Thom4/5-Gluconeogenesis, glycoproteins Flashcards

1
Q

How is fructose metabolized?

A
  • By phosphorylation at the one-position (with fructokinase)
  • Then, conversion to intermediates of the glycolytic pathway (with aldolase)
  • To F-6-P if [fructose] is very high
  • Metabolized primarily in liver, but also in the small intestine and kidneys
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2
Q

What is Essential Fructosuria? :)

A
  • It is a deficiency in fructokinase
  • Benign; causes excessive fructose in the urine
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3
Q

What is Hereditary Fructose Intolerance?

A
  • It is a deficiency in Fructose-1-P aldolase activity in aldolase B
  • Severe hypoglycemia, liver & kidney damage
  • Accumulation of F-1-P & Pi inadequate recycling cause a decrease in ATP & therefore an increase of glycolysis
  • No gluconeogenesis because of low ATP
  • Treated by limiting sweets
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4
Q

What happens if there is an excessive consumption of fructose?

A

–> There is sequestering of inorganic phosphate, & so there is inadequate regeneration of ATP

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5
Q

What is the significance of sorbitol in diabetes?

A
  • Fructose can be synthesized from sorbitol (the sugar alcohol of glucose) in the seminal vesicle
  • In the lens of the eye, elevated sorbitol levels in diabetes mellitus and galactitol (sugar alcohol of galactose) in galactosemia contribute to cataracts formation
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6
Q

What is classical galactosemia?

A
  • Deficiency of galactose-1-P-uridylyltransferase (GALT)
  • Accumulation of galactose-1-P in tissues
  • Inhibition of glycogen metabolism and pathways that require UDP sugars
  • Galactose in the blood and urine
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7
Q

What is non-classical galactosemia?

A
  • Deficiency of galactokinase results in accumulation of galactose
  • Galactose in diet comes from lactose
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8
Q

What are the symptoms in a baby with classical galactosemia?

A

–> Vomit, weigth loss, jaundice, liver enlargement, and cataracts

–> due to a deficiency of Galactose-1-P uridyltransferase

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9
Q

What are proteoglycans?

A
  • A core protein covalently attached to many long, linear chains of glycosaminoglycans, which contain repeating disaccharide units
  • Repeating disaccharides contain hexosamine and a uronic acid
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10
Q

How are proteoglycans synthesized?

A

1) Attachment of a sugar to a serine or threonine residue of core protein
2) Additional sugar add to non-reducing end (w/ UDP-sugars serving as precursor)
3) excreted from the cells & form EC matrix

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11
Q

What are the properties of glycosaminoglycans/Mucopolysaccharides/Proteoglycans?

A

–> Protein core with proteoglycan monomers are attached to hyaluronic acid backbone with a link protein

–> Important for normal joints: lubricates joints and surfaces that move along each other, such as cartilage

–>Examples: keratan and dermatan sulfate in cornea, heparin -an anticoagulant, chondroitin sulfate in bone and cartilage, heparan sulfate in skin fibroblasts & aortic wall, hylauronic acid in cell migration

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12
Q

What are some mucopolysaccharides diseases (lysosomal storage diseases)?

A
  • Hurler’s syndrome & Scheie’s: degradation of dermatan & heparan sulfate bc of a-L-Iduronidase deficiency -> mental retardation, corneal clouding, dwarfing
  • Sanfilippo’s syndrome: impaired removal of glucosamine residues -> severe nervous system disorders, mental retardation
  • Hunter’s syndrome: Iduronate sulfate deficiency -> X-linked -> physical deformity & mental retardation*
  • Sly’s syndrome: B-glucuronidase deficiency -> hepatosplenomegaly, physical deformity*
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13
Q

What are glycoproteins?

A
  • Proteins with short chains of carbohydrates, usually branched (composed of glucose, galactose, & their amino derivatives)
  • Mannose, L-fucose, & NANA frequently present
  • Branched chains may be attached to the amide N of asparagine in the protein OR the O of serine side chain
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14
Q

What are some functions of glycoproteins?

A

1- Cell surface recognition

2- Cell surface antigenicity

3- Extracellular matrix

4- Mucins

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15
Q

What are the functions of glycolysis other than ATP production?

A
  • > Provides carbon for FA synthesis in the liver
  • > Production of glycerol-3-P, (combines with FAs to form triacylglycerols to be secreted in VLDL)
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16
Q

What is the difference between aerobic and anaerobic glycolysis?

A

1) Aerobic glycolysis: NADH produced goes through oxidative phosphorylation
2) Anaerobic glycolysis: NADH produced is used to convert pyruvate into lactate. NAD is regenerated through this reaction, allowing glycolysis.

17
Q

What are the 2 bypass reactions in gluconeogenesis?

A

1) Pyruvate to Phosphoenolpyruvate: requires pyruvate carboxylase & PEP carboxykinase
2) F-1,6-bP to F-6-P: reverse the rate limiting step of glycolysis, hydrolysis catalyzed by F-1,6-bisphosphatase
3) G-6-P is converted to glucose: through the action of glucose-6-phosphatase

18
Q

What is the Cori cycle?

A
  • The reconversion of lactate to glucose by the liver
  • Glucose produced in the liver by gluconeogenesis is converted in RBCs to lactate via glycolysis
  • > Lactate returns ot liver & is reconverted to glucose by gluconeogenesis
19
Q

What is the problem with excessive alcohol on an empty stomach?

A

–> ALcohol massively increases NADH concentration in liver:

pyruvate –> lactate, ethanol –> acetaldehyde, acetaldehyde—> acetate (all produce NADH)

—-> Intermediates of gluconeogenesis are diverted to other pathways –> decrease in glucose synthesis

20
Q

What is disulfiram’s action?

A
  • Used as part of a treatment plan for problem drinking
  • Creates an unpleasant reaction when drinking alcohol
  • Works by inhibiting the reaction of acetaldehyde to acetate by aldehyde dehydrogenase
21
Q

How is glucose stored?

A
  • As glycogen granules in the liver and in muscle
  • It can be rapidly mobilized
22
Q

What is Von Gierke disease (type I) ?

A
  • Defective G-6-phosphatase or transport system (only in liver, normally releases glucose to blood)
  • Affects the liver and kidney
  • Increase glycogen storage
  • Liver enlargement, hypoglycemia, ketosis, hyperuricemia, hyperlipemia, failure to thrive
23
Q

What is Pompe disease (type II)?

A
  • Defect in lysosomal a-1,4-glucosidase
  • Affects all organs
  • M_assive increase in glycogen amoun_t
  • Cardiorespiratory failure, death before age 2
24
Q

What is Cori disease (type III)?

A
  • Defective amylo-1,6-glucosidase (debranching enzyme)
  • Affects muscle and liver
  • Increased amount of glycogen, short outer branches
  • Like type I, but milder
25
Q

What is Andersen disease (type IV)?

A
  • Defective branching enzyme (a-1,4 –> a-1,6)
  • Affects liver & spleen
  • Normal amount, but very long branches
  • Progressive cirrhosis, liver failure, death before age 2
26
Q

What is McArdle disease (type V)?

A
  • Defective Phosphorylase (problems with anaerobic metabolism, during exercise)
  • Affects muscle
  • Increased amount of glycogen
  • Limited ability to perform streneous exercise bc of painful muscle cramps
  • Same for type VII with defect in PFK
27
Q

What is Hers disease, (type VI)?

A
  • Defective Phosphorylase
  • Affects the liver
  • I_ncreased glycogen_
  • Like type 1, but milder (bc gluconeogenesis is still occuring)
28
Q

What is the difference between glucokinase and hexokinase?

A

-Glucokinase: only expressed in the liver. It is not feed-back inhibited by glucose-6-P

-Hexokinase: feed-back inhibited by glucose-6-P. Has a greater affinity for glucose.