10.) Pentose phosphate pathway. Reversible and irreversible reactions of the pathway. Oxidative arm - dehydrogenases reactions, role as a source of NADPH (functions of NADPH!) and ribose-5P. Non-oxidative arm role/importance. Consequences of G6P dehydrogenase deficiency.
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- FrontPentose phosphate pathway (PPP)BackAlso called the hexose monophosphate shunt
- FrontLocation of the pentose phosphate pathwayBackCytosol
- FrontStarting substrate of the pentose phosphate pathwayBackGlucose-6-phosphate
- FrontTwo main jobs of the pentose phosphate pathwayBackMaking NADPH and making ribose-5-phosphate
- FrontTwo parts of the pentose phosphate pathwayBackOxidative phase and nonoxidative phase
- FrontOxidative phase of PPPBackIrreversible phase that produces NADPH, ribulose-5-phosphate, and CO2
- FrontNonoxidative phase of PPPBackReversible phase that interconverts sugars and can produce ribose-5-phosphate or glycolytic intermediates
- FrontDirect ATP use or production by PPPBackThe PPP does not directly use or make ATP
- FrontTissues where PPP is especially importantBackLiver, adipose tissue, adrenal cortex, gonads, lactating mammary gland, and RBCs
- FrontWhy PPP is especially important in certain tissuesBackThese tissues have a high need for NADPH
- FrontMain role of glycolysis compared with PPPBackGlycolysis is mainly for ATP, whereas PPP is mainly for NADPH and pentose sugars
- FrontMain products PPP supplies for biosynthesisBackNADPH for reducing power and ribose-5-phosphate for nucleotide synthesis
- FrontHow PPP is linked to glycolysisBackIts sugars can be converted into fructose-6-phosphate and glyceraldehyde-3-phosphate
- FrontOverall organization of the oxidative phaseBackOxidation plus decarboxylation, irreversible, produces 2 NADPH, ribulose-5-phosphate, and CO2
- FrontOverall organization of the nonoxidative phaseBackSugar interconversions, reversible, converts pentoses into ribose-5-phosphate or glycolytic intermediates
- FrontNumber of irreversible reactions in the oxidative portion of PPPBackThree irreversible reactions
- FrontStep 1 enzyme of the oxidative PPPBackGlucose-6-phosphate dehydrogenase (G6PD)
- FrontStep 1 reaction of the oxidative PPPBackGlucose-6-phosphate → 6-phosphogluconolactone
- FrontCofactor reduced in the G6PD reactionBackNADP+ is reduced to NADPH
- FrontImportance of G6PD in PPPBackIt is the committed, rate-limiting, and regulated step of the pathway
- FrontHigh-yield regulatory enzyme of PPPBackG6PD
- FrontStep 2 enzyme of the oxidative PPPBack6-Phosphogluconolactone hydrolase
- FrontStep 2 reaction of the oxidative PPPBack6-Phosphogluconolactone → 6-phosphogluconate
- FrontType of reaction in step 2 of oxidative PPPBackHydrolysis
- FrontNADPH production in step 2 of PPPBackNo NADPH is produced in this step
- FrontStep 3 enzyme of the oxidative PPPBack6-Phosphogluconate dehydrogenase
- FrontStep 3 reaction of the oxidative PPPBack6-Phosphogluconate → ribulose-5-phosphate + CO2
- FrontCofactor reduced in the 6-phosphogluconate dehydrogenase reactionBackNADP+ is reduced to NADPH
- FrontType of reaction in step 3 of oxidative PPPBackOxidative decarboxylation
- FrontProduct of step 3 of oxidative PPPBackRibulose-5-phosphate
- FrontTwo dehydrogenases in the oxidative arm of PPPBackG6PD and 6-phosphogluconate dehydrogenase
- FrontWhich oxidative PPP reactions generate NADPHBackThe G6PD reaction and the 6-phosphogluconate dehydrogenase reaction
- FrontNet result of the oxidative arm per 1 glucose-6-phosphateBack2 NADPH, 1 ribulose-5-phosphate, and 1 CO2
- FrontRegulation of the oxidative phase of PPPBackRegulated mainly at G6PD
- FrontEffect of high NADPH on G6PDBackNADPH inhibits G6PD
- FrontWhat ratio inhibits the oxidative PPPBackHigh NADPH/NADP+ ratio
- FrontWhat happens to PPP flux when NADPH is being consumedBackNADP+ rises, inhibition falls, and pathway flux increases
- FrontEffect of insulin on G6PD expressionBackInsulin upregulates G6PD expression
- FrontState in which insulin increases PPP activityBackAbsorptive or fed state
- FrontHigh-yield regulation summary for PPPBackHigh NADPH turns PPP off, whereas low NADPH or high NADP+ turns PPP on
- FrontImmediate product of the oxidative phase relevant to pentose metabolismBackRibulose-5-phosphate
- FrontConversion of ribulose-5-phosphate to ribose-5-phosphateBackBy isomerase
- FrontConversion of ribulose-5-phosphate to xylulose-5-phosphateBackBy epimerase
- FrontImportance of ribose-5-phosphateBackNeeded for nucleotide and nucleic acid synthesis
- FrontHigh-yield pentose summaryBackOxidative phase gives ribulose-5-phosphate, and nonoxidative rearrangements can give ribose-5-phosphate
- FrontFunctions of NADPHBackAnabolic processes, glutathione reduction, ribonucleotide reduction, cytochrome P450 detoxification, and nitric oxide synthesis
- FrontNADPH use in anabolic processesBackFatty acid synthesis and steroid synthesis
- FrontNADPH role in RBCsBackReduction of glutathione to maintain reduced glutathione levels
- FrontNADPH role in nucleotide metabolismBackReduction of ribonucleotides to deoxyribonucleotides
- FrontNADPH role in detoxificationBackUsed in cytochrome P450 detoxification
- FrontAdditional NADPH-dependent process from LippincottBackNitric oxide synthesis by NADPH-dependent nitric oxide synthases
- FrontSafest exam list of NADPH functionsBackFatty acid synthesis, steroid or cholesterol synthesis, glutathione reduction, ribonucleotide reduction, cytochrome P450 detoxification, and nitric oxide synthesis
- FrontPPP tissue importance in adrenal tissueBackSteroid hormone synthesis
- FrontPPP tissue importance in liverBackFatty acid synthesis, cholesterol synthesis, detoxification, and reduction of glutathione
- FrontPPP tissue importance in testes and ovariesBackSteroid synthesis
- FrontPPP tissue importance in RBCsBackMaintaining reduced glutathione (GSH) levels
- FrontHigh-yield RBC PPP conceptBackRBCs need PPP mainly for NADPH to keep glutathione reduced
- FrontNature of the nonoxidative arm of PPPBackReversible sugar-shuffling pathway
- FrontMain job of the nonoxidative armBackInterconvert sugars with 3 to 7 carbons
- FrontPurpose of the nonoxidative armBackAllows the cell to adapt depending on whether it needs more ribose-5-phosphate, NADPH, or glycolytic intermediates
- FrontIsomerase reaction in the nonoxidative armBackRibulose-5-phosphate ⇌ ribose-5-phosphate
- FrontEpimerase reaction in the nonoxidative armBackRibulose-5-phosphate ⇌ xylulose-5-phosphate
- FrontFunction of transketolaseBackTransfers 2-carbon fragments
- FrontCofactor required by transketolaseBackTPP (thiamine pyrophosphate)
- FrontFunction of transaldolaseBackTransfers 3-carbon fragments
- FrontHigh-yield distinction between transketolase and transaldolaseBackTransketolase transfers 2-carbon units and requires TPP, whereas transaldolase transfers 3-carbon units
- FrontMajor glycolytic end products of the nonoxidative armBackFructose-6-phosphate and glyceraldehyde-3-phosphate
- FrontWhy PPP is tightly linked to glycolysisBackNonoxidative PPP can generate F6P and GAP, which are glycolytic intermediates
- FrontImportance of the nonoxidative armBackAllows the cell to balance the need for ribose-5-phosphate, NADPH, and ATP
- FrontLecture principle determining PPP flux patternBackThe need for ribose-5-phosphate, NADPH, and ATP is decisive
- FrontSituation when more ribose-5-phosphate than NADPH is neededBackRibose-5-phosphate can be made from glycolytic intermediates without strongly using the oxidative NADPH-producing steps
- FrontClassic example of needing ribose-5-phosphate more than NADPHBackRapidly dividing cells needing nucleotides
- FrontSituation when ribose-5-phosphate and NADPH are needed in balanced amountsBackThe oxidative phase runs and ribulose-5-phosphate is converted to ribose-5-phosphate so both products are used
- FrontSituation when much more NADPH than ribose-5-phosphate is neededBackThe oxidative phase makes NADPH, and the nonoxidative phase recycles excess pentose phosphates into F6P and GAP
- FrontHow excess pentose phosphates are handled when NADPH demand is highBackConverted by the nonoxidative arm into F6P and GAP, which can re-enter glycolysis or regenerate G6P
- FrontHigh-yield role of the nonoxidative armBackIt is a flexible connector between PPP and glycolysis
- FrontIrreversible oxidative PPP summaryBackG6P → 6-phosphogluconolactone by G6PD with NADPH formation, then 6-phosphogluconolactone → 6-phosphogluconate, then 6-phosphogluconate → ribulose-5-phosphate + CO2 by 6-phosphogluconate dehydrogenase with NADPH formation
- FrontReversible nonoxidative PPP summaryBackRibulose-5-phosphate interconverts with ribose-5-phosphate and xylulose-5-phosphate, and transketolase and transaldolase reactions generate F6P and GAP
- FrontEffect of G6PD deficiency on PPPBackDecreases the ability of the cell to make NADPH
- FrontWhy G6PD deficiency is most severe in RBCsBackRBCs use the PPP as their only source of NADPH
- FrontRelative vulnerability of RBCs in G6PD deficiencyBackRBCs are the most vulnerable cells
- FrontWhy other tissues are less affected by G6PD deficiencyBackThey have alternative sources of NADPH
- FrontRole of NADPH in RBC antioxidant defenseBackNADPH is needed by glutathione reductase to keep glutathione in the reduced form
- FrontRole of reduced glutathione in RBCsBackProtects against free radicals and peroxides
- FrontMechanism of hemolysis in G6PD deficiencyBackLow NADPH leads to low reduced glutathione, causing oxidative damage to hemoglobin and membrane proteins
- FrontOxidized hemoglobin inclusions in G6PD deficiencyBackHeinz bodies
- FrontWhy RBCs hemolyze in G6PD deficiencyBackRBCs become rigid and are removed by spleen and liver macrophages, causing hemolytic anemia
- FrontClassic triggers of hemolysis in G6PD deficiencyBackOxidant drugs, fava beans, and severe infection
- FrontMain clinical consequence of G6PD deficiencyBackHemolytic anemia
- FrontWhen hemolysis occurs in G6PD deficiencyBackOften during episodes of oxidant stress
- FrontAdditional clinical consequence of G6PD deficiencyBackJaundice
- FrontImportant neonatal consequence of G6PD deficiencyBackNeonatal jaundice
- FrontInheritance pattern of G6PD deficiencyBackX-linked
- FrontImmediate biochemical problem in G6PD deficiencyBackDecreased reduced glutathione
- FrontClean RBC logic chain for G6PD deficiencyBackG6PD deficiency → decreased NADPH → decreased reduced glutathione → oxidative damage in RBCs → Heinz bodies and membrane damage → hemolysis
- FrontAdditional high-yield PPP fact about transketolaseBackTransketolase requires TPP and its activity is decreased in thiamine deficiency
- FrontHigh-yield location of PPPBackPPP occurs in the cytosol
- FrontHigh-yield phase distinction in PPPBackOxidative phase is irreversible and nonoxidative phase is reversible
- FrontHigh-yield regulatory step of PPPBackG6PD is the committed, rate-limiting, regulated step
- FrontHigh-yield NADPH yield of oxidative PPPBackTwo NADPH are made per glucose-6-phosphate in the oxidative phase
- FrontHigh-yield dehydrogenases of oxidative PPPBackG6PD and 6-phosphogluconate dehydrogenase
- FrontHigh-yield role of PPP in nucleotide synthesisBackProvides ribose-5-phosphate for nucleotide synthesis
- FrontHigh-yield functions of PPP-derived NADPHBackFatty acid synthesis, steroid synthesis, glutathione reduction, cytochrome P450 detoxification, and ribonucleotide reduction
- FrontHigh-yield RBC dependence on PPPBackRBCs depend on PPP as their only source of NADPH
- FrontHigh-yield disease association of G6PD deficiencyBackG6PD deficiency causes oxidant-induced hemolytic anemia
- FrontCheat-sheet main purpose of PPPBackMakes NADPH and ribose-5-phosphate, occurs in the cytosol, and starts from glucose-6-phosphate
- FrontCheat-sheet oxidative phase of PPPBackG6P → 6-phosphogluconolactone by G6PD with NADPH formation, 6-phosphogluconolactone → 6-phosphogluconate, and 6-phosphogluconate → ribulose-5-phosphate + CO2 by 6-phosphogluconate dehydrogenase with NADPH formation
- FrontCheat-sheet products of oxidative PPPBack2 NADPH, ribulose-5-phosphate, and CO2
- FrontCheat-sheet nonoxidative PPPBackRibulose-5-phosphate interconverts with ribose-5-phosphate and xylulose-5-phosphate, transketolase requires TPP, transaldolase participates, and end products include F6P and GAP
- FrontCheat-sheet functions of NADPHBackFatty acid synthesis, steroid or cholesterol synthesis, glutathione reduction, ribonucleotide reduction, cytochrome P450 detoxification, and nitric oxide synthesis
- FrontCheat-sheet G6PD deficiencyBackDecreased NADPH, decreased reduced glutathione in RBCs, oxidative damage, Heinz bodies, hemolytic anemia, and triggers including oxidant drugs, fava beans, and infections
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