🏥 USMLE Exam Prep

Which enzyme is considered the rate-limiting step in gluconeogenesis?

A Hexokinase
B Phosphofructokinase-1 (PFK-1)
C Pyruvate carboxylase
D Fructose-1,6-bisphosphatase

✓ Correct Answer: Option D

Fructose-1,6-bisphosphatase is the key regulatory and rate-limiting enzyme in gluconeogenesis. It catalyzes the irreversible conversion of fructose-1,6-bisphosphate to fructose-6-phosphate, bypassing the PFK-1 step of glycolysis.

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