2. Gluconeogenesis
• Synthesis of new glucose
• Also called as endogenous glucose production
• Required because –
• Testes, Erythrocyte and renal medulla exclusively use
glucose for ATP.
• Brain requires glucose but in starvation can adapt
to use ketone bodies
• To clear lactic acid from skeletal muscle and
erythrocyte
3. Gluconeogenesis
• Failure of gluconeogenesis leads to Hypoglycemia
causes brain dysfunction , leads to coma and may
be death.
• Ketoacidosis, Lactic acidosis
• Excessive gluconeogenesis leads to hyperglycemia
4. Gluconeogenesis
• Major site of Gluconeogenesis
• Liver – contribute 85%,
• Kidney -- kidney and intestine contributes 15%
• During prolonged fasting kidney contribute up
to 40%
• Gluconeogenic substances
• Pyruvate, Lactate, Glycerol, Propionic acid
• Glycogenic amino acids --Alanine, glutamine,
5. Gluconeogenesis
• Pathways involved in gluconeogenesis are
• TCA cycle
• glycolysis --- Reversal of seven reactions
• Some special reactions like
• Cori cycle and Glucose alanine cycle
• Adipose tissue -- Glycerol
• Consumes six moles of ATP per glucose
synthesized
6. Key reactions of gluconeogenesis
Involves Conversion of
1. pyruvate to phosphoenolpyruvate
2. Fructose 1,6 Bisphosphate to Fructose 6
Phosphate
3. Glucose 6 Phosphate to Glucose
9. Cytoplasm
Mitochondria
Oxaloacetate
Pyruvate
Pyruvate
Lactate
NADH + H +
NAD+LDH
Malate
ADP + Pi
CO2 + ATP
Pyruvate carboxylase (Biotin)
NADH + H +
NAD+
MDH 1
Malate
Oxaloacetate PEP
XNADPH + H +
NADP+
MDH 2
PEP CK
First bypass reaction in gluconeogenesis
Malate shunt
GTP GDP +
CO2
11. Reversal of glycolysis Phosphoenol pyruvate
2- Phosphoglycerate
3- Phosphoglycerate
1,3- Bis Phosphoglycerate
Glyceraldehyde 3- phosphate
Fructose 1-6 Bisphosphate
Reactions of glycolysis
Takes place in cytosol
12. Bypass 2
Fructose-1,6-bisphosphate to Fructose-6-
phosphate
Enzyme is
present in
Liver, kidney
and skeletal
muscle
Absent in
heart and
smooth muscle
Fructose 1, 6 BisPhosphate
Fructose 6 Phosphate
Fructose 1,6
BisPhosphatease
H2O
Pi
Inhibitores --
AMP, F2,6 BP ,
Insulin
Activators --
ATP, Citrate, Glucagon
X
13. Bypass 3
Glucose-6-phosphate to Glucose
• Glucose 6 Phosphatase
is found only in liver
and kidney
• Absent in muscle &
adipose tissue , brain
• (Reaction takes place in
smooth endoplasmic
reticulum)
Glucose 6 Phosphate
Glucose
Glucose 6 Phosphatase
H2O
Pi
Glucagon
Insulin
X
14.
15. Regulation of Gluconeogenesis
The metabolic control of gluconeogenesis is done by
controlling the key enzymes of irreversible steps
Activators / inducers Inhibitors /
repressors
Glucagon
Acetyl CoA
Citrate,
ATP
Glycogenic amino acids
Fasting state /
Carbohydrate feeding
Insulin
AMP
hyperglycemia
Diabetes
16. Significance of Gluconeogenesis
• Keep blood glucose level stable
• Remove lactate form skeletal muscle, RBC
• Supply glucose to active skeletal muscle
• Replenish liver Glycogen
• Utilizes glycerol and propionate from adipose
tissue
• Regulate acid base balance
17. Energetics of Gluconeogenesis
• Two high energy phosphate bonds one from ATP and
one from GTP are hydrolyzed during conversion of
pyruvate to PEP
• As 2 Pyruvate required for one glucose 2 ATP and 2
GTP are used
• Two more ATP required for conversion of 3-PG to
1,3-BPG
• Therefore total Six ATP required for one glucose
synthesis
• In addition NADH is used up and hence 6 ATP lose
21. Cori cycle
removal of Lactate and
replenishing of glucose to skeletal muscle
Pathway in contracting and relaxing skeletal
muscle
Gluconeogenesis in liver from lactate
23. Why skeletal muscle require Cori
cycle?
In active skeletal muscle mitochondria is less
NADH / NAD ratio is low as compared to liver and heart mus
Hence to continue glycolysis and generate ATP
Reduction of pyruvate is required
this generates Lactate
If Lactate accumulate it causes Lactic acidosis
Hence it should be removed through cori cycle.