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Summary Enzyme and Metabolism Physiology

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This document is a summary of the physiology of enzymes and metabolism. It examines basic enzyme physiology, the metabolism of carbohydrates, lipids, proteins, nucleotides, and micronutrients, as well as the basic pathophysiology surrounding these topics.

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Uploaded on
August 6, 2025
Number of pages
89
Written in
2025/2026
Type
Summary

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Enzymes and Metabolism




1

,Enzymes:................................................................................................................................ 3
Enzyme localisation:...........................................................................................................3
Protein structure:................................................................................................................ 3
Enzyme characteristics:..................................................................................................... 4
Enzyme reactions:..............................................................................................................4
Enzyme Kinetics:.......................................................................................................... 7
Regulation of enzyme activity:......................................................................................7
Co-enzymes and cofactors:................................................................................................9
Isoenzymes:..................................................................................................................... 10
Clinically significant enzymes:.......................................................................................... 11
Carbohydrates:.....................................................................................................................13
Digestion:......................................................................................................................... 13
Absorption:....................................................................................................................... 14
Glucose transporters:................................................................................................. 15
Energy sources:............................................................................................................... 16
Malnutrition:................................................................................................................ 16
Anthropometric measurements:................................................................................. 16
Carbohydrate Homeostasis and Metabolic Pathways:.....................................................17
Glycolysis:.................................................................................................................. 17
Red blood cell damage:........................................................................................19
Glycolysis regulation:............................................................................................19
Pathways interacting with glycolysis:....................................................................20
Alcohol Metabolism: (ethanol).......................................................................................... 22
Gluconeogenesis:.............................................................................................................23
Glycogenesis:...................................................................................................................24
Glycogenolysis:................................................................................................................ 25
The balance between storing and using stored glycogen:......................................... 25
Type 1 Diabetes:.............................................................................................................. 26
Type 2 diabetes:............................................................................................................... 27
The Krebs Cycle:..................................................................................................................28
Cycle regulation:.........................................................................................................29
Replenishing Cycle Intermediates:.............................................................................30
Enzymes/ Coenzymes and important vitamins they need:.........................................31
Vitamin deficiency:................................................................................................31
Electron Transport Chain:................................................................................................... 32
Uncoupling of ETC:.................................................................................................... 33
Lipids:................................................................................................................................... 34
Fatty acids:....................................................................................................................... 34
Lipid catabolism:...............................................................................................................38
Ketogenesis:...............................................................................................................40
Lipid anabolism:............................................................................................................... 42
Fatty Acid Synthesis:.................................................................................................. 43
TAG synthesis:........................................................................................................... 43
Lipid transport and lipoproteins:................................................................................. 44


2

, Cholesterol Synthesis:................................................................................................45
Eicosanoids:............................................................................................................... 46
Protein Metabolism:............................................................................................................. 48
Protein energy malnutrition:............................................................................................. 48
Protein Components and Structure:................................................................................. 49
Protein deficiency:............................................................................................................ 51
Protein absorption:........................................................................................................... 51
Biological values:........................................................................................................51
Amino acid catabolism:.................................................................................................... 52
Amino Acids to Keto Acids:........................................................................................ 56
Amino acids to neurotransmitters:.............................................................................. 57
Regulation of Protein metabolism:................................................................................... 58
Protein pathology:............................................................................................................ 59
Nucleotide Metabolism:....................................................................................................... 60
Pyrimidines and purines:.................................................................................................. 60
Nucleic acids:............................................................................................................. 61
Nucleotide biosynthesis:...................................................................................................62
Purine biosynthesis:................................................................................................... 63
Pyramidine biosynthesis:............................................................................................64
Formation of deoxynucleotides:................................................................................. 65
Nucleotide degradation:................................................................................................... 66
Gout:...........................................................................................................................67
Micronutrient metabolism:.................................................................................................. 71
Vitamins:...........................................................................................................................71
Cofactors and Coenzymes:.............................................................................................. 74
Minerals:...........................................................................................................................77
Metabolic regulation:........................................................................................................... 79
Fed state:......................................................................................................................... 79
Early fasting (Normal state):.............................................................................................81
Fasting >24hrs:................................................................................................................ 82
Diabetes type 1:............................................................................................................... 85
Diabetes type 2:............................................................................................................... 87




3

, Enzymes:

Markers for disease:
-​ Hepatitis (large liver and cell death)
-​ Myocardial infarction (heart attack atherosclerotic plaque rupture)
-​ Rhabdomyolysis (skeletal muscle breakdown)

Enzyme localisation:
-​ Gives a hint and links to its function

Intracellular:
1.​ Nucleus - DNA/RNA metabolism
2.​ Mitochondrial - energy reactions
3.​ Ribosomal - protein synthesis
4.​ Microsomal - hydroxylation reactions
5.​ Lysosomal - catabolic reactions
6.​ Cytoplasmic - glycolysis, lipogenesis

Extracellular:
-​ Digestive gastrointestinal enzymes

Blood:
-​ Diagnosis and prognosis

Protein structure:




Primary structure: polypeptides N-C termini linked by peptide bonds

Secondary structure: 𝜶-helixes or 𝜷-sheets



4

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