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CARBOHYDRATE CARBOHYDRATE ME ME TABOLISM TABOLISM CATABOLISM CATABOLISM EDITED BY EDITED BY Liniyanti Liniyanti D.Oswari,MD.,MNS,MSc. D.Oswari,MD.,MNS,MSc. For Block For Block 8 8 Medical student, Sriwijaya Medical student, Sriwijaya University University
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Page 1: Carbohydrate Metabolism Catabolism 2013

CARBOHYDRATE CARBOHYDRATE MEMETABOLISMTABOLISMCATABOLISMCATABOLISM

EDITED BYEDITED BYLiniyanti D.Oswari,MD.,MNS,MSc.Liniyanti D.Oswari,MD.,MNS,MSc.

For Block For Block 88Medical student, Sriwijaya UniversityMedical student, Sriwijaya University

Page 2: Carbohydrate Metabolism Catabolism 2013

Carbohydrate MetabolismCarbohydrate Metabolism

GlycolysisGlycolysis2.3. Biphospoglycerate (2.3.BPG)2.3. Biphospoglycerate (2.3.BPG)GlycogenesisGlycogenesisGlycogenolysisGlycogenolysisHMP shuntHMP shuntGluconeogenesisGluconeogenesisREGULATION OF METABOLISM BY HORMONESREGULATION OF METABOLISM BY HORMONES

Page 3: Carbohydrate Metabolism Catabolism 2013

Carbohydrate Metabolism Carbohydrate Metabolism OverviewOverview glycogen

pentose GLUCOSE other sugars pyruvate

acetyl CoA EtOHlactate

TCA cycle ATP

Page 4: Carbohydrate Metabolism Catabolism 2013

Glucose UtilizationGlucose Utilization

Glucose

PyruvateRibose-5-phosphate

GlycogenEnergy Stores

Pentose Phosphate Pathway

Glycolysis

Adipose

Page 5: Carbohydrate Metabolism Catabolism 2013

GLYCOLYSISGLYCOLYSISGlucose can also be available from food intake. Glucose can also be available from food intake. Glucose is also stored as glycogen Glucose is also stored as glycogen

(glycogenesis).(glycogenesis).After After gluconeogenesis,gluconeogenesis, glucose is converted glucose is converted

from glycogen in liver or muscle from glycogen in liver or muscle for glycolysisfor glycolysis. . Glycolysis is the break down of a Glycolysis is the break down of a 6 C glucose 6 C glucose

sugar to two 3C pyruvate.sugar to two 3C pyruvate.

Page 6: Carbohydrate Metabolism Catabolism 2013

Central role of liver in metabolismCentral role of liver in metabolism

Glucose entering the hepatocyte is phosphorylated by Glucose entering the hepatocyte is phosphorylated by glucokinase to glucose-6-phosphate (G-6-P).glucokinase to glucose-6-phosphate (G-6-P).

Other monosaccharides are also made to G-6-P via Other monosaccharides are also made to G-6-P via gluconeogenesisgluconeogenesis, then glucose can be stored as , then glucose can be stored as glycogen. glycogen.

When we need energy, When we need energy, glycolysis glycolysis converts G-6-P to converts G-6-P to pyruvate and acetyl coA to enter Citric acid cycle to pyruvate and acetyl coA to enter Citric acid cycle to produce ATP energy via oxidative phosporylation produce ATP energy via oxidative phosporylation (aerobic metabolism).(aerobic metabolism).

Page 7: Carbohydrate Metabolism Catabolism 2013

Glycolysis: Glycolysis: break down of glucose in cytoplasmbreak down of glucose in cytoplasm

Glucose-6-phosphate

Glucose-1-phosphate

UDP-glucose

Glycogen

GlucoseHexokinase

Fructose-6-phosphate

Fructose-1, 6-biphosphate

Glyceraldehyde-3-phosphate

Dihydroxyacetone phosphate (DHAP)

Glycerol

Glyceraldehyde-1, 3-bisphosphate

Glycerate-3-phosphate

Glycerate-2-phosphate

Phospho-enol-pyruvate

NAD + Pi

NADH + H+

ATP

ATP

ADP

ADP H2O

H2O

Pyr

uva

teL

acta

te

Lac

tate

D

ehyd

rog

enas

e

ATPADP

ATPADP

ATPADP

Page 8: Carbohydrate Metabolism Catabolism 2013

Glycolysis: Phase 1 and 2• Phase 1: Sugar activation

– Two ATP molecules activate glucose into fructose-1,6-diphosphate

• The 1 and 6 indicate which carbon atom to which they are attached.

• Phase 2: Sugar cleavage (splitting) – Fructose-1,6-bisphosphate (6 C’s) is split into

two 3-carbon compounds:• Glyceraldehyde 3-phosphate (GAP)

Page 9: Carbohydrate Metabolism Catabolism 2013

Glycolysis: Phase 3• Phase 3: Oxidation and ATP formation

– The 3-carbon sugars are oxidized (reducing NAD+); i.e., 2 H’s + NAD NADH2

– Inorganic phosphate groups (Pi) are attached to each oxidized fragment

– The terminal phosphates are cleaved and captured by ADP to form four ATP molecules

– The final products are: • Two pyruvic acid molecules• Two NADH + H+ molecules (reduced NAD+)• A net gain of two ATP molecules

Page 10: Carbohydrate Metabolism Catabolism 2013

Glycolysis has two stagesGlycolysis has two stages..A. An energy investment phase. Reactions, 1-5. Glucose to two glyceraldehyde -3-phosphate molecules. 2 ATPs are invested.B. An energy payoff phase. Reactions 6-10. two glyceraldehyde 3-phosphate molecules to two pyruvate plus four ATP molecules.-- A net of two ATP molecules overallplus 2 NADH(10 ATP–2 ATP= 8 ATP).

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GLYCOLYSIS GLYCOLYSIS Glucose ATP hexokinase ADP Glucose 6-phosphate phosphogluco- isomerase Fructose 6-phosphate ATPphosphofructokinase ADP Fructose 1.6-bisphosphate aldolase

triose phosphate isomerase Dihydroxyacetone Glyceraldehyde phosphate 3-phosphate

Page 12: Carbohydrate Metabolism Catabolism 2013

Glyceraldehyde 3-phosphateglyceraldehyde NAD+ + Pi

3-phosphate NADH + H+

dehydrogenase 1,3-Bisphosphoglycerate  ADPphosphoglycerate kinase ATP 3-Phosphoglyceratephosphoglyceromutase 2-Phosphoglycerate enolase H2O Phosphoenolpyruvate ADP pyruvate kinase ATP Pyruvate

Page 13: Carbohydrate Metabolism Catabolism 2013

Three irreversible kinase reactionsprimarily drive glycolysis forward.  hexokinase or glucokinase phosphofructokinase pyruvate kinase

These enzymes will be shown to beregulate glycolysis as well.

Page 14: Carbohydrate Metabolism Catabolism 2013

Hexokinase Vs Glucokinase

Hexokinase Glucokinase

Site Most tissues Hepatocytes

Islet cells (pancreas)

Kinetics Low Km

Low Vmax

High Km

High Vmax

Regulation G-6-phosphate F-6-phosphate

Insulin: Induction

Function Low glucose conc. High glucose conc.

Glucose sensor

Page 15: Carbohydrate Metabolism Catabolism 2013

-- REGULATION OF GLYCOLYSISREGULATION OF GLYCOLYSIS

1.1.HEXOKINASE and HEXOKINASE and GLUCOKINASEGLUCOKINASE

HEXOKINASEHEXOKINASE Commiting step in glycolysis:

phosphorylation of glucose. Inhibited by its product, glucose6-phosphate,

as a response to slowing of glycolysis . found in all cells of every organism low

specificity for monosaccharides (simple sugars) i.e., other monosaccharides can be phosphorylated by hexokinase. relatively high affinity for glucose, KM = 0.1 mM

Page 16: Carbohydrate Metabolism Catabolism 2013

GLUCOKINASEGLUCOKINASE liver enzyme with high KM (10 mM)for glucose so most effective when glucose levels are very high not inhibited by glucose 6-phosphatesensitive to high glucose in circulation from recent meal so it decreases high level of glucose in blood by taking glucose into liver

Page 17: Carbohydrate Metabolism Catabolism 2013

2. PHOSPHOFRUCTOKINASE PHOSPHOFRUCTOKINASE rate limiting for glycolysis an allosteric multimeric regulatory enzyme. Measures adequacy of energy levels.

Inhibitors: ATP and citrate high energy Activators: ADP, AMP, and fructose 2,6 bisphosphate low energy 

Page 18: Carbohydrate Metabolism Catabolism 2013

ATP inhibits phosphofructoseactivity by decreasing fructose6-phosphate bindingAMP and ADP reverse ATP inhibition Fructose 2,6 bisphosphate is a very important regulator, controlling the relative flux of carbon through glycolysis versus gluconeogenesis.- It also couples these pathways to hormonal regulation.

Page 19: Carbohydrate Metabolism Catabolism 2013

3. PYRUVATE KINASEPYRUVATE KINASE PEP + ADP Pyruvate + ATP An allosteric tetramer -inhibitor: ATP & acetyl CoA & fatty acids (alternative fuels for TCA cycle)- activator: fructose 1,6-bisphosphate - (“feed-forward”) Phosphorylation (inactive form) anddephosphorylation (active form)under hormone control.Also highly regulated at the level of gene expression(“carbohydrate loading”)

Page 20: Carbohydrate Metabolism Catabolism 2013

Glycolysis:Embden-Myerhof

Pathway Oxidation of

glucose Products:

2 Pyruvate 2 ATP 2 NADH

Cytosolic

Page 21: Carbohydrate Metabolism Catabolism 2013

Aerobic Vs Anaerobic Glycolysis

Page 22: Carbohydrate Metabolism Catabolism 2013

Aerobic Glycolysis: Total Vs Net ATP Production

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Summary of Energy RelationshipsSummary of Energy Relationships for Glycolysis aerobicfor Glycolysis aerobic  

Input = 2 ATP 1. glucose + ATP glucose-6-P 2. fructose-6-P + ATP fructose 1,6 bisphosphateOutput = 4 ATP + 2 NADH1. 2 glyceraldehyde-3-P + 2 Pi + 2 NAD+ 2 (1,3 bisphosphoglycerate) + 2 NADH2. 2 (1,3 bisphosphoglycerate) + 2 ADP 2 (3-P-glycerate) + 2 ATP3. 2 PEP + 2 ADP 2 pyruvate + 2 ATPNet = 2 ATP and 2 NADH( 8 ATP)

Page 24: Carbohydrate Metabolism Catabolism 2013

Energy Yield From GlycolysisEnergy Yield From Glycolysis

glucose 6 CO2 = -2840 kJ/mole

2 ATPs produced = 2 x 30.5 = 61 kJ/mole glucose Energy yield = 61/2840 = 2% recovered as ATP- subsequent oxidation of pyruvate and NADH can recover more of the free energy from glucose.

Page 25: Carbohydrate Metabolism Catabolism 2013

Carbohydrate Metabolism Primarily glucose

Fructose and galactose enter the pathways at various points

All cells can utilize glucose for energy production Glucose uptake from blood to cells usually mediated by insulin

and transporters

Liver is central site for carbohydrate metabolism Glucose uptake independent of insulin The only exporter of glucose

Page 26: Carbohydrate Metabolism Catabolism 2013

Blood Glucose Homeostasis Several cell types prefer glucose as energy

source (ex., CNS) 70-110 mg/dl is normal range of fasting blood glucose Uses of glucose:

Energy source for cells Muscle glycogen Fat synthesis if in excess of needs

Page 27: Carbohydrate Metabolism Catabolism 2013

Fates of Glucose

Fed state Storage as glycogen

Liver Skeletal muscle

Storage as lipids Adipose tissue

Fasted state Metabolized for energy New glucose synthesized

Synthesis and breakdown occur

at all times regardless of

state...

The relative rates of synthesis and

breakdown change

Synthesis and breakdown occur

at all times regardless of

state...

The relative rates of synthesis and

breakdown change

Page 28: Carbohydrate Metabolism Catabolism 2013

High Blood Glucose

Glucose absorbed

Insulin

Pancreas

Muscle

Adipose Cells

Glycogen

Glucose absorbed

Glucose absorbed

immediately after eating a meal…

Page 29: Carbohydrate Metabolism Catabolism 2013

Glucose Metabolism Four major metabolic pathways:

Energy status (ATP) of body regulates which pathway gets energy

Same in ruminants and non-ruminants

Immediate source of energy Pentophosphate pathway Glycogen synthesis in liver/muscle Precursor for triacylglycerol synthesis

Page 30: Carbohydrate Metabolism Catabolism 2013

Fate of Absorbed Glucose 1st Priority: glycogen storage

Stored in muscle and liver 2nd Priority: provide energy

Oxidized to ATP 3rd Priority: stored as fat

Only excess glucose Stored as triglycerides in adipose

Page 31: Carbohydrate Metabolism Catabolism 2013

Pyruvate Metabolism Three fates of pyruvate:

Conversion to lactate (anaerobic) Conversion to alanine (amino acid) Entry into the TCA cycle via pyruvate dehydrogenase pathway (create ATP)

Page 32: Carbohydrate Metabolism Catabolism 2013

Fate of Product of Glycolysis- Fate of Product of Glycolysis- PyruvatePyruvate- Pyruvate is at a central branch point in metabolism. Recall: Aerobic pathway - through citric acid cycle and respiration; this pathway yields far more energy and will be discussed later.

NADH + O2 NAD+ + energyPyruvate + O2 3CO2 + energy

Page 33: Carbohydrate Metabolism Catabolism 2013

Cori Cycle

Lactate is converted to pyruvate in the liver

Page 34: Carbohydrate Metabolism Catabolism 2013

Two Two anerobicanerobic pathways: pathways:

 - to lactate via lactate dehydrogenase - to ethanol via ethanol dehydrogenase

- Note: both use up NADH produced so only 2 ATP per glucose consumed

Page 35: Carbohydrate Metabolism Catabolism 2013

Pyruvate metabolism

Convert to alanine and export to blood

COO–

C O

CH3

COO–

HC NH3+

CH3Alanine amino transferase

(AAT)

AlaninePyruvate

Glutamate -Ketoglutarate

Keto acid Amino acid

Page 36: Carbohydrate Metabolism Catabolism 2013

Pyruvate Dehydrogenase Complex (PDH) Prepares pyruvate to enter the TCA cycle

Electron Transport Chain

TCA Cycle

Aerobic Conditions

Page 37: Carbohydrate Metabolism Catabolism 2013
Page 38: Carbohydrate Metabolism Catabolism 2013

1. Lactate FermentationLactate Fermentation Enzyme = Lactate Dehydrogenase COO- COO-

C=O + NADH + H+ H-C-OH + NAD+

CH3 CH3

pyruvate lactate

-Note: uses up all the NADH(reducing equivalents) produced in glycolysis.

Page 39: Carbohydrate Metabolism Catabolism 2013

Helps drive glycolysis by using up NADH reversible so pyruvate can beregenerated in alternative metabolism lactate fermentation important in red blood cells, parts of the retina, and in skeletal muscle cells during strenuous exercise.-Also important in plants and in microbes growing in absence of O2.

Page 40: Carbohydrate Metabolism Catabolism 2013

-- Lactate Dehydrogenase (LDH) hasmultiple forms. It is an isozyme.Two polypeptides M and H cometogether to form LDH. It is a tetramerso a mixture is formed:M4, M3H, M2H2, MH3 and H4

M M M H H H H H H H M M M M M M M H H H

Page 41: Carbohydrate Metabolism Catabolism 2013

Skeletal muscle and liver containpredominantly the “MM” forms;heart the “HH” forms. During andafter myocardialinfarction (heartattack), heartcells die releasingLDH into thecirculation.

Diagnostic.

Page 42: Carbohydrate Metabolism Catabolism 2013

LACTIC ACID (CORI) CYCLELACTIC ACID (CORI) CYCLE  glucose glucose glucose glucose-6-P glucose-6-P glycogen glycogen  ATP ATP  NADH BloodBlood NADH pyruvate pyruvate  lactate lactate lactate LiverLiver MuscleMuscle

Page 43: Carbohydrate Metabolism Catabolism 2013

The liver uses most of this lactate tomake glycogen. Only small amountsof free glucose released.

Glycogen can be broken down intoglucose when needed.

Page 44: Carbohydrate Metabolism Catabolism 2013

2.2.Alcoholic FermentationAlcoholic Fermentation

COO- CO2 CH2OH H O

C=O C + NADH CH3 +CH3 CH3 NAD+

 pyruvate acetaldehyde ethanol pyruvate decarboxylase- irreversible alcohol dehydrogenase- reversibleNote: NADH used up

Page 45: Carbohydrate Metabolism Catabolism 2013

- pathway is active in yeast.- second step helps drive glycolysis-second step is reversible- reverse is ethanol oxidation, eventially yields acetate, which ultimately goes into fat synthesis.- ethanol acetaldehyde acetate - humans have alcohol dehydrogenase in liver which mainly disposes of ethanol.- acetaldehyde is reactive and toxic.

Page 46: Carbohydrate Metabolism Catabolism 2013

SummarySummary GlucoseGlucoseoof Reactionsf Reactions 2 ATP 2 NADH 2 pyruvate2 NADH 2 NADHaanaerobic naerobic anaerobicanaerobic 2 ethanol + CO2 2 lactate

2 acetyl CoA + 2 CO2

  O2 aerobicaerobic 4 CO2 + 4 H2O

Page 47: Carbohydrate Metabolism Catabolism 2013

Siklus 2,3 Biphosphoglicerat

Page 48: Carbohydrate Metabolism Catabolism 2013

2.3 Biphosphoglycerate(BPG)

Page 49: Carbohydrate Metabolism Catabolism 2013

Human Hb and binding site for 2,3 BPG

Page 50: Carbohydrate Metabolism Catabolism 2013

The rate of Glycolysis will influent the affinity oxygen and Hemoglobine,with the intermediate 2,3 BPG pathway

Disorder in glycolysis will influent the affinity hemoglobine and oxygen.

Defficiency Piruvat kinase, so the level of 2.3 BPG will increase.

The affinity of oxygen and hemoglobine loose, and hypoxia in the tissue

Anemia hemolytic.

Page 51: Carbohydrate Metabolism Catabolism 2013

Deficiency Hexokinase - Genetic disease

- 2.3 BPG in RBC low - Affinity Hb and Oxygen is very strong

(abnormal) - Hypoxia in the tissue

Page 52: Carbohydrate Metabolism Catabolism 2013

Defficiency Piruvate kinase(Anemia Hemolitik)

- Blockade The end of glycolytic pathway, The affinity of oxygen and Hb decrease. turun.

- The production of ATP is not enough, so it decrease the activity of Na+ & K+, stimulate ion ATP ase pump.

It will keep the membran cell of RBC. Defficiency Piruvate Kinase will make RBC

Lysis.

Page 53: Carbohydrate Metabolism Catabolism 2013

The important pathways of glucose metabolism. Note that the glycogen degradations pathways end in -lysis, while the glycogen synthesis pathways end with -genesis.

Page 54: Carbohydrate Metabolism Catabolism 2013

Glycogenesis

Glycogen synthesis Occurs in cytosol of liver,muscle& kidney Occurs when blood glucose levels are high Excess glucose is stored (limited capacity)

liver and muscle are major glycogen storage sites liver glycogen used to regulate blood glucose levels brain cells cannot live for > 5 minutes without glucose muscle glycogen used to fuel an active muscle

Page 55: Carbohydrate Metabolism Catabolism 2013

Glycogen Synthesis Glucose units are activated for transfer by formation

of sugar nucleotides What are other examples of "activation"?

acetyl-CoA, biotin, THF, Leloir showed in the 1950s that glycogen synthesis

depends on sugar nucleotides UDP-glucose pyrophosphorylase - Fig. 23.18

a phosphoanhydride exchange driven by pyrophosphate hydrolysis

Page 56: Carbohydrate Metabolism Catabolism 2013
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Glycogen Synthase Forms alfa-(1 4) glycosidic bonds in glycogen

Glycogenin (a protein!) forms the core of a glycogen particle

First glucose is linked to a tyrosine -OH Glycogen synthase transfers glucosyl units from

UDP-glucose to C-4 hydroxyl at a nonreducing end of a glycogen strand.

Note another oxonium ion intermediate

Page 59: Carbohydrate Metabolism Catabolism 2013
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Control of Glycogen Metabolism

A highly regulated process, involving reciprocal control of glycogen phosphorylase and glycogen

synthase GP allosterically activated by AMP and inhibited

by ATP, glucose-6-P and caffeine GS is stimulated by glucose-6-P Both enzymes are regulated by covalent

modification - phosphorylation

Page 62: Carbohydrate Metabolism Catabolism 2013

Phosphorylation of GP and GS Covalent control

Edwin Krebs and Edmond Fisher showed in 1956 that a "converting enzyme" converted phosphorylase b to phosphorylase a(P)

Phosphorylation causes the amino terminus of the protein (res 10-22) to swing through 120 degrees, moving into the subunit interface and moving Ser-14 by more than 3.6 nm

Nine Ser residues on GS are phosphorylated!

Page 63: Carbohydrate Metabolism Catabolism 2013

Enzyme Cascades and GP/GS Hormonal regulation

Hormones (glucagon, epinephrine) activate adenylyl cyclase

cAMP activates kinases and phosphatases that control the phosphorylation of GP and GS

GTP-binding proteins (G proteins) mediate the communication between hormone receptor and adenylyl cyclase

Page 64: Carbohydrate Metabolism Catabolism 2013

Hormonal Regulation of Glycogen Synthesis and Degradation

Insulin is secreted from the pancreas (to liver) in response to an increase in blood glucose

Note that the portal vein is the only vein in the body that feeds an organ!

Insulin stimulates glycogen synthesis and inhibits glycogen breakdown

Note other effects of insulin

Page 65: Carbohydrate Metabolism Catabolism 2013
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Hormonal Regulation II Glucagon and epinephrine

Glucagon and epinephrine stimulate glycogen breakdown - opposite effect of insulin!

Glucagon (29 res) is also secreted by pancreas Glucagon acts in liver and adipose tissue only! Epinephrine (adrenaline) is released from adrenal

glands Epinephrine acts on liver and muscles The phosphorylase cascade amplifies the signal!

Page 68: Carbohydrate Metabolism Catabolism 2013

O

O

OO

-[1- 4] linkages

O

O

O

O

O

O

O -[1-6] linkage

O ........

CH2OH CH2OH

CH2OH CH2OH CH2CH2OH

. The glycogen structure showing the glycosidic bonds

O

Page 69: Carbohydrate Metabolism Catabolism 2013

Liver 7–10% of wet weight Use glycogen to export glucose to the bloodstream when

blood sugar is low Glycogen stores are depleted after proximately 24 hrs of

fasting (in humans) De novo synthesis of glucose for glycogen

Skeletal muscle 1% of wet weight

More muscle than liver, therefore more glycogen in muscle, overall Use glycogen (i.e., glucose) for energy only (no export of

glucose to blood) Use already-made glucose for synthesis of glycogen

Glycogenesis

Page 70: Carbohydrate Metabolism Catabolism 2013

Pathway of glycogen synthesis (glycogenesis).

Glucose

Glucose-6-phosphate

Hexokinase(muscle)Glucokinase(liver)

ADP

UTP PPi

UDP-glucose

Glucose-1-PUridyltransferase

Glucose-1-phosphate

Phospho-glucomutase

ATP

UDP

(Glucose)n

(Glucose)n+

1

Glycogen Synthase

Page 71: Carbohydrate Metabolism Catabolism 2013

Control of enzyme activity

Rate limiting step

Page 72: Carbohydrate Metabolism Catabolism 2013

Glycogen synthesisGlucose 6-P→ glucose 1-P.glucose 1-P + UTP→UDP-glucose + PPi.PPi + H2O→ 2 Pi.UDP-glucose + glycogenn → glycogenn+1.

UDP + ATP → UTP + ADP.

Glucose 6-P + ATP + glycogenn + H2O →glycogenn+1 + ADP + 2Pi.

(nucleoside diphosphokinase)

Only one ATP is used to store one glucose residue in glycogen.

Page 73: Carbohydrate Metabolism Catabolism 2013

Glycogen synthesis and breakdown are reciprocally regulated

Red=inactive forms, green = active forms.

Protein phosphatase 1 (PP1) regulates glycogen metabolism.

InactiveActive

Page 74: Carbohydrate Metabolism Catabolism 2013

Glycogenolysis Glycogen degradation Occurs in cytosol Signal that glucose is needed is given by

hormones epinephrine stimulates glycogen breakdown in

muscle glucagon which stimulates glycogen breakdown

in liver in response to low BG used to sustain blood glucose level between meals

and to provide energy during an emergency/exercise

Page 75: Carbohydrate Metabolism Catabolism 2013
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Glycogen Catabolism Getting glucose from storage (or diet)

-Amylase is an endoglycosidase It cleaves amylopectin or glycogen to maltose,

maltotriose and other small oligosaccharides It is active on either side of a branch point, but

activity is reduced near the branch points Debranching enzyme cleaves "limit dextrins" Note the 2 activities of the debranching enzyme

Page 77: Carbohydrate Metabolism Catabolism 2013
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Glycogen

X glycolysis

LIVER PATHWAY

Glycogenolysis and the fate of glycogen in liver and kidney

Pi

glycogenphosphorylase

Glucose-1-phosphate

phosphoglucomutase

Glucose-6-phosphate

(inhibited by lack of fructose-2,6-bisP

glucose-6-phosphataseGlucose

Pi

Page 81: Carbohydrate Metabolism Catabolism 2013

. Glycogenolysis and the fate of glycogen in muscle.

lactate dehydrogenaseLactate

anaerobic

pyruvatedehydrogenase

Acetyl CoA

MUSCLE PATHWAYGlycogen

Pi

glycogenphosphorylase

phosphoglucomutase

Glucose-1-phosphate

Glucose-6-phosphate

glycolysis

Pyruvate

CO2

citric acid cycle

aerobic

Page 82: Carbohydrate Metabolism Catabolism 2013

Glikogenesis & Glikogenolisis Glucose anabolism

Glucose storage: glycogenesis glycogen formation is

stimulated by insulin glucose not needed

immediately is stored in the liver (25%) and in skeletal muscle (75%)

Glucose release: glycogenolysis converts glycogen to

glucose occurs between meals,

stimulated by glucagon and epinephrine

Page 83: Carbohydrate Metabolism Catabolism 2013

SIMPLISTIC SUMMARY:SIMPLISTIC SUMMARY:-- Epinephrine and glucagon stimulate glycogenolysis & inhibit glycogenesis via a cAMP and a phosphorylation cascade. release glucose-- Glycogenesis is stimulated by insulin in a pathway ending in the dephosphorylation of glycogen synthase.-- Glycogenolysis is also inhibited via dephosphorylation. take up glucose

Page 84: Carbohydrate Metabolism Catabolism 2013

Glycogen Storage Diseases:Glycogen Storage Diseases:  A family of serious, although notnecessarily fatal, diseases caused bymutations in the enzymes involvingin glycogen storage and breakdown.

Page 85: Carbohydrate Metabolism Catabolism 2013

Glycogen Storage Diseases

Type I: Von Gierke Disease; Glucose-6-phosphatase Defect

Hypoglycemia occurs due to defect of the final step of gluconeogenesis. This disease, affects only liver and renal tubule cells Decreased mobilization of glycogen produces hepatomegaly. Decreased gluconeogenesis causes increased lactate leading to lactic acidemia.

Type V: McArdle Disease; Skeletal Muscle Glycogen Phosphorylase Defect

Skeletal muscle is affected, whereas the liver enzyme is normal. Temporary weakness and cramping of skeletal muscle occurs after exercise. There is no rise in blood lactate during strenuous exercise. Muscle contains a high level of glycogen with normal structure

Type VI: Hers Disease; Liver Glycogen Phosphorylase Defect

Liver is affected, whereas the skeletal muscle enzyme is normal. Marked hepatomegaly occurs due to a high level of glycogen with normal structure.. Following administration of glucagon, there is no increase in blood glucose.

Page 86: Carbohydrate Metabolism Catabolism 2013

Pentose Phosphate Pathway=Hexose Monophosphat Shunt

Generation of NADPH and Pentoses

Has 2 functions1.Generate reducing equivalents NADPH (reduced cosubstrate/ coenzyme) needed for fatty acid synthesis, folate reduction2. Produce ribose 5-phosphate needed for DNA and RNA synthesis

Occurs in cytosol of cells particularly important in anabolic tissues,liver, adrenal cortex, mammary glands and fat tissues

muscle cells do NOT have HMS enzymes

Page 87: Carbohydrate Metabolism Catabolism 2013

Pentose Phosphate Pathway

Glucose-6-phosphate

6-Phospho- glucono-lactone

6-Phospho- gluconate

D-Ribulose-5-phosphate

D-Ribose- 5-phosphate

RNA or DNA

Page 88: Carbohydrate Metabolism Catabolism 2013

A scenario in which the cell requires NADPH but does not require ribose-5-P

NADPH is used for biosynthetic reactions and glutathione metabolism

Glucose-6-P-dehydrogenase

Glucose Glucose 6-P

ATP ADP

6-Phosphogluconate

NADP NADPH

Ribulose 5-PCO2

NADPH

NADP6-Pgluconate dehydrogenase

Oxidative branch

Xylulose 5-P Ribose 5-P (5 carbons)

Sedoheptulose 7-P (7 carbons)

Erythrose 4-P

Transketolase

Transaldolase

Glyceraldehyde 3-P

Fructose 6-P

Fructose 6-P

TDP

TDP

Tra

nsk

eto

lase

Non

-oxi

dati

ve b

ranc

h

Glyceraldehyde 3-P

Glyceraldehyde-3-P and fructose-6-P return to the glycolytic pathway

Page 89: Carbohydrate Metabolism Catabolism 2013

Ribulose 5-P

Xylulose 5-P Ribose 5-P (5 carbons)

Sedoheptulose 7-P (7 carbons)

Erythrose 4-P

Transketolase

Transaldolase

Glyceraldehyde 3-P

Fructose 6-PFructose 6-P

Glyceraldehyde 3-P

TDP

TDPT

ran

sket

ola

se

A scenario in which the cell requires ribose-5-P but does not require NADPH

Ribose-5-P is the sugar required for the synthesis of nucleic acids

Oxidative branch is feedback inhibited by excess NADPH at glucose-6-P dehydrogenase

Nucleic acids

Page 90: Carbohydrate Metabolism Catabolism 2013

Glucose Glucose 6-P

Ribulose 5-P

6-Phosphogluconate

Ribose 5-P (5 carbons)

ATP ADP NADP NADPH

CO2

NADPH

NADP

Glucose-6-P-dehydrogenase

6-Pgluconate dehydrogenase

A scenario in which the cell requires both NADPH and ribose-5-P

Nucleic acids

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Overview Function

NADPH production Reducing power

carrier Synthetic pathways

Role as cellular antioxidants

Ribose synthesis Nucleic acids and

nucleotides

Page 94: Carbohydrate Metabolism Catabolism 2013
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Characteristics: Tissue Distribution Demand for NADPH

Biosynthetic pathways FA synthesis (liver, adipose, mammary) Cholesterol synthesis (liver) Steroid hormone synthesis (adrenal, ovaries, testes)

Detoxification (Cytochrome P-450 System) – liver Reduced glutathione as an antioxidant (RBC) Generation of superoxide (neutrophils)

Page 96: Carbohydrate Metabolism Catabolism 2013

Characteristics:Oxidative and Non-oxidative Phases

Oxidative phases Reactions producing

NADPH Irreversible

Non-oxidative phases Produces ribose-5-P Reversible reactions feed

to glycolysis

Page 97: Carbohydrate Metabolism Catabolism 2013

NADPH producing reactions Glucose-6-P dehydrogenase 6-P-gluconate dehydrogenase

Page 98: Carbohydrate Metabolism Catabolism 2013

The Pentose Phosphate Pathway:Non-oxidative phases

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Regulation Glucose-6-P dehydrogenase

First step Rate limiting

Allosteric Regulation Feedback inhibited by NADPH

Inducible enzyme Induced by insulin

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HMS ( Hexose Monophospat Shunt) Nicotinamide adenine dinucleotide phosphate

phosphorylated form of reduced nicotinamide adenine dinucleotide (NADH)

generated in a series of reactions comprising the oxidation-reduction phase of HMS

Ribose 5-phosphate sugar used as the backbone of DNA and RNA

Cell’s requirement for ATP (glycolysis) or NADPH and ribose 5-P (HMS) determines which path it will take.

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Stages of HMS Reactions occur in 3 main stages

oxidation-reduction generation of NADPH

isomerization stage generation of ribose 5-phosphate

carbon bond cleavage-rearrangement stage conversion of three 5-carbon sugars to two 6-carbon sugars

(Fructose 6-phosphate) and one 3-carbon sugar (Glyceraldehyde 3-phosphate)

these series of reactions occur in cells where demand for NADPH is high F 6 P can be converted back to G 6 P which can re-enter HMS

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Reactions of Stages 1 and 2

G6P is oxidized to 6-phosphoglucono-lactone by G6P dehydrogenase that uses NADP as coenzyme produces NADPH and 6-phosphoglucono

6-phosphoglucono is hydrolyzed (addition of water) to 6-phosphogluconate

6-phosphogluconate is oxidized by 6 phosphogluconate dehydrogenase produces NADPH and ribulose 5 phosphate

Ribulose 5-phosphate is isomerized to ribose 5 phosphate

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Regulation of Metabolism Revisited

Allosteric Enzyme Modulation enzymes can be stimulated or inhibited by certain

compounds modulators act by altering conformational

structure of their allosteric enzymes causes shifts between relaxed and tight conformations

relaxed is most active

ratio of ADP (or AMP) to ATP is important in regulation of energy metabolism

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Allosteric Enzyme Modulation low ADP:ATP ratio signals less need to

produce ATP inhibition of key enzymes in glycolysis and the

TCA cycle PFK, PDH, CS, and isocitrate dehydrogenase

high ADP:ATP ratio signals need for ATP activation of the above enzymes

ATP is end product in oxidative catabolism and its accumulation would signal to decrease catabolic pathway activity

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Allosteric Enzyme Modulation

ratio of NADH to NAD+ is also important in regulation NADH is end product of catabolic pathway accumulation would signal to decrease activity diminution would signal to increase activity key enzymes are affected in glycolytic and TCA

cycle PK, PDH, CS, isocitrate dehydrogenase and alpha KG

dehydrogenase

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Role of NADPH in the RBC Production of superoxide

Hb-Fe2+-O2 -> Hb-Fe3+ + O2-.

Spontaneous rxn, 1% per hour

O2-. + 2H2O -> 2H2O2

Both O2-. & H2O2 can produce reactive free

radical species, damage cell membranes, and cause hemolysis

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Pentose Phosphate PathwayGlucose 6-phosphate dehydrogenase deficiency

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Detoxification of Superoxide Anion and Hydrogen Peroxide Antioxidant enzymes

Superoxide dismutase Glutathione peroxidase Glutathione reductase