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Your notes cover glycogenolysis (glycogen breakdown) and its regulation. Here's a full explanation of everything on the page:

Top Section — Glycogenolysis Pathway (in Liver)

This is the end-stage of glycogen breakdown converting stored glycogen to free glucose for release into the blood:
StepEnzymeProduct
Glycogen (linear branches)Glycogen phosphorylaseGlucose 1-Phosphate
Glucose 1-PPhosphoglucomutaseGlucose 6-Phosphate
Glucose 6-PGlucose 6-phosphatase (liver only)Free Glucose
Key point: Muscle lacks glucose 6-phosphatase, so it cannot release free glucose into the blood — glucose stays trapped in muscle for local use. Only the liver can complete this pathway to release free glucose.

Regulation — The Core Concept

Your notes outline 3 layers of regulation:

(1) Two Key Enzymes

  • Glycogen synthase — builds glycogen (glycogenesis)
  • Glycogen phosphorylase — breaks down glycogen (glycogenolysis)
These two enzymes are reciprocally regulated — when one is ON, the other is OFF.

(2) Two States: Dephosphorylated (DP) vs. Phosphorylated (P)

EnzymeDephosphorylated (DP) statePhosphorylated (P) state
Glycogen synthaseActive (builds glycogen)Inactive
Glycogen phosphorylaseInactiveActive (breaks down glycogen)
This is the crux: phosphorylation activates phosphorylase but inactivates synthase — the opposite effects on the two enzymes ensure they are never both ON at the same time.

(3) Hormonal Regulation — Insulin & Glucagon


The cAMP Cascade (Fasting / Stress State)

Hormonal regulation of glycogen synthesis via cAMP-PKA pathway
Glucagon (acts on liver) and Epinephrine (acts on both liver & muscle) signal low blood glucose or stress:
  1. Both hormones bind receptors → activate adenylyl cyclase → ATP → ↑ cAMP
  2. cAMP activates Protein Kinase A (PKA)
  3. PKA phosphorylates two targets simultaneously:
    • Glycogen synthase → becomes inactive (stops glycogen synthesis)
    • Phosphorylase kinase → becomes active
  4. Active phosphorylase kinase uses Ca²⁺ as a cofactor → phosphorylates glycogen phosphorylase b → phosphorylase a (active)
  5. Active glycogen phosphorylase drives glycogenolysis: Glycogen → Glucose 1-P → (via phosphoglucomutase) → Glucose 6-P → (via glucose 6-phosphatase in liver) → free glucose released into blood
Summary of cAMP-mediated covalent regulation of glycogen metabolism
Insulin (fed state — high blood glucose) does the opposite:
  • Activates phosphodiesterase → degrades cAMP → ↓ cAMP
  • PKA becomes inactive → phosphorylase kinase stays inactive → glycogen phosphorylase stays inactive
  • Protein phosphatase-1 is activated → dephosphorylates glycogen synthase → synthase becomes active → glycogen synthesis resumes

Allosteric Regulation (Left Side of Your Notes)

In addition to hormonal/covalent control, these enzymes respond to metabolite levels directly:
EffectorEffect on Glycogen SynthaseEffect on Glycogen Phosphorylase
Glucose 6-PActivates (even in "b"/dephosphorylated form)Inhibits (even in active "a" form)
ATPInhibits
Free glucose ⊖ (liver only)Inhibits
AMP ⊕ (muscle only)Activates phosphorylase b without phosphorylation
This allosteric layer allows cells to respond instantly to energy levels, even before hormonal signals arrive.

Summary in One Sentence

During fasting/stress, glucagon/epinephrine → ↑cAMP → PKA → phosphorylates and inactivates glycogen synthase while activating phosphorylase kinase → activates glycogen phosphorylase → glycogenolysis → glucose released. During feeding, insulin → ↓cAMP → reversal of all the above → glycogen synthesis resumes.
Basic Medical Biochemistry, 6e; Biochemistry (Lippincott Illustrated Reviews), 8e
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