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1
Biochemistry Metabolism of Carbohydrates
Gluconeogenesis
Dr. Vijaya Khader Dr. MC Varadaraj
Paper : 04 Metabolism of carbohydrates
Module : 23 Gluconeogenesis
Principal Investigator
Paper Coordinator
Content Reviewer
Content Writer
Dr. S.K.Khare,Professor IIT Delhi.
Dr. Ramesh Kothari, Professor UGC-CAS Department of Biosciences Saurashtra University, Rajkot-5 Gujarat-INDIA
Dr. S. P. Singh Professor UGC-CAS Department of Biosciences Saurashtra University, Rajkot-5 Gujarat-INDIA
Dr. Vikram Raval, Assistant Professor UGC-CAS Department of Biosciences Saurashtra University, Rajkot-5 Gujarat-INDIA
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Biochemistry Metabolism of Carbohydrates
Gluconeogenesis
Description of Module
Subject Name Biochemistry
Paper Name 04 Metabolism of carbohydrates
Module Name/Title Gluconeogenesis
3
Biochemistry Metabolism of Carbohydrates
Gluconeogenesis
GLUCONEOGENESIS
Objectives
1. To understand glucose synthesis from non-carbohydrate intermediates.
2. Energy efficiency of glycolysis and gluconeogenesis
3. Gluconeogenesis pathway
4. Bypass energy inefficient glycolytic reactions
4
Biochemistry Metabolism of Carbohydrates
Gluconeogenesis
Introduction
Gluconeogenesis is defined as the biosynthetic pathway for formation of glucose de-novo (i.e. not
glucose from glycogen a regular stored form in most animals)
Gluconeogenesis is a metabolic pathway that is actually responsible for the generating glucose
from non-carbohydrate carbon containing substrates such as pyruvate, lactate, glycerol, and
glucogenic amino acids
Gluconeogenesis is a ubiquitous process, observed in all of living kingdom including plants,
animals, fungi and bacteria. This process is also referred to as an endogenous glucose production
(EGP)
The formation of glucose molecules from various carbon skeletons is often necessary since the
vital organs viz. testes, kidney (renal cortex) exclusively utilize glucose for ATP production
Erythrocytes and human brain also heavily dependent on glucose formed from gluconeogenesis for
energy requirements and utilize large amounts of glucose consumed as well as produced daily via
gluconeogenesis
Gluconeogenesis it is the process that occurs chiefly in liver. While a very limited extent of the
reactions occurs in kidney as well as in small intestine, but that requires specific physiological
conditions
However, in addition to glucose, the brain derives its energy from ketone bodies via acetyl-CoA
and shunted into the TCA cycle. The glucose requirement of the brain in an adult human being is
approx 120 g, which accounts for majority of glucose needed by body (160 g) on day-to-day basis.
The amount of glucose in body fluids is about 20 g, and that readily available from glycogen is
approx 190 g. These glucose reserves are sufficient to meet day to day glucose requirements
But under conditions of longer period of starvation, glucose must compulsorily be formed from
non-carbohydrate sources
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Biochemistry Metabolism of Carbohydrates
Gluconeogenesis
The preliminary carbon skeletons in gluconeogenesis is mainly from pyruvate, lactate, glycerol,
and the amino acids alanine and glutamine
Gluconeogenesis and glycogenolysis are the two mechanism that help in maintaining blood
glucose levels in the body
In few ruminants, this is a continuous process. While in many other animals, the process mainly
occurs during fasting, starvation, low-carbohydrate foods, or intense physical activity. The process
is highly endergonic but due to coupling of ATP/GTP hydrolysis it ends up to be exergonic
For gluconeogenesis from non-carbohydrate precursors of glucose they are first converted into
pyruvate or enter the pathway at later stages of glucose metabolic pathways such as oxaloacetate
(OAA) and dihydroxyacetone phosphate (DHAP)
Lactate is primarily formed by skeletal muscles when the rate of glycolysis outnumbers the
oxidative metabolism. Conversion of lactate into pyruvate is catalysed by lactate dehydrogenase.
During starvation the skeletal muscles breakdown the proteins and thus amino acids are derived
from these dietary proteins
The reactions constitutes the Cori cycle wherein a pyruvate is synthesised from lactate in muscle
tissues and in another reaction of transamination in muscles, alanine is formed from pyruvate. The
amino group released is reduced in the form of urea. The reaction are popularly called Alanine
cycle. Both of these Cori cycle and alanine cycle reactions allow generation of pyruvate and
thereby favour entry into gluconeogenesis.
The hydrolysis of triacylglycerols in adipocytes yields fatty acids and glycerol. Glycerol acts as a
precursor of glucose, but animals are unable to transform fatty acid residues to glucose. Glycerol
can either enter glycolysis or glyconeogenesis through dihydroxyacetone phosphate
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Biochemistry Metabolism of Carbohydrates
Gluconeogenesis
For your information (FYI): Synthesis of glucose from three and four carbon precursors is
essentially a reversal of glycolysis. We all are familiar with the process of glycolysis wherein two
molecules of glucose are synthesised from pyruvate by various enzymatic reactions
For your information (FYI): Cori cycle for the formation of pyruvate and further glucose from
lactate by active muscle metabolism. The Cori cycle generates glucose at the expense of 6 ~ATP in
liver for every 2 ~ATP made available in muscle. Thus a net expense of 4 ~ATP is incurred in cori
cycle. Inspire of less efficient on energy, the Cori Cycle allows an organism to withstand energy
demands of skeletal muscle between resting and active physical exerts. Glutamate or lactate in
muscle is transaminated to alanine, which is released into the bloodstream. In the liver, alanine is
taken up and converted into pyruvate for further metabolism
7
Biochemistry Metabolism of Carbohydrates
Gluconeogenesis
Is Gluconeogenesis a kind of reverse Glycolysis?
Glycolysis is process that is anaerobic breakdown of glucose molecules in to pyruvate and further
into TCA cycle intermediates yielding abundant energy for bodily processes.
Generally reactions of glycolysis are reversible under cellular environment except the three
reactions which have a large negative ΔG in the forward direction and thus they are essentially
irreversible
These are the reactions catalysed by
1. Conversion of glucose into Glucose-6-Phosphate a reaction catalysed by hexokinase,
2. Conversion of Fructose-6-phosphate to fructose 1-6-bis phosphate catalysed by
phosphofructokinase and
3. Formation of pyruvate from phosphoenol pyruvate catalysed by pyruvate kinase
Since we are discussing glucose generation de-novo for gluconeogenesis pathway it becomes
necessary that we bypass this reactions
Often these 3 reactions are referred to as Bypass reactions, two of which are kind of simple
hydrolysis while the third one involves action of two enzymes pyruvate carboxylase and
phosphoenol pyruvate carboxy kinase.
8
Biochemistry Metabolism of Carbohydrates
Gluconeogenesis
General reactions of gluconeogenesis
The process of gluconeogenesis is not very cost effective from energy point of view as oxidation
of glucose through two moles pyruvate finally yields a mere two moles of ATP while generation
of glucose via gluconeogenesis consumes at least 6 moles of ATP at various stages
The gluconeogenetic reactions which occur in mitochondria are conversion of pyruvate to
oxaloacetate and then further from oxaloacetate to malate
From cytosol pyruvate is transported across the outer mitochondrial membrane involves a voltage-
dependent porin transporter while transport across the inner mitochondrial membrane is by a
pyruvate transporter protein called monocarboxylic acid transporter 1(MCT1) and a hetero-
tetramer transport protein complex
While oxaloacetate after reduction is converted to malate and is transported to cytosol by a malate
transporter
In the cytosol oxidation of malate into oxaloacetate takes place. Oxaloacetate is converted to
phosphoenol pyruvate by enzyme phosphoenol pyruvate carboxy kinase and then as an
intermediate it enters gluconeogenesis pathway. The reaction consumes energy in the form of GTP
that has energy equivalence to ATP
For your information (FYI): The reversal reaction of the glyceraldehyde-3-phosphate
dehydrogenase (GAPDH) action requires a supply of NADH. This depends upon the initial
intermediate or precursor of gluconeogenesis. If lactate is precursor then NADH will be supplied
by action of lactate dehydrogenase enzyme, while if precursors are pyruvate or amino acids like
alanine then the NADH supply will be catalysed by malate dehydrogenase.
Next is the reaction wherein one mole of glyceraldehyde-3-phosphate needs to isomerize into
DHAP and then further upon a condensation reaction giving one mole of fructose-1,6-
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Biochemistry Metabolism of Carbohydrates
Gluconeogenesis
bisphosphate a reaction exactly reverse of aldolase enzyme action. In liver hepatocytes glucose-6-
phosphatase enzyme allows free glucose supply to blood
Higher the Km of liver glucokinase majority of glucose will remain in dephosphorylated form and
will be removed from hepatocytes into the blood
BYPASS 1: The Conversion of Pyruvate into Phosphoenol pyruvate via Oxaloacetate
The above reaction requires activity of two enzymes that is pyruvate carboxylase (PC) and
phosphoenol pyruvate carboxy kinase (PEPCK).
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Biochemistry Metabolism of Carbohydrates
Gluconeogenesis
Pyruvate Carboxylase Reaction
This reaction utilizes the energy from ATP, enzyme pyruvate kinase requires biotin as a cofactor
in presence of carbon dioxide. The CO2 utilized in the above reaction occurs as bicarbonate
(HCO3-) ion
This is the first reaction of gluconeogenesis process and as the name of the enzyme suggests the
substrate pyruvate is carboxylated (addition of CO2) to form oxaloacetate (OAA).
Pyruvate carboxylase is stringent in its requirement of activator. In absence of activator i.e. acetyl-
co-A the enzyme becomes inactive.
Chief source of acetyl-co-A is beta oxidation of fatty acids in liver and adipocytes. The enzyme
mainly functions to generate carbon skeleton from non-carbon intermediates. Pyruvate
carboxylase works for formation of pyruvate, lactate and alanine. Additionally it works to drive
oxaloacetate and thus TCA cycle.
The pyruvate carboxylase enzyme is a homotetramer with three domains, the biotin carboxylase
(BC) domain, the carboxyl transferase (CT) domain, and the biotin carboxyl carrier protein
(BCCP) domain.
The reaction occurs in two simple stages one in which biotin is carboxylated to carboxybiotin in
presence of HCO3- and spending energy from ATP. Then through carboxyphosphate intermediate
it transfers the CO2 (biotin decarboxylation) to pyruvate forming oxaloacetate and regenerating
biotin.
The carboxybiotin is activated form and has ΔG°´ for its cleavage which is equivalent to -4.7 kcal
mol-1 (-20 kJ mol-1). This negative ΔG°´ indicates that carboxybiotin is able to transfer its CO2
without any further energy inputs.
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Biochemistry Metabolism of Carbohydrates
Gluconeogenesis
Phosphoenol pyruvate Carboxy kinase Reaction
Next is the formation of phosphoenol pyruvate from oxaloacetate a reaction catalysed by PEP
carboxy kinase (PEPCK) utilizing energy from GTP.
There is no net fixation of CO2 as at the end of this reaction the CO2 that was initially incorporated
by pyruvate carboxylase into pyruvate is subsequently released by phosphoenolpyruvate carboxy
kinase.
For gluconeogenesis to proceed further, the oxaloacetate must be transported to cytoplasm for
which no mechanism exists in cell not a free diffusion is possible. Three distinct reactions help
with this. They are as follows:
1. Conversion to PEP as indicated above through the action of the PEPCK
2. Transamination to aspartate
3. Reduction to malate
For the transamination reaction of OAA to aspartate or reduction of OAA to malate, both malate
and aspartate levels should be adequate in cytosol that ensures the above two reactions are
continuously executed.
12
Biochemistry Metabolism of Carbohydrates
Gluconeogenesis
BYPASS 2: The Conversion of Fructose 1,6-bisphosphate into Fructose 6-phosphate
Phosphoenol pyruvate upon formation is immediately metabolized by the glycolytic enzymes in
reverse reactions and intracellular conditions favour gluconeogenesis.
It is a simple hydrolysis reaction catalysed by fructose-1, 6-bisphosphatase that converts
fructose 1-6-bisphosphate to fructose-6-phosphate releasing an inorganic phosphate (Pi).
Similarly to its glycolytic counterpart, fructose-1, 6-bisphosphatase is an allosteric enzyme
involved in regulation of gluconeogenesis.
BYPASS 3: The generation of free Glucose from Glucose-6-phosphate
This final step in gluconeogenesis is the generation of glucose. This does not take place in the
cytosol instead, glucose 6-phosphate is transported into the endoplasmic reticulum, where it is
hydrolyzed to glucose by glucose 6-phosphatase, a membrane bound enzyme in inner lumen of
endoplasmic reticulum
In majority of tissues gluconeogenesis ends when glucose 6-phosphate is formed from fructose
6-phosphate since it cannot diffuse out of cell like free glucose.
This in one way helps tissues to capture glucose and maintain homeostasis in tissues of liver
and kidney