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MAMMAMALIAN METABOLISM
Integration and
Hormonal Regulation
Objective
Consider the major metabolic pathways
in the context of the whole organism
Issues with multicellular organism
Division of labor: cell differentiation
Organ/Organ system specialization :
Characteristic fuel requirements
Characteristic metabolic patterns
Hormone Regulation
Integrate/coordinate metabolic functions of
different tissue
Maximize fuel/fuel precursor allocations to
each organ
Approach
Recapitulate major pathways and
control systems
Consider how these processes are
divided among tissues and organs
Consider major hormones that control
these metabolic functions
Major pathways and Strategies of
energy metabolism
Glycolysis
Metabolic degradation of glucose
Glucose is oxidized to:
2 molecules of pyruvate
2 molecules of ATP
2 molecules of NADH
Anaerobic Conditions
Pyruvate converted into Lactate
Requires oxidation of NADH
Recycles NADH
In yeast:
Pyruvate converted into ethanol
Aerobic Conditions
Glycolysis first step for further oxidation
of glucose
NADH is processed through Oxidative
Phosphorylation
Regenerates oxidized NAD
Generates ATP
Regulation of glycolysis
Phosphofructokinase (PFK)
Activated by:
Increase in AMP, ADP
Fructose 2,6-bisphosphate
Inhibited by:
Increase in ATP
Citrate
Regulation of glycolysis
Fructose 2,6-bisphosphate (F2,6P)
Influenced by [cAMP]:
Liver:
Muscle
Increase [cAmp], decrease [F2,6P]
Increase [cAmp], increase [F2,6P]
Mediated by:
glucogon
Epinephrine
norepinephrine
Gluconeogenesis
Synthesis of glucose from simplier,
noncarbohydrate precusor
Pyruvate
Lactate
Oxaloacetate
Glycerol
Gluconeogenic amino acids
Gluconeogenesis
Mainly through pathways in the liver
Major intermediate: oxaloacetate
Converted to phospoenolpyruvate
Then, into glucose
Irreversible Steps
PFK bypass: Fructose 1,6-bisphosphatase
Hexokinase bypass: glucose 6-phosphatase
Gluconeogenesis
Reciprical regulation of PFK and FBPase
Regulates rate and direction through
glycolysis and gluconeogenesis
Both may be active simultaneously
Glycogen: degradation and synthesis
Storage form of glucose in most animals
In liver and muscle
Enters glycolysis
Catalyzed by: glycogen phosphorylase
Converted into glucose 6-phosphate (G6P)
Opposed by glycogen synthase
[Enzymes] respond to
Glucagon
epinephrine
Fatty Acid:
Degradation and Synthesis
Degradation: beta-oxidation
In 2 carbon chunks
Form acetyl-CoA
Regulated by [FA]
Lipase in adipose cells: hormone sensitive
cAMP mediated
Stimulated by:
Glucogon
Epinephrine
Inhibited by:
insulin
Fatty Acid:
Degradation and Synthesis
Synthesis: from acetly CoA
Acetyl-CoA carboxylase
Activated by citrate
Inhibited by intermediate (palmitoyl-CoA)
Long term regulation:
Stimulated by insulin
Inhibited by fasting
Citric Acid Cycle
Acetyl CoA oxidized to:
Concomitant production of:
CO2
H20
NADH
FADH2
Glycogenic Amino Acids
Enter at a cycle intermediate
Citric Acid Cycle
Regulatory enzymes
Citrate synthase
Isocitrate dehydrogenase
Alpha-ketoglutarate dehydrogenase
Controlled by:
Substrate availability
Feedback inhibition
Oxidative Phosphorylation
Major products
NADH is oxidized to NAD+
FADH2 is oxidized to FAD
Coupled to synthesis of ATP
Rate dependent upon:
[ATP]
[ADP]
[Pi]
Pentose phosphate Pathway
Generates from G6P:
Catalyzed by:
Glucose 6-phosphate dehydrogenase
Regulated by:
Ribose 5-phosphate
NADPH
[NADP+]
NADPH is needed for biosynthesis
Amino Acid:degradation and synthesis
Excess AA:
Degraded to common metabolic
intermediates
Most paths
Begin with transamination to alpha-keto acid
Eventually amino group transferred to urea
Amino Acid:degradation and synthesis
Ketogenic AA
E.g.: leucine, lysine, tryptophane,
phenylalanine, tyrosine, isoleucine
Only leucine, lysine exclusively ketogenic
Converted into
Acetyl-CoA
Acetoacetyl-CoA
Can not be glucose precursors
Amino Acid:degradation and
synthesis
Glucogenic AA
Converted into glucose precursors
Precursors:
Pyruvate
Oxaloacetate
Alpha-ketoglutarate
Succinyl CoA
fumarate
Amino Acid:degradation and
synthesis
Other situations:
4 AA are both ketogenic and glucogenic
Essential AA: cannot be synthesized
Tryptophan,Phenylalanine,Tyrosine,Isoleucine
Histidine, Isoleucine, Leucine, Lysine, Methionine,
Phenylalanine, Threonine, Tryptophan, Valine, and
Arginine (in young)
Nonessential AA: can be synthesized
Two Key Compounds
Acetyl-CoA, pyruvate
At metabolic crossroads
Acetyl-CoA
Degradation products of most fuels
Oxidized to CO2 and H2O in citric acid
cycle
Can be used to synthesize FA
Pyruvate
Product of:
Glycolysis
Dehyddrogenation of lactate
Some glucogenic AA
Can yield acetyl-CoA
Enter CAC
Biosynthesis of FA
Pyruvate
Carboxylated via pyruvate carboxylase
Forms oxaloacetate
Replenishes intermediates
Gluconeogenesis
Via phosphoenolpyruvate
Bypass of irreversible step in glycolysis
Precursor to several AA
Sites
Cytosolic:
Glycolysis
Glycogen synthesis, degradation
FA synthesis
Pentose Phosphate pathway
Sites
Mitochondrial:
FA degradation
Citric Acid cycle
Oxidative Phosphorylation
Sites
Both:
Gluconeogenesis
AA degradation
Location controlled by specific
membrane transporters
Esp. inner mitochondrial membrane
Controls flow of metabolites
Regulation
Intercellular Regulating Mechanisms
Hormones
Trigger cellular response
Short-term: second messenger
Long-term: protein synthesis
Molecular Level
Feedback
Substrate availability
Tissue Specific Metabolism
TSM: LIVER
Liver: central processing and
distributing role
Furnishes other tissues/organs with
appropriate mix of nutrients via the blood
Other tissues and organs are termed
extrahepatic or peripheral
Handles carbohydrates, amino acids and
fats
TSM: LIVER
Extremely adaptable to prevailing
conditions
Can shift enzymatic ally from one nutrient
emphasis to another within hours
Responds to the demands of
extrahepatic tissues/organs for fuels
Maintains blood levels of nutrients
Well located for the task
Sugars
Role as Blood glucose “Buffer”
Absorbs and releases glucose
Response to levels of:
Glucagon
Epinepherine
Insulin
Response to [glucose]
Glucose absorption
Hepatocytes are permeable to glucose
Convert glucose to G6P
Not insulin dependent
Absorption driven by [blood glucose]
Catalyzed by glucokinase (not hexokinase)
Blood glucose
Normally lower than max phosporylation rate of
glucokinase
Uptake about equal to [blood glucose]
Glucose absorption
Other monosaccarides
Can be converted to G6P
Includes
Fructose
Galactose
Mannose
Release of glucose
No food
Blood glucose levels drop
Liver keeps blood glucose at about 4mM
Fate of glucose
Varies with metabolic requirement
G6P to glucose
G6P to glycogen
Requires glucose 6-phosphatase
Blood transport to peripheral organs
When demand for glucose is low
Glycogen to G6P
When demand for glucose is low
Signaled by increased:
Glucagon
epinephrine
Fate of glucose
G6P to acetyl-CoA
By glycolysis
Need pyruvate dehydrogenase
Used for synthesis of
FA
Phospholipids
Cholesterol to bile acids
Fate of glucose
Substrate for the Pentose phosphate
pathway
NADPH needed for biosynthesis of:
Fatty acids
Cholesterol
D-ribose 5-phosphate
precursor for nucleotide biosynthesis
Fate of Fatty Acids
Increased demand for metabolic fuel:
FA converted into acetyl-CoA into ketone
bodies
KB are transportable form of acetyl
Exported via blood to tissues
Up to one third of energy in heart
60-70% in brain during prolonged fast
Major oxidative fuel of the liver
FA converted into acetyl-CoA to CAC
Fate of Fatty Acids
Decreased demand for metabolic fuel
FA converted into liver lipids
Some acetyl from FA (and glucose) converted into
cholesterol
Specialized mechanisms for transport of lipids
in blood
Converted into lipoproteins, then to adipose for
storage
Bound to albumin as free FA, transported in blood
to skeletal and cardiac muscle
FA: degradation and synthesis
Compartmentalized
Prevent futile cycling
FA oxidation: in mitochondria
FA synthesis: in cytosol
FA: degradation and synthesis
Interactions
Carnitine Palmitoly Transferase I (CPTI)
CPTI inhibited by Malonyl-CoA MCoA)
Transport FA into mitochondria
MCoA is key intermediate in FA synthesis
When FA are synthesized, can not
transport FA into mitochondria
FA: degradation and synthesis
Interactions
When metabolic demand for fuel is low:
acetyl-CoA comes from glucose
When metabolic demand for fuel is high:
Inhibits FA synthesis
FA into Mitochondria into ketone bodies
Fatty Acids
Liver can not use Ketone Bodies
Lacks 3-ketoacyl-CoA-transferase
When metabolic demand is increased:
Fatty Acids are the liver's main source of
acetyl-CoA
Fate of Amino Acids
AA degraded to variety of intermediates
Glucogenic AA
Pyruvate
Citric acid intermediates
Ketogenic AA
Ketone bodies (sometimes)
Fate of Amino Acids
After about 6 hour fast
Glycogen stores are depleted
Gluconeogenesis from AA
Mostly muscle protein
Degrated to alanine and glutamine
Animals can not convert Fat to Glucose
Proteins are an important fuel reserve
Fate of Amino Acids
AA degraded to variety of intermediates
Glucogenic AA
Pyruvate
Citric acid intermediates
Ketogenic AA
Ketone bodies (sometimes)
TSM: Brain
High Respiratory Rate
About 2% of body weight; 20% of resting
O2 consumption
Independent of activity level
Most: power (Na+-K+)-ATPase
TSM: Brain
Most conditions
Only fuel: glucose
Extended fasting: ketone body
Needs steady suppy
TSM: Brain
With blood glucose below half normal
Brain dysfunction
Drop more
Coma
Irreversible damage
death
TSM: Muscle
Major Fuels
Glucose from Glycogen
FA
Ketone Bodies
Storage: Glycogen
Can Not Export Glucose:
No gluconeogenesis
No G-6-phosphatase
No receptors for Glucagon
TSM: Muscle
Energy Reservoir
Proteins into Amino Acids
Amino Acids into Pyruvate
Pyruvate into Alanine into the liver into
pyruvate into glucose
Epinephrine Receptors
Regulates glycogen breakdown and synthesis
Increase cAMP in muscle
Activates glycogen breakdown
Activates glycolysis
Increase glucose consumption
Epinephine acts independently of glycogen
With insulin
Regulates general blood glucose levels
Muscle Contraction
Skeletal Muscle at rest:
Can increase 25% in exercise
Shifts to glycolysis of G6P from
glycogen
about 30% of O2 consumption
Much of G6P into Lactate
Cori Cycle
Respiratory burden shifted to liver
Delay of O2 dept
Muscle Fatigue
Definition
Inability of muscle to maintain a given
power output
About 20% drop in contraction strength
Aerobic ( Red Fiber: slow twitch)
Difficult to fatigue
Oxidative Phosphorylation
Good vascular supply
myoglobin
Muscle Fatigue
Anaerobic
With in about 20 sec in max exertion
I.E.: Tetanic Exertion
Results from sustained contraction of
white fibers (fast twitch)
Depends on glycolysis
Creatine phosphate (CP)
Glygogen storage
Cause of Fatigue
Drop in intramuscular pH
From 7.0 to as low a 6.4
From glycolytic proton generation
How does increased acidity cause muscle
fatigue?
Maybe decresed enzyme activity?
Esp PFK
TSM: Cardiac Muscle
Continuous activity
Aerobic
Many mitochondria
Fuel
FA: fuel of choice
Ketone bodies
Stored glycogen to glucose (with heavy
workload)
Pyruvate
lacctate
TSM: Adipose Tissue/Adipocytes
General Metabolism
Location
Under skin
Abdominal cavity
In skeletal muscle
Around blood vessels
In mammary glands
TSM: Adipose Tissue/Adipocytes
General Metabolism
Quanity
Normal male: about 21%
Normal female: about 25%
Functions:
Energy storage
Maintenance of metabolic homeostasis (second
only to the liver)
TSM: Adipose Tissue/Adipocytes
General Metabolism
Source of Fatty Acids
Liver
Diet
To form stored triglycerides
Fatty acyl-CoA esterified with PGA
Glycerol-3-Phosphate
Formed from reduction of DAP
Glycolytically generated from glucose
Adipose cells lack enzyme to phosphorylate
endogenoous glycerol
TSM: Adipose Tissue/Adipocytes
General Metabolism
Hydrolyze triglycerides to Fatty Acids and
Glycerol
In response to levels of:
Glucogon
Epinephrine
Insulin
Catalyzed by “hormone-sensitive” lipase
Increased [PGA]: reform triglycerides
Decreased [PGA}: release FA to blood
TSM: Adipose Tissue/Adipocytes
Rate of Glucose uptake by adipocytes
Regulated by:
Insulin
Glucose availability
Controlling factor in
Formation of triglycerides
Mobilization of triglycerides
TSM: Blood
Mediates metabolism between organs
Transports:
Nutrients
Waste products
Tissues to kidneys
Respiratory gases
Small intestine to liver
Liver to adipose tissue, other organs
O2: lungs to tissues
CO2: tissues to lungs
Regulatory molecules (hormones)
TSM: Blood
Composition
About 5-6L in average adult
Cells/formed elements
Erythrocytes
Leukocytes
Platelets
TSM: Blood
Composition
Plasma
90% water
10% solutes
Plasma proteins
Inorganic components
Organic components
Major effort of homeostasis to keep values
within normal ranges
Blood glucose levels are regulated by:
Epinephrine, glucagon and insulin