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Presentation transcript:

بسم الله الرحمن الرحيم

Glucose Metabolism: An Overview Major Metabolic Pathways of Glucose By Reem M. Sallam, MD, PhD. Clinical Chemistry Unit, Pathology Dept. College of Medicine, KSU

Metabolic Pathway Definition Site: Cellular (tissue) and Subcellular Reactions Rate-limiting enzyme(s) Regulatory mechanism(s): Rapid, short-term: Allosteric Covalent modification Slow, long-term: Induction/repression

Metabolic Pathways of Glucose: Production and Utilization Glycogenolysis Hexose interconversion Gluconeogenesis Production Glucose Utilization Glycolysis HMP/PPP Glycogenesis Hexose interconversion Krebs cycle

Metabolic Pathways of Glucose: Catabolic and Anabolic Catabolic cycles Glycolysis (Mainly) Krebs (Mainly) Glycogenolysis HMP Anabolic cycles Gluconeogenesis Glycogenesis

Glycogenesis and Glycogenolysis Synthesis of glycogen from glucose Mainly liver and muscle, Cytosol Glycogenolysis Degradation of glycogen into glucose

Hexose Monophosphate Pathway (HMP) or Pentose Phosphate Pathway (PPP) Important source for NADPH: NADPH can be used in reductive syntheses Source for metabolically active ribose Ribose is used for production of nucleotides: For nucleic acids For co-enzymes

Glucose Transport Na+-Monosaccharide Cotransporter: Against concentration gradient Energy dependent Carrier-mediated Coupled to Na+ transport Occurs in small intestine, renal tubules & choroid plexus Na+-Independent Facilitated Diffusion: With concentration gradient Energy Independent Through Glucose Transporters (GLUT 1-14)

Glucose Transport: Facilitated Diffusion

Glucose Transporters Tissue-specific expression pattern GLUT-1 RBCs and brain GLUT-2 Liver, kidney & pancreas GLUT-3 Neurons GLUT-4 Adipose tissue & skeletal muscle GLUT-5 Small intestine & testes GLUT-7 Liver (ER-membrane) Functions: GLUT-1, 3 & 4 Glucose uptake from blood GLUT-2 Blood & cells (either direction) GLUT-5 Fructose transport

Glycolysis: Objectives Major oxidative pathway of glucose The main reactions of glycolytic pathway The rate-limiting enzymes/Regulation ATP production (aerobic/anaerobic) Pyruvate kinase deficiency hemolytic anemia

Glycolysis: An Overview Glycolysis, the major pathway for glucose oxidation, occurs in the cytosol of all cells. It is unique, in that it can function either aerobically or anaerobically, depending on the availability of: oxygen & intact mitochondria. It allows tissues to survive in presence or absence of oxygen, e.g., skeletal muscle. RBCs, which lack mitochondria, are completely reliant on glucose as their metabolic fuel, and metabolize it by anaerobic glycolysis.

Glycolysis: An Overview Glycolysis, the major pathway for glucose oxidation, occurs in the cytosol of all cells. It is unique, in that it can function either aerobically or anaerobically, depending on the availability of oxygen and intact mitochondria. It allows tissues to survive in presence or absence of oxygen, e.g., skeletal muscle. RBCs, which lack mitochondria, are completely reliant on glucose as their metabolic fuel, and metabolizes it by anaerobic glycolysis.

Glycolysis: An Overview Glycolysis, the major pathway for glucose oxidation, occurs in the cytosol of all cells. It is unique, in that it can function either aerobically or anaerobically, depending on the availability of oxygen and intact mitochondria. It allows tissues to survive in presence or absence of oxygen, e.g., skeletal muscle. RBCs, which lack mitochondria, are completely reliant on glucose as their metabolic fuel, and metabolizes it by anaerobic glycolysis.

Glycolysis

Aerobic Vs Anaerobic Glycolysis

Aerobic Glycolysis-1 Hexokinase Glucokinase

Aerobic Glycolysis-2

Aerobic Glycolysis: 3-5

2 2 Aerobic Glycolysis: 6 -10 2 2 2 2

Aerobic Glycolysis-1 Hexokinase: Most tissues Glucokinase: Hexokinase Hepatocytes Hexokinase Glucokinase

PFK-1 : Regulation

Aldolase and Triose Isomerase

Glyceraldehyde 3-Phosphate Dehydrogenase 2 2 2 For each NADH, 3 ATP will be produced by ETC in the mitochondria i.e., 6 ATP are produced 2 2 2

Phospho- glycerate Kinase 2 Phospho- glycerate Kinase 2 Substrate- Level Phosphorylation 2 2 2 2

2 2 2 Substrate- Level Phosphorylation 2 2 Pyruvate Kinase 2

Substrate-level phosphorylation Vs. Oxidative phosphorylation Phosphorylation is the metabolic reaction of introducing a phosphate group into an organic molecule. Oxidative phosphorylation:  The formation of high-energy phosphate bonds by phosphorylation of ADP to ATP coupled to the transfer of electrons from reduced coenzymes to molecular oxygen via the electron transport chain (ETC); it occurs in the mitochondria. Substrate-level phosphorylation:  The formation of high- energy phosphate bonds by phosphorylation of ADP to ATP (or GDP to GTP) coupled to cleavage of a high- energy metabolic intermediate (substrate). It may occur in cytosol or mitochondria

Substrate-level phosphorylation Vs. Oxidative phosphorylation Phosphorylation is the metabolic reaction of introducing a phosphate group into an organic molecule. Oxidative phosphorylation:  The formation of high-energy phosphate bonds by phosphorylation of ADP to ATP coupled to the transfer of electrons from reduced coenzymes to molecular oxygen via the electron transport chain (ETC); it occurs in the mitochondria. Substrate-level phosphorylation:  The formation of high- energy phosphate bonds by phosphorylation of ADP to ATP (or GDP to GTP) coupled to cleavage of a high- energy metabolic intermediate (substrate). It may occur in cytosol or mitochondria

Substrate-level phosphorylation Vs. Oxidative phosphorylation Phosphorylation is the metabolic reaction of introducing a phosphate group into an organic molecule. Oxidative phosphorylation:  The formation of high-energy phosphate bonds by phosphorylation of ADP to ATP coupled to the transfer of electrons from reduced coenzymes to molecular oxygen via the electron transport chain (ETC); it occurs in the mitochondria. Substrate-level phosphorylation:  The formation of high- energy phosphate bonds by phosphorylation of ADP to ATP (or GDP to GTP) coupled to cleavage of a high- energy metabolic intermediate (substrate). It may occur in cytosol or mitochondria

Pyruvate Kinase Covalent Modification

Pyruvate Kinase Deficiency Hemolytic Anemia

Summary: Regulation of Glycolysis Regulatory Enzymes (Irreversible reactions): Glucokinase/hexokinase PFK-1 Pyruvate kinase Regulatory Mechanisms: Rapid, short-term: Allosteric Covalent modifications Slow, long-term: Induction/repression Apply the above mechanisms for each enzyme where applicable

Aerobic Glycolysis: ATP Production ATP Consumed: 2 ATP ATP Produced: Substrate-level 2 X 2 = 4 ATP Oxidative-level 2 X 3 = 6 ATP Total 10 ATP Net: 10 – 2 = 8 ATP

Take Home Message Glycolysis is the major oxidative pathway for glucose Glycolysis is employed by all tissues Glycolysis is a tightly-regulated pathway PFK-1 is the rate-limiting regulatory enzyme

Take Home Message Glycolysis is mainly a catabolic pathway for ATP production, But ….. It has some anabolic features (amphibolic) Pyruvate kinase deficiency in RBCs results in hemolytic anemia

THANK YOU