Describe the structure, functions, and clinical correlations of carbohydrates.
Carbohydrates consist of carbon (C), hydrogen (H), and oxygen (O) atoms.
Their molecular formula is (CH2O)n, where n \geq 3.
Monosaccharides: 1 sugar unit.
Disaccharides: 2 sugar units.
Oligosaccharides: 3-10 sugar units.
Polysaccharides: >10 sugar units.
Glyceraldehyde (aldose) and dihydroxyacetone (ketose) are 3-carbon sugars.
Structures
Glyceraldehyde:
\begin{aligned}
&\text{O} \
&|| \
&\text{H-C} \
&| \
&\text{HCOH} \
&| \
&\text{CH}_2\text{OH}
\end{aligned}
Dihydroxyacetone:
\begin{aligned}
&\text{O} \
&|| \
&\text{C=O} \
&| \
&\text{CH}2\text{OH} &| &\text{CH}2\text{OH}
\end{aligned}
Classified by carbon atoms:
Trioses (3C)
Tetroses (4C)
Pentoses (5C), etc.
Aldohexose (6C, aldehyde).
Preferred metabolic fuel; universal fetal fuel.
Most abundant sugar in the body.
Ketohexose (6C, ketone).
From fruit juices; metabolic fuel.
Structures of Glucose and Fructose
Glucose:
\begin{aligned}
&\text{1} \quad \text{CHO} \
&\text{2} \quad | \
&\text{HCOH} \
&\text{3} \quad | \
&\text{HOCH} \
&\text{4} \quad | \
&\text{HCOH} \
&\text{5} \quad | \
&\text{HCOH} \
&\text{6} \quad | \
&\text{CH}_2\text{OH}
\end{aligned}
Fructose:
\begin{aligned}
&\text{1} \quad \text{CH}2\text{OH} &\text{2} \quad | &\text{C=O} &\text{3} \quad | &\text{HOCH} &\text{4} \quad | &\text{HCOH} &\text{5} \quad | &\text{HCOH} &\text{6} \quad | &\text{CH}2\text{OH}
\end{aligned}
Most carbohydrates are chiral, with multiple carbons having 4 different substituents.
Dihydroxyacetone is an exception.
Enantiomers are nonsuperimposable mirror images.
D-sugar: OH on the right in Fischer projections.
L-sugar: OH on the left.
Most natural sugars are D-configuration.
Examples
L-Glyceraldehyde:
\begin{aligned}
&\text{CHO} \
&| \
&\text{HO-C-H} \
&| \
&\text{CH}_2\text{OH}
\end{aligned}
D-Glyceraldehyde:
\begin{aligned}
&\text{CHO} \
&| \
&\text{H-C-OH} \
&| \
&\text{CH}_2\text{OH}
\end{aligned}
Differ in configuration at one chiral carbon. Galactose is a glucose epimer at C4.
Example: D-Glucose and D-Galactose
D-Glucose:
\begin{aligned}
&\text{CHO} \
&| \
&\text{HCOH} \
&| \
&\text{HOCH} \
&| \
&\text{HCOH} \
&| \
&\text{HCOH} \
&| \
&\text{CH}_2\text{OH}
\end{aligned}
D-Galactose:
\begin{aligned}
&\text{CHO} \
&| \
&\text{HCOH} \
&| \
&\text{HOCH} \
&| \
&\text{HOCH} \
&| \
&\text{HCOH} \
&| \
&\text{CH}_2\text{OH}
\end{aligned}
Cyclization forms α and β anomers.
Darker lines = groups toward you; lighter lines = groups away.
Right in Fischer = down in Haworth; left in Fischer = up in Haworth.
C1 becomes chiral; new OH group points either down (α) or up (β).
α form: OH down, opposite to CH_2OH.
β form: OH up, same side as CH_2OH.
These interconvert in water.
Illustrative representations of converting Fischer projections to Haworth projections for α and β anomers are referenced but not explicitly transcribed.
In glucose solution: ~64% β, ~36% α, trace amounts of linear form.
Anomeric carbon:
Straight-chain: carbonyl carbon.
Cyclic: carbon bonded to ring oxygen and hydroxyl group.
Sugar rings are not flat;