Gluconeogenesis and Glycogen Metabolism

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Questions and Answers

Which of the following is NOT a precursor for gluconeogenesis?

  • Acetyl-CoA (correct)
  • Amino acids
  • Lactate
  • Glycerol

Why is gluconeogenesis not simply the reverse of glycolysis?

  • Gluconeogenesis requires different coenzymes than glycolysis.
  • Three steps in glycolysis are energetically irreversible and must be bypassed in gluconeogenesis. (correct)
  • Glycolysis produces ATP, while gluconeogenesis consumes ATP.
  • Glycolysis occurs in the mitochondria, while gluconeogenesis occurs in the cytoplasm.

What is the role of malate dehydrogenase in gluconeogenesis?

  • It catalyzes the carboxylation of pyruvate to form oxaloacetate in the cytoplasm.
  • It is responsible for the dephosphorylation of fructose 1,6-bisphosphate.
  • It transports carbon skeletons and reducing equivalents from the mitochondrion to the cytoplasm. (correct)
  • It directly converts phosphoenolpyruvate to pyruvate.

Which enzyme is responsible for the decarboxylation of oxaloacetate to produce phosphoenolpyruvate?

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

How many ATP molecules are consumed during gluconeogenesis to synthesize one molecule of glucose?

<p>6 (B)</p> Signup and view all the answers

What role does acetyl-CoA play in gluconeogenesis?

<p>It activates pyruvate carboxylase, which controls the entry of pyruvate into gluconeogenesis. (B)</p> Signup and view all the answers

How does glucagon regulate gluconeogenesis?

<p>It decreases the concentration of fructose 2,6-bisphosphate (F2,6-BP). (D)</p> Signup and view all the answers

Which tissues contain glucose 6-phosphatase, allowing them to release free glucose into the bloodstream?

<p>Liver, kidney, and small intestinal epithelium (C)</p> Signup and view all the answers

What is the Cori cycle?

<p>The cycling of lactate from skeletal muscle and red blood cells to the liver for conversion to glucose. (B)</p> Signup and view all the answers

Which of the following is the primary amino acid that supplies carbon atoms for gluconeogenesis via transamination to pyruvate?

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

Why can't acetyl-CoA from fatty acid oxidation be used for the net synthesis of glucose?

<p>The carbons from acetyl-CoA are released as CO2 in the citric acid cycle. (B)</p> Signup and view all the answers

What is the role of glycerol kinase in gluconeogenesis?

<p>It phosphorylates glycerol to glycerol 3-phosphate. (D)</p> Signup and view all the answers

Which of the following statements is correct regarding glycogen's function?

<p>It provides a rapid source of glucose, especially during fasting. (D)</p> Signup and view all the answers

During glycogen synthesis, what type of linkage connects glucose units to the growing glycogen chain?

<p>α-1,4 linkage (D)</p> Signup and view all the answers

What is the role of the branching enzyme in glycogen synthesis?

<p>It transfers seven terminal residues from a growing chain and reattaches them via an α-1,6 linkage. (C)</p> Signup and view all the answers

What molecule is used to activate glucose for incorporation into glycogen?

<p>UDP-glucose (A)</p> Signup and view all the answers

Which enzyme is responsible for cleaving α-1,4 bonds in glycogen, releasing glucose 1-phosphate?

<p>Glycogen phosphorylase (C)</p> Signup and view all the answers

What is the primary function of the debranching enzyme in glycogenolysis?

<p>To transfer and remove branches in glycogen. (C)</p> Signup and view all the answers

What is the product of glycogen phosphorylase activity?

<p>Glucose 1-phosphate (G1P) (C)</p> Signup and view all the answers

How is glycogen synthase 'D' form regulated?

<p>Activated by glucose-6-phosphate (G6P) (A)</p> Signup and view all the answers

How does cAMP regulate glycogen metabolism?

<p>It inhibits glycogen synthase and stimulates glycogen phosphorylase. (B)</p> Signup and view all the answers

What is the function of glycogenin?

<p>Priming the synthesis of new glycogen molecules. (C)</p> Signup and view all the answers

What are the reciprocal effects of cAMP-directed phosphorylation on glycogen synthase and phosphorylase?

<p>Glycogen synthase is inhibited, and phosphorylase is activated. (B)</p> Signup and view all the answers

In muscle cells, what triggers the release of calcium ions (Ca++) that can temporarily activate phosphorylase kinase b?

<p>Nerve impulses (C)</p> Signup and view all the answers

What role does UDP-glucuronic acid play in the liver?

<p>It detoxifies metabolic waste products and drugs by forming water-soluble conjugates. (A)</p> Signup and view all the answers

What is the cause of von Gierke disease (G6Pase deficiency)?

<p>Deficiency in glucose 6-phosphatase. (B)</p> Signup and view all the answers

What metabolic abnormalities are associated with von Gierke disease?

<p>Hypoglycemia and lactic acidosis. (C)</p> Signup and view all the answers

Which enzyme is deficient in Pompe disease?

<p>Lysosomal α-1,4-glucosidase (A)</p> Signup and view all the answers

What is characteristic for Cori's disease?

<p>Accumulation of limit dextrins due to debranching enzyme deficiency. (D)</p> Signup and view all the answers

Which enzyme deficiency leads to the accumulation of very long amylopectin chains and cirrhosis of the liver?

<p>Branching enzyme (C)</p> Signup and view all the answers

What are the clinical features of McArdle syndrome?

<p>Muscle cramps and absence of lactate production during exercise. (A)</p> Signup and view all the answers

What is a key feature of idiopathic neonatal hypoglycemia?

<p>Insufficient activation of gluconeogenic enzymes at birth. (A)</p> Signup and view all the answers

Which of the following diseases results from a defective branching enzyme?

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

In the context of gluconeogenesis and glycogen metabolism, what is meant by reciprocal regulation?

<p>Regulation of opposing pathways, such as glycolysis and gluconeogenesis, by the same metabolic signal to prevent futile cycling. (A)</p> Signup and view all the answers

How does insulin affect gluconeogenesis and glycogenolysis?

<p>It inhibits gluconeogenesis and glycogenolysis. (A)</p> Signup and view all the answers

Which of the following molecules inhibits pyruvate dehydrogenase, thus preventing the flow of pyruvate carbons into the citric acid cycle during gluconeogenesis?

<p>Acetyl-CoA (B)</p> Signup and view all the answers

What is the significance of the branched structure of glycogen?

<p>It allows for a larger number of glucose molecules to be stored in a smaller space and increases the rate of glycogenolysis and glycogenesis. (C)</p> Signup and view all the answers

Flashcards

Gluconeogenesis

An anabolic pathway synthesizing glucose from non-glucose precursors.

Gluconeogenic pathway

Enzymes needed to bypass irreversible steps: hexokinase, phosphofructokinase, and pyruvate kinase.

Pyruvate carboxylase

Carboxylation of pyruvate to produce OAA, requiring ATP.

Malate dehydrogenase (mitochondrial)

Reduces OAA to malate for transport out of the mitochondrion.

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Phosphoenolpyruvate carboxykinase

Decarboxylation of OAA to phosphoenolpyruvate, using GTP.

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Fructose 1,6-bisphosphatase

Dephosphorylation of fructose 1,6-bisphosphate to fructose 6-phosphate.

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Glucose-6-phosphatase

Dephosphorylation of glucose 6-phosphate to free glucose.

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Glycogen

Provides rapid glucose source via liver (blood glucose) and muscle (energy).

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Glycogen synthesis (glycogenesis)

Creation of activated precursor and linking into a linear polymer.

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Glycogenolysis

Releases glucose from glycogen; requires debranching enzyme.

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Glycogen metabolism

Synthesis and degradation flow through G1P, in equilibrium with G6P.

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Glycogen synthase (D form)

Allosterically activated by G6P; reacts to blood glucose changes.

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Glycogen structure

Highly branched structure allows rapid release of glucose.

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Energy cost per glucose

Two high-energy bonds are consumed.

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cAMP-directed phosphorylation

Reciprocal effects on glycogen synthase (inhibition) and phosphorylase (activation).

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Gluconeogenesis regulation

Regulated at pyruvate carboxylase; requires Acetyl-CoA for activation.

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Acetyl-CoA role

Mobilized fatty acids provide energy signal to increase gluconeogenesis.

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Glucagon role

Reduces F2,6-BP concentrations, preventing pathway slowing.

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Carbon skeletons in gluconeogenesis

Increase is favored by the increased amounts of OAA.

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Insulin/Glucagon ratio

High ratios reduce glucose formation, low ratios increase glucose formation.

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Phosphorylation of glycogen

Glycogen phosphorylase, under glucagon influence, removes residues.

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Glycogen

Synthesis is regulated with respect to number of glycogen particles .

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Glycogen regeneration

Inactivated synthase is allosterically activated, allows immediate reactivation.

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Release of Ca++

Triggered by nerve impulse, provides glucose via glycogenolysis.

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Energy cost of glucose

Each glucose spends two high-energy phosphate bonds.

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Acetyl-CoA role

Provides energy but not carbon skeletons via citric acid cycle.

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G6Pase location

Occurs in gluconeogenic tissues to release free glucose in the blood.

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Glycerol origin

Occurs from triglycerides, is phosphorylated to glycerol 3-phosphate.

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Lactate contribution

Provides about 30% of glucose for gluconeogenesis.

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Alanine use

Is the primary amino acid supplying C atoms for glucose

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Galactose result

G1P is the end product of galactose metabolism.

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UDP-glucuronic acid

Metabolic waste reaction results in a water-soluble glucuronide.

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Hypoglycemia

Occasionally activation doesn't occur, newborn needs glucose.

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Glycogen Storage Diseases

Results in amount/structure abnormalities, such as hypoglycemia.

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Amylopectinosis

Defective enzyme produces abnormal glycogen, autoimmune attack of the liver.

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Lysosomal Glycogen Digestion

Deficiency prevents lysosomal digestion of glycogen.

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G6Pase deficiency

Severe hypoglycemia, buildup stimulates resynthesis of glycogen.

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Lysosomal α-1,4-glucosidase deficiency

Accumulation of glycogen in lysosome.

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Debranching enzyme deficiency

Terminal used for blood sugar, makes up result.

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Muscle glycogen phosphorylase deficiency

Glycolytic pathway deprived of supply of G6P from glycogen.

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Study Notes

Gluconeogenesis and Glycogen Metabolism

  • Gluconeogenesis is an anabolic pathway synthesizing glucose from non-glucose precursors like lactate, amino acids, and glycerol
  • Location: The pathway begins in the mitochondrion and ends in the cytoplasm

Pathway Reaction Steps: Gluconeogenesis

  • Gluconeogenesis necessitates six enzymes to bypass the irreversible steps of glycolysis: hexokinase, phosphofructokinase (PFK), and pyruvate kinase, as well as the remaining glycolytic steps
  • The gluconeogenic pathway is not simply the reverse of glycolysis

Bypass for Pyruvate Kinase

  • The bypass includes the enzyme pyruvate carboxylase
  • Pyruvate carboxylase: Carboxylation of pyruvate produces oxaloacetate (OAA); requires ATP
  • Malate dehydrogenase (mitochondrial): Reduction of OAA produces malate, which can be transported out of the mitochondrion
  • Malate dehydrogenase (cytoplasmic): Oxidation of malate in the cytoplasm regenerates OAA and nicotine adenine dinucleotide
  • Phosphoenolpyruvate carboxykinase: Decarboxylation of OAA produces phosphoenolpyruvate; phosphorylation uses GTP instead of ATP

Bypass for Phosphofructokinase

  • Fructose 1,6-bisphosphatase dephosphorylates fructose 1,6-bisphosphate, yielding fructose 6-phosphate and inorganic phosphate

Bypass for Hexokinase

  • Glucose-6-phosphatase dephosphorylates glucose 6-phosphate (G6P), leading to free glucose release into the bloodstream

Unique Characteristics: Gluconeogenesis

  • Energy Cost: 6 ATP
  • Carbon Skeletons Sources: amino acids, lactate, and glycerol, but not acetyl-CoA

Glycogen Metabolism: Glucose 6-Phosphate to and from Glycogen

  • Glycogen function: Provides a rapid source of glucose
  • Glycogen Synthesis (Glycogenesis): it involves creation of an activated precursor, then precursor is linked into a linear growing polymer.
  • Glycogenolysis: relatively simple, and only one enzyme is needed to release most of the glucose from glycogen

Three Reactions Create the Glucose Donor Uridine Diphosphate Glucose

  • Phosphoglucomutase: G6P converts to glucose 1-phosphate (G1P) in a reversible reaction
  • Uridine diphosphate glucose pyrophosphorylase: G1P esterifies with uridine triphosphate, yielding uridine diphosphate (UDP)-glucose and pyrophosphate
  • Pyrophosphatase: It produces inorganic phosphate, driving glycogen synthesis

Two Reactions Use Uridine Diphosphate Glucose to Build Glycogen

  • Glycogen synthase is responsible for adding glucose units from UDP-glucose to the C4 terminus of an amylose chain via an α-1,4 linkage
  • Branching Enzyme: Removes terminal residues from an 11-residue amylose chain and reattaches them via α-1,6 linkage to form a branch point

One Reaction Depolymerizes Glycogen

  • Glycogen phosphorylase cleaves the glycosidic α-1,4 bond with inorganic phosphate producing G1P monomers and requiring pyridoxal 5′-phosphate as a cofactor

One Enzyme Catalyzes Two Reactions to Debranch Glycogen

  • Debranching enzyme contains a glucosyltransferase and a glucosidase, which remove branches in glycogen

Glycogen Metabolism Key Facts

  • Synthesis and degradation flow through G1P in equilibrium with G6P
  • The D form of glycogen synthase is allosterically activated by G6P for quick response to changes in blood glucose
  • The highly branched structure allows for rapid release of glucose
  • UDP-glucose helps detoxify waste products and drugs
  • Two high-energy bonds are consumed for each glucose stored in glycogen
  • cAMP-directed phosphorylation reciprocally regulates glycogen synthase (inhibition) and phosphorylase (activation)

Regulated Reactions: Regulation of Gluconeogenesis

  • Gluconeogenesis and glycolysis are reciprocally regulated.
  • Regulation occurs at the pyruvate carboxylase reaction, requiring acetyl-CoA as a positive allosteric effector
  • Overexpression of pyruvate carboxylase in mice results in diabetes

Unique Characteristics: Glucose Regulation

  • Energy Cost: 4 ATP + 2 GTP
  • Regulation of pyruvate carboxylase and fructose 1,6-bisphosphatase (F1,6-BP) during gluconeogenesis.

Regulation of Glycogen Metabolism

  • Glycogen synthesis is regulated by the number and size of molecules and the rate of polymerization
  • Glycogen synthesis stops when glycogen synthase separates from the glycogenin primer

Interface with Other Pathways

  • It has several interfaces with other pathways
  • Genetic deficiencies in glycogen metabolism lead to abnormalities in glycogen amount/structure and other metabolic issues
  • Glucose 6-Phosphatase Deficiency: A deficiency leads to glycogen storage disease, lactic acidosis, ketoacidosis, hyperlipidemia, abnormal platelet, and hyperuricemia (Gout).

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