Miguel Favo released a video titled:
"
The Randle Cycle Masterclass"
He runs with core misconceptions that are widespread and worth addressing, appearing to closely adhere to the 'new head, old hat' publication.
"[..]you're basically storing electrons in [NAD and FAD]. Now, [NADH and FADH2] are then brought into the electron transport chain, which is second part of the mitochondria you need to know."
"Now, as I mentioned, NADH goes to Complex I. Well, FADH2 goes to Complex II. When you start to have a lot more electrons flow to FADH2, which you see in fats, because you have only a 2:1 ratio of NADH/FADH2 versus carbs where you have a 5:1 ratio of NADH/FADH2, Complex II starts to hog CoQ10 and steal it from Complex I."
"[..]when you inhibit the fatty acid oxidation and you basically lead to a circumstance where you don't have all the FADH2 going to Complex II and over reducing co-enzyme Q[..]"
The reduced form of FAD in question is not "brought into" or "going to" the Electron-transfer System (ETS), as FAD already belongs to it bound to stationary respiratory complexes.
The intention of highlighting select coenzymes—NAD and FAD—is to differentiate the catabolic yields based on reduction potentials, not to specify the particular electron entry-points, as many respiratory complexes have coenzymes in common. It's important to acknowledge this to avoid limiting FAD to SDH (Complex II), for example.
d9af554b-2331-4a62-adb6-8c0d95b16357-image.png
(The reduction potential should vary depending on the flavoprotein, to be compatible with the preceding reaction.)
Each respiratory complex listed below is a flavoprotein:
Mobile e⁻ donor
Respiratory complex
Contains
NAD
Complex I
FMN
Succinate
SDH
FAD
ETF
ETFDH
FAD
Proline
PRODH
FAD
Choline
CHODH
FAD
Sulfide
SULDH
FAD
Glycerol phosphate
GPDH
FAD
Dihydroorotate
DHODH
FMN
Dehydrogenase abbreviations here refer to whole and functional complexes.
For a comparison that specifies the respiratory chain entry-points, yet separated by similarities in reduction potentials:
Dehydrogenases
NAD
FAD
⠀
Glucose
⠀
Glycolysis
GAPDH (→ MAS)
Complex I
{GADPH (→ GPS)}
{GPDH}
⠀
Pyruvate oxidation
PDHc
Complex I
⠀
TCA cycle
IDH
Complex I
KGDHc
Complex I
SDH (Cx-II)
SDH
MDH
Complex I
⠀
Total
Glucose with MAS
5
1
Glucose with GPS
4 2
2 1
⠀
Fatty acids
⠀
β-oxidation (standard)
ACADHs
ETFDH
HADH
Complex I
⠀
TCA cycle
IDH
Complex I
KGDHc
Complex I
SDH (Cx-II)
SDH
MDH
Complex I
⠀
Total
Fatty acid oxidation
4 2
2 1
⠀
Ketones
⠀
Ketolysis
HBDH
Complex I
⠀
TCA cycle (as above)
3×Complex I
SDH
⠀
Total
Acetoacetate
3
1
Hydroxybutyrate
4
1
Summary (still with rounded values):
Complex I (NDH)
Complex II (SDH)
Complex IIS* (ETFDH)
Glucose
5
1
-
Fatty acid
4
1
1
*Doing a fun with Complex 2.5.
It's their grouping that gives the usual ratios:
NAD 5:1 FAD -- Glucose
NAD 2:1 FAD -- Fatty acids
[4:(1+1)]
Therefore, the main change responsible for the marked decrease in the NAD/FAD ratio is the inclusion of ETFDH associated with β-oxidation, making it unreasonable to neglect ETFDH and misattribute its involvement to SDH. ETFDH and SDH differ in their capacity to produce ROS, but to compare them takes the recognition that we're dealing with different respiratory complexes and electron routes. Their particularities invalidate any attempt to suggest that it's fine to treat them as one, without the need to differentiate.
Moreover, observe in the video that the simplified NAD/FAD ratio with glucose ended up right (5:1) only because the missing PDH was compensated for by GAPDH quantified erroneously twice.
Electrons that are pulled off in glycolysis (via GAPDH) commonly reach mitochondria through the malate-aspartate shuttle (MAS), where each imported pyruvate can bring a malate molecule along. Those electrons are then recovered from malate in a NAD-dependent reaction, which is why they're expected to contribute to the NAD-linked respiration.
However, in situations where electrons reach mitochondria through the alternative glycerol-phosphate shuttle (GPS), they enter the respiratory chain on a lower level through a FAD-linked pathway, and the NAD/FAD ratio difference between glucose and fatty acid catabolism disappears.
NAD 5:1 FAD -- Glucose with
MAS
NAD 2:1 FAD -- Glucose with
GPS
NAD 2:1 FAD -- Fatty acids
Yet, ratios don't mean much on their own. To get to the principle in question, consider these simplified paths:
NAD → [FMN → FeS]Cx-I →
UQ
Suc → [FAD → FeS]SDH →
UQ
ETF → [FeS → FAD]ETFDH →
UQ
If the reduction potential differences happened to be equal, a mere rerouting of electrons (after a partial shift from NAD-linked to FAD-linked respiration) wouldn't be an issue because one route would increase at the expense of the other, without perturbing the ubiquinone pool. Example:
Situation Aː 65 NAD + 13 FAD → 78 UQ
Situation Bː ↓52 NAD + ↑26 FAD → 78 UQ
However, it is Complex I, III, and IV that are directly responsible for driving respiratory phosphorylation. FAD-linked substrates have less reducing power, so they enter the 'Electron-transfer System' bypassing Complex I. As a consequence, fewer protons are extruded, leading to a decreased ATP yield per electron or oxygen consumed.
It can be useful to identify respiratory complexes based on their ability to drive proton translocation, either directly (middle column) or indirectly (middle row):
Matrix DHs
↳ NAD ↘
Complex I
PRODH, ETFDH, SDH →
↳ UQ ↴
← GPDH, DHODH, SULDH, CHODH
Complex III
↳ Cyt c ↴
Complex IV
(Funky arrows render automatically.)
Now stacking them:
Enzyme
Proton (H⁺) translocation
Concentrators
Complex I
4H⁺/2e⁻
↴ SDH
-
↴ ETFDH
-
↴ PRODH
-
↴ SULDH
-
↴ CHODH
-
↴ GPDH
-
↴ DHODH
-
Complex III
4H⁺/2e⁻
Complex IV
2H⁺/2e⁻
Total
NAD-linked respiration (w/ Complex I)
10H⁺/NAD
FAD-linked respiration (w/o Complex I)
6H⁺/FAD
Dissipators
Complex V (w/ ATP)*
−8H⁺/3ATP
PTP-ANT (w/o ATP)
−3H⁺/3ATP
UCP, NNT, leakage, etc. (w/o ATP)
−?H⁺/3ATP
Total
−11H⁺/3ATP
Per each ATP
−3.7H⁺/1ATP
For each H⁺
−1H⁺/0.27ATP
Simplified (−12H⁺/3ATP)
−1H⁺/0.25ATP
*Bioenergetic cost of making an adenosine triphosphate molecule in animal mitochondria
Complex V
"Each 360° rotation of the central stalk takes each catalytic site through [..] conformations in which substrates bind, and 3 ATP molecules are made and released."
"The turning of the rotor is impelled by protons, driven across the inner membrane into the mitochondrial matrix by the transmembrane proton-motive force."
"According to current models based on structures, the number of translocated protons for generation of each 360° rotation is the same as the number of c-subunits in the ring, as each c-subunit carries a carboxylate involved in protonation and deprotonation events. In the yeast F-ATPase, the ring has ten c-subunits, and so 10 protons are translocated per 3 ATP molecules made during a 360° cycle; therefore, the bioenergetic cost to the enzyme is 3.3 protons per ATP (9). However, the c-ring sizes differ between species; c10–c15 rings have been found in yeast, eubacterial, and plant chloroplast F-ATPases (10–13)."
"The most important inference from the presence of the c8-ring in bovine F-ATP synthase, is that 8 protons are translocated across the inner mitochondrial membranes per 360° rotation of its rotor. As each 360° rotation produces 3 ATP molecules from the F1-domain, the bioenergetic cost of the enzyme making an ATP is 2.7 protons [from 8H⁺/3ATP]."
Dissipators that don't generate ATP reduce the efficiency of its synthesis, making the process more costly. Relating them in terms of ATP production remains useful, for being the primary purpose of cellular respiration.
Phosphate translocase protein (PTP) can lead to the dissipation of a H⁺ for every Pi imported (with ADP) and ATP synthesized: −1H⁺/1ATP. As shown below:
dd2f12dd-66e4-4b81-a2f7-0feaba64e3fa-image.png
We can also compare their contribution to the cost of respiration. For example:
8H⁺ + 3H⁺ = 11H⁺ (100%)
3H⁺/11H⁺ = 27% of H⁺ dissipated without ATP synthesis
Given that respiratory complexes prevail in mitochondrial cristae, it's unclear to me how PTP could dissipate H⁺ from an isolated compartment as ADP and Pi return from the cytosol to the matrix of mitochondria. Nevertheless, once these factors are taken into account, it becomes easy to make future adjustments.
From the table:
0.25 ATP produced per 1 H⁺ consumed (dissipated):
0.25ATP/H⁺
Then:
NAD ⇝ 10H⁺
10H⁺/NAD ×
0.25ATP/H⁺ = 2.5 ATP/NAD
FAD ⇝ 6H⁺
6H⁺/FAD ×
0.25ATP/H⁺ = 1.5 ATP/FAD
Because of variation and uncertainties, the values are often given in ranges:
2–3 ATP/NAD
1–2 ATP/FAD
When cells increase reliance on substrates that depend more on FAD-linked respiration, they have to compensate for the inefficiency by oxidizing more molecules to produce the same amount of ATP. This compensation is what's expected to perturb the ubiquinone pool, where respiratory complexes converge. Reworked example:
Situation Aː 65 NAD + 13 FAD → 78 UQ
Situation Bː ↓52 NAD + ↑26 FAD → 78 UQ
Situation Cː ↓56 NAD + ↑28 FAD → 84 UQ
But now both situations yielding similar amounts of ATP while demanding different amounts of UQ.
If we focus on FAD changes, we may expect a dramatic perturbation on UQ, but not all of this change will always represent FAD- competing with NAD-linked respiration, as more than half of FAD dependence can increase at the expense of NAD. Decreasing the involvement of Complex I could free up a fraction of UQ for other complexes. From the example:
NAD
56 RE − 65 RE =
−9 RE
FAD
28 RE − 13 RE = +15 RE
Impact on UQ
−9 RE + 15 RE = +6 UQ
If UQ occurs as a single and shared pool, eventual perturbations would be minimized from this partial Complex I disuse.
Some aspects to consider beyond NAD/FAD ratios:
Fatty acids may have a H⁺-dissipating effect that's independent of their catabolism, which diverts H⁺ from ATP synthesis.
Activation of fatty acids consumes the equivalent of 2 ATP molecules, regardless of whether fatty acids are catabolized or stored. Given the extensive lipid cycling in the body, if every fatty acid activation expends 2 ATP molecules, part of the ATP synthesized is being wasted, calling for additional ATP synthesis with H⁺ dissipation to make up for it.
Lipid cycling isn't all futile
These processes should occur whether fats are eaten or not, but they might intensify with eating. Both situations above would also demand oxidizing more molecules, increasing the involvement of NAD- and FAD-linked respiration proportionally, and counting on UQ to follow along.
This elevated need implies additional succinate processing by SDH as well, that's part of the TCA cycle.
Glucose and fatty acid differ in how they're decarboxylated (↝CO₂). With glucose, decarboxylation occurs only partially in the TCA cycle (2/3); with fatty acids, it occurs entirely (3/3).
Glucose
⅓ decarboxylations @ PDHc
⅓ decarboxylations @ IDH
⅓ decarboxylations @ KGDHc
Fatty acids and ketones
½ decarboxylations @ IDH
½ decarboxylations @ KGDHc
No carbons are left behind in either case, which can confuse those who assume that glucose oxidation releases additional CO₂ judging solely by the PDHc reaction. They treat PDHc decarboxylations as extra steps, rather than substitutions to the TCA cycle decarboxylations. The effect in question can't be concluded from an excerpt of whole cellular respiration.
In shifting from glucose to fatty acid oxidation, we have the following points to recap concerning SDH.
What may generate..
More succinate for SDH:
Complete TCA cycle dependence for decarboxylation. As just mentioned, glucose oxidation spares SDH by eliminating ⅓ of carbons before the TCA cycle, whereas the full TCA cycle dependence in fatty acid oxidation must increase succinate synthesis for SDH.
Lower reducing potential from the catabolic yield. FAD-linked respiration is a less efficient way to derive ATP. The need for more oxygen as a proxy for electrons consumed is a marker of the inefficiency (lower ATP/O), and part of the additional electrons will come from succinate.
Proton-dissipating effect. Fatty acids may dissipate some of the H+ concentrated through respiration. To replenish the losses, cells have to perform more oxidation, including that of succinate.
Energy-consuming lipid cycling. Repeated fatty acid activation consumes ATP wastefully, which is counteracted by further oxidation, again involving more succinate.
Less succinate for SDH:
Higher yield of reducing equivalents per molecule catabolized. The elimination of ⅓ of carbons outside of the TCA cycle in glucose oxidation is one of the reasons for its lower ATP yield on a carbon basis, which opposes its higher ATP yield on an electron or oxygen basis. Decreasing some of its advantage means less need for succinate oxidation than anticipated in fatty acid oxidation.
Whether the shift from glucose to common fatty acids will burden or relieve a respiratory route depends on how much their catabolism deviates from theoretical values. A refined version of a comparison uploaded before:
24c88e0b-cca8-48f4-bdd8-fcc31ac49116-image.png
The stearic acid column on the left is identical to the one on the right, except for the amount of ATP produced in each, accounting for the inefficiencies discussed so far. The adjustment to 2 ATP/O (left) from ~2.3 ATP/O (right) is exaggerated, admittedly sourced from the Annals of Human Anatomy (formerly Acta Buttologica).
Bringing back the early table:
Complex I (NDH)
Complex II (SDH)
Complex IIS (ETFDH)
CO₂
Glucose
5
1
-
3
Fatty acid
4
1
1
2
NAD 5:1 FAD -- Glucose
NAD 2:1 FAD -- Fatty acids
However, a more intuitive way to relate them and represent the high-everything situation that we may run into with fatty acids could be (as contrasted by the first two columns of the image):
Complex I (NDH)
Complex II (SDH)
Complex IIS (ETFDH)
CO₂
Glucose
5
1
-
3
Fatty acid
6
1.5
1.5
3
NAD 5:1 FAD -- Glucose
NAD 6:3 FAD -- Fatty acids
Putting them together to further illustrate possible scenarios that we may encounter in practice:
Complex I (NDH)
Complex II (SDH)
Complex IIS (ETFDH)
CO₂
Glucose
5
1
-
3
Fatty acid (efficient)
4
1
1
2
Fatty acid (inefficient)
5
1.25
1.25
2.5
Fatty acid (very inefficient)
6
1.5
1.5
3
Glucose → Fatty acid (efficient use)
↓Complex I
≈SDH
↑ETFDH
[↓↓CO₂]
Glucose → Fatty acid (inefficient use)
≈Complex I
↑SDH
↑↑ETFDH
[↓CO₂]
Glucose → Fatty acid (very inefficient use)
↑Complex I
↑↑SDH
↑↑↑ETFDH
[≈CO₂]
Alternating from glucose to fatty acids may barely perturb a respiratory route ('≈' cases) depending on the efficiency of their oxidation. Scenarios range from sparing NAD-linked respiration while minimally affecting SDH-linked respiration (first case) to a high-everything situation that evens out CO₂ production (last case). It remains applicable that ETFDH-linked respiration is the most affected route in these scenarios that are varying proportionally.
One final thing for now:
The lower ATP yield per oxygen consumed (↓ATP/O) with fatty acids raises an issue. If cells that are actively respiring tend to produce less ROS (as pointed out in the original post), the need for further respiration with fatty acid makes us wonder to what extent it recreates the same protective conditions. Fatty acid prevalence could work in effect similar to the use of proton dissipators (oxidative phosphorylation uncouplers), those that keep being praised as therapeutic.