Topic 6: Energy production - Carbohydrates Flashcards
What type of molecules does catabolism break down
amino acids, glucose, fatty acids, alcohol
what intermediate metabolite is formed
acetyl coA
what is acetyl coA further metabolised into
CO2
what are the 4 stages of catabolism
- breakdown of fuel to building blocks for absorption (GI tract). breakage of C-N AND C-O bond, no energy released
- breakdown into intermediates through many pathways (cytosol or mitochondria). this is oxidative (some energy released), C-C bond broken
- krebs cycle in mitochondria. this is oxidative, acetyl coA to C02
- electron transport chain and oxidative phosphorylation, reducing power into ATP
what does oxidative mean
release of reducing power + energy
describe stage 1 of catabolism
- extracellular (GI tract)
- so nutrients are converted into a form that can be taken up by cells (carbs etc too big -> monosaccharides, amino acids etc)
- forms building block molecules which absorbed from GI tract
- no energy released
describe stage 2 of catabolism
- intracellular (cytosolic or mitchondrial)
- many pathways
- building blocks into simpler molecules. many to few molecules
- oxidative so requires coenzymes like NAD+ -> NADH
- some energy released
describe stage 3 of catabolism
- in mitochondria
- cyclic, single pathway - KREBS CYCLE
- oxidative pathway (requires NAD+ and FAD)
- some energy produced as GTP
- acetyl to 2CO2
- produces precursors
describe stage 4 of catabolism
- in mitochondria
- electron transport chain and ATP formed
- NADH and FADH2 re-oxidised
- O2 required
- lots of ATP produced
how much carbs in an adult
1% in comparison of 15% intake
what are the 3 main dietary monosaccharides
glucose
fructose
galactose
what is the concentration of glucose in the blood
5mM
which cells have an absolute requirement for glucose
red blood cells
neutrophils
innermost cells of kidney medulla
lens of the eye
what does CNS use as fuel
glucose
can use ketone bodies if required
how are dietary carbohydrates broken down in stage 1 of catabolsim
saliva - amylase breaks down starch and glycogen -> dextrins
pancrease - amylase breaks down monosacchardies
small intestine - disccharidases break down disaccharides -> monosaccharides
what are the different disaccharidases
lactose
sucrase
pancreatic amylase (alpha 1-4)
isomaltase (alpha 1-6)
why can’t the body break down cellulose
no enzymes to break down beta 1-4 linkages
can not hydrolyse as beta glycosidic bonds are different
how does lactose intolerance occur
Primary lactose deficiency-
absence of lactase persistence allele as mature, can not produce lactase as adults
secondary -
caused by injury to small intestine (gastroenteritis, coeliac disease, crohn’s, ulcerative colitis\0
in infants and adults, can be reversible
congenital -
autosomal recessive defect in lactase gene, cannot digest breast milk
how are monosacharide absorbed into the GI tract in stage 1 of catabolism
- active transport into intestinal epithelial cells by sodium dependent glucose transport 1 (SGLT1)
- passive transport via GLUT2 into bloody supply
- travels in blood to tissues
- glucose taken up in target cells via faciliated diffusion using transport proteins (GLUT1-GLUT5)
what are the different glucose transporters and where are they found (not really need)
GLUT1 - fetal tissues, adult erythroctyes, blood-brain barrier
GLUT2** - kidney, liver, pancreatic beta cells (insulin dependent), small intestine
GLUT3 - neurons, placenta
GLUT4** - adipose tissue, striated muscle
GLUT5 - spermatazoa, intestine
what is the main feature of stage 2 of catabolism
glycolysis
what are the functions of glycolysis in stage 2
aim to breakdown glucose into 2 x3C pyruvate
oxidation of glucose so NAD+ reduced
NADH production (2 for every glucose)
synthesis of ATP (2ATP per glucose, 4 results but 2 used to activate)
what are the features of glycolysis in stage 2
in all tissues which is cytosolic exergonic, oxidative - releases energy with oxidation of substrates no loss of CO2 lactate dehydrogenase is also formed irreversible
what enzymes are involved in glycolysis in stage 2
Hekokinase (glucosekinase in liver)
Phosphofructokinase-1
Pyruvate kinase
why are there so many steps and enzymes in glycolysis
effienct energy conservation
gives versatility because allows interconnections with other pathways to produce other metabolic intermediates
allows fine control
allows part to be used in reverse
what is phase 1 of glycolysis
- glucose enters the cell
phosphorylated by ATP and forms ADP to form glucose-6-phosphate. the phosphate group is negatively charged so prevents backflow into membrane into blood flow - an isomeration step to form fructose - 6 - phosphate
- ATP used to phosphorylation to form fructose 1, 6- bis phosphate
how much energy is formed during glycolysis
2ATP per glucose
reaction 1 and 2 of phase 1 has large delta G reaction so irreversible
after step 3 the substrate must move on to the rest of glycolysis
what is phase 2 of glycolysis
- fructose 1,6 bisphosphate is cleaved into 2 x 3C units(isomerised first to DHAP and forms two glyceraldehyde 3-phosphate)
- NAD+ is reduced to oxidise glyceraldehyde 3-phopshate to 1,3 bis phosphoglycerate (a phosphate is also added)
- large negative delta G of hydrolysis, so irreversible. substrate level phosphorylation occurs to form ATP and 3-phosphoglycerate
- further isomeration to form 2-phosphoglycerate and then phosphoenolypyruvate
- large negative delta G of hydrolysis, so irreversible. ATP formed and converts to pyruvate
how do you make glucose from pyruvate
using reversible reactions
gluconeogenesis
what does glycolysis porduce
2 moles of ATP
what happens when rate of glycolysis increases
up to 200 times faster in cancer
measured using radioactive marker and PET
what other intermediates can be formed from glycolysis
- fat is formed at cleavage
from DHAP instead of forming glyceraldehyde 3 phosphate. the enzyme, glycerol 3 -phophate dehydrogenase which reduces it (accompanied by the oxidation of NAD) forms glycerol phosphate
which can then synthesis triglyceride and phospholipid biosynthesis
glycerol phosphate + fatty acids -> fat - 2,3 - bisphosphoglycerate produced from 1,3-bisphosphoglycerate via bisphosphoglycerate mutase. this molecule is important to regulate haemoglobin oxygen affinity
why is NAD+ so important to glycolysis
2 moles of NADH produced per glucose
also uses NAD+
if all NAD+ converyed to NADH, glycolysis would stop
normally regenerated by oxidation in metabolism but wont be in RBC as no stage 3/4 of metbaolism and if no oxygen…thus need a supply of oxygen
what enzymes regenerates NADH
lactate dehydrogenase
why would NAD+ run out/how is lactate formed
NO OXYGEN - pyruvate to lactate and no NAD+ formed
without major exercise
strenuous exercise
pathological conditions such as shock or congestive heart disease
what happens in the lactate dehydrogenase reaction
no oxygen:
increased levels of NADH and pyruvate and H+ -> NAD+ + lactate, so NAD+ regenerated for glycolysis
the NAD+ is used to restore lactate to low levels:
lactate released into blood by RBC and muscles, to liver and heart where metabolised
as there is oxygen present in these tissues, NAD+ present which with the addition of lactate can form NADH + H+ + pyruvate. NADH can then be reoxidised as oxygen present
what happens in the liver when lactate is detected
converted to pyruvate and then glucose via gluconeogenesis
if enzyme, lactate dehydrogenase is not produced
built up of lactate in the blood (lactatemia)
why would there be no lactate dehydrogenase present
vitamin deficiency
impaired in liver disease
alcohol which converts NAD+ -> NADH, then lactate could not be converted as no NAD+ present
enzyme deficiencies
where is lactate disposed fo
kidney
what is the normal concentration of lactate in the blood
below 1mM
if lactate concentration increases in the blood to 2-5mM what happens
hyperlactaemia
below renal threshold so not excreted in the urine
no change in blood pH as have enough buffering capacity
if lactate concentration increases above 5mM
lactic acidosis - critical marker in the acutely unwell
above renal threshold, appear in urine
blood pH lowered as buffering capacity not strong enough
what other sugars are metabolised in glycolysis
fructose
galactose
how is fructose metabolised in glycolysis
in liver -
acted upon by fructokinase and ATP -> ADP so phosphorylated to fructose 1-phosphate
then acted upon by aldolase to form either glyceraldehyde or DHAP
DHAP isomerised to glyceraldehyde-3-phosphate
Glyceraldehyde phosphorylated with ATP and use of triose kinase to form glyceraldehyde 3 - phospjaye so two form—-> glycolysis
what are the clinical importance of fructose
- essential fructosuria - fructokinase missing which is then means fructose is found in urine, no clinical signs
- fructose intolerance - aldolase B missing so fructose 1 - phophate builds in the liver causing damage. must be removed from diet
how is galactose metabolised in glycolysis
acted upon by galactokinase and phophorylated by ATP to form galactose 1 -phosphate
which is acted upon by uridyl transferase and the use of UDP glucose to form glucose 1-phosphate to be converted to glucose 6-hposphate -> glycolysis
UDP glucose gives one phosphate to form glucose 1 -phosphate and then galactose given as substrate to form UDP galactose, UDP galactose is then converted back to UDP glucose via UDP galactose 4-epimerase
how does galactosaemia come about
defiency in any of the enzymes involved in galactose metabolism such as galactokinase, uridyl transferase, UDP-galactose epimerase
what is galactosaemia
deficiency in galactokinase (rare) - galactose conc increase
other two enzymes deficient (common) - galactose 1 phosphate and galactose accumulates
what happens if galactosaemic and what is used as treatment
Galactose then enters other pathways. Aldose reductase converts it to galactitol and oxidised NADH to NAD+, less NADPH and structure damages caused such as cateracts
accumulation of galactose - affects liver, kidney and brain
no lactose in diet
how does galactosaemia cause cateracts
enters new pathway
levels of NADPH decrease
disulfide bridges maintained using NADH so inappropriate formation occurs, loss of structural integrity, eg: lens of eye
what is the pentose phosphate pathway
when energy levels are high and intermediatery levels of glycolysis build up glucose 6 phophate can divert out of glycolysis