This document discusses the fate of pyruvate in cells. Pyruvate can undergo several reactions depending on cellular conditions. Under anaerobic conditions, pyruvate is reduced to lactate. In mitochondria, pyruvate is carboxylated to oxaloacetate or transaminated to alanine. It can also be converted to malate or ethanol. Under aerobic conditions, pyruvate is oxidatively decarboxylated to acetyl-CoA by the pyruvate dehydrogenase complex, linking glycolysis to the citric acid cycle. The pyruvate dehydrogenase complex is regulated by phosphorylation and by products that inhibit or activate its enzymes.