(L4) Mitochondrial Bioenergetics Flashcards
What is CK-MB and what is its clinical significance?
L4 LO1
Panini pg. 114, blue box
Phosphorylates creatinine to form phosphocreatinine, an energy storage molecule that replenishes ATP.
CK-MB is found in muslce and brain tissues and can be detected in the blood at elevated levels following an MI.
What are the high energy substances produced from the TCA cycle and what is their ATP equivalent?
L4 S6 LO2
- NADH (2.5 ATP)
- FADH2 (1.5 ATP)
- GTP (1 ATP)
What common molecule do fats, carbohydrates, and proteins enter the TCA?
What is this molecule made from?
What does it do?
What is its deta G?
L4 S6 LO2
Acetyl CoA
It is synthesized from pantothenic acid, atp and cystine
-It forms a high energy thioester linkage with acyl groups such as acetate or fatty acids
- The linkage in acetyl COA has a delta G of -7.5 kcal/mol
- ATP is -7.3 kcal/mol
How does pyruvate enter into the mitochondria?
L4 S8
- pyruvate must enter the outer membrane of the mitochondria via a porin then through the inner membrane via a mitocondrial pyruvate carrier (MPC)
- PDC will transform it into A-COA
What is the pyruvate dehydrogenase complex and what are its cofactors?
L4 S9
Trimer:
- E1
- E2
- E3
Cofactors:
- thiamine pyrophosphate (TPP) (E1)
- lipoic acid (E2)
- CoA (E2)
- FAD (E3)
- NAD+ (E3)
**** The first three are prosthetic groups that are permanently bound to PDC while the other two are cosubstates and are only associated with the PDC temporarily
all are derived from vit b except for lipoic acid
What is the function of citrate synthase?
L4 S10 LO2
Takes acetyl CoA (2), oxaloacetate (4), and water to make citrate (6).
What does aconitase do?
L4 S10 LO2
Converts citrate (6) to isocitrate (6).
What does isocitrate dehydrogenase do?
What special feature does this reaction have?
L4 S10 LO2
Dehydrogenates isocitrate (6) to form intermediate of oxalosuccinate which is then is decarboxylated to form α-ketoglutarate (5).
Dehydrogenation converts NAD+ to NADH and H+.
CO2 is produced from decarboxylation.
***rate limiting step***
What does α-ketoglutarate dehydrogenase complex do?
What special feature does this reaction have?
L4 S10 LO2
Converts α-ketoglutarate (5) to succinyl CoA (4).
Forms high energy thioester bond.
Decarboxylation produces CO2.
Hydrogen from thiol of CoA converts NAD+ to NADH.
What does succinyl CoA synthase do?
What special feature does this reaction have?
L4 S10 LO2
Converts succinyl CoA (4) to succinate (4).
Produces GTP through phosphate level phosphorylation using high energy thioester bond with CoA.
What does succinate dehydrogenase do?
What special features does this reaction have?
L4 S10 LO2
Converts succinate (4) to fumarate (4) via dehydrogenation.
Dehydrogenation converts FAD to FADH2.
Enzyme is located in inner mitochondrial membrane.
FADH2 is not released from the enzyme as the electrons are passed to Co-Q (complex 2) in the electron transport chain.
What does fumarase do?
L4 S10 LO2
Converts fumarate (4) to L-malate (4) via hydration of double bond.
What does malate dehydrogenase do?
L4 S10 LO2
Dehydrogenates malate (4) to form oxaloacetate (4) and H+.
Dehydrogenation converts NAD+ to NADH.
What enzymes of the citric acid cycle have regulatory mechanisms?
L4 S9;11 LO2
- pyruvate dehydrogenase
- citrate synthase
- isocitrate dehydrogenase
- α-ketogultarate dehydrogenase
All are inhibited by high [ATP]
What is Coenzyme A?
L4 LO3
Panini pg. 123, orange box
Derived from:
- pantothenic acid (vitamin B5)
- ATP
- cysteine
Used to activate acyl groups (C=O) using high energy thioester linkage
What enzynes and molecules regulate pyruvate dehydrogenase activity?
L4 S9 LO4
Phosphorylated PDC is inactive
PDC directly inactivated by:
-Acetyl CoA, NADH
Pyruvate dehydrogenase kinase (PDK), inactivating:
- stimulated by:
- Acetyl CoA, NADH, ATP
- inhibited by:
- CoA, NAD+, ADP
Pyruvate dehydrogenase phosphatase (PDP), activating:
- stimulated by:
- Ca2+, Mg2+
What is an anaplerotic reaction and what are the examples of anaplerotic reactions in the TCA cycle?
Under what conditions do they occur?
L4 S13 LO6
Fed conditions:
-carboxylation of pyruvate to form acetyl CoA
Starved conditions:
- degradation of amino acids
- glutamate (Gln/Pro/His/Arg) enters as α-ketoglutarate
- propionyl CoA (intermediate for Thr/Met/Ile/Val) enters as succinyl CoA
- Phe/Tyr/Asp enter as fumarate
What citric acid cycle intermediates are used in anabolic functions and what are they used to generate?
L4 S14 LO6
Citrate:
-fatty acids/isoprenoids
Malate:
-glucose
α-ketoglutarate:
-certain AAs
Oxaloacetate:
-certain AAs
What is the significance of thymaine (vitamin B1) deficiency?
L4 LO4
Panini pg. 129, blue box
Thyamine is used to make TPP which is a cofactor in PDC and α-ketoglutarate dehydrogenase.
Nutritional deficiency is called Beriberi.
Wernicker-Korsakoff syndrome is a deficiecny due to poor absorption as a result of alcoholism.
What effect does citrate have on enzyme function?
L4 LO5
Panini pg. 130, orange box
Citrate is indiciative of an ATP-rich state.
It inhibits PFK to prevent further production of ATP.
It activates acetyl CoA carboxylase promoting storage of energy as fat.
What are the differnt methods of uncoupling and what are examples?
L4 S35 LO11
Membrane damage:
- AraC
- AZT
Proton carriers:
- DNP
- Aspirin
Proton channels:
-UCP-1
How does NADH enter the mitochondria?
L4 S38-40 LO12
NADH is not permeable so it must be converted, transported, and then regenerated via…
Malate-aspartate shuttle (heart, liver, and kidneys)
Glycerophosphate shuttle (muslce and brain)
What is Luft’s disease?
L4 S42-44 LO13
Excessive uncoupling of oxidative phosphorylation resulting in dramatically increased BMR. First dx mitochondrial disease.
Acetyl CoA supply is obtained from the degradation of what nutrients?
1) Carbs:
Degraded from glucose which is oxidized to pyruvate
- Pyruvate is then decarboxylated via the PDH complex to generate A-CoA
Lipids:
-Fats stored as triacylglycerols in adipose tissues are degraded into FA which are then broken down into Acetyl-CoA units via Beta oxidation
Proteins:
- 7 ketogenic AA that are broken from proteins can be converted to acetyl Coa
- These include threonine, tryptophan, tyrosine, lysine, leucine, phenylalanine, and isoleucine
How is PDC regulated?
- (PDP) Pyruvate dehydrogenase phosphatase (activates the enzyme)
- (PDK) Pyruvate dehydrogenase kinase (deactivated the enzyme)
What stimulates and what inhibits PDC?
STIMULATED: -Ca2+ (cadiac muscle will inhibit PDK), Mg 2+ (alloesteically activates PDP)
- ADP, CoA, NAD, Pyruvate (ihibits PDK)
- Insulin (in adipose tissues) and cataholimines in cardiac muscles
INHIBITED: Acetyl CoA and NADH (activate PDK allosterically)
A-CoA, ATP, NADH all activate PDK
Aresnite (inhibits PDC by binding to lipoic acid in E2)
Explain PDC inhibition during fasting conditions:
Inhibition is favored under fasting conditions where levels of A-COA and NADH are high due to the oxidation of FA
neonatal lactic acidosis is caused by what?
Pyruvate dehydrogenase deficiency
- defects in PDC (particularly in E1)
- can be treated by vitamin B1 (B1 cofactor), Lipoic acid and biotin intake
- Treatment also includes dichloroacetate which is an inhibitor of PDK and serves to activate PDC
- ketogenic diet is recomended
Describe the effect of arsenite on lipoic acid
- lipoic acid subunit (E2) of the PDC is modified by arsenite (derivate of arsenic)
- Arsenite links to lipoic acids two sulfhydryl groups
- It is a suicide ihibitor that binds to thoil groups irreversibly and limits the avalibility of lipoic acid
- It will affect the PDC and other enzymes that use lipoic acid as a coenzyme (including alpha ketoglutarate dehydrogenase)
-Arsenic is a slow poison because it takes time to affect enough enzymes to become lethal
It builds up in the body and can be detected in hair
Explain Beriberi and Wernicke-Korsakoff syndrome
- nutritional deficiency condition in which the body does not have sufficient thiamine (vitamin B1)
- These conditions are diagnosed by measuring blood levels of thiamine.
- Treatment usually involves thiamine supplementation together with other water-soluble vitamins.
- Thiamine deficiency is commonly seen in alcoholics due to their poor nutrition and because ethanol tends to inhibit the absorption of thiamine.
- Thiamine deficiency in chronic alcoholics is termed Wernicke-Korsakoff syndrome.