(emphasis on the Liver in comparison to Skeletal Muscle) - Glycogenesis vs Glycogenolysis

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1
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What is the primary role of the liver in glycogen metabolism

To maintain systemic blood glucose levels by storing and releasing glucose as needed

2
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What is the primary role of skeletal muscle in glycogen metabolism

To provide local energy for contraction via glycolysis of stored glycogen

3
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What key enzyme allows the liver to release free glucose into the bloodstream

Glucose-6-phosphatase

4
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Why can’t skeletal muscle release glucose into the bloodstream

Skeletal muscle lacks glucose-6-phosphatase and glucagon receptors

5
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What hormone strongly activates glycogenolysis in the liver

Glucagon

6
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Why doesn’t glucagon activate glycogenolysis in skeletal muscle

Skeletal muscle does not express glucagon receptors (GPCR for glucagon)

7
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Which hormone stimulates glycogenolysis in skeletal muscle

Epinephrine

8
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What second messenger system does glucagon use in the liver

cAMP → PKA pathway

9
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How does epinephrine affect liver glycogenolysis

Via both β-adrenergic (cAMP) and α1-adrenergic (Ca2+) signaling

10
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How does epinephrine activate glycogenolysis in skeletal muscle

Via β-adrenergic receptors increasing cAMP and Ca2+ during contraction

11
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What ion also activates phosphorylase kinase in skeletal muscle

Ca2+ via calmodulin during muscle contraction

12
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How is glycogen synthase regulated in the liver

It is inactivated by phosphorylation (via PKA) and activated by dephosphorylation (via PP1)

13
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What is the effect of insulin on liver glycogen metabolism

Activates glycogen synthase and inhibits glycogen phosphorylase via PP1

14
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What is the insulin:glucagon ratio in a well-fed state

High

15
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What happens to liver glycogen in a well-fed state

Glycogen synthesis is stimulated to store excess glucose

16
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What happens to liver glycogen in a fasting state

Glycogenolysis is activated to maintain blood glucose

17
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What is the primary fate of glucose-6-phosphate in the liver during fasting

Conversion to free glucose for export into the blood

18
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What is the primary fate of glucose-6-phosphate in skeletal muscle during contraction

Enters glycolysis to make ATP

19
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How sensitive is the liver to glucagon compared to insulin

The liver is ~1

20
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Why is liver glycogen mobilized first during fasting

To maintain blood glucose levels for the brain and other organs

21
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Why is muscle glycogen not used for blood glucose maintenance

Because it lacks the enzymes and receptors needed to export glucose

22
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What molecule allosterically activates glycogen phosphorylase in skeletal muscle

AMP

23
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Does AMP regulate liver glycogen phosphorylase

No

24
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What cofactor enhances liver phosphorylase kinase activity during stress

Ca2+

25
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What is the primary allosteric inhibitor of liver glycogen phosphorylase

Glucose

26
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What is the main fate of glycogen-derived glucose in the liver

Export into blood to support glucose-dependent tissues

27
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What is the main fate of glycogen-derived glucose in skeletal muscle

Oxidation via glycolysis for ATP production