medium · MCAT bio-biochem

A patient with severe insulin resistance is treated with a drug that modifies the rate-limiting step of glycolysis in the liver.

Which enzyme is most likely targeted, and how is it regulated by high ATP levels?

  1. Phosphofructokinase-1 (PFK-1); it is allosterically inhibited by ATP.
  2. Hexokinase; it is competitively inhibited by ATP.
  3. Glucokinase; it is inhibited by ATP via phosphorylation.
  4. Pyruvate kinase; it is activated by ATP.

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