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GLUCONEOGENESIS
GLYCOGEN METABOLISM
HMP SHUNT PATHWAY
NEELAMZ@Unifiji.ac.fj
Gluconeogenesis
 Definition: Synthesis of glucose from non-
carbohydrate compounds is called
“gluconeogenesis”.
 Essential for maintaining blood glucose.
 Site: mitochondrial and cytosolic fraction.
 Mainly occurs in liver(90%) & kidney(10%).
 Supply glucose after liver glycogen is depleted.
Gluconeogenesis
Overview
Comparison of Glycolysis and
Gluconeogenesis
 Not a simple reversal of glycolysis.
 In gluconeogenesis, key enzymes bypass
irreversible reactions of glycolysis.
 Key enzymes:
1. Pyruvate carboxylase
2. Phosphoenolpyruvate carboxykinase
3. Fructose-1, 6-bisphosphatase
4. Glucose-6-phosphatase
 Gluconeogenic precursors are molecules that can
give rise to a net synthesis of glucose.
 Includes all the intermediates of glycolysis and the
citric acid cycle.
 Major precursor is pyruvate.
 Glycerol—hydrolysis of triacylglycerols in adipose
tissue
 Lactate—exercising skeletal muscle and RBCs
 Glucogenic amino acids—hydrolysis of tissue
proteins
Substrates for Gluconeogenesis
 Requires biotin as coenzyme.
 Occurs in mitochondria of liver and kidney cells.
 Provides OAA for gluconeogenesis and the TCA
cycle (replenish).
Bypass1: Carboxylation of Pyruvate
Biotin
Allosterically activated
by acetyl CoA; ADP
inhibits it.
 Biotin(Vitamin B7) is
coenzyme in many
carboxylases.
 It functions as a CO2
carrier by acquiring a
carboxyl group.
Biotin
 No transport for OAA to across the inner mitochondrial
membrane.
 OAA must be reduced to malate which can be transported.
 In cytosol, malate is reoxidized to OAA for further reactions.
Transport of OAA to Cytosol
Malate Dehydrogenase(MD)
Transport of OAA to Cytosol
 Decarboxylation and
phosphorylation.
 In cytosol (and
mitochondria).
 Mg2+- dependent reaction
requires GTP asthe
phosphoryl groupdonor.
Bypass1: Decarboxylation of OAA
 Important regulatory step.
Bypass2: Dephosphorylation
ATP activates it; AMP,
fructose 2,6-bisphosphate
inhibit it.
Fructose 2,6-bisphophate, an allosteric
effector whose cont is influenced by
insulin/glucagon.
 Liver and kidney are the only organs to release
glucose from G6P.
 Occurs in lumen of the endoplasmic reticulum.
Bypass3: Dephosphorylation
Pi
H2O
Glucose 6 phosphate, acetyl
CoA activate it; glucose
inhibits it.
 For per molecule of
glucose synthesis:
 Requires 6ATP;
2NADH.
 4 ATP needed to
overcome the barrier
of production of 2 PEP.
Energetics
 Substrate availability
 Acetyl CoA: diverts pyruvate
away from oxidation and towards
gluconeogenesis.
 Hormone
Regulation of Gluconeogenesis
Kinase
(active)
PFK-2
 Gluconeogenesis and Glycolysis
are reciprocally regulated .
 When glycolysis is on,
gluconeogenesis is turned off
especially in the fed state,
whereas under starvation,
gluconeogenesis is fully on and
glycolysis is off.
 Both the cycles are never active
at the same pace at the same
time.
Reciprocal Regulation of Gluconeogenesis
and Glycolysis in the Liver
 Entry of Glycerol
 It happens in starvation where fat becomes the
primary fuel.
 Fat stored in adipose tissue is mobilized to fatty
acids and glycerol.
Substrates of Gluconeogenesis
Entry of Glucogenic
Amino Acids
Entry of Propionate
 Propionate arises from
the beta - oxidation of
fatty acids and some
amino acids.
 Major precursor in
ruminants, relatively
minor in human.
 In active skeletal muscle the rate of glycolysis
exceeds the rate of oxidative metabolism which
leads to anaerobic glycolysis (lactate) in skeletal
muscle.
 Lactate can be converted to pyruvate in liver.
Entry of Lactate
 Lactate is released from muscle to blood and travels to the
liver for conversion to pyruvate, ultimately to glucose.
Glucose is then returned to the blood for muscle as an
energy source-- Cori cycle.
 Lactate is efficiently reutilized by the body by Cori cycle.
 It counteracts lactic acidosis.
Cori Cycle
 Gluconeogenesis meets the needs of the body for glucose
when sufficient carbohydrate is not available from the diet or
glycogen reserves --- essential for the survival.
 Regulate blood glucose level to keep it in a narrow range.
 Brain, erythrocytes, testes & kidney medulla are dependent
on glucose for continuous supply ofenergy.
 Glucose is the only source to skeletal muscle in anaerobic
conditions.
 Effectively prevent the accumulation of certain metabolites in
blood. E.g. lactate, glycerol, propionate etc.
Biomedical Importance
53
Summary Chart : Regulation
Enzyme Effect of
substrate
concentration
Allosteric Induction/ Clinical
modification/ Repression
Significance
Feed back
Inhibition
Pyruvate
carboxylase
Inhibited by high
carbohydrate diet
Stimulated during
fasting
Activator-Acetyl Induced by Activity
CoA Glucocorticoids, increases in
glucagon, Diabetes
Inhibitor epinephrine Mellitus
ADP Repressed by
Insulin
Fructose 1,6
bisphosphata
se
Inhibited by high
carbohydrate diet
Stimulated during
fasting
Activator-Citrate Induced by Activity
Glucocorticoids, increases in
Inhibitor glucagon, Diabetes AMP,
Fr 2,6 epinephrine Mellitus
bisphosphate Repressed by
Insulin
Glycogen
Metabolism
 Glucose is energy source for brain, RBC, and
exercising muscle.
 Blood glucose can be obtained from three primary
sources: the diet, degradation of glycogen, and
gluconeogenesis.
 Glycogen, the storage form of glucose can
undergo metabolism rapidly comparing to
gluconeogenesis.
 Polymer held by glycosidic linkages, stored as
granules in cytoplasm.
Glycogen Metabolism
 Glycogen in skeletal muscle can yield ATP.
 Glycogen in liver is to maintain the blood glucose
cont, particularly during the early stages of a
fast.(10–18 hrs)
 Structure of glycogen: α(1→4) linkage in linear
chain, branch containing an α(1→6) linkage on
average of eight to ten glucosyl residues.
Glycogen Metabolism
 Synthesis of glycogen
 It occurs immediately after meal.
 In the cytosol.
 Requires energy supplied by ATP (for the
phosphorylation of glucose) and uridine
triphosphate (UTP).
 α-D-glucose is source for glycogenesis.
Glycogenesis
 Uridine diphosphate
(UDP)
 Hydrolysis of UTP
 Activation of glucose
Synthesis of
UDP-Glucose
 Glycogen synthase makes α(1→4) linkages, but it
can only elongate already existing chains of
glucose.
 It requires a primer:
 A fragment of glycogen
 Glycogenin (protein)
by providing the site to get attach to the first glucose
residue.(catalyzed by itself)
O Glycogenin stays associated with and forms the
core of a glycogen granule.
Initiation
 Glycogen
synthase
 α(1→4) linkage
 Glycosylation
Elongation
glycogen synthase
G6P activates it.
 Branches (eight residues) make glycogen highly
branched, tree-like and more soluble.
 Branches also create more terminal residues to
increase the rate of glycogen synthesis and
degradation.
 Branching enzyme: amylo-α(1→4)→α(1→6)-
transglucosidase
Formation of Branches
Degradation of glycogen
Not a reversal of glycogenesis.
Require a separate set of enzymes.
Occurs in the cytosol.
Glycogenolysis
 Glycogen phosphorylase cleaves the α(1→4)
glycosidic bonds, producing glucose 1-phosphate
until four glucosyl units remain on each chain
before a branch point.
 Pyridoxal phosphate(PLP) as coenzyme.
Shortening of Chains
Inhibited by G6P,
ATP; activated by
Ca2+
In liver inhibited by glucose; in
muscle activated by AMP
Debranching enzyme: bifunctional
 Transfers the outer three of the four glucosyl
residues
 Break an α(1→6) linkage at branch(release
glucose)
Removal of Branches
Glucose 1-phosphate is converted to G6P
by phosphoglucomutase.
 In liver, gluconeogenesis to glucose
 In muscle, anaerobic glycolysis to ATP
Removal of Branches
Glucose1-P
 A small amount is continuously degraded(1%–3%)
 α(1→4)-glucosidase (acid maltase)
 The purpose is unknown.
 Deficiency: accumulation of glycogen in vacuoles in
the lysosomes
 Glycogen storage disease (GSD)
Type II: Pompe disease
 The only GSD that is a lysosomal storage disease.
Lysosomal Degradation
 Glycogenesis consumes 2ATP(1 in form of GTP).
 The energy yield from breakdown of glycogen is
highly efficient.
 About 90% of the residues are cleaved to G1P,
which is converted at no cost into G6P.
 The other 10% are branch residues, hydrolyzed to
glucose.
 Conversion of glucose to G6P requires 1ATP.
Energetics
 The synthesis and degradation of glycogen are
reciprocally regulated.
 The body state and organs:
 In the liver, when well fed, glycogenesis; during fasting
glycogenolysis.
 In skeletal muscle, during active exercise
glycogenolysis; but at rest, glycogenesis.
 Two levels of regulation:
 Allosterical effector
 Hormonal: glucagon or epinephrine activate
phosphorylase; inhibit synthase.
Regulation
Allosteric Regulation
 For maintenance of blood glucose mainly
between meals.
 Liver glycogen largely concerned with transport
& storage of hexose units.
 Muscle glycogen is a readily available source of
glucose in the muscle contraction.
Biomedical Importance
Clinical Aspects:
Glycogen Storage Diseases
 GSDs: a group of genetic diseases.
 Caused by defects in enzymes required for
glycogen metabolism.
 Result: abnormal structure or accumulation of
glycogen.
 Liver (resulting in hypoglycemia) or muscle
(causing muscle weakness), or generalized
 The severity of the GSDs varies.
Glycogen Storage Diseases
HEPATOMEGALY
Type1 (Von Gierke’s Disease)
Pentose
Phosphate
Pathway
 Also called hexose monophosphate shunt. (HMP
shunt)
 Occurs in the cytosol.
 No ATP directly consumed or produced.
 Provides NADPH (biochemical reductant); ribose 5-
phosphate for biosynthesis of nucleotides.
 It’s a metabolism for five carbon sugars.
 Begins with glucose 6-phosphate (glycolytic
intermediate), alternative route for metabolism of
glucose.
Pentose Phosphate Pathway
Involved Tissues
One fate of G6P is the
pentose phosphate pathway
Pathways
Glucose
It’s a shunt
Non-oxidative
interconversion of
sugars
Overview
 Dehydrogenation of glucose 6-phosphate (G6PD).
 Irreversible, rate limiting step.
 NADP+ as the coenzyme.
Irreversible Oxidative Reactions
NADPH is
competitive
inhibitor; induced by
insulin
 Formation of ribulose 5-phosphate
 Not rate limiting.
Irreversible Oxidative Reactions
 This entails extensive carbon atom rearrangement.
 Transketolase(2C) requires the coenzyme thiamine
pyrophosphate (TPP), the transaldolase(3C) does not.
Reversible Nonoxidative Reactions
3C5  2C6 + C3
 G6PD is the regulatory enzyme.
 Metabolic needs of a particular cell or tissue:
 Rapidly dividing cells require more ribose 5-
phosphate than NADPH.
 More NADPH is needed than ribose 5-phosphate
in fatty acid synthesis in adipose cells.
Regulation
 Reductive biosynthesis
 Maintain reduced
glutathione (GSH)
(cellular antioxidant)
especially in RBC
 Cytochrome P450
 Phagocytosis by WBC
 Synthesis of NO
NADPH
 Pentose is useful in synthesis of DNA & RNA.
 NADPH is required for reductive biosynthesis of
fatty acids & steroids.
 Microsomal cytochrome P450 monooxygenase
system brings detoxification of drugs & foreign
compounds.
 Integrity of RBC membrane.
Biomedical Importance
 Glucose 6-phosphate Dehydrogenase
Deficiency
 It is a hereditary disease characterized by
hemolytic anemia caused by the inability to
detoxify oxidizing agents.
 Most common disease---enzyme abnormality.
 May have neonatal jaundice, black color urine.
 Precipitating factors: oxidant drugs, favism (fava
bean), infection.
Clinical Aspects: G6PD Deficiency
 Membranes damaged by the Heinz bodies & ROS
become deformed & the cell undergoes LYSIS ----
Hemolytic anemia.
 Dzugaj A: Localization and regulation of muscle fructose 1,6-
bisphosphatase, the key enzyme of glyconeogenesis. Adv Enzyme Regul
2006;46:51.
 Victor W, David L. Harper's Illustrated Biochemistry, 30th edition (2015)
 Philp A, Hargreaves M: More than a store: regulatory roles for glycogen
in skeletal muscle adaptation to exercise. Am J Physiol Endocrinol Metab
2012;302:E1343
 David L. Nelson, Michael M. Cox: Lehninger Principles of Biochemistry,
4th Edition
 https://www.slideshare.net/YESANNA/hmp-shunt-pathway.
 Cappellini MD, Fiorelli G: Glucose 6-phosphate dehydrogenase
deficiency. Lancet 2008;371:64.
 https://www.slideshare.net/ArunViswanathan3/gluconeogenesis-the-
pathway-and-regulation.
References

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4.3 gluconeogenesis&glycogen&ppp.ppt

  • 1. GLUCONEOGENESIS GLYCOGEN METABOLISM HMP SHUNT PATHWAY NEELAMZ@Unifiji.ac.fj
  • 3.  Definition: Synthesis of glucose from non- carbohydrate compounds is called “gluconeogenesis”.  Essential for maintaining blood glucose.  Site: mitochondrial and cytosolic fraction.  Mainly occurs in liver(90%) & kidney(10%).  Supply glucose after liver glycogen is depleted. Gluconeogenesis
  • 5. Comparison of Glycolysis and Gluconeogenesis  Not a simple reversal of glycolysis.  In gluconeogenesis, key enzymes bypass irreversible reactions of glycolysis.  Key enzymes: 1. Pyruvate carboxylase 2. Phosphoenolpyruvate carboxykinase 3. Fructose-1, 6-bisphosphatase 4. Glucose-6-phosphatase
  • 6.  Gluconeogenic precursors are molecules that can give rise to a net synthesis of glucose.  Includes all the intermediates of glycolysis and the citric acid cycle.  Major precursor is pyruvate.  Glycerol—hydrolysis of triacylglycerols in adipose tissue  Lactate—exercising skeletal muscle and RBCs  Glucogenic amino acids—hydrolysis of tissue proteins Substrates for Gluconeogenesis
  • 7.  Requires biotin as coenzyme.  Occurs in mitochondria of liver and kidney cells.  Provides OAA for gluconeogenesis and the TCA cycle (replenish). Bypass1: Carboxylation of Pyruvate Biotin Allosterically activated by acetyl CoA; ADP inhibits it.
  • 8.  Biotin(Vitamin B7) is coenzyme in many carboxylases.  It functions as a CO2 carrier by acquiring a carboxyl group. Biotin
  • 9.  No transport for OAA to across the inner mitochondrial membrane.  OAA must be reduced to malate which can be transported.  In cytosol, malate is reoxidized to OAA for further reactions. Transport of OAA to Cytosol Malate Dehydrogenase(MD)
  • 10. Transport of OAA to Cytosol
  • 11.  Decarboxylation and phosphorylation.  In cytosol (and mitochondria).  Mg2+- dependent reaction requires GTP asthe phosphoryl groupdonor. Bypass1: Decarboxylation of OAA
  • 12.  Important regulatory step. Bypass2: Dephosphorylation ATP activates it; AMP, fructose 2,6-bisphosphate inhibit it. Fructose 2,6-bisphophate, an allosteric effector whose cont is influenced by insulin/glucagon.
  • 13.  Liver and kidney are the only organs to release glucose from G6P.  Occurs in lumen of the endoplasmic reticulum. Bypass3: Dephosphorylation Pi H2O Glucose 6 phosphate, acetyl CoA activate it; glucose inhibits it.
  • 14.  For per molecule of glucose synthesis:  Requires 6ATP; 2NADH.  4 ATP needed to overcome the barrier of production of 2 PEP. Energetics
  • 15.  Substrate availability  Acetyl CoA: diverts pyruvate away from oxidation and towards gluconeogenesis.  Hormone Regulation of Gluconeogenesis Kinase (active) PFK-2
  • 16.  Gluconeogenesis and Glycolysis are reciprocally regulated .  When glycolysis is on, gluconeogenesis is turned off especially in the fed state, whereas under starvation, gluconeogenesis is fully on and glycolysis is off.  Both the cycles are never active at the same pace at the same time. Reciprocal Regulation of Gluconeogenesis and Glycolysis in the Liver
  • 17.  Entry of Glycerol  It happens in starvation where fat becomes the primary fuel.  Fat stored in adipose tissue is mobilized to fatty acids and glycerol. Substrates of Gluconeogenesis
  • 19. Entry of Propionate  Propionate arises from the beta - oxidation of fatty acids and some amino acids.  Major precursor in ruminants, relatively minor in human.
  • 20.  In active skeletal muscle the rate of glycolysis exceeds the rate of oxidative metabolism which leads to anaerobic glycolysis (lactate) in skeletal muscle.  Lactate can be converted to pyruvate in liver. Entry of Lactate
  • 21.  Lactate is released from muscle to blood and travels to the liver for conversion to pyruvate, ultimately to glucose. Glucose is then returned to the blood for muscle as an energy source-- Cori cycle.  Lactate is efficiently reutilized by the body by Cori cycle.  It counteracts lactic acidosis. Cori Cycle
  • 22.  Gluconeogenesis meets the needs of the body for glucose when sufficient carbohydrate is not available from the diet or glycogen reserves --- essential for the survival.  Regulate blood glucose level to keep it in a narrow range.  Brain, erythrocytes, testes & kidney medulla are dependent on glucose for continuous supply ofenergy.  Glucose is the only source to skeletal muscle in anaerobic conditions.  Effectively prevent the accumulation of certain metabolites in blood. E.g. lactate, glycerol, propionate etc. Biomedical Importance
  • 23. 53 Summary Chart : Regulation Enzyme Effect of substrate concentration Allosteric Induction/ Clinical modification/ Repression Significance Feed back Inhibition Pyruvate carboxylase Inhibited by high carbohydrate diet Stimulated during fasting Activator-Acetyl Induced by Activity CoA Glucocorticoids, increases in glucagon, Diabetes Inhibitor epinephrine Mellitus ADP Repressed by Insulin Fructose 1,6 bisphosphata se Inhibited by high carbohydrate diet Stimulated during fasting Activator-Citrate Induced by Activity Glucocorticoids, increases in Inhibitor glucagon, Diabetes AMP, Fr 2,6 epinephrine Mellitus bisphosphate Repressed by Insulin
  • 25.  Glucose is energy source for brain, RBC, and exercising muscle.  Blood glucose can be obtained from three primary sources: the diet, degradation of glycogen, and gluconeogenesis.  Glycogen, the storage form of glucose can undergo metabolism rapidly comparing to gluconeogenesis.  Polymer held by glycosidic linkages, stored as granules in cytoplasm. Glycogen Metabolism
  • 26.  Glycogen in skeletal muscle can yield ATP.  Glycogen in liver is to maintain the blood glucose cont, particularly during the early stages of a fast.(10–18 hrs)  Structure of glycogen: α(1→4) linkage in linear chain, branch containing an α(1→6) linkage on average of eight to ten glucosyl residues. Glycogen Metabolism
  • 27.  Synthesis of glycogen  It occurs immediately after meal.  In the cytosol.  Requires energy supplied by ATP (for the phosphorylation of glucose) and uridine triphosphate (UTP).  α-D-glucose is source for glycogenesis. Glycogenesis
  • 28.  Uridine diphosphate (UDP)  Hydrolysis of UTP  Activation of glucose Synthesis of UDP-Glucose
  • 29.  Glycogen synthase makes α(1→4) linkages, but it can only elongate already existing chains of glucose.  It requires a primer:  A fragment of glycogen  Glycogenin (protein) by providing the site to get attach to the first glucose residue.(catalyzed by itself) O Glycogenin stays associated with and forms the core of a glycogen granule. Initiation
  • 30.  Glycogen synthase  α(1→4) linkage  Glycosylation Elongation glycogen synthase G6P activates it.
  • 31.  Branches (eight residues) make glycogen highly branched, tree-like and more soluble.  Branches also create more terminal residues to increase the rate of glycogen synthesis and degradation.  Branching enzyme: amylo-α(1→4)→α(1→6)- transglucosidase Formation of Branches
  • 32.
  • 33. Degradation of glycogen Not a reversal of glycogenesis. Require a separate set of enzymes. Occurs in the cytosol. Glycogenolysis
  • 34.  Glycogen phosphorylase cleaves the α(1→4) glycosidic bonds, producing glucose 1-phosphate until four glucosyl units remain on each chain before a branch point.  Pyridoxal phosphate(PLP) as coenzyme. Shortening of Chains Inhibited by G6P, ATP; activated by Ca2+ In liver inhibited by glucose; in muscle activated by AMP
  • 35. Debranching enzyme: bifunctional  Transfers the outer three of the four glucosyl residues  Break an α(1→6) linkage at branch(release glucose) Removal of Branches
  • 36. Glucose 1-phosphate is converted to G6P by phosphoglucomutase.  In liver, gluconeogenesis to glucose  In muscle, anaerobic glycolysis to ATP Removal of Branches Glucose1-P
  • 37.
  • 38.  A small amount is continuously degraded(1%–3%)  α(1→4)-glucosidase (acid maltase)  The purpose is unknown.  Deficiency: accumulation of glycogen in vacuoles in the lysosomes  Glycogen storage disease (GSD) Type II: Pompe disease  The only GSD that is a lysosomal storage disease. Lysosomal Degradation
  • 39.  Glycogenesis consumes 2ATP(1 in form of GTP).  The energy yield from breakdown of glycogen is highly efficient.  About 90% of the residues are cleaved to G1P, which is converted at no cost into G6P.  The other 10% are branch residues, hydrolyzed to glucose.  Conversion of glucose to G6P requires 1ATP. Energetics
  • 40.  The synthesis and degradation of glycogen are reciprocally regulated.  The body state and organs:  In the liver, when well fed, glycogenesis; during fasting glycogenolysis.  In skeletal muscle, during active exercise glycogenolysis; but at rest, glycogenesis.  Two levels of regulation:  Allosterical effector  Hormonal: glucagon or epinephrine activate phosphorylase; inhibit synthase. Regulation
  • 42.  For maintenance of blood glucose mainly between meals.  Liver glycogen largely concerned with transport & storage of hexose units.  Muscle glycogen is a readily available source of glucose in the muscle contraction. Biomedical Importance
  • 43. Clinical Aspects: Glycogen Storage Diseases  GSDs: a group of genetic diseases.  Caused by defects in enzymes required for glycogen metabolism.  Result: abnormal structure or accumulation of glycogen.  Liver (resulting in hypoglycemia) or muscle (causing muscle weakness), or generalized  The severity of the GSDs varies.
  • 47.  Also called hexose monophosphate shunt. (HMP shunt)  Occurs in the cytosol.  No ATP directly consumed or produced.  Provides NADPH (biochemical reductant); ribose 5- phosphate for biosynthesis of nucleotides.  It’s a metabolism for five carbon sugars.  Begins with glucose 6-phosphate (glycolytic intermediate), alternative route for metabolism of glucose. Pentose Phosphate Pathway
  • 49. One fate of G6P is the pentose phosphate pathway Pathways Glucose
  • 52.  Dehydrogenation of glucose 6-phosphate (G6PD).  Irreversible, rate limiting step.  NADP+ as the coenzyme. Irreversible Oxidative Reactions NADPH is competitive inhibitor; induced by insulin
  • 53.  Formation of ribulose 5-phosphate  Not rate limiting. Irreversible Oxidative Reactions
  • 54.  This entails extensive carbon atom rearrangement.  Transketolase(2C) requires the coenzyme thiamine pyrophosphate (TPP), the transaldolase(3C) does not. Reversible Nonoxidative Reactions 3C5  2C6 + C3
  • 55.  G6PD is the regulatory enzyme.  Metabolic needs of a particular cell or tissue:  Rapidly dividing cells require more ribose 5- phosphate than NADPH.  More NADPH is needed than ribose 5-phosphate in fatty acid synthesis in adipose cells. Regulation
  • 56.  Reductive biosynthesis  Maintain reduced glutathione (GSH) (cellular antioxidant) especially in RBC  Cytochrome P450  Phagocytosis by WBC  Synthesis of NO NADPH
  • 57.
  • 58.  Pentose is useful in synthesis of DNA & RNA.  NADPH is required for reductive biosynthesis of fatty acids & steroids.  Microsomal cytochrome P450 monooxygenase system brings detoxification of drugs & foreign compounds.  Integrity of RBC membrane. Biomedical Importance
  • 59.  Glucose 6-phosphate Dehydrogenase Deficiency  It is a hereditary disease characterized by hemolytic anemia caused by the inability to detoxify oxidizing agents.  Most common disease---enzyme abnormality.  May have neonatal jaundice, black color urine.  Precipitating factors: oxidant drugs, favism (fava bean), infection. Clinical Aspects: G6PD Deficiency
  • 60.
  • 61.  Membranes damaged by the Heinz bodies & ROS become deformed & the cell undergoes LYSIS ---- Hemolytic anemia.
  • 62.
  • 63.  Dzugaj A: Localization and regulation of muscle fructose 1,6- bisphosphatase, the key enzyme of glyconeogenesis. Adv Enzyme Regul 2006;46:51.  Victor W, David L. Harper's Illustrated Biochemistry, 30th edition (2015)  Philp A, Hargreaves M: More than a store: regulatory roles for glycogen in skeletal muscle adaptation to exercise. Am J Physiol Endocrinol Metab 2012;302:E1343  David L. Nelson, Michael M. Cox: Lehninger Principles of Biochemistry, 4th Edition  https://www.slideshare.net/YESANNA/hmp-shunt-pathway.  Cappellini MD, Fiorelli G: Glucose 6-phosphate dehydrogenase deficiency. Lancet 2008;371:64.  https://www.slideshare.net/ArunViswanathan3/gluconeogenesis-the- pathway-and-regulation. References