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Chapter 2  Erythropoiesis and anaemia  /  23



                                                                Glucose
                                                           ATP
                                                          ADP
                                                               Glucose-6-P
                                                                              Hexose
                                                                              monophosphate
                                                                              shunt
                                                               Fructose-6-P
                                                           ATP
                                                          ADP
                                                              Fructose-1,6-DP

                                                             Glyceraldehyde-3P  Dihydroxyacetone-P
                                    Methaemoglobin   Hb   NAD
                                    reductase
                                    pathway       MetHb   NADH  1,3-DPG
                                                          ADP                 Luebering-
                                                                              Rapoport
                                                           ATP                shunt
                                                                 3-PG

                                                                 2-PG

                                                              P-enolpyruvate
                                                          ADP
                                                           ATP
                                                                Pyruvate

                                                                Lactate
                                  (a)

                                              Glucose

                                              1,3-DPG
                                                      Mutase
                                                         2,3-DPG
                                                      Phosphatase
                                               3-PG

                                               2-PG


                                               Lactate
                                  (b)

                                Figure 2.10   (a)  The Embden – Meyerhof glycolytic pathway.  (b)  The Luebering – Rapoport shunt which regulates



                      the concentration of 2,3 - diphosphoglycerate (2,3 - DPG) in the red cell. ADP, adenosine diphosphate;
                      ATP, adenosine triphosphate; Hb, haemoglobin; NAD, NADH, nicotinamide adenine dinucleotide;
                      PG, phosphoglycerate.
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