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CARBOHYDRATE
METABOLISM
Wilhelmina Annie Mensah
Dept. Of Med. Bchem.
UGMS , Ghana
Key words
• Dextrins - mixture of short, branched
and unbranched oligosaccharides
• Fascilitated diffusion
• ATP
• NAD
Lecture Content
1. Digestion
 1.1. Absorption
 1.2.1 Glucose transporters
 1.2.Disorders of
carbohydrate digestion
2. Glycolysis
 Energy investment stage
 Energy generation stage
 Key notes of various steps
 Fate of pyruvate
 Regenration of NAD+
 lactic acidosis
 Regulation of glycolysis
 Inhibition
3. Conversion of
pyruvate to acetyl co A
Digestion is a process by which large complex
organic molecules of food are disintegrated
into small absorbable forms
Enzymes break the α (1-4)glycosidic bonds in
polysaccharides
Humans lack the enzymes that break β (1-4
) and α (1-6) glycosidic bonds present in
cellulose and branched amylopectin and
glycogen .
1.1. Digestion
Products or
substrate
Substrates
or product
Substrates
Enzyme
Enzyme
products
Enzyme
2- Duodenum
1- Mouth
3- Ileum
1.1.Digestion
1.2.1. Glucose Transporters (carriers) : responsible for the
absorption of most of the products of digestion
A. Na+ -independent facilitated diffusion transport
system
Down a concentration gradient ( No energy required)
 Family of 14 glucose transporters (GLUT -1 to GLUT 14 )
Characteristics
 1. Tissue specificity, examples
– GLUT -1 –- Erythrocytes and blood-brain barrier
– GLUT – 2 –liver, kidney and B-cells of pancreas
– GLUT -3 ---Neurons
– GLUT- 4 -- Adipose tissues
1.2. Absorption
1.2.1. Glucose transporters
A. Na+ -independent facilitated diffusion transport
system
Characteristics
2. Specialized function isoforms
–GLUT -1 , GLUT -3, GLUT- 4 are involved uptake
of glucose from blood
–GLUT – 2 --- transport glucose into or out of
cells
–GLUT – 5 – uptake of fructose in small
intestines and testes
1.2.Carbohydarate Absorption
1.2.1. Glucose transporters
 B. Sodium –monosaccharide co-transport system
Against a concentration gradient (Requires
energy)
 Sodium dependent glucose transporter (SGLT)
The glucose or galactose is coupled to the conc
gradient of Na+ and transported into the cell at
the same time.
Location
Occurs in epithelial of intestines, renal tubules
and chorioid plexus.
1.2.Carbohydarate Absorption
1.2.1. Transporters
Glu and Gal–SGLT -1
Fructose –GLUT-5
Into circulation -
GLUT - 2
1.2.Carbohydarate
Absorption
1. Lactose Intolerance
– Genetic deficiency of lactase activity causes non-
utilization of lactose
– Lactose accumulates in the large intestines and draws
water by osmosis causing
– Symptoms like
• Osmotic diarrhoea
• Bacteria fermentation producing CO2 and H2 which
gives abdominal cramps and flatulence
– Treatment : Withdrawal or reduce milk consumption
1.3. Disorders of carbohydrate digestion
2. Congenital Sucrase-Isomaltase deficiency
– Genetic deficiency of of surcrase and isomaltase
activity causes non- utilization of lactose
3. Disacchariduria
– It is due to deficiency of disaccharidases
– It is characterized by excretion of large amounts of
disaccharide in urine.
1.3. Disorders of carbohydrate digestion
2. Glycolysis( Embden-Meyerhof pathway)
2. Glycolysis( Embden-Meyerhof pathway)
Site - cytoplasm of the
cell
Source of glucose: from
the digestion of dietary
carbohydrates enter
liver
Purpose :
converts glucose to 2
pyruvate molecules
Produces ATP in tissues
that lack mitochondria
Two stages (10 steps)
– Energy ( 2ATP) investment
phase
– Energy generation phase
(4ATP, 2NADH+)
Conditions
Aerobic : Pyruvate – CO2
Anaerobic(fermentation) :
pyruvate – lactate
2.1. Glycolysis( Embden-Meyerhof pathway)
1. Energy ( 2ATP) investment phase
1
2
3
4
5
2.2. Glycolysis( Embden-Meyerhof pathway)
– 2. Energy generation phase (4ATP, 2NADH)
5
6
7
10
9
8
2.Glycolysis( Embden-Meyerhof pathway)
Key Notes
Step 1
Can also be catalysed by liver glucokinase under
conditions of high glucose conc such as after a high
meal
Phosphorylation of glucose is important to
prevent glucose from being transported out of the
cell
Step 3
Rate limiting and Commited step of glycolysis
PFK is a important regulatory enzyme
PFK is regulated by high ATP and F6P
2.3 Glycolysis( Embden-Meyerhof pathway)
Key Notes
Step 6
Phosphorylation of G3P is by
inorganic phosphate (Pi ) not ATP
Step 7 and 10
sbstrate level phosphorylation : enzyme transfer a
high energy Phosphate from a substrate to ADP to
form ATP
2.3. Glycolysis( Embden-Meyerhof pathway)
Glycolysis energetics
– Net ATP Produced
• Net reaction for glycolysis
1 NADH = 3 ATPS
2NADH = 6 ATPS + 2 ATP
Total number of ATPs = 8
2.4. Glycolysis( Embden-Meyerhof pathway)
2.5. Glycolysis( Embden-Meyerhof pathway)
 5 Fates of Pyruvate
Lactate
 Acetyle- CoA
Ethanol
Oxaloacetate
Alanine
Regeneration of NAD+
Essential because accumulation of NADH can stop
glycolysis
Ways of regeneration
Aerobic conditions - Electron transport system
Anaerobic conditions: formation of alcohol
Anaerobic conditions - Formation of lactate
under regenerates NAD+
2.6. Glycolysis( Embden-Meyerhof pathway)
LACTIC ACIDOSIS :
Accumulation of lactic acid in the
muscles
Causes: Lack of O2 in the tissues
• Vigorous exercise
• Collapsed circulation
• Myocardial infarction
• Uncontrolled hemorrage
• Shock
Causing Aenarobic glycolysis;
Pyruvate to Lactate
 to regenerate NAD+
1.4. Glycolysis( Embden-Meyerhof pathway)
Glycolysis in Cancerous cells
High rate of glycolysis than other cells
Experience hypoxia (limited oxygen supply),
initial lack an extensive capillary network to supply
the tumor with oxygen.
Depend on anaerobic glycolysis for much of their
ATP production until capillaries are formed
Convert glucose to pyruvate and then to lactate as
they recycle NADH
1.4. Glycolysis( Embden-Meyerhof pathway)
1.4. Glycolysis( Embden-Meyerhof pathway)
 Regulation of glycolysis
Allosteric regulation
Up regulation
F16B on pyruvate kinase
AMP on PFK1
F26B on PFK1
Down regulation
G6P on hexokinase
Citrate on PFK1
ATP on PFK1
1.4. Glycolysis( Embden-Meyerhof pathway)
 Regulation of glycolysis
Hormonal control
• Insulin increases rate of glycolysis by
increasing concentration of
glucokinase,
phosphofructokinase-1
pyruvate kinase
1.4. Glycolysis( Embden-Meyerhof pathway)
Inhibitors of Glycolysis
1.Glyceraldehyde -3-phosphate
dehydrogenase inhibitors (step 2)
They combine with-SH of active site and makes
enzyme inactive
Iodoacetate,
arsenate
 heavy metals like Hg2+,
Ag+.
2.Enolase ( step 9): inibited by fluoride.
Quick reminder
1. Digestion
 1.1. Absorption
 1.2.1 Glucose transporters
 1.2.Disorders of
carbohydrate digestion
2. Glycolysis
 Energy investment stage
 Energy generation stage
 Key notes of various steps
 Fate of pyruvate
 Regenration of NAD+
 lactic acidosis
 Regulation of glycolysis
 Inhibition
3. Conversion of
pyruvate to acetyl co A
2.Glycolysis( Embden-Meyerhof pathway- Quick Reminder)
Quick Reminder
3. Conversion of pyruvate to acetyl Co A
Players
– Coenzyme A
– NAD+
– TPP
– Lipoamide/lipoate
– FAD
– Pyrvate dehydrogenase
3. Conversion of pyruvate to acetyl Co A
Site : Mitochondria Matrix
Energetics : 2 NADH = 6 ATP
3. Conversion of pyruvate to acetyl Co A
Regulation
 Role of B Enzymes
3. Conversion of pyruvate to acetyl Co A
4 . Citric Acid Cycle (TCA or Kreb Cycle)
Site : Mitochondrial matrix
Purpose
– Conversion of 2 acetyl-CoA to CO22
– Generates reducing equivalents (NADH, FADH2)
and GTP to be oxidized in the respiratory chain to
generate ATP
Stages : 8 steps
4. Citric Acid Cycle (TCA or Kreb Cycle)
Regulation
4. Citric Acid Cycle (TCA or Kreb Cycle)
citrate
Acetyl Co A
Citrate synthase
ATP
Isocitrate
Isocitrate dehydrogenase
ATP, NADH
ADP
Succinyl CO A
α- ketoglutarate
α- ketoglutarate
dehydrogenase
ATP, NADH
4. Citric Acid Cycle (TCA or Kreb Cycle)
Energetics : 2 Acetyl CoA from 2 Pyruvate
 1 NADH =3 ATP
 1FADH= 2 ATP
 1 GTP = 1 ATP
× 2 = 24
 ATP generation during oxidation of Glucose
• However, the amount depends on shuttle used for the
transfer of reducing equivalents from cytosol to
mitochondria.
4. Energetics
Quick Reminder
GLYCOGEN METABOLISM
Glycogen structure
it makes up 6% of
the body weight
Made of α D-
glucose molecules
Straight chains
made of α (1-4)
glycosidic bonds
Branches made of
α (1-6) glycosidic
bonds
5.Glycogenolysis and Glycogenesis
Glycogenesis: is the synthesis of glycogen from glucose
due to sufficient ATP produced
Glycogenolysis : the breakdown of glycogen to produce
glucose (ATP) in a state of fasting or glucose depletion
5.Glycogenesis
Glycogenesis: is the synthesis of glycogen from
glucose due to sufficient ATP produced
Site : Liver and skeletal muscles
Purpose : to serve as a ready source of glucose
for glycolysis because
Fat can not be oxidized under anaerobic condition.
 Acetyl-CoA of fat oxidation can not be converted to
glucose.
 Skeletal muscle is unable to mobilize fat rapidly.
5.Glycogenesis
Hexokinase/glucokinase
Glucose
Glucose -6-P
UTP
PPi
Phosphogluco mutase
Glucose -1-P
ATP
ADP
UDP- Glu-
pyrophosphorylase
2Pi
UDP-Glucose
Glycogen primer Glcn
UDP
Glycogen synthase
Glycogen
• Glycogenin
5.Glycogenolysis
Glycogenolysis: is the conversion of glycogen to
glucose
Site : Liver and skeletal muscles during fast and
excercise
Purpose : to serve as a ready source of glucose
for glycolysis because
Fat can not be oxidized under anaerobic condition.
 Acetyl-CoA of fat oxidation can not be converted to
glucose.
 Skeletal muscle is unable to mobilize fat rapidly.
Pi
5.Glycogenolysis
Phosphorylase
Glycogen( Glucose)n
Glucose -1-P
Phosphogluco mutase
Glucose -6-P
Glucose 6-phosphatase
Glucose
Glucose
Glycolysis
Transferase & Debranching enzyme
Pi
Muscle
Liver,
kidney,
intestines
P
P P P P
P
P
P
phosphorylase
Transferase activity of
Debranching enzyme
-1,6 glucosidase activity of
Debranching enzyme
Glycogen storage diseases
Causes : absence of major enzymes in glycogen
metabolism
Presentation : accumulation of abnormal amount
glycogen in the liver or muscles
Symptoms
Liver enlargement due to increased liver glycogen
Exercise intolenrant
Liver cirrhosis
Hypoglycemia
Cardiac and respiratory failure
Death
Disease Enzyme defect
Type I (von Gierke’s ) Glucose 6-phosphatase
Type II (Pome’s) Lysosomal glucosidase
Type III (Cori’s) Debranching enzyme
Type IV (Andersen’s) Branching enzyme
Type V (McArdle’s) Muscle phosphorylase
Type VI (Her’s) Liver phosphorylase
Type VII Musle phosphofructokinase
Type VIII Liver phosphofructokinase
Glycogen storage diseases
5.Control of Glycogen Metabolism
Guconeogenesis
• The synthesis of glucose from non-carbohydrate
sources in the liver and kidney
• Begins in the mitochondria and ends in the
cytosol
• Notable precursors are
Pyruvate
Glycerol
Lactate
Amino acids
Pathway
Gluconeogenesis
- glycolysis going backwards
- 3 places differ- control points in glycolysis
- 4 new enzymes (eukaryotes)
- importance of near equilibrium reactions
- ATP energy, NADH reducing equivalents consumed
#3
#10
#1
**Gluconeogenesis Net Reaction:**
2 Pyruvate + 4 ATP + 2 GTP + 2 NADH + 2 H+ + 6 H2O
 Glucose + 4 ADP + 2 GDP+ 2 NAD+ + 6 Pi
Glycolysis Net Reaction:
Glucose + 2 ADP + 2 NAD+ + 2 Pi
 2 Pyruvate + 2 ATP + 2 NADH + 2 H+ + 2 H2O
Gluconeogenesis
6 ATP needed total
4 needed to overcome barrier
of production of 2 mol of PEP
Gluconeogenesis: The Irreversible Steps
Pyruvate  PEP; reversing the pyruvate kinase step of glycolysis.
4 subunits
Biotin
Allosteric
+ acetyl CoA
Transcriptional
regulation
+ glucagon (fasting)
- Insulin (fed state)
Indicates CAC
Backed-up
No allosteric reg
Hormonal induction
Gluconeogenesis
No ATP needed since
Fru-1,6-bisP not high energy
intermediate
Fru-1,6-biP  Fru-6-P; reversing the PFK-1 step of glycolysis.
Large – DG and irreversible
Allosteric modulation
- AMP
- 2,6-Fru bisP (opposing effect in glycolysis)
• Cori cycle: Synthesis from lactate
Guconeogenesis
Carbohydrate metabolism

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Carbohydrate metabolism

  • 2. Key words • Dextrins - mixture of short, branched and unbranched oligosaccharides • Fascilitated diffusion • ATP • NAD
  • 3. Lecture Content 1. Digestion  1.1. Absorption  1.2.1 Glucose transporters  1.2.Disorders of carbohydrate digestion 2. Glycolysis  Energy investment stage  Energy generation stage  Key notes of various steps  Fate of pyruvate  Regenration of NAD+  lactic acidosis  Regulation of glycolysis  Inhibition 3. Conversion of pyruvate to acetyl co A
  • 4. Digestion is a process by which large complex organic molecules of food are disintegrated into small absorbable forms Enzymes break the α (1-4)glycosidic bonds in polysaccharides Humans lack the enzymes that break β (1-4 ) and α (1-6) glycosidic bonds present in cellulose and branched amylopectin and glycogen . 1.1. Digestion
  • 6. 1.2.1. Glucose Transporters (carriers) : responsible for the absorption of most of the products of digestion A. Na+ -independent facilitated diffusion transport system Down a concentration gradient ( No energy required)  Family of 14 glucose transporters (GLUT -1 to GLUT 14 ) Characteristics  1. Tissue specificity, examples – GLUT -1 –- Erythrocytes and blood-brain barrier – GLUT – 2 –liver, kidney and B-cells of pancreas – GLUT -3 ---Neurons – GLUT- 4 -- Adipose tissues 1.2. Absorption
  • 7. 1.2.1. Glucose transporters A. Na+ -independent facilitated diffusion transport system Characteristics 2. Specialized function isoforms –GLUT -1 , GLUT -3, GLUT- 4 are involved uptake of glucose from blood –GLUT – 2 --- transport glucose into or out of cells –GLUT – 5 – uptake of fructose in small intestines and testes 1.2.Carbohydarate Absorption
  • 8. 1.2.1. Glucose transporters  B. Sodium –monosaccharide co-transport system Against a concentration gradient (Requires energy)  Sodium dependent glucose transporter (SGLT) The glucose or galactose is coupled to the conc gradient of Na+ and transported into the cell at the same time. Location Occurs in epithelial of intestines, renal tubules and chorioid plexus. 1.2.Carbohydarate Absorption
  • 9. 1.2.1. Transporters Glu and Gal–SGLT -1 Fructose –GLUT-5 Into circulation - GLUT - 2 1.2.Carbohydarate Absorption
  • 10. 1. Lactose Intolerance – Genetic deficiency of lactase activity causes non- utilization of lactose – Lactose accumulates in the large intestines and draws water by osmosis causing – Symptoms like • Osmotic diarrhoea • Bacteria fermentation producing CO2 and H2 which gives abdominal cramps and flatulence – Treatment : Withdrawal or reduce milk consumption 1.3. Disorders of carbohydrate digestion
  • 11. 2. Congenital Sucrase-Isomaltase deficiency – Genetic deficiency of of surcrase and isomaltase activity causes non- utilization of lactose 3. Disacchariduria – It is due to deficiency of disaccharidases – It is characterized by excretion of large amounts of disaccharide in urine. 1.3. Disorders of carbohydrate digestion
  • 13. 2. Glycolysis( Embden-Meyerhof pathway) Site - cytoplasm of the cell Source of glucose: from the digestion of dietary carbohydrates enter liver Purpose : converts glucose to 2 pyruvate molecules Produces ATP in tissues that lack mitochondria Two stages (10 steps) – Energy ( 2ATP) investment phase – Energy generation phase (4ATP, 2NADH+) Conditions Aerobic : Pyruvate – CO2 Anaerobic(fermentation) : pyruvate – lactate
  • 14. 2.1. Glycolysis( Embden-Meyerhof pathway) 1. Energy ( 2ATP) investment phase 1 2 3 4 5
  • 15. 2.2. Glycolysis( Embden-Meyerhof pathway) – 2. Energy generation phase (4ATP, 2NADH) 5 6 7 10 9 8
  • 17. Key Notes Step 1 Can also be catalysed by liver glucokinase under conditions of high glucose conc such as after a high meal Phosphorylation of glucose is important to prevent glucose from being transported out of the cell Step 3 Rate limiting and Commited step of glycolysis PFK is a important regulatory enzyme PFK is regulated by high ATP and F6P 2.3 Glycolysis( Embden-Meyerhof pathway)
  • 18. Key Notes Step 6 Phosphorylation of G3P is by inorganic phosphate (Pi ) not ATP Step 7 and 10 sbstrate level phosphorylation : enzyme transfer a high energy Phosphate from a substrate to ADP to form ATP 2.3. Glycolysis( Embden-Meyerhof pathway)
  • 19. Glycolysis energetics – Net ATP Produced • Net reaction for glycolysis 1 NADH = 3 ATPS 2NADH = 6 ATPS + 2 ATP Total number of ATPs = 8 2.4. Glycolysis( Embden-Meyerhof pathway)
  • 20. 2.5. Glycolysis( Embden-Meyerhof pathway)  5 Fates of Pyruvate Lactate  Acetyle- CoA Ethanol Oxaloacetate Alanine
  • 21. Regeneration of NAD+ Essential because accumulation of NADH can stop glycolysis Ways of regeneration Aerobic conditions - Electron transport system Anaerobic conditions: formation of alcohol Anaerobic conditions - Formation of lactate under regenerates NAD+ 2.6. Glycolysis( Embden-Meyerhof pathway)
  • 22. LACTIC ACIDOSIS : Accumulation of lactic acid in the muscles Causes: Lack of O2 in the tissues • Vigorous exercise • Collapsed circulation • Myocardial infarction • Uncontrolled hemorrage • Shock Causing Aenarobic glycolysis; Pyruvate to Lactate  to regenerate NAD+ 1.4. Glycolysis( Embden-Meyerhof pathway)
  • 23. Glycolysis in Cancerous cells High rate of glycolysis than other cells Experience hypoxia (limited oxygen supply), initial lack an extensive capillary network to supply the tumor with oxygen. Depend on anaerobic glycolysis for much of their ATP production until capillaries are formed Convert glucose to pyruvate and then to lactate as they recycle NADH 1.4. Glycolysis( Embden-Meyerhof pathway)
  • 24. 1.4. Glycolysis( Embden-Meyerhof pathway)  Regulation of glycolysis Allosteric regulation Up regulation F16B on pyruvate kinase AMP on PFK1 F26B on PFK1 Down regulation G6P on hexokinase Citrate on PFK1 ATP on PFK1
  • 25. 1.4. Glycolysis( Embden-Meyerhof pathway)  Regulation of glycolysis Hormonal control • Insulin increases rate of glycolysis by increasing concentration of glucokinase, phosphofructokinase-1 pyruvate kinase
  • 26. 1.4. Glycolysis( Embden-Meyerhof pathway) Inhibitors of Glycolysis 1.Glyceraldehyde -3-phosphate dehydrogenase inhibitors (step 2) They combine with-SH of active site and makes enzyme inactive Iodoacetate, arsenate  heavy metals like Hg2+, Ag+. 2.Enolase ( step 9): inibited by fluoride.
  • 27. Quick reminder 1. Digestion  1.1. Absorption  1.2.1 Glucose transporters  1.2.Disorders of carbohydrate digestion 2. Glycolysis  Energy investment stage  Energy generation stage  Key notes of various steps  Fate of pyruvate  Regenration of NAD+  lactic acidosis  Regulation of glycolysis  Inhibition 3. Conversion of pyruvate to acetyl co A
  • 30. 3. Conversion of pyruvate to acetyl Co A Players – Coenzyme A – NAD+ – TPP – Lipoamide/lipoate – FAD – Pyrvate dehydrogenase
  • 31. 3. Conversion of pyruvate to acetyl Co A Site : Mitochondria Matrix Energetics : 2 NADH = 6 ATP
  • 32. 3. Conversion of pyruvate to acetyl Co A Regulation
  • 33.  Role of B Enzymes 3. Conversion of pyruvate to acetyl Co A
  • 34. 4 . Citric Acid Cycle (TCA or Kreb Cycle)
  • 35. Site : Mitochondrial matrix Purpose – Conversion of 2 acetyl-CoA to CO22 – Generates reducing equivalents (NADH, FADH2) and GTP to be oxidized in the respiratory chain to generate ATP Stages : 8 steps 4. Citric Acid Cycle (TCA or Kreb Cycle)
  • 36. Regulation 4. Citric Acid Cycle (TCA or Kreb Cycle) citrate Acetyl Co A Citrate synthase ATP Isocitrate Isocitrate dehydrogenase ATP, NADH ADP Succinyl CO A α- ketoglutarate α- ketoglutarate dehydrogenase ATP, NADH
  • 37. 4. Citric Acid Cycle (TCA or Kreb Cycle) Energetics : 2 Acetyl CoA from 2 Pyruvate  1 NADH =3 ATP  1FADH= 2 ATP  1 GTP = 1 ATP × 2 = 24
  • 38.  ATP generation during oxidation of Glucose • However, the amount depends on shuttle used for the transfer of reducing equivalents from cytosol to mitochondria. 4. Energetics
  • 39.
  • 42. Glycogen structure it makes up 6% of the body weight Made of α D- glucose molecules Straight chains made of α (1-4) glycosidic bonds Branches made of α (1-6) glycosidic bonds
  • 43. 5.Glycogenolysis and Glycogenesis Glycogenesis: is the synthesis of glycogen from glucose due to sufficient ATP produced Glycogenolysis : the breakdown of glycogen to produce glucose (ATP) in a state of fasting or glucose depletion
  • 44. 5.Glycogenesis Glycogenesis: is the synthesis of glycogen from glucose due to sufficient ATP produced Site : Liver and skeletal muscles Purpose : to serve as a ready source of glucose for glycolysis because Fat can not be oxidized under anaerobic condition.  Acetyl-CoA of fat oxidation can not be converted to glucose.  Skeletal muscle is unable to mobilize fat rapidly.
  • 45. 5.Glycogenesis Hexokinase/glucokinase Glucose Glucose -6-P UTP PPi Phosphogluco mutase Glucose -1-P ATP ADP UDP- Glu- pyrophosphorylase 2Pi UDP-Glucose Glycogen primer Glcn UDP Glycogen synthase Glycogen
  • 47. 5.Glycogenolysis Glycogenolysis: is the conversion of glycogen to glucose Site : Liver and skeletal muscles during fast and excercise Purpose : to serve as a ready source of glucose for glycolysis because Fat can not be oxidized under anaerobic condition.  Acetyl-CoA of fat oxidation can not be converted to glucose.  Skeletal muscle is unable to mobilize fat rapidly.
  • 48. Pi 5.Glycogenolysis Phosphorylase Glycogen( Glucose)n Glucose -1-P Phosphogluco mutase Glucose -6-P Glucose 6-phosphatase Glucose Glucose Glycolysis Transferase & Debranching enzyme Pi Muscle Liver, kidney, intestines
  • 49. P P P P P P P P phosphorylase Transferase activity of Debranching enzyme -1,6 glucosidase activity of Debranching enzyme
  • 50. Glycogen storage diseases Causes : absence of major enzymes in glycogen metabolism Presentation : accumulation of abnormal amount glycogen in the liver or muscles Symptoms Liver enlargement due to increased liver glycogen Exercise intolenrant Liver cirrhosis Hypoglycemia Cardiac and respiratory failure Death
  • 51. Disease Enzyme defect Type I (von Gierke’s ) Glucose 6-phosphatase Type II (Pome’s) Lysosomal glucosidase Type III (Cori’s) Debranching enzyme Type IV (Andersen’s) Branching enzyme Type V (McArdle’s) Muscle phosphorylase Type VI (Her’s) Liver phosphorylase Type VII Musle phosphofructokinase Type VIII Liver phosphofructokinase Glycogen storage diseases
  • 52. 5.Control of Glycogen Metabolism
  • 53. Guconeogenesis • The synthesis of glucose from non-carbohydrate sources in the liver and kidney • Begins in the mitochondria and ends in the cytosol • Notable precursors are Pyruvate Glycerol Lactate Amino acids
  • 54. Pathway Gluconeogenesis - glycolysis going backwards - 3 places differ- control points in glycolysis - 4 new enzymes (eukaryotes) - importance of near equilibrium reactions - ATP energy, NADH reducing equivalents consumed #3 #10 #1 **Gluconeogenesis Net Reaction:** 2 Pyruvate + 4 ATP + 2 GTP + 2 NADH + 2 H+ + 6 H2O  Glucose + 4 ADP + 2 GDP+ 2 NAD+ + 6 Pi Glycolysis Net Reaction: Glucose + 2 ADP + 2 NAD+ + 2 Pi  2 Pyruvate + 2 ATP + 2 NADH + 2 H+ + 2 H2O
  • 55. Gluconeogenesis 6 ATP needed total 4 needed to overcome barrier of production of 2 mol of PEP
  • 56. Gluconeogenesis: The Irreversible Steps Pyruvate  PEP; reversing the pyruvate kinase step of glycolysis. 4 subunits Biotin Allosteric + acetyl CoA Transcriptional regulation + glucagon (fasting) - Insulin (fed state) Indicates CAC Backed-up No allosteric reg Hormonal induction
  • 57. Gluconeogenesis No ATP needed since Fru-1,6-bisP not high energy intermediate
  • 58. Fru-1,6-biP  Fru-6-P; reversing the PFK-1 step of glycolysis. Large – DG and irreversible Allosteric modulation - AMP - 2,6-Fru bisP (opposing effect in glycolysis)
  • 59.
  • 60.
  • 61. • Cori cycle: Synthesis from lactate Guconeogenesis