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146       Metabolism



             Respiration and fermentation                     ylic acid cycle and the pyruvate dehydro-
                                                              genase reaction (see p. 144). β-Oxidation
                                                              and the malate shuttle, which are dependent
             A. Aerobic and anaerobic oxidation of                        +
                                                              on free NAD , also come to a standstill. Since
             glucose
                                                              amino acid degradation is also no longer able
             In thepresenceof oxygen (i. e.,in aerobic        to contribute to energy production, the cell
             conditions), most animal cells are capable of    becomes totally dependent on ATP synthe-
             “respiring” various types of nutrient (lipids,   sized via the degradation of glucose by
             amino acids, and carbohydrates)—i. e., using     glycolysis. For this process to proceed contin-
                                                                                    +
             oxidative processes to break them down com-      uously, the NADH+H formed in the cyto-
             pletely. If oxygen is lacking (i. e., in anaerobic  plasm has to be constantly reoxidized. Since
             conditions), only glucose can be used for ATP    this can no longer occur in the mitochondria,
             synthesis. Although in these conditions glu-     in anaerobic conditions animal cells reduce
             cose breakdowninanimals already ends in          pyruvate to lactate and pass it into the blood.
             lactate and only produces small quantities of    This type of process is called fermentation
             ATP, it is decisively important for the survival  (see p. 148). The ATP yield is low, with only
             of cells at times of oxygen deficiency.          two ATPs per glucose arising during lactate
                                                              synthesis.
                In aerobic conditions (left), ATP is derived
             almost exclusively from oxidative phosphor-         To estimate the number of ATP molecules
             ylation (see p. 140). Fatty acids enter the mi-  formed in an aerobic state, it is necessary to
             tochondria with the help of carnitine (see       know the P/O quotient—i. e., the molar ratio
             p. 164),and arebrokendownthere into CoA-         between synthesized ATP (“P”) and the water
             bound acetyl residues. Glucose is converted      formed (“O”). During transport of two elec-
                                                                                  +
             into pyruvate by glycolysis (see p. 150) in the  trons from NADH+H to oxygen, about 10 pro-
             cytoplasm. Pyruvate is then also transported     tons are transported into the intermembrane
             into the mitochondrial matrix, where it is       space, while from ubiquinol (QH 2 ), the num-
             oxidatively decarboxylated by the pyruvate       ber is only six. ATP synthase (see p. 142) prob-
                                                                                   +
             dehydrogenase complex (see p. 134) to yield      ably requires three H to synthesize one ATP,
             acetyl-CoA. The reducing equivalents (2          so that maximum P/O quotients of around 3
                      +
             NADH+H per glucose) that arise in glycolysis     or 2 are possible. This implies a yield of up to
             enter the mitochondrial matrix via the malate    38 ATP per mol of glucose. However, the ac-
             shuttle (see p. 212). The acetyl residues that   tual value is much lower. It needs to be taken
             are formed are oxidized to CO 2 in the tricar-   into account that the transport of specific me-
             boxylic acid cycle (see p. 136). Breakdown of    tabolites into the mitochondrial matrix and
             amino acids also produces acetyl residues or     the exchange of ATP   4–  for ADP 3–  are also
             products that can directly enter the tricarbox-  driven by the proton gradient (see p. 212).
             ylic acid cycle(seep. 180). Thereducing          TheP/O quotients for theoxidation of
                                                                       +
             equivalents that are obtained are transferred    NADH+H and QH 2 are therefore more in the
             to oxygen via the respiratory chain as re-       range of 2.5 and 1.5. If the energy balance of
             quired. In the process, chemical energy is re-   aerobicglycolysisiscalculatedon thisbasis,
             leased, which is used (via a proton gradient)    the result is a yield of around 32 ATP per
             to synthesize ATP (see p. 140).                  glucose. However, this value is also not con-
                                                              stant, and can be adjusted as required by the
                In the absence of oxygen—i. e., in anaerobic  cell’s own uncouplers (UCPs; see p. 144) and
             conditions—the picture changes completely.       other mechanisms.
             Since O 2 is missing as the electron acceptor
                                                +
             for the respiratory chain, NADH+H and QH 2
             can no longer be reoxidized. Consequently,
             not only is mitochondrial ATP synthesis
             halted, but also almost the whole metabolism
             in the mitochondrial matrix. The main reason
                                           +
             forthisisthe high NADH+H concentration
                             +
             and lack of NAD , which inhibit the tricarbox-

           Koolman, Color Atlas of Biochemistry, 2nd edition © 2005 Thieme
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