Biochemistry · MU Pleven

21. Regulation of Glycogen Metabolism. Glycogen Storage Diseases. Glycogenosis

Explains how insulin, glucagon and epinephrine switch glycogen synthesis and breakdown on and off through reciprocal control of glycogen synthase and phosphorylase, then covers allosteric signals such as AMP, ATP, glucose-6-phosphate and calcium in muscle and liver. Moves on to glycogen storage diseases, describing Von Gierke, Pompe, Cori and McArdle types by enzyme defect and clinical features, and closes with a liver versus muscle comparison.

Inside: 4 sections · 6 labelled pictures · 10 flashcards · 3 min

Topic 21 of 76 in the MU Pleven syllabus for Biochemistry (Medicine, Year 2). The free AceMed note covers it in 4 sections, about 383 words (3 min of reading), with 10 flashcards.

In this note

  1. Regulation of Glycogen Metabolism. Glycogen Storage Diseases.
  2. Regulation of Glycogen Metabolism
  3. Glycogen Storage Diseases (Glycogenosis)
  4. Comparison of Liver vs Muscle in Disease

Regulation of Glycogen Metabolism

1. Key Concept

  • Glycogen metabolism is regulated so that glycogen synthesis (glycogenesis) and glycogen breakdown (glycogenolysis) do not happen at the same time.
  • Regulation depends on:
  • Hormones
  • Energy status of the cell
  • Allosteric control
  • Covalent modification (phosphorylation/dephosphorylation)

2. Key Enzymes (Opposing Pair)

  • Glycogen Synthase → Builds glycogen.
  • Glycogen Phosphorylase → Breaks glycogen.

These enzymes are reciprocally regulated:

  • When one is ON, the other is OFF.

3. Hormonal Regulation

A. Insulin (Fed state — high blood glucose)

  • Stimulates glycogen synthesis.
  • Activates glycogen synthase (dephosphorylation makes it active).
  • Inhibits glycogen phosphorylase.
  • Occurs in both liver and muscle.

Effect: Store extra glucose as glycogen.

B. Glucagon (Fasting state — low blood glucose)

  • Works only in liver.
  • Activates protein kinase A → phosphorylates:
  • Glycogen phosphorylase → ON (breakdown)
  • Glycogen synthase → OFF
  • Increases release of glucose into blood.

Effect: Maintain blood glucose levels during fasting.

C. Epinephrine (Stress / Exercise)

  • Acts in both muscle and liver.
  • In muscle, epinephrine increases glycogen breakdown → ATP for contraction.
  • In liver, epinephrine supports glucagon in increasing blood glucose.

4. Allosteric (Energy Status) Regulation

In Muscle

  • AMP activates glycogen phosphorylase → breakdown for ATP.
  • ATP and Glucose-6-phosphate inhibit glycogen phosphorylase (when energy is
  • sufficient).
  • Ca²⁺ (released during muscle contraction) activates phosphorylase kinase → stimulates glycogen breakdown even without hormones.

In Liver

  • Glucose inhibits glycogen phosphorylase, helping switch to storage mode after meals.

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