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Chapts 27-31 topics Chapts. 27-31 Carbohydrate topics Student Learning Outcomes: • Explain basic processes of digestion, absorption and transport of carbohydrates (and lactose intolerance) • Describe formation, degradation of glycogen • Describe essentials of other sugar metabolism: • Pentose phosphate path, fructose, galactose • Describe the basic path of gluconeogenesis Chapt. 27 Carbohydrates digestion Carbohydrates are major source of calories (~40%) • Digested by specific enzymes: • Starch (plants) - a-amylase • Lactose – b-galactosidase, lactase Fig. 1 sugars • Sucrose - sucrase • High fructose syrup • Isomerized from starch Cellulose is fiber Glycosidases cleave carbohydrates Overview of carbohydrate digestion, absorption a-amylases (saliva, pancreas) • • Saliva starts breakdown Pancreatic enzyme in intestine • Disaccharidases in intestine • Monosaccharides enter blood through intestinal epithelium facilitative diffusion transporters or Na+-dependent glucose transporters • Fiber and remaining compounds digested by bacteria in colon Fig. 2 Disaccharidases Disaccharidases located in intestinal brush border • Hydrolyze disaccharides Fig. 4,5 • Anchored in membrane • Transmembrane N-end • Are glycosylated • Two enyzme activities • Table 1 • Ex. Sucrase-isomaltase: • a 1,4 bond • a 1,6; a 1,4 B-glycosidase complex b-glycosidase complex: glycoprotein • Anchored as phosphtidylglycan to COOH end • Lactase hydrolyzes lactase • Other enzyme does glycolipids (glucose-ceramide) Fig. 10.6 Fig. 9 Fiber Fiber is indigestible carbohydrates • Colonic bacteria metabolize leftover saccharides • Generate gas (H2, CO2, CH4) • Lactate • Short fatty acids • Acetic, butyric • Some absorbed by body • Incomplete digestion products lead to diarrhea Fig. 10 Lactose intolerance Lactose intolerance: (see Table 2) • Low levels lactase (late-onset) • Adult levels are low in many populations • Injestion of lactose → pain, nausea, flatulence, diarrhea • Can mix lactase enzyme with food first Absorption of sugars Sugars are absorbed through intestinal epithelia: • Glucose through Na+-dependent transporters: • let in Na+ and glucose, galactose also (can concentrate) • Glucose through facilitated transport (GLUT 1-5) • • Different isoforms 12 membrane-spans • Fructose and galactose Use glucose transporters Fig. 12 Insulin and GLUT4 Insulin stimulates glucose transport into muscle and adipose cells by increasing transporters • Glucose goes through cells blood-brain barrier Figs. 13,14 Synthesis of glycogen Chapt. 28 Synthesis, degradation of glycogen a 1.4 glycosidic, a 1,6 branches, • protein glycogenin on end • Major role in liver is blood glucose • Major role in muscle is ATP • Some people have defects glycogen metabolism Fig. 28. 1,2 Glycogen synthesis and degradation Different enzymes for synthesis, degradation • Starts and ends with glucose-1-Phosphate • Careful regulation • Synthesis: UDP-G pyrophosphorylase costs 1 UTP (2 P~P) each UDP-G other paths Glycogen synthase Branching enzyme • Degradation: Debrancher enzyme Glycogen phosphorylase Fig. 3 Glycogen synthesis and degradation Glycogen has branch every 8-10 glucose residues Synthesis: branching helps: solubility more sites for synthesis and degradation Degradation: Phosphorylase uses Pi to break Branching enzyme does residues near branch Branch sugar yield glucose (not PO4) Figs. 28.5,6 Regulation of glycogen metabolism is critical Regulation of glycogen in liver: • responds to hormones glucagon, epinephrine via cAMP, PKA Reciprocal phosphates activate, inhibit: • Glycogen synthase PO4 inhibit • Phosphorylase kinase • Glycogen phosphorylase PO4 activates • Phosphatases remove PO4 Dotted lines decreased in fasting state Fig. 8 Muscle glycogenolysis Exercise activates muscle glycogenolysis: Initiated by muscle contraction, nerve impulse or epinephrine • AMP allosteric activator of glycogen phosphorylase (Fig. 9.8) • Nerve signal Ca2+ release, binds calmodulin (Fig. 9.10) Activates phosphorylase kinase • Epinephrine through PKA activates same phosphorylase kinase Result: active PO4 Glycogen phosphorylase and glucose-1-P Fig. 11 Ch. 29 Pentose phosphate pathway, fructose, galactose Metabolism of other sugars: • Fructose – common in diet • Sucrose, high fructose corn syrup • Galactose – from lactose Metabolized to glycolysis intermediates Hereditary defect diseases • Pentose phosphate path Forms reducing power (NADPH) for detoxification, biosynthesis Forms 5-C sugars for nucleotides ‘bypass part of glycolysis’ Fig. 1 fructose Fructose Fructose is metabolized to intermediates of glycolysis • Fructokinase forms F-1-PO4 Essential fructosuria people lack enzyme • Aldolase critical: 3 isoforms All do glycolysis F 1,6-P Only Aldolase B Cleaves F-1-P Hereditary fructose intolerance: can be fatal: accumulate F-1-P in liver impaired gluconeogenesis, glycogenolysis; hypoglycemia Fig. 3 Galactose Galactose is converted to Glucose-1-P • Galactokinase forms Gal-1-P • Galatose 1-P uridylyltransferase forms Glucose 1-P uses UDP-glucose and forms UDP-galactose • Epimerase can regenerate UDP-glucose Lot of galactose from Lactose; Classic galactosemic accumulates Gal-1-P liver, impaired glycogen synthesis Fig. 5 Pentose phosphate pathway Pentose phosphate pathway: • Bypass of part of glycolysis • Generates NADPH (reducing power) • • Biosynthesis fatty acids Cholesterol, DNTP, Detox reactions • 5-C sugars (ribose PO4) • Can rearrange back into glycolysis compounds • Regulation by cell needs Fig. 2 Gluconeogenesis essentials Gluconeogenesis in the liver makes glucose: • Critical need for glucose especially red blood cell, brain • During fasting, liver mobilizes glycogen, makes new glucose from noncarbohydrates • (see also Chapters 1-3) Fig. 2 Gluconeogenesis Gluconeogenesis: • Main precursors are lactate, glycerol, amino acids • Many steps are reversals of glycolysis reactions • 3 critical irreversible steps have separate enzymes (these also regulated) Fig. 1* Gluconeogenesis occurs in mitochondrion and cytosol Gluconeogenesis: • Complex conversion of pyruvate back to PEP (vs. oxidation of PEP by pyruvate kinase, PDC) • Mitochondrion, cytosol • Gluconeogenesis is highly regulated Fig. 5 Blood glucose sources Sources of blood glucose in fed, fasting, starved • Liver uses glycogenolysis • Muscle uses its glycogen, not contribute to blood level (lack G-6-Phosphatase) • Gluconeogenesis spares body protein Fig. 20 Review question Chapt 27 After digestion of a piece of cake that contains flour, milk and sucrose as its primary incredients, the major carbohydrate products that enter the blood are which of the following: a. glucose b. fructose and galactose c. galactose and glucose d. fructose and glucose e. glucose, galactose and fructose Review question Ch. 29 29.1 Hereditary fructose intolerance is a rare recessive genetic diseases that is most commonly caused by a mutation in exon 5 of the aldolase B gene. The mutation creates a new AhaII recognition sequence. To test for the presence of the disease, DNA was extracted from parents and their two children; After PCR and enzyme digestion, DNA run on gel: Which conclusion can be made: a. Both children have the disease b. Neither child has the disease c. Jill has the disease, not Jack d. Jack has the diasese, not Jill e. There is not enough information to make a determination