Rapaport Leubering Cycle

Rapaport Leubering Cycle

  • Also called as BPG SHUNT is a supplementary pathway to glycolysis which takes place in RBCs
  • About 15-20% of glucose that gets converted to lactate in erythrocytes goes via 2,3-BPG synthesis
  • Bis phosphoglycerate mutase is a bifunctional enzyme with both phosphatase and mutase activities
  • Energetics:
    • Total ATP generated= 2
    • Total ATP consumed=2
    • Thus net ATP generated=0
  • Here 2,3-biphosphoglycerate is synthesized in the RBC by bypassing the 1,3-BPG kinase step (thus also bypassing one Substrate Level Phosphorylation)

  • 2,3-BPG binds to hemoglobin and reduces its affinity towards Oxygen. Thus is presence of 2,3-BPG, oxyhemoglobin will unload oxygen more easily in tissues. Thus oxygen dissociation curve shifts to the right
  • Due to its phosphate content, it helps in maintaining buffering action inside RBC
  • In hypoxic conditions like high altitude, anemia there is increase in 2,3-BPG concentration in RBC which favors release of oxygen to the tissues even when pO2 is low
  • Fetal hemoglobin has very less affinity towards 2,3-BPG as compared to adult RBC, thus increasing placental transfer of Oxygen to fetus
  • In COPD patients, less oxygen is delivered to tissues thus compensatory increase in 2,3-BPG occurs
  • The net ATP generated from this shunt is zero
  • Hexokinase deficiency, glucose is not phosphorylated. Thus synthesis and concentration of 2,3-BPG is low in RBC whereas in pyruvate kinase deficiency, 2,3-BPG concentration is high thus low oxygen affinity
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