Lecture 7.3 Lipid Metabolism

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Lipid Metabolism

Instructor Muhammad Hassan

PART-III
Oxidation of Fatty Acids
• The acetyl CoA produced enters the citric acid cycle and the new
molecule of active fatty acid (active acyl CoA) goes through the same
sequence again, each time losing two carbon atoms until the entire
molecule has been oxidized
• The sequence presupposes the presence of fatty acids containing an
even number of carbon atoms, a condition usually encountered in
nature
• If fatty acid containing odd number of carbon atoms are oxidized they
follow the same steps except that the final products are acetyl CoA
and propionyl CoA. The propionyl CoA is changed in a series of steps
to succinyl CoA, which enters the citric acid cycle, as does the acetyl
CoA.
• The unsaturated fatty acids are metabolized slowly; they must first
be reduced by some of the dehydrogenases found in the cells, then
they can follow the fatty acid spiral for oxidation
• The FADH2 and the NADH + H+ enter the respiratory chain

2
ATP Production From Fatty Acid Oxidation
Ketone Bodies
• Ordinarily, most of the acetyl CoA produced from the fatty acid spiral is
further processed through the Krebs cycle.
• Therefore an adequate balance in carbohydrate and lipid metabolism is
required
• The first step of the Krebs cycle involves the reaction between oxaloacetate
and acetyl CoA; Sufficient oxaloacetate must be present for the acetyl CoA
to react with.
• Oxaloacetate concentration depends on pyruvate produced from glycolysis;
pyruvate can be converted to oxaloacetate by pyruvate carboxylase.
• Certain body conditions upset the lipid-carbohydrate balance required for
the acetyl CoA generated by fatty acids to be processed by the TCA cycle:
(under these conditions, the problem of inadequate oxaloacetate arises)
– Dietary intakes high in fat and low in carbohydrates
– Diabetic conditions -- glucose not used properly
– Prolonged fasting conditions
• When oxaloacetate supplies are too low for all acetyl CoA to be processed
through the TCA cycle, ketogenesis takes place where excess acetyl CoA
is converted to ketone bodies
Ketone Bodies
• Synthesis primarily in liver mitochondria and acetyl CoA

• Acetoacetic acid, β-hydroxybutyric acid, and Acetone


• Two molecules of acetyl CoA unite to form acetoacetyl CoA
• Acetoacetyl CoA reacts with acetyl CoA and forms β-Hydroxy β-methylglutaryl-CoA
(HMG CoA), which is then cleaved to form acetoacetate (first ketone body)
• HMG-CoA synthetase is a rate limiting enzymes
• Acetoacetate may be reduced by NADH2 to β-hydroxy butyric acid (second ketone
body)
• Acetoacetate undergo non enzymatic de carboxylation to form acetone (third ketone
body)
• Acetoacetyl CoA may be cleaved β-keto thiolase to form 2 acetyl –CoA, which then
enter TCA cycle and produce ATPs.
• ketosis is the overall accumulation of ketone bodies in the blood (ketonemia) and in
the urine (ketonuria)
Ketogenesis
UTILIZATION OF KETONE BODIES

• Ketone body synthesis is hepatic but its utilization is extra hepatic.


• Extrahepatic tissue including brain but excluding cells lacking mitochondria (e.g.
RBCs)can efficiently utilize ketone bodies
• Ketone bodies are releases from liver into blood.
• From blood, muscles and kidney take up the ketone bodies and oxidize them to
produce energy
• During starvation ,the level of ketone bodies rises to the extent that permits
entry into the brain cells where they are oxidized to produce energy
• Acetoacetate can be converted to acetoacetyl CoA , which is cleaved by
thiolase to form 2 acetyl CoA .These acetyl CoA may enter TCA cycle and
generates ATPs.
THANK YOU

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