modulated protein) subunit of phosphorylase kinase b, activating it without phosphorylation. Phosphorylase kinase can then activate glycogen phosphorylase, causing glycogen degradation. Ca is a allosteric regulator
    5. Under extreme condition of anoxia and depletion of ATP, AMP activates glycogen phosphorylase b without it being phosphorylated
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15
Q

Explain the hormonal regulation of glycogenesis and draw it out

A

During fasting ->Glucagon & epinephrine (receptors in liver) and during exercise -> Epinephrine (receptors in muscle)-> increased cAMP -> phosphorylation of glycogen synthase (less active) -> decreased glycogenesis
In well-fed state, insulin promotes dephosphorylation & activation of glycogen synthase through protein phosphatase; decreased cAMP through phosphodiesterase -> increased glycogenesis

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16
Q

What is the role of insulin?

where are glycogen receptors found?

A

Glucagon receptors are found the in the liver

Remember the role of insulin is to store the excess glucose as glycogen in the liver

17
Q

If phosphorylation of the glycogen synthase is happening, and there is increased glycogenolysis what are the steps to the break down of glycogen break down?

A

Phosphylase is activated and the glucose units are broken down as glucose-1-phosphate-> becomes glucose-6-phosphate. Glucose-6-phosphate can also go for glycogen synthesis as well. So to avoid that, the synthase is switched off by glucagon-> decreased glycogenesis

18
Q

What type of regulation are the glycogen phosphorylase and synthase under?

A

They are under reciprocal regulation through covalent modification. Phosphorylase is active when synthase is inactive ( prevent futile cyclying)

19
Q

What is allosteric regulation?

A

Molecule binding to the a site other than the active site and changing the activity of the enzyme

20
Q

What is covalent modification?

A

Molecule is attached covalently to the enzyme which will make it more/ less active

21
Q

What are the other kinases that glycogen synthase is phosphorylated and inactivated by?

A

Glycogen synthase is phosphorylated & inactivated by several kinases including PKA (cAMP), PKC (Ca2+), glycogen synthase kinase (GSK)

22
Q

What does binding of epinephrine to a1-adrenergic receptors in liver do?

A

Binding of epinephrine (during physiologic stress) to a1-adrenergic receptors in liver -> increase cytoplasmic Ca2+ -> binds to calmodulin subunit of phosphorylase kinase b-> activation of phosphorylase kinase b without the need for phosphorylation (cAMP independent)

23
Q

What is the allosteric regulation of glycogen metabolism? Draw out the cycle

A
  • Glycogenesis when substrate availability & energy levels are high; glycogenolysis  when glucose & energy levels are low
  • In well-fed state, glycogen synthase b in liver & muscle allosterically activated by glucose 6-P; glycogen phosphorylase a is allosterically inhibited by glucose 6-P & ATP (high-energy signal)
  • Glucose inhibits glycogen phosphorylase a in the liver
  • Muscle glycogen phosphorylase b allosterically activated by elevated levels of AMP (due to extreme hypoxia & ATP depletion

Note: You want to synthesize a lot of glycogen when you have a lot of glucose -> glucose-6-phosphate by glucokinase and glucose-6-phosphate activates glycogen synthase

The phosphorylated form of glycogen synthase is inactive and the dephosphorylated form in active

24
Q

What is the one most thing to remember for enzyme regulation for insulin and glycogen if you forget everything else!! ( study tip for biochem)

A

Insulin enzymes are active in there dephosphorylation form
Glycagon enzymes are active in there phosphorylation form

Enzymes in the well feed state are active in there dephosphorylated form
Enzymes in the fasting state are active in there phosphorylated form

GIVE ME YOUR ID MR.GP

25
Q
  1. What are glycogen storage diseases?

2. How do you differentiate when the defective enzyme is in the liver vs. the muscle vs. generalized?

A
    • Group of genetic diseases caused by defects in enzymes of glycogen degradation (more common) or synthesis (rarely)
      - Result in accumulation of glycogen in tissues
      - Accumulated glycogen may have a normal or abnormal structure
  1. Only in liver (causes hypoglycemia) why? the role of liver glycogen is to maintain the blood glucose in a overnight fast and if the liver glycogen cannot be broken down there will be hypoglycemia

Only in muscle (causes muscle weakness)
Generalized (affecting several tissues) Why? because muscle glycogen cannot contribute to blood glucose and why not? it does not have glucose-6- phosphatase. So no hypoglycaemia is seen

26
Q

Glycogen storage disease type Ia (von Gierke disease) and glycogen storage disease type 1b

Explain what enzyme deficiency causes it and what are the signs and treatment ( explain why this type of treatment is given)

high yield*****

A
  • Deficiency of glucose 6-phosphatase in liver & kidney (autosomal recessive)
  • Glycogen accumulates in liver & renal tubular cells -> enlarged liver & kidney
  • Fasting hypoglycemia, lactic acidosis, hyperlipidemia, fatty liver, hyperuricemia
  • Affected infants often have a doll-like facial appearance due to excessive adipose tissue in the cheeks
  • Thin extremities, short stature, protuberant abdomen, Growth failure, delayed puberty
  • Type Ib deficiency of glucose 6-P translocase
    Characterized by neutropenia & recurrent infections
  • Treatment- Nocturnal nasogastric infusions of glucose or regular administration of uncooked cornstarch. Why? Glucose overnight is given because in the fasting state hypoglycemia is likely ( to prevent this)
27
Q

Explain the metabolic alternations in von Gierke’s disease in a diagram.

high yield!!

A

ans: slide 21

glycogen forms glucose-6-phosphate but glucose-6-phosphate cannot turn into free glucose so then the glucose-6-phoshate turns back into glycogen( accumulates)-> deposits in the liver and kidney causing hepato and renomegaly

some of the glucose-6-phosphate turns into DHAP->pyruvate-> lactate-> lactic acidosis

some of the glucose-6-phospahte goes thought glycolysis to form DHAP-> pyruvate-> goes though transamination to form increased alanine

some of the DHAP-> glycerol-3-phosphate->
combines with fatty acid-> to form triacetylglycerol-> fatty liver

some of the pyruvate turns into acetyl-CoA->fatty acids and cholesterol-> cholestrol will combine with triacetylglycerol-> cause hyperlipidemia

glucose-6-phosphate can enter the HMP shunt to form ribose 5-P-> increased de novo purine synthesis and degradation -> increase uric acid production-> hyperuricemia ( high production and less excretion why? because lactic acid competitively inhibits uric acid

28
Q

Glycogen storage disease type ii( pompe disease)

Explain what enzyme deficiency causes it and what are the signs and treatment ( explain why this type of treatment is given)

high yield**

A
  • Most severe of all glycogen storage diseases
  • Defect: deficiency of lysosomal a-glucosidase (acid maltase)
  • Glycogen (normal structure) accumulates in vacuoles of all organs with lysosomes but primarily in heart, liver & muscle
  • Blood glucose level normal
  • Infantile onset form: massive cardiomegaly(can be seen on X-ray), difficulty with feeding, respiratory problems, progressive muscle hypotonia (‘floppy baby’), muscle weakness, death by cardiac failure before age 2 years
  • Juvenile onset form: later onset myopathy, variable cardiac involvement
  • Adult onset form: only skeletal muscle involved, limb-girdle muscular dystrophy
    Enzyme replacement therapy available
29
Q

Glycogen storage disease type iii ( type iiia and type iiib (Cori disease)

Explain what enzyme deficiency causes it and what are the signs and treatment ( explain why this type of treatment is given)

A

Type IIIa (Cori or Forbe disease/ Limit dextrinosis): deficiency of liver & muscle deb ranching enzyme (alpha 1,6-glucosidase)

  • Fasting hypoglycemia
  • Hepatomegaly in infancy
  • Accumulation of characteristic polysaccharide (resembles limit dextrin) with short outer branches
  • Muscle weakness
Type IIIb (Limit dextrinosis): deficiency of debranching enzyme in liver
Features same as type IIIa, no muscle weakness
30
Q

Why is glycogenolysis is decreased in both type 1 and type 3 but type 1 has severe fasting hypoglycemia in-comparison to type 3?

A

more pronounced affect in type one because glucose-6-phosphotase is the enzyme that is deficient in type 1 and it is needed in glyconeogensis and glycogenolysis also whereas the debranching enzyme in type 3 is only needed in glycogenolysis

31
Q

Glycogen storage disease type 4: Anderson disease/amylopectinosis

Explain what enzyme deficiency causes it and what are the signs and treatment ( explain why this type of treatment is given)

A
  • Deficiency of branching enzyme
  • Hepatosplenomegaly
  • Accumulation of abnormal polysaccharide with very few branch points & long outer braches (resembles amylopectin)
  • Symptoms may arise from hepatic reaction to the abnormal glycogen
  • Death from heart or liver failure before age 5
32
Q

Which are the glycogen storage diseases that are severe and less common and cause death?

Which glycogen storage disease is more common?

A

type 2 and type 4

type 1

33
Q

Glycogen storage disease type 5: McArdle disease

Explain what enzyme deficiency causes it and what are the signs
high yield!!!!!!

A
  • Deficiency of muscle glycogen phosphorylase
  • Poor exercise tolerance; weakness & cramping of skeletal muscle after exercise (less ATP available due to decreased muscle glycogenolysis)
  • Muscle glycogen content very high (normal structure); blood lactate very low after exercise
  • Myoglobinemia & myoglobinuria may be seen (muscle damage)
34
Q

Glycogen storage disease type 6: Hers disease

Explain what enzyme deficiency causes it and what are the signs

A
  • Deficiency of liver glycogen phosphorylase
  • Hepatomegaly, accumulation of glycogen in liver (normal structure)
  • Mild hypoglycemia (gluconeogenesis still functional)
  • Good prognosis
35
Q

Glycogen storage disease type 7: Tarui disease

Explain what enzyme deficiency causes it and what are the signs

A
  • Deficiency of muscle & erythrocyte PFK-1
  • Inability to utilize glucose for energy production, decreased ATP
  • Poor exercise tolerance, blood lactate very low after exercise
  • Muscle glycogen abnormally high (normal structure)
  • Hemolytic anemia