Basic Principles of Medicine 2: Glycolysis Overview
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Questions and Answers

What is the main function of the pentose phosphate pathway?

  • To synthesize fatty acids
  • To synthesize amino acids
  • To produce NADPH and ribose-5-phosphate (correct)
  • To produce ATP from glucose
  • What hormone stimulates the breakdown of glycogen in the liver?

  • Cortisol
  • Glucagon (correct)
  • Epinephrine
  • Insulin
  • Which of the following is NOT a product of glycolysis?

  • Acetyl-CoA (correct)
  • ATP
  • Pyruvate
  • NADH
  • What is the net yield of ATP from the complete oxidation of one molecule of glucose?

    <p>38 (B)</p> Signup and view all the answers

    What is the name of the process that converts pyruvate to acetyl-CoA?

    <p>Pyruvate dehydrogenase complex (C)</p> Signup and view all the answers

    Which of the following is NOT a situation where glycolysis is the primary pathway for energy generation?

    <p>Liver in a fasted state (C)</p> Signup and view all the answers

    What is the primary purpose of the 'energy investment' phase in glycolysis?

    <p>Prepare glucose for further breakdown (C)</p> Signup and view all the answers

    Which of the following products is NOT formed during the energy generation phase of glycolysis?

    <p>Fructose-1,6-biphosphate (C)</p> Signup and view all the answers

    Why is glycolysis considered a crucial pathway for energy generation even in the absence of oxygen?

    <p>It generates ATP without the need for oxygen (C)</p> Signup and view all the answers

    The location of glycolytic enzymes within the cell suggests that glycolysis takes place in the:

    <p>Cytoplasm (D)</p> Signup and view all the answers

    What is the name of the enzyme that catalyzes the conversion of glucose to glucose-6-phosphate?

    <p>Hexokinase (D)</p> Signup and view all the answers

    Which enzyme is responsible for the conversion of fructose-6-phosphate to fructose-1,6-bisphosphate?

    <p>PFK-1 (D)</p> Signup and view all the answers

    Which of the following enzymes generates ATP through substrate-level phosphorylation?

    <p>Glyceraldehyde 3-P dehydrogenase (C)</p> Signup and view all the answers

    What is the name of the enzyme that catalyzes the conversion of 1,3-bisphosphoglycerate to 3-phosphoglycerate?

    <p>Phosphoglycerate kinase (C)</p> Signup and view all the answers

    Which of the following is true regarding the role of pyruvate kinase in glycolysis?

    <p>It generates ATP through substrate-level phosphorylation. (C)</p> Signup and view all the answers

    What is the main metabolic consequence of pyruvate kinase deficiency?

    <p>Hemolytic anemia (C)</p> Signup and view all the answers

    Which enzyme's deficiency causes hemolytic anemia? (Select all that apply)

    <p>Hexokinase (A), Pyruvate kinase (D)</p> Signup and view all the answers

    What is the role of arsenic in the context of glycolysis?

    <p>It inhibits the enzyme glyceraldehyde 3-P dehydrogenase. (B)</p> Signup and view all the answers

    Which of the following requires the presence of mitochondria?

    <p>Pyruvate dehydrogenase complex (D)</p> Signup and view all the answers

    Which of the following conditions can result in the production of lactate?

    <p>Absence of oxygen and mitochondria (A), Deficiency in thiamine (C)</p> Signup and view all the answers

    Which of the following is TRUE about the Cori cycle?

    <p>It involves the conversion of lactate to pyruvate in the muscles. (D)</p> Signup and view all the answers

    What is the role of thiamine in the conversion of pyruvate?

    <p>It acts as a cofactor for pyruvate dehydrogenase complex. (D)</p> Signup and view all the answers

    Which of the following scenarios would likely lead to an increase in lactate production?

    <p>Intense exercise in the absence of sufficient oxygen. (A)</p> Signup and view all the answers

    Which of the following statements accurately describes metabolic processes during anaerobic exercise?

    <p>Glycogenolysis and glycolysis occur at a faster rate than during aerobic exercise. (C)</p> Signup and view all the answers

    What is the primary energy source during aerobic exercise, as described in the text?

    <p>Fatty acid oxidation (C)</p> Signup and view all the answers

    How does lactate production differ between aerobic and anaerobic exercise?

    <p>Lactate production is higher during anaerobic exercise compared to aerobic exercise. (A)</p> Signup and view all the answers

    What is the effect of increased lactate levels in muscles during anaerobic activity?

    <p>Decreased muscle pH and potential cramps. (C)</p> Signup and view all the answers

    What is the main difference between 80-85% of maximum heart rate (MHR) and 60-70% of MHR in terms of energy production?

    <p>At 80-85% MHR, anaerobic glycolysis is the primary energy source. (D)</p> Signup and view all the answers

    What is the effect of a high insulin: glucagon ratio on the glycolytic enzyme pyruvate kinase?

    <p>Pyruvate kinase activity is increased. (A)</p> Signup and view all the answers

    What is the role of fructose 2,6-bisphosphate in the regulation of glycolysis?

    <p>Fructose 2,6-bisphosphate acts as a potent allosteric activator of phosphofructokinase 1 (PFK-1), a key regulatory enzyme in glycolysis. (B)</p> Signup and view all the answers

    What is the effect of glucagon on the activity of pyruvate kinase in the liver?

    <p>Glucagon inhibits the activity of pyruvate kinase. (A)</p> Signup and view all the answers

    Which of the following correctly describes the effect of a high carbohydrate diet on the glycolytic enzymes?

    <p>A high carbohydrate diet increases the activity of glycolytic enzymes. (C)</p> Signup and view all the answers

    Which of the following is a common substrate for gluconeogenesis that inhibits pyruvate kinase?

    <p>Alanine (A)</p> Signup and view all the answers

    What is the impact of diabetes mellitus on the levels of glycolytic enzymes?

    <p>Diabetes mellitus decreases the levels of glycolytic enzymes. (B)</p> Signup and view all the answers

    What is the function of the enzyme pyruvate kinase in glycolysis?

    <p>Pyruvate kinase catalyzes the conversion of phosphoenolpyruvate to pyruvate, generating ATP. (D)</p> Signup and view all the answers

    What is the primary function of glucagon in the regulation of glucose metabolism?

    <p>Glucagon promotes the breakdown of glycogen and the synthesis of glucose, increasing blood glucose levels. (B)</p> Signup and view all the answers

    Flashcards

    Glycolysis

    The metabolic pathway that converts glucose into pyruvate, generating energy in the form of ATP.

    Energy investment phase

    The initial stage of glycolysis where 2 ATP are consumed to activate glucose.

    Cleavage phase

    The phase where a 6-carbon sugar is split into two 3-carbon intermediates.

    Energy generation phase

    The phase where the 3-carbon molecules are converted into pyruvate, producing ATP and NADH.

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    Anaerobic vs. Aerobic glycolysis

    Glycolysis can occur in the absence (anaerobic) or presence (aerobic) of oxygen.

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    Pyruvate

    A key intermediary in cellular metabolism that can be converted into Acetyl CoA or Lactate.

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    Aerobic Metabolism

    Metabolism that requires oxygen and occurs in mitochondria, converting pyruvate to Acetyl CoA.

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    Anaerobic Metabolism

    Metabolism that occurs without oxygen, converting pyruvate to Lactate in the cytosol.

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    Cori Cycle

    A metabolic pathway that recycles Lactate back to glucose in the liver from the muscle.

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    Pyruvate Dehydrogenase Complex

    An enzyme complex that converts pyruvate to Acetyl CoA, requiring thiamine (Vitamin B1).

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    Glucose transport

    The process by which glucose enters cells through transport proteins.

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    Hormonal regulation

    The mechanism through which hormones influence metabolic pathways.

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    Alternate fates of pyruvate

    Different pathways for pyruvate, leading to lactate or acetyl-CoA.

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    Pentose phosphate pathway

    A metabolic pathway that generates NADPH and ribose-5-phosphate from glucose.

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    Lactate Formation

    The process of producing lactate when oxygen is scarce during intense exercise.

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    Lactate Threshold

    The point during exercise at which lactate begins to accumulate in the blood.

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    Anaerobic Glycolysis

    A metabolic pathway that converts glucose to lactate without using oxygen, producing quick energy.

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    Aerobic Exercise

    Exercise that requires oxygen, allowing for longer duration activities with fat as a fuel source.

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    Glycogenolysis

    The breakdown of glycogen to glucose for energy, active in both aerobic and anaerobic metabolism.

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    Hexokinase Deficiency

    A genetic condition causing impaired glucose metabolism, leading to hemolytic anemia.

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    Hemolytic Anemia

    A condition where red blood cells are destroyed faster than they can be made.

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    PFK-1

    Phosphofructokinase-1, an enzyme that regulates glucose metabolism in glycolysis.

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    Substrate Level Phosphorylation

    A method of generating ATP by transferring a phosphate group to ADP from a substrate molecule.

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    Lactate Dehydrogenase

    An enzyme that converts pyruvate to lactate, playing a role in anaerobic respiration.

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    Acetyl CoA

    A molecule that enters the citric acid cycle, derived from carbohydrates, fats, and proteins.

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    Pyruvate Kinase Deficiency

    A genetic disorder causing reduced ATP production in glycolysis, leads to hemolytic anemia.

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    Aldolase B

    An enzyme involved in the glycolytic pathway, responsible for splitting fructose-1,6-bisphosphate.

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    High insulin: glucagon ratio

    A physiological state that promotes glycolysis and inhibits gluconeogenesis.

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    PFK-1 Regulation

    Phosphofructokinase-1 is regulated by fructose 2,6-bisphosphate, promoting glycolysis.

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    Feedforward activation

    The mechanism where fructose 1,6-bisphosphate activates pyruvate kinase, enhancing glycolysis.

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    Pyruvate kinase inhibition

    Low blood glucose and alanine inhibit pyruvate kinase activity.

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    Long-term regulation of glycolytic enzymes

    Insulin promotes, whereas glucagon and low insulin repress glycolytic enzymes synthesis.

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    Monosaccharide classification

    Monosaccharides are classified by carbon number and functional group (aldoses vs ketoses).

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    Reducing vs Non-reducing sugars

    Reducing sugars can donate electrons; non-reducing sugars cannot.

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    Epimer definition

    Epimers are sugars that differ at only one specific carbon atom; e.g., galactose and glucose.

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    Study Notes

    Basic Principles of Medicine 2 - Digestion and Metabolism - Lecture 1: Glycolysis and Pentose Phosphate Pathway

    • Glycolysis converts glucose into pyruvate, generating metabolic energy.
    • Key enzymes and irreversible reactions in glycolysis are emphasized.
    • Substrate-level phosphorylation in glycolysis is described.
    • The role of lactate production in anaerobic glycolysis and the Cori cycle is explained.
    • Glycolysis regulation, highlighting the roles of AMP and ATP, are outlined.

    Required Pre-reading Materials

    • Lippincott's Biochemistry, 8th Edition, Chapter 8 (Concept map Fig 8.25) provides details on Glycolysis and Metabolism
    • Online access to the textbook materials is available through the provided URL.

    Objectives

    • Review roles of glycolysis and pentose phosphate pathway in metabolism. (with a graph)
    • Compare and contrast glucokinase and hexokinase actions.
    • Describe regulation of glycolysis with regulatory enzyme details.
    • Appraise the role of AMP, ATP, and fructose 2,6-bisphosphate in glycolysis.
    • Highlight the regulation of pyruvate kinase.
    • Explain glucokinase's role in blood glucose regulation.
    • Predict effects of glucokinase mutations (MODY-2).
    • Explain glycolysis function in specific tissues (liver, brain, muscle, etc.)
    • Analyze arsenic's impact on glycolytic enzymes.
    • Explain lactic acidosis mechanisms.
    • Explain the role of NADPH in the pentose phosphate pathway.
    • Summarize the use of NADPH in fatty acid and cholesterol synthesis.
    • Articulate the relationship between the pentose pathway and metabolism.

    Fate of Absorbed Glucose: Glucose Transport into Cells

    • GLUT (facilitated diffusion) transports glucose.
    • GLUT 2: liver
    • GLUT 1 & 3: neurons and brain
    • GLUT 1: erythrocytes
    • GLUT 4: Insulin-responsive adipose tissue and muscle

    Formation of Glucose 6-phosphate

    • Glucokinase (high Km): more active when blood glucose is elevated (liver, pancreatic beta-cells-a 'glucose sensor').
    • Hexokinase (low Km): prominent in other tissues.
    • Glucokinase mutations link to hyperglycemia and monogenic diabetes (MODY-2). Beta-cells lose responsiveness to high blood glucose.

    Fates of Glucose 6-phosphate in Liver

    • Glucose 6-phosphate can be used for gluconeogenesis.
    • Pentose phosphate pathway is a possible outcome.
    • Glycolysis and glycogenolysis are other possible pathways.

    Pentose Phosphate Pathway

    • This pathway generates NADPH, crucial for reductive biosynthesis.
    • It also produces Ribose-5-phosphate, important for nucleotide synthesis.
    • Mutations in the G6PD gene can lead to hemolytic anemia due to NADPH deficiency.

    Overview of Phases of Glycolysis

    • Stage 1: energy investment phase (2 ATP used)
    • Stage 2: cleavage of 6-carbon sugar into 3-carbon intermediates
    • Stage 3: energy generation phase (2 ATP and NADH formed)

    Arsenic Poisoning

    • Arsenic poisoning impacts glyceraldehyde 3-phosphate dehydrogenase and mitochondrial enzymes (PDH complex, alpha-ketoglutarate dehydrogenase complex, and Fo-F1 ATP synthase).

    Fates of Pyruvate

    • Aerobic conditions: pyruvate is converted to acetyl CoA to enter the TCA cycle.
    • Anaerobic conditions: pyruvate is converted to lactate via lactate dehydrogenase.

    Lactic Acidosis

    • Conditions that can cause lactic acidosis include high NADH/NAD+ ratio (e.g. binge alcohol consumption), pyruvate dehydrogenase deficiencies, thiamine deficiencies, gluconeogenesis defects, decreased blood supply (e.g shock), and other medical issues like pulmonary emboli.

    Significance of Glycolysis

    • Glycolysis occurs in all tissues and is the sole energy source for certain tissues (e.g. RBCs, tissues without mitochondria, actively contracting skeletal muscles).
    • The pathway creates energy (ATP) under both aerobic and anaerobic conditions.
    • Glycolysis plays a vital role in adipose tissue triacylglycerol formation.
    • The pathway is critical in the eye's cornea, lens and tumor cells.

    Regulation of Glycolysis in Liver

    • Glycolysis and gluconeogenesis are reciprocally regulated by insulin and glucagon.
    • Glycolysis is active with high blood glucose and high insulin levels.
    • Gluconeogenesis is active with low blood glucose and high glucagon levels.
    • Key regulatory enzymes in glycolysis include glucokinase, phosphofructokinase-1 (PFK-1), and pyruvate kinase.

    Glucokinase

    • Glucokinase (liver) has a high Km and Vmax, making it sensitive to elevated glucose levels.
    • In the liver and beta-cells of pancreas, glucokinase works like a 'glucose sensor'.
    • It is less prominent in other tissues.

    Phosphofructokinase-1 (PFK-1)

    • An allosteric enzyme, PFK-1 is affected by AMP, ATP, and fructose 2,6-bisphosphate and citrate. Its regulation is significant for both glycolysis and gluconeogenesis.

    Hormonal Regulation of Glycolysis

    • Insulin promotes glycolysis.
    • Glucagon supports gluconeogenesis.
    • Fructose 2,6-bisphosphate is a significant allosteric regulator for both PFK-1 and gluconeogenesis.
    • PFK-2/FBPase-2 is a 'bifunctional enzyme'.

    Pyruvate Kinase Regulation

    • Fructose 1,6 bisphosphate is a feed-forward activator.
    • Phosphorylation (by glucagon) inhibits pyruvate kinase.
    • Alanine inhibits pyruvate kinase, as alanine is important for gluconeogenesis.

    Long-term Regulation

    • High-carbohydrate diets and insulin stimulate glycolytic enzyme synthesis.
    • Low insulin levels (as in diabetes mellitus) repress glycolytic enzymes.
    • Glucagon and fasting repress glycolytic enzymes.

    Defects in Muscle Glycolysis

    • Muscle PFK-1 deficiency impacts ATP production during high-intensity exercise and can lead to muscle cramping, hemolysis, myoglobinuria, and high serum CK-MM levels after intense exercise.

    Aerobic and Anaerobic Exercise Fuel Sources

    • Aerobic (endurance) exercise preferentially utilizes oxygen and mitochondria to produce ATP via glycogenolysis, glycolysis, Kreb's cycle, and electron transport chain. Fatty acid oxidation is maximized.
    • Anaerobic (strenuous/ischemic) exercise occurs in the absence of oxygen and utilizes the cytosol to function with glycogenolysis, glycolysis, and pyruvate reduction to lactate. ATP production is quick but limited.

    Fate of Lactate: Cori Cycle

    • Lactate produced in tissues such as red blood cells or skeletal muscle is transported to the liver for gluconeogenesis.
    • The Cori cycle describes the metabolic pathway that converts lactate to glucose and back.

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    Description

    Explore the fundamental concepts of glycolysis and the pentose phosphate pathway in this introductory quiz. Learn about the key enzymes, regulatory mechanisms, and metabolic implications of these pathways. This material is designed to enhance your understanding of digestion and metabolism as outlined in Lippincott's Biochemistry, Chapter 8.

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