Human Metabolism. Keith N. Frayn

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for glucose, and in the face of limited glycogen storage in starvation this is met by protein catabolism.

      Passage of carbohydrate carbon through PDH represents an irreversible ‘gate’ through which the carbon cannot gain re-entry, committing carbohydrate to energy provision, either by immediate oxidation of acetyl-CoA, or by storage of the acetyl-CoA as lipid (fatty acid, triacylglycerol) for reconversion back to acetyl-CoA and oxidation at a later date (e.g. in subsequent starvation); this is the reason why PDH is such a highly regulated enzyme – it represents the major control point between carbohydrate and lipid metabolism (Figure 1.13).

      1.3.1.4 Tricarboxylic acid (TCA) cycle

      In the TCA cycle (Box 1.5), the 2-carbon acetyl group of acetyl-CoA combines with oxaloacetate (4 carbons) to form the 6-carbon compound citrate (a TCA, hence the name of the cycle; it is also referred to as the citrate cycle or Krebs cycle). The citrate undergoes two decarboxylation reactions, yielding both the two carbon dioxides and 2 NADH (‘oxidative decarboxylation’ reactions), to form succinyl-CoA (4 carbons). The remainder of the cycle concerns regenerating oxaloacetate from the succinyl-CoA: this process involves the (substrate-level) phosphorylation of GDP to GTP and two further oxidations, yielding the FADH2 and the third NADH, together with the oxaloacetate.

Figure shows pathways of glucose metabolism inside the cell. The pathways of glucose, or carbohydrate, metabolism are shown with the key regulatory and energy-yielding steps marked. Glycolysis, or splitting of glucose, is the major top-to-bottom pathway, and it results in two pyruvate molecules; that is, fructose 1,6-bisphosphate is split, and the products are doubled.

      Acetyl-CoA is oxidised by losing electrons (H ions) and ends up as CO2. The electrons are captured by NAD+ and FAD to become their reduced forms, NADH and FADH2 (and they will in turn pass these electrons on to other electron carriers in the electron transport chain, becoming re-oxidised themselves and ready for further electron carriage). This is achieved in a step-wise fashion by the TCA or Krebs cycle. In addition, as part of the controlled release of energy, one of the steps of the TCA cycle does not have sufficient energy to reduce NAD+ or FAD but does have sufficient energy to phosphorylate GDP to GTP. One acetyl-CoA molecule reduces one FAD and three NAD+ molecules.

      The stoichiometry is precise, such that both the carbons of the acetyl group are oxidised (though as shown by radiolabelling experiments, not the actual two carbon atoms that entered the cycle), hence all their useful energy is extracted, resulting in two carbon dioxide molecules as ‘waste’ products. The NADH and FADH2 will subsequently be re-oxidised by passing on the electron(s) they carry down the redox proteins of the electron transport chain, regenerating NAD+ and FAD in the process for further electron carriage; by coupling this sequential oxidation-reduction to phosphorylation of ADP to ATP (‘oxidative phosphorylation’), a common energy carrier for diverse cellular functions (ATP) is synthesised (see below).

      1.3.1.5 Electron transport chain

      The final stage of energy production is the synthesis of ATP by phosphorylation of ADP, coupled to the re-oxidation of NADH and FADH2 to permit further electron carriage to occur (oxidative phosphorylation). The energy is now carried in the phosphoanhydride bonds of the phosphate groups of ATP; these are commonly called ‘high energybonds (see Box 1.6).

      The term ‘high-energy bond’ is not strictly accurate. They are not ‘special’ bonds, but rather they release their free energy when hydrolysed. They may be denoted ∼, and it can be seen that ADP can act as a source of energy when its terminal phosphate group is hydrolysed to AMP.

       AMP: Ad-P

       ADP: Ad-P∼P

       ATP: Ad-P∼P∼P

      ADP has a special role in bioenergetics because beside acting as a (limited) energy source in its own right, its availability is one factor that regulates the rate of ATP synthesis.

      A close structural analogue of adenosine triphosphate (ATP) is guanosine triphosphate (GTP) which also carries energy. The presence of these two forms of energy carriage likely represents a form of metabolic compartmentation, separating pathways by their molecular preferences. GTP also has a function in regulation, especially in signal transduction involving G-proteins.

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