Gluconeogenesis lactate

How is it possible that both the glycolytic degradation of glucose to lactate and the reverse process, formation of glucose from lactate (gluconeogenesis), are energetically favorable ... 

Aminooxyacetate, an inhibitor of glutamate— oxalacetate transaminase, inhibits the formation of aspartate. Soling Kleinicke (1976) observed that aminooxyacetate did not inhibit the formation of glucose from lactate and, therefore, concluded that the malate-aspartate shuttle was not essential for the lactate gluconeogenesis in avian liver. However, Ochs Harris (1980) found that aminooxyacetate did block lactate gluconeogenesis when lower concentrations of pyruvate were used and incubation was for longer than 15 min. They concluded that the malate-aspartate shuttle was required. 

Metformin restrains hepatic glucose production principally by suppression of gluconeogenesis. The mechanisms involve potentiation of insulin action and decreased hepatic extraction of certain gluconeogenic substrates such as lactate. In addition, metformin reduces the rate of hepatic glycogenolysis and decreases the activity of hepatic glucose-6-phosphatase. Insulin-stimulated glucose uptake and glycogenesis by skeletal muscle is increased by metformin mainly by increased... 

Under certain circumstances, and very rarely, the inhibition of gluconeogenesis by metformin may suppress lactic acid metabolism and precipitate a potentially fatal lactic acidosis. Impairment of renal function, liver disease, alcoholism, conditions that give rise to increased lactate production (e.g. congestive heart failure, infections) are therefore contraindications for the application of metformin. 

Skeletal muscle utilizes glucose as a fuel, forming both lactate and CO2. It stores glycogen as a fuel for its use in muscular contraction and synthesizes muscle protein from plasma amino acids. Muscle accounts for approximately 50% of body mass and consequently represents a considerable store of protein that can be drawn upon to supply amino acids for gluconeogenesis in starvation. 

Gluconeogenesis is the process of converting noncarbohydrates to glucose or glycogen. It is of particular importance when carbohydrate is not available from the diet. Significant substrates are amino acids, lactate, glycerol, and propionate. 

Kidney Excretion and glu-coneogenesis Gluconeogenesis Free fatty acids, lactate, glycerol Glucose Glycerol kinase, phosphoenolpyruvate carboxy kinase... 

Gluconeogenesis Formation of glucose from precursors other than carbohydrates (especially by the liver and kidney) using amino acids from proteins, glycerol from fats, or lactate produced by muscle during anaerobic glycolysis. 

Mechanism for Gluconeogenesis. Since the glycolysis involves three energetically irreversible steps at the pyruvate kinase, phosphofructokinase, and hexokinase levels, the production of glucose from simple noncarbohydrate materials, for example, pyruvate or lactate, by a reversal of glycolysis ( from bottom upwards ) is impossible. Therefore, indirect reaction routes are to be sought for. 

Noncarbohydrate Sources for Gluconeogenesis. In addition to pyruvate and lactate, which are delivered to the liver and kidneys, other noncarbohydrate compounds serve as substrates for glucose synthesis. In accordance with the gluconeogenesis scheme, it may be anticipated that all materials of noncarbohydrate nature that are... 

Gluconeogenesis in the liver can be fueled by molecules other than pyruvate or lactate. Alanine, a product of protein degradation, yields pyruvate by simple transamination, and this pyruvate can be converted... 

Liver s main job is to keep up the levels of blood glucose. To do this, it breaks down glycogen and turns on gluconeogenesis. The liver takes lactate and alanine from the circulation and through gluconeogenesis converts it into glucose. The ammonia from the alanine is pushed... 

Most patients with pyruvate-carboxylase deficiency present with failure to thrive, developmental delay, recurrent seizures and metabolic acidosis. Lactate, pyruvate, alanine, [3-hydroxybutyrate and acetoacetate concentrations are elevated in blood and urine. Hypoglycemia is not a consistent finding despite the fact that pyruvate carboxylase is the first rate-limiting step in gluconeogenesis. 

The interconversion of fructose-6-phosphate and fructose-1,6 bis phosphate is a control point in glycolysis and gluconeogenesis. Gluconeogenesis is a pathway which allows carbon atoms from substrates such as lactate, glycerol and some amino acids to be used for the synthesis of glucose, so it is in effect physiologically the opposite of... 

Key PEP-CK = PEP carboxykinase this enzyme begins the re-cycling of carbon atoms derived from amino acids (via pyruvate, 2-OG or OAA) or lactate (via pyruvate) to glucose (gluconeogenesis). 

Between meals when fatty acids are oxidized in the liver for energy, accumulating acetyl CoA activates pyruvate carboxylase and gluconeogenesis and inhibits PDH, thus preventing conversion of lactate and alanine to acetyl CoA. 

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