Roles of glucose
ATP production
- Oxidation through aerobic glycolysis yields pyruvate - efficient
- Fermentation by anaerobic glycolysis yields lactate - rapid, inefficient
Provision of building blocks for synthetic reactions
- Oxidation through pentose phosphate pathway → ribose-5-phosphate
- Precursor for nucleotide synthesis and DNA repair → growth
Glucose transport into cells
- Via Na+/glucose symporters
- Via passive facilitated diffusion glucose transporters – GLUTs (1-5)
- Different tissues have different GLUTs – different KM, regulated differently
Glycolysis
- The initial pathway for the conversion of glucose to pyruvate
- Per glucose there is a net gain of 2 ATP
- Phosphorylation of glucose to give fructose-1,6-bisphospate – requires phosphofructokinase
- Two interconvertible three-carbon molecules are formed
- Generation of ATP through the oxidation of the 3C molecules

Control points
Phosphofructokinase
- Key enzyme that controls the rate of substrate movement in glycolysis (rate-limiting)
- Activated by AMP – increases glycolysis when energy is needed
- Inhibited by ATP – decreases glycolysis when energy is abundant
Glyceraldehyde 3-phosphate
- Matches the rate of reaction to the rate of NADH regeneration
Pyruvate kinase
- Controls conversion of phosphoenolpyruvate to pyruvate (product exit)
H+
- Decreases glycolysis if too much lactic acid is produced
- Lactic acid produced if there is a lack of oxygen – anaerobic metabolism
Anaerobic metabolism

- In the absence of oxygen, pyruvate can act as a hydrogen acceptor, taking hydrogen ions from NADH
- Pyruvate is converted into lactate and NAD is regenerated
The Warburg Effect
- Cancer cells produce energy by high rate of glucose metabolism to lactate - anaerobic glycolysis
- Cancer cells have low Km hexokinase
- Supports rapid cell growth - energy production, pathways for nucleotide synthesis
- Produces H+ and lactate as end products
- Inefficient ATP synthesis with high glucose demand
- Cancer can be treated by targeting glycolysis - patients given enzymes which act around control points