carbohydrate metabolism. metabolism? why? a 59-year-old man with a history of diabetes and alcohol...
TRANSCRIPT
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CARBOHYDRATE METABOLISM
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METABOLISM? WHY?
A 59-year-old man with a history of diabetes and alcohol abuse is brought to the emergency room in a semiconscious and minimally responsive state
How are glucose, triacylglycerols, and amino acids normally metabolized and what happens in diabetes?
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Major Pathways
1. Glycolysis2. Citric acid cycle3. Gluconeogenesis4. Glycogen metabolism (a) Glycogenesis (b) Glycogenolysis
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Glucose is the most important carbohydrate Glucose is the major metabolic fuel of
mammals. Monosaccharide from diet : - Glucose - Fructose - Galactose Fructose and Galactose glucose at the
liver
Glucose
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Acetyl-CoALactate
G6P
Glucose
Glycolysis
Pyruvate
Krebscycle
ElectronTransport
Chain
Glycogen
Glycogenolysis
Fatty acids(TGA)β-Oxidation
Ketone
bodies
Glycogenesis
Gluconeogenesis
Lipogenesis
Amino acids
(Protein)
Lipolysis
Glucose at the center of metabolism
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Major organ of metabolismGlycogenesis
GlycogenolysisLipogenesis
Lipolysisβ-Oxidation
GlycogenesisGlycogenolysisGluconeogene
sisLipogenesis
Lipolysisβ-OxidationKetogenesis
GlycogenesisGlycogenolysis
Glycolysisβ-Oxidation
GlycogenesisGlycogenolysis
Glycolysisβ-Oxidation
Blood GlucoseSerum Triglycerides
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The origine of glucose
GLUCOSE
Fats
Amino acidsmonosacchar
ide
GlycogenExogenous
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Glucose Homeostasis
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The fate of glucose
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Glycolysis
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Krebs Cycle
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Integration of metabolism
Common intermediates Common organs
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The metabolic intermediates. Metabolic integration
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Major organ of metabolism, metabolic integration
GlycogenesisGlycogenolysis
LipogenesisLipolysis
β-Oxidation
GlycogenesisGlycogenolysisGluconeogene
sisLipogenesis
Lipolysisβ-OxidationKetogenesis
GlycogenesisGlycogenolysis
Glycolysisβ-Oxidation
GlycogenesisGlycogenolysis
Glycolysisβ-Oxidation
Blood GlucoseSerum Triglycerides
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Glucose, in between organ currency
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Regulation of Blood Glucose: Insulin Insulin
Produced by beta cells of the pancreas Helps transport glucose from the blood into
cells Stimulates the liver to take up glucose and
convert it to glycogen
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Regulation of Blood Glucose: Insulin
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Insulin
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Glucagon Produced by alpha cells of the pancreas Stimulates the breakdown of glycogen to
glucose to make glucose available to cells of the body
Stimulates gluconeogenesis—the production of “new” glucose from amino acids
Regulation of Blood Glucose: Glucagon
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Regulation of Blood Glucose: Glucagon
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Glucangon
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Insulin, Glucagon, and blood glucose
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High Blood glucose 1. Glycolysis 2. Glycogenesis 3. HMP Shunt 4. Oxidation of Pyruvate 5. Kreb’s Cycle 6. Change to lipids Low blood glucose 1. Glycogenolysis 2. Gluconeogenesis
Blood glocose
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GLUCONEOGENESIS
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Overview of Glucose Metabolism
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gluco neo genesis
sugar (re)new create
glycolysis
glucose
pyruvatelactate
gluconeogenesis
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Topics: Gluconeogenesis
1. Principles, substrates & relationship to glycolysis
2. Bypass of irreversible steps in glycolysis
3. Link between liver gluconeogenesis and muscle/RBC/brain glycolysis; the Cori and Alanine cycles
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Gluconeogenesis
Occurs in all animals, plants, fungi and microbes
Occurs largely in the liver; some in renal cortex
Of 10 enzymatic steps, 7 are reversals of glycolytic reactions
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Metabolites feed into
gluconeogenesis at various points
mainpath
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AA can feed into gluconeogenesis
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TCA intermediates are gluconeogenic;funnel through oxaloacetate
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Bypass of irreversible steps in glycolysis
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Irreversible glycolytic stepsbypassed
1. Hexokinase (hexK)
2. Phosphofructokinase-1 (PFK-1)
3. Pyruvate kinase (PyrK)
by Glucose-6-phosphatase
by Fructose 1,6-bisphosphatase (FBP-1)
by Pyruvate Carboxylase & Phosphoenolpyruvate carboxykinase (PEPCK)
These 3 key enzymes
glycolysis gluconeogenesis
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Pyruvate can go “up” or “down” depending upon energy needs
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First bypass step is generation of PEP from pyruvate via oxaloacetate
*Note:In order to cross the
mito membrane, oxaloacetate must:
1. Be reduced to malate
2. Go through the malate shuttle
3. Be reoxidized to oxaloacetate
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Addition of CO2 to pyruvate to form oxaloacetate
• Hydrolysis of ATP
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Decarboxylation and phosphorylation to PEP
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2nd & 3rd bypass steps are near the end of gluconeogenesis(“top” of glycolysis)
Regulation of FBP-1 by AMP and F2,6P
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Dephosphorylation of G6P,3rd bypass reaction
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Glucose 6-phosphatase removes the phosphate to liberate free glucose
• This is primarily a function of the liver to buffer blood glucose levels
• G6Pase is NOT present in brain and muscle! (Gluconeogenesis does not occur in these tissues)
glucose-6-P + H2O glucose + Pi
G6Pase
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Gluconeogenesis is energetically expensive to cells (hepatocytes)
cost
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Note that both Glycolysis and Gluconeogenesis are energetically favorable under physiological conditions and therefore both ~ irreversible processes
Glycolysis DG[phys] = -63 kJ/mol
Gluconeogenesis DG[phys] = -16 kJ/mol
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Liver is the major source of blood glucose from GN
Is the primary gluconeogenic organ
Produces glucose for export to brain, muscle, RBC’s
Uses many small metabolites and fatty acids to feed GN
Liver function is highly sensitive to insulin & glucagon
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The Cori Cycle
2 ATP
6 ATP2
Lactate and glucose shuttle between active muscle/RBC and liver (glucagon/insulin reg.)
Liver gluconeogenesis buffers the blood glucose for use by muscle, RBC’s and brain (120 g/day)
*Note: the brain fully oxidizes glucose, so it does not funnel back lactate
GN
GL
RBCs
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The Alanine CycleThe liver can also use the amino acid Alanine similarly to Lactate
Following transamination to pyruvate, gluconeogenesis allows the liver to convert it to glucose for secretion into the blood
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REGULATION OF GLUCONEOGENESIS
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First Coordinated Control Point
(1)
(2)
(3)
1. high energy charge or abundance of biosynthetic intermediates turn off glycolysis.. Glycolytic pathway intermediate turns it on
2. when energy charge of the cell is low, the biosynthetic pathway is turned off.
3. when excess acetyl CoA builds up glucose formation is stimulated. When the energy charge in the cell is low, biosynthesis is turned off.
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Second Coordinated Control Point
Recall that F-2,6-BP is a signal molecule that is present at low concentration during starvation and high concentration in the fed state due to the antagonistic effects of glucagon and insulin on its production.
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Glucagon
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Fructose-2,6-bisphosphate is a powerful inhibitor of fructose-1,6-bisphosphatase
Inhibition of fructose-1,6-bisphosphatase by fructose-2,6-bisphosphate.
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