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MBBS QUESTION #10346
Question 1
Gluconeogenesis must bypass the three essentially irreversible reactions of glycolysis. Which distinct enzymatic bypass circumvents the highly exergonic pyruvate kinase step of glycolysis?
  • Pyruvate carboxylase (converting pyruvate to oxaloacetate), followed by phosphoenolpyruvate carboxykinase (converting oxaloacetate to phosphoenolpyruvate)✔️
  • Fructose-1,6-bisphosphatase acting alone
  • Glucose-6-phosphatase acting alone
  • Phosphofructokinase-2 acting in reverse
Correct Answer Explanation
Because glycolytic pyruvate kinase catalyzes an essentially irreversible reaction, gluconeogenesis instead uses a two-step bypass: pyruvate carboxylase (in mitochondria, requiring biotin and ATP) converts pyruvate to oxaloacetate, and PEP carboxykinase then converts oxaloacetate to phosphoenolpyruvate, allowing the pathway to proceed in the gluconeogenic direction.