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Glycolysis
A 10-step cytoplasmic pathway that breaks down glucose into pyruvate, generating ATP and NADH.
Location of glycolysis
Occurs in the cytoplasm of all mammalian cells.
Glycolysis under aerobic conditions
Pyruvate enters mitochondria, converted to acetyl-CoA, enters TCA cycle.
Glycolysis under anaerobic conditions
Pyruvate is reduced to lactate by lactate dehydrogenase, regenerating NAD⁺.
Tissues relying on anaerobic glycolysis
Red blood cells, exercising muscles, poorly oxygenated tissues (e.g., retina, skin).
Clinical importance of glycolysis
Essential for energy in ischemic tissue and RBCs; provides intermediates for lipogenesis and amino acid synthesis.
GLUT transporters
Family of facilitated diffusion proteins (GLUT-1 to GLUT-14); GLUT-4 is insulin-dependent in muscle/adipose tissue.
SGLT (sodium-glucose cotransporter)
Active transporter that moves glucose against its gradient, especially in intestines and renal tubules.
Energy investment phase
Steps 1–5: Use 2 ATP to phosphorylate glucose and prepare it for cleavage.
Energy generation phase
Steps 6–10: Yield 4 ATP and 2 NADH per glucose, resulting in a net gain of 2 ATP.
Hexokinase/Glucokinase
Catalyze phosphorylation of glucose to glucose-6-phosphate; irreversible; inhibited by G6P.
Phosphoglucose isomerase
Converts glucose-6-phosphate to fructose-6-phosphate; reversible.
Phosphofructokinase-1 (PFK-1)
Converts fructose-6-phosphate to fructose-1,6-bisphosphate; rate-limiting and committed step.
Aldolase
Cleaves F1,6BP to DHAP and glyceraldehyde-3-phosphate (G3P); reversible.
Triose phosphate isomerase
Converts DHAP to G3P to ensure both products proceed through glycolysis.
Glyceraldehyde-3-phosphate dehydrogenase (GAPDH)
Converts G3P to 1,3-BPG; generates NADH.
Phosphoglycerate kinase
Converts 1,3-BPG to 3-PG; generates ATP via substrate-level phosphorylation.
Phosphoglycerate mutase
Shifts phosphate from C3 to C2; prepares for dehydration.
Enolase
Removes water from 2-PG to form phosphoenolpyruvate (PEP).
Pyruvate kinase
Converts PEP to pyruvate; irreversible; produces ATP.
Aerobic fate of pyruvate
Oxidative decarboxylation to acetyl-CoA in mitochondria by pyruvate dehydrogenase.
Anaerobic fate of pyruvate
Reduced to lactate by lactate dehydrogenase; regenerates NAD⁺.
Carboxylation to oxaloacetate
Pyruvate carboxylase converts pyruvate to OAA for gluconeogenesis or TCA replenishment.
Key regulatory enzymes
Hexokinase/glucokinase, PFK-1, and pyruvate kinase—each catalyzes irreversible steps.
PFK-1 regulation
Inhibited by ATP and citrate; activated by AMP and fructose 2,6-bisphosphate.
PFK-2 role
Bifunctional enzyme that synthesizes or degrades F2,6BP; influenced by insulin and glucagon.
Pyruvate kinase regulation
Activated by F1,6BP (feed-forward); inactivated by phosphorylation via cAMP when glucagon is high.
Hexokinase vs Glucokinase
Hexokinase inhibited by G6P; glucokinase active at higher glucose concentrations and induced by insulin.
Insulin effect
Stimulates glycolysis by inducing GK, PFK-1, and PK expression and activation.
Glucagon effect
Suppresses glycolysis in liver by inactivating GK, PFK-1, and PK through phosphorylation.
Well-fed state
↓ Glucagon, ↑ Insulin → ↑ Glycolysis.
Starved state
↑ Glucagon, ↓ Insulin → ↓ Glycolysis, ↑ Gluconeogenesis.
ATP yield in anaerobic glycolysis
Net gain of 2 ATP per glucose (2 used, 4 produced); no NADH gain.
ATP yield in aerobic glycolysis
Net gain of 5 ATP: 2 from substrate-level phosphorylation, ~3 from oxidation of 2 NADH.
Lactic acidosis
Excess lactate production due to hypoxia or mitochondrial dysfunction causes acid-base imbalance.
Exercise and glycolysis
During intense activity, anaerobic glycolysis predominates → lactate builds up → muscle cramps.
RBC metabolism
RBCs rely entirely on anaerobic glycolysis for ATP, as they lack mitochondria.
Cancer metabolism
Tumor cells favor aerobic glycolysis (“Warburg effect”) to support rapid growth.
Inherited glycolytic enzyme deficiencies
E.g., pyruvate kinase deficiency causes hemolytic anemia due to low ATP in RBCs.
Glycolysis in biosynthesis
Provides precursors for amino acids, lipids (via G3P), and nucleotides.