




版权说明:本文档由用户提供并上传,收益归属内容提供方,若内容存在侵权,请进行举报或认领
文档简介
CarbohydrateBiosynthesis
LecturedbyDr.Qin
Yongmei(秦咏梅)Nov.21,2007Chapter14GluconeogenesisChapter15PrincipleofMetabolicRegulation:GlucoseandGlycogenChapter20CarbohydrateBiosynthesisinPlantCanyoutellme:Whydoweneedglucoseinourbody?Whatissignificantroleofglucoseinthehumanbody?Tissuesthatsynthesizeglucose:liverandkidneyTissuesthatuseglucoseastheirprimaryenergysource:brain,muscle,erythrocytesandtestes
Inwhichkindofsituationdoweneedgluconeogenesis?
Normalphysiologysituation:-Betweenmealsandduringsleep-Exercise/workAfterheavyexerciseorwork(recyclingoflactate)Afterprotein-richdiet(glucogenicaminoacids)Starvation(glucogenicaminoacids)Gluconeogenesis2.Biosynthesisofglycogen3.Analysisofmetaboliccontrol4.Photosyntheticcarbohydratesynthesis(theCalvinCycle);5.Regulationofcarbohydratemetabolisminplants.6.BiosynthesisofstarchandsucroseContentsOverviewofHumanMetabolismGlucose-6-phosphateGlucoseGlycogenPyruvateLactateAminoacidsAcetyl-CoARibose-5-phosphateirreversible1.Gluconeogenesis
(“formationofnewsugar”)Definition:theformationofglucosefromnon-carbohydrateprecursorsSpecies:allanimals,plants,fungiandmicroorganismsOrgans(inhigheranimals):occurringlargelyinliver,asmallamountinkidneyDailyglucoserequirement(humanbeing):
160g(120gforbrain),glycogencanprovide190g.
Infastingconditions:
gluconeogenesisaccountsforupto96%oftotalglucoseproduction.SubstratesforGluconeogenesis:LactateAminoacidsGlycerolPropionateFattyacidoxidationinmammalsprovideanimportantenergysource
(andcarbonsourceinplantsandbacteria)forgluconeogenesisGlycerolAminoacidsLactateAnimalPlant1.Gluconeogenesisreferstothemetabolicpathwaythatresultsinnetglucoseproduction: 1)fromfructoseandgalactose 2)frompentosephosphates 3)fromglycogen 4)fromstarch 5)fromalanine2.Thegluconeogeneticpathwayisactive: 1)inlivercells,whenonalowcarbohydratediet 2)inmusclecellsduringintenseexercise 3)inheartcellsduringstarvation 4)inadipocytesduringfasting 5)inkidneymedullawhencirculating[Glc]islow3.Itissaidthatanimalcellscannotusefatfornetglucosebiosynthesisbecause:1)NopartwhatsoeverofatriacylglyceridemoleculecanbeconvertedintoGlc2)NopartofanyfattyacidwhatsoevercanbemadeintoGlc3)AcetylCoAiscompletelydegradedintoCO2andwaterintheTCAcycle4)AnysubstratethatreplenishestheTCAcycleiscompletelydegradedtoCO2
hexokinasePFK-1pyruvate
kinaseGlucoseGlucose-6-phosphateFructose-6-phosphateFructose-1,6-bisphosphateGlyceraldehyde3-phosphate1,3-bisphosphoglycerate3-bisphosphoglycerate2-bisphosphoglyceratephosphoenolpyruvateoxaloacetatepyruvateGlycolysisandgluconeogenesishave3differentreactionsand7commonreactions.gluconeogenesisglucoseOxaloacetateisthestartingmaterialforglucogneonesisWhatisroleofgluconeogenesis
inplant?
Activegluconeogenesisoccursingerminatingseeds,providingglucoseforthesynthesisofsucrose;Plantscanconvertacetyl-CoAderivedfromfattyacidoxidationintoglucoseviaglyoxylatecycle(occurringinglyoxysomes).Thephysicalseparationoftheseglyoxylatecycleand-oxidationenzymesfrommitochondrialcitricacidcycleenzymespreventthefurtheroxidationofacetyl-CoAtoCO2.GluconeogenesisconvertsfatsandproteinstoglucoseingerminatingseedsConversionofstoredfattyacidstosucroseingerminatingseedsGlyoxysomeMitochondrionCytosolTheintegrationofreactionsequencesinthreesubcellular
compartmentsisrequiredfortheproductionofsucrosefromstoredlipids.Gluconeogenesis
isnotareversalofglycolysisMoleculesaresynthesizedanddegradedbydifferentpathways.Eventhoughtwoopposingpathwaysmaysharemanyreversiblereactions,
atleast,onestepisuniqueandirreversibletothatoftheopposingpathway;Correspondinganabolicandcatabolicpathwaysarecontrolledatoneormoreofthereactionsuniquetoeachpathway.Energy-requiringbiosyntheticprocessesarecoupledtoenergy-yieldingbreakdownofATPinsuchawaythattheoverallprocessis
essentiallyirreversible
invivo.Inprinciple:3IrreversiblestepsinglycolyticpathwayGlucose+ATPGlucose6-phosphate+ADP G=-8.0kcalmol-1(-33kJmol-1)Fructose6-phosphate+ATP Fructose1,6-bisphosphate+ADP G=-5.3kcalmol-1(-22kJmol-1)Phosphoenolpyruvate+ADP
Pyruvate+ATP G=-4.0kcalmol-1(-17kJmol-1)HexokinasePhosphofructokinasePyruvate
kinaseConversionofpyruvatetophosphoenolpyruvate
(twoexergonicreactions)Pyruvate+ATP+GTP+H2O
phosphoenolpyruvate+ADP+GDP+Pi+2H+MitochondrialenzymeMitochondrialenzyme/cytosolicenzymeFreeenergyofcleavageofone˜PbondofATPisconservedinthecarboxylation
reactionandCO2canberemovedtopowertheformationofPEPinthedecarboxylationstep..Decarboxylationsoftendrivereactionsotherwisehighlyendergonic
Thismetabolicmotifisusedinthecitricacidcycle,thepentosephosphatepathway,andfattyacidsynthesis.Cleavageofasecond˜PbondofGTPalsocontributestodrivesynthesisofPEP.Whatshallwelearnfromthisreactionmechanism?
HCO3-+ATPHOCO2PO32-+ADP
Biotin-enzyme+HOCO2PO32-
CO2-biotin-enzyme
(activatedcarboxylgroup)+PiCO2-biotin-enzyme+pyruvate
biotin-enzyme+oxaloacetate
Biotinisacovalentlyattachedprostheticgroup,whichservesasacarrierofactivatedCO2:
-pyruvate
carboxylase-acetylCoA
carboxylase-propionyl
CoA
carboxylaseCarboxylationofpyruvate(anapleroticreaction)takesplacein3stages:PhaseIPhaseIIPyruvate
CarboxylaseThelong,flexiblechainformedbetweenbiotinandtheenzymeenablesthisprostheticgrouptorotatefromoneactivesiteoftheenzymetotheother.Avidin,aproteinineggwhitestightlybindsbiotin(Kd=10-15).Excessconsumptionofraweggscancausenutritionaldeficiencyofbiotin.ATP-activatingdomaincarrierofactivatedCO2BiotincarboxylcarrierdomainB.CytosolicNADHisrequiredforGluconeogenesis-ketoglutarate-ketoglutarateC.Conversionoffructose1,6-bisphosphatetofructose6-phosphateG’0=-16,3kJ/molD.Conversionofglucose6-phosphateto freeglucoseG’0=-13,8kJ/molTheenzymeisnotpresentinmuscleorinthebrain,andgluconeogenesisdoesnotoccurinthesetissues.Coordinatedregulationofgluconeogenesisandglycolysis
Glycolysis
andgluconeogenesispathwaysarebothspontaneous.Ifbothpathwaysweresimultaneouslyactivewithinacellitwouldconstitutea“futilecycle”thatwouldwasteenergy.FutilecyclesincarbohydratemetabolismconsumeATPGluconeogenesis:2Pyruvate+4ATP+2GTP+2NADH+4H2O
glucose+4ADP+2GDP+6Pi+2NAD++2H+
Glycolysis:Glucose+2ADP+2Pi+2NAD+
2Pyruvate+2ATP+2NADH+2H++2H2OAfutilecycleconsistingofbothpathwayswouldwaste4~Pbondspercycle.Futilecyclehasregulationsignificance:Itisawaytoturnglycolysisoffand
gluconeogenesisonwhenithasanadequateATPsupply.
Oritisawaytoturnglycolysisonand
gluconeogenesisoffwhenATPisinshortsupply.Pasteureffect:LOUISPASTEUR(1822-1895)
Pasteurobservedthatdecreaseintherateofcarbohydratebreakdownthatoccursinyeastwhenswitchedfromanaerobictoaeroticconditions.ThebasicphenomenonisacompetitionbetweenglycolysisandoxidativephosphorylationfortheavailableADPandinorganicphosphate.
Highbloodglucose,fedstate
Liver:fuelconservation
Glycogenissynthesized;
Glycolyticpathway&pyruvate
dehydrogenase
areactivated
FAbiosynthesisandfatstorageLowbloodglucose,faststate
Glycogenbreakdown
Gluconeogenesis
Hexokinase(32,9)/glucose6-phosphatase(-5,1)PFK-1(24,5)/FBP-1(-8,6)
Puruvate
kinase(26,4)/pyruvatecarboxylase-PEPCK(-22,6)Example:Ginthedirectionofgluconeogenesis
inliverunderphysiologicalconditions:(1).Hexokinase
isozymesofmuscleandliverareaffecteddifferentlybyG6P(inmuscle,lowKm)(inliver,sigmoidcurve)[glucose]inblood=4-5mMWhenbloodglucoserisesabove5mM,hexokinaseIVincreases,buthexokinaseIisgettingsaturatedandcannotrespondtoanincreaseinglucoseconcentration.HexokinaseIVissubjecttoinhibitionbyreversiblebindingofaregulatoryproteinspecifictoliverinhibited(allosteric
effectorofhexokinaseIV)Duringafast,[glucose]below5mM,F6Ptriggersinhibitionof
hexokinaseIVbyassociationwiththeregulatorprotein.Inthisway,liverdoesnotcompetewithotherorgansfortheglucose.(competewithF6pforbindingtohexokinaseIV)(2).PFK-1isundercomplexallostericregulationActivesiteallostericsiteADPF1,6BPADPAllostericregulationofmusclePFK-1byATPATPinhibitsPFK-1bybindingtoanallostericsiteandloweringtheaffinityoftheenzymeforF6P.PFK-1:allostericenzymeBindingofallostericinhibitororactivatordoesnoteffectVmax,butdoesalterKm;AllostericenzymedoesnotfollowM-Mkinetics.(3).Pyruvate
kinaseisallostericallyinhibitedbyATPIsozymesdifferintheirtissuedistributionandtheirresponsetomodulators.Mformisnotaffectedbythisphosphorylationmechanism.cAMP-dependentproteinkinase
Whenlow[glucose]causesglucagonrelease,PKAphosphorylatedtheLform(inactivation).Themechanismpreventstheliverfromconsumingglucoseandsparesitforotherorgans.thefateofpyruvateacetyl-CoA:activates
pyruvate
carboxylase(gluconeogenesis),inactivatesthepyruvate
dehydrogenasecomplex(glycolysis).(4).Gluconeogenesisisregulatedbyacetyl-CoAphosphofructokinase
(PFK-1)Fructose1,6-bisphosphatase(FBPase-1)glucose6-phosphatasehexokinase(5).F2,6BPisapotentregulatorofglycolysisandgluconeogenesisF2,6BP
hasoppositeeffects
onthe
enzymaticactivities
of
PFK-1
and
FBPase.Fructose-2,6-bisphosphateissynthesizedanddegradedbyPFK2/FBPase2PFK2/FBPase2isaBifunctionalProteinThePFK2/FBPase2probablyarosebythefusionofgenesencodingthekinaseandphosphatase
domainsPFK-1CarbohydratemetabolismasaspecificexampleofsignaltransductionsecondmessengercAMP-adrenergicreceptorPFK2/FBPase2PFK2/FBPase2GluconeogenesisGlycolysis
ProteinkinaseAPhosphoproteinPhosphatase
(activatedby
xylulose5P)fructose6-phosphatefructose2,6-bisphosphatefructose2,6bisphosphate(stimulatePFK-1)fructose6-phosphate(noPFK-1stimulation)cAMP-dependentphosphorylationofPFK2/FBPase2
activatesFBPase2andinhibitsPFK2.[Fructose-2,6-bisphosphate]decreasesinlivercellsinresponsetoaglucagon-activatedcAMPsignalcascade.Downstreameffectsinclude:Glycolysisslowsbecausefructose-2,6-bisphosphateisnotavailabletoactivatePFK-1.Gluconeogenesisincreasesbecauseofthedecreasedconcentrationoffructose-2,6-bisphosphate,whichwouldstimulatethefructose-1,6-bisphosphatase.Reciprocalregulationbyfructose-2,6-bisphosphate(6).Xylulose5-phosphateisakeyregulatorofcarbohydrateandfatmetabolism.InmammalianliverX5P,involvedinpentosephosphatepathway(productionofNADPH),mediatestheincrease
inglycolysisthatfollowsaningestionofahigh-carbohydratemeal.X5PPhosphoproteinphosphatase
PFK2/FBPase2F2,6BPactivateglycolysisAcetyl-CoAFattyacidsynthesisItwasalsofoundthatX5Pincreasedthesynthesisofalltheenzymesrequiredforfattyacidsynthesis.PFK-1FBPase-1Thedistinctiveenzymesareregulated.Certaineffectorsactivateanenzymeofonepathway,butinhibitanenzymeoftheotherpathwaytoavoidsubstratefutilecycle.glucagonHighNADH/NAD+ratioLowNADH/NAD+ratioCoricycle:theliverfurnishesglucosetocontractingskeletalmuscle,whichderivesATPfromtheglycolyticconversionofglucoseintolactate.Contractingskeletalmusclesupplieslactatetotheliver,whichuseittosynthesizeglucose.Glucose-alaninecycleAlanine
bringsbothcarbonandnitrogenfrommuscletoliver.
ThemechanismsallowmusclecellstoproduceATPwithhighratesattheexpenseofregeneratingglucosefromlactateandalanineintheliver.WhatisacommonfeatureforCori
cylcle
andGlc-AlaCycle?2.BiosynthesisofglycogenAnimals:Glycogenisthestorageformofglucose.Glycogenissynthesizedandstoredmainlyintheliverandthemuscles.Plants:
Plantsmakestarchandcellulosethroughthephotosynthesisprocesses.
Starchvs.GlycogenAnimalsandhumaneatplantmaterialsandproducts.Digestionisaprocessofhydrolysiswherethestarchisbrokenultimatelyintothevariousmonosaccharides.Amajorproductisofcourseglucosewhichcanbeusedimmediatelyformetabolismtomakeenergy.Theexcessglucoseisconvertedintheliverandmusclesintoglycogenforstorage.Anyglucoseinexcessoftheneedsforenergyandstorageasglycogenisconvertedtofat.GlycogenisaD-glucosepolymer:
(14)linkage
(16)linkageBranchesevery
8-14residuesGlycogenSynthesisGlycogenSynthesisGlycogensynthesisisnotadirectreverseofthephosphorolysisreaction.Formationofasugarnucleotide:whichisthesubstrateforpolymerizationofmonosaccharidesintopolysaacharides
Asugarnucleotideisformedthrougha
condensationreaction
betweenaNTPandasugarphosphate.Hexose1-PSeveralimportantpropertiesofsugarnucleotides:Theformationofsugarnucleotideismetabolically
irreversible,contributingtotheirreversibilityofthesyntheticpathwaysinwhichtheyareintermediates.Thenucleotidemoietyhasmanygroupsthatcanundergo
noncovalentinteractionswithenzymes;theadditionalfreeenergyofbindingcancontributesignificantlytocatalyticactivity.Thenucleotidylgroup(UMP,AMP)isanexcellentleavinggroup,facilitatingnucleophilicattackbyactivatingthesugarcarbontowhichitisattached.Cellcansetsugarnucleotideasideforonepurpose(glycogensynthesis),todistinguishfromsugarphosphateusedforglycolysis.UDP-glucoseisformedfromGlc-1-PandUTPUDP-glucosepyrophosphorylase(substrate)Glycogensynthesisglycogensynthaseprotein-tyrosine-Glucosyltransferase(glycogenin)complexofglycogeninandglycogensynthaseInitiationofaglycogenparticlebyglycogenin
catalyzingitsownglycosylationglycogensynthaseglycogensynthase,glycogen-branchingenzymesglycogeninglycogeninGlycogeninhas
glucosyltransferaseactivity
whichcatalyzestheassemblyofthefirst8residuesStructureofGlycogenParticleabout55,000glucoseresiduesinamoleculeofabout21nmdiameterandMr107Glycogensynthaseandglycogenphosphorylase
arereciprocallyregulatedallosterically
andhormonally.whenoneprocessisstimulatedandtheotherisinhibited,ifnot,resultinginafutilecycle.Glycogenphosphorylase:enzymeusedinglycogenolysis
(glycogenbreak-down)-stimulatedbylowbooldglucose;Glycogensynthase:enzymeusedinglycogenesis
(glycogensynthesis)-stimulatedbyhighbloodglucose;Coordinatedregulationofglycogensynthesis
andbreakdownAllostericregulationofmuscleglycogenphosphorylaseTheglycogenphosphorylasesofliverandmuscleareisozymes,encodedbydifferentgenesanddifferingintheirregulationproperties.Ca2+bindstoandactivatesphosphorylasebkinasethroughsubunitthatiscalmodulin.AMPbindsandactivatesphosphorylase,speedingthereleaseofG1Pfromglycogen.Glycogenphosphorylaseofliverasaglucosesensor,regulatedhormonallyandallosterically.indirectlywhen[glucose]ishighsecretionofinsulin
PP1activateglycogenbreakdowndecreaseglucoseasanallostericinhibitorCarlF.Cori(1896-1984)&GertyT.Cori(1896-1957)“Polysaccharidephosphorylase”NobelPrizeinMedicineandPhysiologyin1947CarlF.Cori(1896-1984)&GertyT.Cori(1896-1957)“Polysaccharidephosphorylase”NobelPrizeinMedicineorPhysiologyin1947Originalpublications:TheNobelPrizeinPhysiologyandMedicine1992EarlW.SutherlandUSA
1915-1974(trainedinCorislab)"forhisdiscoveriesconcerningthemechanismsoftheactionofhormones"NobelPrizeinMedicineorPhysiologyin1971AfterreadingabookaboutLouisPasteurinhighschoolhedecidedtogointomedicalresearch.Heisolatedapreviouslyunknowncompound,calledcyclicadeninemonophosphate(cAMP)andprovedthatithadanintermediaryroleinmanyhormonalfunctions.Leloirdiscoveredin1949thatonesugarwastransformedtoanothersugarvia
sugarnucleotide,later,hefoundthatglycogenwassynthesizedfromUDP-glucosein1959.(trainedinCorislab)TheNobelPrizeinPhysiologyandMedicine1992EldwinG.KrebsEdmondH.Fischer
USA
USA
1920-(trainedinCorislab)1918-TheyshowedthatepinephrineandcAMPstimulateglycogenbreakdownbyactivatingglycogenphosphorylaseviaaproteinkinaseNobel
PrizeinMedicineorPhysiology1992Glycogensynthaseisalsoregulatedbyphosphorylation
anddephosphorylationGSK3(glycogensynthase
kinase)
addsphosphorylgrouptothreeSerresidues,stronglyinactivatingit.PP1(inliver):
phosphoprotein
phosphataseGSK3actionrequirespriorphosphorylation(priming)bycaseinkinase(CKII).
PrimingofGSK3
phosphorylationofglycogensynthaseN-terminusC-terminus(inactivateform)phosphorylatedbyPKAorPKBActivationofGSK3requiresremovaloftheprimingphosphorylgroupbyPP1.
GSK3
mediatestheactionof
insulinTheinactivationofGSK3allowsPP1todephosphorylateglycogensynthase,convertingittoitsactiveform.
PP1iscentraltoglycogenmetabolismAsingleenzymecanremovephosphorylgroupsfromallthreeenzymesphosphorylatedinresponsetoglucagon(liver)andepinephrine(liver&muscle):phosphorylase
kinase,glycogenphosphorylaseandglycogensynthase(allformabigcomplex).
GM:glycogen-targetingproteinPP1doesnotexistfreeinthecytosol.
Insulin
GM-P
PP1
activateactivateEpinephrine
PKA
DissociationofPP1fromthecomplex
Inhibitor-PbindsandinactivatesPP1GM-2P
Inhibitor-PEnzyme
Stimulatedby
InhibitedbyGlycogenphosphorylase
glucagon,epinephrine,Insulin,ATP
cAMP,Ca2+,AMP
glucose
phosphorylationGlycogensynthase
Insulin,glucagon,
glucose-6-phosphateepinephrine
cAMP,Ca2+,AMP
phosphorylationThebalancebetweenglycogensynthesisand
breakdownin
liver
iscontrolledbythe
hormonesglucagon,epinephrineandinsulin.Overallshiftsincarbohydratemetabolismthatoccurinthewell-fedstateinhepatocyteOverallshiftsincarbohydratemetabolismthatoccurduringfastinginhepatocyteDifferenceintheregulationofcarbohydratemetabolisminliverandmuscleGlycogenolysis:glycogenglucose6-phosphate;Glycogenesis:glucoseglycogenThephysiologyandcarbohydratemetabolismofskeletalmuscle
differsfromthatofliverinthreeways:(1).Muscleusesitsstoredglycogenonlyforitsownneeds.(2).Glycolysisoccurswhenmusclegoesfromresttovigorouscontraction.-Pyruvate
kinase(M)isnotphosphorylatedbyPKA,so
glycolysisisnotturnoffwhen[cAMP]ishigh.(3).Musclelacksgluconeogenesis
pathway.-myocyteslackreceptorsforglucagon
3.AnalysisofmetaboliccontrolForeverycomplexproblemthereisasimplesolution.Anditisalwayswrong.-H.L.Mencken,AMenckenChrestomathy,1949Is“singlerate-determiningstep”hypothesisright?(1).Thecontrolcoefficient(C)quantifiestheeffectofachangeinenzymeactivityonmetabolitefluxthroughapathwayRangeofC:0-1.0Cexpressestherelativecontributionofeachenzymetosettingtherateatwhichmetabolitesflowthroughthepathway.C:
-notaconstant-afunctionofthewholesystemofenzymes.-dependsontheconcentrationsofsubstratesandeffectors(2).ThecontributionofeachenzymetofluxthroughapathwayisexperimentallymeasurableDependenceofglycolyticfluxinaratliverhomogenateonaddedenzymes.BothhexokinaseIVandPFK-1increasetherateofglycolysis,andhexokinasecontributesmorethanPFK-1does.C=0.79C=0.21C=0(C:fluxcontrolcoefficient)(3).Theelasticitycoefficient()isrelatedtoanenzyme’sresponsivenesstochangesinmetaboliteorregulatorconcentrations.Hyperboliccurve:-quantitativelytheresponsivenessofasingleenzymetochangesintheconcentrationofametaboliteorregulator;
-afunctionofenzyme’sintrinsickineticproperties(4).Theresponsecoefficie
温馨提示
- 1. 本站所有资源如无特殊说明,都需要本地电脑安装OFFICE2007和PDF阅读器。图纸软件为CAD,CAXA,PROE,UG,SolidWorks等.压缩文件请下载最新的WinRAR软件解压。
- 2. 本站的文档不包含任何第三方提供的附件图纸等,如果需要附件,请联系上传者。文件的所有权益归上传用户所有。
- 3. 本站RAR压缩包中若带图纸,网页内容里面会有图纸预览,若没有图纸预览就没有图纸。
- 4. 未经权益所有人同意不得将文件中的内容挪作商业或盈利用途。
- 5. 人人文库网仅提供信息存储空间,仅对用户上传内容的表现方式做保护处理,对用户上传分享的文档内容本身不做任何修改或编辑,并不能对任何下载内容负责。
- 6. 下载文件中如有侵权或不适当内容,请与我们联系,我们立即纠正。
- 7. 本站不保证下载资源的准确性、安全性和完整性, 同时也不承担用户因使用这些下载资源对自己和他人造成任何形式的伤害或损失。
最新文档
- 应急人财物管理制度
- 律师党支部管理制度
- 微消防日常管理制度
- 心理矫正室管理制度
- 快递员日常管理制度
- 急救与治疗管理制度
- 总店长门店管理制度
- 情景剧皮肤管理制度
- 战备食品库管理制度
- 房产项目部管理制度
- 智能化工程售后服务体系方案
- 人力资源技术服务合同
- python入门培训课件
- 广东开放大学2024秋《大学英语(B)(本)》形成性考核第一次大作业(主观题)参考答案
- 化验室的相关管理要点
- 剪刀式登高车安全技术交底
- 职业生涯提升学习通超星期末考试答案章节答案2024年
- 规章制度之培训学校教学管理制度
- 部编人教版小学4四年级《道德与法治》下册全册教案
- DB34T 4705-2024 职业健康检查工作规范
- 七年级数学下册 专题 不等式(组)中新定义运算&程序性问题(解析版)
评论
0/150
提交评论