Overview of Glucose Metabolic Pathways in Clinical Chemistry

Major Metabolic Pathways of Glucose
and Glucose Transport
Clinical Chemistry Unit Pathology
Department
College of Medicine, KSU
Objectives
By the end of the lecture, students are
expected to:
Define a metabolic pathway.
Describe the general metabolic pathways for
glucose (production and utilization)
 Briefly describe the HMP
Recognize the mechanisms of glucose transport
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 Pathway
Glucose
Glycogenesis
Gluconeogenesis
Hexose interconversion
Glycogenolysis
Glycolysis
Krebs cycle
HMP/PPP
Hexose interconversion
Production
Utilization
Metabolic Pathways of Glucose-
production and utilization
Metabolic Pathways of Glucose-
catabolic and anabolic
Glycolysis
Oxidation of glucose to provide energy.
Pyruvate is the end product of glycolysis in cells with
mitochondria and an adequate supply of oxygen-
aerobic glycolysis
In absence of oxygen and in cells that lack
mitochondria, the end product is lactate- anaerobic
glycolysis
Glycogenesis:
 
Synthesis of glycogen from glucose
 
Mainly liver and muscle, Cytosol
Glycogenolysis
 
Degradation of glycogen into glucose
 
 Mainly liver and muscle, Cytosol
  
Glycogenesis and Glycogenolysis
Gluconeogenesis
Synthesis of glucose from non-carbohydrate
precursors.
The precursors could be lactate, pyruvate, glycerol
and alpha-keto acids.
It requires both mitochondria and cytosolic enzymes
Liver and kidney
HMP shunt is an alternative pathway of glucose
oxidation
It is not involved in the generation of energy
Around 10% of glucose is entered in this pathway
In liver and kidney, this percentage is upto 30%
Hexose Monophosphate
shunt(HMP) or Pentose Phosphate
Pathway (PPP)
Biomedical Importance
It has two main functions-
1.
Provides NADPH which is required for –
synthesis of  fatty acids, steroid and some amino
acids
Detoxification of drugs by cytochrome p450
In scavenging the free radicals
2.
Provides Pentoses
This pentose and its derivatives are useful in the
synthesis of
Nucleic acids (DNA and RNA)
Nucleotides (ATP, NAD, FAD and CoA)
Location- Cytosol
Liver
Lactating mammary gland
Adrenal cortex
Gonads
Adipose tissue
Erythrocytes to reduce glutathione
Lens and cornea
Tissue Distribution
Phases of HMP Shunt
It has two phases-
Oxidative phase
Non-oxidative phase
Enzymes numbered above are: 1, 2) 
glucose 6-phosphate dehydrogenase 
and
 
6
-phosphogluconolactone
hydrolase, 
3) 
6-phosphogluconate dehydrogenase, 
4) 
ribose 5-phosphate isomerase,
 5) 
phosphopentose
epimerase, 
6 and 8) 
transketolase
 (coenzyme: thiamine pyrophosphate), and 7) 
transaldolase
.
Phase 1- Oxidative pathway
Source – wordpress.com
G6PD
- Glucose 6-Phosphate
Dehydrogenase
Lactonase
- 6 phosphogluconolactone
hydrolase
6PGD-
 6 phosphogluconate
dehydrogenase
Phase 2- Non-oxidative
a) Interconversion of pentoses
Phase 2- Non-oxidative
Phase 2- Non-oxidative
a) Conversion of pentose phosphate to
hexose phosphates
Transketolation
Transaldolation
Transketolation
Source – wordpress.com
Clinical Correlations
  
Na
+
-Monosaccharide Cotransporter
:
 
Against concentration gradient
 
Energy dependent
 
Carrier-mediated
 
Coupled to Na
+
 transport
 
Small intestine, renal tubules & choroid plexus
  Na
+
-Independent Facilitated Diffusion:
 
Down the concentration gradient 
 
 
Energy Independent
 
Glucose Transporters (GLUT 1-14)
Glucose Transport
Glucose Transport: Facilitated Diffusion
 
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
Glucose Transporters
Take Home Messsage
There are multiple pathways for glucose that can be grouped
in to catabolic (utilizing glucose) or anabolic (producing
glucose)
Glycolysis is the major metabolic pathway of glucose
breakdown to provide energy
Take Home Messsage - HMP
Alternative pathway for glucose oxidation but not meant for
producing energy
Has two phases- oxidative and non-oxidative
During oxidative phase, glucose-6-P is oxidized with
generation of 2 moles of NADPH, and one mole of pentose
phosphate, with liberation of CO2
During non-oxidative phase, pentose phosphate is converted
to intermediates of glycolysis
References
Lippincott’s Illustrated Reviews- Biochemistry 6
th
 Edition-
pages: 96-97,117,126,128,145-147
http://www.biochemden.com/the-hexose-monophosphate-
shunt/
Non Oxidative phase
 5 reactions
Ribu 5P=R5P, 
 
Isomerase
Ribu 5P= X5P, 
 
Epimerase
X5P + 
R5P
= Sedo 7P + 
G3P,
 
 TK
 
(10)
Sedo 7P + G3P = Ery4P + 
F6P,
 
 
TA
 
(10)
X5P + Ery4P = 
F6P + G3P
, 
 
TK
 
(9)
R5P- Nucleotide biosynthesis
G3P and F6P- Glycolytic intermediates
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Explore the major metabolic pathways of glucose, including glycogenolysis, gluconeogenesis, glycolysis, and more. Understand the production, utilization, catabolic, and anabolic cycles of glucose in cellular metabolism. Learn about key concepts such as hexose interconversion, HMP/PPP, Krebs cycle, and regulatory mechanisms. Recognize the importance of glucose transport and cellular reactions in energy production. Dive into the oxidation of glucose through glycolysis and its outcomes in aerobic and anaerobic conditions.

  • Glucose Metabolism
  • Clinical Chemistry
  • Cellular Pathways
  • Glycolysis
  • Metabolic Regulation

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  1. Major Metabolic Pathways of Glucose Major Metabolic Pathways of Glucose and Glucose Transport and Glucose Transport Clinical Chemistry Unit Pathology Clinical Chemistry Unit Pathology Department Department College of Medicine, KSU College of Medicine, KSU

  2. Objectives By the end of the lecture, students are By the end of the lecture, students are expected to: expected to: Define a metabolic pathway. Define a metabolic pathway. Describe the general metabolic pathways for Describe the general metabolic pathways for glucose (production and utilization) glucose (production and utilization) Briefly describe the HMP Briefly describe the HMP Recognize the mechanisms of glucose transport Recognize the mechanisms of glucose transport

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

  4. Metabolic Pathways of Glucose- production and utilization Glycogenolysis Glycogenolysis Hexose Hexose interconversion interconversion Gluconeogenesis Gluconeogenesis Production Production Glucose Utilization Utilization Glycolysis Glycolysis HMP/PPP HMP/PPP Hexose interconversion Hexose interconversion Glycogenesis Glycogenesis Krebs cycle Krebs cycle

  5. Metabolic Pathways of Glucose- catabolic and anabolic Catabolic cycles Catabolic cycles Glycolysis Glycolysis (Mainly) Krebs Krebs (Mainly) Glycogenolysis Glycogenolysis HMP HMP Anabolic cycles Anabolic cycles Gluconeogenesis Gluconeogenesis Glycogenesis Glycogenesis (Mainly) (Mainly)

  6. Glycolysis Oxidation of glucose to provide energy. Pyruvate is the end product of glycolysis in cells with mitochondria and an adequate supply of oxygen- aerobic glycolysis In absence of oxygen and in cells that lack mitochondria, the end product is lactate- anaerobic glycolysis

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

  8. Gluconeogenesis Synthesis of glucose from non-carbohydrate precursors. The precursors could be lactate, pyruvate, glycerol and alpha-keto acids. It requires both mitochondria and cytosolic enzymes Liver and kidney

  9. Hexose Monophosphate shunt(HMP) or Pentose Phosphate Pathway (PPP) HMP shunt is an alternative pathway of glucose oxidation It is not involved in the generation of energy Around 10% of glucose is entered in this pathway In liver and kidney, this percentage is upto 30%

  10. Biomedical Importance It has two main functions- 1. Provides NADPH which is required for synthesis of fatty acids, steroid and some amino acids Detoxification of drugs by cytochrome p450 In scavenging the free radicals 2. Provides Pentoses This pentose and its derivatives are useful in the synthesis of Nucleic acids (DNA and RNA) Nucleotides (ATP, NAD, FAD and CoA)

  11. Tissue Distribution Location- Cytosol Liver Lactating mammary gland Adrenal cortex Gonads Adipose tissue Erythrocytes to reduce glutathione Lens and cornea

  12. Phases of HMP Shunt It has two phases- Oxidative phase Non-oxidative phase

  13. Enzymes numbered above are: 1, 2) glucose 6-phosphate dehydrogenase and6-phosphogluconolactone hydrolase, 3) 6-phosphogluconate dehydrogenase, 4) ribose 5-phosphate isomerase, 5) phosphopentose epimerase, 6 and 8) transketolase (coenzyme: thiamine pyrophosphate), and 7) transaldolase.

  14. Phase 1- Oxidative pathway G6PD- Glucose 6-Phosphate Dehydrogenase Lactonase- 6 phosphogluconolactone hydrolase 6PGD- 6 phosphogluconate dehydrogenase Source wordpress.com

  15. Phase 2- Non-oxidative a) Interconversion of pentoses

  16. Phase 2- Non-oxidative

  17. Phase 2- Non-oxidative a) Conversion of pentose phosphate to hexose phosphates

  18. Transketolation

  19. Transaldolation

  20. Transketolation

  21. Source wordpress.com

  22. Clinical Correlations

  23. Glucose Transport Na+-Monosaccharide Cotransporter: Against concentration gradient Energy dependent Carrier-mediated Coupled to Na+ transport Small intestine, renal tubules & choroid plexus Na+-Independent Facilitated Diffusion: Down the concentration gradient Energy Independent Glucose Transporters (GLUT 1-14)

  24. Glucose Transport: Facilitated Diffusion

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

  26. Take Home Messsage There are multiple pathways for glucose that can be grouped in to catabolic (utilizing glucose) or anabolic (producing glucose) Glycolysis is the major metabolic pathway of glucose breakdown to provide energy

  27. Take Home Messsage - HMP Alternative pathway for glucose oxidation but not meant for producing energy Has two phases- oxidative and non-oxidative During oxidative phase, glucose-6-P is oxidized with generation of 2 moles of NADPH, and one mole of pentose phosphate, with liberation of CO2 During non-oxidative phase, pentose phosphate is converted to intermediates of glycolysis

  28. References Lippincott s Illustrated Reviews- Biochemistry 6th Edition- pages: 96-97,117,126,128,145-147 http://www.biochemden.com/the-hexose-monophosphate- shunt/

  29. Non Oxidative phase 5 reactions Ribu 5P=R5P, Ribu 5P= X5P, Isomerase Epimerase X5P + R5P= Sedo 7P + G3P, Sedo 7P + G3P = Ery4P + F6P, X5P + Ery4P = F6P + G3P, TK TA TK (10) (10) (9) R5P- Nucleotide biosynthesis G3P and F6P- Glycolytic intermediates

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