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ATP accounting problems

Worked problems: https://youtu.be/opKSv9-DiAE


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Key points about lipid metabolism:

  • All tissues need fatty acids for various purposes: use as fuel, incorporation into membranes, production of steroids, etc. But “only” liver cells (hepatocytes) & fat cells (adipocytes) can make them
  • The liver & adipocytes make fatty acids, store them (as triacylglycerides (TAGs)), & ship them out to other tissues in need.
    • These fatty acids have to be “mobilized” from triacylglycerides (TAG) stores, as described below
  • Fatty acids are made from acetyl-CoA (2 carbon (2C)) and broken down to acetyl-CoA (and one propionyl-CoA (3C) per odd-chain fatty acid)
  • Fatty acid synthesis occurs (mostly*) in the cytoplasm of liver & fat cells and is a key user of NADPH (which can be made through the pentose phosphate pathway (PPP)
    • *some in mitochondria
    • Because acetyl-CoA can’t get through the mitochondrial membranes, citrate, not acetyl-CoA, is removed from the mitochondria to make fats – it is subsequently broken down back to acetyl-CoA by ATP-citrate lyase
  • Fatty acid breakdown occurs in most tissues & takes place (mostly*) in the mitochondria in a process called β-oxidation
    • *very long ones (>20C) are initially via a hydrogen-peroxide mediated process in peroxisomes
  • Synthesis & breakdown are reciprocally regulated
    • Key regulatory points are:
      • Synthesis: acetyl-CoA carboxylase (ACC), which activates acetyl-CoA for incorporation
      • Breakdown: carnitine-acyltransferase 1 (CAT-1/CPT-1), which allows fatty acids into the mitochondria for breakdown
        • Might see written as CPT-1 for “carnitine palmitoyltransferase”

Fat mobilization

  • Cells take up fatty acids, not TAGs, for use as fuel, so fatty acids need to be cleaved off of the glycerol backbone (by lipases) for uptake & subsequent use
    • Fatty acids are delivered from liver cells to tissues packaged as TAGs, bundled up with phospholipids, cholesterol, & other hydrophobic stuff in the interior of lipid-coated “bubbles” called lipoproteins
      • The fatty acids are freed from TAGs for uptake by other tissues through the action of lipoprotein lipase on the surface of blood vessels
    • Fatty acids from adipocytes are delivered as fatty acids, not in lipoproteins
      • Since fatty acids are hydrophobic, these travel through the bloodstream by piggybacking on proteins like serum albumin that have hydrophobic binding patches
  • Hormone-sensitive lipase, activated by adrenaline & glucagon (hormone signaling low blood sugar), breaks fatty acids off of TAGs inside of fat & liver cells (as opposed to lipoprotein lipase, which acts extracellularly to get fatty acids into cells)
    • This helps “mobilize” fuel stores for breakdown for energy inside the cell or shipping out to other cells

Fatty acid synthesis

  • Fatty acid synthesis occurs (mostly*) in the cytoplasm of liver & fat cells and is a key user of NADPH (which can be made through the pentose phosphate pathway (PPP)
    • *some in mitochondria
  • Because acetyl-CoA can’t get through the mitochondrial membranes, citrate, not acetyl-CoA, is removed from the mitochondria to make fats – it is subsequently broken down back to acetyl-CoA by ATP-citrate lyase
  • Fatty acids are built by a multifunctional protein called fatty acid synthase (FAS), 2C at a time, from 3C intermediates (malonyl-CoA)
    • See diagram for details
    • Malonyl-CoA is made by carboxylation (from bicarb) of acetyl-CoA by acetyl-CoA carboxylase (ACC)
      • this step activates acetyl-CoA by making a β-keto acid (energetically-favorable to subsequently decarboxylate once linked on to the chain)
        • the carbon that is added 
      • key site of regulation
        • activated by citrate (feed-forward stimulation) & insulin (via activation of a phosphatase)
        • inhibited by palmitoyl-CoA (feedback inhibition) & phosphorylation via PKA (stimulated by glucagon & epinephrine) or AMPK (stimulated by high AMP levels)
        • malonyl-CoA itself (a signal of lipid synthesis) is an inhibitor of CAT-1/CPT-1, the transporter that lets fatty acids into mitochondria for breakdown
    • It costs 1 ATP & 2 NADPH per 2C added
    • The “default” fatty acid is a 16C saturated fatty acid, palmitate, which gets cleaved off of FAS by the thioesterase subunit of FAS
      • Longer fatty acids & unsaturated fatty acids can be made via elongation & desaturation in the ER

Fatty acid catabolism

  • Occurs in the mitochondria via β-oxidation
  • Key regulatory point is carnitine-acyl transferase 1 (CPT-1/CAT-1), which lets fatty acids into mitochondria for breakdown
    • inhibited by malonyl-CoA, which prevents breakdown of fatty acids as you’re making them
  • β-oxidation breaks down fatty acids 2C at a time. Each cycle cuts off an acetyl-CoA & produces 1 NADH & 1 FADH. These can be used to make ATP.
    • You get 1 NADH & 1 FADH2 per 2C you break off (as acetyl-CoA) – can be used for oxphos to make ATP
    • Odd-chain fatty acids are left with a 3C propionyl-CoA which gets converted to succinyl-CoA, which can be used in the TCA
      • you can make glucose sustainably from odd-chain fatty acids (they’re glucogenic), but not even-chain ones (which are only ketogenic)
    • see diagrams for details

Before you can do β-oxidation, you have to invest some energy, and then you have to sneak them into the mitochondria

Activation: Fatty acyl-CoA synthetase/ligase (ACS) activates fatty acids for breakdown by attaching a CoA.

  • Because it goes from ATP to AMP (not ADP), this is equivalent to costing 2 ATP.

Carnitine shuttle:

  1. The fatty acid, still in the cytoplasm, is then handed from CoA to carnitine by carnitine acyltransferase 1 (CAT-1/CPT-1)
  2. The fatty acid (now attached to carnitine) is then transported into the mitochondrial matrix by carnitine-acylcarnitine translocase (which also brings a carnitine back to the cytoplasm)
  3. The hand-off is reversed in the mitochondria by CAT-2 
  4. The fatty acyl-CoA can then be broken down by β-oxidation.

Ketone bodies

  • When Co-A builds up, the last step reverses itself, followed by a couple other enzymatic steps, resulting in the formation of ketone bodies (acetoacetate, β-hydroxybutyrate, acetone) (see diagrams)
    • This can happen in the case of diabetes, where there’s not enough oxaloacetate to keep the TCA running because glucose can’t get taken in & used efficiently
    • This can happen in the case of ethanol intoxication because NADH builds up from ethanol oxidation and inhibits the TCA
  • Ketone bodies, as carboxylic acids, can acidify the bloodstream – ketoacidosis
  • Ketone bodies aren’t all bad though – since they’re soluble, they can provide energy to tissues like the brain (which can’t make use of fatty acids for energy thanks to the blood brain barrier, etc.)

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