Pentose Phosphate Pathway
Core outputs and why they matter
Produces:
-
NADPH
-
detoxification of ROS
- keeps glutathione in a reduced state
- used for fatty acid synthesis
-
ribose-5-phosphate
-
used for RNA and DNA synthesis
NADP\(^+\) vs NAD\(^+\)
- NADP\(^+\) and NAD\(^+\) are similar except NADP\(^+\) has an extra phosphate group on the C\(2'\) position
- they are not metabolically interchangeable
Typical cellular ratios:
- NADH/NAD\(^+\) \(\approx 0.001\)
- NADPH/NADP\(^+\) \(\approx 100\)
Note:
- only glutamate dehydrogenase can use both (as noted)
Oxidative phase
Main products:
- NADPH
- ribulose-5-phosphate
Steps (oxidative)
- glucose → glucose-6-phosphate via hexokinase or glucokinase
-
committed step:
-
glucose-6-phosphate → 6-phosphoglucono-\(\delta\)-lactone
- enzyme: glucose-6-phosphate dehydrogenase
- NADP\(^+\) → NADPH + H\(^+\)
-
6-phosphoglucono-\(\delta\)-lactone → 6-phosphogluconate
-
enzyme: gluconolactonase
- converts water to proton (as noted)
-
6-phosphogluconate → ribulose-5-phosphate
-
enzyme: 6-phosphogluconate dehydrogenase
- NADP\(^+\) → NADPH
- releases CO\(_2\) and produces NADPH and H\(^+\) (as noted)
-
ribulose-5-phosphate → either:
-
ribose-5-phosphate via isomerase (keto–aldo isomerization; nucleotides)
- xylulose-5-phosphate via epimerase (feeds glycolysis)
- the direction depends on cellular need (as noted)
Non-oxidative phase

Regulation
- NADPH inhibits glucose-6-phosphate dehydrogenase (product inhibition)
Tissue-level notes
RBC
- converts essentially all ribulose-5-phosphate to glycolytic intermediates
Regular cells
- often require both NADPH and ribose-5-phosphate
Glucose-6-phosphate dehydrogenase (G6PD) deficiency
- X-linked recessive
- causes hemolysis (hemolytic anemia)
-
episodic; triggers include:
-
infections
- drugs
- fava beans
Mechanism :
- reduced ability to handle ROS stress because NADPH production is impaired
- glutathione peroxidase removes ROS by oxidizing reduced glutathione
- without sufficient NADPH, glutathione cannot be maintained in the reduced state, leading to ROS damage (including membrane damage)