FIGURE 14-9 Effect of type 1 diabetes on carbohydrate and fat metabolism in an adipocyte. Normally, insulin triggers the insertion of GLUT4 transporters into the plasma membrane by the fusion of GLUT4-containing vesicles with the membrane, allowing glucose uptake from the blood. When blood levels of insulin drop, GLUT4 is resequestered in vesicles by endocytosis. In type 1 (insulin-dependent) diabetes mellitus, these normal processes are inhibited as indicated by X. The lack of insulin prevents glucose uptake via GLUT4; as a consequence, cells are deprived of glucose and blood glucose is elevated. Lacking glucose for energy supply, adipocytes break down triacylglycerols stored in fat droplets and supply the resulting fatty acids to other tissues for mitochondrial ATP production. Two byproducts of fatty acid oxidation in the liver (acetoacetate and β-hydroxybutyrate, see p. 666) accumulate and are released into the blood, providing fuel for the brain but also decreasing blood pH, causing ketoacidosis. The same sequence of events takes place in muscle, except that myocytes do not store triacylglycerols and instead take up fatty acids that are released into the blood by adipocytes.

FIGURE 14-2a The two phases of glycolysis FIGURE 14-2a The two phases of glycolysis. For each molecule of glucose that passes through the preparatory phase (a), two molecules of glyceraldehyde 3-phosphate are formed; both pass through the payoff phase (b). Pyruvate is the end product of the second phase of glycolysis. For each glucose molecule, two ATP are consumed in the preparatory phase and four ATP are produced in the payoff phase, giving a net yield of two ATP per molecule of glucose converted to pyruvate. The numbered reaction steps are catalyzed by the enzymes listed on the right, and also correspond to the numbered headings in the text discussion. Keep in mind that each phosphoryl group, represented here as P, has two negative charges (—PO32–).

FIGURE 14-2b The two phases of glycolysis FIGURE 14-2b The two phases of glycolysis. For each molecule of glucose that passes through the preparatory phase (a), two molecules of glyceraldehyde 3-phosphate are formed; both pass through the payoff phase (b). Pyruvate is the end product of the second phase of glycolysis. For each glucose molecule, two ATP are consumed in the preparatory phase and four ATP are produced in the payoff phase, giving a net yield of two ATP per molecule of glucose converted to pyruvate. The numbered reaction steps are catalyzed by the enzymes listed on the right, and also correspond to the numbered headings in the text discussion. Keep in mind that each phosphoryl group, represented here as P, has two negative charges (—PO32–).

FIGURE 16-2 Overall reaction catalyzed by the pyruvate dehydrogenase complex. The five coenzymes participating in this reaction, and the three enzymes that make up the enzyme complex, are discussed in the text.