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144       Metabolism



             Regulation                                       to theinnermembrane(1) or by lipid-soluble
                                                              substances   that   can   transport  protons
             Theamountof nutrientdegradation andATP           through   the   membrane,     such   as  2,4-
             synthesis have to be continually adjusted to     dinitrophenol (DNP, 2). Thermogenin (uncou-
             the body’s changing energy requirements.         pling protein-1, UCP-1, 3)—an ion channel
             The need to coordinate the production and        (see p. 222) in mitochondria of brown fat tis-
             consumption of ATP is already evident from       sue—is a naturally occurring uncoupler.
             thefactthatthe total amounts of coenzymes        Brownfat is found, for example,innewborns
             in the organism are low. The human body          and in hibernating animals, and serves exclu-
             forms about 65 kg ATP per day, but only con-     sively to generate heat. In cold periods, nor-
             tains 3–4 g of adenine nucleotides (AMP, ADP,    epinephrine activates the hormone-sensitive
             and ATP). Each ADP molecule therefore has to     lipase (see p. 162). Increased lipolysis leads
             be phosphorylated to ATP and dephosphory-        to the production of large quantities of free
                                                                                               +
             lated again many thousand times a day.           fatty acids. Like DNP, these bind H ions in the
                                                              intermembrane space, pass the UCP in this
                                                              form, and then release the protons in the
             A. Respiratory control
                                                              matrix again. This makes fatty acid degrada-
             The simple regulatory mechanism which en-        tion independent of ADP availability—i. e., it
             sures that ATP synthesis is “automatically”      takes place at maximum velocity and only
             coordinated with ATP consumption is known        produces heat (A). It is becoming increasingly
             as respiratory control.It is based on the fact   clear that there are also UCPs in other cells,
             that the different parts of the oxidative phos-  whichare controlled by hormones suchas
             phorylation process are coupled via shared       thyroxine (see p. 374). This regulates the
             coenzymes and other factors (left).              ATP yield and what is known as the basal
                If a cell is not using any ATP, hardly any ADP  metabolic rate.
             will be available in the mitochondria. Without
             ADP, ATP synthase (3)is unable to break down
             the proton gradient across the inner mito-       C. Regulation of the tricarboxylic acid cycle
             chondrial membrane. This in turn inhibits        The most important factor in the regulation of
                                                                                         +
             electron transport in the respiratory chain      the cycle is the NADH/NAD ratio. In addition
                                             +
             (2), which means that NADH+H can no lon-         to pyruvate dehydrogenase (PDH) and oxoglu-
                                      +
             ger be reoxidized to NAD . Finally, the result-  tarate dehydrogenase (ODH; see p. 134), cit-
                                  +
             ing high NADH/NAD ratio inhibits the tricar-     rate synthase and isocitrate dehydrogenase are
                                                                                   +
             boxylic acid cycle (C), and thus slows down      also inhibited by NAD deficiency or an excess
                                                                         +
             the degradation of the substrate SH 2 (1). Con-  of NADH+H . With the exception of isocitrate
             versely, high rates of ATP utilization stimulate  dehydrogenase, these enzymes are also sub-
             nutrient degradation and the respiratory         ject to product inhibition by acetyl-CoA, suc-
             chain via the same mechanism.                    cinyl-CoA, or citrate.
                If the formation of a proton gradient is         Interconversion processes (see p. 120) also
             prevented (right), substrate oxidation (1)       play an important role. They are shown here
             and electron transport (2)proceed much           in detail using the example of the PDH com-
             more rapidly. However, instead of ATP, only      plex (see p. 134). The inactivating protein
             heat is produced.                                kinase [1a] is inhibited by the substrate pyru-
                                                              vate and is activated by the products acetyl-
                                                                                +
                                                              CoA and NADH+H .The protein phosphatase
             B. Uncouplers
                                                              [1b]—like isocitrate dehydrogenase [3] and the
                                                                                                  2+
             Substances that functionally separate oxida-     ODH complex [4]—is activated by Ca .This is
             tion and phosphorylation from one another        particularly important during muscle con-
             are referred to as uncouplers. They break        traction, when large amounts of ATP are
             down the proton gradient by allowing H       +   needed. Insulin also activates the PDH com-
             ions to pass from the intermembrane space        plex (through inhibition of phosphorylation)
             back into the mitochondrial matrix without       and thereby promotes the breakdown of glu-
             the involvement of ATP synthase. Uncoupling      cose and its conversion into fatty acids.
             effects are produced by mechanical damage


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