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Chapter 25

Chapter 25

                                    Metabolism and Nutrition

 

                                    Suggested Lecture Outline

INTRODUCTION

 

 

 

      The food we eat is our only source of energy for performing biological work.

      There are three major metabolic destinations for the principle nutrients. They will be used for energy for active processes, synthesized into structural or functional molecules, or synthesized as fat or glycogen for later use as energy.

METABOLIC REACTIONS

      Metabolism refers to all the chemical reactions in the body.

      Catabolism includes all chemical reactions that break down complex organic molecules while anabolism refers to chemical reactions that combine simple molecules to form complex molecules.

      The chemical reactions of living systems depend on transfer of manageable amounts of energy from one molecule to another.  This transfer is usually performed by ATP (Figure 25.1).

ENERGY TRANSFER

      All molecules (nutrient molecules included) have energy stored in the bonds between their atoms.

Oxidation-Reduction Reactions

      Oxidation is the removal of electrons from a molecule and results in a decrease in the energy content of the molecule. Because most biological oxidations involve the loss of hydrogen atoms, they are called dehydrogenation reactions.

      When a substance is oxidized, the liberated hydrogen atoms do not remain free in the cell but are transferred immediately by coenzymes to another compound.

      Reduction is the opposite of oxidation, that is, the addition of electrons to a molecule and results in an increase in the energy content of the molecule.

Coenzymes

      Two coenzymes are commonly used by living cells to carry hydrogen atoms: nicotinamide adenine dinucleotide (NAD) and flavin adenine dinucleotide (FAD).

      An important point to remember about oxidation-reduction reactions is that oxidation is usually an energy-releasing reaction.

Mechanisms of ATP Generation

      Phosphorylation is

   bond attaching 3rd phosphate group contains stored energy      

      Mechanisms of phosphorylation

   within animals

   substrate-level phosphorylation in cytosol

   oxidative phosphorylation in mitochondria

   in chlorophyll-containing plants or bacteria

   photophosphorylation.

Phosphorylation in Animal Cells

       In cytoplasm (1)

       In mitochondria (2, 3 & 4)

CARBOHYDRATE METABOLISM

      During digestion, polysaccharides and disaccharides are converted to monosaccharides (primarily glucose)

   absorbed through capillaries in villi

   transported to the liver via the hepatic portal vein

      Liver cells convert much of the remaining fructose and practically all of the galactose to glucose

   carbohydrate metabolism is primarily concerned with glucose metabolism.

Carbohydrate Review

      In GI tract

   polysaccharides broken down into simple sugars

   absorption of simple sugars (glucose, fructose & galactose)

      In liver

   fructose & galactose transformed into glucose

   storage of glycogen (also in muscle)

      In body cells --functions of glucose

   oxidized to produce energy

   conversion into something else

   storage energy as triglyceride in fat

 

Fate of Glucose

      Since glucose is the body’s preferred source for synthesizing ATP, the fate of absorbed glucose depends on the energy needs of body cells.

      If the cells require immediate energy, glucose is oxidized by the cells to produce ATP.

Fate of Glucose

      Glucose can be used to form amino acids, which then can be incorporated into proteins.

      Excess glucose can be stored by the liver and skeletal muscles as glycogen, a process called glycogenesis.

      If glycogen storage areas are filled up, liver cells and fat cells can convert glucose to glycerol and fatty acids that can be used for synthesis of triglycerides (neutral fats) in the process of lipogenesis.

Glucose Movement into Cells

      Glucose absorption in the GI tract is accomplished by secondary active transport (Na+ - glucose symporters).

      Glucose movement from blood into most other body cells occurs via facilitated diffusion transporters (Gly-T molecules). Insulin increases the insertion of Gly-T molecules into the plasma membranes, thus increasing the rate of facilitated diffusion of glucose.

      Glucose is trapped in the cell when it becomes phosphorylated.

   Concentration gradient remains favorable for more glucose to enter

Glucose Movement into Cells

      In GI tract and kidney tubules

   Na+/glucose symporters

      Most other cells

   GluT facilitated diffusion transporters

    insulin increases the insertion of GluT transporters in the membrane of most cells

   in liver & brain, always lots of GluT transporters

      Glucose 6-phosphate forms immediately inside cell (requires ATP) thus, glucose is “hidden” when it is in the cell.

   Concentration gradient remains favorable for more glucose to enter.

Glucose Catabolism

Glucose Oxidation

      Cellular respiration

   4 steps are involved

   glucose + O2 produces
H2O + energy + CO2

 

      Anaerobic respiration

   called glycolysis (1)

   formation of acetyl CoA (2)
is transitional step to Krebs cycle

      Aerobic respiration

   Krebs cycle (3) and electron transport chain (4)

Glycolysis

      Glycolysis refers to the breakdown of the six-carbon molecule, glucose, into two three-carbon molecules of pyruvic acid.

   10 step process occurring in cell cytosol

   use two ATP molecules, but produce four, a net gain of two (Figure 25.3).

Glycolysis in Ten Steps

Glycolysis of Glucose & Fate of Pyruvic Acid

      Breakdown of six-carbon glucose molecule into 2 three-carbon molecules of pyruvic acid

   Pyruvic acid is converted to acetylCoA, which enters the Kreb’s Cycle.

   The Kreb’s Cycle will require NAD+

   NAD+ will be reduced to the high-energy intermediate NADH.

Glycolysis of Glucose & Fate of Pyruvic Acid

When O2 falls short in a cell

   pyruvic acid is reduced to lactic acid

   coupled to oxidation of NADH to NAD+

   NAD+ is then available for further glycolysis

   lactic acid rapidly diffuses out of cell to blood

   liver cells remove lactic acid from blood & convert it back to pyruvic acid

Pyruvic Acid

      The fate of pyruvic acid depends on the availability of O2.

 Formation of Acetyl Coenzyme A

      Pyruvic acid enters the  mitochondria with help of transporter protein

      Decarboxylation

  pyruvate dehydrogenase converts 3 carbon pyruvic acid to 2 carbon fragment acetyle group plus CO2.

 

 Formation of Acetyl Coenzyme A

      2 carbon fragment (acetyl group) is attached to  Coenzyme A to form Acetyl coenzyme A, which enter Krebs cycle

   coenzyme A is derived from pantothenic acid (B vitamin).

Krebs Cycle

      The Krebs cycle is also called the citric acid cycle, or the tricarboxylic acid (TCA) cycle. It is a series of biochemical reactions that occur in the matrix of mitochondria (Figure 25.6).

Krebs Cycle

Krebs Cycle

      The large amount of chemical potential energy stored in intermediate substances derived from pyruvic acid is released step by step.

      The Krebs cycle involves decarboxylations and oxidations and reductions of various organic acids.

      For every two molecules of acetyl CoA that enter the Krebs cycle, 6 NADH, 6 H+, and 2 FADH2 are produced by oxidation-reduction reactions, and two molecules of ATP are generated by substrate-level phosphorylation (Figure 25.6).

      The energy originally in glucose and then pyruvic acid is primarily in the reduced coenzymes NADH + H+ and FADH2.

Krebs Cycle (Citric Acid Cycle)

      The oxidation-reduction & decarboxylation reactions occur in matrix of mitochondria.

   acetyl CoA (2C) enters at top & combines with a 4C compound

   2 decarboxylation reactions peel 2 carbons off again when CO2 is formed

 

 Krebs Cycle

      Potential energy (of chemical bonds) is released step by step to reduce the coenzymes (NAD+èNADH & FADèFADH2) that store the energy

Review:

      Glucoseè 2 acetyl CoA molecules

      each Acetyl CoA
molecule that enters the Krebs
cycle produces

   2 molecules of C02

   3 molecules of NADH + H+

   one molecule of ATP

   one molecule of FADH2        

Review

      Figure 25.7 summarizes the eight reactions of the Krebs cycle.

Electron Transport Chain

      The electron transport chain involves a sequence of electron carrier molecules on the inner mitochondrial membrane, capable of a series of oxidation-reduction reactions.

      As electrons are passed through the chain, there is a stepwise release of energy from the electrons for the generation of ATP.

      In aerobic cellular respiration, the last electron receptor of the chain is molecular oxygen (O2). This final oxidation is irreversible.

      The process involves a series of oxidation-reduction reactions in which the energy in NADH + H+ and FADH2 is liberated and transferred to ATP for storage.

Electron Transport Chain

      Pumping of hydrogen is linked to the movement of electrons passage along the electron transport chain.

      It is called chemiosmosis (Figure 25.8.)

      Note location.

Chemiosmosis

      H+ ions are pumped from matrix into space between inner & outer membrane

      High concentration of H+ is maintained outside of inner membrane

      ATP synthesis occurs as H+ diffuses through a special H+ channels in the inner membrane

Electron Transport Chain

      The carrier molecules involved include flavin mononucleotide, cytochromes, iron-sulfur centers, copper atoms, and ubiquinones (also coenzyme Q).

Electron Carriers

      Flavin mononucleotide (FMN) is derived from riboflavin (vitamin B2)

      Cytochromes are proteins with heme group (iron) existing either in reduced form (Fe+2) or oxidized form (Fe+3)

      Iron-sulfur centers contain 2 or 4 iron atoms bound to sulfur within a protein

      Copper (Cu) atoms bound to protein

      Coenzyme Q is nonprotein carrier mobile in the lipid bilayer of the inner membrane

Steps in Electron Transport

       Carriers of electron transport chain are clustered into 3 complexes that each act as a proton pump (expelling H+)

       Mobile shuttles (CoQ and Cyt c) pass electrons between complexes.

       The last complex passes its electrons (2H+) to oxygen to form a water molecule (H2O)

Proton Motive Force & Chemiosmosis

       Buildup of H+ outside the inner membrane creates + charge

    The potential energy of the electrochemical gradient is called the proton motive force.

       ATP synthase enzymes within H+ channels use the proton motive force to synthesize ATP from ADP and P

Summary of Aerobic Cellular Respiration

      The complete oxidation of glucose can be represented as follows:

      C6H12O6 + 6O2 => 36 or 38ATP + 6CO2 +6H2O

 

      During aerobic respiration, 36 or 38 ATPs can be generated from one molecule of glucose.

   Two of those ATPs come from substrate-level phosphorylation in glycolysis.

   Two come from substrate-level phosphorylation in the Krebs cycle.

Review

      Table 25.1 summarizes the ATP yield during aerobic respiration.

      Figure 25.8 summarizes the sites of the principal events of the various stages of cellular respiration.

Glycogenesis & Glycogenolysis

      Glycogenesis

   glucose storage as glycogen

   4 steps to glycogen
formation in liver or
skeletal muscle

   stimulated by insulin

      Glycogenolysis

   glucose release

Glycogenesis & Glycogenolysis

      Glycogenesis

   glucose storage as glycogen

      Glycogenolysis

   glucose release

   not a simple reversal of steps

   Phosphorylase enzyme is activated by glucagon (pancreas) & epinephrine (adrenal gland)

   Glucose-6-phosphatase enzyme is only in hepatocytes so muscle can not release glucose into the serum.

Carbohydrate Loading

      Long-term athletic events (marathons) can exhaust glycogen stored in liver and skeletal muscles

      Eating large amounts of complex carbohydrates (pasta & potatoes) for 3 days before a marathon maximizes glycogen available for ATP production

      Useful for athletic events lasting for more than an hour.

Gluconeogenesis

      Gluconeogenesis is the conversion of protein or fat molecules into glucose (Figure 25.12).

Gluconeogenesis

      Glycerol (from fats) may be converted to glyceraldehyde-3-phosphate and some amino acids may be converted to pyruvic acid. Both of these compounds may enter the Krebs cycle to provide energy.

      Gluconeogenesis is stimulated by cortisol, thyroid hormone, epinephrine, glucagon, and human growth hormone.

Transport of Lipids by Lipoproteins

      Most lipids are transported in the blood in combination with proteins as lipoproteins (Figure 25.13).

Transport of Lipids by Lipoproteins

      Four classes of lipoproteins are chylomicrons, very low-density lipoproteins (VLDLs), low-density lipoproteins (LDLs), and high-density lipoproteins (HDLs).

 

Lipoproteins

      Chylomicrons form in small intestinal mucosal cells and contain exogenous (dietary) lipids. They enter villi lacteals, are carried into the systemic circulation into adipose tissue where their triglyceride fatty acids are released and stored in the adipocytes and used by muscle cells for ATP production.

      VLDLs contain endogenous triglycerides. They are transport vehicles that carry triglycerides synthesized in hepatocytes to adipocytes for storage. VLDLs are converted to LDLs.

       LDLs carry about 75% of total blood cholesterol and deliver it to cells throughout the body. When present in excessive numbers, LDLs deposit cholesterol in and around smooth muscle fibers in arteries.

      HDLs remove excess cholesterol from body cells and transport it to the liver for elimination.

Classes of Lipoproteins

      Chylomicrons (2 % protein)

   form in intestinal mucosal cells

   transport exogenous (dietary) fat

   apo C-2 activates enzyme that releases the fatty acids from the chylomicron for absorption by adipose & muscle cells; liver processes what is left

      VLDLs (10% protein)

   transport endogenous triglycerides (from liver) to fat cells

   converted to LDLs

      LDLs (25% protein) --- “bad cholesterol”

   carry 75% of blood cholesterol to body cells

   apo B100 is docking protein for receptor-mediated endocytosis of the LDL into a body cell

      HDLs (40% protein) --- “good cholesterol”

   carry cholesterol from cells to liver for elimination

 

Cholesterol

      There are two sources of cholesterol in the body: food we eat and liver synthesis.

      For adults, desirable levels of blood cholesterol are

   TC (total cholesterol) under 200 mg/dl

   LDL under 130 mg/dl

   HDL over 40 mg/dl.

   Normally, triglycerides are in the range of 10-190 mg/dl.

      Among the therapies used to reduce blood cholesterol level

   Exercise

   Diet

   Drugs  that inhibit the synthesis of cholesterol

Fate of Lipids,

      Some lipids may be oxidized to produce ATP.

      Some lipids are stored in adipose tissue.

      Other lipids are used as structural molecules or to synthesize essential molecules. Examples include

   phospholipids of plasma membranes

   lipoproteins that transport cholesterol

   thromboplastin for blood clotting

   myelin sheaths to speed up nerve conduction

   cholesterol used to synthesize bile salts and  steroid hormones.

 

Review

      The various functions of lipids in the body may be reviewed in Table 2.7.

Triglyceride Storage

      Triglycerides are stored in adipose tissue, mostly in the subcutaneous layer.

      Adipose cells contain lipases that catalyze the deposition of fats from chylomicrons and hydrolyze neutral fats into fatty acids and glycerol.

   50% subcutaneous, 12% near kidneys, 15% in omenta, 15% in genital area, 8% between muscles

      Fats in adipose tissue are not inert. They are catabolized and mobilized constantly throughout the body.

Lipid Catabolism: Lipolysis

      Triglycerides are split into fatty acids and glycerol (a process called lipolysis) under the influence of hormones such as epinephrine, norepinephrine, and glucocorticoids and released from fat deposits. Glycerol and fatty acids are then catabolized separately (Figure 25.14).

Lipid Catabolism: Lipolysis

      Glycerol can be converted into glucose by conversion into glyceraldehyde-3-phosphate.

      In beta oxidation, carbon atoms are removed in pairs from fatty acid chains. The resulting molecules of acetyl coenzyme A enter the Krebs cycle.

Lipid Catabolism: Ketogenesis

      As a part of normal fatty acid catabolism two acetyl CoA molecules can form acetoacetic acid which can then be converted to beta-hydroxybutyric acid and acetone.

      These three substances are known as ketone bodies and their formation is called ketogenesis (Figure 25.14).

   heart muscle & kidney cortex prefer to use acetoacetic acid for ATP production

 

Lipid Anabolism: Lipogenesis

      The conversion of glucose or amino acids into lipids is called lipogenesis. The process is stimulated by insulin (Figure 25.14).

      The intermediary links in lipogenesis are glyceraldehyde-3-phosphate and acetyl coenzyme A.

Clinical Application

      Blood ketone levels are usually very low

   many tissues use ketone for ATP production

   An excess of ketone bodies, called ketosis, may cause acidosis or abnormally low blood pH.

      Fasting, starving or high fat meal with few carbohydrates results in excessive beta oxidation & ketone production

   acidosis (ketoacidosis) is abnormally low blood pH

   sweet smell of ketone body acetone on breath

   occurs in diabetic since triglycerides are used for ATP production instead of glucose & insulin inhibits lipolysis

 

PROTEIN METABOLISM

      During digestion, proteins are hydrolyzed into amino acids. Amino acids are absorbed by the capillaries of villi and enter the liver via the hepatic portal vein.

Fate of Proteins

      Amino acids, under the influence of human growth hormone and insulin, enter body cells by active transport.

      Inside cells, amino acids are synthesized into proteins that function as enzymes, transport molecules, antibodies, clotting chemicals, hormones, contractile elements in muscle fibers, and structural elements. They may also be stored as fat or glycogen or used for energy. (Table 2.8)

Protein Catabolism

      Amino acids can be converted to substances that can enter the Krebs cycle.

   Deamination

   Decarboxylation

   Hydrogenation

   (Figure 25.13).

      Amino acids can be converted into

   Glucose

   fatty acids

   ketone bodies

Protein Catabolism

      Liver cells convert amino acids into substances that can enter the Krebs cycle

   deamination removes the amino group (NH2)

   converts it to ammonia (NH3) & then urea

   urea is excreted in the urine

      Converted substances enter the Krebs cycle to produce ATP.

Protein Anabolism

 

   involves the formation of peptide bonds between amino acids to produce new proteins.

   stimulated by human growth hormone, thyroxine, and insulin.

   carried out on the ribosomes of almost every cell in the body, directed by the cells’ DNA and RNA.

Amino Acids

      Of the 20 amino acids in your body, 10 are referred to as essential amino acids. These amino acids cannot be synthesized by the human body from molecules present within the body. They are synthesized by plants or bacteria. Food containing these amino acids are “essential” for human growth and must be a part of the diet.

 

      Nonessential amino acids can be synthesized by body cells by a process called transamination. Once the appropriate essential and nonessential amino acids are present in cells, protein synthesis occurs rapidly.

Clinical Application: PKU

      Phenylketonuria (PKU) is a genetic error of protein metabolism characterized by elevated blood and urine levels of the amino acid phenylalanine. 

   caused by a mutation in the gene that codes for the enzyme phenylalanine hydrolylase. 

   This enzyme is needed to convert phenylalanine to tyrosine.

   Tyrosine