Medical Biochemistry: Glycolysis and Regulation
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Questions and Answers

What is the primary function of the glycolytic pathway?

  • To break down glucose to provide energy and intermediates for other metabolic pathways (correct)
  • To produce NADPH through the pentose phosphate pathway
  • To store glucose as glycogen
  • To detoxify drugs through the glucuronic acid pathway

    • In which conditions can glycolysis function?

  • Only under aerobic conditions
  • Only under anaerobic conditions
  • Neither under aerobic nor anaerobic conditions
  • Under both aerobic and anaerobic conditions (correct)

    • What is the end product of glycolysis in cells with mitochondria and adequate oxygen supply?

  • Glucose
  • Glycogen
  • NADPH
  • Pyruvate (correct)

    • What is the consequence of deficient enzymes of glycolysis, such as pyruvate kinase?

    <p>All of the above</p> Signup and view all the answers

    Why is glycolysis important for skeletal muscle function?

    <p>Both b and c</p> Signup and view all the answers

    What is the primary route for carbohydrate metabolism?

    <p>Glycolysis</p> Signup and view all the answers

    What is the significance of glycolysis in the absence of oxygen?

    <p>It provides ATP in the absence of oxygen</p> Signup and view all the answers

    What is the role of glucokinase in the maintenance of blood glucose homeostasis?

    <p>It functions as a glucose sensor</p> Signup and view all the answers

    What is the effect of elevated levels of ATP on PFK-1?

    <p>It inhibits PFK-1 activity</p> Signup and view all the answers

    What is the relationship between glycolysis and other metabolic pathways?

    <p>Glycolysis is a preparatory pathway for aerobic metabolism of glucose</p> Signup and view all the answers

    What is the difference between glucokinase and hexokinase in terms of glucose affinity?

    <p>Glucokinase has a lower affinity for glucose</p> Signup and view all the answers

    What is the effect of fructose 6-phosphate on glucokinase activity?

    <p>It indirectly inhibits glucokinase activity</p> Signup and view all the answers

    What is the role of hexokinase in the liver?

    <p>It facilitates glucose phosphorylation during hyperglycemia</p> Signup and view all the answers

    What is the effect of glucose on glucokinase activity?

    <p>It indirectly stimulates glucokinase activity</p> Signup and view all the answers

    What is the result of mutations that decrease the activity of glucokinase?

    <p>Maturity onset diabetes of the young type 2</p> Signup and view all the answers

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

    <p>It is a negative allosteric effector of Fructose 1,6-bisphosphatase</p> Signup and view all the answers

    What is the primary location of transport in the epithelial cells?

    <p>Both A and B</p> Signup and view all the answers

    What is the first stage of glycolysis?

    <p>Phosphorylation state</p> Signup and view all the answers

    What is the net ATP production per glucose molecule metabolized in glycolysis?

    <p>2 molecules of ATP</p> Signup and view all the answers

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

    <p>Hexokinase</p> Signup and view all the answers

    What is the characteristic of hexokinase?

    <p>High affinity for glucose</p> Signup and view all the answers

    What is the function of glucokinase in β cells?

    <p>Sensing the glucose levels</p> Signup and view all the answers

    What is the characteristic of glucokinase?

    <p>Present only in liver parenchymal cells and β cells</p> Signup and view all the answers

    What is the result of inhibited further metabolism of glucose-6-phosphate?

    <p>Inhibition of hexokinase</p> Signup and view all the answers

    What is the effect of elevated levels of glucagon and low levels of insulin during fasting?

    <p>Decrease in the rate of glycolysis</p> Signup and view all the answers

    What is the role of 2,3-BPG in red blood cells?

    <p>Part of a 'shunt' reaction in glycolysis</p> Signup and view all the answers

    What is the effect of fructose 1,6-bisphosphate on pyruvate kinase in the liver?

    <p>Activation</p> Signup and view all the answers

    What is the effect of phosphorylation by a cAMP-dependent protein kinase on pyruvate kinase?

    <p>Inactivation</p> Signup and view all the answers

    What is the effect of glucagon on pyruvate kinase?

    <p>Inactivation</p> Signup and view all the answers

    What is the effect of fructose 2,6-bisphosphate on glycolysis?

    <p>Stimulation</p> Signup and view all the answers

    What happens to PEP when pyruvate kinase is inactivated?

    <p>Enters the gluconeogenesis pathway</p> Signup and view all the answers

    What is the effect of insulin on fructose 2,6-bisphosphate?

    <p>Increase in concentration</p> Signup and view all the answers

    What is a common complication in individuals with pyruvate kinase deficiency?

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

    What is the result of an elevated NADH/NAD+ ratio in exercising skeletal muscle?

    <p>Increased lactate production</p> Signup and view all the answers

    In which tissues is lactate oxidized to pyruvate?

    <p>Liver and heart</p> Signup and view all the answers

    What is the result of lactate accumulation in muscle during intense exercise?

    <p>Decreased intracellular pH</p> Signup and view all the answers

    What is the direction of the lactate dehydrogenase reaction dependent on?

    <p>The relative intracellular concentrations of pyruvate and lactate</p> Signup and view all the answers

    What is the fate of lactate in the liver?

    <p>It is oxidized in the citric acid cycle</p> Signup and view all the answers

    What is lactic acidosis?

    <p>Elevated concentrations of lactate in the plasma</p> Signup and view all the answers

    What can cause lactic acidosis?

    <p>Myocardial infarction</p> Signup and view all the answers

    Study Notes

    Major Pathways of Carbohydrate Metabolism

    • Glucose is the central molecule of carbohydrate metabolism
    • Major pathways of carbohydrate metabolism begin or end with glucose
    • These pathways include:
      • Utilization of glucose as a source of energy
      • Gluconeogenesis from non-carbohydrate precursors
      • Storage of glucose as glycogen
      • Release of glucose from glycogen
      • Pentose phosphate pathway for production of NADPH
      • Use of glucose in glucuronic acid pathway for drug detoxification

    Overview of Glycolysis

    • Glycolysis is the breakdown of glucose to provide energy (in the form of ATP) and intermediates for other metabolic pathways
    • Glycolysis is the principal route for carbohydrate metabolism
    • Glycolysis provides ATP in the absence of oxygen, allowing skeletal muscle to perform at high levels of work output when oxygen supply is insufficient
    • Diseases in which enzymes of glycolysis are deficient are mainly seen as hemolytic anemias or fatigue

    Stages of Glycolysis

    • Phosphorylation stage: glucose is converted to glucose-6-phosphate using ATP
    • Splitting stage: aldolase and isomerase reactions occur
    • Oxido-Reduction stage: ATP is produced by substrate-level phosphorylation

    Regulation of Glycolysis

    • Hexokinase: phosphorylates glucose to glucose-6-phosphate, inhibited by glucose 6-phosphate, and has a high affinity for glucose
    • Glucokinase: phosphorylates glucose to glucose-6-phosphate in liver parenchymal cells and β cells of the pancreas, has a lower affinity for glucose, and functions as a glucose sensor
    • 6-Phosphofructo-1 kinase: a regulatory enzyme of glycolysis, inhibited by ATP and activated by fructose 2,6-bisphosphate
    • Pyruvate kinase: activated by fructose 1,6-bisphosphate, and inactivated by phosphorylation by a cAMP-dependent protein kinase

    Pyruvate Kinase Deficiency

    • A rare genetic disorder that causes hemolytic anemia and associated complications
    • Symptoms may range from mild to severe, and may include an enlarged spleen, excess iron in the blood, and gallstones
    • Severe cases can be life-threatening in infancy and may require regular blood transfusions to survive

    Lactate Formation in Muscle

    • In exercising skeletal muscle, NADH production exceeds the oxidative capacity of the respiratory chain, leading to an elevated NADH/NAD+ ratio and favoring the reduction of pyruvate to lactate
    • Lactate accumulates in muscle, causing a drop in intracellular pH, potentially resulting in cramps
    • Lactate can be used by the liver to make glucose

    Lactic Acidosis

    • Elevated concentrations of lactate in the plasma, often occurring when there is a collapse of the circulatory system or when an individual is in shock
    • May occur in myocardial infarction, pulmonary embolism, and uncontrolled hemorrhage

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    Description

    Learn about the major pathways of carbohydrate metabolism, including glycolysis, gluconeogenesis, glycogen storage, and pentose phosphate pathway. Understand the regulation of glucose utilization and its various roles in the body.

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