1. METABOLISM OF CARBOHYDRATES: GLYCOLYSIS
For centuries, bakeries and breweries have exploited the conversion of glucose to ethanol and CO2 by glycolysis in yeast

2. DIGESTION OF CARBOHYDRATES
Glycogen, starch and disaccharides (sucrose, lactose and maltose) are hydrolyzed to monosaccharide units in the gastrointestinal tract.
The process of digestion starts in the mouth by the salivary enzyme –amilase.
The time for digestion in mouth is limited.
Salivary -amilase is inhibited in stomach due to the action of hydrochloric acid.
Another -amilase is produced in pancreas and is available in the intestine.

3. -amilase hydrolyzes the -1-4-glycosidic bonds randomly to produce smaller subunits like maltose, dextrines and unbranched oligosaccharides.
-amilase

4. The intestinal juice contains enzymes hydrolyzing disaccharides into monosaccharides (they are produced in the intestinal wall)
Sucrase hydrolyses sucrose into glucose and fructose
sucrase
Glucose
Fructose
Sucrose

5. Galactose Glucose Glucose Glucose lactase
Lactase hydrolyses lactose into glucose and galactose
Lactose
Glucose
Glucose
Maltose
maltase
Maltase hydrolyses maltose into two glucose molecules

6. ABSORPTION OF CARBOHYDRATES
Only monosaccharides are absorbed
The rate of absorption: galactose > glucose > fructose
Glucose and galactose from the intestine into endothelial cells are absorbed by secondary active transport
Na+
Glucose
Protein
Protein

7. Carrier protein is specific for D-glucose or D-galactose.
L-forms are not transported.
There are competition between glucose and galactose for the same carrier molecule; thus glucose can inhibit absorption of galactose.
Fructose is absorbed from intestine into intestinal cells by facilitated diffusion.
Absorption of glucose from intestinal cells into bloodstream is by facilitated diffusion.

8. Transport of glucose from blood into cells of different organs is mainly by facilitated diffusion.
The protein facilitating the glucose transport is called glucose transporter (GluT).
GluT are of 5 types.
GluT2 is located mainly in hepatocytes membranes (it transport glucose into cells when blood sugar is high);
GluT1 is seen in erythrocytes and endothelial cells;
GluT3 is located in neuronal cells (has higher affinity to glucose);
GluT5 – in intestine and kidneys;
GluT4 - in muscles and fat cells.

9. The fate of glucose molecule in the cell
Pentose phosphate pathway supplies the NADPH for lipid synthesis and pentoses for nucleic acid synthesis
Glycogenogenesis (synthesis of glycogen) is activated in well fed, resting state
Glucose-6-phosphate
Ribose, NADPH
Glycogen
Pyruvate
Glycolysis is activated if energy is required

10. Glycolysis is the earliest discovered and most important process of carbohydrates metabolism.
Glycolysis – metabolic pathway in which glucose is transformed to pyruvate with production of a small amount of energy in the form of ATP or NADH.
Glycolysis is an anaerobic process (it does not require oxygen).
Glycolysis pathway is used by anaerobic as well as aerobic organisms.
In glycolysis one molecule of glucose is converted into two molecules of pyruvate.
In eukaryotic cells, glycolysis takes place in the cytosol.

11. Pyruvate can be further metabolized to:
Pyruvate can be further metabolized to: (1) Lactate or ethanol (anaerobic conditions) (2) Acetyl CoA (aerobic conditions)
Acetyl CoA is further oxidized to CO2 and H2O via the citric acid cycle
Much more ATP is generated from the citric acid cycle than from glycolysis
Acetyl CoA

12. Catabolism of glucose in aerobic conditions via glycolysis and the citric acid cycle

13. The glycolytic pathway consist of ten enzyme-catalyzed reactions that begin with a glucose and split it into two molecules of pyruvate

14. Glycolysis (10 reactions) can be divided into three stages
In the 1st stage (hexose stage) 2 ATP are consumed per glucose
In the 3rd stage (triose stage) ATP are produced per glucose
Net: 2 ATP produced per glucose

15. Stage 1, which is the conversion of glucose into fructose ,6-bisphosphate, consists of three steps: a phosphorylation, an isomerization, and a second phosphorylation reaction.
The strategy of these initial steps in glycolysis is to trap the glucose in the cell and form a compound that can be readily cleaved into phospho-rylated three-carbon units.

16. Stage 2 is the cleavage of the fructose ,6-bisphosphate into two three-carbon fragments dihydroxyacetone phosphate and glyceraldehyde 3-phosphate.
Dihydroxyacetone phosphate and glyceraldehyde 3-phosphate are readily interconvertible.

17. In stage 3, ATP is harvested when the three-carbon fragments are oxidized to pyruvate.

18. Glycolysis Has 10 Enzyme-Catalyzed Steps
Each chemical reaction prepares a substrate for the next step in the process
1. Hexokinase
Transfers the g-phosphoryl of ATP to glucose C-6 oxygen to generate glucose 6-phosphate (G6P)
Four kinases in glycolysis: steps 1,3,7, and 10
All four kinases require Mg2+ and have a similar mechanism

19. Properties of hexokinases
Broad substrate specificity - hexokinases can phosphorylate glucose, mannose and fructose
Isozymes - multiple forms of hexokinase occur in mammalian tissues and yeast
Hexokinases I, II, III are active at normal glucose concentrations
Hexokinase IV (Glucokinase) is active at higher glucose levels, allows the liver to respond to large increases in blood glucose
Hexokinases I, II and III are allosterically inhibited by physiological concentrations of their immediate product, glucose-6-phosphate, but glucokinase is not.

20. 2. Glucose 6-Phosphate Isomerase
Converts glucose 6-phosphate (G6P) (an aldose) to fructose 6-phosphate (F6P) (a ketose)
Enzyme preferentially binds the a-anomer of G6P (converts to open chain form in the active site)
Enzyme is highly stereospecific for G6P and F6P
Isomerase reaction is near-equilibrium in cells

21. 3. Phosphofructokinase-1 (PFK-1)
Catalyzes transfer of a phosphoryl group from ATP to the C-1 hydroxyl group of F6P to form fructose 1,6-bisphosphate (F1,6BP)
PFK-1 is metabolically irreversible and a critical regulatory point for glycolysis in most cells
A second phosphofructokinase (PFK-2) synthesizes fructose 2,6-bisphosphate (F2,6BP)

22. 4. Aldolase
Aldolase cleaves the hexose F1,6BP into two triose phosphates: glyceraldehyde 3-phosphate (GAP) and dihydroxyacetone phosphate (DHAP)
Reaction is near-equilibrium, not a control point

23. 5. Triose Phosphate Isomerase (TPI)
Conversion of DHAP into GAP
Reaction is very fast, only the D-isomer of GAP is formed
Reaction is reversible. At equilibrium, 96% of the triose phosphate is DHAP. However, the reaction proceeds readily from DHAP to GAP because the subsequent reactions of glycolysis remove this product.

24. Fate of carbon atoms from hexose stage to triose stage

25. 6. Glyceraldehyde 3-Phosphate Dehydrogenase (GAPDH)
Conversion of GAP to 1,3-bisphosphoglycerate (1,3BPG)
Molecule of NAD+ is reduced to NADH
Energy from oxidation of GAP is conserved in acid-anhydride linkage of 1,3BPG
Next step of glycolysis uses the high-energy phosphate of 1,3BPG to form ATP from ADP

26. 7. Phosphoglycerate Kinase (PGK)
Transfer of phosphoryl group from the energy-rich mixed anhydride 1,3BPG to ADP yields ATP and phosphoglycerate (3PG)
Substrate-level phosphorylation - Steps 6 and 7 couple oxidation of an aldehyde to a carboxylic acid with the phosphorylation of ADP to ATP

27. 8. Phosphoglycerate Mutase
Catalyzes transfer of a phosphoryl group from one part of a substrate molecule to another
Reaction occurs without input of ATP energy

28. 9. Enolase: 2PG to PEP
2-Phosphoglycerate (2PG) is dehydrated to phosphoenolpyruvate (PEP)
Elimination of water from C-2 and C-3 yields the enol-phosphate PEP
PEP has a very high phosphoryl group transfer potential because it exists in its unstable enol form

29. 10. Pyruvate Kinase (PK) PEP + ADP  Pyruvate + ATP
Catalyzes a substrate-level phosphorylation
Metabolically irreversible reaction
Regulation both by allosteric modulators and by covalent modification
Pyruvate kinase gene can be regulated by various hormones and nutrients

30. Net reaction of glycolysis
During the convertion of glucose to pyruvate:
Two molecules of ATP are produced
Two molecules of NAD+ are reduced to NADH
Glucose + 2 ADP + 2 NAD+ + 2 Pi
2 Pyruvate + 2 ATP + 2 NADH + 2 H+ + 2 H2O

31. Scientific investigations into fermentation of grape sugar were pioneering studies of glycolysis

32. The Fate of Pyruvate
The sequence of reactions from glucose to pyruvate is similar in most organisms and most types of cells.
The fate of pyruvate is variable.
Three reactions of pyruvate are of prime importance:
1. Aerobic conditions: oxidation to acetyl CoA which enters the citric acid cycle for further oxidation
2. Anaerobic conditions (muscles, red blood cells): conversion to lactate
3. Anaerobic conditions (microorganisms, yeast): conversion to ethanol

33. Diverse Fates of Pyruvate

34. Metabolism of Pyruvate to Ethanol
Ethanol is formed from pyruvate in yeast and several other microorganisms in anaerobic conditions.
Two reactions required:
The first step is the decarboxylation of pyruvate to acetaldehyde.
Enzyme - pyruvate decarboxylase.
Coenzyme - thiamine pyrophosphate (derivative of the vitamin thiamine B1)
The second step is the reduction of acetaldehyde to ethanol.
Enzyme - alcohol dehydrogenase (active site contains a zinc).
Coenzyme – NADH.

35. The conversion of glucose into ethanol is an example of alcoholic fermentation.
The net result of alcoholic fermentation is:
Glucose+2Pi + 2ADP + 2H+  2 ethanol + 2CO2 + 2ATP + 2H2O
The ethanol formed in alcoholic fermentation provides a key ingredient for brewing and winemaking.
There is no net NADH formation in the conversion of glucose into ethanol.
NADH generated by the oxidation of glyceraldehyde 3-phosphate is consumed in the reduction of acetaldehyde to ethanol.

36. Metabolism of Pyruvate to Lactate
Lactate is formed from pyruvate in an animal organism and in a variety of microorganisms in anaerobic conditions.
The conversion of glucose into lactate is called lactic acid fermentation.
Enzyme - lactate dehydrogenase.
Coenzyme – NADH.

37. Muscles of higher organisms and humans lack pyruvate decarboxylase and cannot produce ethanol from pyruvate
Muscle contain lactate dehydrogenase. During intense activity when the amount of oxygen is limiting the lactic acid can be accumulated in muscles (lactic acidosis).
Lactate formed in skeletal muscles during exercise is transported to the liver.
Liver lactate dehydrogenase can reconvert lactate to pyruvate.
Overall reaction in the conversion of glucose into lactate:
Glucose + 2 Pi + 2 ADP  2 lactate + 2 ATP + 2 H2O
As in alcoholic fermentation, there is no net NADH formation.
NADH formed in the oxidation of glyceraldehyde 3-phosphate is consumed in the reduction of pyruvate.

38. Metabolism of Pyruvate to Acetyl CoA
In aerobic conditions pyruvate is converted to acetyl coenzyme A (acetyl CoA).
Acetyl CoA enters citric acid cycle where degrades to CO2 and H2O and the energy released during such oxidation is utilized in NADH and FADH2.
Pyruvate is converted to acetyl CoA in the matrix of mitochondria.
The overall reaction: Pyruvate + NAD+ + CoA  acetyl CoA + CO2 + NADH
Reaction is catalyzed by the pyruvate dehydrogenase complex (three enzymes and five coenzymes).
If pyruvate is converted to acetyl CoA, NADH formed in the oxidation of glyceraldehyde 3-phosphate ultimately transfers its electrons to O2 through the electron-transport chain in mitochondria.

39. Other Sugars Can Enter Glycolysis
Glucose is the main metabolic fuel in most organisms
Other sugars convert to glycolytic intermediates
Fructose and sucrose (contains fructose) are major sweeteners in many foods and beverages
Galactose from milk lactose (a disaccharide)
Mannose from dietary polysaccharides, glycoproteins

40. The Entry of Fructose into Glycolysis
Much of the ingested fructose is metabolized by the liver, using the fructose 1-phosphate pathway.
The first step is the phosphorylation of fructose to fructose 1-phosphate by fructokinase.
Fructose 1-phosphate is then split into glyceraldehyde and dihydroxyacetone phosphate, an intermediate in glycolysis, by a specific fructose 1 -phosphate aldolase.
Glyceraldehyde is then phosphorylated to glyceraldehyde 3-phosphate, a glycolytic intermediate, by triose kinase.

41. Fructose Is Converted to Glyceraldehyde 3-Phosphate

42. Fructose can be phosphorylated to fructose 6-phosphate by hexokinase.
However, the affinity of hexokinase for glucose is 20 times as great as it is for fructose.
Little fructose 6-phosphate is formed in the liver because glucose is so much more abundant in this organ.
Glucose, as the preferred fuel, is also trapped in the muscle by the hexokinase reaction.
Because liver and muscle phosphorylate glucose rather than fructose, adipose tissue is exposed to more fructose than glucose.
Hence, the formation of fructose 6-phosphate in the adipose tissue is not competitively inhibited to a biologically significant extent, and most of the fructose in adipose tissue is metabolized through fructose 6-phosphate.

43. The Entry of Galactose into Glycolysis
Galactose is converted into glucose 6-phosphate in four steps.
The first reaction is the phosphorylation of galactose to galactose 1-phosphate by galactokinase.

44. Galactose 1-phosphate react with uridine diphosphate glucose (UDP-glucose).
UDP-galactose and glucose 1-phosphate are formed.
Enzyme - galactose 1-phosphate uridyl transferase.
The galactose moiety of UDP-galactose is then epimerized to glucose.
The configuration of the hydroxyl group at carbon 4 is inverted by UDP-galactose 4-epimerase.

46. Glucose 1-phosphate, formed from galactose, is isomerized to glucose 6-phosphate by phosphoglucomutase.

47. The Entry of Mannose into Glycolysis
Mannose is converted to Fructose 6-Phosphate in two steps.
Hexokinase catalyzes the convertion of mannose into mannose 6-phosphate.
Isomerase converts mannose 6-phosphate into fructose 6-phosphate (metabolite of glycolysis).

48. Intolerance to Milk
Many people are unable to metabolize the milk sugar lactose and experience gastro-intestinal disturbances if they drink milk.
Lactose intolerance, or hypolactasia, is caused by a deficiency of the enzyme lactase, which cleaves lactose into glucose and galactose.
Microorganisms in the colon ferment undigested lactose to lactic acid generating methane (CH4) and hydrogen gas (H2). The gas produced creates the uncomfortable feeling of gut distention and the annoying problem of flatulence.
The lactic acid is osmotically active and draws water into the intestine, as does any undigested lactose, resulting in diarrhea.
The gas and diarrhea hinder the absorption of other nutrients (fats and proteins).
Treatment: to avoid the products containing lactose; the enzyme lactase can be ingested.

49. Galactosemia
The disruption of galactose metabolism is referred to as galactosemia.
Classic galactosemia is an inherited deficiency in galactose 1-phosphate uridyl transferase activity.
Symptoms:
- vomiting, diarrhea after consuming milk, enlargement of the liver, jaundice, sometimes cirrhosis, cataracts, lethargy and retarded mental development, markedly elevated blood-galactose level galactose is found in the urine.
The absence of the transferase in red blood cells is a definitive diagnostic criterion.
The most common treatment is to remove galactose (and lactose) from the diet.

50. Regulation of Glycolysis
The rate glycolysis is regulated to meet two major cellular needs:
(1) the production of ATP, and
(2) the provision of building blocks for synthetic reactions.
There are three control sites in glycolysis - the reactions catalyzed by
hexokinase,
phosphofructokinase 1, and
pyruvate kinase
These reactions are irreversible.
Their activities are regulated
by the reversible binding of allosteric effectors
by covalent modification
by the regulation of transcription (change of the enzymes amounts).
The time required for allosteric control, regulation by phosphorylation, and transcriptional control is typically in milliseconds, seconds, and hours, respectively.

51. Phosphofructokinase 1 Is the Key Enzyme in the Control of Glycolysis
Phosphofructokinase 1 is the most important control element in the mammalian glycolytic pathway.
Phosphofructokinase 1 in the liver is a tetramer of four identical subunits.
The positions of the catalytic and allosteric sites are identical.

52. High levels of ATP allosterically inhibit the phosphofructokinase 1 in the liver lowering its affinity for fructose 6-phosphate.
AMP reverses the inhibitory action of ATP, and so the activity of the enzyme increases when the ATP/AMP ratio is lowered (glycolysis is stimulated as the energy charge falls).
A fall in pH also inhibits phosphofructokinase 1 activity. The inhibition of phosphofructokinase by H+ prevents excessive formation of lactic acid and a precipitous drop in blood pH (acidosis).
Phosphofructokinase 1 is inhibited by citrate, an early intermediate in the citric acid cycle A high level of citrate means that biosynthetic precursors are abundant and additional glucose should not be degraded for this purpose.

53. Fructose 2,6-bisphosphate (F-2,6-BP) is a potent activator of phosphofructokinase 1.
F-2,6-BP activates phosphofructokinase I by increasing its affinity for fructose 6-phosphate and diminishing the inhibitory effect of ATP.
Fructose 2,6-bisphosphate is formed in a reaction catalyzed by phosphofructokinase 2 (PFK2), a different enzyme from phosphofructokinase 1.
Fructose 2,6-bisphosphate is hydrolyzed to fructose 6-phosphate by a specific phosphatase, fructose bisphosphatase 2 (FBPase2).
Both PFK2 and FBPase2 are present in a single polypeptide chain (bifunctional enzyme).

54. Regulation of Glycolysis by Fructose 2,6-bisphosphate
When blood glucose level is low the glucagon is synthesized by pancreas
Glucagon binds to cell receptors, stimulates the protein kinase A activity
Protein kinase A phosphorylates the PFK-2 inhibiting its kinase activity and stimulating its phosphatase activity
As result the amount of F-2,6-BP is decre-ased and glycolysis is slowed.

55. Regulation of Hexokinase
Hexokinase is inhibited by its product, glucose 6-phosphate (G-6-P).
High concentrations of G-6-P signal that the cell no longer requires glucose for energy, for glycogen, or as a source of biosynthetic precursors.
Glucose 6-phosphate levels increase when glycolysis is inhibited at sites further along in the pathway.
Glucose 6-phosphate inhibits hexokinase isozymes I, II and III.
Glucokinase (isozyme IV) is not inhibited by glucose 6-phosphate.
The role of glucokinase is to provide glucose 6-phosphate for the synthesis of glycogen.

56. Regulation of Pyruvate Kinase (PK)
Several isozymic forms of pyruvate kinase are present in mammals (the L type predominates in liver, and the M type in muscle and brain).
Fructose 1,6-bisphosphate allosterically activates pyruvate kinase.
ATP allosterically inhibits pyruvate kinase to slow glycolysis when the energy charge is high.
Finally, alanine (synthesized in one step from pyruvate) also allosterically inhibits the pyruvate kinases (signal that building blocks are abundant).

57. The isozymic forms of pyruvate kinase differ in their susceptibility to covalent modification.
The catalytic properties of the L (liver) form—but not of the M (brain) form controlled by reversible phosphorylation.
When the blood-glucose level is low, the glucagon leads to the phosphoryla-tion of pyruvate kinase, which diminishes its activity.

58. Regulation of Glycolysis
Inhibition
1) PFK-1 is inhibited by ATP and citrate
2) Pyruvate kinase is inhibited by ATP and alanine
3) Hexokinase is inhibited by excess glucose 6-phosphate
Stimulation
1) AMP and fructose 2,6-bisphosphate (F2,6BP) relieve the inhibition of PFK-1 by ATP ) F1,6BP stimulate the activity of pyruvate kinase
Alanine

59. Regulation of Hexose Transporters
Several glucose transporters (GluT) mediate the thermodynamically downhill movement of glucose across the plasma membranes of animal cells.
GluT is a family of 5 hexose transporters.
Each member of this protein family consists of a single polypeptide chain forming 12 transmembrane segments.
GLUT1 and GLUT3, present in erythrocytes, endothelial, neuronal and some others mammalian cells, are responsible for basal glucose uptake. Their Km value for glucose is about 1 mM.
GLUT1 and GLUT3 continually transport glucose into cells at an essentially constant rate.

60. GLUT2, present in liver and pancreatic -cells has a very high Km value for glucose (15-20 mM).
Glucose enters these tissues at a biologically significant rate only when there is much glucose in the blood.
GLUT4, which has a Km value of 5 mM, transports glucose into muscle and fat cells.
The presence of insulin leads to a rapid increase in the number of GLUT4 transporters in the plasma membrane. Insulin promotes the uptake of glucose by muscle and fat. The amount of this transporter present in muscle membranes increases in response to endurance exercise training.
GLUT5, present in the small intestine, functions primarily as a fructose transporter.

61. The Pasteur Effect
Under anaerobic conditions the conversion of glucose to pyruvate is much higher than under aerobic conditions (yeast cells produce more ethanol and muscle cells accumulate lactate)
The Pasteur Effect is the slowing of glycolysis in the presence of oxygen.
More ATP is produced under aerobic conditions than under anaerobic conditions, therefore less glucose is consumed aerobically.

62. The Pentose Phosphate Pathway

63. The fate of glucose molecule in the cell
Synthesis of glycogen
Glucose
Pentose phosphate pathway
Glucose-6-phosphate
Ribose, NADPH
Glycogen
Degradation of glycogen
Gluconeogenesis
Glycolysis
Pyruvate

64. The Role of Pentose Phosphate Pathway (phosphogluconate pathway)
(1) Synthesis of NADPH (for reductive reactions in biosynthesis of fatty acids and steroids)
(2) Synthesis of Ribose 5-phosphate (for the biosynthesis of ribonucleotides (RNA, DNA) and several cofactors)
(3) Pentose phosphate pathway also provides a means for the metabolism of “unusual sugars”, 4, 5 and 7 carbons.
Pentose phosphate pathway does not function in the production of high energy compounds like ATP.

65. Occurrence of the pentose phosphate pathway
Liver, mammary and adrenal glands, and adipose tissue
Red blood cells (NADPH maintains reduced iron)
NOT present in skeletal muscles.
All enzymes in the cycle occur in the cytosol

66. Two phases: 1) The oxidative phase that generates NADPH
2) The nonoxidative phase (transketolase/ transaldolase system) that interconvert phosphorylated sugars.

67. Oxidative phase of pentose phosphate cycle

68. Nonoxidative phase of pentose phosphate cycle

69. Conversion of glucose-6-phosphate to 6-phosphogluconolactone

70. Conversion of 6-phosphogluconolactone to 6-phosphogluconate

71. Conversion of 6-phosphogluconate to ribuloso 5-phosphate

72. Conversions of ribulose 5-phosphate
Ribose 5-phosphate isomerase

73. The net reaction for the pentose phosphate pathway
The pentose phosphate pathway ends with these five reactions in some tissue.
In others it continue in nonoxidative mode to make fructose 6-phosphate and glyceraldehyde 3-phosphate. These reactions link pentose phosphate pathway with glycolysis.
The net reaction for the pentose phosphate pathway
Glucose + ATP + 2NADP+ + H2O ribose 5-phosphate + CO2 + 2NADPH + 2H+ + ADP

74. Interconversions Catalyzed by Transketolase and Transaldolase
Transketolase and transaldolase have broad substrate specificities
They catalyze the exchange of two- and three-carbon fragments between sugar phosphates
For both enzymes, one substrate is an aldose, one substrate is a ketose

75. Reaction catalyzed by transketolase

76. Reaction catalized by transaldolase

77. Reaction catalyzed by transketolase

78. Glucose-6-phosphate dehydrogenase deficiency
NADPH is required for the proper action of the tripeptide glutathione (GSH) (maintains it in the reduced state).
GSH in erythrocytes maintains hemoglobin in the reduced Fe(II) state necessary for oxygen binding.
GSH also functions to eliminate H2O2 and organic peroxides.
Peroxides can cause irreversible damage to hemoglobin and destroy cell membranes.

79. Glucose-6-phosphate dehydrogenase deficiency – the most common enzymopathy affecting hundreds of millions of people.
About 10 % of individuals of African or Mediterranean descent have such genetic deficiency.
Erythrocytes with a lowered level of reduced glutathione are more susceptible to hemolysis and are easily destroyed especially if they are stressed with drugs (for example, antimalarial drugs).
In severe cases, the massive destruction of red blood cells causes death.
Red blood cells with Heinz bodies Dark particles (Heinz bodies) are denaturated proteins adhered to cell membranes.