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Ribose and its Effect on Energy Recovery in Heart
and Skeletal Muscle
by Terri L. Butler, Ph.D.
Bioenergy, Inc.
Back to About Ribose
Ribose Metabolism
Ribose is the substrate for formation of 5-phosphoribosyl-1-pyrophosphate
(PRPP). PRPP is, in turn, used in de novo synthesis of nucleotides
such as ATP, adenosine, and inosine (Figure 2).3,
12, 14, 24 PRPP is also an essential participant in the salvage
pathways for ATP regeneration (Figure 3).3, 12, 14,
24
Nucleotides, including ATP, are essential energy sources for basic
metabolic reactions and play important roles in protein, glycogen
and nucleic acid synthesis (ribonucleotides and deoxyribonucleotides),
cyclic nucleotide metabolism, and energy transfer reactions.

Figure 2. The role of ribose in de novo synthesis of ATP.

Figure 3. The role of 5-phosphoribosyl-1-pyrophosphate (PRPP) in
the ATP salvage pathway.
Ribose plays a vital role in both myocardial and skeletal muscle
metabolism, largely through its participation (as a precursor to
PRPP) in the synthesis of ATP, adenine nucleotides, and nucleic
acids. In these tissues the PPP is inefficient due to low availability
of glucose-6-phosphate dehydrogenase.13
Supplemental ribose administration allows the rate-limiting glucose-6-phosphate
dehydrogenase step in the PPP to be bypassed, thereby directly elevating
PRPP levels.14, 15, 18, 24, 25 Elevated PRPP
levels are then available for increased adenine nucleotide biosynthesis
which accelerates replenishment of depleted cardiac and skeletal
muscle adenine nucleotide pools. This is the key to recovery of
depleted ATP levels after ischemia or strenuous exercise.
The metabolic basis for the effectiveness of ribose is apparently
not species specific because glucose-6-phosphate dehydrogenase is
the rate limiting enzyme in the heart and skeletal muscle PPP for
rats, dogs, and swine, as well as humans.14
Since this enzymatic reaction is the rate-limiting step in the
PPP that limits the available PRPP pool and thus the adenine nucleotide
levels, the enzymatic basis for the effectiveness of ribose, i.e.,
the formation of PRPP by bypassing the G-6-PDH reaction step, is
the same for these different species.
Next Section: Ribose Effects in the Heart
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