NP6 Carbohydrate metabolism I

13 important questions on NP6 Carbohydrate metabolism I

How does a simple carbohydrate looks like?

Cn(H2))n

Monosaccharides
  • C6H12O6 (n=6)
    • glucose
    • fructose
    • galactose
  • when n=5
    • RNA (ribose)
    • DNA (deoxuribose)

Is the gross energy different for glycogen and starch?

Just a little bit
  • GE glycogen
    • 4.19 kcal/gr = 17.539 kJ/gr
  • GE starch
    • 4.20 kcal/gr = 17.58 kJ/gr

What are the major types of non-starch polysaccharide?

  • Cellulose
  • Chitin
  • Pectin
  • Insulin
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What is the glycemic index?

The extent to which a test dose of a carbohydrate increase blood glucose compared with an equivalent amount of glucose

How can the dietary starches be classified as?

  • Rapidly digested (hence high glycemic index)
  • Slowly digested (lower glycemic index)
    • not all digested in small intestine
    • amylose is hydrolyses more slowly than amylopectin!!
  • resistant starch (low glycemic index)
    • only hydrolyses to a limited extent in small intestine

What are the glycemic and non-glycemic carbohydrates?

  • glycemic
    • sugars, monosaccharides, disaccharides
    • extrinsic sugars in free solution
    • non-milk extrinsic
    • lactose in milk
  • non-glycemic
    • non-starch polysaccharides
    • trisaccharides tetrasaccharides

What is glycolysis? And what happens in the fed and fasting state

Phosphorylation of glucose to glucose-6-phosphate

  • The initial substrate for glycolysis is glucose 6-phosphate
  • in the fed state this if formed by phosphorylation of glucose - an ATP-utilising reaction
  • in the fasting state liver and muscle form glucose 6-phosphate from glycogen


Glucose + (2ATP) + 2 ADP + Pi + 2 NAD+ --> 2 Pyruvic acid + (2ATP) + 2 ATP + 2 NADHc

What are the four important mammalian hexokinase isozymes (I-IV or A-D)

  • I in all mammalian tissues, a "housekeeping enzyme"
  • II principal regulated isoform, increased in cancer
  • III substrate-inhibited by glucose at physiologic concentrations
  • IV glucokinase


I-III: low-Km isozymes = high affinity for glucose
IV: Km for glucose is 100 times higher than I-III

What does the overall pathway of glycolysis (the metabolism of glucose) involves?

  • 2x phosphorylation reactions forming fructose-bis-phosphate
  • cleavage to two mol triode phosphate from each fructose-bis-phosphate
  • a series of molecular rearrangements, etc, including
    • 2x phosphorylations of ADP --> ATP, per triode phosphate
      • (i.e. 4 ADP -> 4 ATP per glucose)
    • 1 oxidation, forming NADH, per triode molecule
      • (i.e. 2 NAD+ --> 2 NADH per glucose
  • formation of two molecules of pyruvate per glucose

How does the mitochondrial oxidation of pyruvate go?

  • The reactions of pyruvate dehydrogenase (PDH) multi-enzyme complex
    • decarboxylation of pyruvate (3-carbons) to a 2-carbon alcohol
    • Oxidation of the aldehyde to an acid (acetic acid)
      • with reduction of NAD+ to NADH
    • esterification to coenzyme A --> acetyl CoA

What is the ATP yield of glucose oxidation?

30 ATP


5ATP for each C (glucose has 6 C's)

Oxidation of glusoce gives 30 mol ATP9-equivalents)
How many of these are formed by substrate-level phosphorylation?
  1. 2 ATP
  2. 4 ATP
  3. 6 ATP
  4. 8 ATP

3. 6 ATP


ADP -> ATP = substrate-level phosphorylation

How much ATP is formed by regeneration of FADH in ETC/OXPHOS?
  1. 2 ATP
  2. 4 ATP
  3. 6 ATP
  4. 8 ATP

3. 6 ATP

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