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Secondary Pathways of Glucose Oxidation

In animal tissues, most of the glucose consumed is catabolized via glycolysis to pyruvate. Most of the pyruvate in turn is oxidized via the citric acid cycle. The main function of glucose catabolism by this route is to generate ATP. There are, however, other catabolic pathways taken by glucose that lead to specialized products needed by the cell, and these pathways constitute part of the secondary metabolism of glucose. Two such pathways produce pentose phosphates and uronic and ascorbic acids.

Oxidative Decarboxylation Yields Pentose Phosphates and NADPH

The pentose phosphate pathway, also called the phosphogluconate pathway (Fig. 14-22), produces NADPH and ribose-5-phosphate. Recall that NADPH is a carrier of chemical energy in the form of reducing power (Chapter 13). In mammals this function is especially prominent in tissues actively carrying out the biosynthesis of fatty acids and steroids from small precursors, particularly the mammary gland, adipose tissue, the adrenal cortex, and the liver. The biosynthesis of fatty acids requires reducing power in the form of NADPH to reduce the double bonds and carbonyl groups of intermediates in this process (Chapter 20). Other tissues less active in synthesizing fatty acids, such as skeletal muscle, are virtually lacking in the pentose phosphate pathway. A second function of the pentose phosphate pathway is to generate essential pentoses, particularly D-ribose, used in the biosynthesis of nucleic acids (Chapter 21).
The first reaction of the pentose phosphate pathway is the enzymatic dehydrogenation of glucose-6-phosphate by glucose-6-phosphate dehydrogenase to form 6-phosphoglucono- δ-lactone, an intramolecular ester, which is hydrolyzed to the free acid 6-phosphogluconate by a specific lactonase (Fig. 14-22). NADP+ is the electron acceptor, and the overall equilibrium lies far in the direction of formation of NADPH. In the next step 6-phosphogluconate undergoes dehydrogenation and decarboxylation by 6-phosphogluconate dehydrogenase to form the ketopentose D-ribulose- 5-phosphate, a reaction that generates a second molecule of NADPH. Phosphopentose isomerase then converts D-ribulose- 5-phosphate into its aldose isomer n-ribose-5-phosphate. In some tissues, the pe6ntose phosphate pathway ends at this point, and its overall equation is then written
Glucose-6-phosphate + 2 NADP+ + H2_________Oribose-5-phosphate + CO2 + 2 NADPH + 2H+
The net result is the production of NADPH for reductive biosynthetic reactions and the production of ribose-5-phosphate as a precursor for nucleotide synthesis.
In tissues that require primarily NADPH rather than ribose-5phosphate, pentose phosphates are recycled into glucose-6-phosphate in a series of reactions (Fig. 14-23) that will be examined in more detail in Chapter 19. First, ribulose-5-phosphate is epimerized to xylulose-5-phosphate. Then, in a series of rearrangements of the carbon skeletons of sugar phosphate intermediates, six five-carbon sugar phosphates are converted into five six-carbon sugar phosphates (Fig. 14-23b), completing the cycle and allowing continued oxidation of glucose-6-phosphate with the production of NADPH. 

In the nonoxidative part of the pentose phosphate pathway (Fig. 14-23a), transketolase, a thiamine pyrophosphate-dependent enzyme, catalyzes the transfer of a two-carbon fragment (C-1 and C-2) of xylulose-5-phosphate to ribose-5-phosphate, forming the seven-carbon product sedoheptulose-7-phosphate; the remaining three-carbon fragment of xylulose is glyceraldehyde-3-phosphate. (The detailed mechanism for transketolase is shown in Fig. 19-25.) Transaldolase then catalyzes a reaction similar to the aldolase reaction in glycolysis: a three-carbon fragment is removed from sedoheptulose-7-phosphate and condensed with glyceraldehyde-3-phosphate, forming fructose-6phosphate; the remaining four-carbon fragment of sedoheptulose is erythrose-4-phosphate. Now transketolase acts again, forming fructose-6-phosphate and glyceraldehyde-3-phosphate from erythrose-4phosphate and xylulose-5-phosphate. Two molecules of glyceraldehyde-3-phosphate formed by two iterations of these reactions can be converted into fructose-1,6-bisphosphate (Fig. 14-23b). The cycle is then complete: six pentose phosphates have been converted back into five hexose phosphates.
All of the reactions of the nonoxidative part of the pentose phosphate pathway are readily reversible, and thus also provide a means of converting hexose phosphates into pentose phosphates. As we shall see in Chapter 19, this is essential in the fixation of CO2 by photosynthetic plants.

Glucose Is Converted to Glucuronic Acid and Ascorbic Acid

Another secondary pathway for glucose leads to two specialized products: D-glucuronate, important in the detoxification and excretion of foreign organic compounds, and L-ascorbic acid or vitamin C. AIthough the amount of glucose diverted into this secondary pathway is very small compared with the large amounts of glucose proceeding through glycolysis and the citric acid cycle, the products are vital to the organism.
In this pathway (Fig. 14-24) glucose-1-phosphate is first converted into UDP-glucose by reaction with UTP. The glucose portion of UDP-glucose is then dehydrogenated to yield UDP-glucuronate, another example (see also Fig. 14-13) of the use of UDP derivatives as intermediates in the enzymatic transformations of sugars.
UDP-glucuronate is the glucuronosyl donor used by a family of detoxifying enzymes that act on a variety of relatively nonpolar drugs, environmental toxins, and carcinogens. The conjugation of these compounds with glucuronate (glucuronidation) converts them into much more polar derivatives that are more easily cleared from the blood by the kidneys and excreted in the urine. For example, the sedative drug phenobarbital, the anti-AIDS drug AZT, and the hydroxylated form of the carcinogen benzo[a]pyrene (3-hydroxybenzo[a]pyrene) all undergo glucuronidation catalyzed by UDP-glucuronosyl transferases in the human liver (Fig. 14-25). Chronic exposure to the drug or toxin induces increased synthesis of the enzyme specific for that compound, increasing tolerance for the drug or resistance to the toxin. UDP-glucuronate is also the precursor of the glucuronate residues of such acidic polysaccharides as hyaluronate and chondroitin sulfate (see Fig. 1120).
D-Glucuronate is an intermediate in the conversion of D--glucose into L-ascorbic acid (Fig. 14-24). It is reduced by NADPH to the sixcarbon sugar acid L-gnlonate, which is converted into its lactone. LGulonolactone then undergoes dehydrogenation by the flavoprotein gulonolactone oxidase to yield L-ascorbic acid. Some animal species, including humans, guinea pigs, monkeys, some birds, and some fish lack the enzyme gulonolactone oxidase and are unable to synthesize ascorbic acid; they require it ready-made in the diet (as vitamin C).

Humans who do not obtain enough vitamin C in the diet develop the serious disease scurvy, in which the synthesis of connective tissue containing collagen is defective. The symptoms of scurvy include swollen and bleeding gums with loosened teeth, stiffness and soreness of joints, bleeding under the skin, and slow wound healing. For centuries the disease was very common among sailors on long sea voyages, during which no fresh fruit was available, and in 1753 the Scottish naval surgeon James Lind showed that scurvy was prevented and cured by ingestion of citrus juice. In 1932 the antiscurvy vitamin C was isolated from lemon juice and named ascorbic acid (from the Latin scorbutus, meaning "scurvy").