Location of PPP
Cytosol of all cells; most active in liver, adipose tissue, adrenal cortex, RBCs.
Purpose of PPP
Produce NADPH, make ribose-5-phosphate, and generate glycolytic intermediates.
Rate-limiting enzyme of PPP
G6PD (glucose-6-phosphate dehydrogenase).
Regulation of G6PD
Activated by NADP⁺; inhibited by NADPH (feedback inhibition).
What is NADPH?
A reducing agent used in biosynthetic reactions and antioxidant defence.
Uses of NADPH
Fatty acid synthesis, cholesterol/steroid synthesis, glutathione regeneration, cytochrome P450, respiratory burst in neutrophils.
NADPH vs NADH
NADPH = anabolic + antioxidant; NADH = catabolic + ATP production.
Tissues requiring most NADPH
Liver, adipose, adrenal cortex, gonads, mammary glands, RBCs, neutrophils.
Redox (oxidative) phase of PPP
Irreversible phase producing NADPH, CO₂, ribulose-5-phosphate.
Products of oxidative phase
2 NADPH + CO₂ + ribulose-5-phosphate.
Function of transketolase
Transfers 2-carbon units; requires TPP; links pentose sugars with glycolysis.
Function of transaldolase
Transfers 3-carbon units; forms fructose-6-P and glyceraldehyde-3-P.
Purpose of non-oxidative (reversible) phase
Convert pentoses ↔ glycolytic intermediates depending on metabolic needs.
What is glutathione (GSH)?
Tripeptide (Glu-Cys-Gly) acting as a major cellular antioxidant.
Glutathione’s antioxidant role
Neutralizes H₂O₂/free radicals via glutathione peroxidase; regenerated by NADPH.
Inheritance of G6PD deficiency
X-linked recessive.
Triggers of hemolysis in G6PD deficiency
Oxidative stress: fava beans, infections, sulfonamides, antimalarials, nitrofurantoin, naphthalene.
Symptoms of G6PD deficiency
Jaundice, dark urine, fatigue, pallor, back pain, Heinz bodies & bite cells.
Treatment/prevention of G6PD deficiency
Avoid triggers, treat infections quickly, supportive care, transfusions if severe.