The catabolic process in which glycogen, the storage form of glucose primarily sequestered in the liver and skeletal muscle, is broken down into glucose-1-phosphate and subsequently converted to glucose. This rapid biochemical pathway serves as the body’s immediate mechanism for mobilizing stored energy to maintain euglycemia, especially during periods of fasting or increased physical demand. Key counter-regulatory hormones, such as glucagon and epinephrine, are the primary physiological drivers of this process.
Origin
The enzymatic breakdown of glycogen was first described in the mid-19th century, laying the groundwork for understanding carbohydrate metabolism. The hormonal control of this process, particularly the role of pancreatic and adrenal hormones, was elucidated in the 20th century, cementing its place as a critical component of endocrine regulation of energy homeostasis.
Mechanism
Glycogenolysis is initiated by the hormone glucagon in the liver and epinephrine in muscle tissue, which bind to cell surface receptors and activate the enzyme glycogen phosphorylase. This enzyme catalyzes the sequential cleavage of glucose units from the glycogen polymer, releasing glucose-1-phosphate. In the liver, glucose-6-phosphatase then converts this product to free glucose, which is released into the circulation to prevent hypoglycemia and fuel other tissues.
Growth hormone interventions modulate glucose metabolism and insulin sensitivity through complex direct and indirect pathways, requiring personalized clinical oversight.
Hormonal changes alter glucose regulation by influencing insulin sensitivity, glucose production, and cellular uptake, impacting metabolic balance over time.
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