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. (B)</p> Signup and view all the answers

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

<p>Acyl-CoA dehydrogenase (C)</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 (D)</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. (D)</p> Signup and view all the answers

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

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

What is the primary energy source for brain cells?

<p>Glucose (D)</p> Signup and view all the answers

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

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

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

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

Where are ketone bodies synthesized in the body?

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

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

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

What process activates lipolysis and ketogenesis during starvation?

<p>Lipolysis (A)</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 (D)</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 (B)</p> Signup and view all the answers

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

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

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

<p>CoA (A)</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 (B)</p> Signup and view all the answers

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

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

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

<p>Decreased ATP production (B)</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 (D)</p> Signup and view all the answers

What is a common effect of an SCAD deficiency?

<p>Accumulation of short-chain fatty acyl-CoAs (D)</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) (B)</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. (C)</p> Signup and view all the answers

What role does FAD play in the beta oxidation process?

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

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

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

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

<p>Beta-ketoacyl-CoA (D)</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 (C)</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 (C)</p> Signup and view all the answers

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

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

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

<p>CACT (B)</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. (B)</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 (A)</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 (A)</p> Signup and view all the answers

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

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

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

<p>Fatty acids from adipose tissue (B)</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. (C)</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 (C)</p> Signup and view all the answers

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

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

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

<p>Beta-Hydroxybutyrate dehydrogenase (C)</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 (D)</p> Signup and view all the answers

Which of the following best describes acetone?

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

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

<p>Acetoacetate dehydrogenase (D)</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 (C)</p> Signup and view all the answers

Which factors regulate the synthesis of ketone bodies?

<p>Substrate availability and energy needs (D)</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+ (D)</p> Signup and view all the answers

Flashcards

Beta-oxidation

A metabolic process that breaks down fatty acids to produce energy.

Fatty Acid Chain Lengths

Fatty acids are classified by their carbon chain length: short (2-4C), medium (5-11C), long (12-22C), and very long (>22C).

Fatty Acid Activation

The process of attaching Coenzyme A (CoA) to a fatty acid to allow it to enter the mitochondria.

Carnitine Shuttle

A transport system that moves fatty acyl-CoA molecules across the mitochondrial membranes.

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Acyl-CoA Dehydrogenase

An enzyme involved in the first step of beta-oxidation, which oxidizes fatty acyl-CoA and produces FADH2.

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Mitochondrial Matrix

The inner compartment of mitochondria where beta-oxidation and the citric acid cycle occur.

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Acetyl-CoA

A crucial molecule that enters the citric acid cycle to generate energy.

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Acyl-CoA Dehydrogenase function

Creates a double bond between the beta and alpha carbons of a fatty acid chain.

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FAD deficiency impact

Significantly affects beta-oxidation because FAD is the first cofactor needed in the process.

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Enoyl-CoA Hydratase function

Adds a water molecule (hydration) across the double bond in the fatty acid chain.

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3-Hydroxyacyl-CoA Dehydrogenase function

Oxidizes the hydroxyl group (OH) to a carbonyl group (C=O) in the fatty acid chain.

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Niacin precursor

The coenzyme NAD+ is a crucial part of the 3-hydroxyacyl-CoA dehydrogenase step.

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Beta-ketoacyl-CoA Thiolase function

Cleaves the bond between alpha and beta carbons, releasing acetyl-CoA.

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Beta-oxidation overall steps

Involves two oxidations, one hydration, and one thiolysis to oxidize the fatty acid.

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Fatty acid activation purpose

Fatty acids need to be converted to acyl-CoA to be transported and used in beta-oxidation, and to avoid emulsifying the cell membrane.

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Carnitine Shuttle function

Transports long-chain fatty acyl-CoA into the mitochondria for beta-oxidation.

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Acyl-CoA synthetase role

Activates long-chain fatty acids (LCFAs) in the cytoplasm by attaching CoA.

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CPT-1 role

Translocates acyl-carnitine across the outer mitochondrial membrane.

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CPT-2 role

Converts acyl-carnitine back to acyl-CoA within the mitochondrial matrix.

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CACT

Allows carnitine to return to the cytosol (outside of the mitochondria)

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Beta-oxidation in unsaturated fatty acids

Beta-oxidation in unsaturated fatty acids differs from saturated fatty acids in that isomerases reposition double bonds before hydration and subsequent reactions. No FADH2 is produced in first step as a dehydrogenase isn't involved.

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Fatty Acid Metabolism Disruption

Interruption of the process that breaks down fatty acids for energy production.

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Long Chain Fatty Acid Metabolism

The breakdown of long-chain fatty acids, requiring the carnitine shuttle for transport to the mitochondria.

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Peroxisome function - beta-oxidation

Peroxisomes handle the preliminary beta-oxidation of very long chain fatty acids, shortening them to medium chains, which then proceed to further breakdown in mitochondria.

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Peroxisome function - plasmalogens

Peroxisomes are the sites where plasmalogen (ether lipid) is synthesised, supporting cell membrane function.

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Carnitine Shuttle

A process that transports long-chain fatty acids into the mitochondria.

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Peroxisome function - alpha oxidation

Peroxisomes participate in the alpha-oxidation of phytanic acid. This is an important breakdown pathway for specific fatty acids.

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Beta Oxidation

A metabolic process that breaks down fatty acids into acetyl-CoA, generating energy.

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Fasting/Starvation - Energy Sources

During fasting/starvation, the body shifts from using glucose (fed state) to using stored fats and proteins to provide energy.

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Acetyl-CoA

A molecule that's a crucial intermediate in metabolism, used for energy production.

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Beta Oxidation Products

Acetyl-CoA, FADH2, NADH, and a shortened fatty acyl-CoA.

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Unsaturated vs Saturated beta-oxidation

Unsaturated fatty acids require isomerases to convert cis to trans bonds, skipping the initial FADH2 producing step with acyl-CoA dehydrogenase as it already has a double bond, unlike saturated fatty acids.

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Beta Oxidation Consumes

Fatty acyl-CoA, CoA, water, FAD, and NAD+.

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LCAD Deficiency

A genetic condition where the enzyme for breaking down long-chain fatty acids is deficient.

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MCAD Deficiency

A genetic condition where the enzyme breaking down medium-chain fatty acids is deficient.

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SCAD Deficiency

A genetic condition where the enzyme for breaking down short-chain fatty acids is deficient.

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SIDS

Sudden Infant Death Syndrome.

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Primary energy source for brain

Glucose is the primary energy source for the brain, red blood cells (RBCs), kidneys, and lens epithelial cells.

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Primary energy source for other tissues

Fatty acids are the primary energy source for heart, lung, liver, intestines, and skeletal muscle.

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Starvation state energy adaptation

In starvation, the body adapts by shifting to ketone bodies as a fuel source for the brain since glucose is not available in sufficient amounts and to prevent protein degradation.

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Ketone body synthesis

Synthesis of ketone bodies occurs in the liver mitochondria to utilize fatty acids.

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Ketone body components

The primary ketone bodies are beta-hydroxybutyrate and acetoacetate, with small amounts of acetone.

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Rate limiting enzyme in ketone synthesis

HMG-CoA synthase is the enzyme that controls the rate of ketone synthesis, catalyzing the condensation reaction.

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Ketone Body Significance

Ketone bodies provide an alternative energy source for cells when glucose is unavailable, important for the brain during starvation or diabetes.

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Ketone Body Breakdown Location

Ketone body breakdown (ketolysis) occurs in the mitochondrial matrix across various tissues, not just the liver.

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Primary ketone body

Acetoacetate is the primary ketone body produced by the liver during fasting or prolonged starvation.

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Acetoacetate formation

Acetoacetate is formed from HMG-CoA via HMG-CoA lyase.

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Acetoacetate uses

Acetoacetate can be converted to beta-hydroxybutyrate and acetone.

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Beta-Hydroxybutyrate abundance

Beta-hydroxybutyrate is the most abundant ketone body during fasting or starvation.

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Beta-Hydroxybutyrate formation

Beta-hydroxybutyrate is formed by the reduction of acetoacetate.

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Beta-Hydroxybutyrate energy transport

Beta-hydroxybutyrate is a more efficient energy transport molecule than acetoacetate.

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Beta-Hydroxybutyrate utilization

Peripheral tissues use beta-hydroxybutyrate for ATP production after converting it to acetoacetate.

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Acetone production

Acetone is a non-metabolizable ketone body formed by the spontaneous decarboxylation of acetoacetate.

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Acetone fate

Acetone is exhaled in breath and doesn't provide usable energy.

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Ketone body ratio

The ratio of beta-hydroxybutyrate to acetoacetate in the blood depends on the NADH/NAD+ concentration in liver mitochondria.

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Beta-Hydroxybutyrate dehydrogenase

Beta-hydroxybutyrate dehydrogenase is the enzyme that converts acetoacetate to beta-hydroxybutyrate and vice versa.

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Thiophorase role

Thiophorase converts acetoacetate to acetoacetyl-CoA, using succinyl-CoA in peripheral tissues to generate ATP.

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Ketone body synthesis regulation

Ketone body synthesis is primarily regulated by substrate availability (e.g. fatty acids).

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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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