Enzymology To Kreb's Cycle
Enzymology To Kreb's Cycle
Enzymology
- the science of enzymes to the diagnosis and
treatment of diseases 4 existing structures:
1. Primary structure- refers to the sequence of amino
Catalysts acids joined by peptide bonds. (Amino acid
- compounds that increase the rate of chemical sequence)
reactions. 2. Secondary structure- conformation of the steric
arrangement or conformation of the segments of
Enzymes polypeptide chain (helix)
3. Tertiary structure- arises from the interactions
- are proteins that act as catalysts and provide
among side chains/groups of the polymer chain;
means for regulating the rate of metabolic
folded structure of an enzyme (folded individual
pathways in the body.
peptide)
- Enzyme catalysts bind reactants(substrates) and
4. Quaternary Structure - refers to the relationship
convert them to products and release them.
between subunits wherein subunits perform specific
- Enzymes may be modified during reaction functions. (Aggregation of two or more peptide)
sequences, but will always return to their
original form. *The secondary and tertiary structures are the most
- Substance that catalyzes a given chemical important configurations of the enzyme because these
reaction, cellular catalyst - Biological structures are responsible for the characteristics such as
catalysts that cause reactions in the body to coiling and folding resulting to conformational structure
take place.
- Over 1,500 enzymes and many of which
catalyze the same reactions. Active site
-Refers to the area or portion of an enzyme in
Characteristics of an enzyme: which the substrate is attached with the
- One of the most complicated type of proteins in enzyme molecule
terms of both structure and function -It is where the transformation of the substrate
- Proteins in nature; easily denatured with varying takes place
molecular weight and masses.
- Amphoteric (capable of reacting chemically
either as an acid or as a base.)
- Operate in high rates
- Turnover number of enzymes is 5x106
Classification of enzymes:
-Based on catalytic activity of an enzyme.
-The International Union of Biochemistry (IUB)
enzyme commission categorized all enzymes
into 6 classes
BIOCHEMSITRY
1. Oxidoreductases - Example: ATP + creatine + CK = ADP + creatine
-Enzymes catalyzing oxidation and reduction phosphate
reactions
3. Hydrolases
Reduction- addition of hydrogen to a
- Enzymes involved in the splitting of molecules with
double bond
water as a part of the reaction process
Oxidation- removal of hydrogen to
- 3 groups of hydrolases (with examples)
cleave a double bond
(cleave= splitting of chemical bonds)
-Older names are dehydrogenases and oxidases
-Assayed for information/ gives information
regarding heart attacks and liver problems.
ENZYME VARIANT
ENZYME NOMENCLATURE - These are the several distinct forms of enzymes
1. Each enzyme was designated according to - Important in the diagnosis of specificity
the reaction it catalyzes Example:
oxidation of glucose – glucose oxidase
2. It is customary to identify enzymes by A. ISOENZYMES
adding the suffix “ase” to the group upon - The multi-chained enzymes
which the enzyme acts - Enzymes of similar activity typically appearing in specific
tissue, organs and cell organelles of organisms and the
Example: Urea - Urease
same species
Uric- Uricase
- Specifically located in tissues
Phosphate esters – phosphatase
- The site of a specific isoenzyme is found and restricted to
Lipid – lipid esters only one tissue
Lactose – lactase o Example: Lactate dehydrogenase: A and M
Starch – amylase ▪ Contains H and M subunits (polypeptide
chains)
3. Naming of enzymes by the use of their ▪ The subunits interact together for a reaction
empirical names Example: trypsin, pepsin to occur
4. Standard system of identifying enzymes
• H4 – LD1 – heart, RBC, and renal tissues
- Formulated by IUB and IUPAC
• H3M – LD2 – heart, RBC and renal
tissues
SYSTEMATIC NAME • H2M2 – LD3 – lungs, lymphocytes,
- Describe the nature of the reactions spleen, pancreas
catalyzed • HM3 – LD4 – liver, skeletal muscle
- Unique numerical code designation (consists • M4 – LD5 – liver, skeletal muscle
of 4 members separated by periods)
- Prefixed with the letter E.C. (Enzyme - Characteristics:
Commission) o Charged molecules – shown in electrophoresis
Example: E.C. 3.1.3.1. – ALP o Mobility in Ion Exchange Resin
E.C. 3.1.3.2 – ACP o Response to activation and inactivation process
▪ E.g. ACP (RBC) – not inhibited by 2%
formaldehyde ACP (prostate) – inhibited by
2% formaldehyde
1st digit – denotes the class of the enzyme o Relative substrate specificity
2nd digit – denotes the sub-class of the
▪ E.g. ACP (RBC)- less sensitive to α-
enzyme
naphthyl PO4 substrate
3rd digit – denotes the subsub-class
o Response to inhibitors
4th digit – specific serial number given to
each enzyme within its subsub-class
B. HETEROENZYMES
▪ This approach removes all ambiguity about
the enzyme’s identity - Same enzymatic activity, which are specie
specific for different biological species
- e.g., LDH of rabbits and humans
TRIVIAL NAMES
BIOCHEMSITRY
C. ALLOENZYMES B. Bilocular enzyme - These are enzymes that
- Genetically transmitted enzymes are found in the mitochondria and cell sap
- Important in defining the biochemical
Enzyme Kinetics
characteristics of individuals
- Present only in some selected individuals of Where:
the same species- Practical value in forensic • E = enzyme that represents a true catalyst =
medicine and genetics not changed in the reaction
• S = substrate upon which the enzyme acts
ORIGIN OF PLASMA ENZYMES: • P = the reacted substrate = product that
CLASSIFICATION OF ENZYMES IN THE represents a changed molecular species of
substrate
BLOOD
• ES = the postulated enzyme – substrate
A. Plasma Specific Enzymes complex
-Generally secreted by liver into the plasma
-Enzymes exert function in plasma FACTORS AFFECTING THE BINDING
A. Energy – this refers to the activation energy
-Examples:
o Blood clotting mechanisms
B. Molecular compatibility – E + S =
o Complement system and those
commonness and sameness between enzyme
connected with fibrinolysis
and substrate
o Thrombin, factor XII (Hageman
C. Space availability – refers to the number of
factor), Factor X (Stuart factor)
enzymes or substrates that can be reacted
o Precursors (plasminogen activators)
D. Specificity – refers to the particular enzyme
o Serine protease procoagulants
catalyzing a specific substrate
B. Non-plasma specific enzymes
-Enzymes that do not have specific function in Factors Affecting E and S Combination
plasma A. Lock and Key – refers to the active site being
-The plasma lacks activators or coenzymes complementary in shape and size of the
which are necessary for enzyme activity substrate
-2 classes: B. Induced Fit model – refers to the enzyme
changing in shape during binding with substrate.
After binding, the shape of the enzyme
o Enzyme of secretion: complements with the binding site
▪ These are normally secreted enzymes like
AMS
Factors influencing Enzymatic Reaction
▪ Enzymes secreted in plasma at a very high rate
but are rapidly disposed off to normal excretory A. Substrate concentration
channels thus concentration in plasma is a. direct relationship
maintained at low and constant level b. An increase in the concentration of substrate
results to an increase in the rate of enzyme
o Enzymes associated with cellular metabolism activity
▪ Enzymes that carry out their functions within c. No free binding site
the cells in which they are formed
• E.g., CK in heart and ACP in prostate B. Time
gland a. This refers to the condition when the
enzymatic reaction is allowed to take place
Enzymes based on distribution b. If the catalytic activity of an enzyme on the
substrate is fast, it results to a shorter
A. Unilocular Enzymes enzymatic reaction time thereby the enzyme
- These are enzymes found only in the cell sap. is freed and can act again on the remaining
Found only in one location substrate
BIOCHEMSITRY
b. An increase in the enzyme
concentration result to an increase in
the catalytic activity of the enzyme
D. Temperature
2 Phases of Enzyme Reaction
a. Optimum temperature – the point at which
A. First Order Kinetics the enzyme molecule is capable of catalyzing the
• Enzyme concentration is fixed and the substrate with regards to temperature
substrate concentration is varied requirement
• The rate of reaction is almost directly
proportional to substrate concentration at 1. An increase of 10C in temperature
low values (lower substrate concentration results in doubling the rate of enzyme
than enzyme) activity
2. 30-37C or 37-40C – optimum
• The rate of reaction dependent on
temperature
substrate concentration and on enzyme
3. 60-70C – enzyme undergoes
concentration
inactivation and denaturation
4. Further increase in temperature leads
B. Zero Order Kinetics
not to further increase in the rate but
• The rate depends on the enzyme
loss of enzymatic assay
concentration and independent of
5. Some are stored at refrigeration
substrate concentration
temperature (2-8C)
• An increase in the enzyme concentration
results to an increase in the catalytic
activity of the enzyme b. Increased rate in:
1. Increasing movement of molecule
2. Increasing rate at which internal
cellular collision
C. Enzyme Concentration
a. Direct relationship
BIOCHEMSITRY
c. Types of inhibition
I. Reversible inhibition
F. Activators 1. When inhibitors are possible removed from the
a. Required for full enzyme activity system and enzyme is fully restored
b. These metal activators or inorganic entities 2. Physical separation processes that remove
help bind the substrate to the active site by inhibitors
forming ionic bridges a. Dialysis
c. These help substrates in orientation so it is b. Gel filtration
attached to the protein at the proper point end
in the correct configuration II. Irreversible inhibition
1. When inhibitors combine covalently with the
enzyme
Divalent Monovalen Monovalent 2. Physical methods are ineffective in separating
Cations t Cations Cations inhibitors from enzymes
Fe++ Cl- K+
d. Examples of inhibitors
Ca++ Br- Na+ I. Excess substrate
1. Causes competition between substrate
Zn++ NO3- molecules for a single binding site
I. Prosthetic Group
a. These are essentially coenzymes that firmly bind
with enzymes
Enzyme Denaturation
- It refers to the disruption of the structure of
enzyme molecule (3-dimensional structure) that
leads to the loss of enzyme activity
BIOCHEMSITRY
- Denaturing Conditions quantities of polished rice. Symptoms include
o Elevated temperature weakness, neuritis, and in severe cases,
▪ Weakens the stabilizing bonds
▪ Above 60C
o Extremes of pH mental disturbance and heart failure.
▪ Causes unfolding of enzyme molecule
o Radiation c. It can be cured by giving large doses of vitamin
o Frothing B.
o Strong salt solution
o Mechanical trauma 2. Riboflavin (B2) – coenzyme: flavin adenine
dinucleotide (FAD) and flavin mononucleotide ‘
o Time of exposure
a. Milk and meat products
o Chemicals
b. Dermatitis; glossitis; cataracts
- Denaturation may be reversed if the reaction
process has not gone too far and if the 3. Niacin (nicotinic acid B3) – coenzyme:
denaturing agent is removed nicotinamide adenine dinucleotide (NADH)
a. Liver, lean meats, cereals, and legumes
Units of Measurements – proposed by the b. A vitamin deficiency disease characterized
IUPAC and IUB by a rash on exposed body surfaces, diarrhea,
ulcerations in the mouth and mental
A. International Unit (IU) - Defined as the disorientation (pellagra).
amount of enzyme which catalyzes the c. It may be seen among alcoholics who drink
conversion of 1umol of substrate in 1 minute - rather than eat.
Reported in IU/liter of sample 4. Pyridoxine (B6) – coenzyme: pyridoxal
B. Katal - A unit of enzyme activity which phosphate
converts 1 mol of substrate per second - Has not a. Meats, cereals, lentils (legumes)
yet received universal acceptance b. Dermatitis, fatigue, anemia, irritability
1. Swallowing
8. Tyrosinosis – this is due to the absence of
hydroxyphenyl pyruvic acid oxygenase which converts a. Buccal stage
hyroxyphenylpyuvic acid to homogentisic acid. I. Bolus is pushed toward the pharynx
BIOCHEMSITRY
II. Voluntary movement
b. Pharyngeal and Esophageal stage
I. Bolus (masticated food with saliva) to
pharynx to esophagus to stomach
II. Involuntary movement
B. STOMACH Pepsin
Gastric Digestion • principal digestive constituent of the gastric
Mainly concerned with the digestion of juice
proteins thru the action of the enzyme • pepsinogen – activated by HCl; Inactivated
pepsin and HCl at neutral pH or alkaline pH
Pepsin – initiates protein digestion
producing proteoses, peptones and
polypeptides
• autocatalytic
Pepsinogen • Optimum activity: pH 1.5 – 2.5
(Chief cell) • An Endopeptidase that acts on peptide bonds
Functions of HCl
1. Provide suitable pH for protein digestion by
pepsin
2. Exerts preliminary swelling, denaturing and
hydrolyzing effect on proteins
3. Activates pepsinogen
4. Facilitates absorption of iron
5. Causes hydrolysis of disaccharides
6. Stimulates secretion of secretin
7. Exerts germicidal action
▪ Achylia gastrica
- partial or complete absence of gastric juice
- indicates degeneration of the gastric glands
▪ Hypochloridia:
- suggestive of chronic gastritis or gastric
carcinoma
▪ Hyperchloridia:
- suggestive of peptic ulcer, cholecystitis
Intestinal Digestion
C. INTESTINES
The last site of digestion and the site of
absorption is the small intestines. Most
enzymes are present in this particular site
thus, chemical digestion is at the most.
BIOCHEMSITRY
3. Carboxypeptidase - Zinc-containing enzyme.
Exopeptidase attacking the peptide linkage nearest
the free hydroxyl group
INTESTINAL DIGESTION
Pancreatic Juice 4. Pancreatic amylase - Also known as diastase and
- Secreted by the acinar cells of the pancreas amylopepsin. Converts starch and glycogen into
(500ml/day) maltose which is immediately acted upon by the
- Clear, watery solution made up of 98.7% water enzyme maltase.
and 1.3% solids 5. Pancreatic Lipase - Also known as steapsin. It
- It is the most alkaline of the normal body fluids exhibits weak lipolytic effect. Action is potentiated by
(pH 7.5 – 8.2) due to its bicarbonate content bile acids, calcium and certain amino acids. It splits
fats into monoglycerides, fatty acids and glycerol
o Organic constituents (1/3)
▪ Trypsin, chymotrypsin (proteolytic enzymes) 6. Nucleodepolymerase - Ribonucleases and
▪ Steapsin (lipolytic) deoxyribonucleases. They hydrolyze the
▪ Diastase (amylolytic) corresponding nucleic acid into mononucleotides
▪ Nucleolytic enzymes
Intestinal Juice (Succus Intericus)
o Inorganic constituents (2/3) - Combined secretion of the intestinal glands at
▪ Sodium different portions: duodenum, jejunum, ileum
▪ Potassium - Viscous and turbid fluid due to mucin and
▪ Calcium desquamated epithelial cells
▪ Bicarbonate Enterocrinin – hormone secreted by the intestinal
▪ Chlorides mucosa and stimulates the mucosal glands to
▪ Phosphates increase volume of fluid and the content of enzyme
Reactions Involved
1. Oxidation - One of the most important
means of detoxification. Example: Ethyl
alcohol + Oxygen = carbon dioxide +
water
2. Reduction – has minor role in
detoxification
3. Hydrolysis – some drugs used for
therapy are hydrolyzed in the body
Acetylsalicylic acid = salicylic acid +
acetic acid.
4. Conjugation - Process called upon
whenever oxidation becomes
ineffective. Brought about by the
BIOCHEMSITRY
INTRODUCTION:
The name carbohydrate originally meant a
compound with the empirical formula
CH2O, literally, a hydrate of carbon. This
definition has been broadened to include A. According to number of saccharide units
aldehydes and ketones having two or - Monosaccharides
more hydroxyl groups. Among the o The simplest carbohydrate – has only one
compounds that fall into the class of saccharide unit o Cannot be broken into smaller CHO
carbohydrates are the starches, cellulose, molecules by hydrolysis
glycogen and the sugars. The
carbohydrates are important source of - Disacchrides
energy for all organisms and form the o Contains two monosaccharide units o It can be
supporting tissue of plants and some hydrolyzed to give two monosaccharide units
animals. There are three important
classes of carbohydrates: the - Oligosaccharide
monosaccharides, disaccharides and the o Polymers made up of two to 10 (2-10)
polysaccharides. (Holtzclaw and monosaccharide units
Robinson, 1988).
- Polysaccharides
CARBOHYDRATES o Giant polymers made of many monosaccharide
- Commonly known as sugars. They are units o The most complex CHO because they contain
defined as polyhydroxy aldehydes or more than 10 saccharide units
polyhydroxy ketones or substances that
yield these compounds when hydrolyzed. B. According to number of carbon atoms
Trioses – with three carbon atoms
IMPORTANCE AND FUNCTIONS OF Tetroses – with four carbon atoms
CARBOHYDRATES Pentoses – with five carbon atoms
1. Energy Yielding Nutrients – they serve Hexoses – with six carbon atoms
as primary source of metabolic fuel Heptoses – with seven carbon atoms
needed by a living body and as means to
store and reserve energy in the form of Theoretically, a monosaccharide can have any
glycogen number of carbons greater than three, but only
2. Serve as structural components of the monosaccharide of three to seven carbons are
living cells - as carbohydrates combine commonly found in the biosphere
with proteins, they from glycoproteins and
proteoglycans that are very important C. According to its functional group
components of the cell membrane o the functional group of carbohydrates is the carbonyl
3. Serve as structural framework – for group (-C=O)
DNA and RNA as part of nucleotides Aldose - polyhydroxy aldehyde and the
4. Mediate Interaction between cells – carbonyl group is found at one of the terminal
blood types are determined by specific sides of the hydrocarbon chain
membrane bound CHO Ketose - polyhydroxy ketone and the carbonyl
5. Building materials – cellulose is found in group is found in between 2 hydrocarbon
wood, cotton, paper groups
CLASSIFICATION OF CARBOHYDRATES
- The simplest structural unit of
carbohydrate is known as saccharide
- In Latin, Saccharine means sugar
BIOCHEMSITRY
D. As a furanose or pyranose
- Depends on whether the cyclic structure of
the carbohydrate is related to that of the five
Asymmetric Carbon - refers to the C atom in the
or six-membered ring compound furan or
structure of a sugar to which 4 different radicals are
pyran respectively
attached.
2. Cellobiose
- Composed of 2 glucose molecules
- Linkage: beta – 1,4 POLYSACCHARIDES
- Produced from the breakdown of the polysaccharide - General formula: (C6H10O5)x
cellulose - Made up of several saccharide groups
o Mammalian digestive tracts do not secrete enzymes - they do not exhibit reducing properties
that can break the beta – 1,4 linkages between 2 - Made up of several hexose molecules minus
glucose molecules the corresponding molecules of water
Properties of polysaccharides
- White, tasteless, amorphous compounds
- X-ray analysis: crystalline
- No reducing property; do not form osazone
crystals
- High MW; mostly are insoluble
- Non-fermentable by yeast
- Upon hydrolysis, yield simple sugars and sugar
3. Lactose derivatives
- Also known as milk sugar - Polysaccharides with large MW are antigenic
- Made by combining B-D-Galactose and D-glucose
- Linkage: Beta-1,4 Homopolysaccharides
- In the body, it is broken down by the action of the - These are polysaccharides which on
enzyme known as LACTASE hydrolysis yield only one kind of
- Deficiency of the enzyme leads to inability to absorb monosaccharide
lactose and the condition called LACTASE
DEFFICIENCY SYNDROME or LACTOSE 1. Starch – found abundantly in the plant
INTOLERANCE kingdom particularly in fruits, cereals,
- This condition is controlled by eliminating all dietary seeds, bulbs and tubers. Most important
sources of lactose (e.g. dairy products, some constituent of the human diet. Occurs in the
medications) form of granules
o Acid mucopolysaccharide
•Contains acetylhexosamine, hexuronic
- Uses of Cellulose acid, sulfate or phosphate
BIOCHEMSITRY
• examples of mucopolysaccharide: o Higher CHO (e.g. starch) – insoluble,
• Those containing sulfate form colloidal solutions
o Cellulose – practically insoluble
o Chondroitin sulfate of the
cartilage tissue - contains 3. Relative Sweetness of Sugars
Nacetylgalactosamine, glucuronic
sugars Relative Sugar substitutes (common
acid and sulfate sweetness brand names)
o Chondroitin sulfate of the skinFructose 100 Sucralose (Splenda®)
has 1-iduronic acid instead Invert of sugar 75 Saccharin (sweet n low®)
glucuronic acid Sucrose 58 Acesulfame potassium
o Heparin – glucosamine N-sulfate, (Sunette®, Sweet One®)
glucuronic acid and sulfate Glucose 43 Aspartame (Equal®,
Nutrasweet®)
Maltose 19
Galactose 19
o Hyaluronic acid
Lactose 9.2
• Main constituent of the ground substance of
connective tissues
• Found in synovial fluid, pleural fluid, vitreous
humor and Wharton’s jelly
• Made of d-glucuronic acid, d-glucosamine and Chemical Properties
acetic acid 1. Reducing power - All mono and di containing the
• Function: potentially free aldehyde or ketone group
• Lubricant possesses reducing properties; reduce alkaline
• Cementing substance which allows metals and are transformed into organic acids
passage of metabolites but not of the
infective organisms Benedict’s test
Reagent: CuSO4 in NaOH Na-citrate
• It is fragmented by hyaluronidase (spreading Positive result: Reddish brown to red precipitate
factor), an enzyme found in bacteria, sperm
and in the poisonous secretions of reptiles
and other animals
o Heparin
• Generated by certain types of cells lining
Fehling’s test
arterial blood vessels and by the lung tissues
Reagent: CuSO4 in NaOH Na-tartrate
• Powerful inhibitor of blood clotting thus
Positive result: Reddish brown to red precipitate
preventing intravascular coagulation
• In practice, it is used to prevent clotting of blood
Nylander’s test
specimens
Reagent: Bismuth subnitrate
Positive result: Black-colored solution
GENERAL PROPERTIES OF CARBOHYDRATES
Physical properties
1. Appearance
- Mono and disaccharides
– white and crystalline
- Starches – amorphous powder Barfoed’s test
- Cellulose – fibrous Reagent: Cupric acetate in weak acetic acid
2. Solubility (in ordinary solvents) Positive result: Red precipitate
- Inversely proportional to the complexity of
their structures 2. Osazone formation
o Mono and di – more soluble in water
BIOCHEMSITRY
- Reducing sugars form characteristic osazone Positive Result: Red color (for galactose)
crystals when heated with an excess of
phenylhydrazine (C6H5NHNH2)
- Attributed to the presence of aldehyde Test or for Pentoses
ketone group in their molecules A. Bial’s Orcinol-HCl test
Reagent:
- Due to this property, sugars can be identified Bial’s reagent: Orcinol in 95%
from a mixed sample Ethanol 10% FeCl3.6H2O 2 ml Orcinol-HCl (+ 1
ml sugar solution)
Positive Result: green solution to deep blue
product
Use: To distinguish a pentose from a hexose
Blood Glucose
NV = 80 – 100 mg%
FBS = 70 – 100 mg%
Postprandial = 130 – 160 mg%
Carbohydrate metabolism
Glucose is the universal fuel of human cells. Every
- The CNS is dependent on these normal values
cell type in the human body is able to generate
- Glucose is the major energy source that crosses the
adenosine triphosphate (ATP) from glycolysis, the
blood-brain barrier
pathway in which glucose is oxidized and cleaved
- If glucose falls to 25 mg%:
to form pyruvate. The importance of glycolysis in
our fuel economy is related to the availability of o Person becomes stuporous
glucose in the blood, as well as the ability of o After 10 minutes = coma
glycolysis to generate ATP in both the presence or o Irreversible after 30 minutes
absence of oxygen. Glucose is the major sugar in
- The muscle can derive energy from ketone bodies
our diet and the sugar that circulates in the blood
- The myocardium take up fatty acids and lactic acid
to ensure that all cells have a continuous fuel
from blood and use as source of energy
supply. The brain uses glucose almost exclusively
o The heart is insensitive to fluctuations of blood
as fuel.
sugar levels
Metabolic intermediates *Physiological and hormonal mechanisms keeps
- Used in other metabolic processes in the cell blood sugar levels at 60 mg% even in
- Multiple step pathway helps the cell to handle prolonged starvation
metabolic energy efficiently
- The quantity of energy released in each step is Factors that lower blood glucose levels
small enough to be handled by the cell 1. Glycogenesis – transformation of glucose into
glycogen
* All cellular processes are interrelated 2. Glycolysis – utilization of glucose for heat and
energy
Claude Bernard 3. Lipogenesis – conversion of glucose to fats
- Demonstrated that blood sugar levels vary in 4. Formation of certain amino acids
the different areas of the circulation 5. Glucosuria – excretion of glucose in the urine
o Portal blood – less sugar
o Hepatic vein – more sugar Hormone that lowers blood glucose levels
▪ There must be some regulating mechanism 1. Insulin
in the liver - Hormone secreted by B-cells of islets of
Langerhans in pancreas
CHO malabsorption/dissacharide intolerance
- Produces hypoglycemic effect by:
BIOCHEMSITRY
Increasing glycogenesis - 11-oxysteroid groups – with anti-insulin activity
Decreasing gluconeogenesis o Corticosterone
o (Compound B)
o 11-dehydro-17-hydroxycorticosterone
Increasing glucose utilization by
tissues (compound E, cortisone)
o 17-hydroxycorticosterone (compound F,
Promoting lipogenesis
hydroxycortison, cortisol)
- Facilitates entrance of glucose in the cell where
it is immediately phosphorylated to be converted
4. Thyroxine or tetraiodothyronine
to energy to undergo glycolysis
- Increase absorption of hexoses from intestines
- Deficient insulin diminishes entrance of glucose
- Stimulates liver glycogenolysis
in the cell, thus less phosphorylation
- Glucose remains in the blood producing
5. Glucagon
hyperglycemia - If its concentration exceeds the
– from A cells of islets of Langerhans
renal threshold, it is excreted in the urine
- promotes hepatic glycogenolysis and
- This is known clinically as diabetes mellitus
gluconeogenesis
*To cover energy requirements: (during
hypoglycemic state)
6. Epinephrine and norepinephrine
(catecholamines)
1. Gluconeogenesis
- promotes both liver and skeletal glycogenolysis
- Production of glucose from non-
- physical or emotional stress cause increase
carbohydrate sources like proteins will
production of epinephrine and an immediate
increase nitrogen excretion in the urine.
production of glucose for energy
Wasting of body tissues
7. Somatostatin: (delta cells)
- It inhibits secretion of insulin and glucagon
2. Lipolysis
- also inhibits the release of GH
- Breakdown of fats
- Happens when the patient losses 100 – 200 g
8. Growth hormone / Somatotrophic hormone:
of glucose per day
(anterior pituitary gland)
- Leads to ketonemia
- antagonist to insulin; - it stimulates lipolysis
o When aceto acetyl CoA is produced in excess
during catabolism of fats for the capacity of the
9. Human Placental Lactogen (hPL)/Human
extrahepatic tissues to utilize, they accumulate
Chorionic Somatomammotropin
in the blood.
- with anti-insulin activity
- Complication - gestational diabetes
o Renal excretion of acetoacetic acid and B-
hydroxybutyric acid in the form of Na salts Immediate Effects in Increased BGl
o The blood is depleted of Na producing acidosis - Physiologic increase in the uptake of glucose by
o Large quantity of fluid is lost = dehydration liver and brain cells
- Release of insulin
- Increase uptake of glucose by peripheral tissues
Factors that increase blood glucose level - Inhibition of glucagon release
1. Glycogenolysis - Conversion of liver
glycogen into blood glucose Fate of Glucose
2. Gluconeogenesis - Synthesis of blood 1. Blood glucose (also called physiologic sugar)
glucose from non-CHO sources 2. Glycogen - stored glucose
3. Alpha-keto acids – part of non-essential amino
acids
Hormones that increase blood Glucose 4. Constituent of body structures
1. ACTH 5. Lipogenesis – produce adipose fat (from
glycerol)
2. TSH 6. Pyruvate – key metabolite in the Kreb’s cycle
Both ACT and TSH have diabetogenic effect
Pyruvate
- Link between EMP and TCA
- Does not directly enter TCA
- Converted to acetyl CoA
2 steps
o Oxidative decarboxylation of aketoglutaric acid to succinyl
CoA
▪ Enzyme: a-ketoglutaric acid synthetase
o Succinyl CoA undergoes loss of its CoA
▪ Enzyme: succinyl thiokinase or succinyl CoA synthetase
Step 6: Oxidation
Citrate - Oxidation of succinic acid to fumaric acid
- If it accumulates in the mitochondria o Inhibitory - Enzyme: flavoprotein succinate dehydrogenase (w/
to phosphofructokinase FAD)
o Slows glucose metabolism by way of - FADH2 can donate electrons to various
glycolysis s electron acceptors
- If it accumulates in the cytoplasm
o Results in citrate cleavage thru citrate lyase
BIOCHEMSITRY
2 NADH = 6ATP (or 4 ATP’s)
Kreb’s cycle
8 NADH (1 NADH will produce 3 ATP’s)
2 FADH2 (1 FADH2 will produce 2 ATP’s)
2 ATP’s = 2 ATP
Electron transport chain
Step 7: Hydration 3 x 8 NADH = 24 ATP’s
- Water is added to fumarate (4-C) producing malate2 x 2 FADH2 = 4 ATP’s
(4-C)
- Enzyme: fumarase Total: 36 or 38 ATP’s/glucose molecule
- This reaction involves addition of water across the
double bond
Oxygen metabolism
Oxygen - Final receptacle for electrons in the
mitochondrial electron transport system - Too
much of it is dangerous to life - Normal reaction:
2 Types of Phosphorylation
Substrate level phosphorylation
- Process whereby energy derived from oxidation
is used to form high energy PO4 bonds on various
biochemical molecules
- Examples: phosphoenol pyruvate, 1,3-
diphosphoglycerate, phosphocreatine
- Phosphorylated substrate transfers phosphate to
ADP for form ATP 8. The cytochromes and the Fe-S protein
- Happens under anaerobic conditions centers are one-electron carriers.
9. NADH, FADH2 and Q are two-electron
Oxidative phosphorylation carriers
BIOCHEMSITRY
10. For every pair of electrons w/c come fromNADH passes along 2 electrons to
NADH, 3 moles of ATP are generated (1) FMN
11. For every pair of electrons w/c come from(2) iron-sulfur protein (FeS)
FADH2, 2 moles of ATP are generated (3) to coenzyme Q.
13. FADH2 is derived from FAD-linked *CoQH2 is soluble in the lipid membrane
dehydrogenases, including: and can move through the membrane to
o Succinate dehydrogenase of the TCA come into contact with enzyme complex
cycle 3.
o FAD-linked dehydrogenase of the α-
glycerophosphate shuttle (5) Coenzyme QH2 carrying an extra 2
o Acyl CoA dehydrogenase of fatty acid electrons and 2 hydrogen ions starts a
oxidation cascade of events through enzyme complex
o Miscellaneous FAD-linked 3, also known as cytochrome reductase b.
dehydrogenases (Enzyme complex 3)
- Cytochromes are very similar to the structure
The electron transport chain is threefold: of myoglobin or hemoglobin.
1) to pass along 2H+ ions and 2e- to eventually - The significant feature is the heme structure
react with oxygen; containing the iron ions, initially in the +3 state and
2) to conserve energy by forming three ATP's; changed to the +2 state by the addition of an
and electron.
3) to regenerate the coenzymes back to their
original form as oxidizing agents. (6) The CoQH2 passes along the 2 electrons to (a)
cytochrome b1 heme (b) b2 heme , (c)iron-sulfur
Initiation of Electron Transport Chain: protein, (d)cytochrome c1, (e)finally to cytochrome c.
14. NADH interacts with the first complex 1
enzyme, known as NADH reductase. (7) In the meantime the 2 hydrogen ions are
15. This complex 1 contains a coenzyme flavin channeled to the interspace of the mitochondria for
mononucleotide (FMN) which is similar to FAD ultimate conversion into ATP.
16. 2H+ = 1 ATP