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Gluconeogenesis Suggested Reading: Lippincot’s Ilustrated reviews: Biochemistry

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Page 1: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

Gluconeogenesis

Suggested Reading:

Lippincot’s Ilustrated reviews: Biochemistry

Page 2: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

Glucose Synthesis is Required for Survival

• Brain is dependent on glucose 120g/day

• Body glucose reserve is limited≈ 20 g (extra cellular fluid)

≈ 75 g ( liver glycogen); enough for 16 hours

≈ 400 g (muscle glycogen); for muscle use only

Main source of energy for resting muscle in postabsorptivestate

• 70 Kg man has ≈ 15 Kg fat – Fatty acids can not be converted to glucose

– Utilization of FA is increased 4-5 X in prolonged fasting

– In prolonged fasting; FA ➔ ketone bodies at high rate

Page 3: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid
Page 4: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

Gluconeogenesis occurs mainly in the liver

Tissues that do not oxidize glc. completelye.g RBCsExercising muscle

Muscle A.Acids

Adipose tissue

Lactate

alanine

glycerol

Glucose

Peripheral tissues

Page 5: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

Entrance of substrates into gluconeogenesis

Lactate Pyruvate Amino acids

Amino acids oxaloacetate propionate

Glycerol Triosephosphates Fructose

Galactose Glucose

Page 6: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

Glucose

Glucose 6-phosphate

Fructose 1,6- bisphosphate

2 Phosphoenolpyruvate

Oxaloacetate

2 Pyruvate

Fructose 6-phosphate

Page 7: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

Formation and Hydrolysis of Glucose 6-phosphate

1) Glc. + Pi Glc. 6-phosphate + H2O ΔG = +ve2) ATP + H2O ADP + Pi ΔG = -ve

Glc. + ATP Glc. 6-phosphate + ADP ΔG = -ve

Glc. 6-phosphate + H2O Glc. + Pi ΔG = -ve

HK

Phosphatase

Page 8: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid
Page 9: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid
Page 10: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

Carboxylation of Pyruvate Produces Oxaloacetate

ADPATP >CO2

Page 11: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid
Page 12: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

Glucose

Glucose 6-phosphate

Fructose 1,6- bisphosphate

2 Phosphoenolpyruvate

Oxaloacetate

2 Pyruvate

Fructose 6-phosphate

ATP

GTP

ATP X 2

X 2

X 2

Page 13: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

Regulation of Glycolysis and Gluconeogenesis

Page 14: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid
Page 15: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid
Page 16: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid
Page 17: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

Regulation by ATP and AMP;

why AMP

ADP + ADP ATP + AMP

Page 18: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

Regulation of PFK by

Fructose 2,6-bisphosphate

Fruc. 6-phosphate + ATP Fruc. 2,6 bisphosphate + ADP

Page 19: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid
Page 20: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid
Page 21: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid
Page 22: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

Glucose

Phosphenolpyruvate

Glucose 6-P

Fructose 6-P

Fructose 1,6-bis-P

Pyruvate

Glucagon

Insulin-

+

Glucagon

Insulin-

+

Glucagon

Insulin-

+

Glucokinase

PFK

PK

Page 23: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid
Page 24: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

T

2 ADP2 ATP

Page 25: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

The Cori Cycle

Page 26: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid
Page 27: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid
Page 28: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

Glucose

Phosphenolpyruvate

Glucose 6-P

Fructose 6-P

Fructose 1,6-bis-P

Pyruvate

Glucagon

Insulin-

+

Glucagon

Insulin-

+

Glucagon

Insulin-

+

Glucokinase

PFK

PK

Page 29: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

PFK

Page 30: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

Pyruvate kinase

Pyruvate carboxylase

Page 31: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid
Page 32: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid
Page 33: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid
Page 34: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

Glycogen Metabolism

Suggested Reading:

Lippincott’s Ilustrated reviews: Biochemistry

Page 35: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

Sources of Blood Glucose

• Diet– Starch, mono and disahccarides, glucose – Sporadic, depend on diet,

• Gluconeogenesis– Sustained synthesis– Slow in responding to falling blood glucose level

• Glycogen – Storage form of glucose– Rapid response and mobilization. – Limited amount– Important energy source for exercising muscle.

Page 36: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid
Page 37: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid
Page 38: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

* Extensively branched homopolysaccharide

* One molecule consists of hundreds of thousands of glucose units

Page 39: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

Reducing end

Nonreducingend

Page 40: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

Degradation of glycogen

Degradation of glycogenOne glucose unit is removed at a time

From the nonreducingends

Released in the form of glucose 1-phosphate

Page 41: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid
Page 42: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

Phosphate Ribose Uracil

Glycogen is synthesized by adding glucose one by oneUDP-Glucose s the active donor of glucose units

Page 43: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

Formation of UDP-Glucose

Page 44: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

Formation of UDP-Glucose

Glucose- P P P P

Ribose-Uracil

Glucose- P P

Ribose-Uracil

P P

Pyrophosphate

~~

~

~

Page 45: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid
Page 46: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

Glycogen Storage Diseases

• Genetic diseases

• Defect in an enzyme required for synthesis or degradation ➔

• Accumulation of excessive amount of glygcogen

• In one or more tissue

• Severity: FATAL in Infancy……. Mild disorder

Page 47: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

Glycogen Storage Diseases (examples)

• I Glucose-6-phosphatase (von Gierk’s) disease

– Liver, kidney and intestine.

– Severe fasting hypoglycemia

– Hepatomegaly fatty liver.

– Normal glycogen structure.

– Progressive renal disease.

– Growth retardation.

Page 48: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

Glucose 6+ Phosphatase Deficiency

Page 49: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

Glycogen Storage Diseases (examples)

• V Muscle glycogen phosphorylase (McArdle syndrome)

– Only muscle is affected;

– Weakness and cramping of muscle after exercise

– no increase in [lactate] during exercise

Page 50: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

Glycogen Storage Diseases (examples)• II Lysosomes α (1→4) glucosidase ➔ POMP Disease

• Degradation of glycogen in the lysosomes

• ≈ 3% of glycogen is degraded in the lysosomes

• Affects liver, heart and muscle

• Excessive glycogen in abnormal vacuoles in the lysosomes

• Massive cardiomegaly

• Normal blood sugar, normal glycogen structre

• Early death from heart failure.

Page 51: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid
Page 52: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid
Page 53: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid
Page 54: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

Energy needed for glycogen synthesis

Glucose + ATP Glucose 6-phosphate + ADP

Glucose 6-phosphate Glucose 1-phosphate

Glucose 1-phosphate + UTP UDP-Glucose + PPi

PPi + H2O 2Pi

UDP-Glucose + Glycogen(n) UDP + Glycogen(n+1)

Glc. + ATP + UTP+Glycogen(n) ADP + UDP +Glycogen(n+1

Page 55: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

The net reaction in glycogen synthesis and degradation

Glucose 1-phosphate + UTP UDP-Glucose + PPi

PPi + H2O 2Pi

UDP-Glucose + Glycogen(n) UDP + Glycogen(n+1)

Glc. 1-phosph. + UTP+Glycogen(n) UDP +Glycogen(n+1

Degradation

Glycogen(n) + Pi Glycogen(n-1) +Glc. 1-phosphate

Page 56: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

PInhibitor protein

Glc

Page 57: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

GLYCOGEN SYNTHESIS IS INHIBITED

cAMP dependent protein kinase A

Phosphorylation at several sites

Inhibition is proportional to the degree of phosphorylation

Page 58: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid
Page 59: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

Allosteric RegulationRapid response to cell’s needsAvailable substate and ATP➔

synthesis

↓↓Glucose and ↓ATP ➔Glycogenolysis

Page 60: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

Ca2+-calmodulin activates dephosphorylated Phosphorylase kinase

Page 61: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

Calcium Activation of liver phosphorylase Kinase

Page 62: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid
Page 63: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid
Page 64: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

Next TopicMetabolism of mono and

disaccharides

Page 65: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid
Page 66: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid
Page 67: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid

Uracil

Ribose

Phosphate

Page 68: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid
Page 69: Gluconeogenesis - JU Medicine€¦ · •Gluconeogenesis –Sustained synthesis –Slow in responding to falling blood glucose level •Glycogen –Storage form of glucose –Rapid