Glycogenolysis Enzymes
Glycogen Storage Dz
Glycogenolysis Regulation
Insulin and Glucagon
Glycogen
100

This enzyme is responsible for breaking a(1->4) glycosidic bonds until a limit dextrin is left. 

What is glycogen phosphorylase?

100

Your patient presents with high levels of glycogen and complaints of pain in their muscles after exercising; after taking a blood lactate level during exercise, lab results come back normal. Patient is likely afflicted with this disease.

What is Type V: McArdle Syndrome (Skeletal Muscle Glycogen Phosphorylase Deficiency) 

100

These hormones are responsible for activating glycogenolysis in muscle and liver cells. 

What are glucagon and epinephrine?

100
This hormone is produced by the Beta islet cells of Langerhans of the pancreas and is composed of 51 amino acids in two polypeptide chains. 

What is insulin?

100

This is where glycogen is primarily stored and readily available when exercising.

What are muscles?

200

This enzyme is responsible for cleaving the remaining a(1->4) glycosidic bonds in the limit dextrin.

What is 4:4 transferase?

200
Infant patient presents with massive cardiomegaly that may be fatal. Upon further examination, excessive glycogen concentrations are found in abnormal vacuoles in the lysosomes. The patient has this disease. 

What is Type II: Pompe Disease?

200

This enzyme, when activated by a chain reaction initiated by glucagon/epinephrine binding to GPCRs, is responsible for phosphorylating glycogen phosphorylase and turning on glycogenolysis

What is phosphorylase kinase?

200

A rise in blood glucose will cause this hormone to be released.

What is insulin?

200

Glycogen is released from this organ when blood sugar is low.

What is the liver?

300

This enzyme cleaves the a(1->6) bond in the last glucose of the limit dextrin. 

What is 1:6 glucosidase?

300

Patient experiences hypoglycemia when fasting. Upon analysis of glycogen, structures appear abnormal, with 1 or 4 glucosyl residues at branch points. 

What is Type III: Cori Disease?

300

The presence of this high energy molecule in large concentrations will inhibit glycogenolysis.

What is ATP?

300

When the body is under physiologic stress (intense exercise, fight or flight response, etc.), insulin secretion will be inhibited by these two neurotransmitters.

What are epinephrine and norepinephrine?

300

This end of glycogen is where more glucose monomers are added.

What is the non-reducing end?

400

This enzyme converts free glucose 1-phosphate to glucose 6-phosphate.

What is phosphoglucomutase? 

400
Your patient presents with progressive renal disease, severe fasting hypoglycemia, fatty liver, and high levels of normal glycogen found in the liver. They are most likely suffering from this disease.

What is Type 1a: Von Gierke Disease?

400

This process is favored when energy and glucose are low.

What is glycogenolysis?

400

This hormone is secreted in response to hypoglycemia, high amino acids (for GNG), and high catecholamines. 

What is glucagon?

400

This is the tyrosine-containing protein that binds with UDP-glucose to form the glycogen primer.

What is glycogenin?

500

These are the two primary products of glycogenolysis.

What are glucose 1-phosphate and free glucose (from branch points)?

500

Putting it all together: we can assume that all patients previously mentioned will have low blood glucose levels because .... (not in Jeopardy format)

The body is not able to properly metabolize glycogen to release glucose into the blood. 

500

The presence of this low-energy adenosine derivative in high concentrations can turn on glycogen phosphorylase.

What is AMP?

(Remember: high concentrations of cAMP are produced by adenelyl cyclase when glucagon or epinephrine bind to GPCRs --> glycogen metabolism) 

500

This hormone inhibits fatty acid synthesis.

What is glucagon?

500

This is the amount of energy stored in a diphosphate molecule, the same amount released when hydrolyzed.

What is -33.5 kJ/mol?

What's important here is not so much the amount of energy, but the fact that it has a negative deltaG. This means it is exergonic, and this is why, when coupled with UDP-glucose formation (no change in Gibbs free energy), the reaction is driven forward.

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