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GLYCOLYSIS
METABOLISM
 Metabolism is “the entire set of enzyme-
catalyzed transformations of organic
molecules in living cells.
 Two broad classes:
 Catabolism & Anabolism
 Catabolic Pathways:
 Transform fuels into cellular energy
ANABOLIC PATHWAYS
 Requires inputs of energy to proceed.
 Useful energy + small molecules
complex molecules.
 Pathways that can be either anabolic or
catabolic, depending on the energy
conditions in the cell are referred to as
amphibolic pathways
GLYCOLYSIS
 Glycolysis occurs in almost every living cell.
 It was the first metabolic sequence to be
studied.
 This pathway is also called Embden-
Meyerhof Paranas pathway (E.M.P-
Pathway).
 It occurs in cytosol.
DEFINITION
 Glycolysis is defined as the sequence of
reactions converting glucose to pyruvate or
lactate, with the production of ATP.
 Salient features:
 Takes place in all cells of the body.
 The enzymes of this pathway are present in
the cytosomal fraction of the cell.
 Glycolysis occurs in the absence of oxygen
(anaerobic) or in presence of oxygen
(aerobic).
 In anaerobic condition Lactate is the end
product.
 In aerobic condition, pyruvate is formed,
which is then oxidized to CO2 & H2O.
 Glycolysis is a major pathway for ATP
synthesis in tissues lacking mitochondria,
erythrocytes, cornea, lens etc.
 Glycolysis is very essential for brain which is
dependent on glucose for energy.
 The glucose in brain has to undergo
glycolysis before it is oxidized to CO2 & H2O.
 Glycolysis is a central metabolic pathway
with many of its intermediates providing
branch point to other pathways.
 The intermediates of glycolysis are useful for
the synthesis of amino acids and fat.
GLUCOSE ENTRY INTO
CELLS
 Glucose transporter-4 (GluT4) transports
glucose from extracellular fluid to muscle cells
& adipocytes.
 This is under the influence of Insulin.
 In diabetes mellitus, insulin deficiency hinders
the entry of glucose into the peripheral cells.
 GluT2 is the transporter in liver cell.
 It is not under the control of insulin.
REACTIONS OF
GLYCOLYSIS
 Divided into three distinct phases.
 Energy investment phase or priming phase
 Splitting phase
 Energy generation phase.
ENERGY INVESTMENT
PHASE
 Glucose obtained from
 The diet through intestinal hydrolysis of
lactose, sucrose, glycogen, or starch is
brought into the hexose phosphate pool
through the action of hexokinase.
 Free glucose is phosphorylated to glucose 6
phosphate by hexokinase
 Hexokinase splits the ATP into ADP & Pi,
the Pi is added to the glucose.
 Hexokinase Hexokinase is a key
glycolytic enzyme.
Glucose Glucose 6-Phosphate
Hexokinase or Glucokinase
ATP ADP
Mg+2
• Phosphorylated sugar molecules do not
readily penetrate cell membranes without
specific carriers, this commits glucose to
further metabolism in the cell.
• In all tissues, the phosphorylation of glucose
is catalyzed by hexokinase, one of the three
regulatory enzymes of glycolysis.
HOXOKINASE AND GLUCOKINASE
Hexokinase Glucokinase
Occurrence In all tissues Only in liver
Km Value 10-2 mmol/L 20 mmol/L
Affinity to substrate High Low
Specificity
Acts on glucose, fructose
and mannose
Acts only on glucose
Induction Not induced
Induced by insulin &
glucose
Function
Even when blood sugar
level is low, glucose is
utilized by body cells
Acts only when blood
glucose level is more then
100 mg/dl; then glucose is
taken up by the liver cells
for glycogen synthesis
ISOMERIZATION OF GLUCOSE
6-P
 Glucose 6 P is a central molecule with a
variety of metabolic fates- glycolysis,
glycogenesis, gluconeogenesis and HMP
pathway.
 The isomerization of Glucose 6-P (an aldose
sugar) to Fructose 6-P (a ketose sugar) is
catalyzed by phosphohexose isomerase
 It requires Mg+2 ions.
 The reaction is readily reversible, is NOT a
rate limiting or regulated step.
Glucose 6-Phosphate
Phosphohexose isomerase & Mg+2
Fructose 6-Phosphate
PHOSPHORYLATION OF
FRUCTOSE 6-P
• Fructose 6- phosphate is phosphorylated to Fructose
1, 6- bisphosphate by Phosphofructokinase (PFK)
• The PFK reaction is the rate-limiting step.
• It is controlled by the concentrations of the
substrates ATP & Fructose 6-P
Fructose 6P Fructose 1, 6-bisPhosphate
Phosphofructokinase
ATP ADP
Mg+2
SPLITTING
PHASE
• The six carbon Fructose 1, 6- bisphosphate is split
to 2 three carbon compounds.
• Glyceraldehyde 3- phosphate & Dihydroxy acetone
phosphate by the enzyme aldolase (Fructose 1, 6-
bisphosphate aldolase).
• The reaction is reversible is not subject to regulation.
Fructose 1,6-
bisphosphate
Glyceraldehyde 3-
Phosphate + DHAP
Aldolase
ISOMERIZATION OF
DHAP
• Phosphotriose isomerase catalyzes the reversible
interconversion of dihydroxyacetone phosphate &
glyceraldehyde 3-phosphate.
• Two molecules of glyceraldehyde 3-phosphate are
obtained from one molecule of glucose.
DHAP Glyceraldehyde 3-Phosphate
Phosphohexose isomerase
OXIDATION OF GLYCERALDEHYDE
3P
 Glyceraldehyde 3-phosphate dehydrogenase
converts Glyceraldehyde 3-phosphate to 1,3-
bisphosphoglycerate.
 This step is important as it is involved in the
formation of NADH +H+ & a high energy
compound 1,3- bisphosphoglycerate.
 In aerobic condition, NADH passes through
the ET C and 6 ATP are synthesized by
oxidative phosphorylation.
Glyceraldehyde 3P 1,3-bisphosphoglycerate
Glyceraldehyde 3P-
dehydrogenase
NAD NADH+H+
Pi
FORMATION OF ATP FROM 1,3-
BISPHOSPHOGLYCERATE &
ADP
• The enzyme phosphoglycerate kinase acts on
1,3- bisphosphoglycerate resulting in the
synthesis of ATP and formation of 3-
phosphoglycerate.
1,3-bisphosphoglycerate 3P-glycerate
Phosphoglycerate kinase
ADP ATP
Mg+2
 This step is a substrate-level phosphorylation
 Production of a high-energy P is coupled to the
conversion of substrate to product, instead of
resulting from oxidative phosphorylation.
 The energy will be used to make ATP in the
next reaction of glycolysis.
• The formation of ATP by P group transfer
from a substrate such as 1,3-
bisphosphoglycerate is referred to as a
substrate-level phosphorylation.
• Unlike most other kinases, this reaction is
reversible.
 3- Phosphoglycerate is converted to 2-
Phosphoglycerate by phosphoglycerate
mutase
 This is isomerization reaction.
3-Phosphoglycerate 2P-glycerate
Phosphoglycerate mutase
 The high energy compound PEP is generated
from 2- Phosphoglycerate by the enzyme
enolase.
 This enzyme requires Mg+2 or Mn+2 and is
inhibited by fluoride.
2-Phoglycerate Phosphoenolpyruvate
Enolase
Mg+2
 The enzyme pyruvate kinase catalyses the
transfer of high energy phosphate from PEP
to ADP, leading to the formation of ATP.
 This step is also a substrate level
phosphorylation.
Phosphoenolpyruvate Pyruvate
Pyruvate kinase
ADP ATP
Mg+2
Glucose
Glucose 6-Phosphate
HK or GK
ATP
ADP
Mg+2
Phosphohexose isomerase
Fructose 6-Phosphate
Mg+2
Fructose 1, 6-bisphosphate
Phosphofructokinase
ATP
ADP
Mg+2
DHAP Glyceraldehyde 3-Phosphate
Aldolase
DHAP Glyceraldehyde 3-Phosphate
Phosphohexose isomerase
1,3-bisphosphoglycerate
Glyceraldehyde 3P-
dehydrogenase
NAD
NADH+H+
Pi
Iodoacetate,
Arsenate
3P-glycerate
Phosphoglycerate
kinase
ADP
ATP
Mg+2
2P-glycerate
Mutase
2-Phoglycerate
Phosphoenolpyruvate
Enolase
H2O
Mg+2
Fluoride
Pyruvate
Pyruvatekinase
ADP
ATP
Mg+2
Lactate
Lactate
dehydrogenase
NAD
NADH+H+
REGULATION OF
GLYCOLYSIS
 Three regulatory enzymes:
 Hexokinase & glucokinase
 Phosphofructokinase
 Pyruvate kinase
 Catalysing the irreversible reactions
regulate glycolysis.
HEXOKINASE
 Hexokinase is inhibited by glucose 6-
phosphate.
 This enzyme prevents the accumulation of
glucose 6-phosphate due to product
inhibition.
GLUCOKINASE
 Glucokinase, which specifically
phosphorylates glucose, is an inducible
enzyme.
 The substrate glucose, probably through the
involvement of insulin, induces glucokinase
PHOSPHOFRUCTOKINASE
(PFK)
 Phosphofructo kinase (PFK) is the most
important regulatory enzyme in glycolysis
 PFK is an allosteric enzyme regulated by
allosteric effectors ATP, citrate & H+ ions (low
pH) are the most important allosteric inhibitors.
 Fructose 2 ,6-bisphosphate, ADP, AMP & Pi are
the allosteric activators.
 Role of fructose 2,6-bisphosphate in glycolysis
 Fructose-2,6-bisphosphate (F2,6-BP) is
considered to be the most important
regulatory factor (activator) for controlling
PFK & ultimately glycolysis in the liver.
 F2,6-BP is synthesized from fructose 6-p by the
enzyme phosphofructokinase called PFK-2
(PFK-1 is the glycolytic enzyme)
 F2,6-BP is hydrolysed by fructose 2,6 -
bisphosphatase.
 The function of synthesis & degradation of F2,6-BP
is brought out by a single enzyme (same
polypeptide with two active sites) which is
referred to as bifunctional enzyme.
 The activity of PFK-2 & fructose 2,6- bisphosphatase
is controlled by covalent modification which, in
turn, is regulated by c AMP.
 Cyclic AMP brings about dephosphorylation
of the bifunctional enzyme, resulting in
inactivation of active site responsible for
the synthesis of F2,6-BP but activation of the
active site responsible for the hydrolysis of
F2,6-BP
PYRUVATE KINASE
 PK Inhibited by ATP & activated by F1,6-BP.
 Pyruvate kinase is active (a) in
dephosphorylated state & inactive (b) in
phosphorylated state.
 Inactivation of pyruvate kinase is brought
about by cAMP-dependent protein kinase.
 The hormone glucagon inhibits hepatic
glycolysis by this mechanism.
ENERGY YIELD FROM
GLYCOLYSIS
 During anaerobic:
 One molecule of glucose is converted to 2
molecules of lactate, there is a net yield of 2
molecules of ATP.
 4 molecules of ATP are synthesized by 2
substrate level phosphorylation.
 2 ATP molecules are used in steps 1 & 3,
 Hence, net yield is 2 ATP.
CONVERSION OF PYRUVATE TO
LACTATE
 In anaerobic condition, pyruvate is reduced
to lactate by lactate dehydrogenase (LDH).
 LDH has 5 iso-enzymes.
 The cardiac iso-enzyme of LDH will be
increased in myocardial infarcts.
Conversion of pyruvate to lactate
SIGNIFICANCE OF LACTATE
PRODUCTION
 The NADH is obtained from the reaction
catalysed by glyceraldehyde 3-phosphate
dehydrogenase.
 The formation of lactate allows the
regeneration of NAD+ which can be reused by
glyceraldehyde 3-phosphate dehydrogenase.
 Glycolysis proceeds even in the absence of
oxygen to supply ATP.
Reconversion of NADH to NAD+ during anaerobiasis
 Glycolysis is very essential in skeletal muscle
during strenuous exercise where oxygen
supply is very limited.
 In RBCs, there are no mitochondria.
 Glycolysis in the erythrocytes leads to lactate
production
 RBCs derive energy only through glycolysis,
where the end product is lactic acid.
LACTIC ACIDOSIS
 Elevation of lactic acid in the circulation
(normal plasma 4-15 mg/dl) may occur due to
its increased production or decreased
utilization.
 Mild forms of lactic acidosis are associated
with strenuous exercise, shock, respiratory
diseases, cancers, low PDH activity, von
Gierke's disease etc.
 Severe forms of lactic acidosis are observed
due to impairment/collapse of circulatory
system -in myocardial infarction, pulmonary
embolism, uncontrolled hemorrhage & severe
shock.
 This type of lactic acidosis is due to
inadequate supply of O2 to the tissues with a
drastic reduction in ATP synthesis, which may
lead to death.
 Oxygen debt refers to the excess amount
of O2 required to recover.
 Measurement of plasma lactic acid is
useful to know about the oxygen debt,
and monitor the patient's recovery.
PASTEUR EFFECT
 The Pasteur effect is an inhibiting effects of
oxygen on the fermentation process.
 Pasteur effect is due to the inhibition of the
enzyme phosphofructokinase.
 Glycolytic intermediates from fructose 1,6-
bisphosphate onwards decrease while the
earlier intermediates accumulate.
CRABTREE EFFECT
 Inhibition of oxygen consumption by the
addition of glucose to tissues having high
aerobic glycolysis is known as Crabtree effect.
 Opposite to that of Pasteur effect.
 Crabtree effect is due to increased competition
of glycolysis for inorganic phosphate (Pi) &
NAD+ which limits their availability for
phosphorylation & oxidation.

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Glycolysis

  • 2. METABOLISM  Metabolism is “the entire set of enzyme- catalyzed transformations of organic molecules in living cells.  Two broad classes:  Catabolism & Anabolism  Catabolic Pathways:  Transform fuels into cellular energy
  • 3. ANABOLIC PATHWAYS  Requires inputs of energy to proceed.  Useful energy + small molecules complex molecules.  Pathways that can be either anabolic or catabolic, depending on the energy conditions in the cell are referred to as amphibolic pathways
  • 4. GLYCOLYSIS  Glycolysis occurs in almost every living cell.  It was the first metabolic sequence to be studied.  This pathway is also called Embden- Meyerhof Paranas pathway (E.M.P- Pathway).  It occurs in cytosol.
  • 5. DEFINITION  Glycolysis is defined as the sequence of reactions converting glucose to pyruvate or lactate, with the production of ATP.  Salient features:  Takes place in all cells of the body.  The enzymes of this pathway are present in the cytosomal fraction of the cell.
  • 6.  Glycolysis occurs in the absence of oxygen (anaerobic) or in presence of oxygen (aerobic).  In anaerobic condition Lactate is the end product.  In aerobic condition, pyruvate is formed, which is then oxidized to CO2 & H2O.
  • 7.  Glycolysis is a major pathway for ATP synthesis in tissues lacking mitochondria, erythrocytes, cornea, lens etc.  Glycolysis is very essential for brain which is dependent on glucose for energy.
  • 8.  The glucose in brain has to undergo glycolysis before it is oxidized to CO2 & H2O.  Glycolysis is a central metabolic pathway with many of its intermediates providing branch point to other pathways.  The intermediates of glycolysis are useful for the synthesis of amino acids and fat.
  • 9. GLUCOSE ENTRY INTO CELLS  Glucose transporter-4 (GluT4) transports glucose from extracellular fluid to muscle cells & adipocytes.  This is under the influence of Insulin.  In diabetes mellitus, insulin deficiency hinders the entry of glucose into the peripheral cells.  GluT2 is the transporter in liver cell.  It is not under the control of insulin.
  • 10. REACTIONS OF GLYCOLYSIS  Divided into three distinct phases.  Energy investment phase or priming phase  Splitting phase  Energy generation phase.
  • 11. ENERGY INVESTMENT PHASE  Glucose obtained from  The diet through intestinal hydrolysis of lactose, sucrose, glycogen, or starch is brought into the hexose phosphate pool through the action of hexokinase.  Free glucose is phosphorylated to glucose 6 phosphate by hexokinase
  • 12.  Hexokinase splits the ATP into ADP & Pi, the Pi is added to the glucose.  Hexokinase Hexokinase is a key glycolytic enzyme. Glucose Glucose 6-Phosphate Hexokinase or Glucokinase ATP ADP Mg+2
  • 13. • Phosphorylated sugar molecules do not readily penetrate cell membranes without specific carriers, this commits glucose to further metabolism in the cell. • In all tissues, the phosphorylation of glucose is catalyzed by hexokinase, one of the three regulatory enzymes of glycolysis.
  • 14. HOXOKINASE AND GLUCOKINASE Hexokinase Glucokinase Occurrence In all tissues Only in liver Km Value 10-2 mmol/L 20 mmol/L Affinity to substrate High Low Specificity Acts on glucose, fructose and mannose Acts only on glucose Induction Not induced Induced by insulin & glucose Function Even when blood sugar level is low, glucose is utilized by body cells Acts only when blood glucose level is more then 100 mg/dl; then glucose is taken up by the liver cells for glycogen synthesis
  • 15. ISOMERIZATION OF GLUCOSE 6-P  Glucose 6 P is a central molecule with a variety of metabolic fates- glycolysis, glycogenesis, gluconeogenesis and HMP pathway.  The isomerization of Glucose 6-P (an aldose sugar) to Fructose 6-P (a ketose sugar) is catalyzed by phosphohexose isomerase  It requires Mg+2 ions.
  • 16.  The reaction is readily reversible, is NOT a rate limiting or regulated step. Glucose 6-Phosphate Phosphohexose isomerase & Mg+2 Fructose 6-Phosphate
  • 17. PHOSPHORYLATION OF FRUCTOSE 6-P • Fructose 6- phosphate is phosphorylated to Fructose 1, 6- bisphosphate by Phosphofructokinase (PFK) • The PFK reaction is the rate-limiting step. • It is controlled by the concentrations of the substrates ATP & Fructose 6-P Fructose 6P Fructose 1, 6-bisPhosphate Phosphofructokinase ATP ADP Mg+2
  • 18. SPLITTING PHASE • The six carbon Fructose 1, 6- bisphosphate is split to 2 three carbon compounds. • Glyceraldehyde 3- phosphate & Dihydroxy acetone phosphate by the enzyme aldolase (Fructose 1, 6- bisphosphate aldolase). • The reaction is reversible is not subject to regulation. Fructose 1,6- bisphosphate Glyceraldehyde 3- Phosphate + DHAP Aldolase
  • 19. ISOMERIZATION OF DHAP • Phosphotriose isomerase catalyzes the reversible interconversion of dihydroxyacetone phosphate & glyceraldehyde 3-phosphate. • Two molecules of glyceraldehyde 3-phosphate are obtained from one molecule of glucose. DHAP Glyceraldehyde 3-Phosphate Phosphohexose isomerase
  • 20. OXIDATION OF GLYCERALDEHYDE 3P  Glyceraldehyde 3-phosphate dehydrogenase converts Glyceraldehyde 3-phosphate to 1,3- bisphosphoglycerate.  This step is important as it is involved in the formation of NADH +H+ & a high energy compound 1,3- bisphosphoglycerate.
  • 21.  In aerobic condition, NADH passes through the ET C and 6 ATP are synthesized by oxidative phosphorylation. Glyceraldehyde 3P 1,3-bisphosphoglycerate Glyceraldehyde 3P- dehydrogenase NAD NADH+H+ Pi
  • 22. FORMATION OF ATP FROM 1,3- BISPHOSPHOGLYCERATE & ADP • The enzyme phosphoglycerate kinase acts on 1,3- bisphosphoglycerate resulting in the synthesis of ATP and formation of 3- phosphoglycerate. 1,3-bisphosphoglycerate 3P-glycerate Phosphoglycerate kinase ADP ATP Mg+2
  • 23.  This step is a substrate-level phosphorylation  Production of a high-energy P is coupled to the conversion of substrate to product, instead of resulting from oxidative phosphorylation.  The energy will be used to make ATP in the next reaction of glycolysis.
  • 24. • The formation of ATP by P group transfer from a substrate such as 1,3- bisphosphoglycerate is referred to as a substrate-level phosphorylation. • Unlike most other kinases, this reaction is reversible.
  • 25.  3- Phosphoglycerate is converted to 2- Phosphoglycerate by phosphoglycerate mutase  This is isomerization reaction. 3-Phosphoglycerate 2P-glycerate Phosphoglycerate mutase
  • 26.  The high energy compound PEP is generated from 2- Phosphoglycerate by the enzyme enolase.  This enzyme requires Mg+2 or Mn+2 and is inhibited by fluoride. 2-Phoglycerate Phosphoenolpyruvate Enolase Mg+2
  • 27.  The enzyme pyruvate kinase catalyses the transfer of high energy phosphate from PEP to ADP, leading to the formation of ATP.  This step is also a substrate level phosphorylation. Phosphoenolpyruvate Pyruvate Pyruvate kinase ADP ATP Mg+2
  • 28. Glucose Glucose 6-Phosphate HK or GK ATP ADP Mg+2 Phosphohexose isomerase Fructose 6-Phosphate Mg+2 Fructose 1, 6-bisphosphate Phosphofructokinase ATP ADP Mg+2 DHAP Glyceraldehyde 3-Phosphate Aldolase
  • 29. DHAP Glyceraldehyde 3-Phosphate Phosphohexose isomerase 1,3-bisphosphoglycerate Glyceraldehyde 3P- dehydrogenase NAD NADH+H+ Pi Iodoacetate, Arsenate 3P-glycerate Phosphoglycerate kinase ADP ATP Mg+2 2P-glycerate Mutase
  • 31.
  • 32. REGULATION OF GLYCOLYSIS  Three regulatory enzymes:  Hexokinase & glucokinase  Phosphofructokinase  Pyruvate kinase  Catalysing the irreversible reactions regulate glycolysis.
  • 33. HEXOKINASE  Hexokinase is inhibited by glucose 6- phosphate.  This enzyme prevents the accumulation of glucose 6-phosphate due to product inhibition.
  • 34. GLUCOKINASE  Glucokinase, which specifically phosphorylates glucose, is an inducible enzyme.  The substrate glucose, probably through the involvement of insulin, induces glucokinase
  • 35. PHOSPHOFRUCTOKINASE (PFK)  Phosphofructo kinase (PFK) is the most important regulatory enzyme in glycolysis  PFK is an allosteric enzyme regulated by allosteric effectors ATP, citrate & H+ ions (low pH) are the most important allosteric inhibitors.  Fructose 2 ,6-bisphosphate, ADP, AMP & Pi are the allosteric activators.
  • 36.  Role of fructose 2,6-bisphosphate in glycolysis  Fructose-2,6-bisphosphate (F2,6-BP) is considered to be the most important regulatory factor (activator) for controlling PFK & ultimately glycolysis in the liver.  F2,6-BP is synthesized from fructose 6-p by the enzyme phosphofructokinase called PFK-2 (PFK-1 is the glycolytic enzyme)
  • 37.  F2,6-BP is hydrolysed by fructose 2,6 - bisphosphatase.  The function of synthesis & degradation of F2,6-BP is brought out by a single enzyme (same polypeptide with two active sites) which is referred to as bifunctional enzyme.  The activity of PFK-2 & fructose 2,6- bisphosphatase is controlled by covalent modification which, in turn, is regulated by c AMP.
  • 38.  Cyclic AMP brings about dephosphorylation of the bifunctional enzyme, resulting in inactivation of active site responsible for the synthesis of F2,6-BP but activation of the active site responsible for the hydrolysis of F2,6-BP
  • 39. PYRUVATE KINASE  PK Inhibited by ATP & activated by F1,6-BP.  Pyruvate kinase is active (a) in dephosphorylated state & inactive (b) in phosphorylated state.  Inactivation of pyruvate kinase is brought about by cAMP-dependent protein kinase.  The hormone glucagon inhibits hepatic glycolysis by this mechanism.
  • 40. ENERGY YIELD FROM GLYCOLYSIS  During anaerobic:  One molecule of glucose is converted to 2 molecules of lactate, there is a net yield of 2 molecules of ATP.  4 molecules of ATP are synthesized by 2 substrate level phosphorylation.  2 ATP molecules are used in steps 1 & 3,  Hence, net yield is 2 ATP.
  • 41. CONVERSION OF PYRUVATE TO LACTATE  In anaerobic condition, pyruvate is reduced to lactate by lactate dehydrogenase (LDH).  LDH has 5 iso-enzymes.  The cardiac iso-enzyme of LDH will be increased in myocardial infarcts.
  • 43. SIGNIFICANCE OF LACTATE PRODUCTION  The NADH is obtained from the reaction catalysed by glyceraldehyde 3-phosphate dehydrogenase.  The formation of lactate allows the regeneration of NAD+ which can be reused by glyceraldehyde 3-phosphate dehydrogenase.  Glycolysis proceeds even in the absence of oxygen to supply ATP.
  • 44. Reconversion of NADH to NAD+ during anaerobiasis
  • 45.  Glycolysis is very essential in skeletal muscle during strenuous exercise where oxygen supply is very limited.  In RBCs, there are no mitochondria.  Glycolysis in the erythrocytes leads to lactate production  RBCs derive energy only through glycolysis, where the end product is lactic acid.
  • 46. LACTIC ACIDOSIS  Elevation of lactic acid in the circulation (normal plasma 4-15 mg/dl) may occur due to its increased production or decreased utilization.  Mild forms of lactic acidosis are associated with strenuous exercise, shock, respiratory diseases, cancers, low PDH activity, von Gierke's disease etc.
  • 47.  Severe forms of lactic acidosis are observed due to impairment/collapse of circulatory system -in myocardial infarction, pulmonary embolism, uncontrolled hemorrhage & severe shock.  This type of lactic acidosis is due to inadequate supply of O2 to the tissues with a drastic reduction in ATP synthesis, which may lead to death.
  • 48.  Oxygen debt refers to the excess amount of O2 required to recover.  Measurement of plasma lactic acid is useful to know about the oxygen debt, and monitor the patient's recovery.
  • 49. PASTEUR EFFECT  The Pasteur effect is an inhibiting effects of oxygen on the fermentation process.  Pasteur effect is due to the inhibition of the enzyme phosphofructokinase.  Glycolytic intermediates from fructose 1,6- bisphosphate onwards decrease while the earlier intermediates accumulate.
  • 50. CRABTREE EFFECT  Inhibition of oxygen consumption by the addition of glucose to tissues having high aerobic glycolysis is known as Crabtree effect.  Opposite to that of Pasteur effect.  Crabtree effect is due to increased competition of glycolysis for inorganic phosphate (Pi) & NAD+ which limits their availability for phosphorylation & oxidation.