Metabolism S3 - Energy Production in Carbohydrates Flashcards
What is the equation for glycerol phosphate formation?
Dihydroxyacetone phosphate (DHAP) –> glycerol phosphate Glycerol 3-phosphate dehydrogenase enzyme NADH -> NAD+
What is 2,3-BPG?
Important glycolysis intermediate. Produced from 1,3-BPG in RBC. Important regulator of O2 affinity of haemoglobin (tense state). Present in RBCs at same molar concentration as haemoglobin (~5mM)
What is the formula for 2,3-BPG formation?
1,3-bisphosphoglycerate 2,3-bisphosphoglycerate Bisphospoglycerate mutase enzyme
Describe the metabolic regulation of glycolysis
- High NADH concentration signals high energy levels i.e. low [NAD+] - Causes product inhibition of step 6 (1,3-BPG produced) - Inhibition of glycolysis due to availability of substrates
How may enzymes be regulated?
- Flux through pathway regulated in response to the need - In metabolic pathways, enzymes catalysing essentially irreversible steps are potential sites of control 1. Allostery - activator binds at another site. Proteins with 2 sites: a. Catalytic site: substrate -> product b. Regulatory sites: binding of specific regulatory molecule. Affects catalytic activity. Can produce activation or inhibition. 2. Covalent modification (phosphorylation/dephosphorylation)
Describe allosteric regulation of glucose
- Step 1: Hexokinase decreased by G 6-P (product). Allosteric inhibitory site on hexokinase. - Step 3: Phosphofructokinase-1. Muscle: PFK-1 decreased by high ATP:AMP ratio. Allosteric. ATP binds to PFK-1 and reduces amount of substrate. Liver: PFK-1 increased by high insulin:glucagon. Dephosphorylation of enzyme by hormonal signals. - Step 10: Pyruvate kinase increased by high insulin:glucagon. Dephosphorylation
What would happen if NAD+ wasn’t regenerated from NADH produced in glycolysis?
Glycolysis would stop due to product inhibition of step 6
Describe the oxidation/reduction of step 6
- NAD+ linked, 2 moles of NADH produced per mole of glucose - Pathway needs NAD+ - Total NAD+ and NADH in cell is constant, therefore glycolysis would stop when all NAD+ is converted to NADH - Normally NAD+ regenerated from NADH in stage 4 of metabolism BUT - RBC have no stage 3 or 4 of metabolism - Stage 4 needs O2 - supply to muscles and gut often reduced - Therefore need to regenerate NAD+ by some other route: lactate dehydrogenase (LDH)
What is the equation of the lactate dehydrogenase reaction?
NADH + H+ + pyruvate (CH3CO.COOH) NAD+ + lactate (CH3CHOH.COOH) LDH enzyme High levels of NADH and pyruvate NAD+ is oxidised
Describe the lactate dehydrogenase reaction
- Lactate produced by RBC and skeletal muscle (skin, brain, GI) - Released into blood and normally metabolised by liver and heart via LDH (highly oxygenated tissues) - Lactate acidifies cells - Liver and heart need NAD+ to be regenerated efficiently, usually well supplied with oxygen
Describe lactate utilisation
- Via pyruvate: NAD+ + lactate –> NADH + H+ + pyruvate LDH enzyme - Heart muscle -> CO2 - Liver -> glucose (gluconeogenesis): impaired in liver disease, thiamine vitamin deficiency, alcohol NAD+ -> NADH, enzyme deficiencies
What is glycerol phosphate?
An important intermediate in glycolysis, to triglyceride and phospholipid biosynthesis. Produced from DHAP in adipose tissue and liver. Therefore lipid synthesis in liver requires glycolysis. N.B: liver can phosphorylate glycerol directly
Describe lactate production
Produced from glucose and alanine via pyruvate. - Without major exercise: 40-50g / 24hrs. RBC, skin, brain, skeletal muscle, GI tract. - Strenuous exercise (including hearty eating): 30g/5 min. Plasma levels double in 2-5 min. Back to normal by 90 min. Pathological situations e.g. shock, congestive heart disease
How is the plasma concentration of lactate determined?
By relative rates of: - Production - Utilisation (liver, heart, muscle) - Disposal (kidney)
What are the consequences of elevations of plasma lactate concentration?
Blood concentration normally constant below 1mM. - Hyperlactaemia: 2-5mM. Below renal threshold (not in urine). No change in blood pH (buffering capacity). - Lactic acidosis: above 5mM. Above renal threshold (in urine). Blood pH lowered
Give an overview of the metabolism of galactose and fructose
See image
What is sucrose?
Fructose and glucose
Where does fructose metabolism occur?
In the liver (soluble enzymes)
Give an outline of fructose metabolism
Fructose –> Fructose-1-P –> 2-glyceraldehyde-3-P (enters glycolysis) 1st step: fructokinase enzyme, ATP -> ADP 2nd step: aldolase enzyme
What is the clinical importance of fructose metabolism?
- Essential fructosuria: fructokinase missing. Fructose in urine, no clinical signs. - Fructose intolerance: aldolase missing. Fructose and fructose-1-P accumulate in liver -> liver damage. Treatment = remove fructose from diet
What is fructose?
Cane/beet sugar
What is galactose?
Milk sugar
What is lactose?
Glucose and galactose
Where does galactose metabolism occur?
In the liver (major tissue) - soluble enzymes
Outline galactose metabolism
Galactose –> galactose 1-P –> glucose 1-P –> glycolysis 1st step: galactokinase enzyme. ATP -> ADP 2nd step: galactose-1-P uridyl transferase enzyme. UDP glucose UDP galactose (reverse reaction uses UDP-galactose 4’-epimerase enzyme) UDP glucose acts catalytically
What is UDP-glucose?
Activated glucose. High energy bond to glucose
What is the clinical importance of galactose metabolism?
Galactosaemia - 1 in 30,000 births
Give a brief overview of galactosaemia
Milk rich diet in infancy. Unable to utilise galactose. Problem as galactose enters other pathways. Depletes lens of NADPH -> structure damaged -> cataracts. Accumulation of galactose-1-P affects liver, kidney, brain. Treatment is a lactose-free diet