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    CARBOHYDRATES

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    Definition

    Polyhydroxy aldehydes or ketones Or prothem on hydrolysis.

    Water soluble in Nature

    1 gm of carbohydrate Yield 4.5 Kcal of en

    Can be stored in body

    Performs various functions

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    Classification

    1. Monosaccharidesa. Aldoses

    b. Ketoses

    2. Oligosaccharidesa.Diasaccharides

    b.Trisaccharides

    c.Tetrasaccharides

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    Monosaccharides

    No. of carbons Aldose (- CHO) Keto

    3c Glyceraldehyde 3P D

    4c Erythrose 4 P Eryth

    5c Ribose 5P Rib

    6c Glucose 6P Fru

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    Derivatives of Monosacchar

    1. Sugar acids2. Sugar alcohols

    3. Osazones4. Phosphoric acid esters

    5. Amino sugars

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    Disaccharides: Biomedical imporName Linkage Importance

    Maltose

    (Glu+Glu) (1 -> 4)

    Formed in GIT on digestio

    and glycogen by amylase

    Lactose

    (Gal+glu)

    (1 -> 4)Sugar present in milk

    Sucrose

    (Glu+fru)

    (1 -> 2)Table sugar

    Isomaltose

    (Glu+glu)(1 -> 6)

    Formed in GIT on digestio

    and glycogen by amylase

    Trehalose

    (Glu+glu)(1 -> 1) Present in the diet

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    PolysaccharidesHomopolysaccharides

    1. Starch (1

    4 and 1

    6)

    2. Glycogen(1

    4 and 1

    6)

    3. Dextrins (1

    4 and 1

    6)

    4. Dextran (1

    4 ,1

    6 and 1

    3)

    5. Cellulose (14)

    6. Chitin (Nac Giusamine, 1

    4)

    7. Inulin( Fructosan)

    8. Agar(Galactasan)

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    Heteropolysaccharides

    Name

    Repeating

    Disaccharides Oc

    Hylaluronic acid D-Glucuronic acid-N-

    acetyl glucosamineJoints, O

    Chondroitin sulphate

    D-Glucuronic acid-N-

    acetyl galactosamine4 S/6S

    Cartilag

    HeparinGlucoronic acidN-S-

    glucosamineMast

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    Heteropolysaccharides

    Name Repeating

    Disaccharides

    Occur

    Dermatan

    sulphate

    Iduronic acid-N-

    acetyl

    galactosamine 4S

    Skin,v

    blood v

    Keratan Sulphate D- Galactose-N-

    S- glucosamine

    Cartila

    Cor

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    Glycoproteins/Proteoglyca Extracellular Macromolecules

    Depending on their carbohydrate and protein coare classified as--

    1.Glycoproteins-Carbo< proteins

    -Oligosaccha.(1-20), branched

    Eg- Igs, Transferrin ets 2.Proteoglycans-Carbo> proteins

    -Longer(100), Linear, Unbranched

    Eg.- Decorin, Perlecan ,aggregan

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    Glycoproteins There are 2 types of glycoproteins

    1.O-linked

    2.N-linked

    Functions of glycoprotein

    1. Lubrication2. Cell adhesion

    3. Cell recognition

    4. Sugars in Glycoprotein stabilizes protein again

    degradation, protect from proteolysis

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    Structure of glycoprotei Polypeptide chains of proteins

    covalently linked to oligosaccharide

    chains of carbohydrate

    There maybe 1-30 or even more

    oligosaccharide chains

    The no. of mono saccharide residues

    may vary from 1-2 to much larger

    The mono saccharide residues are

    mainly xylose, fucose, gal, man, gluN,

    galN, manN, NANA

    aa

    aa

    aa

    aa

    gal

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    Glycoprotein degradation

    Lysosomal enzymes glycosidases1. Exoglycosidases

    2. Endoglycosidases

    Genetic deficiency of these enzymes results indegraded glycoproteins and oligosaccharides i

    These disorders are termed as glycoprotein sto

    diseases.

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    Proteoglycans

    Functions

    1.Polyionic

    2.Highly hydrophilic

    3. Forms gel like substance acts

    as lubricants and cushions4.Provides rigidity and stability to

    connective tissue

    5.Mediate cell -cell interactions

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    Mucopolysaccharidosis

    Type Syndrome Enzymatic DefectA

    I Hurrlers Alpha-L-Iduronidase

    II Hunters Iduranate Sulphatase

    III Sanfilippos Heparin Sulphasate

    IV MorquiosGalactosaminesulphat

    ase

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    Type Syndrome Enzymatic DefectAc

    V Scheies L-Iduronidase

    ViMaroteaux-

    Lamys

    N-

    Acetylgalactosamin

    e-4-sulphatase

    vII Slys Beta-Glucoronidase

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    Digestion and absorption

    Starts in mouth: Salivary amylaseStomach: No significant digestion

    Small Intestine: Sucrase,Lactase,Maltase,Iso

    pancreatic Amylase

    Digestive products: Glu,Gal,Fru,

    Absorption :GLUTS (1-7)

    Mode of absorption: facilited transport and Se

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    Glycolysis

    Only pathway which can operate in bconditions:

    1. Aerobic ( In presence of Oxygen)

    Glucose ------> Pyruvate

    2. Anaerobic(In absence of Oxygen)

    Glucose ------> Lactate

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    Glycolysis1. Location: Most of the mammalian cell

    2. Site: Cytosol

    3. Precursor: Glucose

    4. End product: Pyruvate/Lactate

    5. Significance: Energy ( ATPs)6. Regulatory Enzyme: a. GK/HK

    b. PFK

    c. PK

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    Energetics of glycolysis

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    Energetics of glycolysisEnzyme Type of

    phosphorylation

    No. of

    Glucokinase/Hexokinase -

    Phosphofructokinase -

    Glyceraldehyde 3P

    dehydrogenase

    Oxidative 3 +

    Phosphoglycerate Kinase Substrate Level

    Pyruvate Kinase Oxdative 1

    Total 10

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    Link between Glycolysis and Pyruvate dehydrogenase complex (PDH)

    Multienzyme complex

    Requires 5 coenzymes

    NAD+

    TPP

    Lipoic acid

    CoA

    FAD

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    TCA/Citric Acid Cycle/KrebsC1. Location: Cells containing Mitochondria

    2. Site: Mitochondrial Matrix3. Precursor: Acetyl CoA

    4. End product: ATPs+ CO2+H2O

    5. Significance: Energy ( ATPs)

    6. Regulatory Enzyme: a. Citrate Synthase

    b. Isocitrate DHGNS

    c. -KG DHGNS

    d. Succinate- thiokinase

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    TCA/Citric Acid Cycle/KrebsC

    Special features:

    1. Anabolic + Catabolic role = Amphibolic

    2. Produces Plenty of energy

    3. Links various metabolic pathways4. Plays Important role in metabolic switch

    eg. Extra glucose is converted to Fat

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    Energetics of TCA

    Enzymes Phosphorylation No. of AT

    Isocitrate dehydrogenase Oxidative 3 (2.5)

    -KG dehydrogenase Oxidative 3 (2.5)

    Succinate Thiokinase Substrate level 1

    Succinate dehydrogenase Oxidative 2 (1.5)

    Malate dehydrogenase Oxidative 3 (2.5)

    Total 12 or 10

    Gl i

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    Gluconeogenesis1. Location: Mainly in liver and kidneys

    2. Site: Mitochondrial Matrix and cytosol

    3. Precursor: Lactate,pyruvate,isocitrate,-KG,Succinyl

    CoA,Glycerol,Odd chain Fas,glucogenic AA

    4. End product: Glucose

    5. Significance: Synthesizes glucose from non carbohyd

    6. Regulatory Enzyme: a. PC

    b. PEP-CK

    c. Fru 1,6 BPtase

    d. Glucose 6 Ptase

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    HMP shunt

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    HMP shunt1. Location: Adrenal cortex,lactating mamm

    glands, gonads

    2. Site: Cytosol

    3. Precursor: Glucose

    4. End product: NADPH and fru 6 P, Gly 3P

    5. Significance: NADPH ,Ribose5P

    6. Regulatory Enzyme: a. Glucose 6P DHGN

    b 6 P gluconate DH

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    Significance of HMP shun

    1. Provides two important intermediates

    a. NADPH + H+

    - Required for synthetic pathways like F

    synthesis, Cholesterol synthesisb. Ribose 5P

    - Pentose sugar present DNA,RNAs and

    Nucleotides

    Disorders of HMP shunt

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    Disorders of HMP shunt

    1.Glucose 6 phosphatase deficiency

    -No NADPH No reduction ofglutathioneDrug induced Oxidativ

    can not be metabolised leads to hem

    anaemia.

    2.Wernicke- Korsacoff syndrome

    TPP deficiency especially in alcoholi

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    Uronic acid pathway

    1. Location: Adrenal cortex,

    2. Site: Cytosol

    3. Precursor: Glucose

    4. End product:

    5. Significance: Provides Glucuronic ac

    Ascorbic acid

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    GlyMet

    Glycogen metabolism

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    Glycogen metabolismIntroduction

    Glycogen metabolism involves 2 pathways

    Glycogenesis: synthesis of glycogen from glucose

    Glycogenolysis: breakdown of glycogen to form glu

    Pathways occur in the liver and skeletal muscle

    The protein on which the glycogen molecule is is called glycogenin. This protein is also an enzy

    catalyzes the addition of first few molecules of

    itself

    M t

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    Management

    In disorders leading to hypoglycemia

    administration of uncooked cornstarnasogastric feeding between meals i

    required

    In disorders leading to muscle fatigu

    fructose infusion during exercise is th

    preferred treatment.

    i d f G l b

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    Disorders of Galactose Metab

    Galactosemia

    1. Galctokinase

    2. Galactose 1 P uridyltransferase (classical) -Galactosemia,Galactosuria,Hypoglycemia,A

    1PDecreased PiLiver DysfunctionGlycogen storage in liver, Galactitol/dulcito

    Cataract in earlyage.Hemolysis(lowNADP

    3. Epimerase (Rare)

    Disorders of Fructose Metabo

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    1. Essential fructosuria (Rare)

    -Fructokinase is deficient

    - High plasma fructose-Fructosuria

    - Asymptomatic

    1. Hereditary fructose intolerance

    a. Aldolase B

    b fructose 1 6 Bi phosphatase

    Diabetes mellitus- metabolic rearran

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    Diabetes mellitus metabolic rearran

    Insulin Deficiency-decreased glucose uptake

    Decreased of Glycolysis

    Increased of gluconeogenesis

    Increased glycogenolysis

    Decreased glycogenesis

    Increased Lipolysis

    Decreased lipogenesis

    Increased proteolysis

    Di b lli h

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    Diabetes mellitus- other consequ

    1. Glycosylation of proteins. eg-Hemoglobin, albumin

    2. Sorbitol pathway: Accumulation

    sorbitol leads to Cataract, nephrand peripheral neuropathy.

    Li id

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    Lipids

    Organic, insoluble molecules whisoluble in organic solvents.They a

    esters of Fatty acids with alcohol

    actually or potentially related to acids.

    Cl ifi ti

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    Classification

    1. Simple lipids: Fats /oils (TAG)and2. Compound lipids: PL,GL,SL,LP

    3. Derived lipids: FA,Alcohols,Chole

    Digestion and absorption of l

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    Digestion and absorption of l Mouth: Lingual lipase

    Stomach :Gastric lipase

    Small intestine: Pancriatic LipasePhospholipase

    Cholesterol esterase

    EmulsificationMicell formation

    Adsorption of FFA, Glycerol,LysoPL,Chole

    Resynthesis of LipidsPacked in Chylomicron

    Lipid transportation

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    Lipid transportation Lipoproteins

    Chylomicrons- Apo B48,TAG,Chole-E(InstLiver)

    VLDL-ApoB1oo,TAG,Chole-E (LiverPe

    IDL-ApoB100,Chole-E (LiverPeripher

    LDL-ApoB100,Chole-E (LiverPeriphe

    HDL ApoA Chole E(Periphery Liver

    Beta oxidation of Fatty aci

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    Beta oxidation of Fatty aci1. Location: Peripheral tissue

    2. Site: Mitochondrial matrix3. Precursor: Acyl CoA

    4. End product: Acetyl CoA

    5. Significance: Energy ATPs

    6. Regulatory Enzyme: carnitine acyl c

    transferase I

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    Energetics

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    Enzyme/ Reaction ATP

    Acyl CoAdehydrogenase FADH2 2 x7=14 or 1

    Enoyl CoA

    Dehydrogenase

    NADH+H+ 3x7=21 or 2

    Acetyl CoAOxdaition

    TCA 12x8=96

    Total =131-2=

    =108-2

    FA synthesis

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    FA synthesis

    1. Location:Liver,Lactating mammary glands,A

    tissue,Kidneys,Brain2. Site: Cytosol

    3. Precursor: Acetyl CoA

    4. End product: Acyl moeity(Palmitate)5. Significance: Fatty acid-Required for synth

    other compounds

    6. Regulatory Enzyme: acetyl CoA carboxylase

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    Chain Elongation

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    Chain Elongation

    Two types

    1. Microsomal

    2. Macrosomal

    3. Endoplasmic Reticulum (Desatu

    Cholesterol biosynthesis

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    Cholesterol biosynthesis

    1. Location:Liver,adrenalcortex,Intestine,ovar

    Skin,Arterial wall etc.

    1. Site: Cytosol and ER

    2. Precursor: Acetyl CoA

    3. End product: Cholesterol4. Significance: Cholesterol-Required for synt

    other compounds

    5. Regulatory Enzyme: HMG-CoA Reductase

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    lipoproteins

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    lipoproteins

    1. Chylomicrons

    2. VLDL

    3. IDL4. LDL

    5 HDL

    Types of hyperlipoproteine

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    Types of hyperlipoproteineType Lipoprotein fraction elevated

    1 Chylomicrons2a LDL

    2b LDL+VLDL

    3 Chylomicron remnants and IDL

    4 VLDL

    5 VLDL + Chylomicrons

    Prostaglandins

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    Prostaglandins

    Derivatives of arachidonic acid commonly

    as eicosanoids.

    Local Hormones-Autocrine, Paracrine

    Inflammatory mediators(Fever)

    Vasoconstrictor

    Vasodialators

    U i i

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