Patients with hereditary fructose intolerance are deficient in the liver form
of the enzyme aldolase. Consumption of fructose leads to a depletion of ATP
and \(P\), in the liver, which, in turn, leads to cell damage, Much of the cell
damage can be attributed to the inability to maintain normal ion gradients by
ATP-dependent pumps.
The first step in liver's metabolism of fructose is
A. isomerization to glucose.
B. phosphorylation to fructose 1,6 -bisphosphate by ATP.
C. phosphorylation to fructose 1-phosphate by ATP.
D. phosphorylation to fructose 6 -phosphate by ATP.
E cleavage by aldolase.