L2: Fuel Selection During Exercise
1. Outline the effect of muscle glucose utilisation on blood
glucose levels and hormonal responses
Content Source: Slides 14–16
Explanation:
During exercise, muscle cells increase glucose
uptake via GLUT-4 transporters, reducing blood
glucose levels.
Even gentle activity triggers these transporters
to move to the cell surface.
Since glucose is essential for brain function,
the body must maintain blood glucose at ~5 mM.
Hormonal response:
Insulin levels fall: Less stimulation of glucose
uptake by liver and adipose tissue.
Glucagon levels rise: Stimulates
glycogen breakdown in liver and
lipolysis in adipose tissue to release glucose and
fatty acids respectively.
These actions together stabilise blood glucose
levels despite muscle usage.
Summary Table:
| Hormone |
Response to Exercise / Muscle Uptake |
Effect |
| Insulin ↓ |
Suppressed by sympathetic activation |
Prevents further glucose uptake by liver/fat |
| Glucagon ↑ |
Stimulated by low glucose and catecholamines |
Increases hepatic glucose production |
| Adrenaline/Noradrenaline ↑ |
Sympathetic response |
Stimulates glycogenolysis (liver + muscle), lipolysis |
| Cortisol ↑ (longer term) |
Supports gluconeogenesis, protein catabolism |
Increases substrate availability |
📘 More on hormonal regulation of glucose: Video: Hormonal
Regulation of Blood Glucose (Armando Hasudungan)
2. Predict the effect of low insulin and high glucagon on
target tissues and blood fuel levels
Content Source: Slide 16
Explanation:
First, What Are Insulin and Glucagon?
Insulin is like a storage hormone. It tells your body to put away
fuel (like glucose and fat) when you’ve eaten.
Glucagon is like a release hormone. It tells your body to get fuel
out of storage when you’re fasting or exercising
Now Imagine You Haven’t Eaten for a While
Your insulin levels go down, and your glucagon levels go up. Here’s
what happens:
In the Muscle:
*Instead, they start burning fat for energy.
In the Liver:
So the liver saves the brain by making and releasing
glucose.
In Fat (Adipose Tissue):
Low insulin + high glucagon = fat is broken down
This releases fatty acids into the blood
Muscles and other organs burn the fat instead of glucose
In Blood:
| Fuel |
What Happens |
| Glucose |
Stays steady or may go up (from liver) |
| Fatty acids |
Go way up (from fat breakdown) |
| Ketones |
Go up later (especially during starvation) |
🧬 Visual guide to hormone effects on metabolism: Glucagon
vs Insulin infographic (Kenhub)
3. Explain why glucose needs to be recycled and describe how
this is achieved
Content Source: Slide 17, 20
Explanation:
Glucose stores (glycogen) are limited; brain
requires steady glucose supply.
Fatty acids cannot be converted into glucose (no
net gluconeogenesis from acetyl-CoA).
So glucose must be:
This prevents rapid depletion of glucose reserves and avoids
hypoglycemia.
📘 Cori Cycle
Visual Explanation (Osmosis)
4. Recognise what catabolic pathways change as fatty acids
become available during low intensity exercise
Content Source: Slides 12, 14, 20
Explanation:
In low-intensity exercise:
Initial energy comes from glucose
(glycolysis).
After minutes, fatty acids (via β-oxidation)
become the main fuel.
The increase in ADP activates oxidative
phosphorylation.
Fatty acids are mobilised from white adipose
tissue and oxidised in mitochondria to acetyl-CoA → Krebs →
ETC.
🧪 Fatty Acid
β-Oxidation Pathway – Video
5. Describe the general pattern of fuel oxidation in gentle
exercise
Content Source: Slides 12, 14, 20
Explanation:
ATP demand increases slightly → ↑ ADP → stimulates ATP synthase
and ETC.
Initial reliance on blood glucose, but
transitions to:
- Fatty acid oxidation (dominant fuel after ~10–15
min).
- Glycolysis slows, pyruvate is converted to lactate
→ goes to liver.
Energy is generated primarily
aerobically.
📘 Fuel
use over time – graph example (OER Commons)
6. Predict the effect of increasing the pace of gentle
exercise
Content Source: Slides 21–24
Explanation:
As pace increases:
- Fatty acid oxidation cannot keep up with rising ATP
demand.
- Glucose oxidation resumes, as PDH inhibition is
lifted.
- Muscle uses glucose from liver glycogen and
blood glucose.
- Fuel shift from fat → mixed fuel use (fat +
glucose).
🧬 Comparison
of fuel usage by intensity (ResearchGate figure)
7. Compare the pattern of fuel utilisation in moderate
exercise with that in gentle exercise
Content Source: Slide 24
Explanation:
Gentle: Mostly fatty acid oxidation, some
glucose → lactate.
Moderate:
- Fatty acid oxidation reaches maximum enzyme
capacity.
- Glucose oxidation increases to meet higher
demand.
- Glucose from liver glycogen and less
recycling (less lactate).
Net effect: Mixed oxidation, increased reliance
on glucose, faster glycogen depletion.
📘 Carbohydrate
and fat usage in exercise – Lecture image
8. Describe the changes to fatty acid oxidation that occur
when an athlete changes from gentle to strenuous exercise
Content Source: Slides 24–26
Explanation:
- Fatty acid oxidation is maxed out during moderate
intensity.
- In strenuous exercise, demand outpaces
mitochondrial oxidative capacity.
- Glucose oxidation increases significantly; fatty
acid contribution plateaus.
- Eventually, reliance shifts to muscle glycogen for
rapid ATP supply.
🧪 Study:
Fat and carbohydrate metabolism during exercise (J Appl Physiol)
9. Explain the circumstances under which muscle glycogen is
mobilised
Content Source: Slides 25–27, 29
Explanation:
Glycogen is mobilised when:
- Blood glucose and fatty acids can’t meet demand.
- Exercise intensity increases.
- Sprinting requires rapid ATP, which oxidative
phosphorylation can’t supply fast enough.
Glycogen → G6P → glycolysis → ATP/lactate.
Glycogen is stored within the muscle and is
readily accessible.
📘 Why glycogen is
critical to athletes (Examine.com)
10. Outline the pattern of fuel utilisation in strenuous
exercise
Content Source: Slides 25–27
Explanation:
- Fatty acids continue at max capacity.
- Liver glycogen and blood glucose
help but become limiting.
- Muscle glycogen is mobilised and becomes primary
source.
- High glycolytic flux → ↑ lactate.
- Anaerobic glycolysis contributes to ATP → quick but
inefficient (2 ATP/glucose).
🎥 Anaerobic vs
aerobic metabolism (Armando)
🔥 Fuel Oxidation Strategy – Lecture 2 (Week
1)
🧠 PART 1: Understanding the Principles (Strategy &
Logic)
Think of the body like a hybrid car that runs on
different fuels (glucose, fatty acids, amino acids), depending on
what’s available and what you’re doing
(resting, exercising, fasting, etc.).
⚙️ Principles of Fuel Oxidation
Goal = Make ATP
Fuel Types:
| Fuel |
When Used |
Features |
| Glucose |
After eating, fast bursts of exercise |
Fast, anaerobic possible |
| Fatty acids |
Fasting, rest, prolonged exercise |
Slow, high yield |
| Amino acids |
Starvation, muscle breakdown |
Backup fuel |
Oxidation Happens in Stages:
Glycolysis / β-oxidation: Break fuel into
2-carbon units (acetyl-CoA)
Krebs Cycle: Burn acetyl-CoA → release
electrons
ETC + Oxidative Phosphorylation: Use electrons
to make ATP
Flexibility is key:
- The body switches fuels based on energy needs and
hormone signals (insulin vs glucagon).
Insulin promotes storage and glucose use.
Glucagon promotes release and fat use.
💡 Real-World Analogy:
Glucose is like petrol — easy to use, burns fast.
Fat is like diesel — lasts longer but burns slowly.
Protein is like burning the car’s seats — you only use it when you’re
desperate.
📘 PART 2: Rote Learning (Pathways to
Memorise)
Even though understanding is most important, there are
certain steps and enzymes you just have to
memorise.
🔹 Glycolysis (Glucose → Pyruvate)
Happens in cytoplasm
No oxygen needed
Key enzymes:
🧪 ATP Yield:
2 ATP net per glucose (plus 2 NADH)
🔹 β-Oxidation (Fatty acids → Acetyl-CoA)
Happens in mitochondria
Requires carnitine shuttle for entry
Cycles remove 2 carbon units as
acetyl-CoA
Generates lots of NADH, FADH₂
🧪 ATP Yield:
~106 ATP from one palmitate (16C fatty acid)
🔹 Krebs Cycle (Acetyl-CoA → CO₂ + energy)
Enzymes to learn:
🔹 Electron Transport Chain (ETC) + Oxidative
Phosphorylation
Happens in inner mitochondrial membrane
NADH/FADH₂ donate electrons → pump protons
ATP Synthase uses proton gradient to make
ATP
🧪 ATP Yield:
2.5 ATP per NADH
1.5 ATP per FADH₂
📊 Fuel Oxidation Flow Chart (Simplified)
Glucose → Glycolysis → Pyruvate → Acetyl-CoA → Krebs → ETC → ATP
Fatty Acid → β-Oxidation → Acetyl-CoA → Krebs → ETC → ATP
Amino Acid → Transamination → Keto Acids → Acetyl-CoA or TCA Intermediates → ATP
🔁 Summary Strategy
| Condition |
Preferred Fuel |
Hormone |
Notes |
| Fed |
Glucose |
↑ Insulin |
Store fat, make ATP |
| Fasting |
Fatty acids |
↑ Glucagon |
Gluconeogenesis for brain |
| Exercise (short, intense) |
Glucose (muscle glycogen) |
↓ Insulin |
Anaerobic possible |
| Exercise (prolonged) |
Fatty acids |
↓ Insulin, ↑ Glucagon |
Conserves glucose |
🔗 Rules of Coupling – Matching Fuel Oxidation to ATP
Demand
🧠 What is “Coupling”?
Coupling means that two things are linked — if
one happens, the other happens too.
In the mitochondria:
Fuel oxidation (burning glucose or fat) is
coupled to ATP synthesis.
So:
👉 If the cell needs more ATP, it will also
burn more fuel.
👉 If no ATP is needed, fuel oxidation slows down or
stops.
🧬 How is This Coupling Controlled?
It’s all about ADP levels and the proton
gradient in the mitochondria:
⚙️ The Mechanism:
ATP Synthase makes ATP by letting
protons (H⁺) flow back into the mitochondrial
matrix.
This proton flow only happens when there is
ADP + Pi to turn into ATP.
If there’s no ADP, protons stop
flowing, and the proton gradient builds
up.
This stops the electron transport chain, which
stops fuel oxidation.
🔁 So it works like this:
This is chemiosmotic coupling — ATP synthesis is
linked to fuel oxidation through the proton
gradient.
🎢 Analogy for Kids (But with Correct Terms)
Imagine a hydroelectric dam (the mitochondria):
- The water behind the dam = proton gradient
- The turbine = ATP synthase
The water (H⁺) only flows through the turbine if you’re using
electricity (need ATP).
If you’re not using electricity (no ADP), the water stops flowing,
and the generators (ETC) shut down.
🧪 Biochemical Players:
| Component |
Function |
| Fuel (glucose, fat) |
Oxidised to provide electrons (NADH/FADH₂) |
| ETC (Complex I–IV) |
Pumps protons into intermembrane space |
| Proton Gradient (PMF) |
Stores energy like a battery |
| ATP Synthase (Complex V) |
Uses proton flow to make ATP |
| ADP availability |
Acts like a switch – turns ATP synthesis (and fuel use) on or
off |
📊 Summary Table
| Condition |
ADP Level |
Proton Flow |
ATP Made |
Fuel Oxidised |
| Rest |
Low |
Slow |
Little |
Little |
| Exercise |
High |
Fast |
Lots |
Lots |
| ATP synthase blocked (e.g. oligomycin) |
Irrelevant |
Blocked |
None |
None |
| Uncoupled (e.g. UCP-1) |
Normal |
Flow allowed |
Less |
Lots (but wasted as heat) |
🧠 Why This Matters:
Coupling prevents waste.
The body only uses fuel when ATP is actually needed.
This keeps metabolism efficient, like a smart
energy-saving system.
L7: Regulation, Enzymes and Rate Limiting
Steps
1. Describe the chemical features of ATP which make it ideal
for use as an energy currency
Explanation:
ATP contains three phosphate groups, each with
high-energy phosphoanhydride bonds.
Hydrolysis of ATP → ADP or AMP releases substantial free
energy (~-30.5 kJ/mol).
Phosphoryl group transfer is kinetically stable but
thermodynamically favourable.
ATP is soluble, abundant (~5 mM), and
universally recognised by enzymes.
📘 ATP
structure and energy – Khan Academy
2. Explain the concept of energy charge with reference to
the concentration of adenine nucleotides
Explanation:
Energy charge reflects cellular energy
status:
\(\text{Energy Charge} = \frac{[ATP] +
0.5[ADP]}{[ATP] + [ADP] + [AMP]}\)
Range: 0 (all AMP) → 1 (all ATP).
Cells maintain charge ~0.9; slight ATP changes → large AMP
response.
Acts as a metabolic gauge, especially through
AMP-activated protein kinase (AMPK).
📘 Energy
charge – Biochemistry LibreTexts
3. Review how a small change in ATP concentration is
translated into a large relative change in AMP
concentration
Explanation:
Via the action of adenylate kinase:
\(2 ADP ⇌ ATP + AMP\)
Minor ATP depletion → large increase in AMP,
which potently activates AMPK and other enzymes.
AMP is the most sensitive indicator of energy
stress.
📘 Adenylate
kinase role – PubMed
6. Describe the properties of rate limiting
steps
Explanation:
Irreversible under physiological
conditions.
Control flux through the pathway.
Sites of feedback and feedforward
regulation.
Often committed steps unique to the
pathway.
📘 RLS
in metabolism – ScienceDirect
7. Review the major ways in which enzyme activity can be
changed
Source: L3.1 pg 11
Explanation:
Allosteric regulation: ligand binding at
non-active site → conformational change (e.g., AMP, citrate).
Covalent modification:
phosphorylation/dephosphorylation alters activity (e.g., PDH).
Isoenzyme expression: tissue-specific
variants.
Transcriptional control: change enzyme
levels.
From lecture:
Change intrinsic activity of the step: make rate
limiting enzyme go faster/slower
Switch on/off: turn the rate limiting enzyme
on/off or make it work the other way around
Make and destroy gates according to need:
increase the rate of transcription/translation of the RLS, or change its
rate of degradation
📘 Mechanisms
of enzyme regulation – NCERT
8. List the key rate limiting steps in the major pathways of
catabolism
Source: L3.1 pg 12
Examples:
| Pathway |
RLS Enzyme |
| Glycolysis |
Phosphofructokinase-1 (PFK-1) |
| β-Oxidation |
Carnitine acyltransferase I |
| Krebs Cycle |
Isocitrate dehydrogenase |
| Glycogenolysis |
Glycogen phosphorylase |
| Pyruvate Oxidation |
Pyruvate dehydrogenase (PDH) |
Possible rate limiting steps:
Fatty acid oxidation - need the availability of CoA in cytoplasm to
trap FA in the cell
Beta oxidation - need availability of carnitine to transport FA-CoA
from cytoplasm into the mitochondria martrix
Beta oxidation - dehydrogenases working above Km (working at max rate
to break FA into 2-carbon chunks)
Beta oxidation - availability of CoA, NAD+, or FAD
Glycolysis - transport of glucose into the cell using GLUT 2 or 4
(especially GLUT-4 which is insulin-sensitive)
Glycolysis - Hexokinase will stop trapping more glucose if we don’t
use the phosphorylated glucose, allowing it to flow back out again
glycolysis - Phosphofructokinase (PFK) phosphorylating G6P to Glucose
1,6-bisphosphate
glycolysis - pyruvate kinase
glycolysis - NAD+ for glycolysis to continue. Unlike Fatty acid
oxidation, glycolysis does not need FAD
Pyruvate oxidation - PDH
Pyruvate oxidation - CoA and NAD+, for PDH to convert into Ac-CoA it
will need a CoA and this step also converts one NAD+ to NADH
glycogenolysis - glycogen phosphorylase which takes glucose off
glycogen
📘 [Table – Lehninger Principles of Biochemistry]
9. Provide an overview of the regulation of
phosphofructokinase (PFK)
Source: L3.1 pg 13 - graph on this page
Explanation:
Allosteric means site away from active site

10. Provide an overview of the regulation of
hexokinase
Source: L3.1 pg 14
Explanation:
Inhibited by product G6P (negative
feedback).
Prevents excess glucose trapping.
Allows glucose to exit cell via GLUT2 if not needed.
Liver enzyme glucokinase is not inhibited by
G6P, enabling storage.
📘 Hexokinase
vs glucokinase – Osmosis
11. Using an example, illustrate how control motifs act
synergistically to regulate pathways
Source: L3.1 pg 15 - diagram here
Example:
At rest:
glucose converted to G6P by hexokinase but since we’re restinf
not much glycolysis is performed
causes build up of G6P which gives negative feedback loop to
inhibit hexokinase
we stop trapping glucose as G6P
energy charge is high when resting and lots of ATP but no
AMP
energy charge will act on PFK
PFK gets switched off since there’s not much AMP around and it
doesn’t like ATP
PK also gets switched off
During exercise, falling ATP and rising AMP:
Using up trapped G6P so inhibition on Hexokinase is
relieved
energy charge switched from high ATP to high AMP
Activate PFK-1 allosterically to switch on glycolysis
Inhibit PDH kinase → activates PDH
feedforward fructose 1,6-bisphosphate onto last enzyme in
glycolysis Pyruvate kinase (i.e. its telling PK to hurry up)
All work together to upregulate glycolysis and fuel
oxidation.
📘 AMPK and
exercise – Cell Metabolism
Also pg 16:
The Role of Mitochondrial Fat Oxidation in Cancer Cell Proliferation
and Survival - Scientific Figure on ResearchGate. Available from: https://www.researchgate.net/figure/The-key-enzymes-determining-the-competition-of-glycolysis-versus-mitochondrial-fatty-acid_fig1_347695455
[accessed 5 May, 2022]
Figure 1. The key enzymes determining the competition of glycolysis
versus mitochondrial fatty acid oxidation (FAO) defined by the Randle
cycle. (A) Increased extracellular free fatty acids availability (FFA)
can increase mitochondrial fatty acid oxidation (FAO), resulting in
higher levels of acetyl-CoA, NADH, and ATP inside the mitochondria.
As a result, citrate production by citrate synthase (CS) is
increased, but the activity of PDH and TCA cycle dehydrogenases is
decreased by the elevation in acetyl CoA/CoA, NADH/NAD+, and ATP/ADP
ratios. Thus, FAO leads to an accumulation of mitochondrial citrate,
which is exported to the cytosol via the CIC/SLC25A1 exporter.
High citrate in the cytosol can inhibit phosphofructokinase-1 (PFK-1)
and pyruvate kinase (PK) activities, decreasing glycolysis, pyruvate
synthesis and oxidation. (B) When extracellular glucose increases, the
concomitant upregulation in glycolysis provides more pyruvate to the
mitochondria. Pyruvate oxidation by PDH and pyruvate carboxylation by
pyruvate carboxylase (PC) generate acetyl-CoA and OAA respectively,
increasing citrate synthase (CS) activity.
The amount of citrate produced is higher than needed to sustain the
carbon pool of TCA cycle intermediates, which causes its export to the
cytosol. Under high glucose, cytosolic citrate is hydrolyzed by
ATP-citrate lyase (ACLY) into acetylCoA and OAA. Acetyl-CoA is
carboxylated by two acetyl-CoA carboxylases, ACC1 and ACC2, to generate
malonyl-CoA. ACC2 is localized in the outer mitochondrial membrane,
causing malonylCoA to be more accessible to carnitine-palmitoyl
transferase 1 (CPT1). Malonyl-CoA inhibits CPT1
12. Using an example, show how enzymes are controlled by
reversible phosphorylation
Source: L3.1 pg 17
Example: PDH Regulation
PDH kinase phosphorylates PDH → inactivates
it.
- PDH kinase itself is activated by high levels Ac-CoA
PDH phosphatase dephosphorylates → reactivates
PDH.
- PDH phosphotase signalled by insulin
Controlled by energy status (acetyl-CoA, NADH levels).
📘 PDH
regulation – KEGG Pathway
13. Recognise that rate limiting steps can change with
circumstances
Explanation:
RLS are context-dependent:
Fasted vs fed state
Rest vs exercise
Oxygen availability
Example: In fasting, carnitine shuttle becomes
limiting for β-oxidation.
generally not ‘availability of substrates’ because we are demand
driven not supply driven
demand = want/ don’t want, supply = enough/ not enough
normally every cell gets some glucose through GLUT-1 which is on
every cell in body. Therefore, will always have SOME supply to a degree
so it comes down to whether or not we NEED it
can be ‘transport & trapping’ –> maybe need CoA to trap
glucose inside cell. maybe hexokinase need ATP to trap glucose inside
cell
can be ‘transport into mitochondria’ –> so to get FA into
matrix we need carnitine (which is the RLS)
can be ‘having enough gates (enzymes) at each step’ –> to get
all the way through pathway
- in ETC: oxygen is terminal electron acceptor. So if cells doing lots
and lots of work, supply of oxygen can be RLS
IN GENERAL: usually dictated by AMP level and
availbility of NAD+, FAD, CoA, or whatever cofactors required by these
enzymes. NAD+ and FAD are controlled by the cellular demand for ATP. If
there’s no demand for ATP –> NADH and FADH2 stuck holding H/e- –>
can’t drop off at ETC until some ATP is used.
📘 Dynamic RLS
in metabolism – PMC
14. Explain the principles of reciprocal regulation of
pathways
Explanation:
Opposing pathways are regulated in opposite
ways:
Prevents futile cycling.
Often mediated by shared molecules (e.g.,
citrate, fructose 2,6-bisphosphate).
LOOK AT L3.1 pg20 for example with citrate
The regulatory role of citrate in the metabolism. Citrate is
synthesized inside the mitochondria by citrate synthase from acetyl-CoA
and OAA. It is exported outside the mitochondria by CIC. Citrate
inhibits PFK1, PK, PDH, and SDH. Citrate inhibits also PFK2, which
produces F2,6P, an allosteric activator of PFK1 in cancer cells.
Activation effect is exerted on lipid biosynthesis through ACC, which
produces malonyl-CoA, the first product of lipid biosynthesis, which, in
turn, inhibits the CPT-1, the first enzyme of β -oxidation process.
Through F1,6BPase, citrate stimulates gluconeogenesis. ACC, acetyl-CoA
carboxylase; CS, citrate synthase; F1,6BPase, fruc- tose 1,6
bisphosphatase; G6P, glucose-6-phosphate; F6P, fructose- 6-phosphate;
HK, hexokinase; PEP, phosphoenolpyruvate. Symbols + and – indicate
stimulation and inhibition, respectively.
Citrate - new functions for an old metabolite - Scientific Figure on
ResearchGate. Available from: https://www.researchgate.net/figure/The-regulatory-role-of-citrate-in-the-metabolism-Citrate-is-synthesized-inside-the_fig1_259825846
[accessed 5 May, 2022]
L8: Gluconeogenesis in Detail
2. Review the steps involved in the release of glucose from
cytosolic glucose 6-phosphate
Source: L3.2 pg 4 –> ins diagram
Explanation:
To get G6P converted back to glucose –>
G6P enters the ER lumen via a transporter
(T1).
Hydrolysed by glucose-6-phosphatase → glucose +
Pi.
Glucose exits via T3; released into blood via
GLUT2.
Only occurs in liver and pancreas.
📘 [G6Pase system – Lehninger Figure 15-28]
3. Analyse the effects of the absence of the 2-OH group in
glucose and generate rationales for the use of 2-deoxy derivatives in
clinical diagnostics
Source: L3.2 pg 7
Explanation:
2-Deoxyglucose (2-DG) lacks a 2’-OH → cannot be
isomerised to F6P.
Trapped in cells as 2-DG-6P.
Used in FDG-PET imaging to track glucose uptake
(e.g. in cancers).
Accumulation inhibits glycolysis (Warburg effect
exploited).
📘 FDG-PET
application – Radiopaedia
4. Predict the flow of glycolysis and gluconeogenesis based
on the relative activities of phosphofructokinase and fructose 1,6
bisphosphatase
Explanation:
PFK-1 activity → glycolysis.
F1,6-BPase activity → gluconeogenesis.
Fructose 2,6-bisphosphate regulates both:
- ↑ F26BP → activates PFK-1, inhibits F1,6-BPase → glycolysis.
- ↓ F26BP → opposite → gluconeogenesis.
📘 Diagram
– F26BP control loop (Biochem Text)
5. Compare the regulators of phosphofructokinase and
fructose 1,6 bisphosphatase
Explanation:
| Regulator |
Effect on PFK-1 |
Effect on F1,6-BPase |
| ATP |
Inhibits |
– |
| AMP |
Activates |
Inhibits |
| Citrate |
Inhibits |
– |
| Fructose 2,6-BP |
Strong activator |
Strong inhibitor |
📘 [Comparison – Stryer Biochemistry, Ch. 16]
6. Outline the reasons to produce fructose 2,6
bisphosphate
Explanation:
F26BP is a key switch:
Synthesised by PFK-2, degraded by
F2,6-BPase
Allows rapid hormonal control (glucagon vs insulin).
📘 [Visual Summary – Figure 15-17, Lehninger]
7. Apply knowledge of the effects of fructose 2,6
bisphosphate to the regulation of PFK and F16BPase
Source: L3.2 pg 10-16
Explanation:
Fructose 2,6-Bisphosphate (F2,6BP) – The Key
Regulator
F2,6BP is a powerful regulatory molecule that
controls the balance between glycolysis and
gluconeogenesis by affecting two opposing enzymes:
Glycolysis Enzyme: Phosphofructokinase-1
(PFK-1)
PFK-1 function: Converts
fructose-6-phosphate →
fructose-1,6-bisphosphate
F2,6BP effect: Activates
PFK-1
This speeds up glycolysis, helping the cell break
down glucose for energy.
Gluconeogenesis Enzyme: Fructose-1,6-bisphosphatase
(F1,6BPase)
- F1,6BPase function: Converts
fructose-1,6-bisphosphate → fructose-6-phosphate
- F2,6BP effect: Inhibits F1,6BPase
🚫 This slows down gluconeogenesis, preventing the cell
from making new glucose.
Simple Summary:
| Molecule |
Target Enzyme |
Effect |
Pathway Affected |
| F2,6BP |
PFK-1 |
✅ Activates |
↑ Glycolysis |
| F2,6BP |
F1,6BPase |
🚫 Inhibits |
↓ Gluconeogenesis |
💡 Why it matters:
F2,6BP acts like a switch:
When energy is needed, it turns
glycolysis ON and gluconeogenesis
OFF.
This helps the cell avoid doing both pathways at once, which
would waste energy.
8. Illustrate the dual identity of PFK/F26BPase through
phosphorylation changes
Source: L3.2 pg 10-16
Explanation:
PFK-2 and F26BPase are parts of the same
bifunctional enzyme.
Phosphorylation by PKA
(activated by cAMP/glucagon) → activates F26BPase.
Dephosphorylation (insulin) → activates
PFK-2.
A classic example of reciprocal regulation.
📘 [Bifunctional enzyme mechanism – Nature Fig. 16-31]
9. Outline the consequences of changes in PFK/F26BPase
activity
Source: L3.2 pg 10-16
Explanation:
10. Compare the conversion of pyruvate to
phosphoenolpyruvate in gluconeogenesis to the opposite process in
glycolysis
Explanation:
| Process |
Enzymes Involved |
Regulation |
| Glycolysis |
Pyruvate kinase |
Inhibited by ATP, alanine |
| Gluconeogenesis |
Pyruvate carboxylase (PC) +
PEPCK |
PC activated by acetyl-CoA |
Summary: getting pyruvate back to PEP - going from
3-carbon pyruvate –> pyruvate carboxylase uses CO2 (from bicarbonate)
to join onto pyruvate –> taking CO2 back off again (using different
enzymes (using GTP) and adds a phosphate.
11. Predict the effect of fatty acid oxidation on glucose
fluxes as a consequence of its effects on pyruvate
carboxylase
Explanation:
FA oxidation → ↑ acetyl-CoA → activates pyruvate
carboxylase
Also inhibits PDH, limiting glucose
oxidation
Promotes gluconeogenesis during fasting
L9: Glycemic Responses and Glycogenesis (Glucose Disposal
Part 1)
1. Dynamics of post-prandial glucose disposal and the key
hormones involved
Explanation:
After a meal (~50g glucose), blood glucose spikes and must be
cleared rapidly to prevent toxicity.
The key players:
Insulin (from pancreatic β-cells): promotes
glucose uptake and storage.
Liver acts as a “glucose sponge” via
GLUT2.
Muscle and WAT take up glucose via
insulin-responsive GLUT4 transporters.
Target: return glucose to ~5 mM within 2 hours.
Post-prandial glucose disposal is biphasic:
initial hepatic uptake followed by peripheral tissue clearance.
📘 Video:
Post-prandial glucose regulation
2. Understand the post-prandial glucose responses for
subjects with glucose intolerance, insulin resistance and
diabetes
Explanation:
| Condition |
Fasting Glucose |
Insulin Response |
Clearance Speed |
| Tolerant |
~5 mM |
Normal, dynamic |
Fast (returns in ~2 h) |
| Intolerant |
Normal |
High (ineffective) |
Slow |
| Insulin resistant |
Normal or high |
Very high |
Sluggish |
| Type 2 Diabetes |
High |
Impaired |
Severely delayed |
- Higher and prolonged glucose exposure → more glycation →
more damage (e.g., HbA1c increase).
📘 HbA1c
and glucose tolerance – CDC
3. Understand what glycemic index is, how it is measured and
how it is clinically useful
Explanation:
Glycemic Index (GI) = (AUC test food / AUC
glucose) × 100
Test: 50g available carbohydrate → measure blood glucose over 2
hours.
High GI: rapid rise/fall (e.g., white bread,
amylopectin-rich).
Low GI: slower rise/fall (e.g., legumes, amylose-rich
foods).
Clinically useful in managing diabetes, appetite, and long-term
risk of metabolic disease.
📘 Glycemic
index explained – Harvard School of Public Health
4. Appreciate the role of different glucose transporters in
different tissues and how these function
Explanation:
| Transporter |
Location |
Features |
| GLUT1 |
All cells |
Basal glucose uptake |
| GLUT2 |
Liver, β-cells |
High capacity, low affinity; bidirectional |
| GLUT4 |
Muscle, WAT |
Insulin-dependent; translocates to membrane |
Insulin → GLUT4 translocation → increased uptake in
muscle and fat.
Liver uses GLUT2, independent of
insulin.
📘 GLUT
transporters visual – Osmosis
5. Review the chemical structure of glycogen and the
chemical strategy for its synthesis
Source L3.3 pg 15, 16 - diagram here
Explanation:
Glycogen = branched polymer of glucose, α-1,4
chains with α-1,6 branches.
we’d love to build up muscle glycogen stores
Synthesised from UDP-glucose, which is formed
using UTP + G1P.
Glycogen synthase adds glucose units
(C1→C4).
Branching enzyme creates new α-1,6
linkages.
This is the story:
got UTP coming in. UTP carries 3 phosphates and we’re working on
G1P which already has 1 phosphate. So, together there’s 4 phosphates
involved.
Now 2 phosphates are released as PPi (Pyrophosphate). So now we
have the 1 phosphate on G1P and also the remaining one that’s now on UMP
(becomes monophosphate since it lost 2 phosphates)
Then these join together to give UDP glucose (diphosphate joined
to glucose)
So we’re adding UDP to glucose to prepare it to join onto the
glycogen chains. And it specifically joins on the ends of the
branches
So now, when UDP glucose gets joined onto the glycogen chain it
just takes the glucose part and now we’re left with the UDP
The UDP left behind can now go through that process again. But we
need some UTP so we use ATP to convert the UDP back into UTP. So it gets
converted by taking the phosphate from ATP, so now our ATP becomes
ADP.
- So we have UDP and use ATP –> UTP and ADP
glycogen needs branching otherwise it will end up as one long
linear chain. So the enzyme ‘glycogen-branching enzyme’ will cut the
glycogen chain and join it back as a branch
📘 Glycogen
structure & synthesis – LibreTexts
6. Understand how increased glycogen synthesis stimulates
glycolysis
Explanation:
Glycogenesis is anabolic: uses ATP → reduces
energy charge → ↑ AMP/ADP
This drop activates phosphofructokinase
(PFK-1).
Therefore, insulin indirectly stimulates
glycolysis by stimulating storage processes that lower
ATP.
📘 Coupling
of glycogenesis and glycolysis – Nature Education
🔁 How Increased Glycogen Synthesis Stimulates
Glycolysis
📌 Key Idea:
Glycogenesis (glycogen synthesis) is an
energy-consuming anabolic process, and this energy
demand indirectly stimulates glycolysis, a
catabolic pathway that provides ATP.
✅ Step-by-Step Explanation:
1. Insulin activates glycogen synthase (GS):
Insulin → activates Protein Phosphatase 1
(PPI)
PPI dephosphorylates glycogen synthase →
activates GS
Result: ↑ Glycogen synthesis
2. Glycogen synthesis consumes energy:
Forming UDP-glucose and linking glucose to glycogen
requires ATP
This lowers ATP, raises ADP and
AMP levels
↓ ATP / ↑ AMP = low energy charge
3. Low energy charge activates PFK-1 (rate-limiting enzyme
of glycolysis):
PFK-1 is not directly activated by
insulin
But it’s allosterically activated by AMP, which
rises due to ATP usage
Result: ↑ Glycolytic flux → more ATP
produced
🔄 Coupling Explained Simply:
When insulin tells the cell to store
glucose as glycogen (an energy-expensive task), the
drop in ATP signals the cell to burn some
glucose for energy — stimulating
glycolysis.
This is a beautiful example of metabolic
balance:
Anabolism (storage) pulls on catabolism
(energy production)
Insulin, though anabolic, causes some glucose to
be burned to fuel the storage process
🧠 Final Summary:
| Pathway |
Triggered by |
Effect |
| Glycogen synthesis |
Insulin → PPI → Active GS |
Uses ATP |
| Glycolysis |
AMP ↑ → Activates PFK-1 |
Makes ATP |
| Coupling effect |
Energy demand from glycogen synthesis indirectly stimulates
glycolysis |
|
7. Explain the consequences of the different activities of
hexokinase and glucokinase
Explanation:
| Feature |
Hexokinase |
Glucokinase |
| Tissue |
All cells |
Liver and β-cells |
| Substrate range |
Any 6C sugar |
Only glucose |
| Km for glucose |
Low (~0.1 mM) → high affinity |
High (~10 mM) → low affinity |
| Inhibition |
Inhibited by G6P |
Not inhibited by G6P |
| Saturation |
Easily saturated |
Active only at high [glucose] |
- Glucokinase allows liver to act as a glucose
buffer.
📘 Glucokinase
vs Hexokinase – Osmosis
8. Summarise the similarities and differences in
glycogenesis in different tissues (liver vs muscle)
Explanation:
| Feature |
Liver |
Muscle |
| Uptake transporter |
GLUT2 (insulin-independent) |
GLUT4 (insulin-dependent) |
| Hexokinase isoform |
Glucokinase (high Km, not inhibited by G6P) |
Hexokinase (low Km, G6P-inhibited) |
| Regulation style |
Push – high [glucose] → passive uptake |
Pull – insulin stimulates GLUT4 + GS |
| GS regulation |
Stimulated by glucose and G6P |
Stimulated by insulin-dependent GS action |
| Function |
Maintains blood glucose |
Fuel for contraction |
📘 [Glycogenesis in liver vs muscle – Lehninger Ch. 15]
L10: Lipogenesis & Pentose Phosphate
Pathway
1. Recall the overall scheme for the synthesis of fatty
acids from glucose
Explanation:
Glucose → G6P → pyruvate via glycolysis
Pyruvate enters mitochondria → converted to
acetyl-CoA by PDH
Acetyl-CoA condenses with OAA → citrate
Citrate exported → cleaved by ATP-citrate lyase
(ACL) → cytosolic acetyl-CoA
Acetyl-CoA → malonyl-CoA (via ACC) →
fatty acid synthesis (FAS)
Requires: NADPH (from PPP),
ATP, glycerol-3-phosphate (from
glycolysis)
📘 Video:
Overview of Lipogenesis
2. Understand the reaction catalysed by and the regulation
of acetyl CoA carboxylase (ACC)
Reaction:
\[
\text{Acetyl-CoA} + \text{HCO₃⁻} + \text{ATP} \xrightarrow{\text{ACC}}
\text{Malonyl-CoA} + \text{ADP} + \text{Pi}
\] - taking Ac-CoA and adding CO2 (from bicarbonate) to form
3-carbon chain called malonyl-CoA
conversion step requires vitamin called biotin and uses some
ATP
conversion also requires cofactor magnesium
basically an activated/primed ‘Ac-CoA’ ready for
lipogenesis
Regulation:
Activated by insulin (via dephosphorylation)
Allosterically activated by citrate (forms
polymeric filaments)
- If lots of citrate enter cytoplasm where FA synthesis occurs –>
ACC activated to convert Ac-CoA to malynol-CoA
Inhibited by fatty acyl-CoA (feedback
inhibition)
- If we’ve made lots of fatty acid chains –> we should allow those
long fatty acid chains to feed back and tell the first enzyme in the
process to stop converting Ac-CoA into malynol-CoA because we’ve got
enough FA right now.
📘 Biochemical
pathway – ACC regulation
3. Describe the reaction sequence of fatty acyl synthase
(FAS)
Source: L4.1 pg 6
Explanation:
Lipogenesis is basically reduction then dehydration then reduction
again (to add on 2-carbon chains at a time)
Large multifunctional enzyme complex
Key steps (per 2C addition cycle):
Loading: Acetyl group + Malonyl group attached
to ACP (FAS binds to its substrates)
Condensation - malynol will be decarboxylated so
the CO2 comes off
Reduction (NADPH) - negative charge will attack
at the cabonyk carbon and join itself onto the chain, maing it 4-carbon
long
Dehydration
Second reduction (NADPH)
Chain transfer and repeat
Final product: Palmitate (C16) → released when
chain reaches 14–18 carbons
📘 Diagram
– Fatty Acid Synthase Cycle
4. Apply knowledge of the regulators of ACC to different
physiological situations
Fed state (insulin present):
- ACC activated → ↑ malonyl-CoA → fat
synthesis ON, fat oxidation OFF
Fasted/exercise (AMPK active):
- AMPK phosphorylates ACC → inactive → ↓ fat synthesis, ↑
β-oxidation
📘 AMPK
and ACC regulation – ScienceDirect
The Fatty Acid Synthase (FAS) complex catalyzes the
de novo synthesis of palmitate (C16:0) from
acetyl-CoA and malonyl-CoA, using
NADPH as a reducing agent. This process occurs in the
cytosol and consists of a cyclic reaction
sequence repeated 7 times to build the 16-carbon saturated
fatty acid.
🧬 Overview of FAS Reaction Sequence:
Loading phase
Condensation
Reduction
Dehydration
Reduction
Chain transfer
Repeat cycle
Termination
🔁 Step-by-Step Reaction Sequence of Fatty Acid Synthase:
| Step |
Enzyme Domain |
Substrate / Action |
Product / Outcome |
| 1. Loading |
- Acetyl transferase (AT) loads
acetyl-CoA onto the KS domain
(β-ketoacyl synthase) - Malonyl transferase (MT)
loads malonyl-CoA onto ACP (acyl
carrier protein) |
Acetyl-KS and Malonyl-ACP formed |
|
| 2. Condensation |
β-Ketoacyl Synthase (KS) |
Acetyl group + Malonyl group → 4-carbon
β-ketoacyl-ACP + CO₂ (decarboxylation drives the reaction) |
β-ketobutyryl-ACP |
| 3. Reduction |
β-Ketoacyl reductase (KR) |
Reduces β-keto group to hydroxyl using NADPH |
β-Hydroxyacyl-ACP |
| 4. Dehydration |
Dehydratase (DH) |
Removes H₂O → forms a double bond (trans-Δ²-enoyl-ACP) |
Enoyl-ACP |
| 5. Reduction |
Enoyl reductase (ER) |
Reduces double bond using NADPH → saturated
acyl-ACP |
Butyryl-ACP (4-carbon chain) |
| 6. Chain Transfer |
Transfer the growing acyl chain from ACP to KS,
freeing ACP for the next malonyl-CoA |
Butyryl-KS formed |
|
| 7. Repeat |
Another malonyl-CoA is loaded to
ACP, and steps 2–6 repeat 6 more
times |
Adds 2C per cycle until 16C palmitoyl-ACP |
|
| 8. Termination |
Thioesterase (TE) cleaves palmitate from ACP |
Final product: Palmitate (C16:0) |
|
🧾 Summary Statement:
Fatty Acid Synthase builds a 16-carbon saturated fatty acid through 7
cycles of condensation, reduction, dehydration, and reduction, using
malonyl-CoA as the 2-carbon donor and
NADPH as the reducing power, terminating in
palmitate release.
5. Describe the process of esterification
Explanation:
3 fatty acyl-CoA + glycerol-3-phosphate → triacylglycerol
(TAG)
Requires FA-CoA, not free FA
G3P from:
Esterification enzymes and FAS are upregulated by
insulin
📘 TAG
synthesis pathway – LibreTexts
🧬 Overall Reaction:
\[
\text{Glycerol-3-phosphate} + 3\ \text{Fatty acyl-CoA} \longrightarrow
\text{Triacylglycerol (TAG)} + 3\ \text{CoA-SH} + \text{Pi}
\]
🔄 Step-by-Step Process:
Step 1: Activation of fatty acids
Fatty acids are first “activated” by linking to
Coenzyme A (CoA):
\[
\text{Fatty acid} + \text{CoA} + \text{ATP} \rightarrow \text{Fatty
acyl-CoA} + AMP + PPi
\]
This forms a high-energy thioester bond, making
the fatty acid reactive for esterification.
Step 4: Dephosphorylation to diacylglycerol
(DAG)
🔧 Enzymes Involved:
| Step |
Enzyme |
| 2 |
Glycerol-3-phosphate acyltransferase (GPAT) |
| 3 |
1-Acylglycerol-3-phosphate acyltransferase (AGPAT) |
| 4 |
Phosphatidic acid phosphatase (lipin) |
| 5 |
Diacylglycerol acyltransferase (DGAT) |
🧠 Summary:
TAG synthesis involves the sequential
esterification of three fatty acyl-CoAs to a
glycerol-3-phosphate backbone, forming a highly
energy-dense molecule used for long-term energy storage
in adipose tissue. This process occurs primarily in the liver
and adipose tissue.
6. Integrate the pathways and processes that need to come
together to support and supply lipogenesis
Pathways involved:
Glycolysis: glucose → pyruvate + G3P
PDH: pyruvate → acetyl-CoA
Krebs cycle: citrate formed → exported
ATP-citrate lyase: citrate → acetyl-CoA +
OAA
ACC: acetyl-CoA → malonyl-CoA
PPP: provides NADPH
Gluconeogenesis (glyceroneogenesis): G3P
production
📘 Integrated
map – Stryer Biochemistry
7. Summarise the effect of insulin on the activity of
pyruvate dehydrogenase
Explanation:
Insulin activates PDH phosphatase →
dephosphorylates PDH → active
PDH converts pyruvate to acetyl-CoA, promoting substrate
availability for lipogenesis
- enters the Krebs cycle and allow it to convert to citrate which we
can then transport out and get that CoA back
📘 PDH
regulation – KEGG Pathway
8. Evaluate the probability of the different fates of acetyl
CoA in lipogenic tissue
Since PDH activated, we will have lots of Ac-CoA forming
Two fates:
- Krebs cycle: oxidised to CO₂ + NADH (ATP
production)
- Lipogenesis: converted to fatty acids
firstly, need Ac-CoA to make its way into cytoplasm –> so we
need to allow it to enter Krebs to join onto OAA to form
citrate
this allows us to get the CoA back so that PDH can continue to
convert pyruvate to Ac-CoA and it needs a CoA to do that
we also allow the formed citrate to flow back out into cytoplasm
for lipogenesis
Decided by:
Energy status (ATP/AMP): High ATP → citrate
exported
Hormonal state (insulin vs glucagon)
Availability of OAA for citrate
formation
📘 Metabolic
fate of acetyl-CoA – PMC
9. Explain the role of citrate in controlling the major
anabolic and catabolic pathways
Source L4.1 pg 18 - diagram here
Cytosolic citrate:
Activates ACC (↑ fat synthesis)
Inhibits PFK-1 (↓ glycolysis)
Converted to acetyl-CoA + OAA (via ACL)
Converted to malonyl-CoA → inhibits CPT-1 → ↓
β-oxidation
From Lecture:
we want some ac-CoA out in the cytoplasm so we can use it as a
2-carbon building block
the CoA can’t cross membranes so we’ll allow it to enter Krebs
cycle
it gets converted to citrate
citrate is transported out to cytoplasm
break the ac-CoA back off it again so now it becomes a 4-carbon
OAA again
OAA gets reduced by NADH to give malate
malate gets converted to pyruvate to re-enter the mitochondria
and in this process it gives us some NADPH
NADPH is the reductant needed to reduce FA in our
cytoplasm
see diagram in lecture
10. Outline the mechanisms for the return of oxaloacetate to
the mitochondria after citrate cleavage
Explanation:
📘 OAA
shuttle diagram – Nature
11. Describe the purpose of the pentose phosphate pathway
and how it fits into lipogenesis
Purpose:
Generates NADPH for reductive biosynthesis
(e.g., lipogenesis)
Provides ribose-5-phosphate for nucleotide
synthesis
Fit with lipogenesis:
📘 PPP
animation – YouTube
12. Illustrate the flow of substrates and key enzyme control
points for lipogenesis
Uncategorised: Malonyl-CoA inhibits beta
oxidation:
Malynol CoA inhibits CAT-1.
We’re inhibiting transport of FA into the mitochondria where they
would undergo beta oxidation
we don’t want to be building FA while we’re oxidising FA inside
the mitochondria.
so when ac-CoA activated by turning it into malynol-coA
(activated by insulin), the malynol-CoA can inhibit CAT1
this stops us from transporting fatty acyl coA back into
mitochondria as acyl carnitines
Key substrates and checkpoints:
| Substrate |
Enzyme/Control |
Role |
| Glucose |
GLUT4/HK |
Entry/trapping |
| Pyruvate |
PDH |
Mitochondrial conversion |
| Citrate |
ACL |
Exported carbon source |
| Acetyl-CoA |
ACC |
Malonyl-CoA production (RLS) |
| NADPH |
G6PDH/PPP |
Reductant for FAS |
| G3P |
Glyceroneogenesis |
Backbone for esterification |
| FA-CoA + G3P |
Esterification enzyme |
Forms triacylglycerol |
📘 [Integrated regulatory map – Figure in lecture slide 28]
ANNOTATE DIAGRAM ON PAGE 25 L4.1:
Um, this, that citrate, what remains the oxalo acetate needs to get
back into the mitochondria to, to stay in the, the reb cycle. Going back
in, that will give us some more NADPH. You could annotate even more
things along the way, that acetylchoA gets converted to Malanol CA. Um,
the fatty acids are going to get userified together to form a triase or
glycerol. So you’ve got lots and lots of things feeding, all just so
that this fatty acid synthesis can occur.