What are some inborn errors of fructose and galactose metabolism?
What is classical galactosemia?
Defect: deficiency of Gal-1-phosphate uridylyl transferase leads to galactose accumulation in the body
What is the mechanism of classical galactosemia?
Why is neonatal screening done for classical galactosemia?
Detecting the disorder early allows for elimination of all dietary galactose and prevents the development of more serious complications
Where does fructose enter glycolysis?
Where is fructose metabolized?
Mostly in the Liver
What are the reactions that allow fructose to enter glycolysis?

What happens to fructose in tissues other than the liver?
It is phosphorylated to Fructose-6-kinase by hexokinase, then enters glycolysis
How is glucose converted into fructose?
Glucose ==> Sorbitol
(Enzyme: Aldose Reductase)
(NADPH –> NADP)
Sorbitol ==> Fructose
(Enzyme: Sorbitol Dehydrogenase)
(NAD –> NADH)
How does Glycerol enter glycolysis?
Glycerol ==> Glycerol-3-P
(Enzyme: Glycerol Kinase)
(ATP –> ADP)
Glycerol-3-P ==> Dihydroxy Acetone Phosphate
(Enzyme: Glycerol-3-P dehydrogenase)
(NAD –> NADH)
(Also part of the glycerol phosphate shuttle)
How is galactose metabolized?

How do people with lactose intolerance acquire galactose?
UDP-glucose is made from Glucose-1-P by UDP-glucose pyrophosphorylase
UDP-Glucose is then made into UDP-Galactose by epimerase
Why is galactose necessary for life?
UDP-galactose is needed for glycoprotein and proteoglycan synthesis
Why does a build up of galactitol lead to?
In Classical galactosemia, galactose is not metabolized and is then converted to galactitol
What is Essential Fructosuria?
-Defect: hepatic fructokinase (fructose cannot be made into fructose-1-P)
Benign condition
What is Hereditary Fructose Intolerance (Type 2)?
-Defect: Hepatic Aldolase B with greater affinity for Fructose-1-P cleavage than F-1,6-BP, but will not cleave F-1-P and will not release it from active site
-Symptoms: get sick when ingest fructose
fasting hypoglycemia
hepatomegaly
failure to thrive
Note: Doesn’t seem to be an issue with breast milk
Why does Hereditary fructose interolerance (Type 2) cause hypoglycemia while fasting?
Fill in the blank

PPP Oxidative rxns
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What is the overall reaction of PPP oxidative reactions
Glucose-6-phosphate + 2 NADP + H20 ==>
Ribose-5-phosphate+ 2 NADPH + 1 H+ +CO2
What is the flow of the PPP when more Ribose-5-Phosphate than NADPH is needed?

What is the flow of the PPP when both NADPH and Ribose-5-Phosphate are required?

What is the flow of the PPP when more NADPH than Ribose-5-Phosphate is needed?

What is the flow of the PPP when both NADPH and pyruvate are required?
