The glucuronic acid pathway is a quantitatively minor route of glucose metabolism. Like the pentose phosphate pathway, it provides biosynthetic precursors and inter-converts some less common sugars to ones that can be metabolized. 

1. Course Incharge: Rabia Khan Baber

2. GLUCURONIC
ACID
PATHWAY
LOCATION
STEPS OF
GLUCURONIC
ACID
PATHWAY
REGULATION
OF
GLUCURONIC
PATHWAY
SIGNIFICANCE
OF
GLUCURONIC
PATHWAY

3.  The glucuronic acid pathway is a quantitatively minor
route of glucose metabolism. Like the pentose
phosphate pathway, it provides biosynthetic precursors
and inter-converts some less common sugars to ones
that can be metabolized.

5.  This is an alternative oxidative pathway for glucose and
is also known as the glucuronic pathway.
 Concerned with the synthesis of glucuronic acid,
pentoses, and vitamin, ascorbic acid (except in primates
and guinea pigs).
 Dietary xylulose enters the uronic acid pathway
through which it can participate in other metabolisms.
 Glucuronate is a highly polar molecule which is
incorporated into proteoglycans as well as combining
with bilirubin and steroid hormones; it can also be
combined with certain drugs to increase their solubility.

7. TISSUE
DISTRIBUTION:
Liver and Adipose
tissue
In
cytoplasm
of the cell

8. 1. Formation of
UDP glucronate
2. Conversion of
UDP-glucuronate
to L gulonate

10. STEP 1
Glucose is converted
into glucose-6
phospahte
Glucose 6-phosphate
is converted to
Glucose1-phosphate
via phosphoglucomuta
se.
STEP 2
Glucose 1-phosphate
reacts with
uridinetriphosphate
(UTP) via
UDP glucosepyrophos
phorylase to form
UDP glucose.

11. STEP 3
UDP glucose is
oxidized at C6 by a
2-step process via an
NAD +-dependent
UDP
glucosedehydrogena
se to form UDP
glucuronic acid.
STEP 4
UDP glucuronic
acid is hydrolysed to
form UDP and D-
glucuronic acid.

12. STEP 5
Oxidation of D-
glucuronic acid to L-
gulonic acid via L-
gulonic
dehydrogenase in the
presence of NADPH.
STEP 6
-L-
gulonic acid may be ox
idized to 3-keto-L-
gulonicacid via β -L-
hydroxy acid
dehydrogenase.
• NADH is generated.

13. STEP 7
Decarboxylation of 3-
keto-L-gulonicacid to
form L-
xylulose,a ketopentose
via β-L- gulonate
decarboxylase
STEP 8
Oxidation of L-
Xylulose
• Lxylulose is then red
uced to xylitol via
xylitoldehydrogenase
(or
xylulosereductase)

14. STEP 9 Reoxidation of Xylitol
STEP 10
Phosphorylation of D-
Xylulose
• Dxylulose is phosphorylat
ed at carbon 5 to form D-
xylulose 5-phosphat via
xylulose kinase
• Further metabolized via
the HMP Shunt
• Converted to
intermediates of glycolysis
for energy production

15.  UDP-glucuronate
 Source of glucuronate for reactions involving its
incorporation into proteoglycans.
 Conjugated to non polar acceptor molecules such as steroid
hormones, some drugs, bilirubin, or other foreign
compounds in the liver for easier excretion via the bile.
 L-gulonate
 It is the direct precursor of ascorbate in those animals
capable of synthesizing vitamin C , in an NADPH-
dependent reaction.
 In humans, ascorbic acid cannot be synthesized because of
the absence of L-gulonolactone oxidase.

16.  Fate of L-Gulonic acid is different according to the
animals.
 Synthesis of ascorbic acid:
 L-Gulonic acid is the direct precursor of Ascorbic acid,
in those animals which are capable of synthesizing this
vitamin.
 In those animals, synthesis of vitamin C (Ascorbic
acid) takes place.

17.  Fate of L-Gulonic Acid in Humans:
• In man and other primates as well as guinea pigs
ascorbic acid cannot be synthesized.
• The enzyme L-gulonolactone oxidase which converts
gulonate to ascorbic acid is absent in them.
• Therefore, vitamin C has to be supplemented in the diet
for these animals.
• L-Gulonic acid is oxidized to 3-ketoglulonate, which is
then decarboxylated to the pentose L-Xylulose.
• L-xylulose is converted to a D-xylulose via xylitol by a
reduction followed by oxidation.
• The D-xylulose can enter hexose monophosphate
shunt.

18.  It is an alternative oxidative pathway for glucose.
 It is concerned with the synthesis of glucuronic acid,
pentoses & vitamin-ascorbic acid (except in primates &
guinea pigs).
 Major function is to produce D-Glucuronic acid which
is required for: Detoxification of foreign chemicals and
synthesis of mucopolysaccharides.
 Many wastes in the human body are excreted in the
urine as their glucuronate salts,
 Iduronic acid is a component of some structural
complexes such as proteoglycans.

19.  Rare genetic disorder related to the deficiency of NADP
dependent. enzyme xylitol dehydrogenase and xylulose
reductase. The incidence is 1 in 2,500 births.
 Due to any of these enzyme defect xylulose cannot be converted
to xylitol.
 The affected secrete large amounts of L-xylulose in urine and
gives a
positive Benedict’s test.
 Essential pentosuria is asymptomatic and the individuals suffer
from no ill-effects, but it should be differentiated from diabetes
mellitus.
 lt has been reported that the administration of drugs aminopyrine
and
antipyrine increases the excretion of L-xylulose in pentosuric
patients.

20.  The uronic acid pathway is an alternative pathway for the
oxidation of glucose that does not provide a means of producing
ATP, but is utilized for the generation of the activated form of
glucuronate, UDP-glucuronate.
 The uronic acid pathway of glucose conversion to glucuronate
begins by conversion of glucose-6-phosphate is to glucose-1-
phosphate by phosphoglucomutase, and then activated to UDP-
glucose by UDP-glucose pyrophosphorylase.
 UDP-glucose is oxidized to UDP-glucuronate by the NAD+-
requiring enzyme, UDP-glucose dehydrogenase.
 UDP-glucuronate then serves as a precursor for the synthesis of
iduronic acid and UDP-xylose and is incorporated into
proteoglycans and glycoproteins or forms conjugates with
bilirubin, steroids, xenobiotics, drugs and many compounds
containing hydroxyl (–OH) groups.

21.  Rodwell, V. W., Botham, K. M., Kennelly, P. J., Weil, P.
A., & Bender, D. A. (2015). Harper’s illustrated
biochemistry (30th ed.). New York, N.Y.: McGraw-Hill
Education LLC.
 John W. Pelley, Edward F. Goljan (2011).
Biochemistry. Third edition. Philadelphia: USA.
 Textbook of Biochemistry-U Satyanarayana
 Textbook of Biochemistry-DM Vasudevan