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24.7 LacticFermentation 74, of AerobicCatabolism from Complete Table24.2ATPProduction Molecule OneGlucose Pathway Burning a mole of glucoseto form CO2and H2Oproduces686 kcal of energy. Whenwe oxidize a mole of glucose,the 38 mol of AIP represents 277 kcal of stored enelgy. Our bodies, then, are about277kcal/686kcalx 100: 407oefficient. glycolysis (4ATPgeneratedminus 2 invested) citric acid cycle (2 acetyl groups of aceryl CoA oxidized to carbon dioxide) oxidative phosphorylation: 2NADH from glycolysis 2NADH from acetyl CoAformation 6NADH from the citric acid cycle 2FADH2from the citric acid cycle AIPyield 2 2 6 6 1B 4 38 results.The data show that enough of the energyreleasedin the complete oxidation of I molecule of glucoseis trapped by aerobic cells to generate 38 ATP molecules. 24,7 LocticFermentotion AIM: To exploin why cells sometimesuse loctic fermentotionfor energyProduction. Focus Aerobic cells switch to lactic or alcoholic fermentation in the absenceofoxygen. So far our discussion of glucose metabolism has assumed that the cell 'vl/hatif it does not? doing the metabolism has plenty of oxygen available. We know that the mitochondria of aerobic cells need oxygen so that the electron transport chain can operate.lVhen there is no oxygen available to drain electrons from NADH and FADH2 in respiration, the electron carriers of the electron transport chain become completely reduced. More electrons cannot be passed down the chain, and oxidative phosphorylation stops. However, the levels of NADH and FADH2 in the mitochondrion increase as the citric acid cycle continues to operate. Soon, not enough NAD* and FAD are regeneratedby respiration to sustain the operation of the citric acid cycle, and the mitochondrial power plgnt ,/ shuts dor,rrn. Now the only place that ATP is being produced is in the cytoplasm' Here, two molecules of ATP are produced for every glucosemolecule converted to two molecules of pyruvate in glycolysis' Cytoplasmic NAD* is also being reduced to NADH, and NAD* is needed for glycolysisto continue. (It is needed to changeglyceraldehyde3-phosphateto 1,3-bisphosphoglycerate.)If there were no way to regenerateNAD+, glycolysis too would stop.With no energyproduction, the cell would die. In such an emergency,the cells of many aerobic organismsregenerate NAD* from the NADH formed in glycolysis by using the NADH to reduce 744 CHAPTER 24 Carbohydrates in LivingOrganisms pyruvate to lactate. o.o o.o \,/ l , CH. \,/ C -Z=\-+ NADH+ H' H-C-OH NAD. Plruvate I CH, Lactate The reduction of pyruuate to lctctateis calledlactic fermentation. (For more information, seeA closer Look Monitoring Heart Attackswith Serum LDH Tests.)Lacticfermentation keepsglycolysisgoing.since aerobiccatabolism produces 38 ArP moleculesfrom I molecule of glucoseand lactic fermentation produces only 2, the aerobic catabolismof glucoseis rg times more efflcient than lactic fermentation. Nevertheless,considering the choices between death and life at a lower level of AIP production, lactic fermentation is not a bad bargain for the cell. ' Monitoring Heart Attacks with SerumLDH Tests Many clinical laboratorytestsin hospitalsmeasure the amount of a criticalen4rmein the bloodstream. One such enzlirne, lactate dehydrogenase(LDH), is an important catalyst,promoting the reducfion of p),r'uvateto lactatein your body.Consistingof four polypeptide chains or tetramer subunits, LDH exhibits multiple molecular forms called isozymes. LDH is composedof two principal kinds of subunits, H and M, that differ slightty in their primary strucl.ures.The five isoz).'rnesof LDH, H4, H3M. HzMz, HM3, and Ma, are various combinations of thesesubunits.Heart and liver LDH is rich in H subunits;muscleLDH is rich in M subunits. Becausedamaged tissuesoften releaseLDH into the bloodstream, certain diseasescan be detected by a clinical laboratory test that measures serum IDH levels. ln this procedure, a patienl'sblood sample is analyzed,and the rate at which the serum converts pyruvate to lactate is obtained.This rate,in turn, determinesthe level of LDH that may ind-icate a general abnormaliry. Often it is useful to track the course of diseasein specific tissues.A diagnosiscan be refined by using another technique called electrophoresis to separatethe total LDH in a blood sampleinto its variousisozymes(seefigure).Abnormal amounts o o Direction of migration ffiffi €,# '@ffi € ) M4 HMs HzMz HsM H4 Origin Electrophoresisof serum LDH isozymesat pH 8.6: patte-rn4 belongsto a heartattackpatient;patternI is that of a normalindividual. Leakage of cellcontentsof damagedheart musclein the heartattackpatienthassubstantiallyincreasedthe serumlevetof ihe Ho isozyme, of a given isozyme can, in turn, narrow the search for diseaseto specific organs or help monitor the magnitude and courseof diseasein the body. During a heart attack, for example, damaged heart muscle releases LDH, mainly the H4 isoz],.rne. Within 24 hours of the heart attack episode, serum LDH reaches a peak; it then returns to a normal level within 5 or 6 days. A physicianoften can get a good idea ofthe extent of a patient's heart damage by carefully monitoring the amount of Hn isozl.rneover this pbriod of time. 24.8 OxygenDebt 745 The product of fermentation processesis not always lactate' Some organisms-brewer's yeast is a particularly well-knor,rmexample-oxtdize the pyruvate formed in glycolysisto acetaldehyde. oo- \,/ C I c:o o\ -..--- rl c .1H +co2 CH: CHS Pyruvate Acetaldehyde ' The reduction of acetaldehyderegeneratesNAD to keep glycolysisgoing. The reduced product ofacetaldehyde reduction is ethanol. H o \/ C I I ----Z---NADH+H H-C-OH NAD* | CH. CHs Acetaldehyde Ethanol The processby which glucoseis degradedto ethanol is called alcoholic fermentation. 24.5 EXERCISE PRACTICE Aerobic catabolism of glucose is much more efficient than fermentation.\.^/hat does this statement mean? 24.8 Oxygendebt AIMS: Todescribethe conditionsthot could couseo stoteof oxygendebt. To outline two possiblefates of loctote once cellular respirotionis returned to normol. Lactate is oxidized to carbon dioxide or made into glucose. Your respiratory system supplies the mitochondria of your body cells with enough oxygen to operate their respiratory chains efficiently at normal levels of activity. If you undertake vigorous exercise,such as spdnting or longdistance running, your cells step up respiration to make AIP to megl/their increased energy needs. You breathe more rapidly and more deeply, but eventuallyyou may develop an oxygen debt-that is, not enough oxygenis auailable for cellular respiration. At this point, your muscle cells begin to use the much less efficient lactic fermentation route to make AIP Lactate butldup Lactate builds up as your cells regenerateNAD+ from NADH by lactic fermentation. If you have an oxygen debt and do not stop to rest, the lactic acid concentration in your muscles continues to build. Lactic acid is toxic to muscle cells in high concentrations and results in muscle cramps and soreness.(Rememberhow you felt the day after a long-distance run oI 746 24 Carbohydrates CHAPTER in LivingOrganisms swim?)If you push on much further, you will soon collapse,becauselactic fermentation cannot supply enough ArP to take care of your body's heavy demands. If you do stop to rest, you will pant as your respiratory system supplies the oxygen necessaryto pay the oxygen debt. your cellular respiration is soon restored to normal, but body cells must still deal with the lactate built up during lactic fermentation. Lactate disposal some of the lactate is oxidized babk to pyruvate by a reversal of the lactic dehydrogenase-catalyzed reactions. o. o- oo- \,/ C I H-C-OH I CHu \,/ C NAD- I I C:O \ NADH + H CH. Lactate Pyruvate The NADH that is formed enters the respiratory chain, where AIp is produced by oxidative phosphorylation. The pyruvate is converted to acetyl CoA,which enters the citric acid cycle.There the acetyl group of acetyl CoA undergoes complete oxidation to carbon dioxide. Some of the lactic acid formed in your muscles is not oxidized. It drains from the muscle cells and enters the bloodstream, where it could give you a severecase of acidosis.As we learned in Chapter 22, however,blood is buffered. Your blood buffers, mainly the HCO3- /H2C03 system,will absorb the extra protons added to your bloodstream by the lactic acid. And if need be, your kidneys will generate new bicarbonate buffer ions that are lost as carbon dioxide through breathing. Your kidneys also will expel excessprotons in your urine. Gluconeogenesis The lactic acid in your bloodstream is absorbed by your liver. Liver cells,but not muscle cells, can convert lactate back to glucose in severalsteps. \// C i H-C-OH oo\ ,,, C I I 2 H-C-OH CH. Severalsteps -z---6ATP 6ADP I I HO-C-H H-C-OH I H-C-OH I cH2oH Lactate Glucose 24.8 OxygenDebt Gluconeogenesis gluco (Greek): sweet,glucose neo (Greek): new genesis(Greek); creation 747 The pathway by which lactate is conuerted to glucose is called gluconeogenesis. Gluconeogenesis,which is the synthesis of glucose from startingmaterials that are not carbohydrates,is an exampleof an anabolic (synthetic) pathway. Like most anabolic pathways, it requires the expenditure of ATP Six molecules of ATP are required to convert two molecules of lactate to one molecule of glucose.However,only two molecules of ATP were gained by converting one molecule of glucose to two molecules of lactate in lactic fermentation. Your liver cells must pay for this deficit of ATP They do so with the abundantATP produced in oxidative phosphorylation. We will not be studying gluconeogenesisin detail. Nevertheless,the first step of the pathway is partidularly interesting becauseit is also relevant to the citric acid cycle. It involves the chemical combination of pyruvate and carbon dioxide, a carboxylation reaction, to give oxaloacetate. corI C:O I + corI CO: ATP \ ADP + P, CH. C:O I I CH, Cor$'ruvate Carbon dioxide Oxaloacetate The carboxylation of pyruvate is energetically unfavorable and requires the expenditure of one of the sixAIP molecules invested in gluconeogenesis.Pyruvate carboxylase,the enzyme that catalyzes the reaction, requires the B-complex vitamin biotin as the coenzyrne.The biotin servesas a carrier of carbon dioxide in this and other biological carboxylation reactions in the form of carboxybiotin. It is attached to the sidechain terminal amino group (not the alpha amino group) of a lysine residue of the protein through an amide bond. Carboxybiotin The oxaloacetateproduced in the reaction meets one of two fates: It is converted to glucosein the remainder of the reactions of gluconeogenesis, or alternatively, it may enter the citric acid cycle. Indeed, the carboxylation of pyruvate is the major source of oxaloacetatefor the citric acid cycle.