Metabolic Pathways Overview
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Questions and Answers

What is the primary cause of increased hemolysis with jaundice in certain patients?

  • Defect in aldolase A enzyme
  • Enzyme defect affecting erythrocytes (correct)
  • Absence of the M gene in muscle
  • Lack of functional L subunit in erythrocytes
  • Which gene is expressed in mature muscle that relates to PFK enzyme activity?

  • P gene
  • L gene
  • ALDOA gene
  • M gene (correct)
  • What is the predominant isoform of aldolase in skeletal muscle and erythrocytes?

  • Aldolase A (correct)
  • Aldolase B
  • Aldolase C
  • Aldolase D
  • What is the result of isomerization by triose phosphate isomerase?

    <p>Conversion of dihydroxyacetone phosphate to glyceraldehyde 3-phosphate (C)</p> Signup and view all the answers

    What condition is caused by autosomal recessive mutations in the ALDOA gene?

    <p>Glycogen storage disease type 12 (B)</p> Signup and view all the answers

    What is indicated by the high rates of protein turnover in the liver and gut tissues?

    <p>There is rapid synthesis and degradation of proteins. (A)</p> Signup and view all the answers

    Which enzyme is primarily responsible for initiating carbohydrate digestion in the mouth?

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

    What happens to the substrates of defective enzymes in genetically altered organisms?

    <p>They accumulate and are excreted. (B)</p> Signup and view all the answers

    What role does chloride ion (Cl-) play in the function of salivary amylase?

    <p>It is necessary for enzyme activation. (B)</p> Signup and view all the answers

    Why do muscle and brain tissues have a slower protein turnover compared to liver and gut tissues?

    <p>They do not participate in metabolic adjustments. (C)</p> Signup and view all the answers

    How did the early 20th-century discovery relate to metabolic errors?

    <p>It illuminated hereditary conditions linked to enzyme defects. (C)</p> Signup and view all the answers

    What types of carbohydrates primarily compose dietary intake?

    <p>Polysaccharides and disaccharides. (B)</p> Signup and view all the answers

    What is the optimum pH range for salivary amylase activity?

    <p>6-7 (B)</p> Signup and view all the answers

    What is the role of glucose 6 phosphate in metabolic pathways?

    <p>It is a key intermediate in several pathways. (D)</p> Signup and view all the answers

    Which enzyme is primarily responsible for the phosphorylation of glucose in liver cells and pancreatic beta cells?

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

    How does glucokinase differ from hexokinase in terms of glucose concentration?

    <p>It functions only at elevated glucose concentrations. (C)</p> Signup and view all the answers

    Which regulatory mechanism does glucokinase utilize?

    <p>Indirect inhibition by fructose 6-phosphate. (C)</p> Signup and view all the answers

    What is a major clinical consequence of hexokinase deficiency?

    <p>Nonspherocytic Hemolytic Anemia (B)</p> Signup and view all the answers

    What is the clinical significance of glucose 6-phosphate accumulation in tissues?

    <p>It reduces further metabolism and inhibits hexokinase. (C)</p> Signup and view all the answers

    Why is hexokinase considered a regulatory enzyme in glycolysis?

    <p>It phosphorylates glucose and other hexoses. (B)</p> Signup and view all the answers

    Which factor does NOT contribute to glucokinase's effectiveness after a carbohydrate-rich meal?

    <p>Direct inhibition by glucose 6-phosphate. (C)</p> Signup and view all the answers

    What is the primary reason that NADH cannot be oxidized directly in the electron transport chain?

    <p>NADH is oxidized to NAD+ through lactate conversion. (D)</p> Signup and view all the answers

    Under anaerobic conditions, how does the energy yield from glucose compare to aerobic conditions?

    <p>Less energy is produced per glucose molecule. (A)</p> Signup and view all the answers

    Which enzyme specifically catalyzes the phosphorylation of glucose in liver cells?

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

    Why is the glycolytic pathway crucial for cells without mitochondria?

    <p>It produces energy in the form of ATP without mitochondria. (D)</p> Signup and view all the answers

    During the initial phase of glycolysis, what is primarily occurring?

    <p>Phosphorylation of intermediates at the expense of ATP. (C)</p> Signup and view all the answers

    In what tissues is glucose taken up via 'active' transport?

    <p>Kidney tubules and intestinal mucosa. (A)</p> Signup and view all the answers

    What is the overall net gain of ATP from one glucose molecule during glycolysis?

    <p>Two molecules of ATP. (C)</p> Signup and view all the answers

    How does ATP function during the phosphorylation of glucose in glycolysis?

    <p>It donates a phosphate group in the presence of Mg. (A)</p> Signup and view all the answers

    What is the mode of inheritance for conditions caused by genetic changes in the HK1 gene?

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

    What role does glucokinase play in the liver?

    <p>It aids in the storage of glucose as glycogen. (C)</p> Signup and view all the answers

    What is associated with homozygous mutations of the glucokinase gene?

    <p>Permanent neonatal diabetes mellitus (B)</p> Signup and view all the answers

    What is the consequence of impaired glucokinase activity in the liver in patients with GCK-MODY?

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

    What proportion of MODY cases does GCK-MODY account for?

    <p>30%–60% (D)</p> Signup and view all the answers

    Which enzyme catalyzes the isomerization of glucose 6-phosphate to fructose 6-phosphate?

    <p>Phospho glucose isomerase (B)</p> Signup and view all the answers

    In which cell type does glucokinase function primarily as a glucose sensor?

    <p>Pancreatic β-cells (B)</p> Signup and view all the answers

    What happens to glucose-stimulated insulin secretion in individuals with mutated glucokinase?

    <p>It occurs at higher serum glucose levels. (C)</p> Signup and view all the answers

    What is the primary function of phosphofructokinase-1 (PFK-1) in glycolysis?

    <p>To phosphorylate fructose 6-phosphate to fructose 1,6-bisphosphate (A)</p> Signup and view all the answers

    What is the consequence of phosphofructokinase deficiency in patients?

    <p>Accumulation of abnormal glycogen in muscle tissue (A)</p> Signup and view all the answers

    Which substrate concentration directly influences the activity of phosphofructokinase-1?

    <p>Fructose 2,6-bisphosphate (B)</p> Signup and view all the answers

    What structural characteristic is noted in the abnormal glycogen present in patients with PFK deficiency?

    <p>Diastase-resistant and filamentous (A)</p> Signup and view all the answers

    Which of the following describes the regulation of phosphofructokinase-2?

    <p>It is an enzyme responsible for the formation of fructose 2,6-bisphosphate. (A)</p> Signup and view all the answers

    What is true about the reaction catalyzed by phosphofructokinase-1?

    <p>It produces fructose 1,6-bisphosphate and is rate-limiting. (B)</p> Signup and view all the answers

    Which condition is not commonly associated with phosphofructokinase deficiency compared to myophosphorylase deficiency?

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

    What is the impact of glucose 6-phosphate (G6P) accumulation in PFK deficiency?

    <p>It maintains glycogen synthase in its active form. (D)</p> Signup and view all the answers

    Flashcards

    Anaerobic Glycolysis

    Breakdown of glucose to pyruvate without oxygen. Produces less ATP than aerobic glycolysis but faster.

    Glycolysis Energy Investment Phase

    First five reactions of glycolysis where ATP is used to phosphorylate glucose and its derivatives.

    Protein Turnover

    The continuous process where proteins are synthesized and degraded within a cell, maintaining a dynamic balance.

    Glycolysis Energy Generation Phase

    Last three reactions of glycolysis where ATP is produced by substrate-level phosphorylation.

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    Dynamic Steady State

    A state where the synthesis and degradation rates of proteins are equal, even though there's constant turnover.

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    Substrate-Level Phosphorylation

    Direct transfer of a phosphate group from a substrate molecule to ADP, generating ATP.

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    Pacemaker Enzymes

    Enzymes that initiate and regulate protein synthesis, influencing the overall rate of protein turnover.

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    Inborn Errors of Metabolism

    Hereditary conditions where a specific enzyme is defective, leading to accumulation and excretion of the substrate.

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    Glucokinase

    Enzyme that phosphorylates glucose to glucose-6-phosphate specifically in liver cells.

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    Hexokinase

    Enzyme that phosphorylates glucose to glucose-6-phosphate in liver and other tissues.

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    Dietary Carbohydrates

    Carbohydrates consumed through food, consisting of polysaccharides like starch and glycogen, disaccharides like sucrose, lactose, maltose, and small amounts of monosaccharides like fructose and pentoses.

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    Salivary Amylase

    An enzyme found in saliva that breaks down carbohydrates (specifically starch) into simpler sugars.

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    Glucose Transport

    Movement of glucose into cells.

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    α - Amylase

    The type of salivary amylase responsible for breaking down carbohydrates, requiring chloride ions (Cl-) for activation and working best at a pH of 6-7.

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    Insulin's Role in Glucose Uptake

    Insulin facilitates glucose uptake in skeletal muscle, cardiac muscle, diaphragm, and adipose tissue.

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    Mastication

    The process of chewing food, breaking it down into smaller pieces to aid in digestion.

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    Glucose-6-phosphate in Metabolism

    It's the central molecule in several metabolic pathways like glycolysis, glycogen synthesis, glycogen breakdown, gluconeogenesis, and the pentose phosphate pathway.

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    Committed Step

    A step in a metabolic pathway that commits a molecule to a particular pathway, making it difficult to reverse the process.

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    Hexokinase Inhibition

    Hexokinase is inhibited by its product, glucose-6-phosphate, when further metabolism is reduced.

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    High Km of Glucokinase

    Glucokinase requires a higher glucose concentration for optimal activity, meaning it is only active when blood sugar is high.

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    Glucokinase Regulation

    Glucokinase activity is inhibited by its product, glucose-6-phosphate.

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    Hexokinase Deficiency

    A rare genetic disorder where hexokinase activity is significantly reduced, leading to a specific type of anemia.

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    PFK Gene Subunits

    The enzyme PFK has different subunits (M, L, P) encoded by different genes. Mature muscle expresses only the M subunit, while erythrocytes express both M and L subunits.

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    PFK Deficiency in Erythrocytes

    Although PFK deficiency affects erythrocytes, they can still function because the L subunit allows for a functional enzyme to be produced.

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    Aldolase A Function

    Aldolase A cleaves fructose 1,6-bisphosphate into dihydroxyacetone phosphate and glyceraldehyde 3-phosphate, a reversible reaction that is not regulated.

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    Aldolase A Deficiency

    An autosomal recessive mutation in the ALDOA gene can cause Aldolase A deficiency, which can lead to hemolytic anemia, rhabdomyolysis, and glycogen storage disease type 12 (GSD12).

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    Triose Phosphate Isomerase

    This enzyme interconverts dihydroxyacetone phosphate and glyceraldehyde 3-phosphate, ensuring that both molecules can be further metabolized in glycolysis.

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    Fructose 1,6-bisphosphate

    A symmetrical molecule formed by phosphorylation of fructose-6-phosphate at the 1-position by phosphofructokinase-1 (PFK-1).

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    Phosphofructokinase-1 (PFK-1)

    The enzyme responsible for catalyzing the irreversible and rate-limiting step in glycolysis: converting fructose-6-phosphate to fructose 1,6-bisphosphate.

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    Regulation of PFK-1

    PFK-1 is regulated by the availability of its substrates, ATP and fructose-6-phosphate.

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    Fructose 2,6-bisphosphate

    A regulatory molecule that activates PFK-1, boosting glycolysis.

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    PFK Deficiency (Tarui Disease)

    A genetic disorder characterized by a deficiency in the muscle-specific subunit of PFK-1, affecting muscle and red blood cell metabolism.

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    Polyglucosan

    An abnormal form of glycogen that accumulates in PFK deficiency due to increased glucose-6-phosphate (G6P) levels.

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    Glycogen Synthetase

    An enzyme that promotes glycogen synthesis. Activated by G6P.

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    Muscle Necrosis and Myoglobinuria

    Complications that may occur in PFK deficiency due to prolonged ischemic exercise.

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    What is GCK-MODY?

    GCK-MODY, also known as MODY2, is a type of diabetes caused by mutations in the GCK gene. It is characterized by mild hyperglycemia and is often diagnosed in childhood.

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    What enzyme is affected in GCK-MODY?

    GCK-MODY is caused by mutations in the GCK gene, which encodes the enzyme glucokinase. This enzyme is crucial for glucose sensing in the pancreas and liver.

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    How does glucokinase affect insulin secretion?

    In the pancreas, glucokinase acts as a glucose sensor, triggering the release of insulin when blood sugar levels rise. Mutations in GCK-MODY lead to a higher glucose threshold for insulin release.

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    How does glucokinase affect liver function?

    In the liver, glucokinase helps store glucose as glycogen after meals. Mutations in GCK-MODY impair this process, contributing to mild hyperglycemia.

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    What is the inheritance pattern of GCK-MODY?

    GCK-MODY is inherited in an autosomal recessive manner. This means a person needs to inherit two copies of the mutated gene, one from each parent, to develop the condition.

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    Isomerization of Glucose 6-Phosphate

    The conversion of glucose 6-phosphate to fructose 6-phosphate is catalyzed by phosphoglucose isomerase. This reaction is reversible and not a rate-limiting step in glycolysis.

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    What are the possible causes of NSHA?

    NSHA can arise due to genetic changes in the HK1 gene, which is inherited in an autosomal recessive manner.

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    What are some additional reported abnormalities associated with NSHA?

    Individuals with NSHA may also experience multiple malformations, panmyelopathy, and latent diabetes.

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    Study Notes

    Metabolic Pathways Study Notes

    • Two main reasons for studying metabolic pathways:

      • Describe chemical changes catalyzed by enzymes in the pathway.
      • Describe intracellular controls regulating pathway rate.
    • Whole organism/organ studies show substance conversion and tissue localization. For example, urea is exclusively formed in the liver. However, these studies don't reveal enzyme details.

    • Four methods to identify/understand enzymatic steps:

      • Accumulation of metabolites: Stress or disease can lead to metabolite buildup (e.g., lactic acid during intense exercise). These observations do not confirm metabolic intermediates but may suggest likely intermediates.
      • Metabolic poisons: Administering poisons like fluoroacetic or fluorocitric acid leads to metabolite accumulation, revealing enzyme inhibition (e.g., citric acid accumulation suggests inhibition of citrate oxidation).
      • Isotopic labeling: Administering a labeled nutrient (with an isotope) allows tracking the nutrient's fate and chemical group/atom movement.

    Carbohydrate Metabolism Study Notes

    • Digestion in the mouth: Saliva containing amylase hydrolyzes starch/glycogen into smaller molecules (maltose, glucose, maltotriose). Amylase activity ceases with changing stomach pH.

    • Digestion in the stomach: No carbohydrate-splitting enzymes, however HCl may hydrolyze sucrose.

    • Digestion in the duodenum: Pancreatic amylase (α-amylase) further hydrolyzes polysaccharides, similar to salivary amylase.

    • Digestion in the small intestine: Pancreatic amylase, lactase, and other enzymes complete digestion. Lactase acts on lactose, breaking it down into glucose and galactose.

    Lactose Intolerance Study Notes

    • Lactose intolerance: Symptoms can arise from difficulty digesting lactose, a dairy sugar. Symptoms include abdominal pain, bloating, diarrhea, gas, and nausea. Symptoms appear typically 30 minutes to 2 hours after lactose ingestion.

    • Primary lactose intolerance occurs with age-related lactase decline.

    • Secondary lactose intolerance develops with small intestine damage (e.g., infection, celiac disease).

    • Developmental lactose intolerance is seen in premature babies and can resolve over time.

    • Congenital lactose intolerance: Rare genetic disorder with little to no lactase production from birth.

    • Management: Reducing lactose intake, lactase supplements, or treatment of the underlying cause are options.

    Liver Metabolism Study Notes

    • Liver: First organ to process nutrients, storage/release of glucose, protein and fat metabolism occur here.

    • Fed conditions: Blood glucose levels rise after a carbohydrate-rich meal; liver takes up glucose and produces glycogen for storage.

    • Glucose absorption: Glucose enters the portal vein with a high concentration, allowing the liver high glucose uptake.

    Glycolysis Study Notes

    • Glycolysis: The conversion of glucose to pyruvate, crucial for energy generation. This process occurs in all tissues; erythrocytes/nervous tissues using glycolysis only.

    • Glycolysis Stages:

      • Energy investment phase: First five reactions, use ATP to phosphorylate intermediates..
      • Energy generation phase: Subsequent reactions produce a net gain of ATP via substrate-level phosphorylation. Two ATP molecules per glucose molecule are produced.
    • Aerobic glycolysis: Pyruvate is converted into Acetyl CoA that enters the Krebs Cycle in the presence of oxygen to generate ATP.

    • Anaerobic glycolysis: In the absence of oxygen, pyruvate is converted to lactate. This process produces a lower yield of ATP.

    • Key Enzymes: Hexokinase, Glucokinase, Phosphofructokinase, Aldolase, and others, are important in these processes.

    Other Important Metabolic Pathways

    • Pentose phosphate pathway: Links to other metabolic pathways and produces NADPH and pentose sugars.

    • Glycogen metabolism: Glycogen storage, breakdown, and synthesis pathways are vital for glucose homeostasis.

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    Metabolic Pathways PDF

    Description

    This quiz covers the study of metabolic pathways, focusing on the chemical changes facilitated by enzymes and the regulation of these pathways within cells. It also explores methods for identifying enzymatic steps and understanding how various factors influence metabolite accumulation.

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