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Gluconeogenesis

The formation of glucose or glycogen from non carbohydrate precursors

Is called gluconeogenesis


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Significance of gluconeogenesis

The body must able to make its own glucose, WHY?

•  Humans consume 160 g of glucose per day, 75% in the brain.
• Body fluids contain only 20 g of glucose.
• Glycogen stores yield 180-200 g of glucose
• GLUCONEOGENSIS is used to restore the depleted glycogen and to

sustain normal activity.


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• Some tissues require a continuous supply of glucose as a metabolic fuel like brain ,

erythrocyte, lens and cornea of the eye , adrenal medulla and tumor cell .

• Liver glycogen can meet these needs for only 10–12 hours in the absence of

dietary intake of carbohydrate.

• Gluconeogenesis is used to clear the product of metabolism of other tissues from

blood like lactate and glycerol and carbon skelton of amino acids

In gluconeogensis, glucose is formed from:

• Lactate
• pyruvate
• glycerol (derived from the backbone of triacylglycerol)

α-ketoacids (derived from the catabolism of glycogenic amino acids.


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During an overnight fast

〜90% occurs in the liver

• 10% occurs in the kidneys

During prolonged fasting

• kidneys become major glucose-producing organs, contributing an

estimated 40% of the total glucose production.

• Location : gluconeogenesis take place in liver and in lesser extend in

the kidney  (mitochondrial and cytosol)


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REACTIONS UNIQUE TO GLUCONEOGENESIS

• Glycolysis and gluconeogenesis share the same pathway but

are not identical

• Seven of  ten reactionsof gluconeogenesis  are reverse of

glycolytic reactions and are used in the synthesis of glucose

from lactate or pyruvate.

•  three of the reactions are  irreversible bypassed by

 4 Alternate Reactions catalyzed by different  enzymes

1)Carboxylation of pyruvate.
2)Decarboxylation of cytosolic oxaloacetate.
3)Dephosphorylation of fructose 1,6- bisphosphate.
4)Dephosphorylation of glucose 6-phosphate


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SUBSTRATES FOR GLUCONEOGENESIS

1. Glycerol

• Glycerol is released in adipose tissue and is delivered by

the blood to the liver.

• It’s  phosphorylated by 

glycerol kinase

 to 

glycerol

phosphate

, which is oxidized by 

glycerol phosphate

dehydrogenase 

to 

dihydroxy acetone phosphate 

an

intermediate of glycolysis.

• Adipocytes cannot phosphorylate glycerol because of 

lacking glycerol kinase.


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2. Lactate- Cori Cycle


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3. Amino acids

• Amino acids derived from hydrolysis of tissue proteins

during a fast.

• Α -Ketoacids

, such as α -ketoglutarate, are derived from

the metabolism of glucogenic amino acids .

• Α -ketoacids can enter the TCA cycle and form

oxaloacetate  a direct precursor of phosphoenol pyruvate .


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• Energetic of gluconeogenesis

Is energetically expensive process for each glucose molecule produce
from pyruvate six high energy phosphate groups are required

4 ATP
2 GTP

An addition two molecules 

of NADH


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• Regulation of gluconeogenesis

Substrate availability 

(glycerol, lactate amino acid …)

Gluconeogenesis are stimulated by :
Fasting , prolonged exercise , high protein intake , stress (increase of

epinephrine level)

Enzymatic regulation

1-pyruvate carboxylase
2-phosphoenolpyruvate carboxykinase
3-fructose 1-6 bisphosphetase
4- glucose 6 phosphatase (present only in liver and kidney)

Glucagon increases synthesis of these enzymes while insulin inhibits them


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Pentose phosphate pathway

The pentose phosphate pathway is an alternative route for oxidation of

glucose which lead to specialized products needed by the cells.


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Significance of PPP

1-produce  

NADPH

 that is required for reductive biosynthetic reactions

such as those of cholesterol biosynthesis, bile acid synthesis, steroid
hormone biosynthesis, and fatty acid synthesis and protective effect by
removing free ridecals .
2-  generate five carbon sugars, particularly 

ribose-5-phosphate

  that is

required for purine and pyrimidine nucleotide biosynthesis


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This pathway consist of tow phase
Phase one three molecules of G6P converted to three molecules

of CO2 and three molecules of ribulose 5 phosphate
Phase two these ribulose 5 phosphate molecules rearrange to

produce

two

G6P

molecules

and

one

molecules

of

glyceraldehyde 3 phosphate

• The reactions of the PPP operate exclusively in the cytoplasm in all

cells


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Disorder of PPP

• Deficiency of glucose 6 phosphate dehydrogenase

Genetic defect of G6PD are common in Mediterranean  population
mainly males who  are effective. when people deficient in G6PD are
subjected to oxidative stress from 

infection or drug like anti-malarial

drug 

or when they have eaten 

fava beans (favism) (contain divicine)

produces clinical manifestation 

(hemolytic anemia)


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• Regulation of PPP

The first step of PPP is rate limiting step . The activity of G6PD enzyme
is regulated by the level of NAPDH which is a competitive inhibitor for
G6PD
In well fed condition the ratio of 

NADPH/NADP decrease 

and G6PD

stimulated
In starvation the ration 

NADPH/NADP increase 

so G6PD inhibit




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