overview: the energy of life

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Overview: The Energy of Life The living cell is a miniature chemical factory where thousands of reactions occur The cell extracts energy and applies energy to perform work Some organisms even convert energy to light, as in bioluminescence Copyright © 2008 Pearson Education, Inc., publishing as Pearson Benjamin Cummings

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Page 1: Overview: The Energy of Life

Overview: The Energy of Life

• The living cell is a miniature chemical factory where thousands of reactions occur

• The cell extracts energy and applies energy to perform work

• Some organisms even convert energy to light, as in bioluminescence

Copyright © 2008 Pearson Education, Inc., publishing as Pearson Benjamin Cummings

Page 2: Overview: The Energy of Life

Fig. 8-1

Presenter
Presentation Notes
Figure 8.1 What causes the bioluminescence in these fungi?
Page 3: Overview: The Energy of Life

Concept 8.1: An organism’s metabolism transforms matter and energy, subject to the

laws of thermodynamics

• Metabolism is the totality of an organism’s chemical reactions

• Metabolism is an emergent property of life that arises from interactions between molecules within the cell

Copyright © 2008 Pearson Education, Inc., publishing as Pearson Benjamin Cummings

Page 4: Overview: The Energy of Life

Why is Patrick Paralyzed?

Maureen Knabb Department of Biology

West Chester University

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Page 5: Overview: The Energy of Life

Why did Patrick lose his ability to move?

Patrick at 2:

Patrick at 21: Movie in QuickTime (mov)

5

Presenter
Presentation Notes
Movie available at http://www.sciencecases.org/patrick_paralyzed/patrick_paralyzed.mov
Page 6: Overview: The Energy of Life

Patrick’s History • When Patrick was 16 years old, his hand started

twitching as he picked up a glass at dinner.

• Five months later (in February 2001), he fell down the steps at his home and was unable to climb the steps to the bus. He went to the ER for his progressive weakness.

• At Children’s Hospital of Philadelphia he was initially diagnosed with a demyelinating disease.

• He was treated with anti-inflammatory drugs and antibodies for 2 years with no improvement.

• What was wrong with Patrick?

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Page 7: Overview: The Energy of Life

CQ1: What could be responsible for Patrick’s loss of mobility?

A: His nervous system is not functioning properly.

B: His muscles are not functioning properly.

C: He cannot efficiently break down food for energy.

D: All of the above are possible causes. Answer: D 7

Page 8: Overview: The Energy of Life

CQ2: Which of the following processes requires energy?

A: Creating ion gradients across membranes.

B: Muscle shortening.

C: Protein synthesis.

D: All of the above. Answer: D

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Page 9: Overview: The Energy of Life

Why do nerve and muscle cells need energy?

• Synthetic work = building macromolecules – (e.g., Making protein)

• Mechanical work = moving molecules past each other – (e.g., Muscle shortening)

• Concentration work = creating chemical gradients – (e.g., Storing glucose)

• Electrical work = creating ion gradients – (e.g., Unequal distribution of sodium and potassium ions)

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Page 10: Overview: The Energy of Life

What is energy?

• Energy is the capacity to cause change • Energy exists in various forms, some of

which can perform work

Copyright © 2008 Pearson Education, Inc., publishing as Pearson Benjamin Cummings

Page 11: Overview: The Energy of Life

Forms of Energy

• Potential Energy = stored energy – Chemical bonds – Concentration gradients – Electrical potential

• Kinetic Energy = movement energy – Heat = molecular motion – Mechanical = moving molecules past each other – Electrical = moving charged particles

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Page 12: Overview: The Energy of Life

The Second Law of Thermodynamics

• During every energy transfer or transformation, some energy is unusable, and is often lost as heat

• According to the second law of thermodynamics: – Every energy transfer or transformation

increases the entropy (disorder) of the universe

Copyright © 2008 Pearson Education, Inc., publishing as Pearson Benjamin Cummings

Page 13: Overview: The Energy of Life

• Kinetic energy is energy associated with motion • Heat (thermal energy) is kinetic energy

associated with random movement of atoms or molecules

• Potential energy is energy that matter possesses because of its location or structure

• Chemical energy is potential energy available for release in a chemical reaction

• Energy can be converted from one form to another

Animation: Energy Concepts Copyright © 2008 Pearson Education, Inc., publishing as Pearson Benjamin Cummings

Page 14: Overview: The Energy of Life

Cycling between stored chemical versus movement energy

• Stored chemical energy must be released – Processes that RELEASE energy

• Catabolic/ Exergonic • Energy released > Energy required

• Movement requires energy

– Processes that REQUIRE energy • Anabolic/ Endergonic

• ATP plays a central role

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Page 15: Overview: The Energy of Life

The free-energy change of a reaction tells us whether or not the reaction occurs spontaneously

• Biologists want to know which reactions occur spontaneously and which require input of energy

• To do so, they need to determine energy changes that occur in chemical reactions

Copyright © 2008 Pearson Education, Inc., publishing as Pearson Benjamin Cummings

Page 16: Overview: The Energy of Life

Exergonic and Endergonic Reactions in Metabolism

• An exergonic reaction proceeds with a net release of free energy and is spontaneous

• An endergonic reaction absorbs free energy from its surroundings and is nonspontaneous

Copyright © 2008 Pearson Education, Inc., publishing as Pearson Benjamin Cummings

Page 17: Overview: The Energy of Life

Fig. 8-6a

Energy

(a) Exergonic reaction: energy released

Progress of the reaction

Free

ene

rgy

Products

Amount of energy released (∆G < 0)

Reactants

Presenter
Presentation Notes
Figure 8.6a Free energy changes (ΔG) in exergonic and endergonic reactions
Page 18: Overview: The Energy of Life

Fig. 8-6b

Energy

(b) Endergonic reaction: energy required

Progress of the reaction

Free

ene

rgy

Products

Amount of energy required (∆G > 0)

Reactants

Presenter
Presentation Notes
Figure 8.6b Free energy changes (ΔG) in exergonic and endergonic reactions
Page 19: Overview: The Energy of Life

ATP powers cellular work by coupling exergonic reactions to endergonic reactions

• A cell does three main kinds of work: – Chemical – Transport – Mechanical

• To do work, cells manage energy resources by energy coupling, the use of an exergonic process to drive an endergonic one

• Most energy coupling in cells is mediated by ATP

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Page 20: Overview: The Energy of Life

The Structure and Hydrolysis of ATP

• ATP (adenosine triphosphate) is the cell’s energy shuttle

• ATP is composed of ribose (a sugar), adenine (a nitrogenous base), and three phosphate groups

Copyright © 2008 Pearson Education, Inc., publishing as Pearson Benjamin Cummings

Presenter
Presentation Notes
For the Cell Biology Video Space Filling Model of ATP (Adenosine Triphosphate), go to Animation and Video Files.
Page 21: Overview: The Energy of Life

Fig. 8-8

Phosphate groups Ribose

Adenine

Presenter
Presentation Notes
Figure 8.8 The structure of adenosine triphosphate (ATP)
Page 22: Overview: The Energy of Life

The Regeneration of ATP

• ATP is a renewable resource that is regenerated by addition of a phosphate group to adenosine diphosphate (ADP)

• The energy to phosphorylate ADP comes from catabolic reactions in the cell

• The chemical potential energy temporarily stored in ATP drives most cellular work

Copyright © 2008 Pearson Education, Inc., publishing as Pearson Benjamin Cummings

Page 23: Overview: The Energy of Life

CQ4: What would happen if Patrick lost his ability to make ATP?

A: His muscles would not be able to contract.

B: His neurons would not be able to conduct electrical signals.

C: Both A and B. Answer: C 23

Page 24: Overview: The Energy of Life

How is ATP generated?

• ATP is formed through metabolic

pathways.

• In metabolic pathways, the product of one reaction is a reactant for the next.

• Each reaction is catalyzed by an enzyme.

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Page 25: Overview: The Energy of Life

• Movie

Page 26: Overview: The Energy of Life

What are enzymes?

• Enzymes (usually proteins) are biological catalysts, highly specific for their substrates (reactants).

• Enzymes change reactants into products through transition state intermediates.

• Enzymes are not consumed in the reaction. • Movie

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Presenter
Presentation Notes
http://commons.wikimedia.org/wiki/File:Simple_mechanism.svg.png This image has been (or is hereby) released into the public domain by its author, TimVickers at the wikipedia project. This applies worldwide. In case this is not legally possible: TimVickers grants anyone the right to use this work for any purpose, without any conditions, unless such conditions are required by law.
Page 27: Overview: The Energy of Life

Enzymes speed up metabolic reactions by lowering energy barriers

• A catalyst is a chemical agent that speeds up a reaction without being consumed by the reaction

• An enzyme is a catalytic protein • Hydrolysis of sucrose by the enzyme

sucrase is an example of an enzyme-catalyzed reaction

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Page 28: Overview: The Energy of Life

Enzymes as Catalysts

• Enzymes “speed up” reactions by lowering the “activation energy” of a reaction.

• Enzymes DO NOT change the overall energy released in a reaction.

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Presenter
Presentation Notes
Click on the link to view an animation about enzyme action: http://www.wiley.com/legacy/college/boyer/0470003790/animations/catalysis_energy/catalysis_energy.swf
Page 29: Overview: The Energy of Life

The Activation Energy Barrier

• Every chemical reaction between molecules involves bond breaking and bond forming

• The initial energy needed to start a chemical reaction is called the free energy of activation, or activation energy (EA)

• Activation energy is often supplied in the form of heat from the surroundings

Copyright © 2008 Pearson Education, Inc., publishing as Pearson Benjamin Cummings

Page 30: Overview: The Energy of Life

Fig. 8-14

Progress of the reaction

Products

Reactants

∆G < O

Transition state

EA

D C

B A

D

D

C

C

B

B

A

A

Presenter
Presentation Notes
Figure 8.14 Energy profile of an exergonic reaction
Page 31: Overview: The Energy of Life

How Enzymes Lower the EA Barrier

• Enzymes catalyze reactions by lowering the EA barrier

• Enzymes do not affect the change in free energy (∆G); instead, they hasten reactions that would occur eventually

Animation: How Enzymes Work Copyright © 2008 Pearson Education, Inc., publishing as Pearson Benjamin Cummings

Page 32: Overview: The Energy of Life

Fig. 8-15

Progress of the reaction

Products

Reactants

∆G is unaffected by enzyme

Course of reaction without enzyme

EA without enzyme EA with

enzyme is lower

Course of reaction with enzyme

Presenter
Presentation Notes
Figure 8.15 The effect of an enzyme on activation energy
Page 33: Overview: The Energy of Life

Substrate Specificity of Enzymes

• The reactant that an enzyme acts on is called the enzyme’s substrate

• The enzyme binds to its substrate, forming an enzyme-substrate complex

• The active site is the region on the enzyme where the substrate binds

• Induced fit of a substrate brings chemical groups of the active site into positions that enhance their ability to catalyze the reaction

Copyright © 2008 Pearson Education, Inc., publishing as Pearson Benjamin Cummings

Presenter
Presentation Notes
For the Cell Biology Video Closure of Hexokinase via Induced Fit, go to Animation and Video Files.
Page 34: Overview: The Energy of Life

Fig. 8-16

Substrate

Active site

Enzyme Enzyme-substrate complex

(b) (a)

Presenter
Presentation Notes
Figure 8.16 Induced fit between an enzyme and its substrate
Page 35: Overview: The Energy of Life

Catalysis in the Enzyme’s Active Site

• In an enzymatic reaction, the substrate binds to the active site of the enzyme

• The active site can lower an EA barrier by – Orienting substrates correctly – Straining substrate bonds – Providing a favorable microenvironment – Covalently bonding to the substrate

Copyright © 2008 Pearson Education, Inc., publishing as Pearson Benjamin Cummings

Page 36: Overview: The Energy of Life

Fig. 8-17

Substrates

Enzyme

Products are released.

Products

Substrates are converted to products.

Active site can lower Eand speed up a reaction.

Substrates held in active site by weak interactions, such as hydrogen bonds and ionic bonds.

Substrates enter active site; enzyme changes shape such that its active site enfolds the substrates (induced fit).

Active site is

available for two new

substrate molecules.

Enzyme-substrate complex

5

3

2 1

6

4

Presenter
Presentation Notes
Figure 8.17 The active site and catalytic cycle of an enzyme
Page 37: Overview: The Energy of Life

Effects of Local Conditions on Enzyme Activity

• An enzyme’s activity can be affected by – General environmental factors, such as

temperature and pH – Chemicals that specifically influence the

enzyme

Copyright © 2008 Pearson Education, Inc., publishing as Pearson Benjamin Cummings

Page 38: Overview: The Energy of Life

Effects of Temperature and pH

• Each enzyme has an optimal temperature in which it can function

• Each enzyme has an optimal pH in which it can function

Copyright © 2008 Pearson Education, Inc., publishing as Pearson Benjamin Cummings

Page 39: Overview: The Energy of Life

Fig. 8-18

Rat

e of

reac

tion

Optimal temperature for enzyme of thermophilic

(heat-tolerant) bacteria

Optimal temperature for typical human enzyme

(a) Optimal temperature for two enzymes

(b) Optimal pH for two enzymes

Rat

e of

reac

tion

Optimal pH for pepsin (stomach enzyme)

Optimal pH for trypsin (intestinal enzyme)

Temperature (ºC)

pH 5 4 3 2 1 0 6 7 8 9 10

0 20 40 80 60 100

Presenter
Presentation Notes
Figure 8.18 Environmental factors affecting enzyme activity
Page 40: Overview: The Energy of Life

CQ5: Which statement about enzymes is correct?

A: Enzymes are always proteins. B: Enzymes are consumed in a reaction. C: Enzymes are always active. D: All are correct. E: None are correct. Answer: E

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Presenter
Presentation Notes
Note: It is a common misconception that enzymes are always active. This question leads to the next slides on enzyme regulation.
Page 41: Overview: The Energy of Life

Enzyme Regulation • Enzymes turn “on” and “off” based on the

need of the organism – “ON” = Activators

• Positive allosteric regulation

– “OFF” = Inhibitors • Irreversible = must make new enzyme! • Reversible = inhibitor can “come off”

– Competitive = active site – Noncompetitive = “other” site = allosteric site

• Feedback Inhibition 41

Presenter
Presentation Notes
Click on the link to view an animation of enzyme inhibition: http://www.chem.purdue.edu/courses/chm333/enzyme_inhibition.swf This information is needed to understand the potential treatments for Patrick’s paralysis. Instructors may wish to provide additional information about allosteric regulation based on their course.
Page 42: Overview: The Energy of Life

Cofactors

• Cofactors are nonprotein enzyme helpers • Cofactors may be inorganic (such as a

metal in ionic form) or organic • An organic cofactor is called a coenzyme • Coenzymes include vitamins

Copyright © 2008 Pearson Education, Inc., publishing as Pearson Benjamin Cummings

Page 43: Overview: The Energy of Life

Enzyme Inhibitors

• Competitive inhibitors bind to the active site of an enzyme, competing with the substrate

• Noncompetitive inhibitors bind to another part of an enzyme, causing the enzyme to change shape and making the active site less effective

• Examples of inhibitors include toxins, poisons, pesticides, and antibiotics

• http://science360.gov/obj/tkn-video/28df391b-8455-4c17-9ab2-abb30ff0dfa5

Copyright © 2008 Pearson Education, Inc., publishing as Pearson Benjamin Cummings

Page 44: Overview: The Energy of Life

Fig. 8-19

(a) Normal binding (c) Noncompetitive inhibition (b) Competitive inhibition

Noncompetitive inhibitor

Active site Competitive inhibitor

Substrate

Enzyme

Presenter
Presentation Notes
Figure 8.19 Inhibition of enzyme activity
Page 45: Overview: The Energy of Life

Allosteric Activation and Inhibition

• Most allosterically regulated enzymes are made from polypeptide subunits

• Each enzyme has active and inactive forms • The binding of an activator stabilizes the

active form of the enzyme • The binding of an inhibitor stabilizes the

inactive form of the enzyme

Copyright © 2008 Pearson Education, Inc., publishing as Pearson Benjamin Cummings

Page 46: Overview: The Energy of Life

• Cooperativity is a form of allosteric regulation that can amplify enzyme activity

• In cooperativity, binding by a substrate to one active site stabilizes favorable conformational changes at all other subunits

Copyright © 2008 Pearson Education, Inc., publishing as Pearson Benjamin Cummings

Page 47: Overview: The Energy of Life

How are metabolic pathways regulated?

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Feedback inhibition animation http://highered.mcgraw-hill.com/sites/0072437316/student_view0/chapter8/animations.html#

Presenter
Presentation Notes
Click on the link to view an animation on feedback inhibition: http://programs.northlandcollege.edu/biology/Biology1111/animations/enzyme.html
Page 48: Overview: The Energy of Life

Feedback Inhibition

• In feedback inhibition, the end product of a metabolic pathway shuts down the pathway

• Feedback inhibition prevents a cell from wasting chemical resources by synthesizing more product than is needed

Copyright © 2008 Pearson Education, Inc., publishing as Pearson Benjamin Cummings

Page 49: Overview: The Energy of Life

Fig. 8-22

Intermediate C

Isoleucine used up by cell

Enzyme 1 (threonine deaminase)

End product (isoleucine)

Enzyme 5 Intermediate D

Intermediate B

Intermediate A

Enzyme 4

Enzyme 2

Enzyme 3

Initial substrate (threonine)

Threonine in active site

Active site available

Active site of enzyme 1 no longer binds threonine; pathway is switched off.

Isoleucine binds to allosteric site

Feedback inhibition

Presenter
Presentation Notes
Figure 8.22 Feedback inhibition in isoleucine synthesis
Page 50: Overview: The Energy of Life

CQ6: In competitive inhibition… A: the inhibitor competes with the normal

substrate for binding to the enzyme's active site.

B: an inhibitor permanently inactivates the enzyme by combining with one of its functional groups.

C: the inhibitor binds with the enzyme at a site other than the active site.

D: the competing molecule's shape does not resemble the shape of the substrate molecule.

Answer: A 50

Page 51: Overview: The Energy of Life

Specific Localization of Enzymes Within the Cell

• Structures within the cell help bring order to metabolic pathways

• Some enzymes act as structural components of membranes

• In eukaryotic cells, some enzymes reside in specific organelles; for example, enzymes for cellular respiration are located in mitochondria

Copyright © 2008 Pearson Education, Inc., publishing as Pearson Benjamin Cummings

Page 52: Overview: The Energy of Life

Fig. 8-23

1 µm

Mitochondria

Presenter
Presentation Notes
Figure 8.23 Organelles and structural order in metabolism
Page 54: Overview: The Energy of Life

DNA mutations can disrupt

metabolic pathways

• Patrick suffered from a genetic disease that altered the structure of one protein.

• The protein was an enzyme. • The enzyme could potentially:

• lose its ability to catalyze a reaction. • lose its ability to be regulated.

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Page 55: Overview: The Energy of Life

CQ7: Consider the following metabolic pathway: A C D

B If the enzyme responsible for converting A to C was

mutated and nonfunctional, what would happen?

A: A levels would increase; B, C, and D levels would decrease.

B: A and B levels would increase; C and D levels would decrease.

C: A, B and C levels would increase; D levels would decrease.

D: A, B, C, and D levels would all decrease. Answer:B 55

Page 56: Overview: The Energy of Life

Fig. 8-UN1

Enzyme 1 Enzyme 2 Enzyme 3 D C B A

Reaction 1 Reaction 3 Reaction 2 Starting molecule

Product

Page 57: Overview: The Energy of Life

Metabolic Pathways: Glycolysis

• Pathway present in almost every cell!

• Takes place in the cytoplasm of the cell.

• Occurs with or without oxygen.

• Oxidizes glucose (6 C) to 2 pyruvate (3 C).

• Overall yield = 2 ATP and 2 NADH + H+

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Presenter
Presentation Notes
Click on the link to view a simplified animation of the glycolytic pathway linked to fermentation. http://instruct1.cit.cornell.edu/Courses/biomi290/MOVIES/GLYCOLYSIS.HTML You may want to supplement this material with your own images of glycolysis and fermentation pathways.
Page 58: Overview: The Energy of Life

Important Electron Acceptors Coenzymes

• NAD (Nicotinamide Adenine Dinucleotide) – NAD+ + 2H+ + 2 e- --> NADH+ + H+

• FAD (Flavin Adenine Dinucleotide) – FAD + 2H+ + 2 e- --> FADH2

• Both molecules serve as coenzymes in many reactions.

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Page 59: Overview: The Energy of Life

Fermentation: Recycles NADH

• Occurs in the cytoplasm without O2 • NADH + H+ is reoxidized to NAD+

• Alcoholic Fermentation = yeast cells – Converts pyruvate to ethanol and CO2 – Overall yield = 2 ATP

• Lactate Fermentation = animal cells – Converts pyruvate to lactate – Overall yield = 2 ATP

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Page 60: Overview: The Energy of Life

CQ8: Consider the following metabolic pathway: Pyruvate Acetyl CoA TCA cycle Lactate If Patrick’s enzyme responsible for converting pyruvate to acetyl CoA was inhibited, what would happen? A: Pyruvate levels would increase; acetyl CoA and lactate levels would decrease.

B: Pyruvate and lactate levels would increase; acetyl CoA levels would decrease.

C: Pyruvate, acetyl CoA, and lactate levels would increase.

D: Pyruvate, acetyl CoA, and lactate levels would all decrease.

Answer: B 60

Presenter
Presentation Notes
This question leads specifically to some of the clinical symptoms that Patrick suffered due to his enzyme deficiency.
Page 61: Overview: The Energy of Life

Patrick suffered from lactate acidosis

• Lactate (lactic acid) and pyruvate accumulated in his blood.

• Acidosis led to: – Hyperventilation – Muscle pain and weakness – Abdominal pain and nausea

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Presenter
Presentation Notes
The enzyme deficiency must be between the conversion of pyruvate to acetyl CoA.
Page 62: Overview: The Energy of Life

What happened to Patrick? • He inherited a mutation

leading to a disease called pyruvate dehydrogenase complex disease (PDCD).

• Pyruvate dehydrogenase is an enzyme that converts pyruvate to acetyl CoA inside the mitochondria.

• The brain depends on glucose as a fuel. PDCD degenerates gray matter in the brain.

• Pyruvate accumulates, leading to alanine and lactate accumulation in the blood (lactate acidosis). 62

Presenter
Presentation Notes
The pyruvate dehydrogenase complex disease link provides more extensive information about PDCD. It is important to emphasize that the enzyme deficiency is within the mitochondria. However, alanine and lactate accumulate in the cytoplasm. The “mitochondrial membrane” box delineates the different compartments (above the box = cytoplasm, below the box = mitochondria). This image can be found at: http://www.ehponline.org/realfiles/members/1998/Suppl-4/989-994stacpoole/stacfig1.GIF
Page 63: Overview: The Energy of Life

CQ9: Why did Patrick become paralyzed? A: He inherited a genetic disease that resulted in the

partial loss of an enzyme necessary for aerobic breakdown of glucose.

B: The enzyme that is necessary for metabolizing fats was defective.

C: He was unable to synthesize muscle proteins due to defective ribosomes.

D: He suffered from a severe ion imbalance due to a high salt diet.

Answer: A 63

Page 64: Overview: The Energy of Life

CQ10: Which food(s) can be metabolized to generate acetyl CoA?

A: Carbohydrates

B: Fats

C: Proteins

D: Both carbohydrates and fats

E: Carbohydrates, fats and proteins

Answer: E 64

Presenter
Presentation Notes
This question leads the students to understand why a ketogenic diet may be used to treat this enzyme deficiency. It also emphasizes that other types of fuel can be used for aerobic metabolism. Image from http://commons.wikimedia.org/wiki/File:ATP_Production_Pathways.jpg
Page 65: Overview: The Energy of Life

Are there any treatment options for PDH deficiency?

• High fat, low carbohydrate diet (ketogenic diet)

• Fatty acids can form acetyl CoA which can enter

the Krebs cycle

Fatty acids

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Page 66: Overview: The Energy of Life

Are there any treatment options for PDH deficiency?

• Dichloroacetate (DCA) blocks the enzyme that converts PDH from active to inactive forms

• PDH remains in the active form

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DCA blocks here

Presenter
Presentation Notes
The use of DCA, an enzyme inhibitor, to treat this disorder links the previous information about enzyme inhibition with the treatment. By preventing the conversion of active PDH to inactive PDH, the levels of active PDH increase. This leads to more active form of the enzyme.
Page 67: Overview: The Energy of Life

CQ11: Dichloroacetate (DCA) administration would lead to…

A: Increased production of acetyl CoA. B: Decreased lactate accumulation. C: Increased ATP production. D: All of the above. Answer: D

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Presenter
Presentation Notes
Images from previous slides are included to show the relationships between the overall metabolic pathway, the specific enzyme deficiency, and the treatment.
Page 68: Overview: The Energy of Life

CQ12: The loss of which of the following molecules was the most critical for Patrick’s paralysis?

A: Pyruvate dehydrogenase B: Acetyl CoA C: Lactate D: ATP Answer: D

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Presenter
Presentation Notes
Even though Patrick lost PDH activity which resulted in decreased levels of acetyl CoA, ultimately Patrick’s disease was due to his inability to make ATP. This clicker question links the case back to the importance of ATP formation for cellular work.
Page 69: Overview: The Energy of Life

What happened to Patrick?

• Although his family tried to care for him at home, Patrick remained in hospitals and nursing homes until he died in 2006.

• Patrick died due to pneumonia, sepsis, and renal failure when he was only 21 years old.

• His family mourns his loss but feels grateful that he was able to survive for 5 years on a respirator, 4 years beyond his doctor’s predictions.

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