carbohydrate ism gluconeogenesis,glycogenolysis

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    Carbohydrate Metabolism

    Dr. Milind Dudhane

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    Glycolysis.

    2

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    .

    After being absorbed from the intestinal tract

    the monosaccharides are carried by the portal

    circulation directly to the liver.

    In liver most of the D-Glucose is

    phosphorylated to Glucose -6- phosphate which

    can not diffuse back out of the cell as plasma

    membrane is impermeable to the glucose -6-

    phosphate.

    Remaning glucose passes into systemic blood

    supply.Other dietary monosaccharides D-fructose & D-

    galactose are phosphorylated & may be

    converted to glucose in the liver.

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    .

    Glucose -6- phosphate is an intermediate in severalmetabolic pathways that uses glucose in liver depe

    Glycogen nding upon supply & demand.

    Glucose-6-phosphateGlycogenesis

    TG

    Glycogen Pentose phosphate, NADPH

    Pentose phosphatePathway

    Pyruvate

    Acetyl CoA

    CO2 + H2O

    Cholesterol

    Fatty acid

    Glycolysis

    Blood Sugar

    4

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    Glycolysis (Embden Meyerhofpathway)Definition : Glycolysis is the sequence that

    converts glucose into pyruvate in presence ofoxygen(aerobic) or lactate in absence of oxygen

    (anarerobic) with the production of ATP

    Location : Cytosol of cell

    Reactions of Glycolysis:

    The breakdown of glucose to two moles of

    pyruvate is brought about by sequential action of

    10 enzymes which can be devided into twophases.

    First phase or energy requiring phase or preparative phase

    First phase or energy requiring phase

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    Phases ofGlycolytic pathwayGlucose

    ATP

    ATP

    Fructose1,6 Bisphosphate

    2- triose phosphate

    2 ATP

    2 ATP

    2 NADH 6 ATP

    2 Pyruvate

    First phase:Energy

    requiring phase

    Second phase:Energy

    releasing phase

    6

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    First phase or energy requiring phase orpreparative phase

    1. Glucose is phosphorylated to Glu-6-phosphateby enzyme Hexokinase &ATP is required as

    phosphate donar.[ Hexokinase occur in different

    isoenzyme forms type I to IV]

    Brain And Kidney Type I

    Skeletal Muscles Type II

    Adipose tissues Type I & II

    Liver All types from I to

    IV

    7

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    .

    2. Conversion of glucose-6-phosphate to

    fructose-6-phosphate by enzymephosphohexose isomerase is freely reversible

    reaction.

    3. fructose-6-phosphate is phophorylated to

    fructose-1-6-bisphosphate byphosphofructokinase-I.

    phosphofructokinase-Iis both allosteric and

    inducible enzyme which is rate limiting &

    regulatory enzyme of glycolysis.

    8

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    .

    4. Fructose-1-6-bisphosphate is cleaved by

    enzyme aldolase to two triose phosphates,glyceraldehyde-3-phosphate & dihydroxy

    acetone phosphate(DHAP).

    Several tissue specific isoenzymes of aldolase

    exists.Aldolase A occurs in most tissues &aldolase B occurs in liver & kidney.

    5. DHAP is isomerized to glyceraldehyde-3-

    phosphate by the enzyme phosphotriose

    isomerase,so that for every molecule of Glucoseentering glycolysis,2 moles of glyceraldehyde-3-

    phosphate are formed.

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    .

    Second phase or energy releasing phase reactions1. Oxidation ofglyceraldehyde-3-phosphate to

    1,3 bisphosphoglycerate by glyceraldehyde-3-

    phosphate dH, an NAD dependent, reversible

    reaction. NADH+

    + H+

    are reoxidized by ETC togenerate 3 ATP molecules.

    2. 1,3-bisphosphoglycerate to 3-

    phosphoglycerate catalyzed by

    phosphoglycerate kinase. This is the first step inglycolysis that generates ATP, by substrate level

    phosphorylation(SLP).

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    .

    Since two molecules of triose phosphate are

    formed per molecule of glucose 2 ATPs are

    generated at this stage.Arsenate can uncouple

    oxidation & phosphorylation at this step.

    3. Phosphoglycerate mutase catalyze the

    reversible reaction 3-phosphoglycerate to 2-phosphoglycerate.

    4. Enolase converts 2-phosphoglycerate to

    phosphoenol pyruvate. Enolase in inhibited by

    fluoride.

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    .

    5. Conversion ofphosphoenol pyruvate to

    pyruvate is brought about by Pyruvate

    kinase(an allosteric enzyme)ATP is generated

    by substrate level phosphorylation. (2 ATPs per

    molecule of glucose).

    Under aerobic condition pyruvate is takenup into mitochondria and after conversion to

    acetyl Co A is oxidized to CO2 by TCA.

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    .

    13

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    .

    Glucose Glucose-6- P

    Fructose-6-

    P P

    P

    Hexokinase

    ATP Mg2+ ADP Phospho hexose isomerase

    Fructose-1-6-bisphosphate

    Dihydroxy acetoneGlyceraldehyde-3-

    1,3-bisphosphoglycerate

    3-Phosphoglycerate

    Phospho fructokinaseATP

    Mg2+

    ADP

    Aldolase

    Phospho triose isomeraseGlyceraldehyde 3-

    phosphate dH

    NAD

    NADH

    Phospho glycerate kinase

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    .

    3-Phosphoglycerate

    2 -Phosphoglycerate

    Phosphoenolpyruvate

    Pyruvate

    Phosp

    ho glycerate Mutase

    EnolaseH2O

    Pyruvate kinaseADP

    Mg2+

    ATP

    Acetyl CoAPDH

    Anaerobic

    Oxidation

    Lactate15

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    Conversion of Pyruvate to Acetyl CoA

    16

    Conversion of Pyruvate to Acetyl CoA occurs in

    mitochondria & hence pyruvate must betranspoted into mitochondria by special pyruvate

    transport.

    Within the mitochondria pyruvate is oxidatively

    decarboxylated to acetyl Coa by multienzymecomplex,consisting .

    Enzymes : Pyruvate decarboxylate

    Dihydrolipoate transacetylase &

    Dihydrolipoate dH

    Coenzymes: TPP, Lipoate, CoASH,FAD & NAD

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    Oxidative decarboxylation ofPyruvate to by Pyruvate dH complex

    ..

    O

    II

    CH3 C COO

    Pyruvate

    O

    II

    CH3 C SCoA

    Acetyl CoA

    NAD+ NADH + H+

    PDH CO2

    TPP, Lipoate, CoA-SH,FAD

    Significance : Conversion of Pyruvate to Acetyl CoA is a

    central step linking glycolitic pathway with TCA.

    Acetyl CoA is also an important intermediate of lipid

    metabolism, Cholesterol biosynthesis and acetylation

    reactions.

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    Pyruvate

    -OH ethylthiamine pyrpphosphate

    Thiamine pyrpphosphate

    CO2

    Oxidizedlipoate

    Pyruvate

    Decarboxylase

    DihydrolipoateTransacetylase

    Pyruvate

    decarboxylase

    Reducedlipoate

    S-Acetyl lipoate

    FADH2

    FAD

    DihydrolipoatedH

    NADH + H+

    NAD

    3ATP

    ETCCoASH CH3 C SCoA

    II

    OAcetyl CoA

    Oxidative decarboxylation ofPyruvate to by Pyruvate dH complex

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    Metabolic fates of Acetyl CoA

    Xenobiotic metabolism

    N-Acetylglutamate

    in urea biosynthesis

    Acetyl Choline Acetylation of aminosugar

    Glycoprotein synthesis

    Ketone bodies N-Acetylneuraminic acidganglioside synthesis

    Acetyl CoA

    Catabolism

    TCA

    cycleATPCholesterolSynthesis

    CO2+ H2O

    Fatty acidSynthesis

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    .

    Anaerobic Glycolysis :

    If anaerobic condition prevail the reoxidation of

    NADH(formed in glyceraldehyde-3-phosphatestep) by transfer of reducing equivalents through

    the respiratory chain to oxygen is prevented. But

    are reoxidized by conversion of pyruvate to lactate

    By LDH.

    Tissues that function under anaerobic

    condition produce lactate,e.g. skeletal muscle,

    smoth muscle & erythrocytes.

    In erythrocytes even under aerobic conditions,

    glycolysis terminates in lactate because of

    absence of Mitochondria.

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    .

    The liver, kidney & heart usually take up

    lactate & oxidize it under hypoxic condition. This

    allows other active muscle cells to utilizeglucose.

    During vigorous exercise the rate of

    formation of pyruvate exceeds its utilization.Moreover rate of formation of NADH is greater

    than its utilization. This accumulated NADH is to

    oxidized to NAD in order to supply enough NAD

    for glycolysis in skeletal muscle & erythrocytes.

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    .

    Significance ofAnaerobic Glycolysis :

    The reoxidation of NADH via lactate

    formation allows glycolysis to proceed in the

    absence of oxygen by regenerating sufficient

    NAD for another cycle of reaction catalyzed by

    glyceraldehyde-3-phosphate dHAnaerobic glycolysis is an emergency source

    of ATP.

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    .

    Energetics of Glycolysis:

    The overall reaction of aerobic glycolysis alone

    using either free glucose, fructose or galactose

    yielding pyruvate generates:

    2 molecules of NADH

    4

    molecules of ATP at SLP But2 molecules of ATP per mole of hexose are

    consumed.

    The NET gain of2 moles of each NADH & ATP .

    The NADH thus formed must be transportedto mitochondria so that it can be utilized there.

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    .

    Mitochondrial membrane is impermeable to

    both NADH & NAD & hence the shuttle systems

    namely.

    Glycerol phosphate & Malate aspartate

    shuttle which yield 2 &3 moles of ATP

    respectively per mole of NADH.Further oxidation of Pyruvate to CO2 & H2O

    yields 38 ATPs in citric acid cycle.

    In anaerobicglycolysis on the other

    hand only 2 moles of ATP& NONADHare produced.

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    .

    Consumption ofATPin Glycolysis

    Reaction Reaction Catalyzed by No. of ATP

    consumed/mole Glucose

    Gluc to Gluc-6-

    phosphate

    Fruct-6-phosphateto Fruct-1,6-

    bisphosphate

    Hexokinase,

    Glucokinase

    Phosphofructokinase

    -1

    -1

    Total = -2

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    .

    Production ofATP in Glycolysis

    Reaction Reaction

    catalyzed by

    Mechanism

    of ATP

    Production

    No.of ATP

    formed/Gl

    u molecule

    Glyc-3-P to 1,3

    bisphosphoglycerat

    e

    Glycaldehyde-

    3-phsphate

    dH

    ETC

    + 6

    1,3 bisphospho-

    glycerate to

    3-hosphoglycerate

    Phosphoglycer

    ate kinase

    SLP

    +2

    Phosphoenol

    pyruvate topyruvate

    Pyruvate

    kinase

    SLP +2

    Totalproduction

    10

    So the NET production is 10 2 = 8 ATP26

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    .

    Rapoport Lubering Cycle OR

    Bisphosphoglycerate Shunt :

    Mature erythrocytes contain no mitochondria.

    So they are totally dependent upon glycolysis for

    ATP production. Erythrocytes metabolizes

    excessive amount of glucose in the glycolytic

    pathway to maintain the structural integrity of the

    erythrocyte membrane,resulting in generation of

    more ATPs.Those are in excess & can not be

    used by erythrocytes.This may inhibit glycolysisby inhibiting phosphofructokinase-I

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    .

    In Rapoport Lubering cycle ATP production

    by SLP from 1,3 BPG is bypassed in RBCs.

    1,3 BPG is converted to 2,3 BPG by an enzyme

    bisphosphoglycerate mutase.

    2,3 BPG is converted to 3-phosphoglycerate by

    2,3 bisphosphoglycerate phosphatase with lossof energy in the form of heat. Due to lackof

    mitochondria in RBCs glycolysis occur

    anaerobically producing lactate.

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    Rapoport Lubering cycle

    .

    29

    Glucose

    Glyceraldehyde-3-phosphate

    1,3-bisphosphoglycerate

    3-phosphoglycerate

    Pyruvate

    NAD

    Pi

    NADH+ H+

    Glyceraldehyde-3-phosphatedH

    ADP

    ATP 2,3-bisphosphoglycerate

    Bisphosphoglyceratemutase

    2,3BisphosphoglyceratephosphatasePi

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    .

    Significance of Rapoport Lubering cycle :

    It prevents accumulation of ATP not needed by

    the erythrocyte

    It supplies 2,3-BPG in oxygen transport which is

    required for Hb function.2,3-BPG regulatesthe

    binding& release of oxygen from Hb. 2,3 BPG accounts for 16% of noncarbonate

    buffer value.

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    Krebs Cycle, TCA Cycle.

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    . TCA CYCLE

    (CITRIC ACIDOR KREB CYCLE OR COMMON

    METABOLIC PATHWAY)

    The TCA cycle is a series of cyclic reaction that

    catalyse the oxidation of acetyl Co A to CO2

    and water liberating reducing equivalents.

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    .SITE :

    The TCA cycle occurs inside the mitochondria asthe enzymes required for the cycle are located in

    the mitochondria matrix, either free or attached

    to the inner surface of inner mitochondria

    membrane.The enzyme of TCA cycle are located in

    mitochondria matrix, in close proximately to the

    electron transport chain.

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    .TCA CYCLE - THE CENTRAL METABOLIC

    PATHWAY

    The citric acid cycle is the final common

    oxidative pathway for carbohydrates, fats and

    amino acid. The cycle not only supplies energy

    but also provides many intermediates requiredfor the synthesis of amino acids glucose etc.

    Krebs cycle is the most important central

    pathway.

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    . TCA Cycle is an open cycle

    Krebs cycle is the a cyclic process. It should notbe viewed as closed circle many compounds

    enter the cycle and leaves. TCA cycle is

    comparable to a heavy traffic circle in a national

    highway with many connecting roads.Reactions of TCA cycle

    Oxidative decarboxylation of pyruvate to

    acetyl COA by pyruvate dehydrogenase complex

    is discussed above. The TCA cycle connectingglycolysis.

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    .Steps

    The various steps of the cycle are as follows Step-1

    Formation of citrate

    Acetyl CoA condense with oxaloacetate to

    from citrate. It is catalyzed by condensing

    enzyme citrate synthase. the condensationproduct citryl CoA is hydrolysed to yield citrate

    and CoA.

    citrate synthase

    Acetyl CoA + Oxaloacetate CitrateH2O CoASH

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    . Step -2

    Citrate is Isomerized to Isocitrate

    Citrate is converted to isocitrate by the enzymeaconitase. the enzyme contain iron in in the from ofiron sulfur protein.

    The conversion takes place in

    2stage

    First, there occur dehydration of citrate to cisaconitate.

    Next, Cis aconitate undergoes rehydration to formisocitrate.

    H2O H

    2O

    Citrate Cis-aconitase Isocitrate

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    . STEP-3

    Formation of - ketoglutarate

    Isocitrate is converted to - ketoglutarate in 2

    stage by the enzyme isocitrate dehydrogenase.

    First, There occurs dehydrogenation of isocitrate

    to from oxalosuccinate. NAD acts as onhydrogen acceptor. Next , Oxalosuccinate

    undergoes decarboxylation to form

    -ketoglutarate.

    Isocotrate + NAD Oxalosuccinate +

    NADH + H+

    Oxalosuccinate - ketogutarateCO2

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    . Step -4

    Conversion of - ketoglutarate to succinyl CoA

    -Ketoglutarate undergoes oxidative decarboxylation

    to produce succinyl CoA. The enzyme is

    - ketoglutarate dehydrogenase complex and the

    reaction is irreversible.

    the enzyme requires NAD ,FAD ,thiamine

    pyrophosphate, lipoate and co-enzyme A as

    cofactors similar to PDH complex

    - ketoglutarate + CoA + NAD Succinyl CoA+NADH + H+ CO2

    - ketoglutarate dHcomplex

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    . Step 5

    Formation of succinate

    Succinyl Co A is converted to succinate by the

    enzyme succinate thiokinase requires & GDP

    converted GTP.

    The enzyme nucleoside diphosphate kinase

    converts GTP in to ATP.

    Succinyl CoA + GDP Succinate + GTP + CoA

    Succinyl thiokinaseGTP+ ADP ATP + GDP

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    . Step -6

    Conversion of succinate to formula :-

    Succinate undergoes dehydrogenation to from

    fumarate The enzyme is concerned is succinate

    dehydrogenase which is found to inner surface

    of inner mitochondrial membrane unlike otherenzymes of the cycle.

    Succinate + FAD Fumarate + FADH2

    The step is inhibited competitively by malonate

    or oxaloacetate.

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    . Step -7

    Formation of Malate

    A molecule of water is added to fumarate to form

    malate. The enzyme required is fumarase which

    is specific informing :- Isomer of malate.

    FumaraseFumarate + H2O L-Malate

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    . Step - 8

    Conversion of malate to oxaloacetate

    Malate undergoes dehydrogenation to form

    oxaloacetate

    the enzyme is malate dehydrogenase NAD as

    the hydrogen acceptor.Malate dH

    L-Malate + NAD Oxaloacetate + NADH

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    . ENERGETICS OF GLUCOSE OXIDATION

    When a molecule of glucose undergoes,glycolysis 2 molecules of pyruvate or located areproduced pyruvate is oxidatively decarboxylatedto acetyl Co A. Which enters the citric acid

    cycle and gets completely oxidized to andglycolysis and citric acid cycle.

    C6H12O6 + 6O2 +38 ATP +38 Pi 6 CO2 +6H2O +38 ATP

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    . The enzyme of glucose metabolism responsible

    for generating ATP.

    When a molecule of glucose is burnt in a calorie

    meter. In the living system energy is trapped

    leading to the synthesis of 38 ATP which isequivalent to 1159 KJ.

    The 48% of the energy in glucose combustion is

    actually captured for ATP generation.

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    . Regulation ofTCA

    The cellular demands of ATP are crucial incontrolling the rate of citric acid cycle. The

    regulation is brought about either by enzymes or

    the levels of ADP.

    Their enzymes Citrate synthase. In inhibited by ATP , NADH,

    acyl CoA and succinyl CoA

    Isocitrate dehydrogenase Is activated by ADP

    and inhibited by ATP and NADH. and

    - ketoglutarate dehydrogenase. Is inhibited by

    succinyl CoA and NADH.

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    . Amphibolic Nature of the TCA

    The citric acid cycle is the final commonoxidative pathway in the living cell. The cycle

    provides various intermediates for the synthesis

    of many compounds needed by the body. Krebs

    cycle is the both catabolic anabolic nature henceregarded as amphibolic.

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    . The important synthetic reaction connected

    with TCA cycle are given :-

    1. Oxaloacetate and - Ketoglutarate,

    respectively serves as precursors for the

    synthesis of aspartate, glutamate which is turn

    are required for the synthesis of other nonessential amino acid, Purines & Pyrimidines.

    2. Succinyl CoA is used for the synthesis of

    porphyrins andheme.

    3. Mitochondrial citrate is transported to thecytosol were it is cleaved to provide acetyl CoA

    for the biosynthesis of fatty acids.

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    .Anaplersis orAnaplerotic Reaction

    The synthesis reaction described abovedeplete the intermediates of citric acid cycle.

    The reaction concerned to replenish or fill upthe intermediates of citric acid cycle are calledanaplerotic reaction or anaplerosis.

    The important synthetic pathways that draw theintermediates of TCA cycle and the anapleroticreaction are described.

    1. Pyruvate carboxylase catalyses the

    conversion of pyruvate to oxaloacetate. This isan ATP dependent carboxylation reaction.

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    .1. Pyruvate carboxylase catalyses the

    conversion of pyruvate to oxaloacetate. This is

    an ATP dependent carboxylation reaction.

    2. Pyruvate is converted to malate by NADP+

    dependent malate dehydrogenase.

    3. Transamination is process where in an aminoacid transfers its amino groups to a keto acid

    and itself gets converted to a keto acid.

    4. - Ketoglutarate can also be synthesized form

    glutamate by glutamate dehydrogenase action.The formation of - ketoglutarate and

    oxaloacetate occurs by this mechanism.

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    Pentose phosphate pathway

    HMPShunt Pathway.

    51

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    .

    This is aerobic pathway for the oxidation of glucose

    in the liver , adipose tissue in addition to the

    Embdonmeyorhop pathway for glycolysis.It isanabolic in nature , since it is concerned with the

    biosynthesis of NAPDH and pentose's .

    HMP shunt -a unique multifunctional pathway:

    The enzyme of this pathway are present in

    extra mitochondrial portion of the cell . This pathway

    is active in adipose tissue , adrenal cortex, liver ,

    thyroid , erythrocytes.

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    .

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    1/14/2012 54

    .

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    Glu-6-P Glu-6-P Glu-6-P

    6-Phosphogluconolactone 6-Phosphogluconolactone 6-Phosphogluconolactone

    6-Phosphogluconate 6-Phosphogluconate 6-Phosphogluconate

    Ribulose-5-P Ribulose-5-P Ribulose-5-P

    NADP++ H2O

    Mg2+ or Ca2+

    NADP++ H2O NADP++ H2O

    NADP++ H+ NADP++ H+ NADP++ H+

    H2O

    Mg2+ or Ca2+

    NADP+

    NADP + H+

    NADP+

    NADP + H+

    NADP+

    NADP + H+

    CO2 CO2CO2

    Glu-6-P

    dH

    6-Phospho

    gluconolactone

    hydratase

    6-Phospho

    gluconate

    dH

    P

    H

    A

    S

    E

    I

    Rib lose 5 P Rib lose 5 P Rib lose 5 P

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    56

    Ribulose-5-P Ribulose-5-P Ribulose-5-P

    Ribulose-5-P

    3-epimeraseKetoisomerase

    Ribulose-5-P

    3-epimeraseXylulose-5-P Xylulose-5-PRibose-5-P

    Transketolase TPP

    Glyceraldehyde-3-P Sedoheptulose-7-P

    Transaldolase

    Fructose-6-P Erythrose-4-P

    Fructose-6-P Glyceraldehyde-3-P

    Glucose-6-P Glucose-6-P 1/2 Glucose-6-P

    P

    H

    A

    S

    E

    II

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    .

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    The pathway starts with glucose 6-phosphate

    .As such no ATP is directly utilize or produced

    in HMP pathway.

    It is unique and multifunctional , since their

    are several interconvertible substance

    produced which proceed in different direction

    in the metabolic reaction.

    REACTIONS :

    Reactions of HMP shunt is divided in to 2 phases:- Oxidative phase

    Non-oxidative phase

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    1. Oxidative phase : Glucose 6-phosphate

    dehydrogenase (G6PD)is an NADP dependent

    enzyme that converts glucose 6-phosphate to6-phospogluconate.the latter is then hydrolysed

    by the gluconoactone hydrolase to

    2. 6-phospogluconate.The next reaction involving

    the synthesis of NADPH is catalysed by 6-

    phosphogluconate which then undergoes

    decaboxylation to give ribulose 5-phosphate.

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    2.Non-oxidative phase :The non-oxidative

    reaction are concerned with theinterconvertion of 3,4,5,&7carbon

    monosaccharide . Ribulose 5-phosphate is

    acted upon by an epimer to produce xylulose

    5-phospate while ribose 5-phosphate

    ketoisomerase converts ribulose5-phosphate

    to ribose 5-phosphate.

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    ..

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    Significance of HMP shunt

    HMP shunt is unique in generating twoimportant products Pentose & NADPH needed

    for the biosynthetic reactions & other

    function:

    A)Importance ofPentose

    In the HMP shunt hexos are converted into

    pentose, the most important being ribose 5-

    phosphate.The pentose or its derivative areuseful for the synthesis of nucleic acid & many

    nucleotides such as ATP ,NAD+, FAD,& CoA.

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    B) Importance ofNADPH

    1) NADPH is required for the reductivebiosynthesis of fatty acid & steroids, hence

    HMP shunt is more active in the tissue

    concerned with lipogenesis . Example adipose

    tissue, liver.

    2)NADPH is used in the synthesis of certain

    ammino acid involving the enzyme glutamate

    dehydrogenase.

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    3)Microsomal cytochrome P450 system(in

    liver)brings about the detoxification of drugs &

    foreign compounds by hydroxylation reactionsinvolving NADPH.

    4)Phagocytosis is the engulfment of foreign

    particles including microorganism , carried out

    by W.B.C.The process requires the supply of

    NADPH.

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    5)Special function ofNADPH in RBC: NADPH

    produced in erythrocytes has special function to

    perform. It maintain the concentration ofreduced glutathione, which is essentially

    required to preserve the integrity of RBC

    membrane.

    6)NADPH is also necessary to keep the ferrous

    iron (Fe2+) of hemoglobin in the reduced state

    so that accumulation of methemoglobin (Fe3+)

    is prevented .

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    G6PD deficiency is more severe in RBCs. HMPshunt is the only means of providing NADPH in

    erythrocytes .

    Decreased activity of G6PD impairs the

    synthesis of NADPH in RBCs .

    This results in the accumulation of

    methamoglobin & peroxides in erythrocytes

    leading to hemolysis .

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    Glucose 6- Phosphate dehydrogenase

    deficiency:

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    The G6PD deficiency develop Hemolytic Anemia

    .

    If they are admired with drugs such as

    primaquine (antimalaria), sulfamethaxoazole

    (antibiotic), produce hemolytic jaundice in

    patients.

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    This is a genetic disorder associated with HMPshunt An alteration in Transketolase activity

    reduce affinity with thiamine pyrophosphate is

    the biochemical lesion.

    The symptoms include the mental disorder, lossof memory & partial paralysis.

    The symptoms are manifested whose diet are

    vitamin deficient .

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    Wernicke Korsakoff Syndrome :

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    URONIC Acid Pathway

    This is an alternative oxidative pathway for glucoseand is known as glucuronic acid pathway.

    1.uronic acid pathway is concerned with the

    production of glucuronic acid (involved in

    detoxification)/pentose & vitamin C.2.In uronic acid pathway the free sugar or sugar

    acids are involved

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    F i & I f UDP Gl

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    Glucose 6-phosphate is first converted to

    glucose1-phosphate UDP-glucose is then

    synthesized by the enzyme UDP-Glucose

    Pyrophosporylase.

    UDP- glucuronate is the metabolically active

    form of glucuronate which is utilized for

    conjugation with many substance like bilirubin ,

    steroid hormones & certain drugs

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    Formation & Importance of UDP- Glucuronate

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    Several insoluble compounds are converted to

    soluble ones through conjugation & further the

    drugs are detoxified. UDP- glucuronate is also require for the

    synthesis of glycosaminoglycans &

    proteoglycan.

    Conversion of UDP- Glucuronate to L- Gluonate

    UDP- glucuronate loses its moiety in a hydrolytic

    reaction & releases D glucuronate which is

    reduced to L

    gluonate by an NADPHdependent reaction.

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    .

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    Effect ofdrugson Uronic acid pathway

    Administration of drugs (barbital ,

    chlorobutanol) significantly increase the

    uronic acid pathway to achive more synthesisof glucouronate from glucose.Certain drugs

    (aminopyrine , antipyrine)were found to

    enhance the synthesis of ascorbic acid in rats.

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    Gluconeogenesis

    .

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    Definition :The formation of Glucose or

    Glycogen from non-carbohydrate precursors is

    called gluconeogenesis.

    The major non-carbohydrate substrates for

    gluconeogenesis are

    Lactate, Glycerol, Glucogenic amino acids

    Propionate & Intermediates of citric acid cycle

    76

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    ">

    77

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    < TARGET="display">

    78

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    Significance : Blood sugar level is maintained

    via gluconeogenesis.

    D-glucose is absolutely necessary for the

    tissues such as brain, erythrocytes, kidney &

    eyes.

    Glu-6-phosphatase is absent in muscle.

    Therefore, during exercise and starvation, the

    large amount of lactate produced by glycolysis

    & glycerol generated by lipolysis of TGs areused up by gluconeogenesis.

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    Location :

    In animals, gluconeogenesis takes place

    mainly in the liver. (85 95 %). In the cortex of kidneys during periods of

    fasting, starvation, or intense exercise about50 %

    The pathway can begin in the mitochondria orcytoplasm, depending on the substrate beingused.

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    Characteristics of Gluconeogenesis :

    Gluconeogenesis involves Glycolysis, Citricacid cycle plus some special reactions.

    Glycolysis & Gluconeogenesis share the

    same pathway but in opposite direction. Seven

    reactions of glycolysis are common. Howeverthree reactions are irreversible involving

    following enzymes.

    Pyruvate carboxylase (Mitochondrial)

    Phosphoenolpyruvate carboxykinase

    Fructose-1,6 bisphosphatase and

    Glucose -6-phosphatase81

    .

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    Pi Glucose ATP

    Glucose-6-phosphatase Glucokinase

    Hexokinase

    H2O Glucose-6-phosphate ADP

    Pi Fructose-6-phosphate ATPFructose-1,6-bisphosphatase Phosphofructokinase

    H2O Fructose-1,6-bisphosphate ADP

    DHAP

    Glyceraldehyde-3-phosphate

    Contd

    82

    .

    Glyceraldehyde-3-phosphate DHAP

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    Glyceraldehyde-3-phosphate DHAP

    NAD NADH +H+

    Glycerol-3-phosphate dH

    NADH +H+ NAD1,3-Bisphosphoglycerate Glycerol-3-phosphate

    ADP

    Glycerolkinase

    ATP

    3-phosphoglycerate Glycerol

    2-phosphoglycerate

    PhosphoenolPyruvate83

    ..

    Phosphoenolpyruvate

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    Phosphoenolpyruvate

    CO2 ADP CYTOSOL

    GDP Phosphoenolpyruvate Pyruvate kinase

    GTP carboxykinase ATP

    Pyruvate Lactate

    Oxaloacetate NADH+H+ NAD+

    Pyruvate 1

    NADH+H+ ATP,CO2 Pyruvate Carboxylase

    MDH ADP+Pi

    NAD NADH+H+ Oxaloacetate 2

    NAD

    Malate Malate -KetoGlutarate 3

    MITO.

    5 Fumarate SuccinylCoA 4

    Propionate84

    .

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    The Nos. allotted in above Pathway are for

    Gluconeogenic amino acids are

    ( Gluconeogenesis from amino acids)

    1.Pyruvate : Alanine, Glycine, Serine Cysteine,Threonine & Tryptophan

    2.Oxaloacetate : Aspartate & Arginine

    3. Ketoglutarate : Arginine, Glutamate, Glutamine,Histidine, Prolein

    4.Succinyl CoA: Isoleucine, Methionine, Valine

    5.Fumarate : Phenylalanine, Tyrosine

    85

    Reactions of gluconeogenesis :

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    Reactions of gluconeogenesis :

    Only those reactions which are not common

    to glycolysis are :

    Reaction 1 : Carboxylation ofpyruvate

    Pyruvate is converted to oxaloacetate with the

    help of CO2, ATP & pyruvate carboxylase.Biotin,

    Mg++, Mn++ are required. There is an absoluterequirement of acetyl CoA.

    This reaction occurs in mitochondrial matrix.

    Oxaloacetate produced in mitochondria cannot

    cross the membrane. It is first reduced to

    malate, which then crosses mito. Membrane

    where it is re-oxidized to Oxaloacetate .

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    .

    Reaction 2 : Conversion of Oxaloacetate to

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    Reaction 2 : Conversion of Oxaloacetate to

    phosphoenolpyruvate :

    The enzyme required is phosphoenolpyruvatecarboxykinase, it requires Mn++ & GTP. CO2 &

    GDP are formed. The reaction occurs in cytosol.

    Reversal of reactions of glycolysis now occurs

    until fructose 1-6 bisphosphate.Reaction 3 : Dephosphorylation of fructose 1-6 bisphophate :

    Fructose 1-6 bisphosphatase, the major

    regulatory enzyme then forms fructose-6-phosphate.

    The enzyme is activated by citrate & inhibited

    by AMP and fructose2-6 bisphosphate87

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    Reaction 4 : Dephosphorylation ofglucose 6

    phosphate:

    This reaction gives free Glucose & inorganicphosphate.

    It is catalyzed by glucose 6phosphatase which

    ispresent only in liver, kidney& epithelial

    cells of small intestine.

    The overall summary of Gluconeogenesis for

    conversion of pyruvate to glucose.

    2 Pyruvate + 4 ATP +2 GTP + 2 NADH+ 2H+ + 6H2O --

    Glucose + 2 NAD + 4 ADP + 2 GDP + 6 Pi + 6 H+

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    Gluconeogenesis from Glycerol :

    Glycerol liberated by fat hydrolysis in

    adipose tissues. In liver & kidneys glycerol is

    activated to Glycerol-3- P by the enzyme

    Glycerokinase (Which present in liver & kidneys

    and not in adipose tissues).Glycerol-3-phosphate is then converted to DHAP which is

    the intermediate of glycolysis by the enzyme

    Gly.-3-P dH.

    89

    .

    Gluconeogenesis from Propionate :

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    Gluconeogenesis from Propionate :

    Oxidation of odd chain fatty acid & breakdown of

    methionine & isoleucine yields propionyl CoA.This is carboxylated to form methyl malonyl CoA

    which requires Biotin & ATP by propionyl CoA

    carboxylase. It further forms Succinyl CoA, the

    intermediate of TCAPropyonylCoA

    Methyl malonyl CoA

    Succinyl CoA90

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    Gluconeogenesis from Lactate :

    Lactate produced during anaerobic oxidation of

    glucose in muscles. Due to absence of enzymes

    Glucose-6-phosphatase & Fructose 1,6

    bisphosphatase,

    Lactate can not be used in muscle &to betransported to liver for Gluconeogenesis.

    LDH

    Pyruvate + NADH + H+ Lactate + NAD

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    93

    .

    Regulation of Gluconeogenesis :

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    Regulation of Gluconeogenesis :

    The hormone Glucagon & the availability of

    substrate mainly regulates gluconeogenesis.Glucagon stimulates gluconeogenesis by two

    mechanisms.

    1. Active form of pyruvate kinase is converted to its

    inactive form. Decreased pyruvate kinase resultsin reduced conversion ofphosphoenol pyruvate

    to pyruvate & former is diverted for synthesis of

    glucose.

    2. Glucagon reduces the concentration offructose 2,6 bisphosphate. This compound

    allosterically inhibit phosphofructokinase and

    activates fructose 1,6 bisphosphatase.94

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    95

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    Availability of substrate :

    Glucogenic amino acids have stimulating effect

    on gluconeogenesis. In conditions like diabetes

    mellitus amino acids are mobilized from muscle

    protein for the purpose of gluconeogenesis.

    During starvation acetyl CoA accumulates inliver due to lypolysis. Acetyl CoA allosterically

    activate pyruvate carboxylase resulting in

    enhanced glucose production.

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    Glycogen Metabolism

    Glycogenesis & Glycogenolyss

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    Glycogenesis

    Glycogen is storage form of glucose in animals. It is stored mostly in liver (6-8 %) &

    muscle(1-2 %).

    Due to more muscle mass, the quantity ofglycogen in muscle(250 g) is about three times

    higher than that in the liver (75 g).

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    Glycogenesis:

    Glycogenesis is the formation of

    G

    lycogenfrom Glucose. Glycogen is synthesized

    depending on the demand for glucose and ATP

    (energy)

    If both are present in relatively high amounts,

    then the excess of insulin promotes the

    glucose conversion into glycogen for storage in

    liver and muscle cells (In fed state).

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    100

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    In the synthesis of glycogen, one ATP is

    required per glucose incorporated into thepolymeric branched structure of glycogen.

    Glucose-6-phosphate is synthesized directly

    from glucose or as the end product of

    gluconeogenesis.

    The synthesis ofGlycogen from glucose takes

    place in cytosol and requires ATP, UTP &

    glucose.

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    Reactions of Glycogenesis:

    Glucose is phosphorylated to Glu-6-phosphate

    catalyzed by hexokinase in muscle &glucokinase in liver.

    Glu-6-phosphate is converted to Glu-1-

    phosphate byph

    osph

    oglucomutase. Glu-1-phosphate reacts with uridine tri

    phosphate (UTP) to form uridine di phosphate

    glucose(UDPGlc) by the enzyme UDP-glucose

    phosphorylase.

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    By the action ofglycogen synthase the C1 of

    activated glucose ofUDP-Glu form glycosidic

    bond with C4 of terminal residue of glycogen

    primer to 1-4 glycosidic linkage.

    When the chain has been lenthened to a

    minimum of 11 residues the branchingenzyme amylo-1,4 to 1-6 transglucosidase

    transfers a part of the 1,4 chain minimum

    lenth of 6 glucose residue to neighbouringchainto form -1,6 linkage as a branching

    point.

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    Shifting

    New 1,6 bond

    Glycogen Branching

    Primer enzyme

    104

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    Glycogenolysis

    .

    105

    The conversion of glycogen to glucose 6

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    The conversion of glycogen to glucose -6-

    phosphate and glucose, which occurs in Muscle

    & liver respectively. Glycogenolysis is not reverse of glycogenesis

    but is a separate pathway.

    Reactions of Glycogenolysis

    The enzyme glycogen phophorylase cleaves

    -1,4 linkage yielding glu-1-phosphate &

    residual Glycogen molecule. This continues til

    about4

    glucose residue remain on either side ofbranch point. The four unit chain is then

    transferred to one branch by glucan transferase.

    The debranchingenzyme splits -1,6 linkage106

    .

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    -1,4 bond

    Glucagon Debranching

    Phosphorylase Transferase enzyme

    Pi Glu-1-phosphate

    Free Glucose

    107

    .

    N t l 1 h h t i t d t

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    Next, glu-1-phosphate is converted to

    glu-1-phosphate by thephosphoglucomutase.

    In the liver but not in muscle, glu-6-phosphatase

    removes phosphate to form glucose, which difuse

    from cell into blood.

    Regulation ofGlycogenesis & Glycogenolysis

    Glycogen synthase-a, an active or

    DEPHOSPHORYLATED form

    Glycogen synthase-b, an inactive or

    PHOSPHORYLATED form

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    .

    Regulation of Glycogenesis & Glycogenolysis

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    g f y g y g y

    GlycogenGlu-6-P

    ATP

    _ Insulin

    _

    + _

    GlycogenPhosphorylase cAMP Glycogen synthase

    +

    + Glucagon, Epinephrine +

    Ca++ ,AMP Glucose-1-phosphate Glu-6-phosphate

    -

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    .

    .

    110

    I k l l l l i d d d

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    In skeletal muscle glycogen is degraded toglucose 6-phosphate, which is then converted

    into pyruvate and used in ATP productionduring glycolysis and the Krebs cycle .

    However, pyruvate can also be converted, in

    the liver, to glucose; thus muscle glycogen isindirectly a source of blood glucose.

    111

    .Reaction cascade for the controlofGlycogen Synthesis

    Glucagon(Liver) ,Epinephrine(Muscle) ATP Insulin

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    g ( ) p p ( )

    Inactive adenylate Active adenylate Phosphodiesterase

    cyclase cyclase c-AMP 5-AMP

    Active c-AMP dependent Inactive c-AMP dependent

    Protein kinase Protein kinase

    ATP ADP

    Insulin

    Active Glycogen Inactive Glycogen

    synthase a Glu-6-Phsphate synthase b

    Pi H2O

    Insulin Protein phosphatase - 1 Glycogen synthesis

    + + +

    +

    P

    +

    +

    +

    -

    112

    .Reaction cascade for the controlofGlycogen Breakdown

    Glucagon(Liver) ,Epinephrine(Muscle) ATP Insulin

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    Inactive adenylate Active adenylate Phosphodiesterase

    cyclase cyclase c-AMP 5-AMP

    Inactive c-AMP dependent Protein kinase

    Active c-AMP dependent GlycogenPhosphorylase a

    Protein kinase ADP activeATP

    Ca2+

    Inactive phosphorylase Active phosphorylase Glu-6-P

    kinase kinase

    Ca2+

    Pi H2O Insulin

    Protein phosphatase 1 GlycogenPhosphorylase b

    ATP Inactive

    +

    P

    -

    + +

    +

    +

    +

    Proteinphospha

    tase

    113

    Uronic acid pathway (Glucuronic acid cycle)

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    Definition : A pathway in liver for conversion of

    Glucose to Glucuronic acid & pentoses asreferred to as the uronic acid pathway.

    Reactions of pathway:

    Glucose is phosphorylated to Glu-1-phosphate

    by phosphoglucomutase. with Glu-1-1P then reacts withUTP to form

    Uridine diphosphate Glu (UDP-Glc) an active

    nucleotide by UDP- glucose phosphorylase.

    UDP-glucose is oxidized at carbon 6 to

    glucuronate via UDP-glucuronate by UDP-

    glucose dH ( NAD dependent)114

    .

    Glucuronate is reduced at carbon 1 to L-gulonate

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    by NADPH dependent enzyme gulonate dH.

    L-gulonate is precursor of ascorbate ( Vit C) in

    those animals capable of synthesizing this vitamin.

    In humans & other primates due to absence of

    enzyme L-gulonolactone oxidase.

    L-gulonate is oxidized and decarboxylated to thepentose, L-xylulose by the enzyme L-gulonate

    decarboxylase.

    L-xylulose is reduced to xylitol catalysed by

    NADPH dependent L-xylulose dH.

    115

    .

    Xylitol is oxidised to D-xylitol by NAD dependent

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    D-xylulose dH.

    D-xylulose is phophorylated by ATP in thepresence ofXylulose kinase to yield xylulose-5-

    phosphate, which is further metabolized in

    pentose phosphate pathway & lead to formation of

    glucose.

    116

    ron c ac pa way ucuron c ac cyc e

    -D-Glucose-6-phosphatePentose phosphate pathway

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    .Phosphoglucomutase

    Glucose-1-phosphate

    UTP

    UDP

    UDP-glu-pyrophosphorylase

    Uridine diphosphate glucose(UDP-Glc)

    Uridine diphosphate glucose(UDP-Glc)

    UDP-glucose-dH 2NAD+

    + H2O

    2NADH + 2H+

    UDP

    H2O

    D-GlucuronateNADPH + H+

    NADP

    L-Gulonate

    Gulonate-dH

    D-Xylulose-5- phosphate

    D-Xylulose

    ADP

    ATP

    Mg+ +D-xylulose kinase

    D-xylulose dH NADH + H+

    NAD+

    XylitolNADPH + H+

    NADP

    L-Xylulose

    NAD+

    NADH + H+

    CO2

    L-Gulonate-dH

    Block inessentialpentosuria

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    Thanks