Hexose Pentose Pathway and Uronic Acid Pathway
<<Hexose Monophosphate Pathway (HMP)<<
( Hexose Pentose Pathway) (Pentose Phosphate Pathway)
: pathway by which glucose is converted to @@pentose phosphate@@ with production of @@NADPH@@
Site: ==cytosol== of many cells (e.g. liver, adipose tissue, adrenal, ovaries, testis, red blood cells, and retina)
Steps: two phases; oxidative and nonoxidative.
- Oxidative Phase:
* %%irreversible%%
* glucose-6-phosphate converted to @@6 molecules of ribulose-5-phosphate@@
* @@2 NADPH produced@@ - Nonoxidative Phase:
* reversible
* 6 molecules of pentoses into @@5 molecules of glucose-6-phosphate@@

Importance of Pentose Phosphate Pathway
- can account for complete oxidation of glucose, where it is converted to 6 molecules of CO2 and 12 molecules of NADPH
- provides the body with ribose-5-phosphate, which forms %%phosphoribosyl pyrophosphate (PRPP)%% for the synthesis of nucleotides and nucleic acids
- ==main source of NADPH==
- in red blood cells: protects these cells from ==oxidative damage== by providing reduced glutathione for removal of H2O2
Regulation of HMP
- induces synthesis of glucose-6-phosphate dehydrogenase and 6-phosphogluconate dehydrogenase: insulin
- inhibits glucose-6-phosphate dehydrogenase: NADPH
<<Uronic Acid Pathway<<
: minor pathway that produces @@uronic acids@@
UDP-glucuronate utilized for:
- synthesis of @@Glycosaminoglycans (GAGs)@@
- for conjugation with compounds to make them ^^more soluble^^ before excretion:
* steroid hormones and their metabolites
* bilirubin
* detoxification reactions e.g. phenols - in many mammals (not in primates and guinea pigs) glucuronate is converted to vitamin C (L-ascorbic acid)

<<Deficiencies<<
In HMP:
- glucose-6-phosphate dehydrogenase (G6PD) deficiency
- red blood cell capacity to protect itself from oxidative damage is decreased (due to decreased concentration of NAPDH)
- genetic deficiency
- produces chronic granulomatosis
* severe and persistent chronic pyogenic infections
In Uronic acid pathway:
- genetic deficiency of enzyme L-xylulose reductase
- accumulation of L-xylulose
- excretion in urine