Liver pentose phosphate pathway

The pentose phosphate pathway is an alternative route for the metabolism of glucose. It does not generate ATP but has two major functions (1) The formation of NADPH for synthesis of fatty acids and steroids and (2) the synthesis of ribose for nucleotide and nucleic acid formation. Glucose, fructose, and galactose are the main hexoses absorbed from the gastrointestinal tract, derived principally from dietary starch, sucrose, and lactose, respectively. Fructose and galactose are converted to glucose, mainly in the liver. 

In addition to the common pathways, glycolysis and the TCA cycle, the liver is involved with the pentose phosphate pathway regulation of blood glucose concentration via glycogen turnover and gluconeogenesis interconversion of monosaccharides lipid syntheses lipoprotein formation ketogenesis bile acid and bile salt formation phase I and phase II reactions for detoxification of waste compounds haem synthesis and degradation synthesis of non-essential amino acids and urea synthesis. 

The final reactions to be considered in the metabolism of ethanol in the liver are those involved in reoxidation of cytosolic NADH and in the reduction of NADP. The latter is achieved by the pentose phosphate pathway which has a high capacity in the liver (Chapter 6). The cytosolic NADH is reoxidised mainly by the mitochondrial electron transfer system, which means that substrate shuttles must be used to transport the hydrogen atoms into the mitochondria. The malate/aspartate is the main shuttle involved. Under some conditions, the rate of transfer of hydrogen atoms by the shuttle is less than the rate of NADH generation so that the redox state in the cytosolic compartment of the liver becomes highly reduced and the concentration of NAD severely decreased. This limits the rate of ethanol oxidation by alcohol dehydrogenase. 

Figure 5-5. Metabolic activities of major organs during a short-term fast. The importance of the liver in providing glucose to support the brain and other glucose-requiring organs in the post-absorptive state is illustrated. The body relies on available glycogen stores as a ready source for glucose as fuel. PPP, pentose phosphate pathway FA, fatty adds TAG, triacylglycerol.

Verhoeven NM, Huck JH, Roos B, Struys EA, Salomons GS, Douwes AC, van der Knaap MS, Jakobs C (2001) Transaldolase deficiency liver cirrhosis associated with a new inborn error in the pentose phosphate pathway. Am J Hum Genet 68 1086-1092... 

The oxidative portion of the pentose phosphate pathway consists of three reactions that lead to the formation of ribulose 5-phosphate, C02, and two molecules of NADPH for each molecule of glucose 6-phosphate oxidized (Figure 13.2). This portion of the pathway is particularly important in the liver and lactating mammary glands, which are active in the biosynthesis of fatty acids, in the adrenal cortex, which is active in the NADPH-dependent synthesis of steroids, and in erythrocytes, which require NADPH to keep glutathione reduced. 

As a general rule, NAD+ is associated with catabolic reactions and it is somewhat unusual to find NADP+ acting as an oxidant. However, in mammals the enzymes of the pentose phosphate pathway are specific for NADP+. The reason is thought to lie in the need of NADPH for biosynthesis (Section I). On this basis, the occurrence of the pentose phosphate pathway in tissues having an unusually active biosynthetic function (liver and mammary gland) is understandable. 

Many kinds of organisms and some mammalian organs, notably liver, possess an alternative pathway for the oxidation of hexoses which results in a pentose phosphate and carbon dioxide. This pentose can be used as a precursor of the ribose found in nucleic acids or other sugars containing from three to seven carbon atoms which are needed in smaller amounts. The first and third reactions in the pentose phosphate pathway generate NADPH which is a major source of reducing power in many cells. 

Liver glycolysis gluconeogenesis glycogen synthesis fatty acid synthesis pentose phosphate pathway... 

Some mammalian cells have the ability to metabolize glucose 6-phosphate in a pathway that involves the production of C3, C4, C5, C6, and C7 sugars. This process also yields the reduced coenzyme, NADPH, which is oxidized in the biosynthesis of fatty acids and steroids (Chap. 13). Consequently, this metabolic pathway is of major importance in those cells involved in fatty acid and steroid production, such as the liver, lactating mammary gland, adrenal cortex, and adipose tissue. The pentose phosphate pathway, which does not require oxygen and which occurs in the cytoplasm of these cells, has two other names the phosphogluconate pathway (after the first product in the pathway) and the hexose monophosphate shunt (since the end products of the pathway can reenter glycolysis). 

The pentose phosphate pathway. This pathway is probably the major source of ribose 5-phosphate in liver and in bone marrow. 

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