Difference between revisions of "Glycogen" - New World Encyclopedia

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==Disorders of glycogen metabolism==
 
==Disorders of glycogen metabolism==
The most common disease involving abnormal glycogen metabolism is [[diabetes mellitus]], a medical disorder characterized by persistent variable hyperglycemia (high blood sugar levels), resulting either from inadequate secretion of the hormone insulin or from an inadequate response by the body's cells to insulin. As mentioned above, insulin is the principal control signal for the conversion of glucose to glycogen for storage in liver and muscle cells. Lowered insulin levels result in the reverse conversion of glycogen to glucose when glucose levels fall — though only liver glucose so produced goes back into the blood. mention treatment
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The most common disease involving abnormal glycogen metabolism is [[diabetes mellitus]], a medical disorder characterized by persistent variable [[hyperglycemia]] (high blood sugar levels), resulting either from inadequate secretion of the hormone insulin or from an inadequate response by the body's cells to insulin. As mentioned above, insulin is the principal control signal for the conversion of glucose to glycogen for storage in liver and muscle cells. Lowered insulin levels result in the reverse conversion of glycogen to glucose when glucose levels fall — though only liver glucose so produced goes back into the blood.  
  
Various [[inborn error of metabolism|inborn errors of metabolism]] are caused by inherited genetic deficiencies of enzymes involved in glycogen synthesis or breakdown. These are collectively referred to as [[glycogen storage disease]]s.
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Several types of [[inborn error of metabolism|inborn errors of metabolism]] are caused by inherited genetic deficiencies of the enzymes involved in glycogen synthesis or breakdown. They are collectively referred to as [[glycogen storage disease]]s:
  
'''Glycogen storage disease type I''' or '''von Gierke's disease''', is the most common of the [[glycogen storage disease]]s. This [[genetic disease|genetic disease]] results from deficiency of the [[enzyme]] [[glucose-6-phosphatase]]. This deficiency impairs the ability of the [[liver]] to produce free [[glucose]] from [[glycogen]] and from [[gluconeogenesis]]. Since these are the two principal [[metabolism|metabolic]] mechanisms by which the liver supplies glucose to the rest of the body during periods of [[fasting]], it causes severe [[hypoglycemia]]. Reduced glycogen breakdown results in increased glycogen storage in liver and kidneys, causing enlargement of both. Both organs function normally in childhood but are susceptible to a variety of problems in the adult years. Other metabolic derangements include [[lactic acidosis]] and [[hyperlipidemia]]. Frequent or continuous feedings of [[cornstarch]] or other [[carbohydrate]]s are the principal treatment. Other therapeutic measures may be needed for associated problems.
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*'''von Gierke's disease''' (Type 1) is the most common of the glycogen storage diseases. It results from deficiency of the [[enzyme]] [[glucose-6-phosphatase]], which in turn impairs the ability of the liver to produce free glucose from glycogen stores and through gluconeogenesis. Since these are the two principal [[metabolism|metabolic]] mechanisms by which the liver supplies glucose to the rest of the body during periods of [[fasting]], low blood sugar ([[hypoglycemia]]) is symptomatic of the disease. Reduced glycogen breakdown results in increased glycogen storage in liver and kidneys, causing enlargement of both organs. Frequent or continuous feedings of [[cornstarch]] or other [[carbohydrate]]s are the principal treatment.
 
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*A disorder involving glycogen metabolism in muscle is '''McArdle's disease''' (Type V). It is characterized by a deficiency of '''myophosphorylase''', the muscle [[isoform]] of the [[enzyme]] ''[[glycogen phosphorylase]]''. This enzyme participates in the breakdown of glycogen so that it can be utilized within the [[muscle cell]]. Persons with this disease experience difficulty when their muscles are called upon to perform relatively brief yet intense activity. The inability to break down glycogen into glucose results in an energy shortage within the muscle, resulting in muscle pain and [[cramp]]ing, and sometimes causing serious injury to the muscles. The typical features of McArdle disease include exercise intolerance with [[myalgia]], early fatigue, and stiffness of exercising muscles, which are relieved by rest. In addition, the breakdown of muscle tissue can indirectly lead to [[kidney]] damage. Anaerobic exercise must be avoided but regular gentle aerobic exercise is beneficial.
'''Glycogen storage disease type V''' is a [[metabolic disorder]], more specifically a [[glycogen storage disease]], caused by a deficiency of '''myophosphorylase''', the muscle [[isoform]] of the [[enzyme]] ''[[glycogen phosphorylase]]''. This enzyme helps break down [[glycogen]] (a form of stored [[carbohydrate]]) into [[glucose]] so that it can be utilized within the [[muscle cell]]. GSD type V is also known as '''McArdle's disease''' or '''muscle phosphorylase deficiency'''.  People with this disease experience difficulty when their muscles are called upon to perform relatively brief yet intense activity. The inability to break down glycogen into glucose results in an energy shortage within the muscle, resulting in muscle pain and [[cramp]]ing, and sometimes causing serious injury to the muscles. The typical features of McArdle disease include exercise intolerance with [[myalgia]], early fatigue, and stiffness of exercising muscles, which are relieved by rest. In addition, [[rhabdomyolysis]]—the breakdown of muscle tissue—can cause [[myoglobinuria]], a red-to-brown-colored [[urine]]. The myoglobinuria can cause [[kidney]] damage.  The disease is hereditary and is inherited as an [[autosomal recessive]] trait. Anaerobic exercise must be avoided but regular gentle aerobic exercise is beneficial.
 
  
 
==References==
 
==References==

Revision as of 03:08, 31 August 2006

File:Glycogen 2.png
An electron micrograph of a section of a liver cell. Glycogen deposits are shown as accumulations of electron dense particles (arrows). The granules contain both glycogen and the enzymes of glycogen synthesis and degradation. Two types of compartments within the cell (organelles)—a peroxisome and three mitochondria—are also labeled.

Glycogen, a large, branched polymer of linked glucose (Glc) residues, is the principal storage form of glucose in animal cells, though it is also found in various species of microorganisms, such as bacteria and fungi. A readily mobilized energy store, glycogen increases the amount of glucose immediately available to the organism (1) between meals and (2) during muscular activity. The ability to maintain a steady supply of glucose, which is the major sugar circulating in the blood of higher animals, is crucial to survival since the brain relies on glucose as its preferred fuel.

Glycogen is found in the form of granules in the cytosol, the internal fluid of the cell. About three-fourths of the body’s glycogen supply is stored in muscle cells. However, liver cells (hepatocytes), have the highest concentration of glucose (a maximum of 8% in liver versus 1% of the muscle mass of an adult male human). Small amounts of glycogen are also found in the kidneys, and even smaller amounts in certain glial cells in the brain and in white blood cells.

Glycogen is utilized differently depending on the tissue in which it is stored:

  • In liver, the breakdown of glycogen (glycogenolysis) and its synthesis (glycogenesis) help to regulate the blood glucose level. Glucose is not a major fuel for the liver; instead, it primarily exports glucose for the benefit of other tissues.
  • In skeletal muscle, glycogen is an energy reserve that can be tapped during exercise. Muscle cells lack the ability to pass glucose into the blood, so the glycogen store is destined for internal use, powering muscle contraction during strenuous activity.

Glycogen-storage disorders are a type of inherited metabolic disease related to deficiencies of enzymes that participate in glycogen metabolism.

Glycogen's branched structure makes it an accessible energy source

The structure of glycogen. Most glucose residues are linked by α-1,4 glycosidic bonds (labeled at top). Approximately 1 in 10 Glucose residues form α-1,6 glycosidic bonds, creating a branched structure (green). The non-reducing end-branches (red) faciliate glycogen's interaction with enzymes involved in its synthesis and breakdown.

Glycogen is a highly-branched polymer of about 30,000 glucose residues. It has a molecular weight between 106 and 107 daltons. Most of the glucose units are linked by α-1,4 glycosidic bonds, which are formed between the hemiacetal group of a saccharide and the hydroxyl group of an alcohol. Specifically, the carbon-1 of one sugar molecule is linked to the carbon-4 of the other. In the alpha configuration, the oxygen atom is located below the plane of the sugar ring.

However, approximately 1 in 10 glucose residues also forms an α-1,6 glycosidic bond with an adjacent glucose, which results in the creation of a branch. Glycogen has only one reducing end and a large number of non-reducing ends with a free hydroxyl group at carbon-4.

The branches increase the solubility of glycogen and make its sugar units accessible. The enzymes involved in the breakdown and synthesis of glycogen are nested between the outer branches of the glycogen molecules and act on the non-reducing ends. Therefore, the many non-reducing end-branches of glycogen facilitate its rapid synthesis and breakdown, making it a readily mobilized source of energy.

Starch, which plays a similar energy-storage role in plants, can also exist in a branched form called amylopectin, though it has a lower degree of branching (about 1 in 30 glucose residues have α-1,6 bonds). In contrast, cellulose, the other major polysaccharide in plants, is an unbranched polymer of glucose, in which β-1,4 linkages form very long, straight chains. This closed structure is suited to the structural role of cellulose, in contrast to the open helices of glycogen and starch, which are nutritional molecules that provide an accessible store of glucose.

Glycogen in liver functions to maintain blood sugar levels

The liver is a major control site of blood glucose levels; it is able to respond to hormonal signals that indicate reduced or elevated amounts of glucose in the blood. The synthesis and breakdown of glycogen in the liver thus serves as a means for maintaining a steady supply of fuel for organs such as the brain, allowing glucose to be stored or released depending on the energy needs of the organism.

As a carbohydrate meal is eaten and digested, blood glucose levels rise, and the pancreas secretes the hormone insulin. Glucose from the portal vein enters the hepatocytes. Insulin acts on these lever cells to stimulate the action of several enzymes, including glycogen synthase, involved in the synthesis of glycogen. Glucose molecules are added to the chains of glycogen as long as both insulin and glucose remain plentiful. In this postprandial or "fed" state, the liver takes in more glucose from the blood than it releases.

The hormones glucagon, produced by the pancreas, and epinephrine, secreted by the adrenal gland serve in many respects as a counter-signal to insulin. When blood glucose levels begin to fall (about four hours after a meal), they signals the breakdown of glycogen. Glycogen phosphorylase is the primary enzyme of glycogen breakdown. The freed glucose is then released from the liver into the blood. For the next 8–12 hours (for example, during an overnight fast), glucose derived from liver glycogen will be the primary source of blood glucose to be used by the rest of the body for fuel.

The liver does not use glucose derived from glycogen to meet most of its energy needs, preferring instead the keto acids derived from the breakdown of amino acids. Thus, one might consider the liver an "altruistic" organ, synthesizing and degrading glycogen for the benefit of the organism as a whole.

Glycogen in muscle is an energy reserve for strenuous exercise

Muscle cells lack the enzyme glucose-6-phosphatase, which enables liver cells to export glucose into the blood. Therefore, the glycogen they store internally is destined for internal use and is not shared with other cells. Other cells that contain small amounts of glycogen use it locally as well.

Glycogen in muscle cells functions as an immediate reserve source of available glucose during bursts of activity. A 100-meter sprint is powered in part by the anaerobic glycolysis of muscle oxygen. Glycolysis, a metabolic pathway by which glucose may be broken down to pyruvate in the absence of oxygen, is useful to a muscle cell when it needs large amounts of energy. Although the complete oxidation of glucose in the presence of oxygen (oxidative phosphorylation) produces about 18 times the amount of ATP, glycolysis occurs at a rate approximately 100 times faster than aerobic respiration. During a brief, intense exertion, the requirement is to generate the maximum amount of ATP, for muscle contraction, in the shortest time frame. hen the ATP needs of a cell outpace its oxygen supply is limited, muscle cells produce ATP through lactic acid fermentation. However, a longer period of activity requires at least the partial use of ATP derived from oxidative phosphorylation, which explains the slower pace of a 1000-meter run.

Cori cycle

The liver may also work in tandem with skeletal muscle in times of exertion. The Cori cycle refers to the recycling of lactate or lactic acid produced by muscle during anaerobic metabolism. The lactate is converted to glucose by the liver. This permits the regeneration of NAD+ required for glycolysis can continue. The lactate diffuses into the blood and is taken up by the liver, which oxidize it back to pyruvate. Most of the pyruvate is then converted to glucose (via gluconeogenesis). This glucose circulates in the blood, where it can be used by muscles if needed or stored as glycogen. The Cori cycle allows the muscles to continue focusing exclusively on producing ATP while another organ, the liver, handles the lactate produced in muscle. The cycle also prevents lactate acidosis by removing lactate from the blood. Otherwise pH would fall as the buffering capacity of blood is exceeded.

Glycogen and marathon running

Since the human body is unable to hold more than approximately 2,000 kcal of glycogen, marathon runners commonly experience a phenomenon referred to as "hitting the wall" around the 20 mile (32 km) point of a marathon. (Approximately 100 kcal are utilized per mile, depending on the size of the runner and the race course.) This experience of fatigue results from a shift in fuel supply, as glycogen stores are depleted. ATP must also be generated in part from fatty acid oxidation, which is a slower process than the oxidation of glycogen. The simultaneous utilization of both fuels allows for a balance between endurance and speed, preserving enough glucose to fuel the runner's final push to the finish line.

Disorders of glycogen metabolism

The most common disease involving abnormal glycogen metabolism is diabetes mellitus, a medical disorder characterized by persistent variable hyperglycemia (high blood sugar levels), resulting either from inadequate secretion of the hormone insulin or from an inadequate response by the body's cells to insulin. As mentioned above, insulin is the principal control signal for the conversion of glucose to glycogen for storage in liver and muscle cells. Lowered insulin levels result in the reverse conversion of glycogen to glucose when glucose levels fall — though only liver glucose so produced goes back into the blood.

Several types of inborn errors of metabolism are caused by inherited genetic deficiencies of the enzymes involved in glycogen synthesis or breakdown. They are collectively referred to as glycogen storage diseases:

  • von Gierke's disease (Type 1) is the most common of the glycogen storage diseases. It results from deficiency of the enzyme glucose-6-phosphatase, which in turn impairs the ability of the liver to produce free glucose from glycogen stores and through gluconeogenesis. Since these are the two principal metabolic mechanisms by which the liver supplies glucose to the rest of the body during periods of fasting, low blood sugar (hypoglycemia) is symptomatic of the disease. Reduced glycogen breakdown results in increased glycogen storage in liver and kidneys, causing enlargement of both organs. Frequent or continuous feedings of cornstarch or other carbohydrates are the principal treatment.
  • A disorder involving glycogen metabolism in muscle is McArdle's disease (Type V). It is characterized by a deficiency of myophosphorylase, the muscle isoform of the enzyme glycogen phosphorylase. This enzyme participates in the breakdown of glycogen so that it can be utilized within the muscle cell. Persons with this disease experience difficulty when their muscles are called upon to perform relatively brief yet intense activity. The inability to break down glycogen into glucose results in an energy shortage within the muscle, resulting in muscle pain and cramping, and sometimes causing serious injury to the muscles. The typical features of McArdle disease include exercise intolerance with myalgia, early fatigue, and stiffness of exercising muscles, which are relieved by rest. In addition, the breakdown of muscle tissue can indirectly lead to kidney damage. Anaerobic exercise must be avoided but regular gentle aerobic exercise is beneficial.

References
ISBN links support NWE through referral fees

Stryer, Lubert. 1995. Biochemistry, 4th edition. New York, NY: W.H. Freeman.

External links

Template:ChemicalSources


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