Metabolism and Carbohydrate Metabolism

Metabolism

  • Metabolism is the sum total of all biochemical reactions in a living organism.

  • There are two types of metabolism:

    • Anabolism: Metabolic reactions where small molecules join to form larger ones, requiring energy.

    • Catabolism: Metabolic reactions where large molecules break down into smaller ones, producing energy.

Metabolic Pathway

  • A metabolic pathway is a series of consecutive biochemical reactions converting a starting material into an end product.

    • Linear pathways generate a final product through a series of reactions.

    • Cyclic pathways regenerate the first reactant in a series of reactions.

  • Major metabolic pathways are similar across all life forms.

Nucleotide-Containing Compounds

  • Includes Adenosine Phosphates (ATP, ADP, AMP), Flavin Adenine Dinucleotide (FAD), Nicotinamide Adenine Dinucleotide (NAD+), and Coenzyme A (CoA).

Adenosine Phosphates

  • ATP is the most important energy-rich compound in a cell.

  • At physiological pH, ATP has a charge of -4 due to the removed protons on the triphosphate group.

  • Energy-rich compounds release energy after hydrolysis due to particular structural features.

  • Hydrolysis of ATP in water transfers a phosphoryl group from ATP to a water molecule, producing adenosine diphosphate (ADP) and inorganic phosphate (Pi).

  • The transfer of a phosphoryl group from ATP to water releases energy; measured by free energy change, \Delta G.

    • Negative \Delta G indicates energy is released (exergonic).

    • Positive \Delta G indicates energy is absorbed (endergonic).

    • \Delta G represents \Delta G measured under standard conditions.

ATP-ADP Cycle

  • ATP acts as an immediate donor of free energy.

  • The turnover rate of ATP is high, with an ATP molecule typically hydrolyzed within 1 minute of formation.

  • A human body hydrolyzes about 40 kg of ATP every 24 hours at rest, and up to 0.5 kg per minute during strenuous exertion.

  • ATP must be continuously regenerated from ADP for cellular work to occur.

  • ATP regeneration sources:

    1. Oxidative phosphorylation: Primary source in aerobic organisms.

    2. Glycolysis: Net formation of two phosphate molecules from lactate produced from one glucose molecule.

    3. Citric acid cycle: One phosphate molecule generated directly at the succinate thiokinase step.

  • Phosphagens (e.g., creatine phosphate in vertebrates, arginine phosphate in invertebrates) act as storage forms of high-energy phosphate.

Flavin Adenine Dinucleotide

  • A coenzyme needed in metabolic redox reactions.

  • Contains the B vitamin riboflavin.

  • The ADP subunit is the activating factor.

  • Exists in two forms:

    1. Oxidized form: FAD

    2. Reduced form: FADH2

  • FAD + 2H^+ + 2e^- \rightarrow FADH_2

Nicotinamide Adenine Dinucleotide

  • Contains the B vitamin nicotinamide.

  • Exists in two forms:

    1. Oxidized form: NAD^+

    2. Reduced form: NADH

  • NAD^+ + 2H^+ + 2e^- \rightarrow NADH + H^+

Coenzyme A

  • CoA-SH

  • A derivative of the B vitamin pantothenic acid.

  • The sulfhydryl group is the active portion.

  • Involved in the transfer of acetyl groups in metabolic pathways.

  • An acetyl group is the portion of an acetic acid molecule (CH_3-COOH) that remains after the -OH group is removed.

Biochemical Energy Production

  • Energy for the human body is obtained from ingested food.

  • Involves a multistep process with several catabolic pathways.

  • Four general stages:

    1. Digestion

    2. Acetyl group formation

    3. Citric acid cycle

    4. Electron transport chain (ETC) and oxidative phosphorylation

Stage 1: Digestion

  • Begins in the mouth, continues in the stomach, and completes in the small intestine.

  • End products:

    • Glucose and other monosaccharides from carbohydrates

    • Amino acids from proteins

    • Fatty acids and glycerol from fats and oils

Stage 2: Acetyl Group Formation

  • Small molecules from digestion are further oxidized.

  • Primary products: Two-carbon acetyl units (attached to coenzyme A to form acetyl CoA) and reduced coenzyme NADH.

Stage 3: Citric Acid Cycle

  • Occurs inside mitochondria.

  • Acetyl groups are oxidized to produce CO_2 and energy.

  • Forms of energy release:

    • Lost as heat

    • Carried by reduced coenzymes NADH and FADH2

  • CO_2 exhaled during breathing primarily comes from this stage.

  • Also known as:

    • Krebs cycle (after Hans Adolf Krebs)

    • Tricarboxylic acid cycle

  • Amphibolic

  • The final common pathway for oxidation of carbohydrates, proteins, and lipids.

Citric Acid Cycle - Steps

  • 8 steps:

    1. Formation of Citrate (Citrate synthase)

    2. Formation of Isocitrate (Aconitase)

    3. Oxidation and decarboxylation of Isocitrate (Isocitrate dehydrogenase)

    4. Oxidation and decarboxylation of \alpha-Ketoglutarate (alpha-Ketoglutarate dehydrogenase)

    5. Thioester Bond Cleavage in Succinyl CoA and Phosphorylation of GDP – Succinyl CoA synthetase/Succinyl thiokinase

    6. Oxidation of Succinate (Succinate dehydrogenase)

    7. Hydration of Fumarate (Fumarase)

    8. Oxidation of l-Malate to Regenerate Oxaloacetate (Malate dehydrogenase)

Citric Acid Cycle - Key Points

  • Major pathway for ATP formation.

  • Provides substrates for gluconeogenesis, amino acid synthesis, and fatty acid synthesis.

  • Occurs in all cells with mitochondria, specifically in the mitochondrial matrix.

  • Substrate: Acetyl CoA.

  • Products: 2 CO_2, 1 GTP, 3 NADH, and 1 FADH2.

  • Rate-limiting step: Isocitrate to \alpha-ketoglutarate (Enzyme: Isocitrate dehydrogenase).

  • Oxidation (producing NADH or FADH2) occurs in four steps:

    • Isocitrate to \alpha-Ketoglutarate - NADH

    • \alpha-Ketoglutarate to Succinyl-Coa - NADH

    • Succinate to Fumarate – FADH2

    • Malate to Oxaloacetate - NADH

  • Decarboxylation (removal of CO_2) occurs in two steps:

    • Isocitrate to \alpha-Ketoglutarate

    • \alpha-Ketoglutarate to Succinyl-Coa

  • GTP production:

    • Succinyl CoA to Succinate

Regulation of the Citric Acid Cycle

  • Regulated by:

    • Citrate synthetase (inhibited by ATP and NADH, activated by ADP)

    • Isocitrate dehydrogenase (inhibited by NADH, activated by ADP)

    • \alpha-ketoglutarate dehydrogenase complex (inhibited by Succinyl CoA, NADH and ATP, activated by ADP)

  • High ATP levels reduce the cycle's operation; low ATP levels stimulate it.

Stage 4: Electron Transport Chain and Oxidative Phosphorylation

  • Occurs inside mitochondria.

  • NADH and FADH2 supply hydrogen ions and electrons for ATP production.

  • Molecular O2 (inhaled via breathing) is converted to H2O.

Electron Transport Chain Details

  • Series of protein complexes and molecules transferring electrons from donors to acceptors via redox reactions.

  • Couples electron transfer with proton transfer across a membrane.

  • Complex I: NADH–Coenzyme Q reductase

  • Complex II: Succinate–Coenzyme Q reductase

  • Complex III: Coenzyme Q–Cytochrome C reductase

  • Complex IV: Cytochrome C Oxidase

Oxidative Phosphorylation

  • As electrons move along the electron transport chain, about 52.6 kcal/mol of free energy is released.

  • ATP is synthesized from ADP and Pi. This synthesis is linked to the oxidation of NADH and FADH2.

  • Takes place at three different locations along the electron transport chain.

Energy Changes in the Electron Transport Chain

  • During oxidative phosphorylation:

    • Conversion of NADH to NAD^+ generates 2.5 ATP molecules from ADP.

    • Conversion of FADH2 to FAD generates 1.5 ATP molecules.

  • Every acetyl CoA molecule entering the citric acid cycle produces:

    • 3 NADH molecules

    • 1 FADH2 molecule

    • 1 GTP molecule (equivalent to ATP)

  • 10 ATP molecules are formed per acetyl CoA catabolized

The Chemiosmotic Hypothesis

  • Oxidations of the electron transport chain and the synthesis of ATP involves a flow of protons (H^+.

  • The flow of electrons causes H^+ ions to be pumped from the matrix across the inner membrane, creating a difference in H^+ concentration and electrical potential across the membrane.

  • Protons flow back through the membrane through a channel formed by the enzyme F1-ATPase

  • The flow of protons drives the phosphorylation reaction, and provides energy for ATP synthesis.

Uncouplers

  • Compounds that increase the permeability of the inner mitochondrial membrane to protons

  • Electron transport proceeds rapidly without establishing a proton gradient

  • Effects:

    • \uparrow oxygen consumption

    • \downarrow NADH/NAD+ and FADH2/FADH ratio

    • \downarrow ATP synthesis

  • Examples:

    • Synthetic: 2,4 dinitrophenol, aspirin

    • Uncoupling protein: Thermogenin (brown fat), Cyanide, CO_2

Carbohydrate Metabolism

  • Begins in the mouth with \alpha-amylase catalyzing the hydrolysis of \alpha-glycosidic linkages

  • Primary site is within the small intestine, where pancreatic \alpha-amylase breaks down polysaccharide chains

  • The final step occurs on the outer membranes of intestinal mucosal cells with enzymes like maltase, sucrase, and lactase

Post-Digestion

  • Glucose, fructose, and galactose are absorbed into the bloodstream and transported to the liver.

  • In the liver, fructose and galactose are converted to glucose or compounds metabolized by the same pathway as glucose

Blood Sugar Levels

  • Glucose is the most plentiful monosaccharide in blood.

  • Normal fasting blood sugar level (8-12 hours) is 70-110 mg/100mL (or mg/dL).

  • Maximum level reaches 140-160 mg/100 mL about 1 hour after a carbohydrate-containing meal, returning to normal after 2-2.5 hours

  • Hypoglycemia: Blood sugar levels below the normal fasting level, leading to dizziness, fainting, convulsions, and shock.

  • Hyperglycemia: Blood sugar levels above the normal fasting level.

  • Renal threshold: Blood glucose levels above about 180 mg/100 mL, where glucose is excreted in the urine (glucosuria).

Liver's Role

  • The liver regulates blood glucose levels.

  • When blood glucose levels rise, the liver removes glucose from the bloodstream, converting it to glycogen or triglycerides for storage.

  • When blood glucose levels are low, the liver converts stored glycogen to glucose and synthesizes new glucose from non-carbohydrate sources (gluconeogenesis).

Glycolysis

  • A series of ten reactions converting a glucose molecule into two pyruvate molecules

Steps in Glycolysis

  1. Phosphorylation Using ATP - Hexokinase

  2. Isomerization – Phosphoglucoisomerase

  3. Phosphorylation Using ATP – Phosphofructokinase

  4. Cleavage – Aldolase

  5. Isomerization – triose phosphate isomerase

  6. Oxidation and Phosphorylation Using Pi - glyceraldehyde 3-phosphate dehydrogenase

  7. Phosphorylation of ADP – phosphoglycerokinase

  8. Isomerization – phosphoglyceromutase

  9. Dehydration – enolase

  10. Phosphorylation of ADP - pyruvate kinase

Key Aspects

  • Major pathway for glucose metabolism, converting glucose into 3-carbon compounds to provide energy.

  • Most common type: Embden-Meyerhof-Parnas pathway.

  • Occurs in the cytosol of all mammalian cells.

  • Substrate: Glucose.

  • End-products: 2 molecules of either pyruvate or lactate.

  • Net gain of 2 ATP.

  • Two steps produce ATP via substrate-level phosphorylation:

    • 1,3-Bisphosphoglycerate \rightarrow 3-Phosphoglycerate (Enzyme: Phosphoglycerate kinase)

    • Phosphoenolpyruvate \rightarrow Pyruvate (Enzyme: Pyruvate kinase)

  • Rate-limiting step: Fructose-6-phosphate \rightarrow Fructose-1,6-bisphosphate (Enzyme: Phosphofructokinase-1)

Regulation of Glycolysis

  • Regulated by three enzymes:

    • Hexokinase: Inhibited by high concentrations of glucose-6-phosphate (feedback inhibition).

    • Phosphofructokinase: Inhibited by high concentrations of ATP and citrate and activated by high concentrations of ADP and AMP.

    • Pyruvate kinase: Inhibited by high concentrations of ATP.

Fates of Pyruvate

  • Three things that can happen to pyruvate after glycolysis:

    • Oxidation to acetyl CoA under aerobic conditions.

    • Reduction to lactate under anaerobic conditions.

    • Reduction to ethanol under anaerobic conditions for some prokaryotic organisms.

Reduction to Lactate
  • Under anaerobic conditions, pyruvate is reduced to lactate as a means of regenerating NAD^+

  • Buildup of lactate in the muscles causes muscle pain and cramps and triggers an increase in the rate and depth of breathing

Reduction to Ethanol
  • Organisms including yeast regenerate NAD^+ by alcoholic fermentation

  • Decarboxylation of pyruvate produces acetaldehyde

  • Acetaldehyde is then reduced by NADH to form ethanol

ATP Yield

  • Complete oxidation of glucose yields 32 ATP molecules.

  • In muscle and brain cells, 30 ATP overall.

Energy Efficiency

  • Glucose oxidation liberates 686 kcal/mol, whereas the synthesis of 32 mol of ATP stores 234 kcal/mol.

  • The efficiency of the energy storage is 34%

Glycogen Synthesis

  • Excess glucose is converted into glycogen in a process called glycogenesis.

  • Glycogen is stored primarily in the liver and muscle tissue

  • The liver can store about 110 g of glycogen, and the muscles can store about 245 g

Steps in Glycogen Synthesis

  1. Isomerization – phosphoglucomutase

  2. Activation Formation of UDP-glucose. - UDP-glucose pyrophosphorylase

  3. Linkage to Chain – Glycogen synthase

  4. Formation of branches – amylo \alpha(1\rightarrow4) \rightarrow \alpha(1\rightarrow6) transglucosidase

Key Points

  • Synthesis of glycogen

  • Occurs in the liver and muscle cytosol

  • Substrate is \alpha-D-glucose

  • Product is Glycogen

  • Rate-limiting step: Elongation of glycogen chains, i.e., creation of \alpha-(1,4) glycosidic bonds (Enzyme: Glycogen synthase)

Glycogenolysis

  • Glycogenolysis is the breakdown of glycogen back into glucose.

  • Glycogenolysis can occur in the liver (and kidney and intestinal cells) but not in muscle tissue

  • The first step is the cleaving of the a(1-4) linkages, catalyzed by glycogen phosphorylase.

  • A debranching enzyme hydrolyzes the a(1-6) linkages

  • In the second step, phosphoglucomutase isomerizes glucose 1-phosphate to glucose 6-phosphate.

  • In the final step, glucose 6-phosphate is hydrolyzed to free glucose by the enzyme glucose 6-phophatase

Steps in Glycogenolysis

  1. Phosphorolysis – Glycogen phosphorylase

  2. Isomerization – Phosphoglucomutase

  3. Removal of Branches - \alpha(1\rightarrow4)\rightarrow \alpha(1\rightarrow4) glucantransferase; amylo-\alpha(1\rightarrow6) glucosidase

Glycogen in Muscles and the Liver

  • Muscle cells lack glucose 6-phophatase and cannot form free glucose from glycogen but carries out the first two steps of glycogenolysis to produce glucose 6-phosphate

  • In the liver, glycogen is broken down all the way to form free glucose

Gluconeogenesis

  • The supply of glucose in the form of liver and muscle glycogen can be depleted by about 12-18 hours of fasting

  • Gluconeogenesis is the process of synthesizing glucose from noncarbohydrate materials.

  • The carbon skeletons of lactate, glycerol, and certain amino acids are used to synthesize pyruvate, which is then converted to glucose

Gluconeogenesis Steps

  • STEPS 1 & 2: PYRUVATE \rightarrow OAA \rightarrow PEP

    • Pyruvate \rightarrow Oxaloacetate

      • Enzyme: Pyruvate carboxylase

      • Requires biotin and ATP

    • Oxaloacetate \rightarrow Phosphoenolpyruvate

      • Enzyme: Phosphoenolpyruvate Carboxykinase

      • Requires GTP

  • STEP 9: FRUCTOSE-1,6-BP \rightarrow FRUCTOSE-6-P

    • Enzyme: Fructose-1,6-bisphosphatase

    • Rate-limiting step of gluconeogenesis

  • STEP 11: GLUCOSE-6-PHOSPHATE \rightarrow GLUCOSE

    • Enzyme: Glucose 6-phosphatase

    • Final step shared with glycogenolysis

    • Present in liver and kidney, to release glucose into the bloodstream

CORI Cycle

  • About 90% of gluconeogenesis occurs in the liver.

  • Very little takes place in the brain, skeletal muscle, or heart

  • Gluconeogenesis involving lactate is especially important under anaerobic conditions

  • During exercise, lactate levels increase in muscle tissue, and some diffuses into the blood.

Regulation of Carbohydrate Metabolism

  • Requires that metabolic pathways be responsive to cellular conditions and that energy is not wasted in producing unneeded materials

  • Besides the regulation of enzymes at key control points, the body also uses three important regulatory hormones:

    • Epinephrine

    • Glucagon

    • Insulin

Insulin

  • Enhances the absorption of glucose from the blood into the cells of active tissues

  • Increases rate of synthesis of glycogen, fatty acids, and proteins

  • Stimulates glycolysis

Glucagon

  • Activates the breakdown of glycogen in the liver, thereby increasing blood glucose levels

  • Insulin and glucagon work in opposition to each other

Epinephrine

  • Stimulates glycogen breakdown in muscles

  • Increases heart rate, constricts blood vessels, and dilates air passages

Carbohydrate Metabolism Hormones

Hormone

Source

Effect on Glycogen

Impact on Blood Glucose

Insulin

\beta-cells of pancreas

Increases formation

Lowers blood glucose levels

Glucagon

\alpha-cells of pancreas

Activates breakdown

Raises blood glucose levels

Epinephrine

Adrenal medulla

Stimulates breakdown

Raises blood glucose levels