REGULATED ENZYMES
Glycogen synthase: glucose 1P polymerization to glycogen
• Catalyzes rate-limiting step in glycogen synthesis
• Active form: dephosphorylated
• Inactive form: phosphorylated
Glycogen phosphorylase: releases glucose 1P residues from glycogen
• Catalyzes rate-limiting step in glycogenolysis
• Active form: phosphorylated
• Inactive form: dephosphorylated
• Activated by phosphorylase kinase
Phosphorylase kinase: phosphorylates glycogen phosphorylase
• Activate form: phosphorylated
• Inactive form: dephosphorylated
KEY ORGANS
• Regulates blood glucose, responds to needs of all organs
•
Insulin,
glucagon & epinephrine receptors
• Synthesizes/breaks down glycogen based on own metabolic needs
• Only insulin and epinephrine receptors (NOT glucagon)
REGULATORY MECHANISMS
1. Hormonal: insulin (high glucose), glucagon (low glucose) & epinephrine (stress)
Glucagon (low glucose) & epinephrine (stress):
• Activate protein kinase A (PKA) in cAMP-dependent manner
• PKA phosphorylates glycogen synthase (inactivates it)
• PKA phosphorylates phosphorylase kinase (activates it)
• Phosphorylase kinase phosphorylates glycogen phosphorylase (activates it)
• Upregulates glycogenolysis, down regulates glycogen synthesis
Insulin (elevated glucose):
• Activates phosphoprotein phosphatase (PPP)
• PPP dephosphorylates glycogen synthase (activates it)
• PPP dephosphorylates phosphorylase kinase (inactivates it)
• Upregulates glycogen synthesis, down regulates glycogenolysis
Glucagon receptor NOT in muscle: muscle only responds to stress (epinephrine)
2.
Allosteric regulation
Both hepatic and muscle cells
• Glycogen synthase activation: glucose 6P (glucose 1P --> glucose 6P)
• Glycogen phosphorylase inhibition: glucose 6P, ATP (energy abundance)
Liver only
• Glycogen phosphorylase inhibition: glucose
Muscle only
• Glycogen phosphorylase activation: Ca2+, AMP (low energy)
• Muscle contraction: Ca2+ released from sarcolemma & allosterically activates phosphorylase kinase --> activates glycogen phosphorylase
CLINICAL CORRELATION
McArdle's Disease (Type V glycogen storage disease)
• Muscle glycogen phosphorylase deficiency
• Glycogen accumulates in muscle
• Muscle cramps & decreased exercise tolerance