Biochemistry pathways and cycles in short understanding way

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Here is a complete, concise guide to all major biochemistry pathways and cycles, sourced from Lippincott Illustrated Reviews: Biochemistry, Harper's Illustrated Biochemistry, Basic Medical Biochemistry, and Mulholland & Greenfield's Surgery.

Biochemistry Pathways & Cycles - Short Understanding Guide


1. Glycolysis

"Glucose → Pyruvate"
Location: Cytoplasm (all cells) Purpose: Generate ATP from glucose; works with or without oxygen
Two phases:
Glycolysis phases diagram
  • Phase I (Preparatory): Glucose → Fructose 1,6-bisphosphate. Spends 2 ATP
  • Phase II (ATP-generating): Fructose 1,6-bisphosphate → 2 Pyruvate. Generates 4 ATP + 2 NADH
  • Net yield: 2 ATP + 2 NADH per glucose
3 irreversible (rate-limiting) enzymes:
  1. Hexokinase/Glucokinase
  2. Phosphofructokinase-1 (PFK-1) - the KEY regulator
  3. Pyruvate kinase
Pyruvate fate:
  • With O₂ → acetyl-CoA (enters TCA cycle)
  • Without O₂ → Lactate (lactic acid fermentation; regenerates NAD⁺)

2. Citric Acid Cycle (TCA / Krebs Cycle)

"Acetyl-CoA → CO₂ + energy carriers"
Location: Mitochondrial matrix Purpose: Main ATP-generating hub; oxidizes acetyl-CoA completely
TCA cycle and respiratory chain diagram
The loop in simple terms:
  • Acetyl-CoA (2C) + Oxaloacetate (4C) → Citrate (6C)
  • Citrate is processed through 8 steps, releasing 2 CO₂
  • Oxaloacetate is regenerated to keep the cycle going
Per turn yields:
ProductAmount
NADH3
FADH₂1
GTP/ATP1
CO₂2
  • Total: ~10 ATP equivalents per turn (via oxidative phosphorylation)
  • The cycle also feeds gluconeogenesis, amino acid synthesis, heme synthesis, and fatty acid synthesis
Key concept - Anaplerosis: Adding carbon to the cycle (e.g., pyruvate → oxaloacetate). Cataplerosis: Removing carbon from the cycle. Both must be equal to sustain the cycle.

3. Oxidative Phosphorylation (Electron Transport Chain)

"NADH/FADH₂ → ATP"
Location: Inner mitochondrial membrane Purpose: Convert reducing equivalents (NADH, FADH₂) into ATP using oxygen
Flow: NADH/FADH₂ → Complex I/II → Ubiquinone (Q) → Complex III → Cytochrome c → Complex IV → O₂ → H₂O
  • NADH yields ~2.5 ATP
  • FADH₂ yields ~1.5 ATP
  • Total from 1 glucose (complete oxidation): ~30-32 ATP
Key concept: The proton gradient across the inner mitochondrial membrane drives ATP synthase (Complex V). This is called the chemiosmotic mechanism.
Important: If oxygen is absent (anaerobiosis), the chain stops and cells rely only on glycolysis.

4. Gluconeogenesis

"Non-glucose → Glucose"
Location: Mainly liver (also kidney, intestinal epithelium) Purpose: Maintain blood glucose during fasting when glycogen stores fall
Substrates (gluconeogenic precursors):
  • Lactate (from muscle)
  • Glycerol (from fat breakdown)
  • Amino acids (from protein, especially alanine and glutamine)
Key point: NOT the reverse of glycolysis. Three irreversible glycolysis steps are bypassed by different enzymes:
  1. Pyruvate carboxylase + PEPCK (bypass pyruvate kinase)
  2. Fructose-1,6-bisphosphatase (bypass PFK-1)
  3. Glucose-6-phosphatase (bypass hexokinase) - only in liver/kidney/intestine
Cost: Energy-expensive: uses 6 ATP equivalents per glucose made.

5. Glycogenesis & Glycogenolysis

"Glucose ↔ Glycogen (storage)"
Location: Liver and muscle

Glycogenesis (storage)

Glucose → Glucose-6-phosphate → Glucose-1-phosphate → UDP-glucose → Glycogen chain (via glycogen synthase)
  • Costs 1 ATP per glucose stored
  • Storage is ~97% efficient

Glycogenolysis (release)

Glycogen → Glucose-1-phosphate → Glucose-6-phosphate
  • Enzyme: Glycogen phosphorylase (activated by glucagon/epinephrine via cAMP cascade)
  • Glucose-6-phosphatase then releases free glucose (only in liver/kidney/intestine - NOT in muscle)
  • Triggered by low blood glucose, exercise, or stress

6. Beta-Oxidation of Fatty Acids

"Fatty acids → Acetyl-CoA"
Location: Mitochondrial matrix (peroxisomes for very long-chain FAs) Purpose: Break down fatty acids to fuel the TCA cycle; major energy source during fasting
Steps (per cycle, removes 2 carbons as acetyl-CoA):
  1. Activation: Fatty acid → Fatty acyl-CoA (costs 2 ATP)
  2. Transport into mitochondria via carnitine shuttle (rate-limiting step)
  3. Repeated cycles: each produces 1 acetyl-CoA + 1 NADH + 1 FADH₂
Example - Palmitate (16C): 7 rounds → 8 acetyl-CoA → ~106 ATP net Key regulation: Malonyl-CoA (the first intermediate of FA synthesis) inhibits the carnitine shuttle - so FA synthesis and oxidation don't run simultaneously.

7. Fatty Acid Synthesis

"Acetyl-CoA → Fatty acids"
Location: Cytoplasm (liver, adipose, mammary gland) Purpose: Store excess energy as fat
Key points:
  • Acetyl-CoA must first exit mitochondria as citrate (citrate shuttle)
  • Acetyl-CoA → Malonyl-CoA (by acetyl-CoA carboxylase - rate-limiting; activated by insulin)
  • Fatty acid synthase (FAS) adds 2C units at a time
  • Requires NADPH (supplied by pentose phosphate pathway)
  • End product: Palmitate (16:0)
Remember: Opposite of beta-oxidation but uses different enzymes, different location, different cofactors.

8. Urea Cycle

"NH₃ → Urea (detox)"
Location: Liver - partly mitochondria, partly cytosol Purpose: Convert toxic ammonia (from amino acid catabolism) into urea for urinary excretion
Urea cycle diagram
5 steps (mnemonic: "Ordinarily, Careless Crappers Are Also Frivolous About Urination"):
StepCompoundLocation
1NH₃ + HCO₃⁻ → Carbamoyl phosphateMitochondria
2Carbamoyl phosphate + Ornithine → CitrullineMitochondria
3Citrulline + Aspartate → ArgininosuccinateCytosol
4Argininosuccinate → Arginine + FumarateCytosol
5Arginine → Ornithine + UreaCytosol
Key facts:
  • 1 nitrogen from NH₃, 1 nitrogen from aspartate
  • Carbon and oxygen of urea come from CO₂ (as HCO₃⁻)
  • Rate-limited by CPS I (requires N-acetylglutamate as activator)
  • Ornithine regenerates - just like oxaloacetate in TCA
  • Defects cause hyperammonemia (toxic to brain)

9. Pentose Phosphate Pathway (HMP Shunt)

"Glucose-6-P → NADPH + Ribose-5-P"
Location: Cytoplasm (liver, RBCs, adrenal glands, mammary tissue) Purpose: Produce NADPH (for reductive biosynthesis and antioxidant defense) and ribose-5-phosphate (for nucleotide synthesis)
Two branches:
  • Oxidative branch: Produces NADPH (irreversible)
  • Non-oxidative branch: Produces ribose-5-phosphate; reversible, connects to glycolysis
Clinical link: G6PD deficiency → insufficient NADPH → can't regenerate glutathione → RBCs susceptible to oxidative hemolysis

10. Ketone Body Synthesis & Use (Ketogenesis)

"Excess acetyl-CoA → Ketone bodies"
Location: Liver mitochondria (synthesis); extrahepatic tissues (use) Purpose: Alternative fuel during prolonged fasting/starvation, especially for brain
Ketone bodies:
  • Acetoacetate
  • Beta-hydroxybutyrate (main form in blood)
  • Acetone (exhaled)
Key point: Liver makes ketones but CANNOT use them (lacks thiophorase/succinyl-CoA transferase). Brain, heart, and muscle use them instead.

Big Picture: How the Pathways Connect

Diet (glucose, fats, proteins)
        |
   GLYCOLYSIS
   Glucose → Pyruvate → Acetyl-CoA
                              |
        ┌────────────── TCA CYCLE ──────────────┐
        |         NADH / FADH₂ produced          |
        |                   ↓                    |
        |      OXIDATIVE PHOSPHORYLATION          |
        |              ATP !!!                   |
        └────────────────────────────────────────┘

Fasting state:
  Glycogen → Glucose (glycogenolysis)
  OAA, lactate, amino acids → Glucose (gluconeogenesis)
  Fatty acids → Acetyl-CoA (beta-oxidation) → TCA
  Excess acetyl-CoA → Ketone bodies (brain fuel)

Quick Reference Table

PathwayLocationMain InputMain OutputKey Enzyme
GlycolysisCytosolGlucosePyruvate, 2 ATPPFK-1
TCA CycleMitochondriaAcetyl-CoANADH, FADH₂, CO₂Isocitrate DH
Oxid. Phosph.Inner mito. membraneNADH/FADH₂~30 ATPATP synthase
GluconeogenesisLiver/KidneyLactate/AA/GlycerolGlucosePEPCK
GlycogenesisLiver/MuscleGlucoseGlycogenGlycogen synthase
GlycogenolysisLiver/MuscleGlycogenGlucoseGlycogen phosphorylase
Beta-oxidationMitochondriaFatty acidsAcetyl-CoAAcyl-CoA DH
FA SynthesisCytosolAcetyl-CoAPalmitateAcetyl-CoA carboxylase
Urea CycleLiver (mito+cytosol)NH₃, AspartateUreaCPS I
PPP (HMP shunt)CytosolGlucose-6-PNADPH, Ribose-5-PG6PD
KetogenesisLiver mitochondriaAcetyl-CoAKetone bodiesHMG-CoA synthase

Sources: Lippincott Illustrated Reviews: Biochemistry 8e; Harper's Illustrated Biochemistry 32e; Basic Medical Biochemistry - A Clinical Approach 6e; Mulholland & Greenfield's Surgery 7e

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Biochemistry Flashcards

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What's inside - 33 cards across 10 pathways:
PathwayCardsColour
Glycolysis6Blue
TCA Cycle6Green
Oxidative Phosphorylation3Navy
Gluconeogenesis3Red
Glycogen Metabolism2Purple
Beta-Oxidation3Orange
Fatty Acid Synthesis2Teal
Urea Cycle3Red
Pentose Phosphate Pathway2Green
Ketone Body Metabolism2Orange
Key intermediates covered: G6P, F-1,6-BP, Pyruvate, DHAP, 1,3-BPG, PEP, Acetyl-CoA, Citrate, Isocitrate, α-KG, Succinyl-CoA, OAA, Fumarate, NADH, FADH₂, Lactate, Glycerol, Alanine, UDP-Glucose, Malonyl-CoA, Carnitine, NH₃, Citrulline, Ornithine, Ribose-5-P, HMG-CoA, Acetoacetate, and more.
Each card shows the QUESTION (the intermediate) on top and the ANSWER / FATE below - cover the bottom half to quiz yourself.
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