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Reappraisal of the metabolic models in diabetes-A review of the origin of the present bioenergetic models, ignored reports and biases by in vitro models
Alcohol production, muscle contraction, diabetes and cancers are
some of the ancient curiosities of thinkers from prehistoric times.
Present models of intermediary metabolism were developed in
the first half of 20th century through in vitro studies based on
thermodynamic equilibria of individual enzymes modulating
the metabolite fluxes. The putative assumptions of the pathways
introduced a bias towards bioenergetic theories dominated
in designing the present metabolic pathways. Present models
of glycolysis were formulated based on Top-down models,
suggesting the breakdown of glucose to hexose diphosphate,
which is split to pglyceraldehyde-3phosphate and in a series of
reverse fluxes converges on phosphoenolpyruvate (PEP). Pyruvate
kinase transfers phosphate to ATP and produces pyruvate. The
models depict respiration oxidizes nutrients in mitochondria to
produce energy (ATP). Physiologically active cells depend on
cytoplasmic pyruvate kinase (PK) for ATP and reduce pyruvate
to lactate. In this talk I present a review of three centuries of
literature on respiratory physiology, muscle metabolism, propose
that oxidative stress induces sestrins, which inhibit mTORC1,
activate AMPK, autophagy, unfolded protein response, asparagine
synthesis, and lipolysis. Stressed-out cells transform to pluripotent
stem cells (PSCs), enter hypoxic microenvironment. TGFB1
deposits collagen but inhibits 4F2HC. PSCs secrete metallo
proteases (MMPs), hydrolyze collagen. cAMP induced phosphate
uptake hydrolyses intracellular glycogen to ribose phosphate.
Fructose metabolites inhibit glucose uptake. HIF1 stabilizes
fructose1,6-bisphosphate (HDP1; Harden ester) and promotes
fermentation. Glycerolipids, and phosphoglycerate kinase1
(PGK1) promote ATP, phosphoribosyl pyrophosphate (PRPP)
synthesis. TP53 induced glycolysis and apoptosis regulator
(TIGAR) dephosphorylates HDP1 to fructose-6posphate (Fr6P).
Glutamine uptake through neutral amino acid transporters drives
Fr6P into glycosylation pathway, which activates the uptake of
essential amino acids (EAA) and nucleotide synthesis. TP53
induced GLS2, hydrolyses glutamine and promotes glutathione
biosynthesis, while synthesis of cytochrome oxidase (SCO2)
promotes O2 uptake. Cyanide resistant respiration oxidizes fats,
EAA, Coenzyme-Q, ketone bodies in peroxisomes. Arginine
metabolism and pyrimidine synthesis promote citrulline synthesis,
which inhibits enolase. Phosphoglycerate mutase (PGAM) inhibits
PPP and ribose synthesis. Fumarate acts as the terminal electron
acceptor in anaerobic metabolism. Lactate synthesis/entry into
cells activates thermogenesis, and pyruvate metabolism. Pyruvate
metabolism is controlled by three enzymes, pyruvate kinase,
pyruvate carboxylation, and pyruvate aminotransferase. Phosphate
activated glutamine metabolism controls mitochondrial respiration
and cell differentiation. ATP export into microenvironment
activates the cross talk between PSCs and myeloid cells regulates
angiogenesis, myelination, and cell death/ survival pathways.
Keywords: EMT, microenvironment, phosphate, fructose, HIF1,
TIGAR, lactate shuttles, mitochondria, Oxidative regenerative
metabolism.
Biography
Date of Birth 15th August 1946: MSc (1970) Osmania University Hyderabad. MPhil (1979) SV University Tirupathy, Ph D (1982) Katiya University Warangal. Faculty member; CKM College (1970-1980), Kakatiya University, Warangal (1980-2006)> retired as Prifessor &Head Dept Of Zoology. Areas of teaching: Cell biology, Cellular biochemistry, Enzymology. Areas of research, protein and enzyme polymorphisms, focus on LDH isozymes, Esterase species specific polymorphisms and in embryonic development, Developmental alterations in crabs and insects. Post Retirement (2006-2013): Visiting Professor, Hyderabad Central University, NIPER Hyderabad, Adjunct professor CRRAO AIMASCS; Consultant Scientist: Cell Works Bangaluru
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