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Ronwaldo Reyes
Gluconeogenesis
A process whereby precursors such as lactate, pyruvate, glycerol, and amino acids are converted to glucose. Occurs in the Liver Fasting requires all the glucose to be synthesized from these non-carbohydrate precursors. Major precursor for glucose is Pyruvate
Sources of Pyruvate
Lactate mostly from muscle. Lactate is produced in great quantities during exertion. Lactate is released from the muscles to the blood and travels to the liver for conversion to pyruvate and, ultimately to glucose.
All Amino Acids can feed into gluconeogenesis except leucine and lysine
Gluconeogenesis
by Glucose-6-phosphatase by Fructose 1,6-bisphosphatase (FBP-1)
Hydrolysis of ATP
2nd & 3rd bypass steps are near the end of gluconeogenesis (top of glycolysis)
Regulation of FBP-1 by AMP and F2,6P
cost
6 ATP 2
Lactate and glucose shuttle between active muscle/RBC and liver (glucagon/insulin reg.) Liver gluconeogenesis buffers the blood glucose for use by muscle, RBCs and brain (120 g/day) *Note: the brain fully oxidizes glucose, so it does not funnel back lactate
RBCs
2 ATP Glycolysis
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