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Pharmacy is the health profession that links the health sciences with the chemical sciences and it is charged with ensuring the safe and effective use of pharmaceutical drugs. The word derives from the Greek: (pharmakon), meaning "drug" or "medicine". The scope of pharmacy practice includes more traditional roles such as compounding and dispensing medications, and it also includes more modern services related to health care, including clinical services, reviewing medications for safety and efficacy, and providing drug information. Pharmacists, therefore, are the experts on drug therapy and are the primary health professionals who optimize medication use to provide patients with positive health outcomes. An establishment in which pharmacy (in the first sense) is practiced is called a pharmacy, chemist's or drug store. In the United States and Canada, drug stores commonly sell not only medicines, but also miscellaneous items such as candy (sweets), cosmetics, and magazines, as well as light refreshments or groceries.

Thursday, May 3, 2012

Formation and Degradation of Glycogen

  • Glycogen is the storage form of glucose, composed of glucosyl units linked by α-1,4 glycosidic bonds with α-1,6 branches occurring about every 8 to 10 glucosyl units.
  • Glycogen synthesis requires energy.
  • Glycogen synthase transfers a glucosyl residue from the activated intermediate UDPglucose to the ends of existing glycogen chains during glycogen synthesis. The branching enzyme creates α-1,6 linkages in the glycogen chain.
  • Glycogenolysis is the degradation of glycogen. Glycogen phosphorylase catalyzes a phosphorolysis reaction, utilizing exogenous inorganic phosphate to break α-1,4 linkages at the ends of glycogen chains, releasing glucose 1-phosphate. The debranching enzyme hydrolyzes the α-1,6 linkages in glycogen, releasing free glucose.
  • Liver glycogen supplies blood glucose.
  • Glycogen synthesis and degradation are regulated in the liver by hormonal changes which signify the need for or excess of blood glucose.
  • Lack of dietary glucose, signaled by a decrease of the insulin/glucagon ratio, activates liver glycogenolysis and inhibits glycogen synthesis. Epinephrine also activates liver glycogenolysis.
  • Glucagon and epinephrine release lead to phosphorylation of glycogen synthase (inactivating it) and glycogen phosphorylase (activating it).
  • Glycogenolysis in muscle supplies glucose 6-phosphate for adenosine triphosphate synthesis in the glycolytic pathway.
  • Muscle glycogen phosphorylase is allosterically activated by AMP, as well as by phosphorylation.
  • Increases in sarcoplasmic Ca2+ stimulate phosphorylation of muscle glycogen phosphorylase.

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