1 Gluconeogenesis

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GLUCONEOGENESIS

Peter J. Roach
MS 405A
274-1582
proach@iupui.edu
B800
Fall 2014
GLUCONEOGENESIS
Objectives:
1. Identify the carbon sources suitable for glucose
synthesis via gluconeogenesis. Identify the most
important organs that carry out gluconeogenesis.

2. Diagram the pathway of lactate gluconeogenesis.


Be able to recognize structures of the intermediates.
Indicate those steps that are not involved in glycolysis.
Show the balance between NADH generation and
utilization. Compare the production of ATP during
anaerobic glycolysis with the requirement for ATP during
lactate gluconeogenesis.

3. Indicate the subcellular location of glucose


6-phosphatase. Identify three transporters required for
the activity of this enzyme.
GLUCONEOGENESIS

4. Describe the Cori cycle and the alanine cycle.


Explain why these cycles do not lead to net glucose
formation. Explain how net glucose formation is
achieved during starvation.

5. Trace how lactate, alanine, glycerol, propionate,


galactose, and fructose are converted to glucose in the
liver.

6. Indicate the molecular mechanisms that can cause


galactosemia.

7. Illustrate the coupling between alanine


gluconeogenesis and the urea cycle.
GLUCONEOGENESIS

8. Explain how fatty acid oxidation promotes


gluconeogenesis.

9. Explain why some amino acids are glucogenic,


some are both glucogenic and ketogenic, and some are
only ketogenic. Explain why palmitate is only ketogenic.

10. Identify the regulatory enzymes of gluconeogenesis.


Know which enzymes are regulated by allosteric
effectors, covalent modification, and gene expression.

11. Give the mechanism responsible for glucagon


inhibition of glycolysis in the liver. Explain how this
results in stimulation of gluconeogenesis by this tissue.
GLUCONEOGENESIS

12. Give the mechanism responsible for insulin


stimulation of glycolysis in liver. Explain how this results
in inhibition of gluconeogensis by this tissue.
GLUCONEOGENESIS
Synthesizing glucose from non carbohydrate
precursors. The brain uses glucose as its primary fuel,
and red blood cells use only glucose for fuel.
Gluconeogenesis occurs mostly in liver and kidneys
Cori and Alanine Cycles.
Pathway of Gluconeogenesis.
Enzymes specific to gluconeogenesis.
Enzymes specific to gluconeogenesis.

Fructose 1,6-bisphosphatase
Enzymes specific to gluconeogenesis.

Glucose-6-phosphatase
Glucose synthesis from lactate.
Sum: 2 Lactate + 6 ATP Glucose + 6 ADP + 6 Pi
Synthesis of glucose from other precursors.

Sum: 2 Alanine + CO2 +


10 ATP Glucose +
Urea + 10 ADP + 10 Pi
Synthesis of glucose from other precursors.

Urea Cycle
Preview: Urea Cycle
Synthesis of glucose from other precursors.

Can we synthesize glucose from fat?


Synthesis of glucose from other precursors.
Synthesis of glucose from other precursors.
Synthesis of glucose from other precursors.

(B12)
Synthesis of glucose from other precursors.

Glucose formation from fructose and competing pathway of fructolysis


Synthesis of glucose from other precursors.
Synthesis of glucose from other precursors.
Galactosemias.

Classic: Severe galactose-1-P uridyltransferase


deficiency
Poor feeding, weight loss, vomiting, diarrhea,
lethargy, liver dysfunction
Cataracts in early weeks of life

Non-classical:
Galactokinase deficiency
Cataracts in early weeks of life

Non-Classical:
Uridine diphosphate galactose 4'-epimerase\
deficiency
Very rare
Presents like classic galactosemia
Ketogenic and Glucogenic Amino Acids.
Glucogenic amino acid Net Citric acid cycle intermediate Glucose

Ketogenic amino acid Acetyl CoA X


Glucose

Ketone bodies
Glucogenic Ketogenic Both
Glycine Leucine Threonine
Serine Lysine Isoleucine
Valine Phenylalanine
Histidine Tyrosine
Arginine Tryptophan
Cysteine
Proline
Hydroxyproline
Alanine
Glutamate
Glutamine
Aspartate
Asparagine
Methionine
Regulation of Gluconeogenesis.

Regulation combines allosteric controls, covalent phosphorylation


and induction/repression of gene expression. Conditions
promoting gluconeogenesis are high glucagon/low insulin.

Main targets: Activate: 1. Pyruvate carboxylase


2. PEP carboxykinase
3. Fructose-1, 6-bisphosphatase
4. Glucose-6-phosphatase

Inactivate:
5. Pyruvate kinase
6. 6-phosphofructo-1-kinase
7. Glucokinase
8. Pyruvate dehydrogenase
Regulation of Gluconeogenesis.

5 1

7
4
Regulation of Gluconeogenesis.

1. Pyruvate Carboxylase
Acetyl CoA allosteric activator
Induced by conditions of fasting (high glucagon/low insulin)

2. PEP Carboxykinase
Induced by conditions of fasting (high glucagon/low insulin)

3. Fructose-1,6-bisphosphatase
Induced by conditions of fasting (high glucagon/low insulin)
Activated by associated decrease in fructose-2,6-P2 and AMP

4. Glucose-6-phosphatase
Induced by conditions of fasting (high glucagon/low insulin)
Regulation of Gluconeogenesis.

5. Pyruvate kinase
Phosphorylated and inactivated by protein kinase A
(activated by glucagon)
Inhibited by alanine, ATP
Repressed by conditions of fasting (high glucagon/low insulin)

6. 6-phosphofructo-1-kinase
Inhibited by decreased fructose-2,6-P2 and AMP
Coordinated with regulation of Fructose-1,6-bisphosphatase

7. Glucokinase
Repressed by conditions of fasting (high glucagon/low insulin)
Inhibited by fructose-6-P
Regulation of Gluconeogenesis.
Alanine Lactate Fatty Acids

FOX
NADH
Citric
- 8 -
Pyruvate Acetyl CoA Acid
1
- Cycle
5 +
X Oxaloacetate
2 Ketone
PEP Bodies

F-1,6-P2
6 X 3

F6P

G6P
7 X 4

Glucose
Regulation of Pyruvate Dehydrogenase.
high glucagon/insulin

PDH
ADP
Inactive
+
PDH PDH
- Pase
Kinases +

ATP Active Pi

CoASH PDH Acetyl CoA


Pyruvate NADH
NAD+ CO2

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