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• Hexose monophosphate (HMP) shunt
• 6-phosphogluconate pathway/shunt
Alternative names for PPP
anabolic
anabolic or catabolic
HMP is primarily __________ pathway that utilizes 6 carbons of glucose
generate NADPH
generate ribose 5-P
metabolize dietary pentose
Main function of PPP
cellular: cytoplasm
tissues:
rapidly dividing cells
tissues that actively synthesized
tissue exposed to oxygen
main location of PPP in cell and tissue
none, only NADPH
are there consumed or produced ATP in PPP?
3
how many irreversible steps in PPP
Glucose-6-phosphate
intermediate in Glycolysis, Gluconeogenesis, Glycogen pathways, monosaccharides pathway, and the Pentose Phosphate Pathway
oxidative phase (2 NADPH)
nonoxidative phase (ribulose 5-P)
phases of PPP
Glucose 6-Phosphate
enzyme
dehydrogenation of glucose 6-phosphate
activated by: increased demand for NADPH, high Insulin
inhibited by: NADPH
Glucose 6-Phosphate regulators
Gluconolactonase
enzyme
Hydrolysis of 6-phosphogluconolactone
6-Phosphogluconate dehydrogenase
enzyme
Formation of Ribulose 5-phosphate
1. Ribose 5-phosphate in rapidly dividing cells
2. Intermediates of glycolysis: in non-dividing cells
Ribulose 5-phosphate is converted mainly to:
Phosphopentose Isomerase
enzyme
ribulose 5-phosphate → ribose 5-phosphate
Epimerase
enzyme
ribulose 5-phosphate → xylulose 5-phosphate
Transketolase
transfers a keto-group. requires thiamine pyrophosphate (TPP) as a co-factor
Transaldolase
transfers aldehyde-group
1. Pyruvate Dehydrogenase - Vit B1 dependent
2. a-KG Dehydrogenase - Vit B1 dependent
3. BCKD
4. Transketolase
TPP dependent reax
Wernicke-Korsakoff Syndrome (WKS)
• is caused by thiamine deficiency
• usually due to alcoholism and malnutrition
Wernicke's encephalopathy
• severe acute deficiency. Triad of symptoms:
• Ocular disturbances (ophthalmoplegia, horizontal nystagmus),
• Changes in mental state (confusion), Unsteady stance and gait (ataxia).
Korsakoff's psychosis
• chronic neurologic sequel after Wernicke's
• Confabulation,
• Personality change,
• Encephalopathy.
wet beriberi, and dry beriberi
Thiamine deficiency (beriberi) - two main types:
Dry beriberi
Dry beriberi
Dry beriberi
• Difficulty in walking
• Tingling or loss of sensation (numbness) in hands and feet
• Loss of tendon reflexes
• Loss of muscle function or paralysis of the lower legs
• Mental confusion/speech difficulties
• Pain, Vomiting
• Involuntary eye movements (nystagmus)
Wet beriberi
• affects the heart and circulatory system
• Increased heart rate
• Vasodilation leading to decreased systemic vascular resistance, and high output cardiac failure
• Elevated jugular venous pressure
• Dyspnea on exertion
• Paroxysmal nocturnal dyspnea
• Peripheral edema (swelling of lower legs)
Glutathione (glutamylcysteinylglycine)
is one of the body's principal means of protecting against oxidative damage
Glucose 6-Phosphate Dehydrogenase (G6PD) Deficiency
• X-linked recessive (mainly affects males)
• In heterozygotes (female carriers) G6PD deficiency provides an advantage in survival - advantage
Glucose 6-Phosphate Dehydrogenase (G6PD) Deficiency
• Hemolytic anemia
• Heinz Bodies
• Bite cells
Heinz bodies
are clumps of denatured hemoglobin