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Introduction:
Gluconeogenesis converts other foodstuffs into glucose when it is not available at sufficient
levels in diet
GLUCOSE:
it is an indispensable metabolite
brain requires approx. 50% of its calories in form of glucose
RBCs solely exist on them
Its a precursor of other sugars needed in biosynthesis of nucleotides, glycoproteins, and
glycolipids
Is needed to replenish NADPH supplies reducing power for biosynthesis and detoxification
Thus, cannot leave blood glucose level up to vagaries of dietary supply
Overview of Gluconeogenesis:
*draw gluconeogenesis path here along with the notes written on diagram; p.102*
Both dietary and endogenous protein is the major substrate supply for this pathway
Protein first broken down into amino acids, which can then be converted to pyruvate
OR any of TCA cycle intermediates can serve as substrates for gluconeogenesis these
intermediated would be called glucogenic
Leucine, lysine, and aromatic amino acids are degraded to acetyl-CoA (can be converted to
ketone bodies) / Acetoacetate (is a ketone body) thus, these amino acids are called ketogenic
Was believed ketogenic amino acids cannot be converted to glucose in metabolism not true
ketone body acetone can be converted to pyruvate; but its contribution to gluconeogenesis is
likely minor
Gluconeogenesis proceeds ONLY in liver and the kidneys; liver synthesizes most of glucose as it
is 5x larger than both kidneys combined
along with glycogen degradation, gluconeogenesis ensures stable blood glucose levels b/w
meals
gluconeogenesis also enables us to maintain necessary glucose levels when on a diet thats rich
in protein but low in carbs
Reactions in gluconeogenesis:
Gluconeo. Needs input of 6 equivalents of ATP/ GTP for each glucose molecule
o Expenditure of these 6 molecules makes it exergonic to convert pyruvate back to
glucose
Glycolysis net gain of only 2 ATP per glucose makes it exergonic to turn glucose into pyruvate
Substrate carbon for gluconeo. Acrrues mostly from amino acid degradation at level of
pyruvate or TCA cycle intermediates
Pyruvate Carboxylase important in gluconeo. And replenishment of TCA cycle intermediates
which may become depleted through diversion to biosynthesis of amino acids or of heme
Therefore, this enzyme expressed ubiquitously
Mitochondrial substrate transport in gluconeogenesis
o *draw rxn path here*
o Pyruvate carboxylase resides inside the mitochondria
o PEP carboxykinase catalyzes next step in gluconeogenesis & occurs in cytosol; thus
oxaloacetate must be exported from mitochondria again
o Already know [oxaloacetate] is low in mitochondria that malate dehydrogenase
equilibrium favours malate
Thus substrate export occurs at level of malate which is exchanged for
phosphate by dicarboxylate carrier (a mitochondrial transport protein)
o Malate dehydrogenase rxn then reversed in cytosol; NADH can be used in reversal of
glyceraldehyde 3-dehydrogenase rxn (occurs later in gluconeo.)
o phosphate (entered mito. In exchange for malate) can be used by ATP synthase &
ATP be exchanged for cytosolic ADP this balances entire transport cycle and supplies
1 ATP to cytosol where it can for ex. Be used by phosphoglycerate kinase in gluconeo.
o Methylmalonate inhibits mito. Export of malate; thioester of methylmalonate occurs
in metabolic utilization of fatty acids with uneven numbers of carbon atoms
o This pathway requires vitamin B12 lack of vitamin will cause free methylmalonate to
accumulate which may inhibit gluconeo and thus account for clinical hypoglycemia tht
sometimes accompanies vitamin B12 deficiency
o
Ethanol degradation inhibits gluconeogenesis
o *draw path here*
o Ethanol degradation occurs in liver
o Utilization of 1 ethanol molecule by alcohol dehydrogenase & then aldehyde
dehydrogenase yields acetate tht is cconverted to acetyl-CoA by acetate thiokinase
o For each ethanol molecule degraded 2 equivalents of NAD+ reduced to NADH this
raises cytosolic [NADH]/[NAD+] ratio this in turn reduces both pyruvate and
oxaloacetate, thus depriving gluconeo of its substrates
o In alcoholic patients this problem often compounded by low intake of carbohydrates
Regulation of Gluconeogenesis