⚡ Metabolism
Glycogen = glucose storage. Synthesis: UDP-glucose + glycogen synthase. Breakdown: glycogen phosphorylase + debranching enzyme. Liver = blood glucose. Muscle = local fuel.
How the body stores and mobilizes glucose — glycogen synthesis, breakdown, and hormonal control
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Glycogen structure
Glycogen is a highly branched polymer of glucose linked by α-1,4 bonds (straight chains) and α-1,6 bonds at branch points (every 8-12 residues). Branching increases solubility and the number of free ends available for rapid degradation. Glycogen synthase (adds α-1,4) and branching enzyme (creates α-1,6 branches) build it. Glycogenin is the protein primer.
Memory trick: Glycogen = a tree with many branches. More branches = more places to add or remove glucose simultaneously.
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Glycogen synthesis
Steps: Glucose → G6P (hexokinase) → G1P (phosphoglucomutase) → UDP-glucose (UDP-glucose pyrophosphorylase) → added to glycogen chain by glycogen synthase (α-1,4). Branching enzyme creates α-1,6 branch points. Requires energy: 1 UTP per glucose added.
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Glycogen breakdown (glycogenolysis)
Glycogen phosphorylase cleaves α-1,4 bonds → releases glucose-1-phosphate (G1P). Debranching enzyme removes α-1,6 branch points (releases free glucose — only unphosphorylated glucose from glycogen). G1P → G6P (phosphoglucomutase). Liver: G6Pase converts G6P → free glucose → exported to blood. Muscle: no G6Pase → G6P enters glycolysis directly.
Memory trick: Phosphorylase = the shredder. Debranching enzyme = the branch cutter.
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Hormonal control
Epinephrine (muscle and liver) and glucagon (liver only): activate glycogen phosphorylase kinase → phosphorylates glycogen phosphorylase → ACTIVE (breakdown). Simultaneously phosphorylate glycogen synthase → INACTIVE (synthesis off). Insulin: activates protein phosphatase → dephosphorylates → synthase ON, phosphorylase OFF. Classic reciprocal regulation.
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During a sprint: epinephrine floods the body → activates phosphorylase in muscle → rapid glycogen breakdown → G6P → glycolysis → ATP for muscle contraction.
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Simultaneously: glycogen synthase is phosphorylated → inactivated → no synthesis. All glycogen mobilization, no storage.
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After a meal: insulin rises → protein phosphatase activated → glycogen synthase dephosphorylated → ACTIVE. Glucose from blood is stored as glycogen. Phosphorylase is inactivated.
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Von Gierke disease (G6Pase deficiency): glycogen accumulates in liver and kidney — cannot export glucose → severe fasting hypoglycemia. Classic glycogen storage disease exam question.

Exams test glycogen synthesis (UDP-glucose, glycogen synthase, branching enzyme), glycogenolysis (phosphorylase, debranching enzyme), why liver glycogen maintains blood glucose but muscle glycogen doesn't (G6Pase), and hormonal control (epinephrine/glucagon = breakdown; insulin = synthesis). Glycogen storage diseases (Von Gierke, McArdle, Pompe) are frequently tested.

Students confuse glycogen phosphorylase with glycogen synthase — phosphorylase BREAKS down glycogen; synthase BUILDS it. Also: glycogen phosphorylase releases glucose-1-phosphate, not free glucose (except at branch points where debranching enzyme releases free glucose). Only the liver can export free glucose because muscle lacks G6Pase.

1. What bonds are found in glycogen?
α-1,4 bonds in straight chains and α-1,6 bonds at branch points.
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2. What enzyme breaks down glycogen?
Glycogen phosphorylase — cleaves α-1,4 bonds, releasing glucose-1-phosphate.
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3. Why can muscle glycogen not maintain blood glucose?
Muscle lacks glucose-6-phosphatase — it cannot convert G6P to free glucose for export to blood. Muscle glycogen is used only for local energy needs.
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4. How do epinephrine and glucagon regulate glycogen metabolism?
They activate glycogen phosphorylase (breakdown) and inactivate glycogen synthase (stops synthesis) — via a phosphorylation cascade.
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5. What is Von Gierke disease?
Glucose-6-phosphatase deficiency — glycogen accumulates in liver and kidney; patients cannot export glucose → severe fasting hypoglycemia.
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