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Flashcards in Exam II Deck (138):

What is the name of Complex I? What reactions happen there? What is the net equation?

Complex I is NADH-Q oxidoreductase/NADH dehydrogenase
There are three reactions:
Rx 1: oxidation NADH
Rx 2. Reduction of coenzyme Q
Rx 3: proton pumping

Net reaction:
NADH + Q + 5H+ (matrix) >> NAD+ + QH2 + 4H+ (cytosol)


What is the name of complex II? What is the net reaction?

Complex II is Succinate dehydrogenase or succinate-Q reductase complex

Net reaction:
succinate + Q >>> fumarate + QH2 (without proton pumping)


What is the name of Complex III? What are its prosthetic groups? What are its P site and N site?

Complex III is CoQ-cytochrome c oxidoreductase or cytochrome b-c1 reductase

Heme c1, bL, bH, Reiske Iron-sulfur center

Positive site is where electron goes to reduce cytochrome c. Negative site is where electron forms radical.


What is the net reaction of the Q cycle of Complex III?

QH2 + 2 Cyt (ox) + 2H+ (matrix) >> Q + 2 Cyt c (red) + 4H+ (cytosol) (four protons are pumped out)


What is the name of complex IV? what does it do

Complex IV is cytochrome c oxidase or cytochrome oxidase. It transfers electrons to oxygen molecule from cytochrome C, which carries only one electron.


What is the net reaction of complex IV? Per NADH?

Net reaction:
4 cyt c (reduced) + O2 + 8H+ >> 4 cyt c (oxidized) + H2O + 4 H+ (cytosol)

per NADH, however, since cyt is a one electron carrier and we needed four, and each NADH only carries two electrons, we pump 2 H+ into cytosol.


Summary of ETC reaction for NADH

NADH + 11 H+ (m) + 1/2 O2 >> NAD+ + H2O + 10H+ (c)


Summary of ETC reaction for FADH2

FADH2 + 6 H+(m) + 1/2 O2 >> FAD + H2O + 6H+ (c)


What are inhibitors of Complex I (3)?

Amytal, barbiturate
Rotenone, insecticide, pesticide and piscicide
MPP+, neurotoxic drug metabolite from MPPP


What is an inhibitor of Complex II?

Malonate, a competitive inhibitor of Complex II, from alfalfa leaves (melon)


What is an inhibitor of Complex III?

Antimycin A, produced by strep bacteria, binds to N site of Complex III (ANT)


What are inhibitors of Complex IV? (3)

cyanide, azide, carbon monoxide (Coconut)


disease caused by mutation to complex I?

LHON (blindness), Leigh Syndrome (impaired motor skills), MELAS


disease caused by mutation to complex II?

Leigh Syndrome


disease caused by mutation to complex III?

LHON, Encephalomyopathy


disease caused by mutation to complex IV?

encephalomyopathy, myopathy (muscle dysfunction)


delta G of oxidation of NADH?

-52.6 kcal/mol


What is the relationship between Gibbs Free Energy Change and the proton motive force?

proton motive force (deltaP) = deltaG/nF

The more deltaG, the more deltaP


What are four inhibitors of ATP synthase? How do they work?

oligomycin - binds to Fo, blocking protons from coming in
Aurovertin B - binds to Beta subunit, inhibits conformational change
DCCD - modifies carboxyl groups in protein
IF-1 - (upon onset of myocardial ischemic process) (stroke), what happens is the proton gradient has been flipped, so ATPase will now want hydrolyze ATP. IF-1 binds to the alpha, beta and gamma proteins of F1, preventing their conformation change. This is all under low oxygen conditions.


What are the four carriers of inner membrane of mitochondria? What do they transport?

ATP-ADP translocase (ANT) - ADP into m, ATP into c
Dicarboxylate carrier - Phosphate/Malate
Tricarboxylate carrier - Malate/Citrate + H+
Phosphate carrier - Phosphate/ OH-


What blocks the ATP/ADP exchange, inhibiting ATP/ADP exchange?

atractyloside and bonkrekic acid


How many cytosolic ATPs are produced per oxidation of 1 matrix NADH?

~2.5 cytoplasmic ATPs


How many cytosolic ATPs are produced per oxidation of 1 matrix NADH?

~1.5 ATPs


How does NADH from cytosol get into mitochondrial matrix of heart and liver cells? How many ATPs does it yield?

malate-aspartate shuttle
P/O ratio is ~ 2.5 ATPs


How does NADH from cytosol get into mito matrix of cells other than heart and liver? What is important about this carrier yield wise?

glycerol-3-phosphate shuttle
P/O = 1.5 ATPs
immediately reduces Q and goes into Complex III and IV


What is total ATP yield from complete oxidation of glucose?

Total 30 (or 32) ATPs


what is a chemical uncoupler? Name two examples.

A chemical uncoupler dissipates proton gradient across the inner membrane. Examples: aspirin overdose or DNP (2,4-dinitrophenol)


generation of hydroxyl radical

O2 + e- >> O2*-
O2*- + e- >> H2O2
Fe2+ + H2O2 >> Fe3+ + OH* + OH-

OH* is hydroxyl radical, which can damage the cell, including DNA, and cause mutations


What are two defense mechanisms against ROS?

1. superoxide dismutase (SOD)
adds hydrogen ion to radical and makes peroxide
2. catalase
turns H2O2 into oxygen and water
SOD and catalase work together
3. glutathione peroxidase
4. antioxidant vitamins E and C
5. Exercise >> ROS up >> defense mechanism up
**intake of antioxidant vitamins blunt exercise benefit


What are two types of Lou Gehrig's disease? What does the disease do? what does amyotrophic mean?

mitochondrial version: manganese containing SOD (Mn-SOD)
cytoplasmic version: copper and zinc dependent SOD (Cu/Zn SOD)
Mutation in gene coding for cytosolic SOD (SOD1) causes familial ALS
this is a fatal neurological disease that attacks the nerve cells
amyotrophic - no muscle nourishment
(amyotrophic lateral sclerosis)


what does an apoptosis imbalance cause disease wise?

more new cells than cell death: neurodegeneration, immunodeficiency, infertility
more cell death than new cells: cancer, autoimmunity


what kind of enzyme is an oxygenase? what are the two types of oxygenases? what are their basic reactions?

b. monooxygenase and dioxygenase
c. monooxygenase
RH + O2 + ZH2 >> ROH + H2O + Z
R + O2 >> RO2


what are the co-substrates of a monooxygenase? a dioxygenase?

monooxygenase: NADH, NADPH, FMNH2, FADH2
dioxygenate: ascorbic acid


cytochrome P450:
What kind of enzyme is it?
What reactions does it catalyze?
Where is it found?
What synthesis does it catalyze?
What kind of interactions does it cause

a. monooxygenase
b. hydroxylation, epoxidation and modification of hydrophobic compounds for their detox and excretion
c. in mitochondria and ER of cells in liver and most other tissue
d. it catalyzes the synthesis of steroid hormones and bile acids
e. causes drug interactions


how does cytochrome P450 metabolize ibuprofen?

basically, it adds a hydroxyl group to it.
ibuprofen >>P450 in liver >>add hydroxyl group to it


how does cytochrome P450 metabolize acetaminophen?

P450 oxidizes acetaminophen by turning its hydroxyl group into a ketone. This becomes N-Acetyl-p-bensoquinine imine. N-acetyl-p-bensoquinine imine needs glutathione to not remain thiolated (after reacting with another chemical) and become toxic to the liver. Via glutathione S-transferase, the thiol is turned in to S ether with glutathione. If there is too much of this, we run out of glutathione.


How does cyp 450 turn benzopyrene into a carcinogen?

We start with benzo(a)pyrene. CYP turns in into an epoxide, Benzo(a)pyrene 7,8 epoxide.
Epoxide hydrolase removes the epoxide and turns the molecule into a diol, Benzo(a)pyrene 7,8 diol.
CYP then takes that molecule and adds an epoxide to it, so it becomes Benzo(a)pyrene 7,8 diol,-9,10 epoxide.


Describe tyrosine synthesis. What enzyme is responsible and what kind of enzyme is it?

Phenylalanine hydroxylase, a monooxygenate, turns Phenylalanine into tyrosine

It adds O2 and results in H2O and tyrosine.


Describe phenylketonuria? What mutation causes it?
How is phenylalanine digested instead?

a. caused by mutation to phenylalanine hydroxylase
b. phenylalanine is digested via an alpha-ketoacid, making a phenylpyruvate, which becomes a phenylketone (in urine)


Describe serotonin synthesis. What enzyme is responsible and what kind of enzyme is it? what is the result of lowered serotonin levels in body?

Tryptophan hydroxylase, a monooxygenate, turns tryptophan into serotonin
low serotonin has been linked with depression


what two monooxygenases work in synthesis of catecholamines and how?

Tyrosine hydroxylase turns tyrosine into DOPA.
DOPA then becomes dopamine through a decarboxylase. Dopamine Beta hydroxylate turns dopamine into norepinephrine.


what monooxygenase plays a role in cholesterol synthesis and how?

In a long process that starts with FAs, squalene monooxygenase turns squalene to squalene epoxide.


what monooxygenases work in vitamin D synthesis? What disease is caused by Vitamin D deficiency?

a. in the liver, 25-hydroxylase adds a hydroxyl group to previtamin D3, making Vitamin D3 b. in the kidney, 1alpha hydroxylase adds a hydroxyl group at first carbon of vitamin D3, making calcitriol.
Rickets is caused by vitamin D deficiency.


what monooxygenase participates in nitric oxide synthesis and how?

nitric oxide synthase (NOS) turns arginine into N-omega-Hydroxyarginine by adding a hydroxyl group to it. This eventually becomes citrulline and nitric oxide.


what are the three types of nitric oxide synthases?

neuronal NOS: nNOS -signaling
endothelial NOS: eNOS - vasodilation
inducible NOS : INOS - immune reaction


what are the co-substrates of dioxygenases?

reducing agents such as ascorbic acid


what dioxygenase is involved in the inflammatory response?

Prostaglandin H2 Synthase = COX
by cyclo-oxygenase activity it turns Arachidonate into Prostaglandin G2.
by peroxidase activity, it turns Prostaglandin G2 into Prostaglanding H2


How do NSAIDS block inflammation?

NSAIDS inhibit prostaglandin H2 synthase, which is responsible for COX-2 activity. This activity is upregulated at the site of inflammation, causing pain and fever. NSAIDS block the COX-2 activity.


How do aspirin and ibuprofen inhibit COX? How does acetaminophen work?

aspirin esterifies the enzyme via covalent modification.
Ibuprofen binds to the active site of COX without covalent modification.
The target of acetaminophen is unclear.


What are three specific COX-2 inhibitors?

Vioxx -= off market for increased risk of cardiovascular events
Bextra - off market, cardiovascular events


what dioxygenase plays a role in collagen modification? what does it do? what happens if there is a deficiency in the enzyme's co-substrate?

Prolyl 4 hydroxylase
with the cosubstrate ascorbate, it turns alpha-ketoglutarate to 4-hydroxyprolyl residue
cosubstate vitamin deficiency causes scurvy.


what kind of enzyme turns beta-carotene into vitamin A and Rhodopsin? What are diseases associated with vitamin deficiency?


night blindness, xerophthalmia (pathologic dryness of the conjunctive and cornea)


What is MEOS? How is cytochrome 450 involved?

microsomal ethanol oxicizing system in liver;
cyp 450 2E1 metabolizes alcohol and generates reactive species like superoxide anion radical, peroxide, etc.


what are two types of mtDNA mutations?

DNA insertion or deletion mutations
-frameshift mutations/chain termination
-total or partial loss of genes

DNA base substitution mutations
1. in proteincoding genes
-amino acid substitution
-polypeptide chain termination
2. in tRNAs or rRNAs
-protein synthesis compromised globally


what is LHON? what causes it?

maternally inherited form of an acute adult onset blindness due to the death of optic nerve
primary: complex I
other: Complex III, IV, V


what is T8993G(leu to arg)? what does it cause?

this is a mutation in Complex V (ATPase6);
at low percentages: NARP
at high percentages: Leigh syndrome



mito disease characterized by decreased muscle strength, regional brain degenheration and retinal deterioration


Leigh Syndrome

degenerative neurological condition, commonly occuring during childhood. charac. by CNS degeneration, dev delay, seizures, etc.


What is MELAS? What causes it?

causes periodic stroke-like episodes with mitochondrial myopathy

80% is caused by mutation in tRNA,Leu


What is MERFF? what causes it?

maternally inherited epilepsy caused by a mutation in tRNA'Lys


diseases with % OxPhos capacity, highest to lowest

optic track, basal ganglia/cortex, heart/muscle, kidney


Steps of Lipogenesis

a. acetyl CoA carried out of Mito to cytosol by Citrate via Citrate/Malate transporter
b. Need NADPH from pentose phosphate pathway and malic enzyme
c. carboxylate acetyl Coa to malonyl CoA via acetyl CoA carboxylase
d. add ACP to acetyl and malonyl
e. go through fatty acid synthase process
condense acetyl acp and malonyl acp to acetoacetyl acp
reduce acetoacetyl acp via nadhp to D-3-Hydroxybutyryl ACP
dehydrate above to crotonyl ACP
reduce above via nadph to butyryl acp
repeat cycle seven times, adding malonyl ACP each time, and end up with palmitoyl acp, which is hyrolized to ACP and palmitate


what is the comitted step in fatty acid biosynthesis?

formation of malonyl CoA


what prosthetic group does carboxylation need?



how is acetyl coa carboxylase regulated?

allosteric and hormonal regulation
allosteric: citrate activates/ lonc chain fatty acyl coa deactivates
hormonal: insulin: phosphorylates and activates
corticosteroids and glucagon: camp dep. pka dephosphorylate and inactivate


how does ACP activate acetyl coa and malonyl coa

provides SH group


odd numbered FA are synthesized starting with

propionyl CoA


fatty acid synthase complex does

seven different enzyme activities and domain covalently binds 4-phosphopantheine


FA ox vs. synt. / intracellular location



FA ox vs. synth; carrier



FA ox vs synth coenzymes for electron transfer



FA ox vs. synt, bicarb dependence



FA ox vs. synt energy state favoring the process

high ADP/high ATP


FA ox vs. synt. citrate activation

no, but malonyl CoA/ yes


FA ox vs. synt. Acyl CoA inhibition (long chain)



FA ox vs synt. higheste activity

fasting, starvation/carbohydrate fed


FA ox vs. synt hormonal state
insulin/glucagon ratio



FA ox vs. synt carrier of acyl/acetyl group

carnitine cyto mito/ citrate mito to cyto


FA ox vs synt product

acetyl Coa/Palmitate


three types of complex lipids

acylglycerols, phosphoglyceridews and sphingolipids


how are FA esteirified? what do they form?

carboxyl groups/ neutral fat


How are FAs activated prior to TG biosynthesis?

attached to CoA


what precursors are required for TG biosynthesis?

fatty acyl CoAs and L-glycerol-3-phosphate


where does L-glycerol-3-phosphate come from?

liver or adipose tissue
in both liver and adipose tissue, dihydroxyacetone phosphate is reduced to glycerol phosphate by glycerol P dehydrogenase and NADH
in only liver, glycerol goes through glycerol kinase with ATP to make glycerol phosphate


when do adipocytes take up glucose?

in presence of insulin, so limit ability to synthesize glycerol 3 phosphate


steps of TG biosynthesis

a. start with glycerol phosphate
b. acylation of free OH groups of glycerol by 2 molecules of fatty acyl CoA
MAKES lysophosphatidic acid and then phosphatidic acid
via glycerol phosphate acyltransferase
c. phosphatidic acid undergoes hydrolysis by phsphatidate phsphatase for form diacyl glycerol
d. dyacylglycerol reacts with 3rd FA CoA molecule via diacylglycerol acyltransferase to yield TG


what is key molecule in phospholipid biosynthesis?



clinical correlation: what is primary phospholipid in surfactant and is used in respiratory distress syndrome in newborns?

phosphatidylcholine (lecithin)


steps of biosynthesis of glycerophospholipids

a. get to phosphatidic acid (seen before in TG synthesis)
or start with diacylglycerol and phosphorylate it
(basically add alcohol to phosphatidic acid in smooth ER)

there are two strategies:
1. start with diacylglycerol
1. activate with CDP
3. add alcohol (glycerol or inositol)
4. add glycerol - P if added glycerol
5. yield phophatidylinositol or physphatidyl glycerol

strategy 2
1. start with diacylglycerol
2. activate alcohol with DCP (CDP-choline or CDP-ethanolamine)
3. yield phosphatidyl choline or phosphatidylethanolamine


what are the most abundant phospholipids?

PC and PE


source of choline and ethanolamine?

from diet or from turnover of the body's phospholipids


what is phosphatidyl glycerol a precursor of? how is it made?

cardiolipin/ take PG and add to CDP diacylglycerol


how is phosphatidyl inositol formed? what is PI a reservoir of?

from free myo-inositol and CDP-diacylglycerol
arachidonic acid in membranes


how is phosphatidylserine synthesized?

base exchange reaction with phosphatidylethanolamine


where can de novo synthesis of PC take place?

in cell membrane


why are sphingolipids important?

they confer:
a. blood group specificity
b. organ and tissue specificity
c. tissue immunity
d. cell-cell recognition


where are sphingolipids abundant?

in brain, nerve tissue


what is ceramide? what is special about it?

built from sphingosine plus saturated or unsaturated long chain fatty acyl group and amide linkage on the amino group
ti has 2 nonpolar tails and is similar in structure to diacylglycerol


what are the most abundant sphingolipids in higher animals?

sphingomyelins, cererosides (glycosphingolipids), gangliosides


what is Guillain-Barre syndrome

autoimmune neuritis. antibodies "attack" myelin sheath of peripheral nerves


what is multiple sclerosis?

autoimmune demyelinating disease in CNS. nerves lose conduction and degenerate


what are sphingomyelins?

sphingosine plus PE or PC


what are glycosphingolipids?

no phosphate, jsut sugar attached by a beta-glycosidic linkage a 1-OH group of sphingosine in a ceramide.


what are cerebrosides?

subgroup of glycosphingolipids. contain either a galactose or glucose attached to ceramide.


where are galactocerebrosides found? glucocerbrosides?

neural tissue/ non neuronal cell plasma membrane


what are gangliosides?

sphingolipid with oligosaccharide head group and one or more residues of sialic acid at termini. sialic acid imparts a negative charge to gangliosides.


ganglioside nomenclature. what is Gm and Gd

Gm has one sialic acid. Gd has 2 (di) etc.


how do we make sphingolipids?

a. use sphingosine backbone
b. add long chain acyl CoA and convert to ceramide
c. substitute terminal hydroxyl group
-sphingomyelin: ceramide plus phosphorycholine
-cerebroside: glucose or galactose
-ganglioside: oligosaccharide


an abnormal accumulation of certain complex lipids in specific tissues is termed lipid storage disease or ? what does it involve?

lysozomal storage disease
lysozomal enzyme deficiency

involves absence or deficiency of specific glucosidases


what enzyme therapy is used to treat Gaucher's glucocerebrosidase)

imiglucerase (cerezyme)


what enzyme therapy is used to treat Fabry's (alpha galactosidase)?



Name six sphingolipidoses? what is the theory behind them? what is the result?

Niemann-Pick disease, Fabry's Disease, Krabbe disease, Gaucher's disease, Tay-Sachs disease, Metachromatic leukodystrophy.
due to enzyme deficiency. may be addressed with enzyme therapy. result in death for infant affected.


what are eicosanoids? name three kinds? what are they derived from?

paracrine hormones involved in functions essential to health/diseases
three types are prostaglandins, leukotrienes, thromboxanes
derived from C20 polyunsaturated acids, like arachidonic acid


carbon number of eicosanoids

prostaglandin is 5 carbons
thromboxane is six carbons
leukotriene is three carbons


what do glucocorticoids inhibit?

steroidal drugs inhibit phospholipase A2, which harvests arachidonic acid from plasma membrane so it can go through cyclocoxygenase process of COX. That means they inhibit leukotrienes, thromboxanes and prostaglandins.


what do NSAIDS inhibit?

they inhibit the cyclooxygenase process, so inhibit prostaglanding and thromboxane but NOT leukotriene


how does asaspirinpirn inhibit cyclooxygenease activity of COX?

aspirin inhibits by acetylating essential Ser. It is an irreversible inhibitor.


How does ibuprofen inhibit COX cyclooxygenase process?

it may inhibit COX by mimicking the structure of the substrate


How are leukotrienes synthesized?

arachidonic acid is converted by lipoxygenases to hydroperoxy acids and then to a series of leukotrienes.


what do leukotrienes do? what drug antagonizes them?

cause broncho-constriction; implicated in asthmal/airway reactivity. LT receptor antagonists used. MONTELUKAT (singulair)


how does baby aspirin therapy work?

1/4 the dose of regular aspirin, baby aspirin inhibits thromboxane A2 and platelet aggregation, which can lead to stroke. this is a cardio protective effect.


what are simple lipids? two categories?

those that do not contain fatty acids
terpenes and steroids


what are terpenes? major classes?

multiple 5 carbon isoprenes. major classes: fat soluble vitamins, A,E, K 2. ubiquinone or coenzyme Q


features of cholesterol

OH group at C3 of ring A
branched aliphatic chain of 8 or more carbons at C-17
27 carbons


two kinds of bile acids?

cholic acid and deoxycholic acid


what five hormones is cholesterol the precursor for?

testosterone, estradiol estrone, cortisol, and aldosterone


what are aromatase inhibitors?

attenuate estrogen production in postmenopausal women. converts androgen into estrogens. less estrogen- less stimulated growth of hormone-receptor-positive breast cancer cells. only effective in postmenopausal.


how is cholesterol biosynthesized?

acetyl CoA via thiolase becomes Acetoacetyl Coa
Acetoacetyl Coa via HMG CoA synthase becomes beta-hydroxy-beta-methylglutaryl-CoA, which becomes mevalonate,
mevalonate becomes isopentenyl pyrophosphate, which eventually becomes squalene and then cholesterol


what is the rate limiting step of cholesterol biosynthesis?

the reduction of HMG CoA to mevalonate


at what point can product become cholesterol synthesis can lead either to ketone bodies mevalonate?

at that point, it can face HMG CoA Lyase in mitochondria and become ketone bodies OR face HMG CoA reductase in cytosol and become mevalonate


How is HMG CoA reductase regulated?

feedback inhibition by cholesterol
hormonal regulation:
-starvation: glucagon causes phosphorylation and activation of the enzyme
-well fed: insulin causes dephosphorylation and activation of the enzyme
-sterol mediation regulation of transcription


sources of liver cholesterol and routes by which cholesterol leaves the liver

sources: dietary cholesterol >> chylomicron remnants, denovo synthesis in liver, cholesterol synthesized in extrahepatic tissue >> HDL

exit: VLDL, free cholesterol secreted in bile, conversion in bile acids/salts


primary source of cholesterol not from liver or instetine?



how does LDL get cholesterol to nonhepatic tissue?

Apo B-100 on LDL surfaces bind to receptors. the LDL receptor and everything in it is endocytosed. LDL receptors are recycled to the PM.


What does PCSK9 enzyme do? How do its levels reflect recycle progress of LDL receptors.

regulates LDL-R cycling
Low PCSK9 good, means LDL R recycled, more cholesterol removed from blood
High is bad, LDL-R not recycled


How do PCSK9 inhibitors work? Adverse effects?

increeases expressionof LDL receptor so more cholesterol can be taken up and excreted by liver.
adverse effects include injection site reactions and maybe neurocognitive effects.


What is ACAT

acyl CoA cholesterol acyl transferase? esterifies cholesterol for storage inside cell


what does mipomerser treat? how?

treats homozygous familial hypercholesteremia? inhibits Apo B100 synthesis