Gluconeogenesis
Glucose
form
non carbohydrate source
Dr. Dhiraj
Gluconeogenesis
• Synthesis of new glucose
• Also called as endogenous glucose production
• Required because –
• Erythrocyte, lens, testes and renal medulla
exclusively use glucose for ATP.
• Brain requires glucose but in starvation can adapt
to use ketone bodies
• To clear lactic acid from skeletal muscle and
erythrocyte
• To some extent reduce NH3 toxicity
Gluconeogenesis
• Failure of gluconeogenesis
• leads to Hypoglycemia causes brain dysfunction
• leads to coma and may be death.
• Ketoacidosis, Lactic acidosis
• Excessive gluconeogenesis leads to hyperglycemia
85% 15%
Gluconeogenesis
• Major site of Gluconeogenesis
• Liver – contribute 85%,
• Kidney -- kidney and intestine contributes 15%
• But - During prolonged fasting kidney can
contribute up to 40%
• Gluconeogenic substances
• Pyruvate, Lactate, Glycerol, Propionic acid
• Glycogenic amino acids --Alanine, glutamine,
Gluconeogenesis
• Pathways involved in gluconeogenesis are
• TCA cycle
• glycolysis --- Reversal of seven reactions
• Some special reactions like
• Cori cycle and Glucose alanine cycle
• Adipose tissue -- Glycerol
• Consumes six moles of ATP per glucose
synthesized
Key reactions of gluconeogenesis
Involves Conversion of
1. pyruvate to phosphoenolpyruvate
2. Fructose 1,6 Bisphosphate to Fructose 6
Phosphate
3. Glucose 6 Phosphate to Glucose
Key Enzymes of gluconeogenesis
Pyruvate
Phosphoenol Pyruvate
1. Pyruvate carboxylase
2. PEP carboxy kinase
Fructose 1,6
Bisphosphate
Fructose 6 Phosphate
3. Fructose 1,6 Bis
Phosphatase
Glucose
Glucose 6
Phosphate
4. Glucose 6
Phosphatase
Gluconeogenesis from Lactate
Lactate produced in
skeletal muscle , RBC
brought to liver by
Cori cycle
Pyruvate
Lactate
NADH + H +
NAD+
Lactate DH
In cytosol
Pyruvate
Enters mitochondria
Cytoplasm
Mitochondria
Oxaloacetate
Pyruvate
Pyruvate
Lactate
NADH + H +
NAD+LDH
Malate
ADP + Pi
CO2 + ATP
Pyruvate carboxylase (Biotin)
NADH + H +
NAD+
MDH 1
Malate
Oxaloacetate PEP
X
NADPH + H +
NADP+
MDH 2
PEP CK
First bypass reaction in gluconeogenesis
Malate shunt
GTP GDP +
CO2
1
2
3
4
5
Pyruvate to Phosphoenol pyruvate
Reversible steps of
glycolysis
Phosphoenol pyruvate
2- Phosphoglycerate
3- Phosphoglycerate
1,3- Bis Phosphoglycerate
Glyceraldehyde 3- phosphate
Fructose 1-6 Bisphosphate
Reactions
taking place
in cytosol
Bypass 2
Fructose-1,6-bisphosphate to Fructose-6-phosphate
Enzyme is
present in
Liver, kidney
and skeletal
muscle
Absent in
heart and
smooth muscle
Fructose 1, 6 BisPhosphate
Fructose 6 Phosphate
Fructose 1,6
bisPhosphatease
H2O
Pi
Inhibitores --
AMP, F2,6 BP ,
Insulin
Activators --
ATP, Citrate, Glucagon
X

Bypass 3
Glucose-6-phosphate to Glucose
• Glucose 6 Phosphatase
is found only in liver and
kidney
• Absent in muscle &
adipose tissue , brain
• (Reaction takes place in
smooth endoplasmic
reticulum)
Glucose 6 Phosphate
Free Glucose
Glucose 6 Phosphatase
H2O
Pi
Glucagon
Insulin
X

Regulation of Gluconeogenesis
controlled by Regulating key enzymes of
irreversible steps
Activators / inducers Inhibitors / repressors
Glucagon
Acetyl CoA
Citrate,
ATP
Glycogenic amino acids
Carbohydrate feeding
Insulin
AMP
Fasting state / hypoglycemia
Diabetes
Significance of Gluconeogenesis
• Keep blood glucose level stable
• Remove lactate form skeletal muscle, RBC
• Supply glucose to active skeletal muscle
• Replenish liver Glycogen
• Utilizes glycerol and propionate from
adipose tissue
• Regulate acid base balance
Energetics of Gluconeogenesis
• Two high energy phosphate bonds one from ATP and one from
GTP are hydrolyzed during conversion of pyruvate to PEP
• As 2 Pyruvate required for one glucose 2 ATP and 2 GTP are used
• Two more ATP required for conversion of 3-PG to 1,3-BPG
• Therefore total Six ATP required for one glucose synthesis
• Also NADH is used up and hence additional 6 ATP lose
Gluconeogenesis
from
Glycerol
Triacyl glycerol
glycerol
Free fatty
Acid
glycerol
glycerol
Glycerol 3 phosphate
DHAP
Glyceraldehyde 3 P
Glucose
Glucose
For
Extra hepatic
Tissue
Glycerokinase
G3PDH
Cori cycle
removal of Lactate and
replenishing of glucose to skeletal muscle
Pathway operate in active skeletal muscle
Gluconeogenesis in liver from lactate
Cori
cycle
In active
muscle
to
replenish
glucose
Why skeletal muscle require Cori cycle?
In active skeletal muscle mitochondria is less
NADH / NAD ratio is low as compared to liver and heart
muscle
Hence to continue glycolysis and generate ATP
Reduction of pyruvate is required
this generates Lactate
If Lactate accumulate it causes Lactic acidosis
Hence it should be removed through Cori cycle.
Glucose alanine cycle
Important in starvation
Gluconeogenesis form Glycogenic amino acids
Glucose
Alanine
cycle
In Fasting
state
Remove
end
product
inhibition
Glucose
Pyruvate
Lactate
Alanine
Amino acid
Glutamate
Keto glutarate
Glucose
Pyruvate
Alanine
Urea
Keto glutarate
Glutamate
CitrateMalate
Fumarate
Succinyl CoA α -Ketoglutarate
Oxaloacetate
oxalosuccinate
Aspartate
Glutamic acid
Histidine
Proline
Hydroxyproline
Arginine
Ornithine
Valine
Isoleucine
Methionine
Phenylalanine
Tyrosine
Glycine
Serine
Alanine
Cysteine
Threonine
Pyruvate
Entry of amino acids in TCA cycle
Thank you

Class 4 gluconeogenesis

  • 1.
  • 2.
    Gluconeogenesis • Synthesis ofnew glucose • Also called as endogenous glucose production • Required because – • Erythrocyte, lens, testes and renal medulla exclusively use glucose for ATP. • Brain requires glucose but in starvation can adapt to use ketone bodies • To clear lactic acid from skeletal muscle and erythrocyte • To some extent reduce NH3 toxicity
  • 3.
    Gluconeogenesis • Failure ofgluconeogenesis • leads to Hypoglycemia causes brain dysfunction • leads to coma and may be death. • Ketoacidosis, Lactic acidosis • Excessive gluconeogenesis leads to hyperglycemia
  • 4.
    85% 15% Gluconeogenesis • Majorsite of Gluconeogenesis • Liver – contribute 85%, • Kidney -- kidney and intestine contributes 15% • But - During prolonged fasting kidney can contribute up to 40% • Gluconeogenic substances • Pyruvate, Lactate, Glycerol, Propionic acid • Glycogenic amino acids --Alanine, glutamine,
  • 5.
    Gluconeogenesis • Pathways involvedin gluconeogenesis are • TCA cycle • glycolysis --- Reversal of seven reactions • Some special reactions like • Cori cycle and Glucose alanine cycle • Adipose tissue -- Glycerol • Consumes six moles of ATP per glucose synthesized
  • 6.
    Key reactions ofgluconeogenesis Involves Conversion of 1. pyruvate to phosphoenolpyruvate 2. Fructose 1,6 Bisphosphate to Fructose 6 Phosphate 3. Glucose 6 Phosphate to Glucose
  • 7.
    Key Enzymes ofgluconeogenesis Pyruvate Phosphoenol Pyruvate 1. Pyruvate carboxylase 2. PEP carboxy kinase Fructose 1,6 Bisphosphate Fructose 6 Phosphate 3. Fructose 1,6 Bis Phosphatase Glucose Glucose 6 Phosphate 4. Glucose 6 Phosphatase
  • 8.
    Gluconeogenesis from Lactate Lactateproduced in skeletal muscle , RBC brought to liver by Cori cycle Pyruvate Lactate NADH + H + NAD+ Lactate DH In cytosol Pyruvate Enters mitochondria
  • 9.
    Cytoplasm Mitochondria Oxaloacetate Pyruvate Pyruvate Lactate NADH + H+ NAD+LDH Malate ADP + Pi CO2 + ATP Pyruvate carboxylase (Biotin) NADH + H + NAD+ MDH 1 Malate Oxaloacetate PEP X NADPH + H + NADP+ MDH 2 PEP CK First bypass reaction in gluconeogenesis Malate shunt GTP GDP + CO2
  • 10.
  • 11.
    Reversible steps of glycolysis Phosphoenolpyruvate 2- Phosphoglycerate 3- Phosphoglycerate 1,3- Bis Phosphoglycerate Glyceraldehyde 3- phosphate Fructose 1-6 Bisphosphate Reactions taking place in cytosol
  • 12.
    Bypass 2 Fructose-1,6-bisphosphate toFructose-6-phosphate Enzyme is present in Liver, kidney and skeletal muscle Absent in heart and smooth muscle Fructose 1, 6 BisPhosphate Fructose 6 Phosphate Fructose 1,6 bisPhosphatease H2O Pi Inhibitores -- AMP, F2,6 BP , Insulin Activators -- ATP, Citrate, Glucagon X 
  • 13.
    Bypass 3 Glucose-6-phosphate toGlucose • Glucose 6 Phosphatase is found only in liver and kidney • Absent in muscle & adipose tissue , brain • (Reaction takes place in smooth endoplasmic reticulum) Glucose 6 Phosphate Free Glucose Glucose 6 Phosphatase H2O Pi Glucagon Insulin X 
  • 15.
    Regulation of Gluconeogenesis controlledby Regulating key enzymes of irreversible steps Activators / inducers Inhibitors / repressors Glucagon Acetyl CoA Citrate, ATP Glycogenic amino acids Carbohydrate feeding Insulin AMP Fasting state / hypoglycemia Diabetes
  • 16.
    Significance of Gluconeogenesis •Keep blood glucose level stable • Remove lactate form skeletal muscle, RBC • Supply glucose to active skeletal muscle • Replenish liver Glycogen • Utilizes glycerol and propionate from adipose tissue • Regulate acid base balance
  • 17.
    Energetics of Gluconeogenesis •Two high energy phosphate bonds one from ATP and one from GTP are hydrolyzed during conversion of pyruvate to PEP • As 2 Pyruvate required for one glucose 2 ATP and 2 GTP are used • Two more ATP required for conversion of 3-PG to 1,3-BPG • Therefore total Six ATP required for one glucose synthesis • Also NADH is used up and hence additional 6 ATP lose
  • 18.
  • 19.
    Triacyl glycerol glycerol Free fatty Acid glycerol glycerol Glycerol3 phosphate DHAP Glyceraldehyde 3 P Glucose Glucose For Extra hepatic Tissue Glycerokinase G3PDH
  • 21.
    Cori cycle removal ofLactate and replenishing of glucose to skeletal muscle Pathway operate in active skeletal muscle Gluconeogenesis in liver from lactate
  • 22.
  • 23.
    Why skeletal musclerequire Cori cycle? In active skeletal muscle mitochondria is less NADH / NAD ratio is low as compared to liver and heart muscle Hence to continue glycolysis and generate ATP Reduction of pyruvate is required this generates Lactate If Lactate accumulate it causes Lactic acidosis Hence it should be removed through Cori cycle.
  • 24.
    Glucose alanine cycle Importantin starvation Gluconeogenesis form Glycogenic amino acids
  • 25.
  • 26.
  • 27.
    CitrateMalate Fumarate Succinyl CoA α-Ketoglutarate Oxaloacetate oxalosuccinate Aspartate Glutamic acid Histidine Proline Hydroxyproline Arginine Ornithine Valine Isoleucine Methionine Phenylalanine Tyrosine Glycine Serine Alanine Cysteine Threonine Pyruvate Entry of amino acids in TCA cycle
  • 28.