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162       Metabolism



             Overview                                         coenzyme andATP derivedfrom itbyoxida-
                                                              tive phosphorylation. If acetyl CoA production
                                                              exceeds the energy requirements of the hepa-
             A. Fat metabolism
                                                              tocytes—as is the case when there is a high
             Fat metabolism in adipose tissue (top). Fats     level of fatty acids in the blood plasma (typical
             (triacylglycerols) are the most important en-    in hunger and diabetes mellitus)—then the
             ergy reserve in the animal organism. They are    excess is converted into ketone bodies (see
             mostly stored in insoluble form in the cells of  p. 312). These serve exclusively to supply
             adipose tissue—the adipocytes—where they         other tissues with energy.
             are constantly being synthesized and broken
             down again.                                         Fat synthesis in the liver (right). Fatty acids
                                                              andfatsare mainly synthesizedin the liver
                As precursors for the biosynthesis of fats    and in adipose tissue, aswell asin the kid-
             (lipogenesis), the adipocytes use triacylgly-    neys, lungs, and mammary glands. Fatty acid
             cerols from lipoproteins (VLDLs and chylomi-     biosynthesis occurs in the cytoplasm—in con-
             crons; see p. 278), which are formed in the      trast to fatty acid degradation. The most im-
             liver and intestines and delivered by the        portant precursor is glucose,but certain
             blood. Lipoprotein lipase [1], which is located  aminoacids can alsobe used.
             on the inner surface of the blood capillaries,      The first step is carboxylation of acetyl CoA
             cleaves these triacylglycerols into glycerol     to malonyl CoA. Thisreaction iscatalyzed by
             and fatty acids, which are taken up by the       acetyl-CoA carboxylase [5], which is the key
             adipocytes and converted back into fats.         enzyme in fatty acid biosynthesis. Synthesis
                The degradation of fats (lipolysis) is cata-  into fatty acids is carried out by fatty acid
             lyzed in adipocytes by hormone-sensitive         synthase [6]. This multifunctional enzyme
             lipase [2]—an enzyme that is regulated by        (see p. 168) starts with one molecule of ace-
             various hormones by cAMP-dependent inter-        tyl-CoA and elongates it by adding malonyl
             conversion (see p. 120). The amount of fatty     groups in seven reaction cycles until palmi-
             acids released depends on the activity of this   tate is reached. One CO 2 molecule is released
             lipase; in this way, the enzyme regulates the    in each reaction cycle. The fatty acid therefore
             plasma levels of fatty acids.                    growsbytwo carbon unitseach time.
                In the blood plasma, fatty acids are trans-   NADPH+H   +  is used as the reducing agent
             ported in free form—i. e., non-esterified. Only  and is derived either from the pentose phos-
             short-chain fatty acids are soluble in the       phate pathway (see p. 152) or from isocitrate
             blood; longer, less water-soluble fatty acids    dehydrogenase and malic enzyme reactions.
             are transported bound to albumin.                   The elongation of the fatty acid by fatty acid
                                                              synthase concludes at C 16 ,and theproduct,
                Degradation of fatty acids in the liver (left).  palmitate (16:0), is released. Unsaturated
             Many tissues take up fatty acids from the        fatty acids and long-chain fatty acids can arise
             blood plasma in order to synthesize fats or      from palmitate in subsequent reactions. Fats
             to obtain energy by oxidizing them. The me-      are finally synthesized from activated fatty
             tabolism of fatty acids is particularly intensive  acids (acyl CoA) and glycerol 3-phosphate
             in the hepatocytes in the liver.                 (see p. 170). To supply peripheral tissues,
                The most important process in the degra-      fats are packed by the hepatocytes into lipo-
             dation of fatty acids is E-oxidation—a meta-     protein complexes of the VLDL type and re-
             bolic pathway in the mitochondrial matrix        leased into the blood in this form (see p. 278).
             (see p. 164). Initially, the fatty acids in the
             cytoplasm are activated by binding to coen-
             zyme A into acyl CoA [3]. Then, with the help
             of a transport system (the carnitine shuttle
             [4]; seep. 164), theactivated fattyacids enter
             the mitochondrial matrix, where they are
             brokendowninto acetyl CoA.The resulting
             acetyl residues can be oxidized to CO 2 in the
             tricarboxylic acid cycle, producing reduced


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