100 Q & A on Major Metabolic Pathways of Glucose, Glycolysis, Gluconeogenesis, Glycogen Metabolism

  1. What is glycolysis?

   Glycolysis is the metabolic pathway that breaks down glucose into two molecules of pyruvate, generating energy in the form of ATP and NADH. It consists of ten enzyme-mediated steps and occurs in the cytoplasm.

 

  1. What are the two phases of glycolysis?

   Glycolysis is divided into two phases: the phosphorylation phase (preparatory phase) and the energy production phase. The first phase involves the phosphorylation of glucose, while the second phase produces ATP and NADH from glyceraldehyde-3-phosphate.

 

  1. What is gluconeogenesis?

   Gluconeogenesis is the metabolic process that synthesizes glucose from non-carbohydrate precursors, such as lactate, pyruvate, glycerol, and certain amino acids. This pathway is crucial during fasting or low-carbohydrate intake.

 

  1. Where does gluconeogenesis primarily occur?

   Gluconeogenesis primarily occurs in the liver and to a lesser extent in the kidneys, allowing for glucose production when dietary sources are insufficient.

 

  1. What is glycogenesis?

   Glycogenesis is the process of synthesizing glycogen from glucose molecules. It serves as a means for the body to store glucose for future energy needs.

 

  1. What is glycogenolysis?

   Glycogenolysis is the breakdown of glycogen into glucose-1-phosphate and subsequently into glucose-6-phosphate, which can then enter glycolysis or be released into the bloodstream.

 

  1. How many ATP molecules are produced during glycolysis?

   A net yield of two ATP molecules is produced during glycolysis after accounting for the two ATP molecules used in the initial steps.

 

  1. What role does NADH play in metabolism?

   NADH serves as an alternative energy storage form to ATP and can be utilized in oxidative phosphorylation to generate additional ATP during aerobic respiration.

 

  1. What happens to pyruvate under aerobic conditions?

   Under aerobic conditions, pyruvate is converted into acetyl-CoA, which then enters the citric acid cycle (Krebs cycle) for further energy production.

 

  1. What occurs to pyruvate under anaerobic conditions?

    Under anaerobic conditions, pyruvate can be converted into lactate to regenerate NAD+, allowing glycolysis to continue producing ATP without oxygen.

 

  1. What is the citric acid cycle?

    The citric acid cycle (also known as the Krebs cycle) is a series of chemical reactions used by aerobic organisms to release stored energy through the oxidation of acetyl-CoA derived from carbohydrates, fats, and proteins.

 

  1. How does glucose enter cells?

    Glucose enters cells primarily through facilitated diffusion via glucose transporters (GLUT), which help transport glucose across cell membranes in response to insulin signaling.

 

  1. What are high-energy electron carriers produced during glycolysis?

    The high-energy electron carrier produced during glycolysis is NADH, which carries electrons to the electron transport chain for ATP production.

 

  1. What is the pentose phosphate pathway?

    The pentose phosphate pathway is an alternative metabolic pathway that generates NADPH and ribose-5-phosphate from glucose-6-phosphate, playing a crucial role in anabolic reactions and nucleotide synthesis.

 

  1. What regulates glycolysis?

    Glycolysis is regulated at multiple points by key enzymes such as hexokinase, phosphofructokinase-1 (PFK-1), and pyruvate kinase, which respond to cellular energy levels and substrate availability.

 

  1. How does insulin affect carbohydrate metabolism?

    Insulin promotes glucose uptake by cells, enhances glycogenesis in the liver and muscle tissues, and inhibits gluconeogenesis, thus lowering blood sugar levels.

 

  1. What are some substrates for gluconeogenesis?

    Common substrates for gluconeogenesis include lactate, pyruvate, glycerol, alanine, and other amino acids that can be converted into intermediates of gluconeogenesis.

 

  1. Why is glycogen highly branched?

    Glycogen’s highly branched structure increases its solubility and allows for rapid mobilization of glucose units when energy is needed quickly.

 

  1. What happens to excess glucose in the body?

    Excess glucose can be converted into glycogen for storage or transformed into fatty acids through lipogenesis when glycogen stores are full.

 

  1. How does exercise influence carbohydrate metabolism?

    During exercise, carbohydrate metabolism increases as glycogen stores are mobilized for quick energy production through glycolysis and subsequent aerobic respiration if oxygen levels permit.

 

  1. What role does fructose play in carbohydrate metabolism?

    Fructose can be metabolized by liver cells where it is converted into intermediates that enter glycolysis or gluconeogenesis pathways but bypasses some regulatory steps of glycolysis.

 

  1. How do hormones like glucagon affect carbohydrate metabolism?

    Glucagon stimulates glycogenolysis and gluconeogenesis in the liver when blood glucose levels drop, raising blood sugar levels back to normal.

 

  1. What are some consequences of impaired carbohydrate metabolism?

    Impaired carbohydrate metabolism can lead to conditions such as diabetes mellitus, characterized by high blood sugar levels due to insufficient insulin action or secretion.

 

  1. How do high protein diets affect gluconeogenesis?

    High protein diets can increase gluconeogenesis as amino acids from protein breakdown serve as substrates for glucose synthesis when carbohydrate intake is low.

 

  1. What enzymes are involved in glycogen synthesis?

    Key enzymes involved in glycogen synthesis include glycogen synthase and branching enzyme, which facilitate adding glucose units to form glycogen chains.

 

  1. What triggers glycogenolysis during fasting?

    During fasting, low blood sugar levels trigger glycogenolysis through hormonal signals from glucagon and epinephrine that activate enzymes responsible for breaking down glycogen.

 

  1. How does lactic acid relate to anaerobic respiration?

    Lactic acid is produced during anaerobic respiration when pyruvate accepts electrons from NADH under low oxygen conditions; this allows glycolysis to continue producing ATP temporarily.

 

  1. What metabolic pathways utilize acetyl-CoA?

    Acetyl-CoA can enter various metabolic pathways including the citric acid cycle for energy production or serve as a building block for fatty acid synthesis.

 

  1. How do dietary carbohydrates affect blood sugar levels?

    Dietary carbohydrates directly influence blood sugar levels by providing glucose that enters circulation; simple carbohydrates cause rapid spikes while complex carbohydrates provide more gradual increases.

 

  1. Why are carbohydrates considered essential macronutrients?

    Carbohydrates are essential macronutrients because they serve as a primary energy source for cellular processes, support brain function, and play roles in various metabolic pathways necessary for overall health.

 

  1. What is the role of insulin in glycogenesis?

    Insulin stimulates glycogenesis by activating glycogen synthase and promoting glucose uptake into cells, allowing excess glucose to be stored as glycogen.

 

  1. How does glucagon affect glycogen metabolism?

    Glucagon stimulates glycogenolysis and inhibits glycogenesis, causing stored glycogen to be broken down into glucose-1-phosphate to raise blood sugar levels.

 

  1. What is the net energy yield of complete glucose oxidation?

    Complete oxidation of one molecule of glucose yields approximately 36-38 ATP molecules when accounting for the energy produced in glycolysis, the citric acid cycle, and oxidative phosphorylation.

 

  1. How does pyruvate dehydrogenase complex regulate glycolysis?

    The pyruvate dehydrogenase complex catalyzes the conversion of pyruvate to acetyl-CoA, an irreversible step that commits pyruvate to aerobic metabolism, thus regulating glycolysis.

 

  1. What is the role of allosteric regulation in glycolysis?

    Allosteric regulation by metabolites like ATP, ADP, and citrate modulates the activity of key glycolytic enzymes like phosphofructokinase-1 (PFK-1) to maintain energy homeostasis.

 

  1. How does the liver maintain blood glucose levels?

    The liver plays a central role in maintaining blood glucose levels by balancing glucose production through gluconeogenesis and glycogenolysis with glucose uptake and storage as glycogen.

 

  1. What is the Cori cycle?

    The Cori cycle describes the process where lactate produced by anaerobic glycolysis in peripheral tissues is transported to the liver, converted back to glucose via gluconeogenesis, and then released into the bloodstream.

 

  1. How does fructose metabolism differ from glucose metabolism?

    Fructose metabolism bypasses the rate-limiting enzyme phosphofructokinase-1 (PFK-1) in glycolysis, allowing unregulated entry of fructose-derived carbon into glycolysis and lipogenesis.

 

  1. What is the role of AMP-activated protein kinase (AMPK) in carbohydrate metabolism?

    AMPK acts as a cellular energy sensor that is activated by increased AMP/ATP ratios, stimulating catabolic pathways like glycolysis and fatty acid oxidation while inhibiting anabolic pathways like glycogen and lipid synthesis.

 

  1. How does the brain utilize glucose?

    The brain relies primarily on glucose as its main energy source, utilizing glycolysis and oxidative phosphorylation to generate ATP for neural function. The brain can also use ketone bodies for energy during prolonged fasting.

 

  1. What is the role of glucokinase in carbohydrate metabolism?

    Glucokinase is a key regulatory enzyme expressed in pancreatic beta cells and hepatocytes that phosphorylates glucose, serving as a glucose sensor to stimulate insulin secretion and glycogen synthesis in response to high blood glucose levels.

 

  1. How does starvation affect carbohydrate metabolism?

    During starvation, glycogen stores become depleted, and gluconeogenesis is upregulated in the liver to maintain blood glucose levels by converting amino acids, lactate, and glycerol into glucose. Ketone bodies are also produced as an alternative energy source.

 

  1. What is the role of GLUT4 in insulin-sensitive tissues?

    GLUT4 is the primary glucose transporter expressed in insulin-sensitive tissues like skeletal muscle and adipose tissue. Insulin stimulates the translocation of GLUT4 to the cell membrane, enhancing glucose uptake and utilization in these tissues.

 

  1. How does exercise affect glycogen stores?

    Exercise depletes glycogen stores in skeletal muscles and the liver, depending on the intensity and duration. Low-intensity exercise primarily utilizes fat as a fuel source, while high-intensity exercise relies more on carbohydrates and muscle glycogen.

 

  1. What is the role of the pentose phosphate pathway in carbohydrate metabolism?

    The pentose phosphate pathway generates NADPH, which is essential for reductive biosynthesis reactions, such as fatty acid and cholesterol synthesis. It also produces ribose-5-phosphate, a precursor for nucleotide synthesis.

 

  1. How does diabetes affect carbohydrate metabolism?

    In diabetes, impaired insulin secretion or action leads to hyperglycemia, reduced glucose uptake by peripheral tissues, increased gluconeogenesis, and impaired glycogen synthesis. This disruption in carbohydrate metabolism can lead to various complications associated with diabetes.

 

  1. What is the Warburg effect?

    The Warburg effect describes the observation that cancer cells preferentially utilize glycolysis for energy production, even in the presence of oxygen, leading to increased lactate production. This metabolic shift supports rapid cell division and proliferation in cancer cells.

 

  1. How does metformin affect carbohydrate metabolism?

    Metformin, a commonly used drug for type 2 diabetes, primarily acts by reducing hepatic glucose production through inhibition of gluconeogenesis and activation of AMPK. It also enhances glucose uptake in peripheral tissues, leading to improved glycemic control.

 

  1. What is the role of glycogen phosphorylase in glycogenolysis?

    Glycogen phosphorylase catalyzes the rate-limiting step in glycogenolysis, breaking the alpha-1,4-glycosidic bonds in glycogen to release glucose-1-phosphate. Its activity is regulated by hormones like glucagon and epinephrine, as well as allosteric effectors.

 

  1. How does the ketogenic diet affect carbohydrate metabolism?

    A ketogenic diet, which is very low in carbohydrates and high in fat, shifts metabolism towards increased fatty acid oxidation and ketone body production. This metabolic state suppresses glycolysis and gluconeogenesis, leading to reduced blood glucose levels and insulin requirements.

 

  1. What is the role of fructose-1,6-bisphosphatase in gluconeogenesis?

    Fructose-1,6-bisphosphatase catalyzes the conversion of fructose-1,6-bisphosphate to fructose-6-phosphate, an important gluconeogenic step that is regulated by cellular energy status and substrate availability.

 

  1. How does the Randle cycle explain the interplay between glucose and fatty acid metabolism?

    The Randle cycle, also known as the glucose-fatty acid cycle, describes the reciprocal relationship between glucose and fatty acid metabolism. Increased fatty acid oxidation inhibits glycolysis and glucose oxidation, while high glucose availability suppresses fatty acid utilization.

 

  1. What is the role of pyruvate carboxylase in gluconeogenesis?

    Pyruvate carboxylase catalyzes the carboxylation of pyruvate to oxaloacetate, an anaplerotic reaction that replenishes oxaloacetate levels in the citric acid cycle. Oxaloacetate can then be used as a substrate for gluconeogenesis.

 

  1. How does insulin resistance affect carbohydrate metabolism?

    Insulin resistance, a hallmark of type 2 diabetes, leads to impaired glucose uptake by peripheral tissues, reduced glycogen synthesis, and increased hepatic glucose production through gluconeogenesis. This results in hyperglycemia and disrupted carbohydrate homeostasis.

 

  1. What is the role of glycogen debranching enzyme in glycogenolysis?

    The glycogen debranching enzyme, also known as amylo-1,6-glucosidase, catalyzes the removal of alpha-1,6-glycosidic bonds at branch points in glycogen, allowing glycogen phosphorylase to continue breaking down the linear chains and release glucose-1-phosphate.

 

  1. How does the menstrual cycle affect carbohydrate metabolism?

    Fluctuations in estrogen and progesterone levels during the menstrual cycle can influence carbohydrate metabolism. Estrogen tends to enhance insulin sensitivity and glucose uptake, while progesterone may have the opposite effect, leading to increased insulin resistance.

 

  1. What is the role of GLUT2 in carbohydrate metabolism?

    GLUT2 is a glucose transporter expressed in the liver, pancreatic beta cells, intestines, and kidneys. It facilitates bidirectional glucose transport and acts as a glucose sensor, playing a crucial role in glucose homeostasis and insulin secretion.

 

  1. How does aging affect carbohydrate metabolism?

    With age, there is a gradual decline in glucose tolerance and insulin sensitivity, leading to increased insulin resistance, impaired glucose uptake by peripheral tissues, and reduced glycogen synthesis capacity. These changes contribute to the increased risk of type 2 diabetes in older adults.

 

  1. What is the role of GLUT5 in carbohydrate metabolism?

    GLUT5 is the primary fructose transporter expressed in the small intestine, facilitating the absorption of dietary fructose. It is also found in skeletal muscle and adipose tissue, where it contributes to fructose uptake and metabolism.

 

  1. How does sleep deprivation affect carbohydrate metabolism?

    Sleep deprivation can disrupt carbohydrate metabolism by reducing insulin sensitivity, increasing insulin resistance, and altering glucose homeostasis. This may contribute to the increased risk of obesity and type 2 diabetes associated with chronic sleep loss.

  

 

  1. What is the role of phosphofructokinase-2 (PFK-2) in carbohydrate metabolism?

    PFK-2 catalyzes the synthesis and degradation of fructose-2,6-bisphosphate, a potent allosteric activator of phosphofructokinase-1 (PFK-1). This enzyme plays a key role in regulating glycolysis in response to cellular energy status and hormone signaling.

 

  1. How does the sympathetic nervous system affect carbohydrate metabolism?

    Activation of the sympathetic nervous system, such as during stress or exercise, stimulates the release of catecholamines like epinephrine and norepinephrine. These hormones promote glycogenolysis in the liver and muscle, increasing blood glucose levels to meet the body’s energy demands.

 

  1. What is the role of glucokinase regulatory protein (GKRP) in carbohydrate metabolism?

    GKRP binds to and inhibits glucokinase in hepatocytes when glucose levels are low. When glucose levels rise, GKRP dissociates from glucokinase, allowing it to phosphorylate glucose and initiate glycolysis or glycogen synthesis.

 

  1. How does the gut microbiome influence carbohydrate metabolism?

    The gut microbiome can impact carbohydrate metabolism through various mechanisms, such as fermentation of dietary fiber to produce short-chain fatty acids, modulation of intestinal glucose absorption, and regulation of host gene expression related to carbohydrate metabolism.

 

  1. What is the role of GLUT8 in carbohydrate metabolism?

    GLUT8 is an insulin-responsive glucose transporter found primarily in the testis, blastocysts, and the hippocampus of the brain. Its exact physiological role in carbohydrate metabolism is not fully understood, but it may be involved in glucose uptake in these specific tissues.

 

  1. How does bariatric surgery affect carbohydrate metabolism?

    Bariatric surgeries, such as gastric bypass and sleeve gastrectomy, can improve carbohydrate metabolism and glycemic control in individuals with obesity and type 2 diabetes. These procedures alter gut hormone secretion, reduce caloric intake, and enhance insulin sensitivity, leading to improved glucose homeostasis.

 

  1. What is the role of glycogen storage diseases in carbohydrate metabolism?

    Glycogen storage diseases are a group of inherited disorders caused by deficiencies in enzymes involved in glycogen synthesis or breakdown. These diseases can lead to abnormal glycogen accumulation or depletion, causing various clinical manifestations depending on the specific enzyme defect.

 

  1. How does the ketohexokinase (fructokinase) pathway contribute to carbohydrate metabolism?

    The ketohexokinase pathway, specific to fructose metabolism, phosphorylates fructose to fructose-1-phosphate, bypassing the regulatory steps of glycolysis. This pathway can lead to increased hepatic lipogenesis and contribute to the development of non-alcoholic fatty liver disease (NAFLD) when fructose intake is excessive.

 

  1. What is the role of the sodium-glucose cotransporter 2 (SGLT2) in carbohydrate metabolism?

    SGLT2 is a glucose transporter expressed in the proximal renal tubules, responsible for the reabsorption of filtered glucose from the urine. Inhibition of SGLT2 by drugs like empagliflozin reduces renal glucose reabsorption, leading to increased urinary glucose excretion and improved glycemic control in individuals with type 2 diabetes.

 

  1. How does the circadian rhythm influence carbohydrate metabolism?

    The circadian clock, which regulates various physiological processes, can impact carbohydrate metabolism by modulating insulin sensitivity, glucose tolerance, and the expression of genes involved in glycolysis, gluconeogenesis, and glycogen synthesis. Disruption of the circadian rhythm, such as through shift work or jet lag, may contribute to metabolic disorders.

 

  1. What is the role of the hexosamine biosynthetic pathway in carbohydrate metabolism?

    The hexosamine biosynthetic pathway diverts a small portion of glucose flux towards the production of UDP-N-acetylglucosamine (UDP-GlcNAc), a substrate for O-linked glycosylation of proteins. This pathway can influence insulin sensitivity, gene expression, and cellular signaling related to carbohydrate metabolism.

 

  1. How does exercise training affect glycogen storage capacity?

    Regular exercise training can increase the glycogen storage capacity of skeletal muscles by upregulating glycogen synthase activity and increasing the number and size of glycogen granules. This adaptation allows trained individuals to store more carbohydrates for energy during prolonged exercise or periods of high energy demand.

 

  1. What is the role of the AKT/PKB pathway in insulin signaling and carbohydrate metabolism?

    The AKT/PKB (protein kinase B) pathway is a key component of the insulin signaling cascade. Activated AKT/PKB promotes the translocation of GLUT4 to the cell membrane, stimulates glycogen synthesis, and inhibits gluconeogenesis, thereby enhancing glucose uptake and storage in response to insulin.

 

  1. How does the intrauterine environment influence fetal carbohydrate metabolism?

    The intrauterine environment can shape fetal carbohydrate metabolism through factors such as maternal nutrition, placental function, and exposure to maternal metabolic conditions like gestational diabetes. Alterations in fetal carbohydrate metabolism may predispose individuals to metabolic disorders later in life.

 

  1. What is the role of the liver X receptor (LXR) in carbohydrate metabolism?

    The liver X receptor (LXR) is a nuclear receptor that acts as a glucose sensor and regulator of carbohydrate metabolism. LXR activation stimulates the expression of genes involved in glycolysis, lipogenesis, and cholesterol metabolism, linking carbohydrate and lipid homeostasis.

 

  1. How does the peroxisome proliferator-activated receptor gamma (PPARγ) influence carbohydrate metabolism?

    PPARγ is a nuclear receptor that plays a crucial role in adipocyte differentiation and insulin sensitivity. Activation of PPARγ enhances glucose uptake and storage as glycogen in adipose tissue, while also promoting the expression of genes involved in lipid metabolism.

 

  1. What is the role of the farnesoid X receptor (FXR) in carbohydrate metabolism?

    FXR is a bile acid-activated nuclear receptor that regulates bile acid, lipid, and carbohydrate metabolism. FXR activation can inhibit gluconeogenesis, enhance glycogen synthesis, and modulate the expression of genes involved in glucose and lipid homeostasis.

 

  1. How does the fibroblast growth factor 21 (FGF21) axis affect carbohydrate metabolism?

    FGF21 is a hormone primarily produced by the liver in response to various metabolic stressors, such as fasting, protein restriction, and ketogenic diets. FGF21 signaling can enhance glucose uptake in adipose tissue, promote gluconeogenesis, and modulate carbohydrate and lipid metabolism to maintain metabolic homeostasis.

 

  1. What is the role of the carbohydrate response element-binding protein (ChREBP) in carbohydrate metabolism?

    ChREBP is a transcription factor that acts as a glucose sensor and regulator of carbohydrate and lipid metabolism. Activated by high glucose levels, ChREBP stimulates the expression of genes involved in glycolysis, lipogenesis, and pentose phosphate pathway, promoting the conversion of excess carbohydrates into fatty acids.

 

  1. How does the gut-brain axis influence carbohydrate metabolism?

    The gut-brain axis, which involves bidirectional communication between the gastrointestinal tract and the central nervous system, can modulate carbohydrate metabolism through the regulation of appetite, food intake, and glucose homeostasis. Gut microbiome composition and metabolites may also contribute to the gut-brain axis’s effects on carbohydrate metabolism.

 

  1. What is the role of the endoplasmic reticulum stress response in carbohydrate metabolism?

    Endoplasmic reticulum (ER) stress, caused by the accumulation of misfolded proteins or disruption of ER homeostasis, can lead to insulin resistance and impaired carbohydrate metabolism. The ER stress response, mediated by pathways like the unfolded protein response (UPR), can modulate insulin signaling and glucose uptake in peripheral tissues.

 

  1. How does the immune system influence carbohydrate metabolism?

    The immune system and inflammatory processes can impact carbohydrate metabolism through various mechanisms, such as the release of cytokines, activation of immune cells, and modulation of insulin sensitivity. Chronic low-grade inflammation, often associated with obesity and metabolic disorders, can contribute to insulin resistance and disrupted glucose homeostasis.

 

  1. What is the role of the mammalian target of rapamycin (mTOR) pathway in carbohydrate metabolism?

    The mTOR pathway is a nutrient-sensing signaling cascade that integrates various environmental cues, including glucose availability, to regulate cell growth, proliferation, and metabolism. mTOR activation can stimulate glycolysis, lipogenesis, and protein synthesis, while inhibiting gluconeogenesis and autophagy.

 

  1. How does the sirtuin (SIRT) family of proteins influence carbohydrate metabolism?

    The sirtuin family of NAD+-dependent deacetylases, particularly SIRT1, can modulate carbohydrate metabolism by deacetylating and regulating the activity of key metabolic enzymes and transcription factors. Sirtuins can enhance glucose-stimulated insulin secretion, promote gluconeogenesis during fasting, and regulate glycolysis and mitochondrial function in response to nutrient availability.

 

  1. What is the role of the AMP-activated protein kinase (AMPK) pathway in carbohydrate metabolism during exercise?

    During exercise, the increased AMP/ATP ratio activates AMPK, which acts as a cellular energy sensor. AMPK stimulates glucose uptake in skeletal muscles, enhances glycolysis and fatty acid oxidation, and inhibits anabolic pathways like glycogen and lipid synthesis to maintain energy homeostasis and support the increased energy demands of exercise.

 

  1. How does the gut microbiome composition change in response to dietary carbohydrates?

    The gut microbiome composition can shift in response to changes in dietary carbohydrate intake. Increased consumption of fiber-rich complex carbohydrates tends to favor the growth of beneficial bacteria that can ferment these carbohydrates into short-chain fatty acids, which can influence host carbohydrate metabolism and gut health.

 

  1. What is the role of the incretin hormones in carbohydrate metabolism?

    Incretin hormones, such as glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP), are secreted by the intestine in response to food intake. These hormones stimulate insulin secretion, inhibit glucagon release, and promote glucose homeostasis, making them important regulators of carbohydrate metabolism.

 

  1. How does epigenetics influence carbohydrate metabolism?

    Epigenetic modifications, such as DNA methylation and histone acetylation, can alter the expression of genes involved in carbohydrate metabolism without changing the DNA sequence. These epigenetic changes can be influenced by various factors, including diet, physical activity, and environmental exposures, and may contribute to the development of metabolic disorders.

 

  1. What is the role of the transcriptional coactivator PGC-1α in carbohydrate metabolism?

    PGC-1α is a transcriptional coactivator that regulates the expression of genes involved in mitochondrial biogenesis, gluconeogenesis, and fatty acid oxidation. It acts as a master regulator of energy metabolism, integrating various signaling pathways to coordinate the body’s response to nutrient availability and energy demands.

 

  1. How does the gut microbiome influence the development of type 2 diabetes?

    Alterations in gut microbiome composition, often referred to as dysbiosis, have been associated with the development of type 2 diabetes. Factors such as reduced microbial diversity, increased abundance of pro-inflammatory bacteria, and altered production of microbial metabolites may contribute to the development of insulin resistance and impaired glucose homeostasis.

 

 

  1. What is the role of the liver in maintaining blood glucose levels during fasting?

    During fasting, the liver plays a crucial role in maintaining blood glucose levels by engaging in gluconeogenesis (the synthesis of glucose from non-carbohydrate sources) and glycogenolysis (the breakdown of glycogen into glucose). These processes ensure a steady supply of glucose for vital organs, particularly the brain.

 

  1. How does high-fructose corn syrup (HFCS) affect carbohydrate metabolism?

    High-fructose corn syrup, commonly found in processed foods and sugary beverages, can lead to increased fructose intake. Excessive consumption of fructose can overwhelm the liver’s metabolic capacity, leading to increased lipogenesis (fat production), insulin resistance, and potentially contributing to obesity and metabolic syndrome.

 

  1. What is the role of the enzyme aldolase in glycolysis?

    Aldolase is an enzyme that catalyzes the reversible conversion of fructose-1,6-bisphosphate into glyceraldehyde-3-phosphate and dihydroxyacetone phosphate in glycolysis. This step is crucial for splitting the six-carbon sugar into two three-carbon molecules that continue through the glycolytic pathway.

 

  1. How do ketone bodies relate to carbohydrate metabolism during prolonged fasting?

    During prolonged fasting or carbohydrate restriction, the liver converts fatty acids into ketone bodies (acetoacetate, beta-hydroxybutyrate, and acetone) as an alternative energy source. Ketone bodies can be utilized by various tissues, including the brain, reducing reliance on glucose and preserving muscle protein.

 

  1. What is the significance of the enzyme pyruvate kinase in glycolysis?

    Pyruvate kinase catalyzes the final step of glycolysis, converting phosphoenolpyruvate (PEP) to pyruvate while generating ATP. This enzyme is subject to allosteric regulation and covalent modification by hormones like insulin and glucagon, making it a critical control point in glycolytic flux.

 

  1. How does dietary fiber influence carbohydrate metabolism?

    Dietary fiber is not digested by human enzymes but can influence carbohydrate metabolism by slowing down glucose absorption in the intestines, thereby reducing postprandial blood sugar spikes. Additionally, soluble fiber can be fermented by gut bacteria to produce short-chain fatty acids, which may improve insulin sensitivity.

 

  1. What is the role of glucagon-like peptide-1 (GLP-1) in carbohydrate metabolism?

    GLP-1 is an incretin hormone that enhances insulin secretion from pancreatic beta cells in response to food intake while inhibiting glucagon release from alpha cells. It also slows gastric emptying and promotes satiety, contributing to better blood glucose control.

 

  1. How does oxidative stress impact carbohydrate metabolism?

    Oxidative stress can impair insulin signaling pathways and lead to insulin resistance by promoting inflammation and damaging cellular components involved in glucose uptake and metabolism. Chronic oxidative stress is associated with metabolic disorders such as type 2 diabetes.

 

  1. What is the role of mitochondrial function in carbohydrate metabolism?

    Mitochondria are essential for aerobic respiration, where they utilize pyruvate (from glycolysis) and fatty acids to produce ATP through oxidative phosphorylation. Proper mitochondrial function is crucial for efficient energy production and maintaining metabolic homeostasis.

 

  1. How do hormonal changes during pregnancy affect carbohydrate metabolism?

    During pregnancy, hormonal changes lead to increased insulin resistance due to elevated levels of hormones such as human placental lactogen (hPL) and progesterone. This adaptation ensures a steady supply of glucose for fetal development while promoting maternal fat storage for energy needs.

 

 

 

 

 

Bonus Biochemistry Viva

 

  1. What are advanced glycation end-products (AGEs), and how do they relate to carbohydrate metabolism?

    Advanced glycation end-products (AGEs) are harmful compounds formed when sugars react with proteins or lipids through a non-enzymatic process called glycation. AGEs can contribute to chronic inflammation and oxidative stress, playing a role in complications associated with diabetes and other metabolic disorders by impairing vascular function and promoting insulin resistance.

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