Fatty Acid Metabolism Overview
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Questions and Answers

What is the primary product generated during each cycle of beta-oxidation?

  • Fatty Acyl-CoA
  • Glycerol
  • Carnitine
  • Acetyl-CoA (correct)
  • Which fatty acid chain length requires activation by adding a CoA to enter the mitochondria?

  • Very Long Chain (> 22C)
  • Short Chain (2-4C)
  • Medium Chain (5-11C)
  • Long Chain (12-22C) (correct)
  • What is the role of Carnitine in fatty acid metabolism?

  • It oxidizes fatty acids during beta-oxidation.
  • It transports long-chain fatty acids into the mitochondria. (correct)
  • It activates short-chain fatty acids.
  • It converts Acetyl-CoA to fatty acids.
  • Which of the following statements accurately describes the process of activating long-chain fatty acids?

    <p>It requires ATP and helps to form Fatty Acyl-CoA.</p> Signup and view all the answers

    Which enzyme is primarily responsible for oxidizing Fatty Acyl-CoA during beta-oxidation?

    <p>Acyl-CoA dehydrogenase</p> Signup and view all the answers

    What initiates the process of fatty acid oxidation in the mitochondria?

    <p>Activation of fatty acids by CoA</p> Signup and view all the answers

    What happens to Carnitine after it has transported Fatty Acyl-Carnitine into the mitochondria?

    <p>It is released back into the cytoplasm.</p> Signup and view all the answers

    How many ATP equivalents are used during the activation of fatty acids?

    <p>2 ATP</p> Signup and view all the answers

    What is the primary energy source for brain cells?

    <p>Glucose</p> Signup and view all the answers

    Which enzyme is the rate limiting step in the synthesis of ketone bodies?

    <p>HMG-CoA Synthase</p> Signup and view all the answers

    During a starvation state, what alternative does the brain adapt to use for energy?

    <p>Ketone bodies</p> Signup and view all the answers

    Where are ketone bodies synthesized in the body?

    <p>In the liver mitochondria</p> Signup and view all the answers

    Which of the following ketone bodies is produced in the greatest amount?

    <p>Beta-hydroxybutyrate</p> Signup and view all the answers

    What process activates lipolysis and ketogenesis during starvation?

    <p>Lipolysis</p> Signup and view all the answers

    What is the role of CoA in the context of ketone body synthesis?

    <p>To facilitate beta oxidation of fatty acids</p> Signup and view all the answers

    Why is ketone body synthesis significant during periods of low glucose availability?

    <p>It provides an alternative energy source to glucose</p> Signup and view all the answers

    What is the primary energy source that decreases if the carnitine shuttle is disrupted?

    <p>Acetyl-CoA</p> Signup and view all the answers

    In the process of beta-oxidation, which of the following is NOT a product?

    <p>CoA</p> Signup and view all the answers

    Which deficiency leads to the accumulation of Long Chain Fatty Acyl-CoAs?

    <p>Long Chain Acyl-CoA Dehydrogenase deficiency</p> Signup and view all the answers

    What is required for the thiolysis stage of beta-oxidation?

    <p>CoA and beta-ketoacyl-CoA thiolase</p> Signup and view all the answers

    What occurs to fatty acids in the event of LCAD deficiency?

    <p>Decreased ATP production</p> Signup and view all the answers

    What fatty acid metabolism process is reliant on the transport of long-chain fatty acids into mitochondria?

    <p>Beta-oxidation</p> Signup and view all the answers

    What is a common effect of an SCAD deficiency?

    <p>Accumulation of short-chain fatty acyl-CoAs</p> Signup and view all the answers

    What condition is often associated with Medium Chain Acyl-CoA dehydrogenase deficiency?

    <p>Sudden Infant Death Syndrome (SIDS)</p> Signup and view all the answers

    What is the primary function of acyl-CoA dehydrogenase in beta oxidation?

    <p>It adds a double bond between the beta and alpha carbons.</p> Signup and view all the answers

    What role does FAD play in the beta oxidation process?

    <p>It is a precursor of riboflavin.</p> Signup and view all the answers

    Which enzyme adds a hydroxyl group during the hydration step of beta oxidation?

    <p>Enoyl-CoA hydratase</p> Signup and view all the answers

    What is produced after the oxidation of 3-hydroxyacyl-CoA?

    <p>Beta-ketoacyl-CoA</p> Signup and view all the answers

    What is a key outcome of the thiolysis step in beta oxidation?

    <p>Creation of a fatty acyl-CoA that is 2 carbons shorter</p> Signup and view all the answers

    What prevents fatty acids from leaving the cell prior to their activation?

    <p>Activation of fatty acids by acyl-CoA</p> Signup and view all the answers

    What is the first enzyme involved in the carnitine shuttle process?

    <p>Acyl CoA-Synthetase</p> Signup and view all the answers

    Which transport protein is responsible for crossing the inner mitochondrial membrane during the carnitine shuttle?

    <p>CACT</p> Signup and view all the answers

    What role does isomerase play in the beta-oxidation of unsaturated fatty acids?

    <p>It converts cis double bonds to trans double bonds.</p> Signup and view all the answers

    During beta-oxidation of saturated fatty acids, which enzyme is necessary in the initial step?

    <p>Acyl-CoA dehydrogenase</p> Signup and view all the answers

    What are the three main functions of peroxisomes?

    <p>Beta oxidation of very long chain fatty acids, plasmalogen synthesis, alpha oxidation of phytanic acid</p> Signup and view all the answers

    Which statement best describes beta-oxidation in polyunsaturated fatty acids?

    <p>Isomerase is used without producing FADH.</p> Signup and view all the answers

    What occurs to very long chain fatty acids in peroxisomes?

    <p>They undergo preliminary beta oxidation to shorten them.</p> Signup and view all the answers

    What is the primary energy substrate utilized during fasting or starvation?

    <p>Fatty acids from adipose tissue</p> Signup and view all the answers

    How does beta-oxidation of monounsaturated fatty acids differ from saturated fatty acids?

    <p>It involves rearrangement of pre-existing double bonds.</p> Signup and view all the answers

    What product is generated from beta-oxidation of fatty acids that can enter the TCA cycle?

    <p>Acetyl-CoA</p> Signup and view all the answers

    Which ketone body is primarily used for energy during fasting or prolonged starvation?

    <p>Beta-Hydroxybutyrate</p> Signup and view all the answers

    What enzyme is responsible for converting acetoacetate to beta-hydroxybutyrate?

    <p>Beta-Hydroxybutyrate dehydrogenase</p> Signup and view all the answers

    What determines the ratio of beta-hydroxybutyrate to acetoacetate in circulation?

    <p>The amount of NADH in the liver mitochondria</p> Signup and view all the answers

    Which of the following best describes acetone?

    <p>It is a minor, non-metabolizable ketone body</p> Signup and view all the answers

    Which enzyme is responsible for the conversion of acetoacetate to acetone?

    <p>Acetoacetate dehydrogenase</p> Signup and view all the answers

    What is the role of Thiophorase in the metabolism of ketone bodies?

    <p>It synthesizes acetoacetyl-CoA from acetoacetate</p> Signup and view all the answers

    Which factors regulate the synthesis of ketone bodies?

    <p>Substrate availability and energy needs</p> Signup and view all the answers

    Under which condition is beta-hydroxybutyrate more prevalent than acetoacetate?

    <p>When there is high NADH and low NAD+</p> Signup and view all the answers

    Study Notes

    Fatty Acid Metabolism

    • Fats are more energy-dense than carbohydrates
    • Lipids undergo lipolysis to yield fatty acids metabolized into Acetyl-CoA, which enters the TCA cycle
    • Carbohydrates are metabolized to yield Acetyl-CoA, forming citrate, which can be used for fatty acid synthesis
    • Proteins break down into amino acids, entering the TCA cycle as intermediates, producing Acetyl-CoA or citrate used in fatty acid synthesis
    • Fats are long hydrocarbons, energy-dense, and lightweight
    • Humans can sustain 80 days of fasting with 15 kg of fat stores
    • Fatty acids are the primary fuel source for most tissues during prolonged fasting
    • Muscle protein is not a primary fuel source
    • Muscle glycogen is used only by muscles
    • Muscles lack glucose 6-phosphatase, so they cannot contribute to blood glucose homeostasis
    • Liver glycogen is for use by extrahepatic tissues
    • Brain primarily uses glucose, consuming ~120g per day
    • Red blood cells only use glucose
    • Glucose in circulating blood is less than 5g, lasting less than 20 minutes during starvation

    Triglyceride Structure and Metabolism

    • Triglycerides are made of three fatty acids esterified to a glycerol backbone
    • Triglycerides are synthesized in the liver and adipose tissue
    • Liver-packed VLDLs are secreted into the blood, delivering triglycerides to peripheral tissues
    • Adipocytes store triglycerides
    • Exogenous lipids (diet) are broken down in intestinal cells into fatty acids and monoglycerides
    • These are converted back into triglycerides and packaged into chylomicrons for tissue distribution
    • Chylomicrons are synthesized by intestinal cells and secreted into the lymphatic system.
    • Major lipid content in chylomicrons are triglycerides

    Endogenous Fatty Acids from Acetyl-CoA

    • Endogenous Fatty Acids come from Acetyl-CoA
    • Sources: carbohydrate metabolism (pyruvate dehydrogenase complex), beta-oxidation (fatty acid breakdown in mitochondria, especially during fasting), some amino acid breakdown, ketone bodies.

    Triglyceride Mobilization

    • Triglycerides are mobilized from adipose tissue through hormone-sensitive lipase (HSL)
    • HSL breaks down triglycerides into fatty acids and glycerol
    • Glycerol is used for gluconeogenesis in the liver
    • Fatty acids are transported to other tissues for use or storage.

    Beta-Oxidation

    • Beta-oxidation is the breakdown of fatty acids in the mitochondria to produce Acetyl-CoA, NADH, and FADH2
    • Fatty acids are activated and transported into the mitochondria via carnitine shuttle system, which involves converting fatty acyl CoA to fatty acyl carnitine and then back to fatty acyl CoA.
    • Each cycle of beta-oxidation shortens the fatty acid by two carbons, generating Acetyl-CoA, NADH, and FADH2
    • Short chain, medium chain, and long chain fatty acids have different numbers of carbon atoms, influencing beta-oxidation processes.
    • Products of beta-oxidation are Acetyl-CoA, NADH, FADH2

    Fate of Glycerol

    • Glycerol is transported to the liver, where it participates in gluconeogenesis
    • Conversion of glycerol to glycerol-3-phosphate and then to dihydroxyacetone phosphate (DHAP), an intermediate in glycolysis and gluconeogenesis

    Ketone Bodies

    • Ketone bodies are produced in the liver during periods of fasting or prolonged starvation when glucose levels are low.
    • Ketone bodies are alternative fuel source for tissues, including the brain, when glucose is scarce.
    • Three ketone bodies: acetoacetate, beta-hydroxybutyrate, and acetone.
    • Acetoacetate and beta-hydroxybutyrate are produced in the liver and transported to other tissues, where they are converted back into Acetyl-CoA to enter the TCA cycle
    • Acetone is a by-product and is exhaled.

    Regulation of Beta-Oxidation

    • Insulin and glucagon regulate fatty acid oxidation.
    • High ratio of glucagon to insulin inhibits acetyl-CoA carboxylase (an enzyme critical in fatty acid synthesis)
    • This leads to reduced malonyl-CoA (a fatty acid synthesis inhibitor) and increases fatty acid oxidation

    Fatty Acid Synthesis

    • Fatty acid synthesis occurs in the cytoplasm
    • Acetyl-CoA is transported from the mitochondria to the cytosol via the citrate shuttle (Acetyl-CoA + Oxaloacetate → Citrate → Acetyl-CoA + Oxaloacetate in the cytosol)
    • Starting material is Acetyl-CoA and NADPH
    • Fatty acid synthase (FAS) is a multi-enzyme complex that synthesizes fatty acids
    • The process involves repetitive condensation, reduction reactions, dehydration, and reduction of malonyl-ACP and an acetyl-enzyme.
    • The resulting fatty acid is palmitate (16 carbons)

    Cholesterol Synthesis

    • Cholesterol synthesis occurs in the cytosol
    • Synthesis starts from acetyl-CoA, forming mevalonate
    • Mevalonate is a key intermediate in the synthesis of cholesterol and other molecules.

    Rate-Limiting Enzymes

    • In fatty acid oxidation, carnitine palmitoyltransferase I (CPT1) is rate limiting
    • In fatty acid synthesis, acetyl-CoA carboxylase (ACC) is rate limiting.
    • In cholesterol synthesis, HMG-CoA reductase is rate limiting.

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    Description

    Explore the complexities of fatty acid metabolism, including the process of lipolysis and the conversion of fats, proteins, and carbohydrates into energy. Understand how Acetyl-CoA plays a central role in metabolic pathways, particularly during fasting. This quiz covers essential concepts that highlight the energy densities of macronutrients and their roles in human metabolism.

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