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What is gluconeogenesis?
The synthesis of glucose from noncarbohydrate precursors
What is the main purpose of gluconeogenesis?
Maintain blood glucose when dietary glucose is unavailable
Where does gluconeogenesis occur?
Primarily in the liver; also in the kidneys, especially during prolonged fasting
Which cellular compartments are involved in gluconeogenesis?
Mitochondria, cytosol, and endoplasmic reticulum
What are the main precursors for gluconeogenesis?
Lactate, glycerol, and glucogenic amino acids
What is the main starting substrate for gluconeogenesis from lactate?
Lactate
What is the starting substrate for gluconeogenesis from glycerol?
Glycerol
What is the starting substrate for gluconeogenesis from glucogenic amino acids?
Pyruvate or Krebs cycle intermediates, depending on the amino acid
Can even-chain fatty acids produce net glucose in humans?
No; acetyl-CoA cannot produce net glucose in humans
Can glycerol contribute to glucose synthesis?
Yes; it enters through DHAP
What is the main organ responsible for gluconeogenesis?
Liver
When is gluconeogenesis especially important?
Fasting, prolonged exercise, and low carbohydrate availability
What is the difference between gluconeogenesis and glycolysis?
Gluconeogenesis builds glucose; glycolysis breaks glucose down
Is gluconeogenesis simply the reverse of glycolysis?
No; three irreversible glycolysis steps require bypass reactions
What is the first gluconeogenesis intermediate when starting from pyruvate?
Oxaloacetate
What is the first step of gluconeogenesis from pyruvate?
Pyruvate is converted to oxaloacetate
What enzyme converts pyruvate to oxaloacetate?
Pyruvate carboxylase
What cofactors or energy sources does pyruvate carboxylase require?
ATP and biotin; it also requires bicarbonate
What type of reaction converts pyruvate to oxaloacetate?
Carboxylation
Where does pyruvate carboxylase operate?
Mitochondrial matrix
What activates pyruvate carboxylase?
Acetyl-CoA
What is the second step of gluconeogenesis from pyruvate?
Oxaloacetate is converted to phosphoenolpyruvate (PEP)
What enzyme converts oxaloacetate to PEP?
Phosphoenolpyruvate carboxykinase (PEPCK)
What energy source does PEPCK use?
GTP
What type of reaction does PEPCK catalyze?
Decarboxylation coupled to phosphorylation
What is the product when oxaloacetate is converted by PEPCK?
Phosphoenolpyruvate (PEP)
Why is oxaloacetate often converted to malate before leaving mitochondria?
Oxaloacetate cannot cross the inner mitochondrial membrane directly
How can oxaloacetate equivalents leave the mitochondrion?
As malate or aspartate, or PEP may be formed in mitochondria
What enzyme converts oxaloacetate to malate?
Malate dehydrogenase
What enzyme converts malate back to oxaloacetate?
Malate dehydrogenase
What happens to NADH when oxaloacetate is converted to malate?
NADH is oxidized to NAD⁺
What happens to NAD⁺ when malate is converted to oxaloacetate?
NAD⁺ is reduced to NADH
What is the next intermediate after PEP in gluconeogenesis?
2-Phosphoglycerate
What enzyme converts PEP to 2-phosphoglycerate?
Enolase
What is the next intermediate after 2-phosphoglycerate?
3-Phosphoglycerate
What enzyme converts 2-phosphoglycerate to 3-phosphoglycerate?
Phosphoglycerate mutase
What is the next intermediate after 3-phosphoglycerate?
1,3-Bisphosphoglycerate
What enzyme converts 3-phosphoglycerate to 1,3-bisphosphoglycerate?
Phosphoglycerate kinase
What energy source is used to convert 3-phosphoglycerate to 1,3-bisphosphoglycerate?
ATP
What is the next intermediate after 1,3-bisphosphoglycerate?
Glyceraldehyde-3-phosphate (G3P)
What enzyme converts 1,3-bisphosphoglycerate to G3P?
Glyceraldehyde-3-phosphate dehydrogenase
What cofactor is used when 1,3-bisphosphoglycerate becomes G3P?
NADH
What happens to NADH in this gluconeogenesis step?
NADH is oxidized to NAD⁺
What are the two triose phosphate intermediates?
Glyceraldehyde-3-phosphate (G3P) and dihydroxyacetone phosphate (DHAP)
What enzyme interconverts G3P and DHAP?
Triose phosphate isomerase
What happens when G3P and DHAP combine?
They form fructose-1,6-bisphosphate
What enzyme combines G3P and DHAP?
Aldolase
What is the next intermediate after fructose-1,6-bisphosphate?
Fructose-6-phosphate
What enzyme converts fructose-1,6-bisphosphate to fructose-6-phosphate?
Fructose-1,6-bisphosphatase
What type of reaction does fructose-1,6-bisphosphatase catalyze?
Hydrolysis; removes a phosphate group
Does fructose-1,6-bisphosphatase use ATP?
No; it hydrolyzes the phosphate bond and releases inorganic phosphate
What is the next intermediate after fructose-6-phosphate?
Glucose-6-phosphate
What enzyme converts fructose-6-phosphate to glucose-6-phosphate?
Phosphoglucose isomerase
What is the final intermediate before free glucose is produced?
Glucose-6-phosphate
What enzyme converts glucose-6-phosphate to glucose?
Glucose-6-phosphatase
What type of reaction does glucose-6-phosphatase catalyze?
Hydrolysis; removes the phosphate group
Where is glucose-6-phosphatase located?
Endoplasmic reticulum
Why can the liver release free glucose into the blood?
It has glucose-6-phosphatase to remove the phosphate from glucose-6-phosphate
Why can't skeletal muscle directly release free glucose from glucose-6-phosphate?
Skeletal muscle lacks glucose-6-phosphatase
What are the three irreversible glycolysis steps bypassed by gluconeogenesis?
Pyruvate kinase, phosphofructokinase-1, and hexokinase/glucokinase
What enzyme bypasses pyruvate kinase in gluconeogenesis?
Pyruvate carboxylase and PEP carboxykinase
What enzyme bypasses phosphofructokinase-1?
Fructose-1,6-bisphosphatase
What enzyme bypasses hexokinase/glucokinase?
Glucose-6-phosphatase
What is the first bypass reaction?
Pyruvate to oxaloacetate to PEP
What is the second bypass reaction?
Fructose-1,6-bisphosphate to fructose-6-phosphate
What is the third bypass reaction?
Glucose-6-phosphate to glucose
Why can't gluconeogenesis simply reverse glycolysis?
The three irreversible glycolysis reactions require different enzymes and energy inputs
What is the mnemonic for the three gluconeogenesis bypasses?
Pyruvate uses two enzymes; F-1,6-BP uses a phosphatase; G-6-P uses a phosphatase
How many ATP are consumed to make one glucose from two pyruvate?
4 ATP
How many GTP are consumed to make one glucose from two pyruvate?
2 GTP
How many NADH are consumed to make one glucose from two pyruvate?
2 NADH
What is the total energy cost of gluconeogenesis from two pyruvate?
4 ATP, 2 GTP, and 2 NADH
How many high-energy phosphate bonds are used per glucose made from two pyruvate?
6 high-energy phosphate bonds
Why does gluconeogenesis require energy?
Building glucose from smaller precursors is energetically unfavorable
Does gluconeogenesis produce ATP overall?
No; it consumes ATP, GTP, and NADH
What is the net carbon balance when two pyruvate molecules form one glucose?
Six carbons are retained to form one six-carbon glucose
How many pyruvate molecules are needed to make one glucose?
2 pyruvate
How many oxaloacetate molecules are formed from two pyruvate?
2 oxaloacetate
How many PEP molecules are needed to make one glucose?
2 PEP
How many molecules of G3P and DHAP combine to form one glucose?
One G3P and one DHAP combine to form fructose-1,6-bisphosphate
What is the role of biotin in gluconeogenesis?
It carries CO₂ during pyruvate carboxylation
What is carboxylation?
Addition of a carboxyl group, often using CO₂
What is decarboxylation?
Removal of a carboxyl group as CO₂
What is phosphorylation?
Addition of a phosphate group
What is dephosphorylation?
Removal of a phosphate group
What is hydrolysis?
Breaking a bond using water
What is isomerization?
Rearrangement of a molecule into an isomer
What is oxidation?
Loss of electrons
What is reduction?
Gain of electrons
What is the role of NADH in gluconeogenesis?
Provides reducing power for the conversion of 1,3-bisphosphoglycerate to G3P
What is the role of GTP in gluconeogenesis?
Provides energy for PEP formation from oxaloacetate
What is the role of ATP in gluconeogenesis?
Provides energy for pyruvate carboxylation and 3-phosphoglycerate phosphorylation
What stimulates gluconeogenesis during fasting?
Glucagon and increased availability of gluconeogenic precursors
What hormone generally inhibits gluconeogenesis after a meal?
Insulin
What does glucagon do to fructose-2,6-bisphosphate levels in the liver?
Decreases them
What does insulin do to fructose-2,6-bisphosphate levels in the liver?
Increases them
How does fructose-2,6-bisphosphate affect glycolysis?
Activates phosphofructokinase-1
How does fructose-2,6-bisphosphate affect gluconeogenesis?
Inhibits fructose-1,6-bisphosphatase
What happens to gluconeogenesis when glucagon is high?
Gluconeogenesis generally increases
What happens to gluconeogenesis when insulin is high?
Gluconeogenesis generally decreases