The low-affinity glucose-phosphorylating enzyme glucokinase (GK) is the flux-limiting glucose sensor in liver and -cells of the pancreas. Furthermore, GK is also expressed in various neuroendocrine cell types. This review describes the complex network of GK regulation, which shows fundamental differences in liver and pancreatic -cells. Tissue-specific GK promoters determine a higher gene expression level and glucose phosphorylation capacity in liver than in pancreatic -cells. The second hallmark of tissue-specific GK regulation is based on posttranslational mechanisms in which the high-affinity regulatory protein in the liver undergoes glucose-and fructose-dependent shuttling between cytoplasm and nucleus. In -cells, GK resides outside the nucleus but has been reported to interact with insulin secretory granules. The unbound diffusible GK fraction likely determines the glucose sensor activity of insulin-producing cells. The bifunctional enzyme 6-phosphofructo-2-kinase/fructose-2,6-bisphosphatase (PFK-2/FBPase-2) has been identified as an activating binding partner of -cell GK, increasing the V max value of the enzyme, while the
GLUCOKINASE AND ITS EXCEPTIONAL ROLE IN THE HEXOKINASE GENE FAMILYThe glucose-phosphorylating enzyme glucokinase (GK) (hexokinase type IV) has unique characteristics compared with the ubiquitously expressed hexokinase isoforms type I-III. The smaller 50-kDa size of the GK protein distinguishes it from the 100-kDa hexokinase isoforms (1). From a historical point of view, several kinetic preferences allowed this enzyme to act as a metabolic glucose sensor: 1) its low affinity for glucose, in the physiological concentration range between 5 and 7 mmol/l, 2) a cooperative behavior for glucose with a Hill coefficient (n Hill ) between 1.5 and 1.7, and 3) a lack of feedback inhibition by glucose-6-phosphate within the physiological concentration range (2-4). A further characteristic of the GK enzyme is its exceptional sensitivity to sulfhydryl group oxidizing compounds, although the pattern of cysteine residues does not differ between GK and high-affinity hexokinase isoforms (5).GK activity could be predominantly demonstrated in hepatocytes and pancreatic -cells, both cell types that have to couple physiological glucose concentrations to metabolism. Pioneered by the work of Matschinsky's group (2-4), GK proved to be the flux-limiting glucose sensor in pancreatic -cells within the scenario of metabolic stimulus-secretion coupling.Sequence comparisons revealed a high homology between the 50-kDa mammalian GK and the 100-kDa mammalian hexokinases, which apparently developed by gene duplication of a so far unknown common ancestral 50-kDa hexokinase gene (1,6). Notably, the homology of GK to the 50-kDa yeast hexokinase is much lower, in the range of 30% (6). This evolution of hexokinase isoenzymes was of particular interest to solve the structure of GK. While crystallization of yeast hexokinase (Fig. 1A) and the 100-kDa hexokinases resulted in three-dimensional structures of enzymes in which t...