Updated: 12/25/2021

Fructose Metabolism

0%
Topic
Review Topic
0
0
N/A
N/A
Questions
3
0
0
0%
0%
Evidence
3
0
0
0%
0%
Videos / Pods
2
Topic
  • Overview
    • Source fructose
      • sucrose in fruits and sweeteners
        • disaccharide of glucose and fructose
        • hydrolyzed by sucrase in brush border of small intestine
    • Pathway
      • liver is main site of metabolism
        • also in renal proximal tubule
      • DHAP and glyceraldehyde enter into glycolysis downstream of regulation
    • Clinical relevance
      • fructokinase deficiency
        • benign
        • presentation
          • fructosuria
          • does not have the osmotic pathologies (e.g. cataracts) associated with galactokinase deficiencies
            • fructose is not an aldose and therefore not substrate for aldose reductase
      • fructose 1-P aldolase (aldolase B) deficiency
        • aka hereditary fructose intolerance
        • AR
        • more severe than fructokinase deficiency because fructose 1-P acts as a phosphate sink
        • presentation
          • fructosuria
          • lethargy
          • hypoglycemia
          • liver and proximal renal tubule disorder
            • hyperbilirubinemia
            • hyperuricemia
              • degradation of ADP due to loss of Pi
        • treatment
          • fructose (and sucrose)-free diet

Please rate this review topic.

You have never rated this topic.

Thank you. You can rate this topic again in 12 months.

Flashcards (0)
Cards
1 of 0
Questions (3)
Question locked
Sorry, this question is for
PEAK Premium Subscribers only
Upgrade to PEAK
Question locked
Sorry, this question is for
PEAK Premium Subscribers only
Upgrade to PEAK
Question locked
Sorry, this question is for
PEAK Premium Subscribers only
Upgrade to PEAK
Evidence (3)
VIDEOS & PODCASTS (3)
EXPERT COMMENTS (25)
Private Note