Glucokinase is one of the four hexokinases present in mammalian tissue
s. It is expressed in two cell types that have to respond to changes i
n the blood glucose concentration, the liver parenchymal cell and the
P-cells of pancreatic islets. The former are responsible for the metab
olism and storage of an important part of the ingested glucose, wherea
s the latter secrete insulin in response to an increase in the blood g
lucose level. One major characteristic of glucokinase is that it has a
relatively low affinity for glucose and displays positive cooperativi
ty for this substrate, despite the fact that it is a monomeric enzyme.
Furthermore, unlike other hexokinases, it is not inhibited by micromo
lar (physiological) concentrations of glucose 6-phosphate but by a reg
ulatory protein that transduces the effect of fructose 6-phosphate and
of fructose 1-phosphate. The purpose of this review is to describe th
ese aspects of the regulation of glucokinase.