Jd. Foster et al., GLUCOSE-6-PHOSPHATASE STRUCTURE REGULATION, AND FUNCTION - AN UPDATE, Proceedings of the Society for Experimental Biology and Medicine, 215(4), 1997, pp. 314-332
Work on the glucose-6-phosphatase system has intensified and diversifi
ed extensively in the past 3 years, The gene for the catalytic unit of
the liver enzyme has been cloned from three species, and regulation a
t the level of gene expression is being studied in several laboratorie
s worldwide. More than 20 sites of mutation in the catalytic unit prot
ein have been demonstrated to underlie glycogenesis type 1a. Inhibitio
n of glucose-6-P hydrolysis by several newly identified competitive an
d time dependent, irreversible inhibitors has been demonstrated and in
several instances the predicted effects on liver glycogen formation a
nd/or breakdown and on blood glucose production have been shown, Refin
ements in and additions to the presently dominant ''substrate transpor
t-catalytic unit'' topological model for the glucose-6-phosphatase sys
tem have been made, A new model alternative to this, based on the ''co
mbined conformational flexibility-substrate transport'' concept, has e
merged, Experimental evidence for the phosphorylation of glucose in li
ver by high-K-m, glucose enzyme(s) in addition to glucokinase has cont
inued to emerge, and new in vitro evidence supportive of biosynthetic
functions of the glucose-6-phosphatase system in this role has appeare
d. High levels of multifunctional glucose-6-phosphatase have been show
n present in pancreatic islet beta cells, Glucose-6-P has been establi
shed as the likely insulin secretagog in beta cells, Interesting diffe
rences in the temporal responses of glucose-6-phosphatase in kidney an
d liver have been demonstrated, An initial attempt is made here to mel
d the hepatic and pancreatic islet beta-cell glucose-6-phosphatas syst
ems, and to a lesser extent the kidney tubular and small intestinal mu
cosal glucose-6-phosphatase systems into an integrated, coordinated me
chanism involved in whole-body glucose homeostasis in health and disea
se.