gluconeo glycogen metabolism

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  • 8/8/2019 Gluconeo Glycogen Metabolism

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    GLYCOGEN METABOLISMGLYCOGEN METABOLISM

    GLUCONEOGENESISGLUCONEOGENESIS

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    GLUCONEOGENESISGLUCONEOGENESIS

    synthesis of glucose from noncarbohydratesynthesis of glucose from noncarbohydrateprecursors during longer periods ofprecursors during longer periods ofstarvationstarvation

    a very important pathway since the braina very important pathway since the brain

    depends on glucose as its primary fueldepends on glucose as its primary fuel((120g of120g of the 160g daily need for glucosethe 160g daily need for glucose))and RBCs use onlyand RBCs use only glucose as fuelglucose as fuel

    amount of glucose in body fluids is 20g andamount of glucose in body fluids is 20g andthethe amount that can be derived fromamount that can be derived fromglycogen isglycogen is 190g190g

    major noncarbohydrate sources aremajor noncarbohydrate sources are lactatelactate,,

    amino acidsamino acids, and, and glycerolglycerol

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    noncarbohydrate sources need to be firstnoncarbohydrate sources need to be firstconverted to eitherconverted to either

    pyruvatepyruvate,,oxaloacetateoxaloacetate oror

    dihydroxyacetone phosphate (DHAP)dihydroxyacetone phosphate (DHAP)

    to be converted to glucoseto be converted to glucose

    major site is themajor site is the liverliverwith small amountwith small amount takingtakingplace in theplace in the kidneyskidneys

    gluconeogenesis in the liver and kidneysgluconeogenesis in the liver and kidneys helpshelpsmaintain the glucose demands ofmaintain the glucose demands of the brain andthe brain andmuscles by increasingmuscles by increasing blood glucose levelsblood glucose levels

    little occurs in the brain, skeletal musclelittle occurs in the brain, skeletal muscle ororheart muscleheart muscle

    not a reversal of glycolysisnot a reversal of glycolysis

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    NONCARBOHYDRATE SOURCESNONCARBOHYDRATE SOURCES PyruvatePyruvate is converted to glucose in theis converted to glucose in the

    gluconeogenetic pathwaygluconeogenetic pathway

    LactateLactate is formed byis formed by active skeletal muscleactive skeletal muscle whenwhenglycolytic rate exceeds oxidative rate; becomesglycolytic rate exceeds oxidative rate; becomesglucose by first converting it toglucose by first converting it to pyruvatepyruvate

    Amino acidsAmino acids are derived fromare derived from dietary proteinsdietary proteins andandinternal protein breakdowninternal protein breakdown during starvationduring starvation;;becomes glucose by converting them first to eitherbecomes glucose by converting them first to either

    pyruvate or oxaloacetatepyruvate or oxaloacetate

    GlycerolGlycerol is derived from theis derived from the hydrolysis ofhydrolysis oftriacylglycerols (TAG) or triglyceridestriacylglycerols (TAG) or triglycerides; becomes; becomesglucose by conversion first toglucose by conversion first to dihydroxyacetonedihydroxyacetone

    phosphate (DHAP)phosphate (DHAP)

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    IRREVERSIBLE STEPS ofGLYCOLYSISIRREVERSIBLE STEPS ofGLYCOLYSIS

    Causes of most of the decrease in free energyCauses of most of the decrease in free energy

    in glycolysisin glycolysis

    Bypassed steps during gluconeogenesisBypassed steps during gluconeogenesis

    Steps catalyzed by the enzymesSteps catalyzed by the enzymes

    HexokinaseHexokinase

    ((glucose + ATPglucose + ATPGG--66--P + ADPP + ADP))

    PhosphofructokinasePhosphofructokinase

    ((FF--66--P + ATPP + ATPFF--1,61,6--BP + ADPBP + ADP))

    Pyruvate kinasePyruvate kinase

    ((PEP + ADPPEP + ADPPyruvate + ATPPyruvate + ATP))

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    NEW STEPS in GLUCOSE FORMATION from PYRUVATE viaNEW STEPS in GLUCOSE FORMATION from PYRUVATE via

    GLUCONEOGENESISGLUCONEOGENESIS

    PEP is formed from pyruvate by way ofPEP is formed from pyruvate by way ofoxaloacetateoxaloacetate PyruvatePyruvate + CO+ CO22 + ATP + HOH+ ATP + HOH ------------------------ oxaloacetateoxaloacetate + ADP + Pi + 2H+ ADP + Pi + 2H

    ++

    OxaloacetateOxaloacetate + GTP+ GTP -------------------------- PEPPEP + GDP + CO+ GDP + CO22

    FF--66--P is formed from FP is formed from F--1,61,6--BP by hydrolysis ofBP by hydrolysis ofthe phosphate ester at carbon 1, anthe phosphate ester at carbon 1, anexergonic hydrolysisexergonic hydrolysis

    FructoseFructose--1,61,6--bisphosphatebisphosphate + HOH+ HOH ---------------------------- fructosefructose--66--phosphatephosphate + Pi+ Pi

    Glucose is formed by hydrolysis ofGGlucose is formed by hydrolysis ofG--66--PP

    GlucoseGlucose--66--phosphate + HOHphosphate + HOH -------------------------- glucose + Piglucose + Pi

    Pyruvate carboxylase

    PEP carboxykinase

    Fructose-1,6-bisphosphatase

    Glucose-6-phosphatase

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    RECIPROCAL REGULATION OF GLYCOLYSISRECIPROCAL REGULATION OF GLYCOLYSIS

    & GLUCONEOGENESIS& GLUCONEOGENESIS

    Glucose

    Fructose-6-phosphate

    Fructose-1,6-bisphosphate

    PEP

    Pyruvate

    Oxaloacetate

    PFK F-1,6-BPase

    Several steps

    PK

    PEPcarboxykinase

    Pyruvate

    carboxylase

    GLUCONEOGENESIS

    F-2,6-BP +

    AMP +

    ATP -

    Citrate -

    H+ -

    F-2,6-BP -

    AMP -Citrate +

    F-1,6-BP +

    ATP -

    Alanine -AcetylCoA +

    ADP -

    ADP -

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    GLYCOGENGLYCOGEN Readily mobilized storage form of glucoseReadily mobilized storage form of glucose

    very large, branched polymer of glucosevery large, branched polymer of glucoseresidues linked viaresidues linked via --1,4 (straight) and1,4 (straight) and --1,6 glycosidic bonds1,6 glycosidic bonds

    branching occurs for every 10branching occurs for every 10thth

    glucoseglucoseresidue of the open helical polymerresidue of the open helical polymer

    not as reduced as fatty acids are andnot as reduced as fatty acids are andconsequently not as energyconsequently not as energy--richrich

    serves as buffer to maintain blood sugarserves as buffer to maintain blood sugarlevelslevels

    Released glucose from glycogen can provideReleased glucose from glycogen can provide

    energy anaerobically unlike fatty acidsenergy anaerobically unlike fatty acids

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    Two major sites of glycogen storage are theTwo major sites of glycogen storage are the

    liver (10% by weight) and skeletal muscles (2%liver (10% by weight) and skeletal muscles (2%

    by weight)by weight)

    In the liver, its synthesis and degradation areIn the liver, its synthesis and degradation are

    regulated to maintain normal blood glucoseregulated to maintain normal blood glucose

    in the muscles, its synthesis and degradation isin the muscles, its synthesis and degradation is

    intended to meet the energy needs of theintended to meet the energy needs of themuscle itselfmuscle itself

    present in the cytosol as granules (10present in the cytosol as granules (10--40nm)40nm)

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    GLYCOGENOLYSISGLYCOGENOLYSIS

    Consists of three stepsConsists of three steps1.1. release of glucoserelease of glucose--11--phosphate fromphosphate from

    from the nonreducing ends offrom the nonreducing ends of

    glycogenglycogen (phosphorolysis)(phosphorolysis)

    2.2. remodeling of glycogen substrate toremodeling of glycogen substrate to

    permit further degradation with a transferasepermit further degradation with a transferase

    andand --1,61,6 glucosidaseglucosidase

    3.3. conversion of glucoseconversion of glucose--11--phosphatephosphate

    to glucoseto glucose--66--phosphate for furtherphosphate for further

    metabolismmetabolism

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    Fates of GlucoseFates of Glucose--66--PhosphatePhosphate

    Initial substrate forInitial substrate forglycolysisglycolysis

    Can be processed by theCan be processed by the pentosepentose

    phosphate pathwayphosphate pathway to NADPH andto NADPH andribose derivativesribose derivatives

    Can beCan be converted to free glucoseconverted to free glucose in thein theliver, intestine and kidneys for release intoliver, intestine and kidneys for release into

    the blood streamthe blood stream

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    GlycogenGlycogen

    GlycogenGlycogen nn--11

    GlucoseGlucose--11--phosphatephosphate

    GlucoseGlucose--66--phosphatephosphate

    GlycolysisGlycolysis PPPPPP

    PyruvatePyruvate GlucoseGlucose Ribose +Ribose +

    NADPHNADPHLactateLactate COCO22 + HOH+ HOH

    Blood for use byBlood for use by

    other tissuesother tissues

    Muscle,Brain

    Liver

    Glycogen phosphorylase

    Glucose-6-phosphatase

    Phosphoglucomutase

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    GLYCOGENESISGLYCOGENESIS Regulated by a complex system and requires aRegulated by a complex system and requires a

    primer,primer,glycogeninglycogenin

    Requires anRequires an activated form of glucoseactivated form of glucose, the, the

    Uridine diphosphate glucose (UDPUridine diphosphate glucose (UDP--

    glucose) formed from UTP andglucose) formed from UTP and glucoseglucose--11--phosphatephosphate

    UDPUDP--glucose is added to the nonreducingglucose is added to the nonreducing end ofend of

    glycogenglycogen usingusing glycogen synthaseglycogen synthase, the key, the keyregulatory enzyme in glycogen synthesisregulatory enzyme in glycogen synthesis

    Glycogen is then remodeledGlycogen is then remodeledfor continuedfor continued

    synthesissynthesis

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    GLYCOGEN BREAKDOWN & SYNTHESIS AREGLYCOGEN BREAKDOWN & SYNTHESIS ARE

    RECIPROCALLY REGULATEDRECIPROCALLY REGULATED

    Glycogen breakdownGlycogen breakdown Glycogen synthesisGlycogen synthesisEpinephrine

    Adenylate cyclase Adenylate cyclase

    ATP cAMP

    Protein kinase A Protein kinase A

    Phosphorylase kinase Phosphorylase kinase

    Phosphorylase b Phosphorylase a

    Glycogen synthase a Glycogen synthase b

    PINK inactive GREEN - active

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    GLYCOGEN STORAGE DISEASEGLYCOGEN STORAGE DISEASETYPETYPE DEFECTIVEDEFECTIVE

    ENZYMEENZYMEORGAN AFFECTEDORGAN AFFECTED GLYCOGEN INGLYCOGEN IN

    AFFECTED ORGANAFFECTED ORGANCLINICAL FEATURESCLINICAL FEATURES

    I (Von Gierke)I (Von Gierke) GlucoseGlucose--66--phosphatasephosphatase

    Liver & kidneyLiver & kidney Increased amount;Increased amount;normal structurenormal structure

    Hepatomegaly, failure to thrive,Hepatomegaly, failure to thrive,hypoglycemia, ketosis,hypoglycemia, ketosis,hyperuricemia, hyperlipidemiahyperuricemia, hyperlipidemia

    II (Pompe dse)II (Pompe dse) --1,4 glucosidase1,4 glucosidase All organsAll organs Massive increase inMassive increase inamount; normalamount; normalstructurestructure

    Cardiorespiratory failure causesCardiorespiratory failure causesdeath usually before age 2death usually before age 2

    III (Cori dse)III (Cori dse) AmyloAmylo--1,61,6--glucosidaseglucosidase

    (debranching)(debranching)

    Muscle & liverMuscle & liver Increased amount;Increased amount;short outer branchesshort outer branches

    Like type 1 but milderLike type 1 but milder

    IV (AndersenIV (Andersendse)dse)

    Branching enzymeBranching enzyme((--1,4 & 1,6)1,4 & 1,6)

    Liver & spleenLiver & spleen Normal amount; veryNormal amount; verylong outer brancheslong outer branches

    Progressive cirrhosis of the liver;Progressive cirrhosis of the liver;liver failure causes death beforeliver failure causes death beforeage 2age 2

    V (McArdle dse)V (McArdle dse) PhosphorylasePhosphorylase musclemuscle ModeratelyModeratelyincreased amount;increased amount;normal structurenormal structure

    Limited ability to performLimited ability to performstrenuous exercise because ofstrenuous exercise because ofpainful muscle cramps.painful muscle cramps.Otherwise patient is normal orOtherwise patient is normal or

    wellwell--developed.developed.VI (Hers dse)VI (Hers dse) PhosphorylasePhosphorylase liver liver Increased amountIncreased amount Like type 1 but milderLike type 1 but milder

    VIIVII PhosphofructokinaPhosphofructokinasese

    musclemuscle Increased amount;Increased amount;normal structurenormal structure

    Like type VLike type V

    VIIIVIII PhosphorylasePhosphorylasekinasekinase

    liverliver Increased amount;Increased amount;normal structurenormal structure

    Mild liver enlargement. MildMild liver enlargement. Mildhypoglycemiahypoglycemia

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