Biochemistry Flashcards

1
Q

Amino acids - essential (obtained from dietary)

A

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TRYptophan
THreonine
HIStidine (basic)
Valine (branched)
Isoleucine (branched)
Phenylalanine
Methionine
(a)
Leucine (ketogenic) (branched)
Lysine (ketogenic) (basic)

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2
Q

Amino acid side chains - properties

A

Amino acids are organic compounds composed of an amine group (H3N+ - becomes ammonia if free), Carboxylic acid (CO2), Unique side chain (finger print) and

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3
Q

What are transamination reactions?

A

REVERSIBLE REACTIONS by which cells transfer the amino group from an amine or α-a.a. to an α-keto carboxylic acid. Enzymes involved in this reaction are transaminases/ ainotransferases. REQUIRES PYRIDOXINE (Vitamin B6) as a co-factor.

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4
Q

Cori cycle / Lactic acid cycle

A

Lactate and glucose exchange between muscles and the liver. (As high levels of lactate can lead to acidosis)
Involved metabolic pathways: glycolysis, anaerobic metabolism with lactate production, gluconeogenesis

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5
Q

Types of lactate dehydrogenase (LDH)

A

LDH 1, LDH 2 : Cardiac muscle, Erythrocytes, Kidneys (raised in MI, myocarditis, hemolysis, renal infarction - can be used in delayed dx MI instead of trop as lasts longer in blood)
LDH 3: Lungs, Lymphatic system, Platelets (raised in PE or platelet destruction)
LDH 4, LDH 5: Liver, Skeletal muscles (raised in liver disease, skeletal muscle injury, malignancy)
Poor specificity

The LDH enzyme exists in five isoenzymes (LDH1–LDH5) distributed across different tissues.
The direction of lactate ↔ pyruvate conversion depends on the cellular ratio of NAD+ to NADH.

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6
Q

Lactate dehydrogenase reaction

A

Pyruvate >< Lactate
NAD+ excess: Lactate > Pyruvate
NADH + H+ excess: Pyruvate > Lactate

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7
Q

Glycolysis - Reactions

A

Occurs int he cytosol of cells
Glucose (C6) to Pyruvate (2 x C3) through 10 steps. Pyruvate then converted to Acetyl-coA and can enter the citric acid cycle.

  1. Glucose Phosphorylation: Glucose → Glucose-6-phosphate (via hexokinase, irreversible, 1 x ATP used).
  2. Isomerization: Glucose-6-phosphate → Fructose-6-phosphate (via glucose 6 phosphate isomerase).
  3. Second Phosphorylation: Fructose-6-phosphate → Fructose-1,6-bisphosphate (via phosphofructokinase-1, irreversible, rate limiting step, 1 x ATP used; total EB -2ATP).
  4. Cleavage: Fructose-1,6-bisphosphate → isomers: Glyceraldehyde-3-phosphate (GAP) + Dihydroxyacetone phosphate (DHAP) (via aldolase).
  5. Isomerization: DHAP ↔ GAP (via triose phosphate isomerase). Only GAP can be further metabolised in glycolysis, resulting in 2 x GAP.
  6. Oxidation and phosphorylation: 2 x GAP → 2 x 1,3-Bisphosphoglycerate (via GAP dehydrogenase, NAD⁺ reduced to NADH plus H+; total EB -2ATP and 2(NADH plus H+)).
  7. ATP Formation: 1,3-Bisphosphoglycerate → 3-Phosphoglycerate (via phosphoglycerate kinase, ATP produced).
    Substrate-level phosphorylation CREATES ENERGY (+2ATP; +2 (NADH and H+).
  8. Phosphate Shift: 3-Phosphoglycerate → 2-Phosphoglycerate (via phosphoglycerate mutase).
  9. Dehydration: 2-Phosphoglycerate → Phosphoenolpyruvate (via enolase, water released).
  10. ATP Formation: Phosphoenolpyruvate → Pyruvate (via pyruvate kinase, irreversible ATP produced), irreversible

Net ATP gain = 2 ATP (4 produced, 2 used).
NADH plus H+ produced = 2 molecules per glucose.

https://www.youtube.com/watch?v=9HqCTiGzqfU&list=PLkv9qVBSWseGHDrmzrPmeaQC3bKxIPeUh&index=2

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8
Q

What is Substrate-level phosphorylation ?

A

When a phosphoryl group is transferred from a substrate to ADP or GDP to form ATP or GTP, coupled with the release of free energy.
Glycolysis stage 7

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9
Q

What happens to pyruvate after glycolysis

A

Pyruvate → acetyl-CoA (via pyruvate dehydrogenase) which is then
(a) passed on to citric acid cycle
(b) used as building block in other metabolic processes e.g. FA synthesis

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10
Q

Glycolysis - 3 regulatory enzymes

A

Hexokinase (Step 1)
Phosphofructokinase-1 (Step 3)
Pyruvate Kinase (Step 10)

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11
Q

Glycolysis - Regulations

A

Regulatory mechanisms
(1) Hormonal: via signalling molecules e.g. cAMP
(2) Allosteric: via regulatory molecules e.g. reactants or products

Hexokinase (Step 1)
- Glucagon inhibits transcription (increasing blood glucose levels, reducing cell glucose levels)
- Insulin facilitates activity of glucose transporters (more glucose in cells) and transcription of hex (activates first step of glycolysis)
- G6P inhibits hexokinase- neg feedback prevents excessive phosphorylation of glucose when G6P accumulates, avoiding unnecessary ATP consumption. G6P does not inhibit glucokinase (AKA hexokinase-IV liver-specific isoform), which allows the liver to continue processing glucose for glycogen synthesis or other pathways despite G6P accumulation.
- Glucose affinity of hexokinase changes in tissue. Glucokinase / Hexokinase - IV LOW AFFINITY, Hexokinase (extra-hepatic) HIGH AFFINITY - so when low levels of glucose, does not go to the liver.

Phosphofructokinase-1 (Step 3) RATE LIMITING STEP.
Inhibited by 3 factors:
(a) ATP (when energy cellular supply is sufficient)
(b) Citrate (accumulates in 1st step citric acid cycle when excess acetyl coA)
(c) Protons (acidic pH)
Activated by 2 factors:
(a) ANP (signifies a metabolic state in which glycolysis needs to be activated), counteracts ATP
(b) Fructose 2, 6-bisphosphate (completely different from fructose 1, 6-bisphosphate) - hormonal reg via cAMP which makes sure e.g. heart increase, whereas liver reduce.

Pyruvate Kinase (Step 10)
Inhibited by
(a) ATP
(b) Alanine (can be produced by pyruvate, so signals that other metabolic pathways are covered - similar to effect of citrate for above)
Activated by
(a) fructose 1, 6-bisphosphate (adapts rate of gylcolysis to the amount of substrate available)

Clinical features:
Inborn errors of carbohydrate metabolism
Hemolytic anaemia
Primary biliary cholangitis

Pyruvate kinase deficiency (results in anaemia with low hb levels - low hb levels less harmful than in other forms of anaemia as oxygen more readily released to cells)

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12
Q

B-Oxidation - Carnitine carrier

A
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13
Q

Role of fatty acids

A

Primary energy store, especially during prolonged fasting.
Mostly stored as triacylglycerols (TAG)/ triglycerides.

Preparation: release of FA from TAGS

Activation: forms a thioester with CoA in the cytosol - acyl-CoA.

Transportation: transported into the mitochondria via carnitine shuttle.

Degradation: in the mito, cleaved to Acetyl co-A (C2 SCFA) by Beta-oxidation.

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14
Q

Structure of Fatty acids

A

Fatty acids have a polar carboxylic acid “head” (COOH) and an apolar hydrocarbon “tail.” (Cn)

Saturated Fatty Acids: No double bonds. Example: Palmitic acid (C16).

Unsaturated Fatty Acids: Contain one or more double bonds. Double bonds indicated by delta.

Breakdown differs from saturated to unsaturated fatty acids.

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15
Q

Fatty acid oxidation

A

Oxidation - add oxygen - tends to be done by adding a phosphate group.
FA are activated by forming a thioester at the head group. This consumes ATP.
Coenzyme A (CoA) bonds via a suphide ion to the FA head.
Therefore called Acyl-CoA.

(Thioesters are high-energy compounds that contain sulfur and are more reactive than esters.)

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16
Q

Acyl-CoA vs Acetyl-CoA

A

Acyl-CoA: activated FA, includes FA of different chain lengths and saturation
Acetyl-CoA: specifically acetic acid activated with coenzyme A

Acetic acid is the main short-chain fatty acid (SCFA) (C2 unit) produced in the body, accounting for 50-70% of SCFA. It is the only SCFA that enters the bloodstream in significant amounts and can provide energy for muscles and other tissues - produced in glycolysis and fatty acid degradation, then further broken down in citric acid cycle.

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17
Q

What is Beta-oxidation?

A

Beta-oxidation refers to the oxidation of the beta carbon (C3) in the fatty acid chain.
Involves 4 steps.

(1) Oxidation: Acyl-CoA dehydrogenase converts the single bond between C2 and C3 into a trans double bond, forming delta-2-trans-enoyl-CoA. Electrons are transferred from the fatty acid to FAD, producing FADH2. (Energy balance +FADH2)

(2) Hydration: Enoyl-CoA hydratase adds a water molecule, converting the double bond back into a single bond and forming beta-Hydroxyacyl-CoA.

(3) Oxidation: 3-hydroxyacyl-CoA dehydrogenase oxidizes the hydroxyl group at the beta-carbon into a keto group (−C(=O)), producing beta-Ketoacyl-CoA and transferring electrons to NAD+, forming NADH and H+. (produces energy; Energy balance now +FADH2, + NADH plus H+)

(4) Thiolysis: Thiolase cleaves the fatty acid, releasing acetyl-CoA and shortening the acyl-CoA by two carbons. Keep entering Beta oxidation until only 2 C atoms left in 4th step.

Energy Yield: Each cycle yields one FADH2 (1.5 ATP) and one NADH plus H+ (2.5 ATP) . No direct ATP acquired by equates to 4 ATP per cleaved two-carbon unit in mitochondria (reduced by the electron chain)
***However, this only applies in the mitochondria - peroxisomal beta-oxidation produces less energy as FADH2 is regenerated without entering the electron transport chain. But still get NADH plus H+ (2.5 ATP).

Special Cases:
(1) Odd-Numbered Fatty Acids: Yield a three-carbon unit, propionyl-CoA, which converts into succinyl-CoA for the citric acid cycle.

(2) Unsaturated Fatty Acids: Require conversion of cis double bonds to trans double bonds to proceed with beta-oxidation.

Clinical Relevance: Disorders in beta-oxidation, such as MCAD, VLCAD, or LCHAD deficiencies, are rare and typically manifest during fasting due to glucose deficiency. They require dietary management, including carbohydrate-rich diets and avoiding fasting. Testing for these conditions is included in newborn screening.

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18
Q

What is the carnitine shuttle?

A

Activated fatty acids (acyl-CoA) must cross the mitochondrial inner membrane for degradation.
The carnitine shuttle facilitates this:
(1) CoA is replaced with carnitine in the cytosol (forming acylcarnitine).
(2) Acylcarnitine is transported into the mitochondrial matrix via carnitine-acylcarnitine translocase.
(3) Carnitine is replaced with CoA again inside the matrix to regenerate acyl-CoA.

See pic in folder

Primary carnitine def: extremely low levels of ketone bodies and glucose - develop hypoketotic hypoglycemia - failure to thrive, hypotonia, cardiomyopathy. PO supplementation.

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19
Q

How do long-chain (>20C) fatty acids undergo preliminary processing?

A

Need to shortened through peroxismal beta-oxidation before entering mitochondrial for degradation.

20
Q

Citric acid cycle (Krebs cycle)

A

Location: mitochondrial matrix of aerobically active cells.
Function: To generate reducing equivalents (NADH, FADH₂) for ATP production in the electron transport chain.

2 Stages, 8 steps

Stage 1: Acetyl-CoA Breakdown through oxidative carboxylation (C2 Acetyl-CoA unit broken down into 2 x C1 units of CO2)(Steps 1–4):

(1) Formation of citrate: Acetyl-CoA (from aerobic glycolysis)+ Oxaloacetate (from a.a breakdown) → Citrate (Enzyme: Citrate synthase).

(2) Conversion of citrate to isocitrate: Isomerization (Enzyme: Aconitase).

(3) Oxidation of isocitrate to alpha-ketoglutarate (Enzyme: Isocitrate dehydrogenase) (NADH + CO₂ production; Total EB: NADH plus H+) .

(4) Formation of succinyl-CoA (also formed in B-oxidation) from alpha-ketoglutarate (Enzyme: Alpha-ketoglutarate dehydrogenase) (NADH + CO₂ production, Total EB: 2 x NADH plus H+) .

Stage 2: Regeneration of Oxaloacetate carrier molecule (in a way similar to Beta-oxidation) (Steps 5–8):

(5) Conversion of succinyl-CoA to succinate (Enzyme: Succinyl-CoA synthetase) (GTP/ATP production; Total EB: 2 x NADH plus H+, GTP).

(6) Oxidation (double bond) of succinate to fumarate (Enzyme: SUCCINATE DEHYDROGENASE IMPORTANT) (FADH₂ production; Total EB: 2 x NADH plus H+, GTP, FADH₂) .

(7) Hydration (OH group) of fumarate to malate (Enzyme: Fumarase).

(8) Oxidation (ketone) of malate to oxaloacetate (Enzyme: Malate dehydrogenase) (NADH production; Total EB: 3 x NADH plus H+, GTP, FADH₂).

Energy Yield:
For each acetyl-CoA, the cycle produces:
3 NADH
1 FADH₂
1 GTP (equivalent to ATP)
This corresponds to approx10 ATP molecules.

https://www.youtube.com/watch?v=aAU54OtAVO8&list=PLkv9qVBSWseGHDrmzrPmeaQC3bKxIPeUh&index=6

21
Q

Citric acid/ Krebs cycle: Regulation

A

No hormones or key enzymes

(1) Substrate Availability: High levels of acetyl-CoA or citrate inhibit citrate synthase (so cycle doesnt start) and glycolysis (which supplies a lot of the acetyl CoA).

(2) Energy Indicators: NADH and H+, ATP (sufficient energy in cell)
Reaction products inhibit key enzymes like isocitrate dehydrogenase (step 3) and alpha-ketoglutarate dehydrogenase (step 4).

(3) Calcium Activation: Calcium ions activate energy-demanding reactions by stimulating key enzymes.

(4) Excess Fumarate: Inhibits succinate dehydrogenase.

Clinical Implications:
(1) Alcohol Metabolism: Excess alcohol increases NADH, signaling sufficient energy and inhibiting the cycle. Accumulated acetyl-CoA drives fatty acid synthesis or ketogenesis, contributing to weight gain.

(2) Diabetes: Low glucose increases gluconeogenesis, depleting oxaloacetate and halting the cycle, leading to acetyl-CoA accumulation and ketone body production. This can result in diabetic ketoacidosis.

22
Q

What substrates enter the citric acid cycle?

A

Acetyl-CoA (Step 1)
Combines with oxaloacetate to form citrate.
Source: Derived from glycolysis (pyruvate via pyruvate dehydrogenase), β-oxidation of fatty acids, and amino acid catabolism.

Oxaloacetate (Step 1 and Regeneration in Step 8)
Combines with acetyl-CoA in Step 1 to form citrate.
Regenerated from malate in Step 8 to sustain the cycle.

H₂O (Multiple Steps)
Used during:
Conversion of citrate to isocitrate (Step 2, part of the aconitase reaction).
Conversion of fumarate to malate (Step 7, catalyzed by fumarase).

NAD⁺ (Steps 3, 4, 8)
Accepts electrons to form NADH during:
Oxidation of isocitrate to alpha-ketoglutarate (Step 3).
Oxidation of alpha-ketoglutarate to succinyl-CoA (Step 4).
Oxidation of malate to oxaloacetate (Step 8).

FAD (Step 6)
Accepts electrons to form FADH₂ during the oxidation of succinate to fumarate.

GDP (or ADP) and Pi (Step 5)
Used in substrate-level phosphorylation during the conversion of succinyl-CoA to succinate, forming GTP (or ATP).

23
Q

Which enzyme catalyzes the first step of the citric acid cycle?

A

Citrate synthase.

24
Q

What enzyme transfers coenzyme-A to succinyl-CoA?

A

Alpha-ketoglutarate dehydrogenase. (Step 4)

25
Q

Which enzyme is also part of the electron transport chain?

A

Succinate dehydrogenase (Complex II). (step 6)

26
Q

How does the electron transport chain generate ATP?

A

ETC occuts in the inner mitochondrial membrane and includes
- Complex I-IV
- Coenzyme Q
- Cytochrome C

Chemical reactions: O2 –> H2O through electrons and protons of reducing equivalents (NADH, H+, and FADH2) from glycolysis, beta-oxidation, and the citric acid cycle.

Aerobic conditions: O2 is the final electron and proton acceptor of the respiratory chain.

Energy production: Energy from electron transport –> proton gradient –> ATP synthesis

Energy balance 1 NADH and H+ equiv to 2.5 ATP; 1 FADH2 equiv to 1.5 ATP

27
Q

How are electrons transported from NADH and FADH2 to the ETC?

A

NADH transfers electrons to Complex I, while FADH2 transfers electrons to Complex II.

28
Q

ETC: How does NADH from glycolysis enter the mitochondria?

A

Using the malate-aspartate shuttle, which transfers electrons and protons indirectly.

29
Q

ETC: How does ATP synthase produce ATP?

A

Proton gradient is created when protein complexes pump protons from the mitochondrial matrix into the intermembrane space using energy from electron transfer.

ATP SYNTHASE allows the protons to flow back into the mitochondrial matrix, utilizing the energy to convert ADP and phosphate into ATP.

30
Q

What are mitochondrial myopathies?

A

Disorders caused by defects in mitochondrial enzymes, often leading to muscle weakness due to impaired energy metabolism.

31
Q

What are the energy yields of the ETC from different metabolic pathways?

A

Glycolysis: ~5 ATP

Citric Acid Cycle: ~9 ATP per acetyl-CoA

Mitochondrial Beta-Oxidation: ~4 ATP per C2 unit

Pyruvate to Acetyl-CoA: ~2.5 ATP

32
Q

Why is the ETC dependent on aerobic conditions?

A

Oxygen is required as the final electron acceptor to maintain electron flow and regenerate NAD+ and FAD.

33
Q

How does metformin’s effect on the ETC relate to PCOS (Polycystic Ovary Syndrome)?

A

Metformin, which inhibits Complex I of the ETC, can help regulate insulin sensitivity and reduce hyperinsulinemia, a common issue in PCOS, potentially improving ovulation and fertility.

Can lead to Lactic acidosis (e.g. in renal failure when not excreted properly) if high concs so inhibition of complex 1 and inhibition of aerobic metabolism leading to lactic acid metabolism

34
Q

What is the role of oxygen in aerobic metabolism?

A

Oxygen serves as the final electron acceptor in the electron transport chain, reducing oxygen to water at complex IV.

35
Q

What happens when oxygen is insufficient in a cell?

A

The electron transport chain can’t function, leading to excess NADH, H+, FADH2, and a decrease in NAD+ and FAD, inhibiting glycolysis, beta-oxidation, and the citric acid cycle.

36
Q

How does anaerobic ATP synthesis occur?

A

Anaerobic ATP synthesis includes
1. adenylate kinase reactions ( converts ADP to ATP and AMP by phosphate group transfer in the mitochondrial intermembrane space, providing short-term energy).

  1. creatine phosphate transfer (Creatine phosphate transfers phosphate to ADP, generating ATP, catalyzed by creatine kinase, providing short-term energy).
  2. anaerobic glycolysis (Anaerobic glycolysis breaks down glucose into pyruvate, which is then converted into lactate, producing 2 ATP molecules per glucose). Lactate production regenerates NAD+ from NADH, allowing glycolysis to continue and produce ATP in the absence of oxygen.

these generate ATP without oxygen.

37
Q

Why is anaerobic metabolism crucial despite its disadvantages?

A

Anaerobic metabolism provides energy when

(1) oxygen is insufficient, during the initial period of aerobic metabolism,
(2) in cells without mitochondria, like erythrocytes
(3) When energy needs not sufficiently met by aerobic alone

38
Q

Aerobic vs Anaerobic metabolism

A

Aerobic metabolism requires oxygen for the electron transport chain and yields 32 ATP per glucose. Anaerobic metabolism doesn’t need oxygen, produces 2 ATP, and generates lactate, leading to a decrease in pH.
Glycolysis.

39
Q

The cori / lactic acid cycle

A

Enzymatic Reaction: Lactate ↔ Pyruvate by LDH.

Function: Exchange of lactate and glucose between muscles and the liver to sustain energy balance. Lactate produced in skeletal muscles is released into the bloodstream and absorbed by the liver. In the liver, lactate is converted to glucose via gluconeogenesis. Glucose is stored as glycogen or released back into the bloodstream to supply energy to other tissues.

Energy Utilization: Lactate oxidation in cardiac muscle and gluconeogenesis in the liver.

Key Pathways: Glycolysis, anaerobic metabolism, and gluconeogenesis.

Note:
Cardiac muscle involvement in the Cori cycle process itself is not a direct part of the traditional definition. However, it is worth mentioning that cardiac muscles do play a significant role in utilizing lactate as an energy source, especially during physical activity, but this is more of a parallel metabolic process rather than being a direct component of the Cori cycle.

https://www.youtube.com/watch?v=GiR2ph88c6Y&list=PLkv9qVBSWseGHDrmzrPmeaQC3bKxIPeUh&index=9

40
Q

Functions of lactate

A

Energy source
Precursor of gluconeogenesis
Signalling molecule (regulates lipolysis)

41
Q

Where does pyruvate come from?

A
  1. Breakdown of lactate
  2. Glycolysis
  3. AA degradation
42
Q

Gluconeogenesis

A

Substrate: pyruvate

43
Q
A
44
Q

Gluconeogenesis - Reactions

A
45
Q

Gluconeogenesis - Regulation

A
46
Q

Ketogenesis

A