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PP Leong
Study Objectives
Introduction
Energy
What is it?
Why is it so important?
How is it being generated?
How is it being stored?
Lipid
Protein
Acetyl
CoA
ATP
Hydrolysis of high energy phosphate
bonds
~7.3 kcal/mol
Usage:
Change in conformation of
molecules
Amplify signals
NAD+
Flavin adenine
dinucleotide
NADP+
Two-electron carriers
The Powerhouse
Mitochondria
http://www.cob.lu.se/dehydrogenase/
Complex
Component s
I (NADH dehydrogenase)
II (Succinate dehydrogenase)
IV (Cytochrome oxidase)
Inter-membrane space
Inner membrane
Matrix space
NADH reductase
Cytochrome B-c1
complex
Cytochrome
oxidase complex
2.
3.
4.
Oxidative Phosphorylation
eesc.columbia.edu/courses/ees/li...t20.html
Cofactors in ETC
Functions
NAD+ or NADP+
Electron acceptor/carrier
FAD
Coenzyme Q (CoQ) or
ubiquinone
Flavin mononu8cleotide
(FMN)
Heme
Electron transfer
Coenzyme
Prosthetic
group
Limited
permeability
Little/no
permeability
barrier
Clinical Correlation:
Cyanide Poisoning
Inhalation or ingestion of
cyanide compounds
Source of cyanide in fire
smoke
Wool, silk, cotton, paper
Plastic & other polymer
Biochemical consequences
Blocks aerobic metabolism & energy production
cellular hypoxia
Inhibition at the cytochrome oxidase - bind to heme
group (Fe3+) prevent utilization of O2
Cause shift to anaerobic metabolism
accumulation of lactate
Death from central respiratory arrest
Treatment
Determining factors: time (rapid) & concentration of
exposure (high or prolonged)
Antidote (nitrates, thiosulfate) to convert cyanide to
thiocyanate excreted through renal
Endogenous mechanism to
neutralized ROS
Isozyme of superoxide dismutase
Glutathione peroxidase
Glutathione reductase
Antioxidant compounds
Vitamin C and E
Food & beverages e.g. green tea,
fruits
Clinical Correlation:
Infarction
Ischemia
To restore blood
flow to oxygenReperfusion deprived tissue as
quickly as possible
Injuries
Reversible injury
Progression
of necrosis - stunning
Reducing/preventing
infarct expansion
FROM ROBBINS
Summary
Cellular respiration
ETC & oxidative phosphorylation
Roles of cofactors
By-products ROS
Clinical examples
Cyanide poisoning
Myocardial Reperfusion Injury
THANK YOU