biochem
1
Objectives
Identify the intracellular location of the TCA cycle and the various sources of acetyl-CoA
Describe pyruvate dehydrogenase as a multienzyme complex
List cofactors and understand mechanism of pyruvate dehydrogenase activity
List enzymes involved in TCA cycle in the proper sequence and types of reaction catalyzed
Indicate the steps that yield CO2, NADH, FADH2, and GTP
Calculate the yield of ATP from the complete oxidation of pyruvate or of acetyl-CoA
Your patient has arrived in the emergency room with alcohol-related neurological and cardiac complications. The lady that brought him in says that he has been on a binge for over a week. You would guess that some of his problems may be due to
Thiamine deficiency due to inhibition of uptake in the intestine
B12 deficiency due to excess urination
Vitamin E deficiency due to excess urination
Biotin deficiency due to excess sweating
Niacin deficiency due to the destruction of NADH by the alcohol dehydrogenase reaction
Problem
You have a patient who may have developed subclinical deficiencies of many vitamins. To be sure that the pyruvate dehydrogenase and the pyruvate carboxylase reactions would have an adequate amount of cofactors, you would prescribe all of the following EXCEPT
Vitamin D3
Pantothenate
Riboflavin
Thiamine
Problem
| Disorder | Cause | Explanation |
| Anorexia Nervosa | Genetic/Enviornmental | Patients who have been malnourished for some time may exhibit subclinical deficiencies in many vitamins, including riboflavin and niacin, factors required for energy generation. |
| Beri Beri | Thiamine Deficiency | Can be due to high intake of Alcohol or genetic |
Diseases discussed in this Class
Must Know
5
| Disorder | Cause | Explanation |
| Conjestive Heart Failure Linked to Alcoholism | Genetic/Enviornmental | Thiamine deficiency brought about by chronic alcohol ingestion leads to inefficient energy production by the heart and failure to adequately pump blood throughout the body. The vitamin B1 deficiency reduces the activity of pyruvate dehydrogenase and the TCA cycle, severely restricting ATP generation. |
| Arsenic Poisoning | Genetic/Enviornmental | Arsenite inhibits enzymes and cofactors with free adjacent sulfhydral groups (lipoic acid is a target of arsenite), whereas arsenate acts as a phosphate analog and inhibits substrate-level phosphorylation reactions. |
Diseases discussed in this Class
Must Know
6
| Disorder | Cause | Explanation |
| Leigh disease (subacute necrotizing encephalopathy) | Genetic | Deficiencies of the pyruvate dehydrogenase complex (PDC) as well as of pyruvate carboxylase are inherited disorders leading to lactic acidemia. In its most severe form, PDC deficiency presents with overwhelming lactic acidosis at birth, with death in the neonatal period. Even in less severe forms, neurologic symptoms arise due to the brain’s dependence on glucose metabolism for energy. The most common PDC deficiency is X-linked, in the a-subunit of the pyruvate decarboxylase (E1) subunit. Pyruvate carboxylase deficiency also leads to mental retardation. |
Diseases discussed in this Class
Must Know
7
Stage I All the fuel molecules (glucose, amino acids, fatty acids) are oxidized to acetyl-CoA.
Stage II The acetyl-CoA is oxidized into CO2, electrons are collected by NAD and FAD via the citric acid cycle.
Stage III Transfer of electrons to O2 through the electron transport system to yield ATP from oxidative phosphorylation.
Three Stages of Respiration
Make ATP.
Make high energy electron carriers that can transfer electrons to O2 in the electron transport chain for use in oxidative phosphorylation.
NADH
FADH2
Overall Goal
Read up about substrate level phosphorylation and oxidative phosphorylation
ATP is the energy currency of the cell and much like the 1 dollar bill, it has a fixed value and once it is used up we need to replenish it. A single heartbeat uses about 2% of all the ATP content of the heart.. All the heart store of ATP will be used up in 1 minute if not replenished
No net gain in Carbon during the TCA, 8electrons.
If cells don’t have the ability ot go through the cycle, then thre are toast because this cycle produces a lot of energy about 2/3 of the energy from glucose. If we inhibit the cycle , the cell die.
Intermediates from TCA are intermediates in other cycles- it is an anaplerotic. Eights steps in this cycle, shorter than glycoslysis that has 10
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Glycolysis in the cytosol
TCA takes place in the matrix
of Mitochondrion
Outer membrane is permeable
Space between membranes called intermembrane space
Inner membrane is impermeable to anions and cations
Geography
Why is this important?
Importance of Vitamins
4 Vitamins are key players in the TCA cycle
Thiamin (Vitamin B1)
As coenzyme (Thiamine pyrophosphate, TPP) in pyruvate dehydrogenase complex (PDC) and α-ketoglutarate dehydrogenase (KDH) catalyzed reactions
Riboflavin (Vitamin B2)
As flavin adenine dinucleotide (FAD)
Niacin (Vitamin B3)
As nicotinamide adenine dinucleotide (NAD+)
Pantothenic acid (Vitamin B5)
As part of coenzyme A
Must Know
11
Patients who have been malnourished for some time may exhibit subclinical deficiencies in many vitamins, including riboflavin and niacin, factors required for energy generation.
Anorexia Nervosa and Vitamin Deficiency
Must Know
Anorexia Nervosa and Vitamin Deficiency
Must Know
Link Between Glycolysis and TCA
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Pyruvate Dehydrogenase Complex (PDC)
Links glycolysis to TCA cycle
Catalyzes the irreversible (ΔG = -33.4kJmol) conversion (decarboxylation) of pyruvate to AcetylCoA
Arsenic and alcohol interferes with PDH and causes poisoning
Must Know Very Important In Cancer too
Under anaerobic conditions pyruvate is converted to lactate or ethanol depending on the organism
15
Large, integrated complex and it requires 5 coenzymes (NAD+ and CoA and three that are enzyme associated)
Made up of 3 distinct enzymes
Pyruvate decarboxylase (E1)
Requires Thiamine pyrophosphase as cofactor (Vitamin B1)
Dihydrolipoyl transacetylase (E2)
Requires Lipoic acid as cofactor
Dihydrolipoyl dehydrogenase (E3)
Requires FAD (Vitamin B2) as cofactor
Pyruvate Dehydrogenase Complex
(NAD+ from Vitamin B3)
Must Know Very Important In Cancer too
16
Leigh Syndrome
Deficiencies of the pyruvate dehydrogenase complex (PDC) as well as of pyruvate carboxylase.
This leads to accumulation of lactic acid as pyruvate cannot be metabolized by TCA
Must Know
Leigh Syndrome
In its most severe form, PDC deficiency presents with overwhelming lactic acidosis at birth, with death in the neonatal period.
Even in less severe forms, neurologic symptoms arise due to the brain’s dependence on glucose metabolism for energy.
The most common PDC deficiency is X-linked, in the a-subunit of the pyruvate decarboxylase (E1) subunit.
Pyruvate carboxylase deficiency also leads to mental retardation.
Must Know
Leigh Syndrome
Must Know
Acetyl CoA in TCA and its various Sources
20
AcetylCoA is a Central Molecule in Energy Production
Must Know Very Important
21
Regulation of the Pyruvate Dehydrogenase Complex
Controlled primarily by phosphorylation
Pyruvate dehydrogenase kinase
Inactivates PDC
Pyruvate dehydrogenase phosphatase
Activates PDC
Must Know and understand how this cycle works
22
Regulation of the Pyruvate Dehydrogenase Complex
Pyruvate dehydrogenase kinase
Inhibited by ADP, NAD+ and pyruvate
Activated by Acetyl-coA and NADH
Pyruvate dehydrogenase phosphatase
Activated by Ca2+
Important during muscle contraction
Elevated intracellular Ca2+
Phosphatase activated activated PDC more acetyl-CoA available for the TCA cycle increased energy production.
Must Know and understand how this cycle works
23
Pyruvate Dehydrogenase Kinase in Cancer Patients
Must Know Very Important
Citric Acid Cycle
25
Main function: to oxidize Acetyl CoA to CO2 while conserving energy in the form of NADH, FAD(2H) and GTP
Harvesting high energy electrons from carbon fuels
TCA cycle accounts for 2/3rds of total ATP production
Only under aerobic conditions
Important in synthesis reactions
Occurs in mitochondrial matrix
Citric Acid Cycle Overview
26
Step 1 Formation of Citrate
27
Must Know the cycle
No structures
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Formation of Citrate
Condensation reaction
Irreversible
Citrate Synthase
29
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Step 2
Citrate to Isocitrate
31
Citrate to Isocitrate
Hydroxyl moved and changed from tertiary (alcohol) to secondary.
Isomerization involving dehydration (elimination) followed by hydration (addition)
Aconitase
Aconitase
Tertiary cannot be oxidized hence the need for rearrangement to give secondary which can be oxidized
32
Inhibition of Aconitase
33
Fluoracetate Inhibits Aconitase
Fluoroacetate is a natural form of toxic compound sodium fluoroacetate,
Also known as the notorious rodent poison 'Compound 1080'.
When ingested, fluoroacetate is transformed in cells to fluoroacetylCoA and ultimately fluorocitrate – a potent Aconitase inhibitor.
Fluorocitrate blocks the TCA Cycle completely!
Must Know very Important
Step 3
Isocitrate to a-Ketoglutarate
35
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Isocitrate to α-Ketoglutarate
Oxidative decarboxylation
Rate limiting step and Irreversible
Isocitrate dehydrogenase
Isocitrate dehydrogenase
Isocitrate+ NAD+
Isocitrate dehydrogenase
α-Ketoglutarate + CO2 + NADH
37
Step 4
a-Ketoglutarate to Succinyl CoA
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α-Ketoglutarate to SuccinylCoA
A-ketoglutarate and dehydrogenase complex uses same enzymes and coenzymes as PDC
Oxidative decarboxylation
Irreversible
α-Ketoglutarate dehydrogenase
complex
Must Know the similarity between PDC and KDC
40
Step 5
Succinyl CoA to Succinate
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SuccinylcoA to Succinate
Substrate Level Phosphorylation - direct donation of Pi to ADP or GDP to form ATP to GTP.
SuccinylCoA synthetase (Succinate thiokinase)
Hydrolysis of the high energy thioester bond provides the energy that drives the addition of phosphate to GDP to give GTP
SuccinylCoA Synthetase
Step 6
Succinate to Fumarate
44
Succinate to Fumarate
Oxidation
FAD and FADH2 remain enzyme bound at all times
Arsenic and Malonate inhibits SDH
Succinate Dehydrogenase
Succinate + FAD
Succinate dehydrogenase
Fumarate + FADH2
NAD+ is used to oxidize oxygen-containing groups (Aldehydes and alcohols)
FAD is used to oxidize C-C bonds
Step 7
Fumarate to Malate
47
Fumarate to Malate
Hydration
Fumarase
Step 7
Malate to Oxaloacetate
50
Malate to Oxaloacetate
Oxidation
Oxidation of secondary alcohol to ketone
Regenerates oxaloacetate for another round
Malate + NAD+
Malate
dehydrogenase
Oxaloacetate + NADH + H+
Malate Dehydrogenase
Thermodynamics of the TCA Cycle
TCA Cycle is energetically favorable and largely driven by the three irreversible reactions
53
Oxidative process
3 NADH
FADH2
GTP
1 glucose gives 2- pyruvate which gives 2- acetylCoA
X 2
6 NADH
2 FADH2
2 GTP
All ultimately turned into ATP via oxidative phosphorylation
Net from TCA Cycle (Acetyl-CoA)
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In Mitochondrion
From Pyruvate dehydrogenase Reaction
2 NADH
From TCA Cycle
6 NADH
2 FADH2
2 GTP
Hence : 8 NADH, 2 FADH2, 2 GTP from Mitochondria
Total Energy Starting from Pyruvate
In mitochondrion:
Each NADH makes 2.5 ATP
Each FADH2 makes 1.5 ATP
GTP makes ATP
So…
From both PDC and Citric acid Cycle;
8 NADH X 2.5 ATP/NADH = 20 ATP
2 FADH2 X 1.5 ATP/FADH2= 3 ATP
2 GTP X 1 ATP / GTP = 2 ATP
TOTAL in mitochondrion 25 ATP
Total Energy from Pyruvate
Must Know
The enzymes have greater access to products of the previous reaction.
Molecules need special transporters
Pyruvate moves via the mitochondrial pyruvate carrier (mpc)
NAD+, NADH, CoASH and acetylcoA have no transport proteins- cannot cross the membrane
Allows for tight control of the TCA cycle (to be discussed later)
Q: How is NADH from glycolysis is converted to NAD+ if it cannot cross into mitochondria.
Geography (Cont.)
NADH from Glycolysis is transferred via Malate Aspartate Cycle
Anaplerotic Reactions (“filling up”)
Conversion of pyruvate to oxaloacetate by Pyruvate carboxylase
PropionylCoA converted to SuccinylcoA (3)
Amino acid degradation (2,4 and 5)
PC is activated by acetylcoA
59
Diseases Due to Disruption of TCA Cycle
Beriberi : deficiency of thiamin (B1)
Genetic or due to chronic alcohol consumption
Alcohol
Impairs thiamine absorption from the G.I
Impairs utilization by cells
Reduction in activity of PDC and ketoglutarate dehydrogenase (Why?)
Severe reduction in ability to produce ATP
Neurological deficits
Wernicke–Korsakoff syndrome
Muscle weakness and paralysis
Inability to pump blood effectively to the body
Congestive heart failure
Must Know
Each heart beat uses about 2% of the total ATP in the heart
60
Your patient has arrived in the emergency room with alcohol-related neurological and cardiac complications. The lady that brought him in says that he has been on a binge for over a week. You would guess that some of his problems may be due to
Thiamine deficiency due to inhibition of uptake in the intestine
B12 deficiency due to excess urination
Vitamin E deficiency due to excess urination
Biotin deficiency due to excess sweating
Niacin deficiency due to the destruction of NADH by the alcohol dehydrogenase reaction
Problem
Your patient is an alcoholic a buildup of a-ketoacids and symptoms of wet beriberi. All of the following might be part of a scenario that would explain why peripheral vessels dilate and cardiac muscles loose their contractility EXCEPT
Most ATP is produced by oxidative phosphorylation
NADH and FADH2 are produced by the TCA cycle
The TCA cycle needs thiamine to function
A shortage of thiamine results in the inability to oxidize NADH to NAD+ needed for TCA cycle
Problems
You have a patient who may have developed subclinical deficiencies of many vitamins. To be sure that the pyruvate dehydrogenase and the pyruvate carboxylase reactions would have an adequate amount of cofactors, you would prescribe all of the following EXCEPT
Vitamin D3
Pantothenate
Riboflavin
Thiamine
Problem
Summary
Identify the intracellular location of the TCA cycle and the various sources of acetyl-CoA
Describe pyruvate dehydrogenase as a multienzyme complex
List cofactors and understand mechanism of pyruvate dehydrogenase activity
List enzymes involved in TCA cycle in the proper sequence and types of reaction catalyzed
Indicate the steps that yield CO2, NADH, FADH2, and GTP
Calculate the yield of ATP from the complete oxidation of pyruvate or of acetyl-CoA