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    Biochemistry

    Sixth Edition

    Chapter 27

    The Integration of Metabolism

    Copyright 2007 by W. H. Freeman and Company

    Berg Tymoczko Stryer

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    Metabolism consists of highly interconnected pathways

    1. ATP is the universal currency of energy.

    2. ATP is generated by the oxidation of fuel molecules

    such as glucose, fatty acids, and amino acids.

    3. NADPH is the major electron donor in reductive biosyntheses.

    4. Biomolecules are constructed from a small set of building blocks.

    5. Biosynthetic and degradative pathways are almost always distinct.

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    Recurring motifs are common in metabolic regulation

    1. Allosteric interactions. Phosphofructokinase is the classicexample of allosteric regulation.

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    Recurring motifs are common in metabolic regulation

    1. Allosteric interactions.ATP/AMP ratio regulates

    allosterically phosphofructokinase activity.

    Fructose 1,6-bisphosphate

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    Recurring motifs are common in metabolic regulation

    1. Allosteric interactions.Allosteric regulation of phosphofructokinase.

    A high level of ATP inhibits the enzyme by decreasing its affinity for fructose6-phosphate. AMP diminishes and citrate enhances the inhibitory effect of ATP.

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    Recurring motifs are common in metabolic regulation

    1. Allosteric interactions. Regulation of phosphofructokinase by fructose

    2,6-bisphosphate (F-2,6-BP). In high concentrations, fructose 6-phosphate

    (F-6P) activates the enzyme phosphofructokinase (PFK) through an

    intermediary, fructose 2,6-bisphosphate (F-2,6-BP).

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    Recurring motifs are common in metabolic regulation

    1. Allosteric interactions.Activation of phosphofructokinase by fructose

    2,6-bisphosphate (F-2,6-BP). (A) The sigmoidal dependence of velocity on substrate

    concentration becomes hyperbolic in the presence of 1 mM fructose 2,6-bisphosphate.

    (B) ATP, acting as a substrate, initially stimulates the reaction. As the concentration of

    ATP increases, it acts as an allosteric inhibitor. The inhibitory effect of ATP isreversed by fructose 2,6-bisphosphate.

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    Recurring motifs are common in metabolic regulation

    2. Covalent modifications.The classic example of reversible

    covalent modification of proteins is the phosphorylation.

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    Recurring motifs are common in metabolic regulation

    2. Covalent modifications.Other examples of reversible

    covalent modifications of proteins.

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    Recurring motifs are common in metabolic regulation

    3. Adjustment of enzyme levels. New protein synthesis requiresactivation of the machinery of transcription and translation.

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    3. Adjustment of enzyme levels. In the protein degradation pathway mediated

    by ubiquitin-proteasome, energy from ATP is used to tag an unwanted protein

    with a chain of ubiquitins marking it for destruction. The protein is then

    hydrolyzed into small peptides by the proteasome.

    Recurring motifs are common in metabolic regulation

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    3. Adjustment of enzyme levels.An enzyme changes its Vmax in

    response to changes in total enzyme.

    Recurring motifs are common in metabolic regulation

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    Recurring motifs are common in metabolic regulation

    4. Compartmentation.

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    Recurring motifs are common in metabolic regulation

    5. Metabolic specializations of organs.

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    Major metabolic pathways have specific control sites

    1. Glycolysis. Phosphofructokinase is the key enzyme in the regulation of glycolysis.

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    Major metabolic pathways have specific control sites

    1. Glycolysis.Regulation of glycolysis in muscle.At rest (left), glycolysis is not very active

    (thin arrows). The high concentration of ATP inhibits phosphofructokinase (PFK), pyruvate kinase,

    and hexokinase. Glucose 6-phosphate is converted into glycogen. During exercise (right), the

    decrease in the ATP/AMP ratio resulting from muscle contraction activates PFK and hence glycolysis.The flux down the pathway is increased, as represented by the thick arrows.

    M j b li h h ifi l i

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    Major metabolic pathways have specific control sites

    2. Gluconeogenesis. Fructose 1,6-bisphosphatase is the principal enzymecontrolling the rate of gluconeogenesis.

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    Reciprocal regulation of gluconeogenesis and glycolysis in the liver. The

    level of fructose 2,6-bisphosphate is high in the fed state and low in starvation. Anotherimportant control is the inhibition of pyruvate kinase by phosphorylation during starvation.

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    Pathway integration: Cooperation between glycolysis and gluconeogenesis during a sprint.In skeletal leg muscle, glucose will be metabolized aerobically to CO2 and H20 or, more likely (thick arrows) during a

    sprint, anaerobically to lactate. In cardiac muscle, the lactate can be converted into pyruvate and used as a fuel,

    along with glucose, to power the sprint. Gluconeogenesis, a primary function of the liver, will be taking place rapidly

    (thick arrows) to ensure that enough glucose in present in the blood for skeletal and cardiac muscle, as well as for

    other tissues. Glycogen, glycerol, and amino acids are other sources of energy.

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    Cellular respiration.The citricacid cycle constitutes the first stage in cellular respiration, theremoval of high-energy electrons from carbon fuels (left). These electrons reduce O2 to generate a

    proton gradient (pink pathway), which is used to synthesize ATP (green pathway). The reduction of

    O2 and the synthesis of ATP constitute oxidative phosphorylation.

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    Response of the pyruvate dehydrogenase complex to the

    energy charge.The pyruvate dehydrogenase complex is regulated torespond to the energy charge of the cell. (A) The complex is inhibited

    by its immediate products, NADH and acetyl CoA, as well as by the

    ultimate product of cellular respiration, ATP. (B) The complex is

    activated by pyruvate and ADP, which inhibit the kinase thatphosphorylates PDH.

    From glucose to acetyl

    CoA. The synthesis of acetylCoA by the pyruvate

    dehydrogenase complex is a

    key irreversible step in the

    metabolism of glucose.

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    Control of the citric acid cycle. The citric acid cycle is regulated primarily by theconcentration of ATP and NADH. The key control points are the enzymes isocitrate

    dehydrogenase and a-ketoglutarate dehydrogenase.

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    Biosynthetic roles of the citric acid cycle. Intermediates are drawn off for thebiosyntheses (shown by pink arrows) when the energy needs of the cell are met.

    Intermediates are replenished by the formation of oxaloacetate from pyruvate.

    Major metabolic pathways have specific control sites

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    Pathway integration: Pathways active during exercise after a nights rest.The rate of the citric acid cycle increases during exercise, requiring the replenishment of

    oxaloacetate and acetyl CoA. Oxaloacetate is replenished by its formation from pyruvate.

    Acetyl CoA may be produced from the metabolism of both pyruvate and fatty acids.

    Major metabolic pathways have specific control sites

    Regulation of the pentose phosphate pathway

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    Regulation of the pentose phosphate pathway

    The dehydrogenation of glucose 6-phosphate is the committed step

    in the pentose phosphate pathway

    Regulation of glycogen metabolism

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    Regulation of glycogen metabolism

    Pathway integration: Hormonal control of glycogen breakdown.Glucagon

    stimulates liver glycogen breakdown when blood glucose is low. Epinephrine enhancesglycogen breakdown in muscle and the liver to provide fuel for muscle contraction.

    Regulation of fatty acid synthesis

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    Regulation of fatty acid synthesis

    Acetyl CoA carboxylase is the key control site in fatty acid synthesis

    Control of fatty acid degradation

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    Control of fatty acid degradation

    Malonyl CoA inhibits fatty acid degradation by inhibiting the formation

    of acyl carnitine

    Glucose 6-phosphate pyruvate and acetyl CoA are

    Glucose 6-phosphate pyruvate and acetyl CoA are

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    Glucose 6-phosphate, pyruvate, and acetyl CoA are

    key junctions in metabolism

    Metabolic fates of glucose 6-phosphate

    Glucose 6-phosphate, pyruvate, and acetyl CoA are

    key junctions in metabolism

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    Glucose 6-phosphate pyruvate and acetyl CoA are

    Each organ has a unique metabolic profile: the brain

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    Glucose 6-phosphate, pyruvate, and acetyl CoA are

    key junctions in metabolismEach organ has a unique metabolic profile: the brain

    a) lacks fuel stores and hence requires a continuous supply of glucose.

    b) Consumes about 120 g of glucose daily, accounting for some 60%

    of the utilization of glucose by the whole body in the resting state.

    c) Uses much of the energy (60-70%) to power transport mechanisms

    that maintain the Na+-K+ membrane potential required for the transmission

    of the nerve impulses.

    Glucose is virtually the sole fuel for the human brain, except

    during prolonged starvation.

    Brain:

    Glucose 6-phosphate pyruvate and acetyl CoA are

    Each organ has a unique metabolic profile: the brain

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    Glucose 6-phosphate, pyruvate, and acetyl CoA are

    key junctions in metabolismEach organ has a unique metabolic profile: the brain

    d) Uptakes glucose by the glucose transporter GLUT3, which has a low

    value of KM

    for glucose (1.6 mM). GLUT3 is nearly saturated under most

    conditions, given during fasting the concentration of glucose in the blood

    and in the brain are 4.7 mM (84.7 mg/dL) and 1 mM, respectively.

    e) Slows its glycolysis rate when the glucose level approaches the KM

    value of hexokinase (~ 50 mM), the enzyme that traps glucose in the cell.This danger point is reached when the plasma-glucose level drops below

    about 2.2 mM (39.6 mg/dL) and thus approaches the KM value of GLUT3.

    f) Does not uses fatty acids as fuel. In starvation, ketone bodies

    generated by the liver partly replace glucose as fuel for the brain.

    Glucose is virtually the sole fuel for the human brain, except

    during prolonged starvation.

    Brain:

    Each organ has a unique metabolic profile: the muscle

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    The major fuels for skeletal muscle are fatty acids,

    glucose, and ketone bodies.

    Each organ has a unique metabolic profile: the muscle

    In resting skeletal muscle, fatty acids are the major fuel,

    meeting 85% of the energy needs.

    Muscle differs from the brain in having a large store of glycogen,

    equivalent to 5,000 kJ of energy (about total glycogen

    is stored in muscle).

    Muscle, like the brain, lacks glucose 6-phosphatase, and so it does

    not export glucose. Rather, muscle retains glucose, its preferred

    fuel for bursts of activity.

    Each organ has a unique metabolic profile: the muscle

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    Metabolic interchanges between muscle and the liver

    Each organ has a unique metabolic profile: the muscle

    Pathway integration: the glucose-alanine cycle

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    Pathway integration: the glucose-alanine cycle

    During prolonged exercise and fasting, muscle uses branched-chain amino acid as fuel. The nitrogen

    removed is transferred (through glutamate) to alanine, which is released into the bloodstream. Inthe liver, alanine is taken up and converted into pyruvate for the subsequent synthesis of glucose.

    Each organ has a unique metabolic profile: the muscle.

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    Each organ has a unique metabolic profile: the muscle.

    Unlikely skeletal muscle, heart muscle functions almost

    exclusively aerobically.

    The heart has virtually no glycogen reserves.

    Fatty acids are the hearts main source of fuel, although

    ketone bodies as well as lactate can serve as fuel.

    Each organ has a unique metabolic profile:

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    Each organ has a unique metabolic profile:

    the adipose tissue

    The triacylglycerols stored in adipose tissue are

    an enormous reservoir of metabolic fuel.

    In a typical 70-kg man, the 15 kg of tryacylglycerols have an

    energy content of 565,000 kJ.

    Adipose tissue is specialized for the esterification of fatty acids

    to form triacylglycerols and for ther release from triacylglycerols.

    Each organ has a unique metabolic profile: the adipose tissue

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    Each organ has a unique metabolic profile: the adipose tissue

    Synthesis and degradation of triacylglycerols by adipose tissue. Fatty acids from

    the liver are delivered to adipose cells in the form of triacylglycerols contained in very lowdensity lipoproteins (VLDLs). Fatty acids from the diet are transported in chylomicrons.

    Each organ has a unique metabolic profile: the kidney

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    Each organ has a unique metabolic profile: the kidney

    The major purpose of the kidneys is to produce urine.

    Urine serves as a vehicle for excreting metabolic waste products

    and for maintaining the osmolarity of the body fluids.

    The kidneys requiere large amounts of energy to accomplishrenal reabsorption. Although constituting only 0.5% of body mass,

    the kidneys consume 10% of the oxygen used in cellular respiration.

    Much of the glucose that is reabsorbed is carried into the kidney

    cells by the sodium-glucose cotransporter.

    During starvation, the kidney becomes an important site of

    gluconeogenesis and may contribute as much as half of the

    blood glucose.

    Each organ has a unique metabolic profile: the liver

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    Each organ has a unique metabolic profile: the liver

    The metabolic activities of the liver are essential for

    providing fuel to the brain, muscle, and other

    peripheral organs.

    The liver, which can be from 2-4% of body weight,

    is an organisms metabolic hub.

    Each organ has a unique metabolic profile: the liver

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    Each organ has a unique metabolic profile: the liver

    How the liver metabolizes carbohydrates? The liver:

    a) removes 2/3 of the glucose from the blood andall the remaining monosaccharides after meals.

    b) left some glucose in blood for use by other tissues.

    c) converts absorbed glucose into glucose 6-phosphate, mainlyfor glycogen synthesis. Excess of glucose 6-phosphate is

    metabolized to acetyl CoA, which is used to form fatty acids,

    cholesterol, and bile salts.

    d) supplies NADPH for reductive biosynthesis through proccesing

    glucose 6-phosphate by the pentose phosphate pathway.

    e) produces glucose for release into the blood by breaking down

    its store of glycogen and by carrying out gluconeogenesis from

    lactate and alanine from muscle, glycerol from adipose tissue,

    and glucogenic amino acid from the diet.

    Each organ has a unique metabolic profile: the liver

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    Each organ has a unique metabolic profile: the liver

    How the liver metabolizes lipids? The liver:

    a) Sterifies and secretes as VLDLs the fatty acids from the diet

    or synthesized by the liver when fuels are abundant.

    b) Converts fatty acids into ketone bodies in the fasting state.

    Each organ has a unique metabolic profile: the liver

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    ac o ga as a u que etabo c p o e t e e

    Lipolysis generates fatty acids and glycerol.The fatty acids are used as fuel bymany tissues. The liver processes glycerol by either the glycolytic or the gluconeogenic

    pathway, depending on its metabolic circumstances.

    Each organ has a unique metabolic profile: the liver

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    g q p

    Diabetic ketosis results when insulin is absent.In the absence of insulin, fats are releasedfrom adipose tissue, and glucose cannot be absorbed by the liver or adipose tissue. The liver

    degrades the fatty acids by b-oxidation but cannot process the acetyl CoA, because of a lack of

    glucose-derived oxaloacetate (OAA). Excess ketone bodies are formed and released into the blood.

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    Food intake and starvation induce metabolic changes

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    g

    Fuel choice during starvation.The plasma levels of fatty acids and ketone

    bodies increase in starvation, whereas that of glucose decreases.

    Metabolic adaptations in prolonged starvation

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    p p g

    mimimize protein degradation

    After several weeks of starvation, ketone

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    ,

    bodies become the major fuel of the brain

    Synthesis of ketone bodiesby the liver

    Entry of ketone bodies intothe citric acid cycle

    Fuel choice during exercise is determined

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    g

    by the intensity and duration of activity

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    Fuel choice during exercise is determined

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    Dependence of the velocity of running on the duration of the race.The values shown are world track records.

    by the intensity and duration of activity

    Shuttle for transfer of acetyl groups from mitochondria to the cytosol

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    Shuttle for transfer of acetyl groups from mitochondria to the cytosol

    Role of PPAR-gamma Coactivators in Obesity and Thermogenesis

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