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Fate of Pyruvate- A quick review
Namrata Chhabra
M.D., Biochemistry
1
Namrata Chhabra (Biochemistry for medics-
Lecture notes)
Learning objectives
• To know the different reactions pyruvate
undergoes under different cellular conditions
and in various cell types
• To know the biological and clinical significance
of each of the reactions
2Namrata Chhabra (Biochemistry for medics-
Lecture notes)
Sources of Pyruvate
Pyruvate
Glycolysis
Alanine
Malic
acid
Lactate
Serine
Cysteine
3
Namrata Chhabra (Biochemistry for medics-
Lecture notes)
Fate of Pyruvate
Pyruvate
Lactate
Alanine
Acetyl
co A
Oxalo
acetate
Ethanol
Malic
acid
4
Namrata Chhabra (Biochemistry for medics-
Lecture notes)
1) Pyruvate to lactate conversion
The reduction of pyruvate by NADH to form
lactate is catalyzed by lactate dehydrogenase
.
The reaction takes place in the cells when the
amount of oxygen is limiting, as in muscle during
intense activity. 5
Namrata Chhabra (Biochemistry for medics-
Lecture notes)
1) Pyruvate to lactate conversion
(contd.)
• In the cells lacking mitochondria and under
anaerobic conditions, the NADH formed in the
oxidation of glyceraldehyde 3-phosphate is
consumed in the reduction of pyruvate.
• The regeneration of NAD + in the reduction of
pyruvate to lactate sustains the continued
operation of glycolysis under anaerobic
conditions.
6
Namrata Chhabra (Biochemistry for medics-
Lecture notes)
7
Namrata Chhabra (Biochemistry for medics-
Lecture notes)
2) Pyruvate to Oxaloacetate
conversion
• Mitochondrial pyruvate carboxylase catalyzes
the carboxylation of pyruvate to oxaloacetate,
an ATP-requiring reaction in which the vitamin
biotin is the coenzyme.
• Biotin binds CO2 from bicarbonate as
carboxybiotin prior to the addition of the CO2
to pyruvate.
8
Namrata Chhabra (Biochemistry for medics-
Lecture notes)
2) Pyruvate to Oxaloacetate
conversion (contd.)
• The Oxaloacetate can be subsequently used for the
synthesis of Aspartate, phosphoenol pyruvate or
• utilized in the TCA cycle depending upon the need of
the cell. 9
Namrata Chhabra (Biochemistry for medics-
Lecture notes)
3) Pyruvate to Alanine conversion
• Pyruvate can be transaminated to form
Alanine as per the need. The reaction is
catalyzed by ALT (Alanine amino transferase).
• This reaction is important for the catabolism
and synthesis of non- essential amino acids
10
Namrata Chhabra (Biochemistry for medics-
Lecture notes)
4) Pyruvate to Malate conversion
• Pyruvate to malate reaction is a reversible reaction,
catalyzed by malate dehydrogenase.
• Cytosolic malate dehydrogenase (Malic enzyme) is an
important source for the synthesis of NADPH that
can be used for the reductive biosynthesis.
11
Namrata Chhabra (Biochemistry for medics-
Lecture notes)
4) Pyruvate to Malate
conversion(contd.)
• Pyruvate can be directly converted to
oxaloacetate or it is first carboxylated to
malate and then decarboxylated to form
oxaloacetate.
• These two reactions are called CO2 filling up
reactions or Anaplerotic reactions. They
provide oxaloacetate when there is sudden
influx of Acetyl Co A in the TCA cycle.
12
Namrata Chhabra (Biochemistry for medics-
Lecture notes)
4) Pyruvate to Malate conversion
13
Namrata Chhabra (Biochemistry for medics-
Lecture notes)
5) Pyruvate to Ethanol conversion
• Ethanol is formed from pyruvate in yeast and
several other microorganisms.
• The first step is the decarboxylation of
pyruvate.
• This reaction is catalyzed by pyruvate
decarboxylase, which requires the coenzyme
thiamine pyrophosphate (TPP) .
14
Namrata Chhabra (Biochemistry for medics-
Lecture notes)
5) Pyruvate to Ethanol conversion
(contd.)
• The second step is the reduction of
acetaldehyde to ethanol by NADH, in a
reaction catalyzed by alcohol dehydrogenase.
• This process regenerates NAD+.
15
Namrata Chhabra (Biochemistry for medics-
Lecture notes)
6) Pyruvate to Acetyl co A conversion
• Under aerobic conditions, pyruvate is
transported into mitochondria by a proton
symporter.
• In the mitochondrial matrix, pyruvate is
oxidatively decarboxylated by the pyruvate
dehydrogenase complex to form acetyl CoA.
• This irreversible reaction is the link between
glycolysis and the citric acid cycle.
16
Namrata Chhabra (Biochemistry for medics-
Lecture notes)
6) Pyruvate to Acetyl co A conversion
17
Namrata Chhabra (Biochemistry for medics-
Lecture notes)
Components of Pyruvate dehydrogenase
complex
1) Enzymes- The pyruvate dehydrogenase complex
is a large, highly integrated complex of 2 types of
enzymes-
A)- Catalytic enzymes
a) Pyruvate dehydrogenase (E1)
b) Dihydrolipoyl transacetylase (E2)
c) Dihydrolipoyl dehydrogenase (E3)
B)- Regulatory Enzymes
a) PDH Kinase
b) PDH Phosphatase
18
Namrata Chhabra (Biochemistry for medics-
Lecture notes)
Components of Pyruvate dehydrogenase
complex (contd.)
2) Coenzymes of PDH complex
Five coenzymes:
• Thiamine pyrophosphate (TPP),
• Lipoic acid,
• CoASH,
• FAD and
• NAD+ participate in the overall reaction
19
Namrata Chhabra (Biochemistry for medics-
Lecture notes)
Reaction catalyzed by PDH Complex
• The conversion of pyruvate into acetyl CoA
consists of three steps:
• Decarboxylation,
• Oxidation, and
• Transfer of the resultant acetyl group to CoA
• These steps are coupled to preserve the free
energy derived from the decarboxylation step to
drive the formation of NADH and acetyl CoA.
20
Namrata Chhabra (Biochemistry for medics-
Lecture notes)
Reaction steps
21
Namrata Chhabra (Biochemistry for medics-
Lecture notes)
Reaction steps (contd.)
• During the oxidation of pyruvate to CO2 by
pyruvate dehydrogenase,
• the electrons flow from pyruvate to the
Lipoamide moiety of dihydrolipoyl
transacetylase ,
• then to the FAD cofactor of dihydrolipoyl
dehydrogenase and
• finally to reduction of NAD+ to NADH.
22
Namrata Chhabra (Biochemistry for medics-
Lecture notes)
Reaction steps (contd.)
• The acetyl group is linked to coenzyme A
(CoASH) in a high energy thioester bond.
• The acetyl-CoA then enters the TCA cycle for
complete oxidation to CO2 and H2O.
23
Namrata Chhabra (Biochemistry for medics-
Lecture notes)
Regulation of PDH complex
• PDH complex is highly regulated by a variety
of allosteric effectors and by covalent
modification.
• Allosteric regulation- Pyruvate dehydrogenase
is inhibited by its products,
o Acetyl-CoA and
o NADH.
24
Namrata Chhabra (Biochemistry for medics-
Lecture notes)
Regulation of PDH Complex (contd.)
Covalent modification- It is also regulated by
phosphorylation of three serine residues on
the pyruvate dehydrogenase component of
the multienzyme complex.
25
Namrata Chhabra (Biochemistry for medics-
Lecture notes)
Regulation of PDH Complex (contd.)
PDH exists in two forms-
i) PDH-a form which is active and
dephosphorylated form
ii) PDH -b form which is inactive and
phosphorylated form
26
Namrata Chhabra (Biochemistry for medics-
Lecture notes)
Regulation of PDH complex by
covalent modification
• PDH kinase, causes phosphorylation resulting
in decreased activity, and
• PDH phosphatase causes an increase in
activity by dephosphorylation of the enzyme
27
Namrata Chhabra (Biochemistry for medics-
Lecture notes)
Regulation of PDH Complex (contd.)
Regulation of PDH Kinase
• Positive effectors
• NADH and Acetyl-CoA are powerful positive
effectors on PDH kinase,
• The kinase is activated by increases in the
[ATP]/[ADP], [Acetyl-CoA]/[CoASH], and
[NADH]/[NAD+] ratios.
• the enzyme thus inactivates PDH by converting it
to the phosphorylated PDH-b form
28
Namrata Chhabra (Biochemistry for medics-
Lecture notes)
Regulation of PDH complex by
covalent modification
29
Namrata Chhabra (Biochemistry for medics-
Lecture notes)
Regulation of PDH Complex (contd.)
Negative effectors of PDH Kinase
• Pyruvate is a potent negative effector on PDH
kinase,
• when pyruvate levels rise, PDH-a (active form) is
favored even with high levels of NADH and acetyl-
CoA.
Regulation of PDH phosphatase
• Mg2+ and Ca2+ activate the enzyme
30
Namrata Chhabra (Biochemistry for medics-
Lecture notes)
Regulation of PDH Complex
(conclusion)
• Pyruvate dehydrogenase is inhibited both
when there is adequate ATP (and reduced
coenzymes for ATP formation) available, and
also
• when fatty acids are being oxidized. In fasting,
when free fatty acid concentrations increase,
there is a decrease in the proportion of the
enzyme in the active form, leading to a
sparing of carbohydrate.
31
Namrata Chhabra (Biochemistry for medics-
Lecture notes)
Energetics of PDH complex
• Two pyruvate molecules are obtained from
one glucose molecule through glycolysis.
• Each of the pyruvate yields one NADH, thus
there are two NADH molecules to be oxidized
through the electron transport chain.
32
Namrata Chhabra (Biochemistry for medics-
Lecture notes)
Energetics of PDH complex (contd.)
• Each of NADH yields 3 ATP molecules,
• thus a total of 6 ATP molecules are produced
at the level of PDH complex.
33
Namrata Chhabra (Biochemistry for medics-
Lecture notes)
PDH Complex deficiency
• Pyruvate dehydrogenase complex deficiency
(PDCD) is a rare disorder of carbohydrate
metabolism caused by a deficiency of one or
more enzymes in the pyruvate dehydrogenase
complex.
• The age of onset and severity of disease
depends on the activity level of the PDC
enzymes.
34
Namrata Chhabra (Biochemistry for medics-
Lecture notes)
Pathophysiology
1) Energy Deficit-A deficiency in this enzymatic
complex limits the production of citrate.
• Because citrate is the first substrate in the citric
acid cycle, the cycle cannot proceed.
• Alternate metabolic pathways are stimulated in
an attempt to produce acetyl-CoA; however, an
energy deficit remains, especially in the CNS.
• The magnitude of the energy deficit depends on
the residual activity of the enzyme.
35
Namrata Chhabra (Biochemistry for medics-
Lecture notes)
Pathophysiology (contd.)
2) Neurological deficit
• Severe enzyme deficiencies may lead to
congenital brain malformation because of a
lack of energy during neural development.
• Underlying neuropathology is not usually
observed in individuals whose onset of
pyruvate dehydrogenase complex deficiency is
in childhood.
36
Namrata Chhabra (Biochemistry for medics-
Lecture notes)
Clinical Manifestations
The signs of poor neurological development or
degenerative lesions are –
• Poor acquisition or loss of motor milestones,
• poor muscle tone,
• new onset seizures, and
• periods of in-coordination (i.e. ataxia) abnormal
eye movements,
• poor response to visual stimuli,
• mental delay, psychomotor delays and
• growth retardation
37
Namrata Chhabra (Biochemistry for medics-
Lecture notes)
Laboratory Diagnosis
• High blood lactate and
• High pyruvate levels with or without
• lactic acidemia suggest an inborn error of
metabolism at the mitochondrial level.
38
Namrata Chhabra (Biochemistry for medics-
Lecture notes)
Treatment of PDH Complex deficiency
• Cofactor supplementation with thiamine,
carnitine, and Lipoic acid is the standard of
care.
• Ketogenic diets (with restricted carbohydrate
intake) have been used to control lactic
acidosis with minimal success.
39
Namrata Chhabra (Biochemistry for medics-
Lecture notes)
Further Reading
• A case oriented approach towards
Biochemistry- Namrata Chhabra
• http://bit.ly/21idDu9 Case study PDH
Complex deficiency- Namrata Chhabra
40
Namrata Chhabra (Biochemistry for medics-
Lecture notes)

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Fate of pyruvate - A quick review

  • 1. Fate of Pyruvate- A quick review Namrata Chhabra M.D., Biochemistry 1 Namrata Chhabra (Biochemistry for medics- Lecture notes)
  • 2. Learning objectives • To know the different reactions pyruvate undergoes under different cellular conditions and in various cell types • To know the biological and clinical significance of each of the reactions 2Namrata Chhabra (Biochemistry for medics- Lecture notes)
  • 4. Fate of Pyruvate Pyruvate Lactate Alanine Acetyl co A Oxalo acetate Ethanol Malic acid 4 Namrata Chhabra (Biochemistry for medics- Lecture notes)
  • 5. 1) Pyruvate to lactate conversion The reduction of pyruvate by NADH to form lactate is catalyzed by lactate dehydrogenase . The reaction takes place in the cells when the amount of oxygen is limiting, as in muscle during intense activity. 5 Namrata Chhabra (Biochemistry for medics- Lecture notes)
  • 6. 1) Pyruvate to lactate conversion (contd.) • In the cells lacking mitochondria and under anaerobic conditions, the NADH formed in the oxidation of glyceraldehyde 3-phosphate is consumed in the reduction of pyruvate. • The regeneration of NAD + in the reduction of pyruvate to lactate sustains the continued operation of glycolysis under anaerobic conditions. 6 Namrata Chhabra (Biochemistry for medics- Lecture notes)
  • 7. 7 Namrata Chhabra (Biochemistry for medics- Lecture notes)
  • 8. 2) Pyruvate to Oxaloacetate conversion • Mitochondrial pyruvate carboxylase catalyzes the carboxylation of pyruvate to oxaloacetate, an ATP-requiring reaction in which the vitamin biotin is the coenzyme. • Biotin binds CO2 from bicarbonate as carboxybiotin prior to the addition of the CO2 to pyruvate. 8 Namrata Chhabra (Biochemistry for medics- Lecture notes)
  • 9. 2) Pyruvate to Oxaloacetate conversion (contd.) • The Oxaloacetate can be subsequently used for the synthesis of Aspartate, phosphoenol pyruvate or • utilized in the TCA cycle depending upon the need of the cell. 9 Namrata Chhabra (Biochemistry for medics- Lecture notes)
  • 10. 3) Pyruvate to Alanine conversion • Pyruvate can be transaminated to form Alanine as per the need. The reaction is catalyzed by ALT (Alanine amino transferase). • This reaction is important for the catabolism and synthesis of non- essential amino acids 10 Namrata Chhabra (Biochemistry for medics- Lecture notes)
  • 11. 4) Pyruvate to Malate conversion • Pyruvate to malate reaction is a reversible reaction, catalyzed by malate dehydrogenase. • Cytosolic malate dehydrogenase (Malic enzyme) is an important source for the synthesis of NADPH that can be used for the reductive biosynthesis. 11 Namrata Chhabra (Biochemistry for medics- Lecture notes)
  • 12. 4) Pyruvate to Malate conversion(contd.) • Pyruvate can be directly converted to oxaloacetate or it is first carboxylated to malate and then decarboxylated to form oxaloacetate. • These two reactions are called CO2 filling up reactions or Anaplerotic reactions. They provide oxaloacetate when there is sudden influx of Acetyl Co A in the TCA cycle. 12 Namrata Chhabra (Biochemistry for medics- Lecture notes)
  • 13. 4) Pyruvate to Malate conversion 13 Namrata Chhabra (Biochemistry for medics- Lecture notes)
  • 14. 5) Pyruvate to Ethanol conversion • Ethanol is formed from pyruvate in yeast and several other microorganisms. • The first step is the decarboxylation of pyruvate. • This reaction is catalyzed by pyruvate decarboxylase, which requires the coenzyme thiamine pyrophosphate (TPP) . 14 Namrata Chhabra (Biochemistry for medics- Lecture notes)
  • 15. 5) Pyruvate to Ethanol conversion (contd.) • The second step is the reduction of acetaldehyde to ethanol by NADH, in a reaction catalyzed by alcohol dehydrogenase. • This process regenerates NAD+. 15 Namrata Chhabra (Biochemistry for medics- Lecture notes)
  • 16. 6) Pyruvate to Acetyl co A conversion • Under aerobic conditions, pyruvate is transported into mitochondria by a proton symporter. • In the mitochondrial matrix, pyruvate is oxidatively decarboxylated by the pyruvate dehydrogenase complex to form acetyl CoA. • This irreversible reaction is the link between glycolysis and the citric acid cycle. 16 Namrata Chhabra (Biochemistry for medics- Lecture notes)
  • 17. 6) Pyruvate to Acetyl co A conversion 17 Namrata Chhabra (Biochemistry for medics- Lecture notes)
  • 18. Components of Pyruvate dehydrogenase complex 1) Enzymes- The pyruvate dehydrogenase complex is a large, highly integrated complex of 2 types of enzymes- A)- Catalytic enzymes a) Pyruvate dehydrogenase (E1) b) Dihydrolipoyl transacetylase (E2) c) Dihydrolipoyl dehydrogenase (E3) B)- Regulatory Enzymes a) PDH Kinase b) PDH Phosphatase 18 Namrata Chhabra (Biochemistry for medics- Lecture notes)
  • 19. Components of Pyruvate dehydrogenase complex (contd.) 2) Coenzymes of PDH complex Five coenzymes: • Thiamine pyrophosphate (TPP), • Lipoic acid, • CoASH, • FAD and • NAD+ participate in the overall reaction 19 Namrata Chhabra (Biochemistry for medics- Lecture notes)
  • 20. Reaction catalyzed by PDH Complex • The conversion of pyruvate into acetyl CoA consists of three steps: • Decarboxylation, • Oxidation, and • Transfer of the resultant acetyl group to CoA • These steps are coupled to preserve the free energy derived from the decarboxylation step to drive the formation of NADH and acetyl CoA. 20 Namrata Chhabra (Biochemistry for medics- Lecture notes)
  • 21. Reaction steps 21 Namrata Chhabra (Biochemistry for medics- Lecture notes)
  • 22. Reaction steps (contd.) • During the oxidation of pyruvate to CO2 by pyruvate dehydrogenase, • the electrons flow from pyruvate to the Lipoamide moiety of dihydrolipoyl transacetylase , • then to the FAD cofactor of dihydrolipoyl dehydrogenase and • finally to reduction of NAD+ to NADH. 22 Namrata Chhabra (Biochemistry for medics- Lecture notes)
  • 23. Reaction steps (contd.) • The acetyl group is linked to coenzyme A (CoASH) in a high energy thioester bond. • The acetyl-CoA then enters the TCA cycle for complete oxidation to CO2 and H2O. 23 Namrata Chhabra (Biochemistry for medics- Lecture notes)
  • 24. Regulation of PDH complex • PDH complex is highly regulated by a variety of allosteric effectors and by covalent modification. • Allosteric regulation- Pyruvate dehydrogenase is inhibited by its products, o Acetyl-CoA and o NADH. 24 Namrata Chhabra (Biochemistry for medics- Lecture notes)
  • 25. Regulation of PDH Complex (contd.) Covalent modification- It is also regulated by phosphorylation of three serine residues on the pyruvate dehydrogenase component of the multienzyme complex. 25 Namrata Chhabra (Biochemistry for medics- Lecture notes)
  • 26. Regulation of PDH Complex (contd.) PDH exists in two forms- i) PDH-a form which is active and dephosphorylated form ii) PDH -b form which is inactive and phosphorylated form 26 Namrata Chhabra (Biochemistry for medics- Lecture notes)
  • 27. Regulation of PDH complex by covalent modification • PDH kinase, causes phosphorylation resulting in decreased activity, and • PDH phosphatase causes an increase in activity by dephosphorylation of the enzyme 27 Namrata Chhabra (Biochemistry for medics- Lecture notes)
  • 28. Regulation of PDH Complex (contd.) Regulation of PDH Kinase • Positive effectors • NADH and Acetyl-CoA are powerful positive effectors on PDH kinase, • The kinase is activated by increases in the [ATP]/[ADP], [Acetyl-CoA]/[CoASH], and [NADH]/[NAD+] ratios. • the enzyme thus inactivates PDH by converting it to the phosphorylated PDH-b form 28 Namrata Chhabra (Biochemistry for medics- Lecture notes)
  • 29. Regulation of PDH complex by covalent modification 29 Namrata Chhabra (Biochemistry for medics- Lecture notes)
  • 30. Regulation of PDH Complex (contd.) Negative effectors of PDH Kinase • Pyruvate is a potent negative effector on PDH kinase, • when pyruvate levels rise, PDH-a (active form) is favored even with high levels of NADH and acetyl- CoA. Regulation of PDH phosphatase • Mg2+ and Ca2+ activate the enzyme 30 Namrata Chhabra (Biochemistry for medics- Lecture notes)
  • 31. Regulation of PDH Complex (conclusion) • Pyruvate dehydrogenase is inhibited both when there is adequate ATP (and reduced coenzymes for ATP formation) available, and also • when fatty acids are being oxidized. In fasting, when free fatty acid concentrations increase, there is a decrease in the proportion of the enzyme in the active form, leading to a sparing of carbohydrate. 31 Namrata Chhabra (Biochemistry for medics- Lecture notes)
  • 32. Energetics of PDH complex • Two pyruvate molecules are obtained from one glucose molecule through glycolysis. • Each of the pyruvate yields one NADH, thus there are two NADH molecules to be oxidized through the electron transport chain. 32 Namrata Chhabra (Biochemistry for medics- Lecture notes)
  • 33. Energetics of PDH complex (contd.) • Each of NADH yields 3 ATP molecules, • thus a total of 6 ATP molecules are produced at the level of PDH complex. 33 Namrata Chhabra (Biochemistry for medics- Lecture notes)
  • 34. PDH Complex deficiency • Pyruvate dehydrogenase complex deficiency (PDCD) is a rare disorder of carbohydrate metabolism caused by a deficiency of one or more enzymes in the pyruvate dehydrogenase complex. • The age of onset and severity of disease depends on the activity level of the PDC enzymes. 34 Namrata Chhabra (Biochemistry for medics- Lecture notes)
  • 35. Pathophysiology 1) Energy Deficit-A deficiency in this enzymatic complex limits the production of citrate. • Because citrate is the first substrate in the citric acid cycle, the cycle cannot proceed. • Alternate metabolic pathways are stimulated in an attempt to produce acetyl-CoA; however, an energy deficit remains, especially in the CNS. • The magnitude of the energy deficit depends on the residual activity of the enzyme. 35 Namrata Chhabra (Biochemistry for medics- Lecture notes)
  • 36. Pathophysiology (contd.) 2) Neurological deficit • Severe enzyme deficiencies may lead to congenital brain malformation because of a lack of energy during neural development. • Underlying neuropathology is not usually observed in individuals whose onset of pyruvate dehydrogenase complex deficiency is in childhood. 36 Namrata Chhabra (Biochemistry for medics- Lecture notes)
  • 37. Clinical Manifestations The signs of poor neurological development or degenerative lesions are – • Poor acquisition or loss of motor milestones, • poor muscle tone, • new onset seizures, and • periods of in-coordination (i.e. ataxia) abnormal eye movements, • poor response to visual stimuli, • mental delay, psychomotor delays and • growth retardation 37 Namrata Chhabra (Biochemistry for medics- Lecture notes)
  • 38. Laboratory Diagnosis • High blood lactate and • High pyruvate levels with or without • lactic acidemia suggest an inborn error of metabolism at the mitochondrial level. 38 Namrata Chhabra (Biochemistry for medics- Lecture notes)
  • 39. Treatment of PDH Complex deficiency • Cofactor supplementation with thiamine, carnitine, and Lipoic acid is the standard of care. • Ketogenic diets (with restricted carbohydrate intake) have been used to control lactic acidosis with minimal success. 39 Namrata Chhabra (Biochemistry for medics- Lecture notes)
  • 40. Further Reading • A case oriented approach towards Biochemistry- Namrata Chhabra • http://bit.ly/21idDu9 Case study PDH Complex deficiency- Namrata Chhabra 40 Namrata Chhabra (Biochemistry for medics- Lecture notes)