sakai-Glycolysis Flashcards

1
Q

What is aerobic glycolysis and what is anaerobic glycolysis?

A

Aerobic glycolysis starts with glucose and ends with pyruvate. It takes place in oxygenated cells with mitochondria that can reoxidize NADH. NADH is formed in glycolysis by glyceraldehyde 3-phosphate dehydrogenase. Cytosolic NADH participates in the malate-aspartate shuttle and the glycerol phosphate shuttle.

Anaerobic glycolysis also starts with glucose but ends with lactate. It takes place in cells without mitochondria (RBC), in cells with insufficient oxygen supply (lens, cancer cells), or in cells during ischemia or anoxia. It is also formed in muscle during intense contraction.

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2
Q

Name the two enzymes that are used for ATP formation by substrate level phosphorylation in glycolysis

A

Substrate level phosphorylation is performed in cytosol in glycolysis

by phosphoglycerate kinase, a reversible reaction from 1,3 bisphosphoglycerate to 3-phosphoglycerate
[the enzyme is named in the reverse direction of glycolysis]

by pyruvate kinase, an irreversible reaction from PEP to pyruvate.

              [misleading name, as pyruvate kinase cannot phosphorylate pyruvate to PEP 
               inside of cells and this is an irreversible reaction. The formation of PEP from 
               pyruvate during gluconeogenesis needs several enzymes]
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3
Q

1,3 bisphosphoglycerate is formed in glycolysis. What is the importance of 2,3-bisphosphoglycerate in RBC?

A

Only RBC contain a high amount (about 5 mmol/L) of 2,3-BPG.

Its concentration is approximately that of hemoglobin. 2,3-BPG is needed for the formation of the T-state of hemoglobin which delivers oxygen to tissues.

The synthesis of 2,3-BPG in RBC is increased at high altitudes in healthy individuals. It is also increased in patients with chronic obstructive pulmonary disease (COPD) and in patients with pyruvate kinase deficiency (due to a backup of glycolytic intermediates).

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4
Q

When you form 2,3-bisphosphoglycerate in RBC, can you perform both steps of substrate level phosphorylation of glycolysis starting with one molecule of glucose? Explain.

A

The first step of substrate level phosphorylation is catalyzed by phosphoglycerate kinase which needs the energy-rich 1,3-bisphosphoglycerate as substrate.

In the RBC, some of the 1,3 BPG is used in glycolysis for substrate level phosphorylation and some of the molecules are branched out in order to form 2,3-BPG.

2,3-BPG is cleaved to 3-phosphoglycerate which is again a metabolite of glycolysis and leads to PEP which can be used for substrate level phosphorylation.

Overall, some ATP formation from 1,3-BPG is lost, but 2,3-BPG is absolutely necessary for the purpose of RBC to deliver oxygen to tissues.

This shows the importance of pyuvate kinase in RBCs. Hereditary deficiency of pyruvate kinase catalyzing this second step of substrate phosphorylation leads to hemolysis due to lack of ATP.

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5
Q

Name the three irreversible reactions of glycolysis

A

Glucose and ATP to glucose 6-P and ADP catalyzed by hexokinase (glucokinase is found in liver and in -cells of pancreas)

Fructose 6-P and ATP to fructose 1,6-bisphosphate and ADP catalyzed by phosphofructokinase-1

PEP and ADP to pyruvate and ATP catalyzed by pyruvate kinase

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6
Q

Which glycolytic enzyme needs NAD+ and generates NADH in glycolysis?

A

Glyceraldehyde 3-P dehydrogenase needs NAD+ and uses inorganic phosphate in order to form 1,3-bisphosphoglycerate.

NADH is generated and can be used in the malate-aspartate shuttle or in the glycerophosphate shuttle when oxygen and mitochondria are available.

NADH is also used to form lactate in anaerobic glycolysis.

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7
Q

Compare hexokinase and glucokinase to each other related to their affinity for glucose and discuss their different purpose. How are they regulated?

A

Hexokinase has a high affinity for glucose (small Km, much smaller than fasting blood glucose levels) which is important for the metabolism especially in RBC and the brain.

[RBC and brain contain many high affinity glucose transporter GLUT-1]

The purpose of hexokinase is to phosphorylate glucose at normal (or even lower) blood glucose levels when it is needed for the cells. At high levels of glucose 6-P, hexokinase is inhibited by its own product and the glucose is left in the blood for other cells.

Glucokinase has a low affinity for glucose (large Km, about 6-10 mM) and it has a high Vmax and can phosphorylate large amounts of glucose.

The purpose of glucokinase is to phosphorylate as much glucose as possible at high blood glucose levels and to trap glucose 6-P inside the hepatocyte after a meal.

Glucokinase is not product inhibited, it is regulated by the glucokinase regulatory protein (GKRP).

At high fructose 6-P levels in the liver, glucokinase is translocated into the nucleus.
At high cytosolic free glucose levels, glucokinase is transported back into the cytosol and is able to phosphorylate large amounts of glucose.
[note: very unusual regulation]

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8
Q

Name the two cell types that contain glucokinase and discuss the purpose. What happens in hereditary glucokinase deficiency?

A

Glucokinase is found in hepatocytes where it has the purpose to reduce high blood glucose levels after a carbohydrate-rich meal. GLUT-2 allow uptake of large amounts of glucose from the portal vein into the hepatocyte.

Hereditary deficiency of glucokinase leads to a rare form of diabetes, MODY 2.

Glucokinase is found in -cells of pancreas where it acts as sensor of high blood glucose levels which leads to insulin release. GLUT-2 allow uptake of large amounts of glucose at high blood glucose levels.

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9
Q

Which enzyme catalyzes the committed step of glycolysis?

A

The committed step of glycolysis is catalyzed by phosphofructokinase-1.

This enzyme is a kinase, it phosphorylates something using ATP, and in this case it phosphorylates an already phosphorylated fructose. 1 indicates that it phosphorylates fructose 6-P to fructose-1,6-bisphosphate.

The pathway of glycolysis is also regulated by hexokinase (glucokinase) but the formed glucose 6-P can still be used in some cells in the HMP or for glycogen synthesis.

PFK-1 forms in the committed step of glycolysis fructose 1,6-bisphosphate which is a metabolite in glycolysis but some molecules bind allosterically to pyruvate kinase in hepatocytes, RBC and proliferating cells and act as allosteric positive heterotropic effector (feed-forward activator).

[note: only fructose 1,6-BP can bind to pyruvate kinase and act as allosteric forward-activator, whereas fructose 2,6-BP cannot. Binding of the allosteric positive heterotropic effector leads to a conformational change of pyruvate kinase and the affinity for PEP now is higher, the K 0.5 is smaller]

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10
Q

Describe the Cori cycle. What is the purpose, what is released into the blood by muscle and what is released by the liver?

A

The Cori cycle describes the release of lactate from anaerobic glycolysis of active skeletal muscle (and of RBC) into the blood and the uptake of lactate into the liver for gluconeogenesis.

The liver can perform gluconeogenesis and can cleave the generated glucose 6-P to free glucose which can then be released via GLUT-2 into the blood. The generated glucose can be taken up by muscle (or RBC).

[note: the original Cori-cycle described only the interaction between muscle and liver, now often the release of lactate and uptake of glucose by RBC are included when the Cori-cycle is described]

The purpose is to allow formation of lactate in the muscle and RBC and its release into the blood without leading to lactic acidemia. At the same time the valuable lactate is used to generate glucose via gluconeogenesis in the liver.

[note, lactate from the blood is mainly taken up by the liver and the heart. The liver forms pyruvate, which can be used for energy metabolism or in case of fasting, for glucoengenesis. The heart also forms pyruvate but then it is always used for energy metabolism]

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11
Q

Compare the usage of glycolysis in RBC to the usage of glycolysis in the brain!

A

RBC have no mitochondria and use anaerobic glycolysis for ATP formation.

[note: RBC are always dependent on glucose, also during prolonged fasting. Also, glucose 6-P branches out of glycolysis into the PPP for NADPH formation , and 1,3 BPG branches out for formation of 2,3 BPG. Both “side pathways” join the glycolysis again].

The brain uses glucose for aerobic glycolysis, followed by pyruvate DH complex and TCA cycle.
[note: During prolonged fasting, the brain uses ketone bodies for energy generation but also needs uptake of some glucose for its specific metabolism].

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12
Q

Compare the usage of glycolysis in the liver to muscle!

A

The healthy liver is always well oxygenated and uses aerobic glycolysis and PDH and TCA cycle. Glycolysis allows the reduction of high blood glucose levels, the liver contains GLUT-2 and glucokinase.

In case that the blood glucose level is still high, the liver continues with the pathways of fatty acid de novo synthesis and cholesterol synthesis.

The muscle uses glycolysis for ATP formation and links glycogen degradation to glycolysis and pyruvate formation. Glycolysis in muscle can be aerobic or anaerobic depending on oxygen supply. Lactate formed at intense muscle contraction is released into the blood.

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13
Q

Describe glycolysis in the lens and in cancer cells.

A

The cells of the lens and cancer cells are both deprived of oxygen supply.
They use anaerobic glycolysis for ATP formation.

[note: method for detection of cancer growth: a glucose analog can be used to positron emission tomography (PET) to monitor the growth of cancer cells which are dependent on glycolysis for their energy needs]

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14
Q

Which glycolytic enzyme cannot form its normal product when pentavalent arsenic is present? What is the mechanism?

A

Pentavalent arsenic (arsenate) interferes with glyceraldehyde 3-phosphate dehydrogenase which uses NAD+ and inorganic phosphate.

Arsenate competes with inorganic phosphate, and instead of formation of 1,3-bisphosphoglycerate using inorganic phosphate, arsenate is used and leads now to an instable molecule that is spontaneously hydrolyzed to 3-phosphoglycerate.

With that, the substrate level phosphorylation using the energy-rich 1,3-bisphosphoglycerate cannot be performed in glycolysis.

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15
Q

Which enzyme is inhibited by fluoride ions?

A

Fluoride ions inhibit enolase which uses 2-phosphoglycerate and forms PEP in glycolysis. This inhibitor can be used in vials for blood collection and prevents glucose usage by RBC while they are in the already drawn blood.

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16
Q

Describe lactic acidosis due to states of poor tissue perfusion

A

Hypoxic or anoxic states due to poor tissue perfusion with oxygenated blood lead to anaerobic glycolysis. This ATP formation in glycolysis is sometimes saving the cells from destruction.

[ note: PFK-1 is inhibited by high proton concentration, which limits anaerobic glycolysis in ischemic cells]

The increased amount of lactate can lead to lactic acidosis. The measurement of lactic acid in blood in these patients allows a rapid and early detection of oxygen debt.

17
Q

Why does pyruvate kinase deficiency lead to RBC hemolysis? Explain!

A

Glycolysis has normally 2 steps of substrate level phosphorylations.

The first one is catalyzed by phosphoglycerate kinase which in the case of RBC has to share its substrate (1,3-bisphosphoglycerate) with the enzyme that forms 2,3 BPG (special for RBC). The first step of substrate level phosphorylation in RBC generates less ATP than in other cells.

This makes it important that pyruvate kinase (for the second step of substrate level phosphorylation) is working well.

If pyruvate kinase is deficient, then the ATP levels in RBC are severely reduced and the RBC is destroyed due to the lack of ATP. ATP is needed for example for normal cell functions, including action of Na+/K+-ATPase.

There are different levels of severity leading to mild or severe chronic hemolysis.

18
Q

Discuss why hemolysis of RBC can result from pyruvate kinase deficiency or from glucose 6-P dehydrogenase deficiency. Explain what is lacking in RBC that leads to hemolysis in these different enzyme deficiencies!

A

Pyruvate kinase deficiency leads to less efficient anaerobic glycolysis and the RBC are destroyed due to lack of ATP.

Glucose 6-P dehydrogenase is the regulated enzyme of the HMP (PPP) and its deficiency leads to less NADPH formation.

[note: NADPH is needed for the reduction of oxidized glutathione(GSSG)
catalyzed by glutathione reductase. Lack of NADPH leads to less available reduced glutathione (GSH) which is needed for glutathione peroxidase].

In this case of glucose 6-P dehydrogenase deficiency, the RBCs are destroyed due to damage of the membranes by reactive oxygen species (ROS).

19
Q

Summarize the regulation of hexokinase (glucokinase), phosphofructokinase-1 and pyruvate kinase by metabolites. Differentiate the regulation of pyruvate kinase in liver, RBC and muscle/heart/brain. How does this all make sense?

A

Hexokinase is product inhibited by glucose 6-P which prevents too much uptake of glucose from the blood into the cell, when it is not used in metabolism. Once glucose is phosphorylated, it cannot be released into the blood.

Glucokinase is not product inhibited but is indirectly inhibited by fructose 6-P. Glucokinase can phosphorylate large quantities of glucose, it is found in liver and -cells of pancreas,

PFK-1 is activated by AMP
[AMP is formed in muscle during muscle contraction, less common in the liver where it would be abnormal and could indicate liver damage]
and also by fructose 2,6-bisphosphate in both liver and muscle.

PFK-1 is inhibited by ATP, by cytosolic citrate and also by high proton concentration.

The inhibition by ATP is an indicator that the purpose of glycolysis in most cells (to generate ATP) is fulfilled.

[this inhibition at normal ATP levels has to be overcome in the liver, where ATP formation is not the primary purpose of glycolysis, the main purpose is to reduce high blood glucose levels which is performed at normal ATP levels]

Cytosolic citrate in hepatocytes indicates that glycolysis should stop and this allosteric negative heterotropic effector of PFK-1 binds and leads to a conformational shift and reduces PFK-1 activity.

A high proton concentration indicates that lactate is already accumulating and that glycolysis should stop. This is especially the case in RBC and ischemic cells.

Pyruvate kinase in liver and RBC are inhibited by ATP and are feed-forward activated by fructose 1,6-bisphosphate (which was formed in the committed step).

Special for the liver is that alanine allosterically inhibits pyruvate kinase which then allows usage of alanine for gluconeogenesis. Alanine is then transaminated to pyruvate.

Hepatic pyruvate kinase (not in other cells) can be phosporylated and inactivated by protein kinase A when the glycolysis pathway should stop and gluconeogenesis shall be performed.

[Pyruvate kinase isozyme (PK-M1) in muscle, heart and brain is the PK isozyme with the highest affinity for PEP and it does not seem to be allosterically regulated. This means that it does not need activation by fructose 1,6-bisphosphate and is always most efficient to provide ATP in the last step of glycolysis by substrate level phosphorylation.]

20
Q

Discuss the phosphorylation of cytosolic enzymes in the liver. Which enzymes are phosphorylated and what is the outcome for the metabolism of the hepatocyte?

A

The enzymes regulated by phosphorylation/dephosphorylation are the bifunctional enzyme (PFK-2/BPase-2) and pyruvate kinase in the liver.

The bifunctional enzyme in its dephosphorylated form (insulin ruling, high blood glucose levels) forms with PFK-2 the molecule fructose 2,6-bisphosphate in the liver which leads to activation of PFK-1 and at the same time to inhibition of fructose 1,6-bisphosphatase (gluconeogenesis) in the liver

The bifunctional enzyme can be phosphorylated by protein kinase A (glucagon ruling, low blood glucose levels). BPase-2 degrades fructose 2,6-bisphosphate which then leads to activation of fructose 1,6-bisphosphatase and at the same time to inhibition of PFK-1 activity at normal ATP levels.

Only in the liver, pyruvate kinase is phosphorylated and inactivated by protein kinase A . With that PEP is saved and can be used directly for gluconeogenesis.