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On Cellular Organization and Respiration

Literature Review
mitochondria oxphos pmf
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  • A
    Amazoniac
    last edited by Jul 8, 2024, 12:41 AM

    ATP use:

    • ATP + H₂O ⇉ ADP + Pi + H⁺

    And 2 methods of regeneration:

    'Substrate-level' phosphorylation:

    • ADP + R-OP + *H⁺ → ATP + R-OH
      (R for "Root")

    Oxidative phosphorylation:

    • ADP + Pi + H⁺ → ATP + H₂O

    *Whether a H⁺ is consumed will depend on the reaction.

    Creatine cycling does consume (→) and produce (←) H⁺:

    • ADP + (Creatine-OP) + H⁺ ⇄ ATP + (Creatine-OH)

    Throughout cellular respiration, it's tricky..

    Glycolysis | Wikipedia

    Enzyme Participants Dir. Participants
    HK ADP + R-OP + H⁺ ← ATP + R-OH
    PFK ADP + R-OP + H⁺ ← ATP + R-OH
    PGK ADP + R-OP + H⁺ → ATP + R-O⁻
    PK ADP + R-OP + *H⁺ → ATP + R-O

    *But a hydrogen is incorporated elsewhere (R-CH₂ → R-CH₃):

    b104cd45-461f-4971-987e-6a83a39b9796-image.png

    We could argue that glycolysis metabolites become ionized as soon as phosphate is attached to them (early on in glycoylsis), and this contributes to their trapping in cells. However, the definite ionization occurs when phosphates start to be detached in PGK, where crapoxylates are formed (note in the table how H⁺ aren't consumed against expectation).

    It's for the phosphorylation steps that you'll find a one-way arrow in diagrams, deeming them irreversible (except for PGK). However, if this was the case in all tissues, glucose resynthesis wouldn't be possible. As an example, the reactions of HK and PFK can be undone through phosphorylases that work as hydrolases:

    • Glycolite-OP + H₂O → Glycolite-OH + Pi
      ⠀

    In oxidative phosphorylation, the PO₃⁺ (of inorganic phosphate; Pi) goes towards ADP, and OH⁻ (also from Pi) combines with H⁺ to form H₂O.

    • ADP + Pi + H⁺ → ATP + H₂O

    With substrate-level phosphorylation in mitochondria, we have a variation of it. SCS reaction (omitting the succinyl group):

    • 'ADP' + Pi + CoAS⁻ → 'ATP' + CoASH

    As before, the PO₃⁺ (of inorganic phosphate; Pi) goes towards ADP, but here OH⁻ doesn't combine with H⁺ to form H₂O. Rather, oxygen gets incorporated to yield succinate, and H⁺ is accepted by CoA instead of released immediately in free form. No additional H⁺ is consumed.
    ⠀
    Therefore, lactate formation aside, increase reliance on substrate-level phosphorylation for ATP resynthesis goes without the immediate compensatory H⁺ consumption, although complete metabolism should be an overall H⁺-consuming process.

    It's worth noting the complicators.
    Free phosphates will occur as mixed species that take up more or less H⁺ depending on its concentration, and differences in acidity between compartments will affect the composition.
    We also know that most of the ATP is produced in mitochondria and consumed in the cytosol. The synthesis of ATP with H⁺ consumption occurs in a more alkaline environment relative to where most of ATP is hydrolyzed. At some stage, the extra H⁺ taken up by phosphates in the cytosol will have to be released when the phosphates in question return to mitochondria.

    I now have a support page!

    L 1 Reply Last reply Jul 8, 2024, 2:58 AM Reply Quote 0
    • L
      Lejeboca @Amazoniac
      last edited by Jul 8, 2024, 2:58 AM

      @Amazoniac Thanks!
      It is on my reading list now! Main goal not to side-track 🙂

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      • A
        Amazoniac
        last edited by Jul 9, 2024, 11:31 PM

        Does Aerobic Respiration Produce Carbon Dioxide or Hydrogen Ion and Bicarbonate?

        2836e3ec-ab2c-483a-877e-cc44ba75d292-image.png

        The majority of CO₂ in the body circulates as the hydrocarbonate ion:

        16e36b0d-321d-4cd5-85f4-dd2275e84ec3-image.png

        Carbon dioxide and derivatives Content
        Hydrocarbonate ion (HCO₃⁻) ~70%
        Carbamates (protein-bound; R-NH-CO₂) ~23%
        Carbon dioxide (CO₂) ~7%
        Carbonic acid (H₂CO₃) <1%

        Organic anions are considered alkalinizing when they are hydrocarbonate precursors. However, prior to its formation, CO₂ has to be hydrated, and for every hydrocarbonate ion derived from CO₂, a H⁺ is released in the system:

        • CO₂ + H₂O ⇄ H₂CO₃ ⇄ H⁺ + HCO₃⁻

        The H⁺ are temporarily sequestered, but complexation doesn't negate it.

        It's easy to overlook the H⁺ load for not being apparent in circulation, where normal levels are:

        • [HCO₃⁻]: 22-32 mmol/L
        • [H⁺]: 0.000036-0.000043 mmol/L (from pH: 7.44-7.37)

        Far from a 1:1 ratio.

        It can be argued that hydrocarbonate precursors alkalinize for consuming H⁺ in priming molecules for complete oxidation (into CO₂ and H₂O), which is true, but the consumption is compensated when the equivalent of carbonic acid molecules appear in the system.

        Unlike non-volatile acids that can remain paired by a corresponding counter-ion until elimination (example: sodium sulfate), the occurrence of carbonic acid or variants yields CO₂ and H₂O. This CO₂ leaves the body, and the original pairing cation is left as unpaired as residue (example: sodium citrate).

        To maintain ion neutrality and rebalance, the body may try to lower cations, which would affect H⁺ concentration, and conserve anions, including hydrocarbonate. Fluid redistribution from the excess cation can also dilute H⁺. The hydrocarbonate are first and foremost carbonic acid precursors, so we need explanations along these lines.


        @Lejeboca said in On Cellular Organization and Respiration:

        @Amazoniac Thanks!
        It is on my reading list now! Main goal not to side-track 🙂

        Спасибо за визит.

        I now have a support page!

        1 Reply Last reply Reply Quote 0
        • A
          Amazoniac
          last edited by Jul 15, 2024, 11:42 PM

          Tricarboxylic Acid Cycle

          0babca0d-386d-46da-8c64-41127797e9e3-image.png

          Each turn of the TCA cycle eliminates 2 carbons in consecutive (oxidative) decrapoxylation steps:

          • IDH: isocitrate → ketoglutarate* + CO₂
          • KGDH: ketoglutarate* → succinyl(CoA) + CO₂

          A peculiarity of the TCA cycle is that succinate and (its product) fumarate are symmetrical molecules (⇈). Since this property applies to both of them, we can tell that succinate dehydrogenase modifies succinate evenly.

          The next reaction is the conversion of fumarate to malate, where asymmetry appears. Even though fumarate is symmetrical, it contains newer or older atoms throughout the molecule. Depending on which side of fumarate is primarily changed after fumarase, the carbon stay in the cycle will differ.

          This gives an idea:

          Alterations in Cytosolic and Mitochondrial [U- 13 C]-Glucose Metabolism in a Chronic Epilepsy Mouse Model

          acd3f3f5-896b-43d4-985b-14dc4de4b40a-image.png

          I've adapted it for ease of tracing and until completion:

          f37c8833-f676-45ff-928b-7e229c9774f8-image.png

          Therefore, the original carbons (from a given acetyl group) aren't eliminated straight away. They remain intact on the 1st turn, and the chances of their complete elimination appear to be:

          • 50% on the 3rd turn
          • 25% on the 4th turn
          • 12.5% on the 5th turn
          • 6.25% on the 6th turn
          • ...

          *Ketoglutarates:

          • 2-oxoglutarate = a-ketoglutarate
          • 3-oxoglutarate = b-ketoglutarate

          Alpha refers to the second carbon because the first is the crapoxyl group, that's disconsidered in counting (similar to beta-oxidation).

          Urine Organic Acids as Potential Biomarkers for Autism-Spectrum Disorder in Chinese Children

          "[..]3-oxoglutarate, a common metabolite of yeast and fungi (Thomas et al., 2010; MacFabe et al., 2011; Kocovska et al., 2012), was significantly lower in children with autism. The low concentrations of both carboxycitric acid and 3-oxoglutarate that we observed in urine from autistic patients could be due to increased uptake of these compounds across the blood-brain barrier of the brain. Our results are consistent with previous studies that showed anti-fungal treatments for children with autism can effectively reduce the amounts of corresponding organic acid indicators (Cobb and Cobb, 2010), and suggests that gastrointestinal yeast could provide a basis for dietary adjustments such as gluten/casein-free diets that are important for children’s nervous system development and could mitigate autism symptoms. 3-oxoglutarate in urine is associated with the presence of harmful gut flora such as Candida albicans (Schmidt, 1994)."

          It's fine to omit the 'alpha' prefix from ketoglutarate for the same reason that we only need to clarify which Paris we're going to when it's not the one in France.

          I now have a support page!

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          • A
            Amazoniac
            last edited by Amazoniac Dec 27, 2024, 4:58 PM Dec 27, 2024, 3:47 PM

            At last, an objective comparison of dietary toxins:

            5a589c8e-37aa-4cbb-80dd-86c4cb79444b-image.png

            a1e7b9bc-f7ed-4a1a-bb87-b73285eb860b-image.png

            380ad8ca-eaaf-4e15-a814-3e07c6e9c30c-image.png

            Since these coenzymes are recycled, the most expensive phase with them must be in adapting to different needs. Once the cell becomes adapted, it's a matter of replenishing obligatory losses. I've omitted some coenzymes for clarity.

            The comparison makes it clear once again that the oxidation of glucose doesn't produce more CO₂ per molecule metabolized than fatty acids.

            What explains the CO₂ effect is a difference in ATP production: fatty acid oxidation can yield about 25% more ATP than glucose on a carbon basis (P/C), resulting in less exposure to CO₂ to produce the same energy.

            The NAD/FAD ratios in their complete catabolism:

            • NAD 5:1 FAD -- Glucose
            • NAD 2:1 FAD -- Fatty acids (rounded for common ones)

            Someone may associate FAD with Complex II and have with the impression that fatty acid oxidation overwhelms Complex II. However, if we match substrates for energy yield and argue that glucose oxidation exposes the person to more CO₂, we must be consistent with the matching in other comparisons.

            We're dealing with different pools of FAD:

            • FAD within the ACADH-ETF-ETFDH complex (more about it below) is responsible for the marked decrease in the NAD/FAD ratio;

            • FAD within SDH (Complex II) remains similarly affected by glucose and fatty acids.

            These are separate routes of transferring electrons.

            With a focus on the first mentioned route, the middle row shows the 4 enzymes of a standard β-oxidation cycle:

            Lack of Myoglobin Causes a Switch in Cardiac Substrate Selection

            a354d4b1-7883-4a89-8bb8-34ee20fab0d2-image.png

            Abbreviation Enzyme Function
            ACADH Acyl-CoA dehydrogenase Oxidation
            ..and the Trifunctional Protein (TFP) set:
            ECH Enoyl-CoA hydratase Hydration
            HADH Hydroxyacyl-CoA dehydrogenase Oxidation
            KAT Ketoacyl-CoA thiolase Thiolysation

            The bottom row of the image shows the respiratory complexes.

            In between the middle and bottom rows, linking β-oxidation to respiratory dehydrogenases, are the mobile ETF and NAD molecules.

            • ACADH → ETF → ETFDH
            • HADH → NAD → Complex I

            ETF stands for Electron-transfer Flavoprotein, which is carrier molecule and the FAD equivalent in purpose to NAD.

            ETFDH (ETF Dehydrogenase) is a respiratory complex that metabolizes ETF. It's sometimes called ETF:Q-O (ETF-to-Quinone Oxidoreductase).

            FAD occurs embedded in ACADH, and the same applies to each of these interacting proteins:

            • ACADH (FAD) → ETF (FAD) → ETFDH (FAD)

            It's fad everywhere, resembling a thiamin overdose support group.

            The paths of these β-oxidation dehydrogenases (ACADH and HADH) eventually converge in ubiquinone.

            FAD-dependent NAD-dependent
            β-ox. Enzyme ACADH HADH
            Carrier ETF NAD
            Resp. Enzyme ETFDH (ETF:Q-O) Complex I (NADH:Q-O)
            Carrier ⤷ UQ ⤶
            Resp. Enzyme Complex III
            Carrier Cyt c
            Resp. Enzyme Complex IV

            Therefore, the extra FAD cycled in fatty acid oxidation doesn't involve SDH (Complex II), but the ACADH-ETF-ETFDH complex featured above.

            Since every acetyl-CoA that's metabolized in the TCA cycle is derived oxidatively from a β-oxidation cycle, we'll have a succinate (from TCA cycle → SDH) molecule for every ETF (from β-oxidation → ETFDH); so, the different routes distribute electrons somewhat evenly between them, without burdening Complex II.

            414a6163-1903-453b-a228-0917b5c11b56-image.png

            ⠀Source: the internet, but possibly Albie's Principles of Biochemistry.

            It's an almost even distribution because the last acetyl-CoA isn't derived oxidatively, but as a leftover product of the final β-oxidation cycle, which explains one less FAD needed in ACAD/ETF/ETFDH (check the original tables).

            As a side note, the catabolism of certain amino acids and choline is also dependent on ETF-ETFDH.

            Electron transfer flavoprotein and its role in mitochondrial energy metabolism in health and disease

            59d2a98a-f817-44a5-b37a-e2366388c2a2-image.png

            Along the lines of taking energy into account, the ratio of ATP produced to oxygen consumed (P/O) indicates how fatty acid reliance needs less oxidation than anticipated, it's not too far behind glucose.

            In addition, the components related to β-oxidation can cluster with the respiratory complexes to maximize efficiency and minimize damage. 'Respirasome' (CI + CIII₂ + CIV) is a known respiratory supercomplex, but we also have lesser-known associations, one of them coordinating ETFDH with CIII, while ACADH and ETF likely remain nearby.

            Kinetic advantage of the interaction between the fatty acid β-oxidation enzymes and the complexes of the respiratory chain

            bb56df5e-d47b-4eec-8b45-475bf68c3c8b-image.png

            An ETFDH-driven metabolon supports OXPHOS efficiency in skeletal muscle by regulating coenzyme Q homeostasis

            d019d86d-cd77-4dad-a10a-94d3c686ecd2-image.png

            Mitochondrial fatty acid oxidation and the electron transport chain comprise a multifunctional mitochondrial protein complex

            75e5f2d0-6e88-48fd-beb4-9638c9883b19-image.png

            "For steps 1–3, long-chain acyl-CoA substrates are transferred into mitochondria as acylcarnitines, which cross from the intermembrane space into VLCAD through CPTII in the inner membrane. VLCAD then accepts and catalyzes the released long-chain acyl-CoA substrate to its enoyl–CoA product with reduction of ETF. The protein complex promotes metabolite channeling for all these reactions.

            For steps 4 and 5, reduced ETF is released from VLCAD into the mitochondrial matrix, where it is free to find its redox partner, ETFDH, and shuttle its reducing equivalents (QH2) to ETC complex III. Alternatively, for high catalytic efficiency of transfer of electrons from FAO to ETC, the ETF may remain associated with the macromolecular FAO–ETC complex and instead slide down the membrane-associated proteins to more efficiently contact ETFDH.

            For steps 6 and 7, long-chain enoyl–CoAs, from VLCAD, channel directly to TFP where the next three reactions in the cycle occur, producing one molecule of acetyl-CoA and an acyl-CoA substrate that is two carbons shorter. As the acyl-CoAs become shorter, they become more hydrophilic, allowing them to be released into the matrix. NADH generated by the LCHAD reaction of TFP can directly channel to the NADH-binding domain of complex I.

            For step 8, in complex I NADH is oxidized through iron–sulfur clusters to generate QH2 at the Q-binding domain, which is then transported through the membrane electron channel of complex I to complex III.

            For steps 9 and 10, medium- and short-chain acyl-CoA substrates produced by TFP are transferred to MCAD and SCAD in the matrix or in a more weakly-associating peripheral domain of the multifunctional FAO–ETC complex. ETF is once again reduced and released to ETFDH, as in step 5. The remaining FAO reactions are catalyzed by monofunctional enzymes that are likely also weakly associated at the periphery of the complex.

            For step 11, ETFDH oxidizes reduced ETF by reducing CoQ to QH2, which is then channeled to ETC complex III.

            Finally, the acetyl-CoA generated by FAO is free to enter the TCA cycle or to be utilized for ketone body production (steps 12 and 13)."

            For an overview:

            4913ae43-7263-4306-8ac9-96406cd60087-image.png

            If the cell starts to rely more on fatty acid oxidation and there is an excess of ubiquinol relative to Complex I use, electrons can flow back, leading to the formation of 'reactive oxygen species' and a purposeful disintegration of Complex I. This frees the associated Complex III to reorganize supercomplexes in a way that meets a different demand. Therefore, where fatty acid oxidation is dangerous, the body tries to regulate it as drugs.

            I now have a support page!

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            • A
              Amazoniac
              last edited by Dec 27, 2024, 3:55 PM

              And an incomplete list of unexpected CO₂ sources:

              Process Enzyme Reaction
              Pentose Phosphate Pathway PGDH Hexose (6C) → pentose (5C) + CO₂ (1C)
              Fatty acid synthesis KAS* Malonyl (3C) + acetyl (2C) → ketobutyryl (4C) + CO₂ (1C)
              Acetone synthesis - Acetoacetate (4C) → acetone (3C) + CO₂ (1C)
              Oxoglutarate oxygenases OGO Oxoglutarate (5C) → succinate (4C) + CO₂ (1C)
              Pyruvate synthesis from malate ME Malate (4C) → pyruvate (3C) + CO₂ (1C)
              PEP synthesis PEPCK Oxaloacetate (4C) → pyruvate-enol-phosphate (3C) + CO₂ (1C)
              Glycine cleavage system GLDC Glycine (2C) + THF (+0C) →→ methylene-THF (+1C) + CO₂ (1C)
              Coenzime A synthesis PPCD PPC (12C) → P4P (11C) + CO₂ (1C)
              Aldehyde dehydrogenase ALDH formyl-THF (+1C) → THF (+0C) + CO₂ (1C)
              Taurine synthesis CSAD CSA/CA (3C) → hTau/Tau (2C) + CO₂ (1C)
              Cholesterol synthesis PPMD Mevalonate-5-diphosphate (6C) → Isopentenyl diphosphate (5C) + CO₂ (1C)
              Polyamine synthesis SAMD SAM (–0C) → dcSAM (–1C) + CO₂ (1C)
              Other biogenic amine syntheses (AA decarboxylations) †

              *Preceded by carbon incorporation: gain followed by loss. But remains a reaction that releases carbon dioxide.

              †Biochemical and Pharmacological Properties of Biogenic Amines

              6824b206-7fc7-4b5d-b28c-dfd888ab8eb4-image.png

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              • A
                Amazoniac
                last edited by about 23 hours ago

                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.

                I now have a support page!

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