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BIOCHEM-Carbohydrate Metabolism 3-Alternative Pathway

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BIOCHEMISTRY: CARBOHYDRAT E METABOLISM 3 Page 1 ALTERNATIVE PATHWAY FOR CARBOHYDRATE METABOLISM (for clearer images, pls. refer to the ppt)  Question: How many ATPs do you need in the conversion of FRUCTOSE-6-PHOSPHATE to PYRUVATE?  Answer: 1 ATP only since we have already bypassed the major regulatory pathway of glycolysis which is PHOSPHOFRUCTO KINASE 1 - It is not recommended to carbo load on fructose  since it cannot be controlled (Phosphofructokinase regulates the amount that the body requires) Question: How many ATPs do you need in the conversion of SUCROSE to PYRUVATE? (It will come out in the exam.)  Answer: 3 ATPs. Sucrose is formed by glucose and fructose. From glucose to pyruvate, 2 ATPs are needed. For fructose to pyruvate, 1 ATP is required. In conclusion, 3 ATPs are required since 2 ATPs are needed for the breakdown of  glucose and 1 ATP is needed for the breakdown of fructose ALTERNATIVE PATHWAY OF METABOLISM -Pentose Phosphate Pathway -Uronic Acid Pathway -Fructose Metabolism -Metabolism of Galactose -Sorbitol Pathway -Ethanol Metabolism -Hexosamine Formation  HEXOSE MONOPHOSPHATE SHUNT -aka PENTOSE PHOSPHATE PATHWAY -an ALTERNATE ROUTE for glucose oxidation -not the main main pathway -major pathway is GLYCOLYSIS -found in the CYTOSOL -active in: liver, adipose tissue, lactating mammary gland, adrenal cortex and RBC -common among these organs: all are secretory organs, except for RBC -5 carbons are produced in this pathway -the 1 carbon will be produced as CO2 -the only pathway that produces CO2 in cytoplasm -carbon dioxide is normally produced in the mitochondria but in this pathway, the carbon dioxide is in  the cytoplasm -NADPH is important in this pathway (PPP is the major source of NADPH in cells) -This pathway is used as an alternative when there is a high demand for NADPH which is required in FATTY ACID SYNTHESIS TISSUE DISTRIBUTION -Demand for NADPH  Biosynthetic pathways -fatty acid synthesis (liver, adipose, mammary) -cholesterol synthesis (liver) -steroid hormone synthesis (adrenal, ovaries, testes)  Detoxification (Cytochrome P450 system) liver  Reduced glutathione as an antioxidant in RBC to maintain the shape of RBC -preventing hemolysis  Generation of superoxide (neutrophils) **All these conditions will cause an INCREASE in NADPH demand which can lead to the hexose monophosphate shunt FUNCTIONS -Source of: 1. NADPH + H +   for REDUCTIVE BIOSYNTHETIC PROCESSES (synthesis of cholesterol, fatty acids, steroid hormones) -more important function 2. Pentoses for nucleotides, nucleic acids and coenzymes CHARACTERISTICS -neither consumes nor produce ATP -that is why it is not the major pathway -branches off glycolysis at G6P (common to both glycolysis and HMP shunt) -most important molecule in this pathway is GLUCOSE-6- PHOSPHATE -glucose should first be converted to glucose-6- phosphate before entering the hexose monophosphate shunt -GLUCOKINASE in the liver and HEXOKINASE in the muscles enzymes needed for the conversion of glucose  to glucose-6-phosphate -common enzyme in glycolysis and HMP shunt -re-entry is at FRUCTOSE-6-PHOSPHATE -PHOSOHEXOSE ISOMERASE enzyme required for the conversion of glucose-6-phosphate to fructose-6-phosphate SUBJECT: BIOCHEMISTRY TOPIC: CARBOHYDRATE METABOLISM 3 LECTURER: DR. ESPERANZA UY DATE: DECEMBER, 2010
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8/8/2019 BIOCHEM-Carbohydrate Metabolism 3-Alternative Pathway

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BIOCHEMISTRY: CARBOHYDRATE METABOLISM 3 Page 1

ALTERNATIVE PATHWAY FOR CARBOHYDRATE

METABOLISM (for clearer images, pls. refer to the ppt)

Question: How many ATPs do you need in the conversion of FRUCTOSE-6-PHOSPHATE to PYRUVATE?

Answer: 1 ATP only since we have already bypassed themajor regulatory pathway of glycolysis which isPHOSPHOFRUCTOKINASE 1

- It is not recommended to carbo load on fructose

since it cannot be controlled (Phosphofructokinaseregulates the amount that the body requires)

Question: How many ATPs do you need in the conversion of SUCROSE to PYRUVATE? (It will come out in the exam.)

Answer: 3 ATPs. Sucrose is formed by glucose and fructose.From glucose to pyruvate, 2 ATPs are needed. For fructoseto pyruvate, 1 ATP is required. In conclusion, 3 ATPs arerequired since 2 ATPs are needed for the breakdown of

glucose and 1 ATP is needed for the breakdown of fructose

ALTERNATIVE PATHWAY OF METABOLISM

-Pentose Phosphate Pathway-Uronic Acid Pathway

-Fructose Metabolism

-Metabolism of Galactose

-Sorbitol Pathway

-Ethanol Metabolism

-Hexosamine Formation

HEXOSE MONOPHOSPHATE SHUNT

-aka PENTOSE PHOSPHATE PATHWAY

-an ALTERNATE ROUTE for glucose oxidation

-not the main main pathway

-major pathway is GLYCOLYSIS

-found in the CYTOSOL

-active in: liver, adipose tissue, lactating mammary gland,adrenal cortex and RBC

-common among these organs: all are secretory organs,except for RBC

-5 carbons are produced in this pathway

-the 1 carbon will be produced as CO 2

-the only pathway that produces CO 2 in cytoplasm

-carbon dioxide is normally produced in themitochondria but in this pathway, the carbon dioxide is in

the cytoplasm

-NADPH is important in this pathway (PPP is the majorsource of NADPH in cells)

-This pathway is used as an alternative when there is a highdemand for NADPH which is required in FATTY ACIDSYNTHESIS

TISSUE DISTRIBUTION

-Demand for NADPH• Biosynthetic pathways

-fatty acid synthesis (liver, adipose, mammary)

-cholesterol synthesis (liver)-steroid hormone synthesis (adrenal, ovaries, testes)

• Detoxification (Cytochrome P450 system) liver• Reduced glutathione as an antioxidant in RBC tomaintain the shape of RBC

-preventing hemolysis• Generation of superoxide (neutrophils)

**All these conditions will cause an INCREASE in NADPHdemand which can lead to the hexose monophosphateshunt

FUNCTIONS

-Source of:

1. NADPH + H + for REDUCTIVE BIOSYNTHETICPROCESSES (synthesis of cholesterol, fatty acids, steroidhormones)

-more important function

2. Pentoses for nucleotides, nucleic acids andcoenzymes

CHARACTERISTICS

-neither consumes nor produce ATP

-that is why it is not the major pathway

-branches off glycolysis at G6P (common to both glycolysisand HMP shunt)

-most important molecule in this pathway is GLUCOSE-6-PHOSPHATE

-glucose should first be converted to glucose-6-phosphate before entering the hexose monophosphateshunt

-GLUCOKINASE in the liver and HEXOKINASE in themuscles enzymes needed for the conversion of glucose

to glucose-6-phosphate

-common enzyme in glycolysis and HMP shunt

-re-entry is at FRUCTOSE-6-PHOSPHATE

-PHOSOHEXOSE ISOMERASE enzyme required for theconversion of glucose-6-phosphate to fructose-6-phosphate

SUBJECT: BIOCHEMISTRY

TOPIC: CARBOHYDRATE METABOLISM 3

LECTURER: DR. ESPERANZA UY

DATE: DECEMBER, 2010

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BIOCHEMISTRY: CARBOHYDRATE METABOLISM 3 Page 2

CHARACTERISTIC DIFFERENCE WITH GLYCOLYSIS

-oxidation utilizes NADP rather than NAD

-carbon dioxide is a characteristic product of HMP shunt

-only source of carbon dioxide in the cytoplasm

-increase demand for NADP happens where there is anincrease in demand for fatty acid synthesis

-NO ATP is generated

PENTOSE PHOSPHATE PATHWAY HAS 2 PHASES

A. Glucose-6-Phosphate is oxidized anddecarboxylated to a pentose sugar (generates 2moles of NADPH per G6P oxidized) - irreversible

**GLUCOSE-6-PHOSPHATE substrate used in HMPshunt

-fructose-6-phosphate and glycogen can also beused as a substrate but they should first be converted

to glucose-6-phosphate

B. Interconversions of pentose phosphates lead tointermediates of glycolysis – reversible

**FRUCTOSE-6-PHOSPHATE and GLYCERALDEHYDE important intermediates of glycolysis

OXIDATIVE PHASE

-irreversible

-generates NADPH 2 moles per glucose oxidized

-3 reactions starts with glucose-6-phosphate and resultsin ribulose-5-phosphate

**3 glucose-6-phosphate molecules are required

**NADPH producing reactions/ important enzymes neededin the oxidative phase:

• Glucose-6-phosphate dehydrogenase

-coenzyme: NADP

-water is also needed to be reduced to NADPH + H

-product: 6-PHOSPHOGLUCONATE• 6-phosphogluconate dehydrogenase

-NADP is required in this step

-decarboxylates 6-phosphogluconate which RELEASESCARBON DIOXIDE from the cytoplasm

-product: ribulose-5-phosphate

Question: Why do we need 3 glucose-6-phophatemolecules?

Answer: To produce 2 fructose-6-phosphate molecules and1 glyceraldehyde molecule through the interconversion of the pentoses

NON-OXIDATIVE PHASE

-starts in the ribulose-5-phosphate molecule

-reversible (can go anywhere)

-rearrangement of sugars to enter glycolytic pathway

-provides a pathway for recycling excess pentoses

IMPORTANT ENZYMES: (refer to the diagram below as well)

1) 3-epimerase

-to convert ribulose-5-phosphate to xylulose-5-phosphate

**epimerase translocation in only carbon

2) Ketoisomerase

-to convert ribulose-5-phosphate to ribose-5-phosphate

3) Transketolase

-will transfer 2 carbon atoms from xylulose-5-phosphate to ribose-5-phosphate to form glyceraldehyde-3-phosphateand sedoheptulose-7-phosphate

-important coenzyme: THIAMIN (Vit. B1)

-important cofactor: MAGNESIUM (Mg +)

-source: unpolished rice

** blocking transketolase activity may lead to pentosuria (apentose sugar, usually xylulose, is found in urine

** thiamine deficiency affects sedoheptulose 7 phosphatesince it affects transketolase activity too

4) Transaldolase

-will transfer 3 carbon atoms

-sedoheptulose-7-phosphate is a very unstablecompound that is why it will be acted upon byTRANSALDOLASE to form erythrose-4-phosphate andfructose-6-phosphate which will then be converted toglucose-6-phosphate through the enzymePHOSPHOHEXOSE ISOMERASE

**Another TRANSKETOLASE (similar with the transketolasementioned above) will act on xylulose-5-phosphate to beconverted to FRUCTOSE-6-PHOSPHATE andGLYCERALDEHYDE-3-PHOSPHATE

5) Phosphotriose isomerise

-converts glyceraldehydes-3-phosphate to fructose-1,6-bisphosphate

6) Fructose-1,6-bisphosphatase

-also found in GLUCONEOGENESIS because it uses thefructose-1,6-bisphosphate as a substrate

-converts fructose-1,6-bisphosphate to fructose-6-phosphate

**all the other enzymes are also found in the glycolysispathway except the FRUCTOSE-1,6-BIPHOSPHATASE whichis found in the gluconeogenesis pathway

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BIOCHEMISTRY: CARBOHYDRATE METABOLISM 3 Page 3

**1/2 glucose-6-phosphate glyceraldehyde

**3 glucose-6-phosphate molecules are required, 6molecules of NADPH + H + are produced and 3 CO2 from

the cytoplasm are released to have the product, xylulose-5-phosphate irreversible

**the reversible process will ultimately produce 2molecules of glucose-6-phosphate and 1 molecule of glyceraldehydes. All of the three molecules will enter theglycolytic pathway

-entry point GLYCERALDEHYDE-3-PHOSPHATEDEHYDROGENASE

**defiency in thiamine (VIt.B1) problem in transketolaseenzyme. This can cause hemolytic anemia and jaundice

OVERALL EQUATION:

Glucose -6- PO 4 + 2 NADP + + H 2O ↔

ribose -5- PO 4 + 2NADPH + 2 H + + CO 2

REGULATION

1.Glucose-6-phosphate dehydrogenase

-first step; where regulation acts most

-rate limiting step

-most important regulator

-abundant in the RBC

2.Allosteric regulation

-feedback inhibited by NADPH

-increase amounts of NADPH will cease the HMP shunt

-increased NADPH also entails and increased amountof H ion which decreases intracellular pH (becomes moreacidic); can shrink and wrinkle the cell

3.Inducible enzyme-induced by insulin

-also found in the glycolytic and glycogenesis pathway

-increased amounts of insulin can induce the HMP shunt(since much glucose needs to be distributed)

GLUCOSE-6-PHOSPHATE DEFICIENCY

-problem in glucose-6-phosphate dehydrogenase enzyme

-not evident in most cases

-common in the Philippines (usually affects males, whilewomen are carriers)

-induced by drugs: Antimalarials

sulfa antibiotics antipyretics (aspirins,etc.)

-acute haemolytic anemia is due to decreased NADPHproduction

-HMP is the major pathway of NADPH production in the redblood cell (G6PD deficient RBCs = more prone to hemolysis)

-NADPH is responsible for maintaining glutathione in itsreduced state

-reduced glutathione is necessary for the integrity of theerythrocyte membrane, thus rendering enzyme-deficientred cells more susceptible to hemolysis by a wide range of compounds

-exposure to anti-malarial drugs (Primaquine) results inincreased cellular production of superoxide and hydrogenperoxide (Primaquine sensitivity)

-other chemicals known to increase oxidant stress

-sulfonamides (antibiotic)

-aspirin and NSAIDs

-quinidine and quinine

-naphthalene (mothballs)

-fava beans (vicine and isouramil)

ROLE OF NADPH IN THE RBC

1.Production of superoxide

2.Hb-Fe 2+ -O2 Hb-Fe 3+ + O 2 -

3.O 2 - + 2H 2 O 2H 2O2

4.Both O 2 - and H 2 O2 can produce reactive free radicalspecies, damage cell membranes and cause hemolysis

DETOXIFICATION OF SUPEROXIDE ANION AND HYDROGENPEROXIDE (H20 2 )

-Antioxidant enzymes-superoxide dismutase

-glutathione peroxidise

-if the glutathione is in the reduced state, hydrogenperoxide will be converted to water

-glutathione reductase

Question: In the formation of lactate from glucose-6-phosphate, how many ATPs are needed?

Answer: 2 ATPs

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BIOCHEMISTRY: CARBOHYDRATE METABOLISM 3 Page 4

THE URONIC ACID PATHWAY

-also encountered in HEME METABOLISM (for more details,see Bilirubin Conjugation)

-catalyzes the conversion of glucose to glucuronic acid,ascorbic acid and pentoses

**GLUCORONIC ACID to conjugate bilirubin so that itcan be more soluble in water

-also an alternative oxidative pathway for glucose

-does not lead to ATP formation

**conversion of glucose-6-phosphate to glucose-1-phosphate was also encountered in glycogenolysis

**PENTOSURIA blocks the L-xylulose xylitol pathway

-causes the presence of xylulose in the urine

**xylulose-5-phosphate will then enter the HMP shunt

**The L-gulonate has 2 pathways: 1 for the formation of xylulose-5-phosphate and the other for the formation of ascorbic acid.

-However, the formation of ascorbic acid is not possiblein higher forms of life since the L-gulonolactone 2-ketogulonolactone pathway is BLOCKED. So in humans, theonly possible route is for it to be converted to xylulose-5-phosphate which will now enter the HMP shunt

-this means that Vitamin C cannot be produced by the

body and supplements should be taken in to supply thebody with Vit.C

-high amounts of Vit.C in the body can lead to stones

GLUCORONIDES FORMATION

GLUCURONIC ACID: PHYSIOLOGICAL SIGNIFICANCE OFGLUCURONIDE FORMATION

-glucuronide formation is important during detoxification,steroid excretion, and bilirubin metabolism

-the reaction is catalyzed by UDP-glucuronyl transferase,which may take several days to 2 weeks after birth tobecome fully active in humans

-babies are always exposed to the sun to hasten theprocess of bilirubin solubility

FRUCTOSE METABOLISM

ESSENTIAL FRUCTOSURIA

-fructokinase is deficient in essential fructosuria, a benignasymptomatic metabolic anomaly; autosomal recessive

-following intake of fructose, blood and urinary fructoselevels of affected individuals are unusually high; however,90% of their fructose intake is eventually metabolized

**Fructose can also be a source of glucose through theenzyme PHOSPHOFRUCTOISOMERASE

**hexokinase is still needed to form fructose-6-phosphate**Aldolase A used in glycolysis

**Aldolase B used in fructose metabolism

**Fructokinase deficient in essential fructosuria

-no formation of fructose-1-phosphate and instead,fructose from diet will be converted in the glycolysispathway (not that significant)

G6P G1P UDP-Glucose UDP- GlucoronicAcid Glucoronic Acid L-Gulonic Acid (a directVit. C precursor as well) 3-Keto-L-Gulonic Acid

(+CO2) L-Xylulose Xylitol (usual candycomponent) D-Xylulose D-Xylulose-5-P

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HEREDITARY FRUCTOSE INTOLERANCE

-deficient aldolase B enzyme; autosomal recessive

-characterized by severe hypoglycaemia after ingestion of fructose, and prolonged ingestion by affected young children may lead to death

-fructose-1-phosphate aldolase is deficient and fructose 1-phosphate accumulates intracellularly

-causes cataract formation

-will eventually go to the glycolytic pathway

METABOLISM OF GALACTOSE

-from LACTOSE

-lactose glucose + galactose

-abundant in human milk

-UDP-galactose is also formed from free galactose derivedfrom hydrolysis of lactose in the intestinal tract

-galactose is phosphorylated by galactokinase and ATP toyield galactose-1-phosphate

-galactose-1-phosphate uridyltransferase froms UDP-galactose from galactose 1-phosphate displacing glucose1-phosphate from UDP-glucose

**1 ATP is required to form GALACTOSE-1-PHOSPHATE

**galactose-1-phosphate uridyl transferase came fromUDP-glucose from GLYCOGENOLYSIS PATHWAY

-blocked in galactosemia

GALACTOSEMIA

-inability to transform galactose into glucose

-individuals with this defect are unable to metabolize thegalactose derived from lactose (milk sugar) to glucosemetabolites

-can lead to cataract formation, growth failure, mentalretardation or death from liver failure

-may be due to deficiency of:

-GALACTOKINASE leads to cataract formation

-GALACTOSE-1-PHOSPHATE URIDYLTRANSFERASEleads to severe disease (liver disease)

**ALDOSE REDUCTASE which is abundant in the lens, liver,mammary glands and kidneys

-through the NADPH from HMP shunt converts galactose to GALATITOL which can cause cataracts

-not a significant enzyme, but only becomes important if galactose levels are very high and a deficiency ingalactokinase

- Aldose Reductase Inhibitors = known side effects aresevere cardiovascular and GIT problems

> Classic Galactosemia – more severe thangalactosemia deficiency; patient may die at womb

SORBITOL / POLYOL PATHWAY

-not found in the liver

-active in those tissues that are not insulin-sensitive

-lens

-peripheral nerves

-renal glomeruli-maybe involved in the pathogenesis of diabetic cataractsand diabetic peripheral neuropathy

-can have effects on the liver, lens and seminal vesicle (canlead to infertility)

-found in the cytosol

**NADPH is needed

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**sorbitol dehydrogenase is not a very important enzymebut only becomes essential if there is an increased amountof glucose in the body

**sorbitol pathway is NOT FOUND IN THE LIVER

**active in tissues that are not insulin sensitive

**”UNIFYING PATHWAY OF DIABETICS”

**sorbitol attracts a lot of water

Night: Glycogenolysis: Glucose Fasting inactive sorbitol

pathway = clear eyesightDay: Gluconeolysis: Glucose Usage active sorbitolpathway = unclear eyesight (due to trapping in lens)

ETHANOL METABOLISM

Oxidation to acetate in the liver

-ethanol is oxidized in the liver by CYTOSOLIC ALCOHOLDEHYDROGENASE to acetaldehyde

-the acetaldehyde is further oxidized to acetate byMITOCHONDRIAL ALDEHYDE DEHYDROGENASE

-much of the acetate produced from ethanol leaves theliver and is converted by acetyl coA, which can be used toprovide energy via the TCA cycle

-alcohol will be used for ATP production

-acetyl coAmay also beformed in theliver and usedas a precursorfor lipidbiosynthesis

METABOLISM OF HEXOSAMINE OR AMINO SUGARS

-another mechanism in diabetic patients

-JUST REMEMBER: from glycogen, glycosaminoglycans,sialic acid, gangliosides and glycoproteins in the brain canbe formed

COMPLEX POLYSACCHARIDES

-Glycoproteins

-Proteoglycans

GLYCOPROTEINS

-conjugated proteins containing one or more saccharidesLACKING A SERIAL REPEAT UNIT and are bound covalently

to a protein

-important in the biological functions of the membrane

-constitutes of the mucus

-IMPORTANCE: lubrication and protection of the tissueslining the respiratory, GIT, and female reproductive system

-examples: hormones, plasma proteins

PROTEOGLYCANS

-contains 95% or more of carbohydrates

-carbohydrate chains are called GLYCOSAMINOGLYCANS orMUCCOPOLYSACCHARIDES

-present in connective tissues

-6 classes:

-chondroitin sulfate

-dermatan sulfate

-keratin sulfate

-heparan sulfate

-heparin

-hyaluronate

GLYCOSAMINOGLYCANS (GAGs)

Common Features

1. GAGs are made up of dissacharide repeating units,hexosamine and a uronic acid; highly (-) charged

2. they contain sulfate groups linked by ester bonds tocertain monosaccharides orby amide bonds to theamino group of glucosamine

3. only hyaluronate is not sulphated and is notattached to protein

4. the carboxyls of uronic acids and the sulfate groupscontribute to the highly charged nature of GAGs

5. predominantly components of the extracellularmatrices and cell surfaces, and they participate incell adhesion and signalling

**GAGs are destroyed in diabetic nephropathy

-------------------------------------END OF TRANX-------------------------------------

GOODLUCK ON YOUR EVALUATIONS, BATCH 2014!


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