What are the sources of dietary glucose?
Starch, monosaccharides, disaccharides, glucose.
What stimulates insulin secretion?
Ingestion of glucose.
What does insulin do to GLUT4?
Increases GLUT4 on cell surfaces.
What happens to glucose in cells?
Phosphorylated, undergoes glycolysis, or stored as glycogen.
What is the role of glycogen?
Storage form of glucose for rapid response to low blood glucose.
How much glycogen is stored in muscle?
About 400g.
How much glycogen is stored in the liver?
About 75g.
What is gluconeogenesis?
Synthesis of glucose from non-carbohydrate sources.
What is glycogen composed of?
Extensively branched homopolysaccharide of glucose units.
What type of bonds form the main chain of glycogen?
α(1,4) bonds.
What type of bonds create branches in glycogen?
α(1,6) bonds.
Why is glycogen highly branched?
Allows rapid glucose release.
What is the role of non-reducing ends in glycogen?
Sites for rapid glucose cleavage by enzymes.
What is required to add glucose to glycogen?
UDP-glucose formation.
What happens during liver glycogen degradation?
Glycogen is broken down into glucose-1-phosphate (G-1-P).
What does G-1-P convert to in the liver?
Glucose-6-phosphate (G-6-P).
What does G-6-P convert to in the liver?
Glucose, released into the bloodstream.
How does the liver gain energy?
Primarily from fatty acid oxidation.
What happens to muscle glycogen during degradation?
Converted to G-1-P, then G-6-P, enters glycolysis.
How is liver glycogen affected during fasting?
Increases during well-fed state, depleted during fasting.
How does muscle glycogen respond to fasting?
Not significantly affected by short fasting, moderately decreased during prolonged fasting.
Where does glycogen degradation start?
At the non-reducing ends.
What enzyme breaks down α(1,4) bonds in glycogen?
Glycogen phosphorylase.
What is limit dextrin?
A short chain left by glycogen phosphorylase near α(1,6) branch points.
What are the two functions of the de-branching enzyme?
Transferase activity and α(1,6) glycosidase activity.
What is the lysosomal enzyme that degrades glycogen?
α(1−4)-glucosidase (acid maltase)
What disease is caused by α(1−4)-glucosidase deficiency?
Type II Glycogen Storage Disease (Pompe Disease)
Which organs are primarily affected by Pompe Disease?
Liver, heart, and muscle
What is the main building block for glycogen synthesis?
Glucose units
What is UDP-glucose formed from?
Glucose-1-phosphate and UTP
What enzyme converts glucose-6-phosphate to glucose-1-phosphate?
Phosphoglucomutase
What initiates glycogen synthesis?
UDP-glucose attaches to glycogenin
What enzyme adds glucose units to elongate the glycogen chain?
Glycogen synthase
What enzyme forms branches in glycogen?
Branching enzyme (4:6-transferase)
What is the purpose of glycogen branching?
Allows rapid mobilization of glucose
What are glycogen storage diseases (GSDs)?
Genetic disorders from enzyme defects in glycogen metabolism
What is the enzyme deficiency in Von Gierke Disease?
Glucose-6-phosphatase
Which organs are affected by Von Gierke Disease?
Liver, kidneys, and intestines
What are the symptoms of Von Gierke Disease?
Severe fasting hypoglycemia, hepatomegaly, renal disease
What is the enzyme deficiency in McArdle Syndrome?
Muscle glycogen phosphorylase
What are the symptoms of McArdle Syndrome?
Muscle weakness, cramping after exercise
What is the enzyme deficiency in Pompe Disease?
Lysosomal α(1→4) glucosidase
What are the symptoms of Pompe Disease?
Glycogen accumulation in lysosomes, massive cardiomegaly
What is a symptom of Pompe disease?
Accumulation of glycogen in abnormal vacuoles within lysosomes
What is massive cardiomegaly?
Enlarged heart
What are normal blood sugar levels in Pompe disease?
Normal
What is a consequence of Pompe disease?
Early death from heart failure
What is the glycogen structure in Pompe disease?
Normal, but excessively accumulated in lysosomes
What is the net reaction for glycogen synthesis?
Glucose + ATP + UTP + Glycogen(n) → ADP + UDP + 2 Pi + Glycogen(n+1)
How many ATP molecules are consumed for each glucose added to glycogen?
Approximately 2 ATP molecules
What is the net reaction for glycogen degradation?
Glycogen(n) + Pi → Glycogen(n-1) + Glucose-1-phosphate
When does glycogen synthesis occur?
During the feeding state
What hormone promotes glycogen synthesis?
Insulin
When does glycogen degradation occur?
During fasting
What hormones stimulate glycogen degradation?
Glucagon and epinephrine
What receptors do glucagon and epinephrine bind to?
G-protein coupled receptors (GPCRs)
What happens when glucagon binds to its GPCR?
Activates associated G-protein
What does adenylyl cyclase convert ATP to?
Cyclic AMP (cAMP)
What does cAMP activate?
Protein Kinase A (PKA)
What does PKA regulate?
Glycolysis and gluconeogenesis
What does PKA phosphorylation inhibit?
Pyruvate kinase and glycogen synthase
What does activated Glycogen Phosphorylase do?
Catalyzes the breakdown of glycogen into glucose-1-phosphate
What role does phosphorylation play in glycogen metabolism?
Critical for activation and inhibition of enzymes
What promotes glycogen synthesis in the well-fed state?
High insulin levels
What does insulin inhibit?
Glycogen degradation
What promotes glycogen synthesis?
High insulin levels
What does insulin activate to inhibit glycogen degradation?
Phosphodiesterase
What does phosphodiesterase degrade?
cAMP to 5'-AMP
What is the effect of reduced cAMP levels?
Decreased activation of Protein Kinase A (PKA)
What does insulin activate to dephosphorylate glycogen phosphorylase kinase?
Protein phosphatases
What enzyme is responsible for glycogen synthesis?
Glycogen synthase
What acts as an inhibitor of glycogen degradation in the liver?
Glucose-6-Phosphate (G6P)
What inhibits glycogen degradation via feedback inhibition?
Glucose
What indicates a high-energy state and inhibits glycogen degradation?
ATP
What is the role of G6P in muscle regarding glycogen metabolism?
Inhibits glycogen degradation and activates glycogen synthesis
What does calcium (Ca²⁺) promote during muscle contraction?
Glycogen degradation
What does high AMP indicate in muscle cells?
Low energy
What dual role does phosphorylation play in glycogen metabolism?
Inhibition of glycogen synthase and activation of glycogen phosphorylase
What ensures glycogen metabolism responds to energy needs?
Allosteric Regulation
What triggers calcium release during muscle contraction?
Nerve impulses
What complex is formed when calcium binds to calmodulin?
Ca²⁺-Calmodulin Complex
What does the active Ca²⁺-calmodulin complex activate?
Glycogen phosphorylase kinase
What do GPCRs activate in glycogen metabolism?
Adenylyl cyclase
What second messenger is produced by adenylyl cyclase?
cAMP
What activates GPCRs in glycogen metabolism?
Hormones like epinephrine
What does cAMP activate in glycogen degradation?
Protein Kinase A (PKA)
What does phospholipase C degrade?
Phosphatidylinositol bisphosphate (PIP2)
What are the products of PIP2 degradation?
Diacylglycerol (DAG) and inositol trisphosphate (IP3)
What does IP3 bind to?
IP3-gated calcium channels
What complex is formed by released calcium?
Ca²⁺-calmodulin complex
What does the Ca²⁺-calmodulin complex activate?
Glycogen phosphorylase kinase and calmodulin-dependent protein kinase
What inactivates glycogen synthase?
Phosphorylation
Which hormones regulate glycogen synthase via GPCR and cAMP?
Glucagon and Epinephrine
What activates Protein Kinase A?
cAMP
What activates calmodulin-dependent protein kinase?
Ca²⁺-calmodulin complex
What activates Protein Kinase C?
Calcium and DAG
What role does calcium serve in muscle cells?
Central regulator activating enzymes for glycogen degradation
What is a key regulatory mechanism for glycogen metabolism?
Phosphorylation
What ensures a balanced response to metabolic needs?
Multiple signaling pathways converge
What happens during liver glycogen degradation?
Glycogen is broken down into glucose-1-phosphate (G-1-P).
What happens to muscle glycogen during degradation?
Converted to G-1-P, then G-6-P, enters glycolysis.
How is liver glycogen affected during fasting?
Increases during well-fed state, depleted during fasting.
How does muscle glycogen respond to fasting?
Not significantly affected by short fasting, moderately decreased during prolonged fasting.
What are the two functions of the de-branching enzyme?
Transferase activity and α(1,6) glycosidase activity.
What disease is caused by α(1−4)-glucosidase deficiency?
Type II Glycogen Storage Disease (Pompe Disease)
What are glycogen storage diseases (GSDs)?
Genetic disorders from enzyme defects in glycogen metabolism
What are the symptoms of Von Gierke Disease?
Severe fasting hypoglycemia, hepatomegaly, renal disease
What is the net reaction for glycogen synthesis?
Glucose + ATP + UTP + Glycogen(n) → ADP + UDP + 2 Pi + Glycogen(n+1)
How many ATP molecules are consumed for each glucose added to glycogen?
Approximately 2 ATP molecules
What is the net reaction for glycogen degradation?
Glycogen(n) + Pi → Glycogen(n-1) + Glucose-1-phosphate
What does activated Glycogen Phosphorylase do?
Catalyzes the breakdown of glycogen into glucose-1-phosphate
What role does phosphorylation play in glycogen metabolism?
Critical for activation and inhibition of enzymes
What is the role of G6P in muscle regarding glycogen metabolism?
Inhibits glycogen degradation and activates glycogen synthesis
What dual role does phosphorylation play in glycogen metabolism?
Inhibition of glycogen synthase and activation of glycogen phosphorylase
What does the Ca²⁺-calmodulin complex activate?
Glycogen phosphorylase kinase and calmodulin-dependent protein kinase
What role does calcium serve in muscle cells?
Central regulator activating enzymes for glycogen degradation
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