BCM 313 20222023 Main
BCM 313 20222023 Main
Fatty acids can be define as a carboxylic acid with an aliphatic hydrocarbon chain that is
either saturated or unsaturated. They are the building blocks of the fat in our bodies and in the
food we eat. 3 molecules of fatty acids reacts with glycerol to form fat (triglycerides) in
esterification reaction. During digestion, the body breaks down fats into fatty acids, which can
then be absorbed into the blood. Fatty acids can be classified based on length of hydrocarbon,
presence of alkene group, based on even and odd chain, essential and non-essential amino acid
Triacylglycerols (fats) are the most abundant source of energy and provide energy twice as much
as carbohydrates and proteins. This is achieved because the fatty acids which are present in the
triacylglycerols are already in the reduced form. To convert fats into energy, the fatty acids of the
digested fats or the stored fats (have to be first activated and transported to the mitochondrial
matrix as all the enzymes required for metabolism (oxidation) are present there
Fatty acid oxidation is the mitochondrial aerobic process of breaking down a fatty acid into
acetyl-CoA units. Fatty acids released in the digestion of triglycerides and other lipids are
broken down in a series of sequential reactions accompanied by the gradual release of usable
energy. Some of these reactions are oxidative and require nicotinamide adenine dinucleotide
(NAD+) and flavin adenine dinucleotide (FAD). The enzymes that participate in fatty acid
catabolism are located in the mitochondria, along with the enzymes of the citric acid cycle, the
electron transport chain, and oxidative phosphorylation. This localization of enzymes in the
mitochondria is of the utmost importance because it facilitates efficient utilization of energy
stored in fatty acids and other molecules.
Fatty acid oxidation is initiated on the outer mitochondrial membrane. To be oxidized, they must
be transported to the mitochondria matrix by attaching a coenzyme A to it. Therefore the fatty
acids must first be activated by conversion to an energy-rich fatty acid derivative of coenzyme A
called fatty acyl-coenzyme A (CoA). The activation is catalyzed by acyl-CoA synthetase. For
each molecule of fatty acid activated, one molecule of coenzyme A and one molecule of
adenosine triphosphate (ATP) are used, equaling a net utilization of the two high-energy bonds
in one ATP molecule (which is therefore converted to adenosine monophosphate [AMP] rather
than adenosine diphosphate [ADP]):
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The fatty acyl-CoA combines with a carrier molecule called carnitine in the cytosol to form
acyl-carnitine diffuses to the inner mitochondrial membrane in a reaction catalyzed by carnitine
acyltransferase 1 and the translocase in the inner mitochondrial membrane transported it to
mitochondrial matrix where it is converted back to the fatty acyl-CoA by carnitine acyltransferase
2.
Role of carnitine in the transport of Acyl-CoA from cytosol to the mitochondrial matrix.
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Further oxidation of the fatty acyl-CoA occurs in the mitochondrial matrix via a sequence of four
reactions known collectively as β-oxidation because the β-carbon undergoes successive
oxidations in the progressive removal of two carbon atoms from the carboxyl end of the fatty
acyl-CoA. The process involves dehydrogenation, hydration, oxidation and thiolysis.
The first step in the catabolism of fatty acids is the formation of an alkene in an oxidation
reaction catalyzed by acyl-CoA dehydrogenase. In this reaction, the coenzyme FAD accepts two
hydrogen atoms from the acyl-CoA, one from the α-carbon and one from the β-carbon, forming
reduced flavin adenine dinucleotide (FADH 2) that supplies energy to form 1.5–2 molecules of
ATP.
Next, the alkene is hydrated to form a secondary alcohol in a reaction catalyzed by enoyl-CoA
hydratase.
The final reaction is cleavage of the β-ketoacyl-CoA by a molecule of coenzyme A. The products
are acetyl-CoA and a fatty acyl-CoA that has been shortened by two carbon atoms. The reaction
is catalyzed by thiolase.
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Calculation of Energy of
7 NADH= 7×2=14 ATP
7 FADH = 7×2= 14 ATP
9 acetyl COA = 9×12=108
Total =143 ATP
2 ATP used for fatty acid activation= -2
Net total= 143-2=141 ATP
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Assignment
Succinctly write on short chain fatty acids and their biochemical relevance?
KETONE BODIES
The two main ketone bodies are acetoacetate and 3-beta-hydroxybutyrate (3HB), while acetone
is the third, and least abundant, ketone body. Ketones are always present in the blood and their
levels increase during fasting and prolonged exercise.
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In the liver, most of the acetyl-CoA obtained from fatty acid oxidation is oxidized by the citric
acid cycle. However, under certain metabolic conditions such as starvation or diabetes
mellitus, the rate of fatty acid oxidation increases to provide energy. This leads to an increase in
the concentration of acetyl-CoA. The increased acetyl-CoA cannot be oxidized by the citric acid
cycle because of a decrease in the concentration of oxaloacetate, which is diverted to glucose
synthesis. Therefore, some of the acetyl-CoA is used to synthesize a group of compounds
known as ketone bodies: acetoacetate, β-hydroxybutyrate, and acetone. Two acetyl-CoA
molecules combine, in a reversal of the final step of β-oxidation, to produce acetoacetyl-CoA.
The acetoacetyl-CoA reacts with another molecule of acetyl-CoA and water to form β-hydroxy-
β-methylglutaryl-CoA, which is then cleaved to acetoacetate and acetyl-CoA. Most of the
acetoacetate is reduced to β-hydroxybutyrate, while a small amount is decarboxylated to carbon
dioxide and acetone.
The acetoacetate and β-hydroxybutyrate synthesized by the liver are released into the blood for
use as a metabolic fuel (to be converted back to acetyl-CoA) by other tissues, particularly the
kidney and the heart. Thus, during prolonged starvation, ketone bodies provide about 70% of the
energy requirements of the brain. Under normal conditions, the kidneys excrete about 20 mg of
ketone bodies each day, and the blood levels are maintained at about 1 mg of ketone bodies per
100 mL of blood.
In starvation, diabetes mellitus, and certain other physiological conditions in which cells do not
receive sufficient amounts of carbohydrate, the rate of ketone body formation in the liver
increases further, to a level much higher than can be used by other tissues. The excess ketone
bodies accumulate in the blood and the urine, a condition referred to as ketosis. When the
acetone in the blood reaches the lungs, its volatility causes it to be expelled in the breath. The
sweet smell of acetone, a characteristic of ketosis, is frequently noticed on the breath of severely
diabetic patients.
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Ketogenesis Pathway
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Ketosis
Ketosis is a metabolic state that your body enters when it turns fat for energy instead of
glucose. When the rate of synthesis of ketone bodies exceeds the rate of
utilization, their concentration in blood increases, this is known as
ketonemia. This is followed by ketonuria – excretion of ketone bodies in
urine. So the concept of ketonemia and ketonuria is commonly referred
to as ketosis. Smell of acetone in breathe is a common feature of
ketosis. It is most commonly associated with following conditions
Starvation: Starvation is accompanied by increased degradation of
fatty acids to meet energy needs of the body. This causes an
overproduction of acetyl-CoA which cannot be entirely handled by TCA
or citric acid cycle. Furthermore, TCA cycle is impaired due to
deficiency of oxaloacetate, since most of it is diverted for glucose
synthesis (gluconeogenesis) to meet the essential requirements (often
unsuccessful) for tissues like brain. The result is an accumulation of
acetyl-CoA and overproduction of ketone bodies leading to ketosis.
Diabetes Mellitus type I (Insulin Dependent):
1. Hyperglycaemia occurs due to decreased glucose uptake in fat and
muscle cells due to insulin deficiency
2. Lipolysis in fat cells now occurs promoted by the insulin deficiency
releasing Free fatty acids (FFA) into the blood which provide substrate
to the liver
3. A switch in hepatic lipid metabolism occurs due to the insulin
deficiency and the glucagon excess, so the excess FFA is metabolised
resulting in excess production of acetyl CoA
4. The excess hepatic acetyl CoA (remaining after saturation of TCA
cycle) is converted to ketone bodies which are released into the blood
5. Ketoacidosis and hyperglycaemia both occur due to the lack of insulin
and the increase in glucagon and most of the clinical effects follow
from these two factors
Ketogenolysis