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(13 points) A. Below is data collected for the reaction when metabolite Y is synthesized from metabolite X under two differen
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8.A). A low Km value indicates a strong
affinity between enzyme and substrate, whereas
a high Km value reflects a weak affinity between
them..

Jack has high Km for ADH ie his alcohol metabolism will need high concentration of alcohol for 50% of his alcohol to be metabolised... This will cause prolonged effect of alcohol in his body......

He also has low Km for ALDH so small amount of acetaldehyde is converted fast into acetic acid leading to very minimal or no adverse effect of acetaldehyde in body...

Acetaldehyde interferes with DNA synthesis and repair, injures the cellular antioxidative defense system, especially through binding to glutathione, and results in cellular hyperregeneration of the mucosa of the upper alimentary tract and the colorectum.

Acetaldehyde also binds to DNA, generating stable adducts with mutagenic properties.

8.B. 1). Glucose uptake is the rate-limiting step in its use, underlining the importance of GLUT transporters in metabolism....

Liver cancercdisplay high rates of glucose uptake, exacerbated glucose consumption, including the increase of hexokinase expression , the decrease of glucose-6-phosphatase-mediated glucose dephosphorylation , and/or the overexpression of sugar transporters]. Agreed with this last explanation, GLUT1 overexpression has been observed in many human cancers. In addition, GLUT1 expression levels were inversely correlated with prognosis, as the deregulation of GLUT1 expression may reflect the presence of alterations in different signaling pathways.

HK2/hexokinase II, is one such attractive target in glucose metabolism, that catalyzes the irreversible rate-limiting step in the glycolytic pathway . Previous reports have revealed that HK2 is frequently upregulated in liver cancer tissues and is associated with poor patient outcomes .... normal differentiated hepatocytes, GCK is the major hexokinase (HK) isoform expressed; in HCC, GCK expression is repressed and expression of the fetal HK isoform, HK2, is induced7. Thus, in HCC cells, the predominantly expressed HK isoform is HK2; this distinguishes HCC cells from the normal surrounding adult hepatocytes. ...

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