Regulation of Phosphofructokinase-1: Too Much of a Good Theme? Eric Niederhoffer SIU-SOM Curriculum Context • Problem-based learning using electronic patient cases • Organ-system, integrated disciplines • Specific example - diabetes mellitus/alcoholic ketoacidosis • Learning Issues Which steps in metabolic pathways are regulated by insulin, glucagon, or other important hormones or metabolites? How do insulin and glucagon balance the degradation, synthesis, and storage of glucose? How does the regulation of glycolysis compare between liver, cardiac muscle and skeletal muscle? Glycolysis: Regulatory Steps Glucagon Liver Glc GK H G6P K F6P PFK-1 Insulin Liver Ep Heart Liver F26BPase PFK-2 Heart F16BP PEP PK Pyr Liver Adipose PDH Acetyl-CoA Regulation Focus Glc G6P F6P ATP Citrate PEP H+ PFK-2 PFK-1 F26BP F16BP NH4+ AMP Pi PFK-1 - Facts • Two genes - PFKL (21q), PFKM (12q) • Tetramer - muscle (M4), liver/kidney (L4), platelet (M4, M3L, M2L2, ML3, L4) • T and R states • Activators - AMP, ADP, cAMP, Pi, F6P, F16BP, F26BP, NH4+ • Inhibitors - ATP, citrate, PEP, H+ • Interaction with renal H+ ATPase • Glycogen storage disease VII (Tauri) autosomal recessive, gout, increased O2 affinity (decreased 23BPG) PFK-2 - Facts • Four genes - PFKFB1 (X), PFKFB2 (1), PFKFB3 (10), PFKFB4 (3) • PFK-2 dimer • Bifunctional protein (PFK/F26BPase) • Activators/inhibitors - similar to PFK-1 except no ATP inhibition • Brain no (or low) mRNA detected • Skeletal muscle - F6P regulates • Phosphorylation - liver (Ser32, N term), cardiac (Ser406[466,483],Thr475, F26BPase) F26BPase-PFK-2 Regulation Comparison Glucagon Ep Insulin F26BPase-PFK-2P Liver PKA PrPase2A F26BPase-PFK-2 F26BPase-PFK-2 Skeletal Muscle F6P↓ F6P↑ F26BPase-PFK-2 Ep F26BPase-PFK-2 Heart PKA ??? AMPK/AKT/WISK F26BPaseP-PFK-2 Insulin