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Biochemistry Finals Reviewer, Schemes and Mind Maps of Medical Biochemistry

This document presents a clear and organized summary of key biochemistry pathways, including glycolysis, Krebs cycle, oxidative phosphorylation, gluconeogenesis, lipid metabolism, amino acid metabolism, and more. Each pathway is outlined with its main steps, enzymes, substrates, products, regulation points, and cellular locations. Ideal for quick revision and exam preparation, this summary serves students and professionals in biochemistry, medicine, and life sciences.

Typology: Schemes and Mind Maps

2022/2023

Available from 04/14/2025

chrisdomingoo1120
chrisdomingoo1120 🇵🇭

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GLYCOLYSIS
Stimulated in well-fed state (4 hrs); cytosolic
(+) Insulin, (-) Glycogen, Epinephrine
Glucose → 7ATP / 2ATP (Anaerobic in RBCs with no mitochondria)
Pyruvate → Lactate (Anaerobic)
Substrate level Phos. = 7 and 10
Irreversible = 1, 2, 7, 10
REGULATION
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GLYCOLYSIS

Stimulated in well-fed state (4 hrs); cytosolic (+) Insulin, (-) Glycogen, Epinephrine Glucose → 7ATP / 2ATP (Anaerobic in RBCs with no mitochondria) Pyruvate → Lactate (Anaerobic) Substrate level Phos. = 7 and 10 Irreversible = 1, 2, 7, 10

REGULATION

GLUCONEOGENESIS

Stimulated in starvation state (20+ hrs); cytosol + mitochondria (Liver and kidney) (-) Insulin, (+) Glycogen, Epinephrine Pyruvate/Lactate/Alanine/Glycerol/Gluconeogenic AA → Glucose 6 ATP used

REGULATION

TCA INTERMEDIATES:

GLYCOGENOLYSIS

Stimulated in post-absorptive state (4-18 hrs); Liver and Muscles (+) Insulin, Exercise ; (-) Glycogen, Epinephrine Glycogen → Glucose Glycogen phosphorylase = PID KAP

REGULATION

OTHER HEXOSES

Stimulated in post-absorptive state (4-18 hrs); Liver and Kidney

FRUCTOSE Muscles and Kidney: Hexokinase Liver: Fructokinase

MANNOSE

GALACTOSE

  1. GALK Deficiency (Kinase)- Cataract formation, Galactitol accumulation
    1. GALT Deficiency (Transferase) - most common and severe
      1. GALE Deficiency (Epimerase) - less severe than GALT

ELECTRON TRANSPORT CHAIN

MALATE ASPARTATE

Liver, Kidney, Heart NADH via Complex I 32 ATP = 1 mol. of Glucose

GLYCEROL 3-PHOSPHATE

Muscles and Brain NADH via Complex II 30 ATP = 1 mol. of Glucose

OXIDATIVE PHOSPHORYLATION

LIPOGENESIS (DE NOVO)

Well-fed state, (+) Insulin, Liver (Cytoplasm) RLE: Acetyl-coA Carboxylase 1 (ACC1) 8 ACoA + 7 ATP + 14 NADPH + 14 H → Palmitate + 8 CoA + 7 ADP = 14 NADP + 6 H2O Malate → Pyruvate via Malic enzyme

REGULATION

PADKIP

LIPOPROTEIN METABOLISM

Chylomicrons - WFS; ApoB48; from the Gut (Dietary TAGs) VLDL - both WFS and Fasted; ApoB100, from the Liver (Endogenous TAGs) Both MTP requiring = (-) Lomitapide (catalytic inhibitor), (-) Mipomersen (mRNA of ApoB) Glycerol → Glycerol 3-Phosphate via glycerol kinase (LIVER)

LDL - Cholesterol carrier in plasma → Tissues (BAD) HDL - repository of ApoCII and ApoE; reverse cholesterol transport (GOOD) For maturation of VLDL and chylomicrons Harvesters: ABCA1, SR-B1, ABCG

BILE ACID SYNTHESIS

RLE: 7-a hydroxylase Other fate of cholesterol: Cholesteryl esters via ACAT (liver) - transported via VLDL

BETA-OXIDATION

RLE: 7-a hydroxylase 1 Cycle = 2C cleaved = 1 NADH = 1 FADH2 = 4 ATP Mitochondria = oxidation; Cytosol = biosynthesis

REGULATION

FED STATE → (+) ACC → (+) Malonyl-coA → (-) CPT FASTED STATE → (-) ACC → (-) Malonyl-coA → (+) CPT

OTHERS:

  1. Alpha-oxidation (Branched chain) - Alpha hydroxylation, dehydrogenation, decarboxylation
  2. Omega-oxidation (MCFA)

URONIC ACID PATHWAY

  1. Morphine-6-glucoronide (drugs)
  2. Bilirubin diglucuronide (conjugation) FROM D-GLUCORONATE:
  3. L-gulonolactone → L-ascorbic acid
  4. L-gulonate → Xylulose 5-phosphate → HMP Shunt

HMP SHUNT