Chapter 9

After studying this chapter, you should be able to:

• Explain the concept of whole-body homeostasis and its response to fluctuations in the external environment.
• Discuss why the cellular concentrations of substrates for most enzymes tend to be close to Km.
• List multiple mechanisms by which active control of metabolite flux is achieved.
• Describe the advantages of certain enzymes being elaborated as proenzymes.
• Illustrate the physiologic events that trigger the conversion of a proenzyme to the corresponding active enzyme.
• Describe typical structural changes that accompany conversion of a proenzyme to the active enzyme.
• Describe the basic features of a typical binding site for metabolites and second messengers that regulate catalytic activity of certain enzymes.
• Indicate two general ways in which an allosteric effector can modify catalytic activity.
• Outline the roles of protein kinases, protein phosphatases, and of regulatory and hormonal and second messengers in initiating a metabolic process.

The nineteenth-century physiologist Claude Bernard enunciated the conceptual basis for metabolic regulation. He observed that living organisms respond in ways that are both quantitatively and temporally appropriate to permit them to survive the multiple challenges posed by changes in their external and internal environments. Walter Cannon subsequently coined the term “homeostasis” to describe the ability of animals to maintain a constant intracellular environment despite changes in their external environment. We now know that organisms respond to changes in their external and internal environment by balanced, coordinated adjustments in the rates of specific metabolic reactions. Perturbations of the sensor-response machinery responsible for maintaining homeostatic balance can be deleterious to human health. Cancer, diabetes, cystic fibrosis, and Alzheimer's disease, for example, are all characterized by regulatory dysfunctions triggered by pathogenic agents or genetic mutations. Many oncogenic viruses elaborate protein-tyrosine kinases that modify the regulatory events that control patterns of gene expression, contributing to the initiation and progression of cancer. The toxin from Vibrio cholerae, the causative agent of cholera, disables sensor-response pathways in intestinal epithelial cells by ADP-ribosylating the GTP-binding proteins (G-proteins) that link cell surface receptors to adenylyl cyclase. The consequent activation of the cyclase leads to the unrestricted flow of water into the intestines, resulting in massive diarrhea and dehydration. Yersinia pestis, the causative agent of plague, elaborates a protein-tyrosine phosphatase that hydrolyzes phosphoryl groups on key cytoskeletal proteins. Dysfunctions in the proteolytic systems responsible for the degradation of defective or abnormal proteins are believed to play a role in neurodegenerative diseases such as Alzheimer and Parkinson's. In addition to their immediate function as regulators of enzyme activity, protein degradation, etc, covalent modifications such as phosphorylation, acetylation, and ubiquitination provide a protein-based code for the storage and hereditary transmission of information (Chapter 35). Such DNA-independent information systems are referred to as epigenetic. Knowledge of factors that control the rates of enzyme-catalyzed reactions thus is essential to an understanding of the molecular basis of disease and its transmission. This chapter outlines the patterns by which metabolic processes are controlled, and ...

Sign in to your MyAccess profile while you are actively authenticated on this site via your institution (you will be able to verify this by looking at the top right corner of the screen - if you see your institution's name, you are authenticated). Once logged in to your MyAccess profile, you will be able to access your institution's subscription for 90 days from any location. You must be logged in while authenticated at least once every 90 days to maintain this remote access.

Ok

## Subscription Options

### AccessPharmacy Full Site: One-Year Subscription

Connect to the full suite of AccessPharmacy content and resources including 30+ textbooks such as Pharmacotherapy: A Pathophysiologic Approach and Goodman & Gilman's The Pharmacological Basis of Therapeutics, high-quality videos, images, and animations, interactive board review, drug and herb/supplements databases, and more.