section 15.2 
Glycogen Metabolism
289
Activation of 
phosphorylase k in a s e .
Activation of 
glycogen phosphorylase
Activation of calmodulin- 
dependent multiprotein 
kinase
Increased
glycogen
breakdown
, 
Inhibition of 
‘glycogen synthase
R educed
glycogen
synthesis
FIGURE 15-11
Epinephrine
O u tsid e
P la sm a m em b ran e
Inside
Activation ot 
lenvlate cvd asa
CAMP + PR
Activation of cA M P-
- d e p en d e n t protein k in ase -
A TP
A ctivation of 
inhibitor-1
A ctivation of 
Inhibition of 
Inhibition of
p h o sp h o ry lase k in ase *.
....protein p h o s p h a ta s e -1 .
.......
►
g lycogen sy n th ase
A ctivation of 
„X 
glycogen p h o sp h o ry lase
In c re a se d
glycogen
breakdow n
R ed u ced
glycogen
sy n th esis
Possible mechanism for regulation of glycogen metabolism in skeletal 
muscle by changes in cytosolic calcium. Increased glycogen breakdown 
may be coordinated with muscle contractions, as indicated here. The actual 
control scheme is probably more complicated, since phosphoprotein 
phosphatases are also involved. Interactions with cAMP-activated 
reactions, which also may complicate regulation, are not included.
Whether glycogen synthase is a substrate for phosphorylase kinase 
in vivo
is unclear. [Modified and reproduced with permission from P. Cohen, 
Protein phosphorylation and the control of glycogen metabolism in skeletal 
muscle. 
P h ilo s. Trans. R. Soc. b o n d . (B io l.)
302, 
13 (1983).]
FIGURE 15-12
Possible mechanism for regulation of glycogen metabolism in skeletal 
muscle by changes in cyclic AMP. The actual control scheme is probably 
more complicated, since changes in cytoplasmic calcium concentration are 
likely also to be important. Whether glycogen synthase is a substrate for 
phosphorylase kinase 
in vivo
is unclear (indicated by ?). Dashed arrows 
from protein phosphatase
- 1
to glycogen synthase and phosphorylase and 
phosphorylase kinase indicate that inhibition of dephosphorylation may 
be less important than activation of phosphorylation in changing the 
activities of these enzymes. [Modified and reproduced with permission 
from P. Cohen, Protein phosphorylation and the control of glycogen
metabolism in skeletal muscle. 
P hilos. Trans. R. Soc. L ond. (B io l.)
Integrated Regulation o f Muscle
302 
(1983).]
Glycogen Metabolism
Figures 15-11 and 15-12 provide a model for the reg-
ulation of glycogen metabolism in muscle. This model is 
consistent with many of the known facts, but alternative 
interpretations are equally plausible. Only two of the ex-
ternal stimuli that affect muscle glycogen metabolism are 
considered in these figures.
1. Initiation of muscle contraction by action potential 
from an 
a
motor neuron depolarizes the muscle-cell 
membrane and causes an increase in the myoplasmic 
[Ca2+] (Chapter 21). The increase in calcium 
activates phosphorylase kinase and 
Ca
2
+/calmodulin-dependent kinase, which inactivate 
glycogen synthase and active glycogen phosphorylase 
(Figure 15-11). This step coordinates muscle 
contraction with glycogenolysis. These steps are 
reversed by one or more phosphatases at the end of 
contraction.
2. Binding of epinephrine to an adrenergic receptor 
away from a motor end plate on the muscle membrane 
causes glycogenolysis to increase and glycogenesis to 
decrease. This activates adenylate cyclase, increasing 
the cytosolic concentration of cAMP and activating
the cAMP-dependent protein kinase (Figure 15-12). 
The net effect 
in vivo
is an increase in phosphorylation 
of glycogen synthase and phosphorylase. This may 
occur in several ways, and the relative importance of 
increased phosphorylation compared to decreased 
dephosphorylation remains unclear.
Insulin also regulates skeletal muscle glycogen meta-
bolism. Skeletal muscle is the major site of insulin- 
stimulated glucose uptake from the bloodstream, most of 
which is converted to glycogen. The insulin-induced glu-
cose uptake is mediated by the glucose transporter GLUT4 
(Chapter 13). Binding of insulin to its cell surface receptor 
initiates a cascade of phosphorylation reactions followed 
by dephosphorylation reactions (Chapter 22). Activation 
of glycogen synthase occurs by dephosphorylation at sites 
phosphorylated by cAMP-dependent kinase and GSK-3. 
Protein phosphatase-1 is a key component of the insulin 
signaling pathway and it activates glycogen synthase; it 
simultaneously inactivates phosphorylase a and phospho-
rylase kinase, promoting glycogen synthesis. Inactivation 
of GSK-3 via the protein kinase B pathway has also
 
    
