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Biochemistry for Medics
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                      Biochemistry For Medics   8/12/2012   1
Glycogen    is a readily mobilized storage
form of glucose.
It is a very large, branched polymer of
glucose residues that can be broken down to
yield glucose molecules when energy is
needed.
Most of the glucose residues in glycogen
are linked by α-1,4-glycosidic bonds.
Branches at about every tenth residue are
created by α-1,6-glycosidic bonds.


                         Biochemistry For Medics   8/12/2012   2
Biochemistry For Medics   8/12/2012   3
Glycogen   is present in the cytosol in the form
of granules ranging in diameter from 10 to 40
nm.
It has a molecular mass of 10 7 Da and consists
of polysaccharide chains, each containing about
13 glucose residues.
The chains are either branched or unbranched
and are arranged in 12 concentric layers.
The branched chains (each has two branches)
are found in the inner layers and the unbranched
chains in the outer layer. (G, Glycogenin, the
primer molecule for glycogen synthesis.)

                            Biochemistry For Medics   8/12/2012   4
The highly
                                       branched
                                       structure of
                                       glycogen provides
                                       a large number of
                                       sites for
                                       glycogenolysis,
                                       permitting rapid
                                       release of glucose
                                       1-phosphate for
                                       muscle activity.




Glycogenin


             Biochemistry For Medics   8/12/2012            5
It is stored mainly in liver and
muscle
The liver content of glycogen is
greater than that of muscle,
Since the muscle mass of the body is
considerably greater than that of the
liver, about three-quarters of total
body glycogen is in muscle
                     Biochemistry For Medics   8/12/2012   6
Percentage of   Tissue Weight            Body Content
                 Tissue Weight


Liver glycogen                   1.8 kg                   90 g
                 5.0


Muscle           0.7             35 kg                    245 g
glycogen


Extracellular    0.1             10 L                     10 g
glucose




                                    Biochemistry For Medics   8/12/2012   7
Glycogen  serves as a buffer to maintain
blood-glucose levels.
Glucose is virtually the only fuel used by the
brain, except during prolonged starvation.
The glucose from glycogen is readily
mobilized and is therefore a good source of
energy for sudden, strenuous activity.
Unlike fatty acids, the released glucose can
provide energy in the absence of oxygen and
can thus supply energy for anaerobic activity.

                           Biochemistry For Medics   8/12/2012   8
  Glycogenesis is the synthesis of glycogen
from glucose.
 Glycogenesis mainly occurs in muscle and
liver.
 Muscle glycogen provides a readily
available source of glucose for glycolysis
within the muscle itself.
 Liver glycogen functions to store and
export glucose to maintain blood glucose
between meals.


                          Biochemistry For Medics   8/12/2012   9
Biochemistry For Medics   8/12/2012   10
oAlanine   and
                           lactate
                           transported from
                           muscle are used
                           for glucose
                           production in
                           liver by
                           gluconeogenesis.
                           oGlucose is
                           poured in blood
                           to maintain
                           homeostasis.




Biochemistry For Medics   8/12/2012         11
1)   Activation of Glucose
2)   Initiation
3)   Elongation
4)   Glycogen branching




                             Biochemistry For Medics   8/12/2012   12
Synthesis  of glycogen from glucose is
carried out by the enzyme glycogen
synthase.
This enzyme utilizes UDP-glucose as one
substrate and the non-reducing end of
glycogen as another.
 UDP-glucose, the glucose donor in the
biosynthesis of glycogen, is an activated
form of glucose.




                         Biochemistry For Medics   8/12/2012   13
UDP-glucose is formed from glucose-1-
phosphate:




Spontaneous hydrolysis of the ~P bond in PPi
(P~P) drives the overall reaction.
Cleavage of PPi is the only energy cost for
glycogen synthesis (one ~P bond per glucose
residue).

                           Biochemistry For Medics   8/12/2012   14
As in glycolysis, glucose is
phosphorylated to glucose 6-
phosphate, catalyzed by hexokinase in
muscle and glucokinase in liver.
Glucose 6-phosphate is isomerized to
glucose 1-phosphate by
Phosphoglucomutase.
Glucose 1-phosphate reacts with
uridine triphosphate (UTP) to form
the active nucleotide uridine
diphosphate glucose (UDPGlc) and
pyrophosphate. The reaction is
catalyzed by UDPGlc pyro
phosphorylase.




      Biochemistry For Medics   8/12/2012   15
Glycogen   synthase can add
glucosyl residues only if the
polysaccharide chain already
contains more than four
residues.
Thus, glycogen synthesis
requires a primer.
This priming function is carried
out by glycogenin,
A protein composed of two
identical 37-kd subunits, each
bearing an oligosaccharide of
alpha-1,4-glucose units.




                                    Biochemistry For Medics   8/12/2012   16
A glycosidic bond
                                                            is formed between
                                                            the anomeric C1
                                                            of the glucose
                                                            moiety derived
                                                            from UDP-glucose
                                                            and the hydroxyl
                                                            oxygen of a
                                                            tyrosine side-
                                                            chain of
                                                            Glycogenin.
                                                            UDP is released as
                                                            a product.




Each subunit of glycogenin catalyzes the addition of eight glucose units to its
partner in the glycogenin dimer. At this point, glycogen synthase takes over to
extend the glycogen molecule.
                                             Biochemistry For Medics   8/12/2012   17
New  glucosyl units are added to the nonreducing
terminal residues of glycogen.

The  activated glucosyl unit of UDP glucose is transferred
to the hydroxyl group at a C-4 terminus of glycogen to
form an α-1,4-glycosidic linkage.

Inelongation, UDP is displaced by the terminal hydroxyl
group of the growing glycogen molecule.


This reaction is catalyzed by glycogen synthase, the key
regulatory enzyme in glycogen synthesis.




                                Biochemistry For Medics   8/12/2012   18
Both synthesis & breakdown of glycogen are spontaneous.
If both pathways were active simultaneously in a cell, there would be
a "futile cycle" with cleavage of one ~P bond per cycle (in forming
UDP-glucose).To prevent this both pathways are reciprocally
regulated


             Glycogen Synthesis
                                   UTP UDP + 2 Pi
 glycogen(n) + glucose-1-P                               glycogen(n + 1)

              Glycogen Phosphorylase                               Pi



                                        Biochemistry For Medics   8/12/2012   19
Glycogen  synthase catalyzes only the synthesis of
α-1,4 linkages.
Another enzyme is required to form the α-1,6
linkages that make glycogen a branched polymer.
Branching occurs after a number of glucosyl
residues are joined in α-1,4 linkage by glycogen
synthase.
A branch is created by the breaking of an α-1,4 link
and the formation of an α-1,6 link.




                              Biochemistry For Medics   8/12/2012   20
A block of residues, typically 7 in number, is
transferred to a more interior site.
The branching enzyme that catalyzes this
reaction is quite exacting.
The block of 7 or so residues must include the
nonreducing terminus and come from a chain at
least 11 residues long.
In addition, the new branch point must be at
least 4 residues away from a preexisting one.




                           Biochemistry For Medics   8/12/2012   21
Branching is important because it increases the solubility of glycogen.
Furthermore, branching creates a large number of terminal residues,
the sites of action of glycogen phosphorylase and synthase. Thus,
branching increases the rate of glycogen synthesis and degradation.




                                          Biochemistry For Medics   8/12/2012   22
Glycogen degradation consists of three
steps:
(1) The release of glucose 1-phosphate from
    glycogen,
(2) The remodeling of the glycogen substrate
    to permit further degradation, and
(3) The conversion of glucose 1-phosphate
    into glucose 6-phosphate for further
    metabolism.

                         Biochemistry For Medics   8/12/2012   23
The  efficient breakdown of glycogen to provide
glucose 6-phosphate for further metabolism
requires four enzyme activities:
one to degrade glycogen,
two to remodel glycogen so that it remains a
substrate for degradation, and
 one to convert the product of glycogen
breakdown into a form suitable for further
metabolism.




                            Biochemistry For Medics   8/12/2012   24
a) Phosphorylase- Glycogen phosphorylase,
the key enzyme in glycogen breakdown,
cleaves its substrate by the addition of
orthophosphate (Pi) to yield glucose 1-
phosphate. The cleavage of a bond by the
addition of orthophosphate is referred to as
phosphorolysis.




                          Biochemistry For Medics   8/12/2012   25
b) Transferase and Debranching enzyme-
The Transferase shifts a block of three glucosyl
residues from one outer branch to the other.

This transfer exposes a single glucose residue
joined by an α -1,6-glycosidic linkage.

α-1,6-Glucosidase,  also known as the
debranching enzyme, hydrolyzes the α -1, 6-
glycosidic bond, resulting in the release of a free
glucose molecule.


                               Biochemistry For Medics   8/12/2012   26
c) Phosphoglucomutase- Glucose 1-
phosphate formed in the phosphoroylytic
cleavage of glycogen must be converted into
glucose 6-phosphate to enter the metabolic
mainstream. This shift of a phosphoryl group
is catalyzed by Phosphoglucomutase.




                         Biochemistry For Medics   8/12/2012   27
1) Release of Glucose-1-P




Phosphorylase  catalyzes the sequential
removal of glucosyl residues from the
nonreducing ends of the glycogen molecule (the
ends with a free 4-OH group.
Orthophosphate splits the glycosidic linkage
between C-1 of the terminal residue and C-4 of
the adjacent one.

                            Biochemistry For Medics   8/12/2012   28
The  phosphoroylytic cleavage of glycogen is
energetically advantageous because the released
sugar is already phosphorylated.
 In contrast, a hydrolytic cleavage would yield
glucose, which would then have to be
phosphorylated at the expense of the hydrolysis of a
molecule of ATP to enter the glycolytic pathway.
 An additional advantage of phosphoroylytic
cleavage for muscle cells is that glucose 1-
phosphate, negatively charged under physiological
conditions, cannot diffuse out of the cell.




                              Biochemistry For Medics   8/12/2012   29
The  α-1,6-glycosidic bonds at the branch
points are not susceptible to cleavage by
phosphorylase.
Glycogen phosphorylase stops cleaving α -1,4
linkages when it reaches a terminal residue four
residues away from a branch point.
Because about 1 in 10 residues is branched,
glycogen degradation by the phosphorylase
alone would come to a halt after the release of
six glucose molecules per branch.




                            Biochemistry For Medics   8/12/2012   30
 Transferase shifts a
     block of three glycosyl
     residues from one outer
     branch to the other.
     This transfer exposes a
     single glucose residue
     joined by an α-1,6-
     glycosidic linkage.
     Debranching enzyme,
     hydrolyzes the α -1, 6-
     glycosidic bond,
     resulting in the release
     of a free glucose
     molecule.




Biochemistry For Medics   8/12/2012   31
Transferase  and α-1,6-glucosidase, remodel the glycogen
for continued degradation by the phosphorylase.
 The free glucose molecule released by the action of
debranching enzyme is phosphorylated by the glycolytic
enzyme hexokinase.
Thus, the Transferase and α-1,6-glucosidase convert the
branched structure into a linear one, which paves the way for
further cleavage by phosphorylase.




                                     Biochemistry For Medics   8/12/2012   32
Phosphoglucomutase
  converts glucose 1-
  phosphate into glucose 6-
  phosphate in a reversible
  reaction.
  Glucose 6-phosphate
  derived from glycogen can
  (1) be used as a fuel for
  muscle; (2) be converted
  into free glucose in the
  liver and subsequently
  released into the blood;
  (3) be processed by the
  pentose phosphate
  pathway.


Biochemistry For Medics   8/12/2012   33
The liver contains a hydrolytic enzyme, glucose 6-
phosphatase, which cleaves the phosphoryl group
to form free glucose and orthophosphate.




Glucose  6-phosphatase is absent from most
other tissues.
Consequently, glucose 6-phosphate is retained
for the generation of ATP.
The liver releases glucose into the blood during
muscular activity and between meals to be taken
up primarily by the brain and skeletal muscle.
                             Biochemistry For Medics   8/12/2012   34
Pyridoxal phosphate (PLP), a derivative of
vitamin B6, serves as prosthetic group for
Glycogen Phosphorylase.


                                   H         O
                      O                C
          O                   H2
                  P           C                     OH
                          O
              O

                                       N            CH3
                                       H
            pyridoxal phosphate (PLP)


                                           Biochemistry For Medics   8/12/2012   35
Pyridoxal  phosphate (PLP)
is held at the active site by a                                         Enz
Schiff base linkage, formed                                             (CH2)4
by reaction of the aldehyde
of PLP with the -amino                                                  N+
group of a lysine residue.        O
                                              O
                                                      H2
                                                               HC             H

In contrast to its role in
                                          P           C                       O
                                                  O
other enzymes, the                    O
phosphate of PLP is involved
in acid/base catalysis by                                         N
                                                                  H
                                                                              CH3

Phosphorylase.                    Enzyme (Lys)-PLP Schiff base




                                  Biochemistry For Medics   8/12/2012               36
Biochemistry For Medics   8/12/2012   37
one  ATP is hydrolyzed incorporating glucose 6-
phosphate into glycogen.
The energy yield from the breakdown of glycogen is
highly efficient.
 About 90% of the residues are phosphorolytically
cleaved to glucose 1-phosphate, which is converted
at no cost into glucose 6-phosphate.
The other 10% are branch residues, which are
hydrolytically cleaved.
One molecule of ATP is then used to phosphorylate
each of these glucose molecules to glucose 6-
phosphate.




                             Biochemistry For Medics   8/12/2012   38
The principal enzymes controlling glycogen
metabolism—glycogen phosphorylase and
glycogen synthase—are regulated by
allosteric mechanisms and covalent
modifications due to reversible
phosphorylation and dephosphorylation of
enzyme protein in response to hormone
action




                         Biochemistry For Medics   8/12/2012   39
Glycogen Synthase is allosterically activated by
glucose-6-P.
Thus Glycogen Synthase is active when high
blood glucose leads to elevated intracellular
glucose-6-P.
Itis useful to a cell to store glucose as glycogen
when the input to Glycolysis (glucose-6-P), and
the main product of Glycolysis (ATP), are adequate.




                              Biochemistry For Medics   8/12/2012   40
The  hormones glucagon and epinephrine
activate G-protein coupled receptors to trigger
cAMP cascades.
Both hormones are produced in response to low
blood sugar.
Glucagon, which is synthesized by -cells of
the pancreas, activates cAMP formation in liver.
Muscle cells lack Glucagon receptors

Epinephrine activates cAMP formation in muscle




                           Biochemistry For Medics   8/12/2012   41
Glycogen  synthase exists in both
phosphorylated or nonphosphorylated states
Active glycogen synthase a is
dephosphorylated and inactive glycogen
synthase b is phosphorylated
The  cAMP cascade results in phosphorylation of a
serine hydroxyl of Glycogen synthase, which
promotes transition to the inactive state.




                             Biochemistry For Medics   8/12/2012   42
Phosphorylation  of
Glycogen Synthase             Glycogen             Glucose
promotes the "b" (less                                 Hexokinase or Glucokinase
active) conformation.
The  cAMP cascade thus                                    Glucose-6-Pase
inhibits glycogen synthesis. Glucose-1-P           Glucose-6-P     Glucose + Pi
                                                       Glycolysis
 Instead of being                                     Pathway
converted to glycogen,
glucose-1-P in liver may be                    Pyruvate
converted to glucose-6-P,
and dephosphorylated for                 Glucose metabolism in liver.
release to the blood.




                                         Biochemistry For Medics   8/12/2012   43
Insulin, produced in response to high blood glucose,
triggers a separate signal cascade that leads to
activation of Phosphoprotein Phosphatase.
Thisphosphatase catalyzes removal of regulatory
phosphate residues from Glycogen Synthase enzyme.
Thus insulin antagonizes effects of the cAMP cascade
induced by glucagon & epinephrine.
cAMP   is hydrolyzed by phosphodiesterase, so
terminating hormone action; in liver insulin increases
the activity of phosphodiesterase.




                                Biochemistry For Medics   8/12/2012   44
Glycogen   Synthase and Glycogen Phosphorylase
are reciprocally regulated, by allosteric effectors
and by phosphorylation.
The control of phosphorylase differs between
liver & muscle
In the liver the role of glycogen is to provide free
glucose for export to maintain the blood
concentration of glucose;
 In muscle the role of glycogen is to provide a
source of glucose 6-phosphate for glycolysis in
response to the need for ATP for muscle
contraction.


                               Biochemistry For Medics   8/12/2012   45
  Glycogen Phosphorylase in muscle is subject to
allosteric regulation by AMP, ATP, and glucose-6-
phosphate.
A separate isozyme of Phosphorylase expressed in
liver is less sensitive to these allosteric controls.
AMP   (present significantly when ATP is depleted)
activates Phosphorylase, promoting the relaxed
conformation.
ATP   & glucose-6-phosphate, which both have binding
sites that overlap that of AMP, inhibit Phosphorylase
Thus glycogen breakdown is inhibited when ATP and
glucose-6-phosphate are plentiful.




                                 Biochemistry For Medics   8/12/2012   46
The  cAMP cascade results in phosphorylation of a serine
hydroxyl of Glycogen Phosphorylase, which promotes
transition to the active state.
The  phosphorylated enzyme is less sensitive to allosteric
inhibitors.
Thus,even if cellular ATP & glucose-6-phosphate are high,
Phosphorylase will be active.
The glucose-1-phosphate produced from glycogen in liver
may be converted to free glucose for release to the blood.
With this hormone-activated regulation, the needs of the
organism take precedence over needs of the cell.




                                    Biochemistry For Medics   8/12/2012   47
The enzyme phosphorylase is activated by
phosphorylation catalyzed by phosphorylase
kinase (to yield phosphorylase a) and
Inactivated by dephosphorylation catalyzed
by phosphoprotein phosphatase (to yield
phosphorylase b), in response to hormonal
and other signals.




                         Biochemistry For Medics   8/12/2012   48
Hormone (epinephrine or glucagon)
                        via G Protein (G -GTP)

Adenylate cyclase       Adenylate cyclase
(inactive)                        (active)
                              catalysis
                     ATP          cyclic AMP + PPi
                            Activation             Phosphodiesterase
                                                    AMP
                    Protein kinase A       Protein kinase A
                    (inactive)                      (active)
                                                  ATP
                                                    ADP

                    Phosphorylase kinase         Phosphorylase kinase (P)
                    (b-inactive)                             (a-active)
                        Phosphatase                      ATP
                                   Pi                         ADP

                              Phosphorylase                  Phosphorylase (P)
                              (b-allosteric)                        (a-active)
                                  Phosphatase
                                           Biochemistry For Medics
                                                  Pi                 8/12/2012   49
Increasing the concentration of cAMP activates cAMP-
dependent protein kinase, which catalyzes the
phosphorylation by ATP of inactive phosphorylase kinase b
to active phosphorylase kinase a, which in turn,
phosphorylates phosphorylase b to phosphorylase a.

In the liver, cAMP is formed in response to glucagon,
which is secreted in response to falling blood glucose;
muscle is insensitive to glucagon.

In muscle, the signal for increased cAMP formation is the
action of norepinephrine, which is secreted in response to
fear or fright, when there is a need for increased
glycogenolysis to permit rapid muscle activity.




                                  Biochemistry For Medics   8/12/2012   50
Ca++ also regulates glycogen breakdown in
muscle.
During  activation of contraction in skeletal
muscle, Ca++ is released from the sarcoplasmic
reticulum to promote actin/myosin interactions.
The released Ca++ also activates Phosphorylase
Kinase, which in muscle includes calmodulin as its
  subunit.
Phosphorylase Kinase is partly activated by
binding of Ca++ to this subunit.




                             Biochemistry For Medics   8/12/2012   51
Muscle   phosphorylase kinase, which activates glycogen
phosphorylase, is a tetramer of four different subunits-α, β ,Υ and
δ.
The α and β subunits contain serine residues that are
phosphorylated by cAMP-dependent protein kinase. The δ subunit
is identical to the Ca2+-binding protein calmodulin.
The binding of Ca2+ activates the catalytic site of the subunit even
while the enzyme is in the dephosphorylated b state; the
phosphorylated a form is only fully activated in the presence of
Ca2+.
           Phosphorylase Kinase                  inactive


           Phosphorylase Kinase-Ca++             partly active


        P-Phosphorylase Kinase-Ca++              fully active


                                       Biochemistry For Medics   8/12/2012   52
Both  phosphorylase a and phosphorylase kinase a
are dephosphorylated and inactivated by protein
phosphatase-1.
Protein phosphatase-1 is inhibited by a protein,
inhibitor-1, which is active only after it has been
phosphorylated by cAMP-dependent protein kinase.
Thus, cAMP controls both the activation and
inactivation of phosphorylase.
Insulin reinforces this effect by inhibiting the
activation of phosphorylase b.
It does this indirectly by increasing uptake of
glucose, leading to increased formation of glucose
6-phosphate, which is an inhibitor of phosphorylase
kinase.


                              Biochemistry For Medics   8/12/2012   53
Glycogen   Synthase & Phosphorylase activity are
reciprocally regulated
At the same time as phosphorylase is activated by a
rise in concentration of cAMP (via phosphorylase
kinase), glycogen synthase is converted to the
inactive form;
both effects are mediated via cAMP-dependent
protein kinase .
Thus, inhibition of glycogenolysis enhances net
glycogenesis, and inhibition of glycogenesis
enhances net glycogenolysis




                              Biochemistry For Medics   8/12/2012   54
Glycogen Storage Diseases
"Glycogen storage disease" is a generic term
to describe a group of inherited disorders
characterized by deposition of an abnormal
type or quantity of glycogen in tissues, or
failure to mobilize glycogen.




                          Biochemistry For Medics   8/12/2012   55
Symptoms in addition to excess glycogen
storage:
When a genetic defect affects mainly an
isoform of an enzyme expressed in liver, a
common symptom is hypoglycemia, relating to
impaired mobilization of glucose for release to
the blood during fasting.
When the defect is in muscle tissue, weakness
& difficulty with exercise result from inability to
increase glucose entry into Glycolysis during
exercise.
Additional symptoms depend on the
particular enzyme that isBiochemistry For Medics 8/12/2012
                           deficient.                        56
Name              Enzyme              Clinical Features
Type                     Deficiency


       —                 Glycogen            Hypoglycemia;
0                        synthase            hyperketonemia;
                                             early death

       Von Gierke's      Glucose 6-          Glycogen
       disease           phosphatase         accumulation in
                                             liver and renal
I                                            tubule cells;
                                             hypoglycemia;
                                             lactic acidemia;
                                             ketosis;
                                             hyperlipemia
       Pompe’s Disease   Lysosomal 14           Accumulation of
                         and 16                 glycogen in
                         glucosidaseFor Medics 8/12/2012
                             Biochemistry (acid lysosomes:        57
Type   Name                 Biochemical                   Clinical Features
                            defect
III    Limit dextrinosis,   Debranching                   Fasting
       Forbe's or Cori's    enzyme                        hypoglycemia;
       disease                                            hepatomegaly in
                                                          infancy;
                                                          accumulation of
                                                          characteristic
                                                          branched
                                                          polysaccharide
IV     Amylopectinosis,     Branching                     Hepatosplenome
       Andersen's           enzyme                        galy;
       disease                                            accumulation of
                                                          polysaccharide
                                                          with few branch
                                                          points; death
                                                          from heart or
                                                          liver failure in
                                Biochemistry For Medics    8/12/2012           58
                                                          first year of life
Type   Name             Biochemical defect Clinical Features


V      Myophosphorylase Muscle                         Poor exercise
       deficiency,      phosphorylase                  tolerance; muscle
       McArdle's                                       glycogen
       syndrome                                        abnormally high
                                                       (2.5–4%); blood
                                                       lactate very low
                                                       after exercise


VI     Hers' disease    Liver                          Hepatomegaly;
                        phosphorylase                  accumulation of
                                                       glycogen in liver;
                                                       mild
                                                       hypoglycemia;
                                                       generally good
                                                       prognosis
                            Biochemistry For Medics   8/12/2012         59
Type   Name              Biochemical defect Clinical Features

VII    Tarui's disease   Muscle and                     Poor exercise
                         erythrocyte                    tolerance; muscle
                         phosphofructokina              glycogen
                         se 1                           abnormally high
                                                        (2.5–4%); blood
                                                        lactate very low
                                                        after exercise; also
                                                        hemolytic anemia

VIII                     Liver                          Hepatomegaly;
                         phosphorylase                  accumulation of
                         kinase                         glycogen in liver;
                                                        mild
                                                        hypoglycemia;
                                                        generally good
                                                        prognosis
                             Biochemistry For Medics   8/12/2012         60
Type   Name   Biochemical defect Clinical Features
IX            Liver and muscle               Hepatomegaly;
              phosphorylase                  accumulation of
              kinase                         glycogen in liver
                                             and muscle; mild
                                             hypoglycemia;
                                             generally good
                                             prognosis


X             cAMP-dependent                 Hepatomegaly;
              protein kinase A               accumulation of
                                             glycogen in liver




                  Biochemistry For Medics   8/12/2012        61
Glycogen   represents the principal storage form of
carbohydrate in the body, mainly in the liver and muscle.
Glycogen is synthesized from glucose by the pathway of
glycogenesis.
It is broken down by a separate pathway, glycogenolysis.
Glycogenolysis leads to glucose formation in liver and
lactate formation in muscle owing to the respective
presence or absence of glucose 6-phosphatase.
Cyclic AMP integrates the regulation of glycogenolysis
and glycogenesis by promoting the simultaneous
activation of phosphorylase and inhibition of glycogen
synthase.
Insulin acts reciprocally by inhibiting glycogenolysis and
stimulating glycogenesis.
Inherited deficiencies in specific enzymes of glycogen
metabolism in both liver and muscle are the causes of
glycogen storage diseases.


                                  Biochemistry For Medics   8/12/2012   62

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Glycogen metabolism

  • 1. Biochemistry for Medics www.namrata.co Biochemistry For Medics 8/12/2012 1
  • 2. Glycogen is a readily mobilized storage form of glucose. It is a very large, branched polymer of glucose residues that can be broken down to yield glucose molecules when energy is needed. Most of the glucose residues in glycogen are linked by α-1,4-glycosidic bonds. Branches at about every tenth residue are created by α-1,6-glycosidic bonds. Biochemistry For Medics 8/12/2012 2
  • 4. Glycogen is present in the cytosol in the form of granules ranging in diameter from 10 to 40 nm. It has a molecular mass of 10 7 Da and consists of polysaccharide chains, each containing about 13 glucose residues. The chains are either branched or unbranched and are arranged in 12 concentric layers. The branched chains (each has two branches) are found in the inner layers and the unbranched chains in the outer layer. (G, Glycogenin, the primer molecule for glycogen synthesis.) Biochemistry For Medics 8/12/2012 4
  • 5. The highly branched structure of glycogen provides a large number of sites for glycogenolysis, permitting rapid release of glucose 1-phosphate for muscle activity. Glycogenin Biochemistry For Medics 8/12/2012 5
  • 6. It is stored mainly in liver and muscle The liver content of glycogen is greater than that of muscle, Since the muscle mass of the body is considerably greater than that of the liver, about three-quarters of total body glycogen is in muscle Biochemistry For Medics 8/12/2012 6
  • 7. Percentage of Tissue Weight Body Content Tissue Weight Liver glycogen 1.8 kg 90 g 5.0 Muscle 0.7 35 kg 245 g glycogen Extracellular 0.1 10 L 10 g glucose Biochemistry For Medics 8/12/2012 7
  • 8. Glycogen serves as a buffer to maintain blood-glucose levels. Glucose is virtually the only fuel used by the brain, except during prolonged starvation. The glucose from glycogen is readily mobilized and is therefore a good source of energy for sudden, strenuous activity. Unlike fatty acids, the released glucose can provide energy in the absence of oxygen and can thus supply energy for anaerobic activity. Biochemistry For Medics 8/12/2012 8
  • 9.  Glycogenesis is the synthesis of glycogen from glucose.  Glycogenesis mainly occurs in muscle and liver.  Muscle glycogen provides a readily available source of glucose for glycolysis within the muscle itself.  Liver glycogen functions to store and export glucose to maintain blood glucose between meals. Biochemistry For Medics 8/12/2012 9
  • 10. Biochemistry For Medics 8/12/2012 10
  • 11. oAlanine and lactate transported from muscle are used for glucose production in liver by gluconeogenesis. oGlucose is poured in blood to maintain homeostasis. Biochemistry For Medics 8/12/2012 11
  • 12. 1) Activation of Glucose 2) Initiation 3) Elongation 4) Glycogen branching Biochemistry For Medics 8/12/2012 12
  • 13. Synthesis of glycogen from glucose is carried out by the enzyme glycogen synthase. This enzyme utilizes UDP-glucose as one substrate and the non-reducing end of glycogen as another.  UDP-glucose, the glucose donor in the biosynthesis of glycogen, is an activated form of glucose. Biochemistry For Medics 8/12/2012 13
  • 14. UDP-glucose is formed from glucose-1- phosphate: Spontaneous hydrolysis of the ~P bond in PPi (P~P) drives the overall reaction. Cleavage of PPi is the only energy cost for glycogen synthesis (one ~P bond per glucose residue). Biochemistry For Medics 8/12/2012 14
  • 15. As in glycolysis, glucose is phosphorylated to glucose 6- phosphate, catalyzed by hexokinase in muscle and glucokinase in liver. Glucose 6-phosphate is isomerized to glucose 1-phosphate by Phosphoglucomutase. Glucose 1-phosphate reacts with uridine triphosphate (UTP) to form the active nucleotide uridine diphosphate glucose (UDPGlc) and pyrophosphate. The reaction is catalyzed by UDPGlc pyro phosphorylase. Biochemistry For Medics 8/12/2012 15
  • 16. Glycogen synthase can add glucosyl residues only if the polysaccharide chain already contains more than four residues. Thus, glycogen synthesis requires a primer. This priming function is carried out by glycogenin, A protein composed of two identical 37-kd subunits, each bearing an oligosaccharide of alpha-1,4-glucose units. Biochemistry For Medics 8/12/2012 16
  • 17. A glycosidic bond is formed between the anomeric C1 of the glucose moiety derived from UDP-glucose and the hydroxyl oxygen of a tyrosine side- chain of Glycogenin. UDP is released as a product. Each subunit of glycogenin catalyzes the addition of eight glucose units to its partner in the glycogenin dimer. At this point, glycogen synthase takes over to extend the glycogen molecule. Biochemistry For Medics 8/12/2012 17
  • 18. New glucosyl units are added to the nonreducing terminal residues of glycogen. The activated glucosyl unit of UDP glucose is transferred to the hydroxyl group at a C-4 terminus of glycogen to form an α-1,4-glycosidic linkage. Inelongation, UDP is displaced by the terminal hydroxyl group of the growing glycogen molecule. This reaction is catalyzed by glycogen synthase, the key regulatory enzyme in glycogen synthesis. Biochemistry For Medics 8/12/2012 18
  • 19. Both synthesis & breakdown of glycogen are spontaneous. If both pathways were active simultaneously in a cell, there would be a "futile cycle" with cleavage of one ~P bond per cycle (in forming UDP-glucose).To prevent this both pathways are reciprocally regulated Glycogen Synthesis UTP UDP + 2 Pi glycogen(n) + glucose-1-P glycogen(n + 1) Glycogen Phosphorylase Pi Biochemistry For Medics 8/12/2012 19
  • 20. Glycogen synthase catalyzes only the synthesis of α-1,4 linkages. Another enzyme is required to form the α-1,6 linkages that make glycogen a branched polymer. Branching occurs after a number of glucosyl residues are joined in α-1,4 linkage by glycogen synthase. A branch is created by the breaking of an α-1,4 link and the formation of an α-1,6 link. Biochemistry For Medics 8/12/2012 20
  • 21. A block of residues, typically 7 in number, is transferred to a more interior site. The branching enzyme that catalyzes this reaction is quite exacting. The block of 7 or so residues must include the nonreducing terminus and come from a chain at least 11 residues long. In addition, the new branch point must be at least 4 residues away from a preexisting one. Biochemistry For Medics 8/12/2012 21
  • 22. Branching is important because it increases the solubility of glycogen. Furthermore, branching creates a large number of terminal residues, the sites of action of glycogen phosphorylase and synthase. Thus, branching increases the rate of glycogen synthesis and degradation. Biochemistry For Medics 8/12/2012 22
  • 23. Glycogen degradation consists of three steps: (1) The release of glucose 1-phosphate from glycogen, (2) The remodeling of the glycogen substrate to permit further degradation, and (3) The conversion of glucose 1-phosphate into glucose 6-phosphate for further metabolism. Biochemistry For Medics 8/12/2012 23
  • 24. The efficient breakdown of glycogen to provide glucose 6-phosphate for further metabolism requires four enzyme activities: one to degrade glycogen, two to remodel glycogen so that it remains a substrate for degradation, and  one to convert the product of glycogen breakdown into a form suitable for further metabolism. Biochemistry For Medics 8/12/2012 24
  • 25. a) Phosphorylase- Glycogen phosphorylase, the key enzyme in glycogen breakdown, cleaves its substrate by the addition of orthophosphate (Pi) to yield glucose 1- phosphate. The cleavage of a bond by the addition of orthophosphate is referred to as phosphorolysis. Biochemistry For Medics 8/12/2012 25
  • 26. b) Transferase and Debranching enzyme- The Transferase shifts a block of three glucosyl residues from one outer branch to the other. This transfer exposes a single glucose residue joined by an α -1,6-glycosidic linkage. α-1,6-Glucosidase, also known as the debranching enzyme, hydrolyzes the α -1, 6- glycosidic bond, resulting in the release of a free glucose molecule. Biochemistry For Medics 8/12/2012 26
  • 27. c) Phosphoglucomutase- Glucose 1- phosphate formed in the phosphoroylytic cleavage of glycogen must be converted into glucose 6-phosphate to enter the metabolic mainstream. This shift of a phosphoryl group is catalyzed by Phosphoglucomutase. Biochemistry For Medics 8/12/2012 27
  • 28. 1) Release of Glucose-1-P Phosphorylase catalyzes the sequential removal of glucosyl residues from the nonreducing ends of the glycogen molecule (the ends with a free 4-OH group. Orthophosphate splits the glycosidic linkage between C-1 of the terminal residue and C-4 of the adjacent one. Biochemistry For Medics 8/12/2012 28
  • 29. The phosphoroylytic cleavage of glycogen is energetically advantageous because the released sugar is already phosphorylated.  In contrast, a hydrolytic cleavage would yield glucose, which would then have to be phosphorylated at the expense of the hydrolysis of a molecule of ATP to enter the glycolytic pathway.  An additional advantage of phosphoroylytic cleavage for muscle cells is that glucose 1- phosphate, negatively charged under physiological conditions, cannot diffuse out of the cell. Biochemistry For Medics 8/12/2012 29
  • 30. The α-1,6-glycosidic bonds at the branch points are not susceptible to cleavage by phosphorylase. Glycogen phosphorylase stops cleaving α -1,4 linkages when it reaches a terminal residue four residues away from a branch point. Because about 1 in 10 residues is branched, glycogen degradation by the phosphorylase alone would come to a halt after the release of six glucose molecules per branch. Biochemistry For Medics 8/12/2012 30
  • 31.  Transferase shifts a block of three glycosyl residues from one outer branch to the other. This transfer exposes a single glucose residue joined by an α-1,6- glycosidic linkage. Debranching enzyme, hydrolyzes the α -1, 6- glycosidic bond, resulting in the release of a free glucose molecule. Biochemistry For Medics 8/12/2012 31
  • 32. Transferase and α-1,6-glucosidase, remodel the glycogen for continued degradation by the phosphorylase.  The free glucose molecule released by the action of debranching enzyme is phosphorylated by the glycolytic enzyme hexokinase. Thus, the Transferase and α-1,6-glucosidase convert the branched structure into a linear one, which paves the way for further cleavage by phosphorylase. Biochemistry For Medics 8/12/2012 32
  • 33. Phosphoglucomutase converts glucose 1- phosphate into glucose 6- phosphate in a reversible reaction. Glucose 6-phosphate derived from glycogen can (1) be used as a fuel for muscle; (2) be converted into free glucose in the liver and subsequently released into the blood; (3) be processed by the pentose phosphate pathway. Biochemistry For Medics 8/12/2012 33
  • 34. The liver contains a hydrolytic enzyme, glucose 6- phosphatase, which cleaves the phosphoryl group to form free glucose and orthophosphate. Glucose 6-phosphatase is absent from most other tissues. Consequently, glucose 6-phosphate is retained for the generation of ATP. The liver releases glucose into the blood during muscular activity and between meals to be taken up primarily by the brain and skeletal muscle. Biochemistry For Medics 8/12/2012 34
  • 35. Pyridoxal phosphate (PLP), a derivative of vitamin B6, serves as prosthetic group for Glycogen Phosphorylase. H O O C O H2 P C OH O O N CH3 H pyridoxal phosphate (PLP) Biochemistry For Medics 8/12/2012 35
  • 36. Pyridoxal phosphate (PLP) is held at the active site by a Enz Schiff base linkage, formed (CH2)4 by reaction of the aldehyde of PLP with the -amino N+ group of a lysine residue. O O H2 HC H In contrast to its role in P C O O other enzymes, the O phosphate of PLP is involved in acid/base catalysis by N H CH3 Phosphorylase. Enzyme (Lys)-PLP Schiff base Biochemistry For Medics 8/12/2012 36
  • 37. Biochemistry For Medics 8/12/2012 37
  • 38. one ATP is hydrolyzed incorporating glucose 6- phosphate into glycogen. The energy yield from the breakdown of glycogen is highly efficient.  About 90% of the residues are phosphorolytically cleaved to glucose 1-phosphate, which is converted at no cost into glucose 6-phosphate. The other 10% are branch residues, which are hydrolytically cleaved. One molecule of ATP is then used to phosphorylate each of these glucose molecules to glucose 6- phosphate. Biochemistry For Medics 8/12/2012 38
  • 39. The principal enzymes controlling glycogen metabolism—glycogen phosphorylase and glycogen synthase—are regulated by allosteric mechanisms and covalent modifications due to reversible phosphorylation and dephosphorylation of enzyme protein in response to hormone action Biochemistry For Medics 8/12/2012 39
  • 40. Glycogen Synthase is allosterically activated by glucose-6-P. Thus Glycogen Synthase is active when high blood glucose leads to elevated intracellular glucose-6-P. Itis useful to a cell to store glucose as glycogen when the input to Glycolysis (glucose-6-P), and the main product of Glycolysis (ATP), are adequate. Biochemistry For Medics 8/12/2012 40
  • 41. The hormones glucagon and epinephrine activate G-protein coupled receptors to trigger cAMP cascades. Both hormones are produced in response to low blood sugar. Glucagon, which is synthesized by -cells of the pancreas, activates cAMP formation in liver. Muscle cells lack Glucagon receptors Epinephrine activates cAMP formation in muscle Biochemistry For Medics 8/12/2012 41
  • 42. Glycogen synthase exists in both phosphorylated or nonphosphorylated states Active glycogen synthase a is dephosphorylated and inactive glycogen synthase b is phosphorylated The cAMP cascade results in phosphorylation of a serine hydroxyl of Glycogen synthase, which promotes transition to the inactive state. Biochemistry For Medics 8/12/2012 42
  • 43. Phosphorylation of Glycogen Synthase Glycogen Glucose promotes the "b" (less Hexokinase or Glucokinase active) conformation. The cAMP cascade thus Glucose-6-Pase inhibits glycogen synthesis. Glucose-1-P Glucose-6-P Glucose + Pi Glycolysis  Instead of being Pathway converted to glycogen, glucose-1-P in liver may be Pyruvate converted to glucose-6-P, and dephosphorylated for Glucose metabolism in liver. release to the blood. Biochemistry For Medics 8/12/2012 43
  • 44. Insulin, produced in response to high blood glucose, triggers a separate signal cascade that leads to activation of Phosphoprotein Phosphatase. Thisphosphatase catalyzes removal of regulatory phosphate residues from Glycogen Synthase enzyme. Thus insulin antagonizes effects of the cAMP cascade induced by glucagon & epinephrine. cAMP is hydrolyzed by phosphodiesterase, so terminating hormone action; in liver insulin increases the activity of phosphodiesterase. Biochemistry For Medics 8/12/2012 44
  • 45. Glycogen Synthase and Glycogen Phosphorylase are reciprocally regulated, by allosteric effectors and by phosphorylation. The control of phosphorylase differs between liver & muscle In the liver the role of glycogen is to provide free glucose for export to maintain the blood concentration of glucose;  In muscle the role of glycogen is to provide a source of glucose 6-phosphate for glycolysis in response to the need for ATP for muscle contraction. Biochemistry For Medics 8/12/2012 45
  • 46.  Glycogen Phosphorylase in muscle is subject to allosteric regulation by AMP, ATP, and glucose-6- phosphate. A separate isozyme of Phosphorylase expressed in liver is less sensitive to these allosteric controls. AMP (present significantly when ATP is depleted) activates Phosphorylase, promoting the relaxed conformation. ATP & glucose-6-phosphate, which both have binding sites that overlap that of AMP, inhibit Phosphorylase Thus glycogen breakdown is inhibited when ATP and glucose-6-phosphate are plentiful. Biochemistry For Medics 8/12/2012 46
  • 47. The cAMP cascade results in phosphorylation of a serine hydroxyl of Glycogen Phosphorylase, which promotes transition to the active state. The phosphorylated enzyme is less sensitive to allosteric inhibitors. Thus,even if cellular ATP & glucose-6-phosphate are high, Phosphorylase will be active. The glucose-1-phosphate produced from glycogen in liver may be converted to free glucose for release to the blood. With this hormone-activated regulation, the needs of the organism take precedence over needs of the cell. Biochemistry For Medics 8/12/2012 47
  • 48. The enzyme phosphorylase is activated by phosphorylation catalyzed by phosphorylase kinase (to yield phosphorylase a) and Inactivated by dephosphorylation catalyzed by phosphoprotein phosphatase (to yield phosphorylase b), in response to hormonal and other signals. Biochemistry For Medics 8/12/2012 48
  • 49. Hormone (epinephrine or glucagon) via G Protein (G -GTP) Adenylate cyclase Adenylate cyclase (inactive) (active) catalysis ATP cyclic AMP + PPi Activation Phosphodiesterase AMP Protein kinase A Protein kinase A (inactive) (active) ATP ADP Phosphorylase kinase Phosphorylase kinase (P) (b-inactive) (a-active) Phosphatase ATP Pi ADP Phosphorylase Phosphorylase (P) (b-allosteric) (a-active) Phosphatase Biochemistry For Medics Pi 8/12/2012 49
  • 50. Increasing the concentration of cAMP activates cAMP- dependent protein kinase, which catalyzes the phosphorylation by ATP of inactive phosphorylase kinase b to active phosphorylase kinase a, which in turn, phosphorylates phosphorylase b to phosphorylase a. In the liver, cAMP is formed in response to glucagon, which is secreted in response to falling blood glucose; muscle is insensitive to glucagon. In muscle, the signal for increased cAMP formation is the action of norepinephrine, which is secreted in response to fear or fright, when there is a need for increased glycogenolysis to permit rapid muscle activity. Biochemistry For Medics 8/12/2012 50
  • 51. Ca++ also regulates glycogen breakdown in muscle. During activation of contraction in skeletal muscle, Ca++ is released from the sarcoplasmic reticulum to promote actin/myosin interactions. The released Ca++ also activates Phosphorylase Kinase, which in muscle includes calmodulin as its subunit. Phosphorylase Kinase is partly activated by binding of Ca++ to this subunit. Biochemistry For Medics 8/12/2012 51
  • 52. Muscle phosphorylase kinase, which activates glycogen phosphorylase, is a tetramer of four different subunits-α, β ,Υ and δ. The α and β subunits contain serine residues that are phosphorylated by cAMP-dependent protein kinase. The δ subunit is identical to the Ca2+-binding protein calmodulin. The binding of Ca2+ activates the catalytic site of the subunit even while the enzyme is in the dephosphorylated b state; the phosphorylated a form is only fully activated in the presence of Ca2+. Phosphorylase Kinase inactive Phosphorylase Kinase-Ca++ partly active P-Phosphorylase Kinase-Ca++ fully active Biochemistry For Medics 8/12/2012 52
  • 53. Both phosphorylase a and phosphorylase kinase a are dephosphorylated and inactivated by protein phosphatase-1. Protein phosphatase-1 is inhibited by a protein, inhibitor-1, which is active only after it has been phosphorylated by cAMP-dependent protein kinase. Thus, cAMP controls both the activation and inactivation of phosphorylase. Insulin reinforces this effect by inhibiting the activation of phosphorylase b. It does this indirectly by increasing uptake of glucose, leading to increased formation of glucose 6-phosphate, which is an inhibitor of phosphorylase kinase. Biochemistry For Medics 8/12/2012 53
  • 54. Glycogen Synthase & Phosphorylase activity are reciprocally regulated At the same time as phosphorylase is activated by a rise in concentration of cAMP (via phosphorylase kinase), glycogen synthase is converted to the inactive form; both effects are mediated via cAMP-dependent protein kinase . Thus, inhibition of glycogenolysis enhances net glycogenesis, and inhibition of glycogenesis enhances net glycogenolysis Biochemistry For Medics 8/12/2012 54
  • 55. Glycogen Storage Diseases "Glycogen storage disease" is a generic term to describe a group of inherited disorders characterized by deposition of an abnormal type or quantity of glycogen in tissues, or failure to mobilize glycogen. Biochemistry For Medics 8/12/2012 55
  • 56. Symptoms in addition to excess glycogen storage: When a genetic defect affects mainly an isoform of an enzyme expressed in liver, a common symptom is hypoglycemia, relating to impaired mobilization of glucose for release to the blood during fasting. When the defect is in muscle tissue, weakness & difficulty with exercise result from inability to increase glucose entry into Glycolysis during exercise. Additional symptoms depend on the particular enzyme that isBiochemistry For Medics 8/12/2012 deficient. 56
  • 57. Name Enzyme Clinical Features Type Deficiency — Glycogen Hypoglycemia; 0 synthase hyperketonemia; early death Von Gierke's Glucose 6- Glycogen disease phosphatase accumulation in liver and renal I tubule cells; hypoglycemia; lactic acidemia; ketosis; hyperlipemia Pompe’s Disease Lysosomal 14 Accumulation of and 16 glycogen in glucosidaseFor Medics 8/12/2012 Biochemistry (acid lysosomes: 57
  • 58. Type Name Biochemical Clinical Features defect III Limit dextrinosis, Debranching Fasting Forbe's or Cori's enzyme hypoglycemia; disease hepatomegaly in infancy; accumulation of characteristic branched polysaccharide IV Amylopectinosis, Branching Hepatosplenome Andersen's enzyme galy; disease accumulation of polysaccharide with few branch points; death from heart or liver failure in Biochemistry For Medics 8/12/2012 58 first year of life
  • 59. Type Name Biochemical defect Clinical Features V Myophosphorylase Muscle Poor exercise deficiency, phosphorylase tolerance; muscle McArdle's glycogen syndrome abnormally high (2.5–4%); blood lactate very low after exercise VI Hers' disease Liver Hepatomegaly; phosphorylase accumulation of glycogen in liver; mild hypoglycemia; generally good prognosis Biochemistry For Medics 8/12/2012 59
  • 60. Type Name Biochemical defect Clinical Features VII Tarui's disease Muscle and Poor exercise erythrocyte tolerance; muscle phosphofructokina glycogen se 1 abnormally high (2.5–4%); blood lactate very low after exercise; also hemolytic anemia VIII Liver Hepatomegaly; phosphorylase accumulation of kinase glycogen in liver; mild hypoglycemia; generally good prognosis Biochemistry For Medics 8/12/2012 60
  • 61. Type Name Biochemical defect Clinical Features IX Liver and muscle Hepatomegaly; phosphorylase accumulation of kinase glycogen in liver and muscle; mild hypoglycemia; generally good prognosis X cAMP-dependent Hepatomegaly; protein kinase A accumulation of glycogen in liver Biochemistry For Medics 8/12/2012 61
  • 62. Glycogen represents the principal storage form of carbohydrate in the body, mainly in the liver and muscle. Glycogen is synthesized from glucose by the pathway of glycogenesis. It is broken down by a separate pathway, glycogenolysis. Glycogenolysis leads to glucose formation in liver and lactate formation in muscle owing to the respective presence or absence of glucose 6-phosphatase. Cyclic AMP integrates the regulation of glycogenolysis and glycogenesis by promoting the simultaneous activation of phosphorylase and inhibition of glycogen synthase. Insulin acts reciprocally by inhibiting glycogenolysis and stimulating glycogenesis. Inherited deficiencies in specific enzymes of glycogen metabolism in both liver and muscle are the causes of glycogen storage diseases. Biochemistry For Medics 8/12/2012 62