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- Regulated steps:
- Hexokinase: inhibited by G6P
- Glucokinase is the liver + β islet version of hexokinase, and is not inhibited by G6P.
- Phosphofructokinase: inhibited by ATP, low pH, NADH, citrate, long chain fatty acids. Activated by AMP, Fructose 2,6 Bisphosphate (allosteric activator). This is the rate limiting enzyme.
- Pyruvate kinase: inhibited by acetyl-CoA, ATP, NADH. Activated by G6P, F1,6BP.
- 2 ATP Expenditure:
- Glucose → G6P (HK, ATP→ADP)
- G6P ↔ F6P (PGI)
- F6P → F1,6BP (PFK, ATP→ADP)
- 2 NAD+ → 2 NADH
- F1,6BP ↔ GAP + DHAP (Aldolase)
- DHAP ↔ GAP (TIM)
- GAP ↔ 1,3 BPG (GAPDH, NAD+→NADH)
- 4 ATP Harvest:
- 1,3 BPG ↔ 3PG (PGK, ADP→ATP)
- 3PG ↔ 2PG (PGM)
- 2PG ↔ PEP (Enolase)
- PEP → Pyruvate (PK, ADP→ATP)
- Occurs in the cytoplasm, can be amplified if ↑ substrate, ↓ product (exercising muscle, RBCs), ↑ F2,6BP (insulin, epinephrine).
- Regenerating NAD+ for glycolysis:
- Glycerol phosphate shuttle: aerobic, found in most cells with mitochondria, 2 ATP per NADH
- Malate shuttle: aerobic, found in heart, 3 ATP per NADH
- Lactate dehydrogenase:anaerobic, pyruvate ↔ lactate, no ATP produced, part of the Cori cycle
- Cori cycle: lactate back to pyruvate
- Glycolysis: glucose → pyruvate
- Lactate DH: pyruvate → lactate
- Liver Lactate DH: lactate → pyruvate
- Gluconeogenesis: pyruvate → glucose
- Hemolytic anemia (95% due to deficient PK, 4% due to PGI):
- Deficiencies in glycolytic enzymes.
- RBC (no mitochondria, depend solely glycolysis) can't get ATP .
- Can't maintain Na-K pump (3 Na out 2 K in).
- Too much salt inside RBC lead to cell lysis by osmosis.
Sugar Transporters
- intestine → Enterocytes:
- SGLT1: glucose and galactose (sodium cotransport)
- GLUT5: fructose
- Enterocytes → blood:
- GLUT2: glucose, galactose, and fructose
- blood → cells
- GLUT 1 & 3: RBC, brain (don't respond to insulin, provide constant supply of glucose).
- GLUT 2: Low affinity for glucose, acts as sensor for when blood glucose is high. Liver (high glc levels stimulate glycogen and lipid synthesis), β islet cells in pancreas (high glc levels stimulate insulin release).
- GLUT 4: skeletal muscle (insulin or electrical stimulation causes translocation of GLUT4s to membrane), adipose (insulin causes translocation of GLUT4s).
Chemical structures
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