2. DEFINITION
• Carbohydrates are polyhydroxy aldehydes or
ketones or compounds which yield these on
hydrolysis.
C
C OH
H
C H
HO
C OH
H
C OH
H
CH2OH
D-glucose
O
H
C H
HO
C OH
H
C OH
H
CH2OH
CH2OH
C O
D-fructose
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3. BIOMEDICAL IMPORTANCE
1. Most abundant dietary source of energy.
2. Also serve as storage form of energy – Glycogen.
3. Participate in the structure of cell membrane &
cellular functions (cell growth, adhesion and
fertilization).
4. Mucopolysaccharides form the ground substance of
mesenchymal tissues.
5. Certain carbohydrate derivatives are used as drugs,
like cardiac glycosides / antibiotics.
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4. ASSOCIATED DISORDERS
❖ Derangement in Glucose metabolism – Diabetes
Mellitus.
❖ Inherited deficiency of certain enzymes in
metabolic pathways of different carbohydrates
cause diseases.
• Glycogen storage disorders
• Galactosemia
• Hereditary fructose intolerence
• Lactose intolerance, etc.
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6. CLASSIFICATION
• Based on number of sugar units present.
– Monosaccharides.
• Cannot be hydrolyzed further into simpler forms.
– Disaccharides.
• Yield 2 molecules of same or different monosaccharide
units on hydrolysis.
– Oligosaccharides.
• Yield 3-10 molecules of monosaccharide units on
hydrolysis.
– Polysaccharides.
• Yield more than 10 molecules of same or different
monosaccharide units on hydrolysis.
• Homo- & Heteropolysaccharides.
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
7. MONOSACCHARIDES
• Simplest group of carbohydrates, cannot be further hydrolysed.
• General formula : Cn(H2O)n
• Categorization of monosaccharides is based on
– the Functional Group. (Aldehyde or keto)
– the Number of Carbon atoms.
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
9. COMMON MONOSACCHARIDES
No. of C
atoms
Generic name Aldoses Ketoses
3 Triose Glyceraldehyde Dihydroxy acetone
4 Tetrose Erythrose Erythrulose
5 Pentose Ribose
Xylose
Ribulose
Xylulose
6 Hexose Glucose
Galactose
Fructose
7 Heptose Glucoheptose Sedoheptulose
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
10. STEREOISOMERS
• Compounds having same structural formula, but differ in
spatial configuration.
• Asymmetric Carbon atom: Attached to four different atoms or
groups.
• Vant Hoff’s rule: The possible isomers (2n) of a given
compound is determined by the number of asymmetric carbon
atoms (n).
• Reference C atom: Penultimate C atom, around which mirror
images are formed.
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12. D & L ISOMERISM OF GLUCOSE
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13. OPTICALACTIVITY
• Dextrorotatory (+) : If the sugar solution turns
the plane of polarized light to right.
• Levorotatory (–) : If the sugar solution turns
the plane of polarized light to left.
• Racemic mixture: Equimolar mixture of
optical isomers has no net rotation.
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14. EPIMERISM
• Sugars are different from one another, only in
configuration with regard to a single C atom (other
than the reference C atom).
HO
OH
H
H
Mannose
D-Mannose
HO
OH
H
H
Mannose
D-Mannose
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15. MUTAROTATION & ANOMERISM
• When D-glucose is crystallised at room temp. and a fresh
solution is prepared, its specific rotation of polarised light is +
112.2O;but after 12-18 hrs it changes to + 52.50. If initial
crystallisation takes place at 980 C, initial rotation is +190,
which also changes to 52.50.
• Anomers are produced by spatial configuration with reference
to 1st C atom in aldoses and 2nd C atom in ketoses.
• So, total 16 isomers are there for glucose.
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
16. α AND ß ANOMERS OF D-GLUCOSE
H O
OH
H
OH
H
OH
CH2OH
H
OH
H H O
OH
H
OH
H
OH
CH2OH
H
H
OH
-D-glucose -D-glucose
2
3
4
5
6
1 1
6
5
4
3 2
H
CHO
C OH
C H
HO
C OH
H
C OH
H
CH2OH
1
5
2
3
4
6
D-glucose
(linear form)
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17. DIFFERENT REPRESENTATIONS OF
GLUCOSE STRUCTURE
1
2
3
4
5
6
FISCHER’S FORMULA
HAWORTH
FORMULA
OPEN CHAIN
PROJECTION
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
18. GLUCOSE VS. FRUCTOSE
• D glucopyranose is the stable form of glucose and it
exhibits the dextro rotation.
• Fructose exits as D furanose & exhibits laevo rotation.
D glucopyranose D fructofuranose
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19. REACTIONS OF
MONOSACCHARIDES
• Tautomerization or Enolization.
• Reducing properties.
• Oxidation.
• Reduction.
• Dehydration.
• Formation of Esters
• Glycoside formation.
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
20. ENEDIOL FORMATION
• In mild alkaline solutions, carbohydrates containing free sugar
group tautomerises to form enediols, where 2 –OH groups are
attached to double-bonded carbon.
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
21. REDUCING PROPERTIES
• Attributed to the free aldehyde or keto group of anomeric
carbon.
• Tests done to identify the reducing action of sugars
include :
– Benedict’s test.
– Barfoed’s test.
– Fehling’s test.
– Osazone test.
• Reduction is more efficient in alkaline medium than in
acidic medium.
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
24. BARFOED’S TEST
• Reducing monosaccharides are oxidized by the copper ion
in solution to form a carboxylic acid and a reddish
precipitate of cuprous oxide within three minutes.
Red scum at
bottom
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
25. FEHLING’S TEST
• Fehling I:CuSO4
• Fehling II: K-Na- tartrate + NaOH
• Fehling's reagent: Equal volumes of Fehling I and Fehling II
are mixed to form a deep blue solution.
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
26. OSAZONE FORMATION
⚫ Phenylhydrazine in acetic acid, when boiled with reducing
sugars, forms osazones.
FRUCTOSE
PHENYL
HYDRAZINE FRUCTOSAZONE
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
28. OXIDATION
C
C OH
H
C H
HO
C OH
H
C OH
H
CH2OH
D-glucose
O
H
Gluconic acid
Glucuronic acid
Glucosaccharic
acid
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
29. REDUCTION
C
C OH
H
C H
HO
C OH
H
C OH
H
CH2OH
D-glucose
O
H
C H
HO
C OH
H
C OH
H
CH2OH
CH2OH
C O
D-fructose
D-
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
30. • Furfurals condense with phenolic compounds (-naphthol) to
form coloured products.
– Basis of the “Molisch test”.
1
2
3
4
5
6
Conc. H2SO4
3H2O
DEHYDRATION
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
31. FORMATION OF ESTERS
• Esterification of alcoholic groups of mono-saccharides with
phosphoric acid is a common reaction in metabolism.
• Examples :
– Glucose-6-phosphate, and
– Glucose-1-phosphate.
• ATP donates the phosphate moiety.
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
32. GLYCOSIDE FORMATION
• The hydroxyl group of anomeric carbon of a carbohydrate can
join with a hydroxyl group of another carbohydrate or some
other compound to form a glycoside and the bond so formed is
known as glycosidic bond.
eg. R-OH + HO-R' → R-O-R' + H2O
• The non-carbohydrate moiety is known as aglycone – phenol,
sterol, bases, CH3OH, glycerol.
• Glycosidic bond can be N-linked or, O-linked.
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33. N-Glycosidic linkage O- Glycosidic linkage
N & O GLYCOSIDIC
LINKAGE
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
34. BIOMEDICAL IMPORTANCE OF
GLYCOSIDES
• Cardiac Glycosides – Digoxin, Digitoxin
– Used in cardiac insufficiency.
– Contain steroids as aglycone component.
• Ouabain – Sodium pump inhibitor.
• Streptomycin – Antibiotic
• Phloridzin – cause renal damage, glycosuria.
– Obtained from root & bark of apple tree.
– Blocks the transport of sugar across the mucosal cells of
small intestine & also renal tubular epithelium.
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
35. AMINO SUGARS
• Amino groups are substituted for hydroxy groups of
sugars.
H O
OH
H
OH
H
NH2
H
OH
CH2OH
H
-D-glucosamine
H O
OH
H
OH
H
N
H
OH
CH2OH
H
-D-N-acetylglucosamine
C CH3
O
H
NH O
H
COO−
OH
H
H
OH
H
H
R
C
H3C
O
HC
HC
CH2OH
OH
OH
N-acetylneuraminate (sialic acid)
R =
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
36. DEOXY SUGARS
• Oxygen of the hydroxyl group is removed to form deoxy
sugars.
• Non reducing and non osazone forming.
• Important part of nucleic acids.
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
37. DISACCHARIDES
• Two monosaccharides combined together by glycosidic
linkage.
– Reducing : Maltose, Lactose – with free
aldehyde or keto group.
– Non-reducing : Sucrose, Trehalose – no free
aldehyde or keto group.
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
38. SUCROSE
• Cane sugar.
• α-D-glucose & β-D-fructose units
held together by (α1→ β2)
glycosidic bond.
• Reducing groups in both are
involved in bond formation, hence
non reducing.
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
39. INVERT SUGAR
• Sucrose is dextrorotatory. (+66.50)
• During hydrolysis, sucrose is first split into α-D-
glucopyranose & β-D-fructofuranose (both dextrorotatory).
• β-D-fructofuranose is less stable and immediately converted
to β-D-fructopyranose (strongly levorotatory).
• Net rotation : – 28.20.
• Sweeter than sucrose.
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
40. TREHALOSE
1- 1 glycosidic linkage
C
C
CH2OH
H OH
C
OH
H C
H
HO
H OH
C O
H
D-Glucose
C
C
CH2OH
H OH
C
OH
H C
H
HO
H OH
C O
H
D-Glucose
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
41. LACTOSE
• Present in milk.
• β-D-galactose & β-D-
glucose units held
together by β (1→4)
glycosidic bond.
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
42. MALTOSE
⚫Malt sugar.
Produced during the course of digestion
of starch by the enzyme amylase.
⚫Two α-D-glucose units held together by
α (1→4) glycosidic bond.
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
43. POLYSACCHARIDE
• Repeat units of monosaccharides or their derivatives held
together by glycosidic bonds.
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45. STARCH
• Carbohydrate reserve of
plants. Present in Cereals,
Roots, Tuber, Vegetables.
• Consists of Amylose
(water soluble) &
Amylopectin (water
insoluble).
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
46. AMYLOSE
• Long unbranched chain.
• 200 – 20,000 D-glucose units held together by α (1→4)
glycosidic linkages.
AMYLOSE
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
47. AMYLOPECTIN
• Branched chain. (α 1→6 glycosidic bonds at branches).
• 20 – 30 glucose units per branch.
AMYLOPECTIN
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
48. HYDROLYSIS OF STARCH
• Colour disappears with heating and reappears when cooled.
• Starch is non reducing.
• Hydrolysis for a short time: Violet colour due to Amylopectin
(non reducing).
• Further hydrolysis: Red colour due to Erythrodextrin
(reducing).
• Later Achrodextrin & Maltose (both reducing).
+ve -ve
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
49. ACTION OF AMYLASE
• Starch Dextrins α/ß-Maltose
• Amylopectin
Maltoses
Salivary &
pancreatic α-
amylase or ß-
amylase
ß-amylase
Limit dextrin
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
50. GLYCOGEN
• Reserve carbohydrate in
animals. Stored in liver &
muscle.
• Forms red-brown/brown-
violet colour with iodine.
• Contains primer protein:
Glycogenin.
• More branched and compact
than amylopectin. Every 11th
sugar molecule has a branch.
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
52. CELLULOSE
• Chief carbohydrate in plants.
• Made up of glucose units combined with cellobiose bridges.
• No branching point.
• Cannot be digested by human due to absence of Cellobiase.
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
53. INULIN
• Inulin is made up of D-
fructose units with repeating
ß-1,2 linkages.
• It acts as a marker for
glomerular filtration since it
is not synthesized,
metabolized but filtered
completely by glomerulus.
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
54. CHITIN
⚫Chitin is found in crustaceans
eg.lobsters,crabs,shrimps,insects.
⚫Composed of N-acetyl
glucosamine units joined by ß-1,4
glycosidic linkages.
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56. AGAR
• Prepared from sea weeds.
• Contains Galactose, Glucose
and other sugars.
• Used as supporting medium for
immunodiffusion &
immunoelectrophoresis.
• Agarose contains Galactose
combined with3,6
anhydrogalactose units.
• Agarose is used as matrix for
electrophoresis.
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
57. MUCOPOLYSACCHARIDES
• Also known as GAG.
• Made up of repeating units of sugar derivatives
(aminosugars and uronic acids).
• Acetylated amino groups, sulfates and carboxyl groups are
generally present.
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58. HYALURONIC ACID
• Present in connective tissues, tendons, synovial fluid and
vitreous humor.
• Composed of repeating units of N-acetyl glucosamine → ß-
1,4 glucuronic acid → ß-1,3 N-acetyl glucosamine.
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
59. HEPARIN
• Anticoagulant. Bind and activate Antithrombin III, which
in turn activates Thrombin, Factor X & Factor IX.
• Present in lung, spleen and monocytes.
• Contains repeating units of sulphated glucosamine → α-
1,4 L-iduronic acid.
• Sulphated: Heparan sulphate
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
60. CHONDROITIN SULPHATE
• Present in ground substances of connective tissues of
cartilages, bones & tendons.
• Composed of Glucuronic acid → ß-1,3 N-acetyl
galactosamine sulphate → ß-1,4 and so on.
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61. KERATAN SULPHATE
• Only GAG not having Uronic acid.
• Found in cornea and tendons.
• Repeating units are Galactose & N-acetyl galactosamine in
ß linkage.
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
62. DERMATAN SULPHATE
• Found in skin, blood vessels & heart vessels.
• Contains L-iduronic acidand N-acetyl galactosamine in ß-
1,3 linkage.
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
63. MUCOPLYSACCHARIDOSIS
NAME ENZYME DEFECT URINARY
METABOLITES
MPS I : Hurler’s α -L-Iduronidase Dermatan sulfate
Heparan sulfate
MPS II: Hunter’s Iduronate sulphatase Dermatan sulfate
Heparan sulphate
MPS IIIA: San Filippo A
MPS IIIB: San Filippo B
MPS IIIC: San Filippo C
MPS IIID: San Filippo D
Sulfamidase
α-N-acetyl glucosaminidase
Acetyl transferase
N-acetyl glucosamine 6
sulfatase
Heparan sulfate
Heparan sulfate
Heparan sulfate
Heparan sulfate
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
64. MUCOPLYSACCHARIDOSIS
NAME ENZYME DEFECT URINARY
METABOLITES
MPS IVA: Morquio A
MPS IVB: Morquio B
Galactosamine 6 sulfatase
ß-galactosidase
Keratan sulfate,
Chondroitin 6-sulfate
MPS VI: Maroteaux-
Lamy
Arylsulfatase B Keratan sulfate
MPS VII: Sly ß-glucuronidase Dermatanan sulphate
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
65. PROTEOGLYCANS &
GLYCOPROTEINS
• Proteoglycans: When carbohydrate chains are
attached to a polypeptide chain.
• Glycoproteins: Carbohydrate content ≤ 10%.
• Mucoprotein: Carbohydrate content ≥10%
Proteoglycan
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17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB.
66. THANK YOU
• IN WHATEVER AREA OF YOUR INTEREST, YOUR
INVOLMENT AND PRESENCE SHOULD SPEAK
FOR YOU, NOT OUR MOUTH!
17/11/22 Dr. Chongo Shapi, BSc. HB,MBChB. 66