Tortora & Grabowski 9/e 2000 JWS 25-1 Chapter 25 Metabolism • Functions of food – source of energy – essential nutrients – stored for future use • Metabolism is all the chemical reactions of the body – some reactions produce the energy stored in ATP that other reactions consume – all molecules will eventually be broken down and recycled or excreted from the body
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Tortora & Grabowski 9/e 2000 JWS 25-1 Chapter 25 Metabolism Functions of food –source of energy –essential nutrients –stored for future use Metabolism.
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Tortora & Grabowski 9/e 2000 JWS 25-1
Chapter 25Metabolism
• Functions of food – source of energy– essential nutrients – stored for future use
• Metabolism is all the chemical reactions of the body– some reactions produce the energy stored in
ATP that other reactions consume– all molecules will eventually be broken down
and recycled or excreted from the body
Tortora & Grabowski 9/e 2000 JWS 25-2
Catabolism and Anabolism
• Catabolic reactions breakdown complex organic compounds– providing energy (exergonic)– glycolysis, Krebs cycle and electron transport
• Anabolic reactions synthesize complex molecules from small molecules – requiring energy (endergonic)
• Exchange of energy requires use of ATP (adenosine triphosphate) molecule.
Tortora & Grabowski 9/e 2000 JWS 25-3
ATP Molecule & Energy
• Each cell has about 1 billion ATP molecules that last for less than one minute
• Over half of the energy released from ATP is converted to heat
Tortora & Grabowski 9/e 2000 JWS 25-4
Energy Transfer
• Energy is found in the bonds between atoms
• Oxidation is a decrease in the energy content of a molecule
• Reduction is the increase in the energy content of a molecule
• Oxidation-reduction reactions are always coupled within the body– whenever a substance is oxidized,
another is almost simultaneously reduced.
Tortora & Grabowski 9/e 2000 JWS 25-5
Oxidation and Reduction• Biological oxidation involves the loss of
(electrons) hydrogen atoms – dehydrogenation reactions require coenzymes to
transfer hydrogen atoms to another compound– common coenzymes of living cells that carry H+
• Anaerobic respiration– called glycolysis (1)– formation of acetyl CoA (2)
is transitional step to Krebs cycle
• Aerobic respiration– Krebs cycle (3) and electron transport chain (4)
Tortora & Grabowski 9/e 2000 JWS 25-12
Glycolysis of Glucose & Fate of Pyruvic Acid
• Breakdown of six-carbon glucose molecule into 2 three-carbon molecules of pyruvic acid– 10 step process occurring in cell
cytosol– produces 4 molecules of ATP after
input of 2 ATP– utilizes 2 NAD+ molecules as
hydrogen acceptors
• If O2 shortage in a cell – pyruvic acid is reduced to lactic
acid so that NAD+ will be still available for further glycolysis
– rapidly diffuses out of cell to blood– liver cells remove it from blood &
convert it back to pyruvic acid
Tortora & Grabowski 9/e 2000 JWS 25-13
10 Steps of Glycolysis
Tortora & Grabowski 9/e 2000 JWS 25-14
Formation of Acetyl Coenzyme A• Pyruvic acid enters the
mitochondria with help of transporter protein
• Decarboxylation– pyruvate dehydrogenase
converts 3 carbon pyruvic acid to 2 carbon fragment (CO2 produced)
– pyruvic acid was oxidized so that NAD+ becomes NADH
• 2 carbon fragment (acetyl group) is attached to Coenzyme A to form Acetyl coenzyme A which enter Krebs cycle– coenzyme A is derived from
pantothenic acid (B vitamin).
Tortora & Grabowski 9/e 2000 JWS 25-15
Krebs Cycle (Citric Acid Cycle)• Series of oxidation-reduction
& decarboxylation reactions occurring in matrix of mitochondria
• It finishes the same as it starts (4C)– acetyl CoA (2C) enters at top &
combines with a 4C compound– 2 decarboxylation reactions peel
2 carbons off again when CO2 is formed
Tortora & Grabowski 9/e 2000 JWS 25-16
Krebs Cycle• Energy stored in bonds is released step by
step to form several reduced coenzymes (NADH & FADH2) that store the energy
• In summary: each Acetyl CoAmolecule that enters the Krebscycle produces– 2 molecules of C02
• one reason O2 is needed
– 3 molecules of NADH + H+– one molecule of ATP
– one molecule of FADH2
• Remember, each glucoseproduced 2 acetyl CoA molecules
Tortora & Grabowski 9/e 2000 JWS 25-17
The Electron Transport Chain• Series of integral membrane
proteins in the inner mitochondrial membrane capable of oxidation/reduction
• Each electron carrier is reduced as it picks up electrons and is oxidized as it gives up electrons
• Small amounts of energy released in small steps
• Energy used to form ATP by chemiosmosis
Tortora & Grabowski 9/e 2000 JWS 25-18
Chemiosmosis• Small amounts of energy
released as substances are passed along inner membrane
• Energy used to pump H+ ions from matrix into space between inner & outer membrane
• High concentration of H+ is maintained outside of inner membrane
• ATP synthesis occurs as H+ diffuses through a special H+ channel in inner membrane
Tortora & Grabowski 9/e 2000 JWS 25-19
Electron Carriers
• Flavin mononucleotide (FMN) is derived from riboflavin (vitamin B2)
• Cytochromes are proteins with heme group (iron) existing either in reduced form (Fe+2) or oxidized form (Fe+3)
• Iron-sulfur centers contain 2 or 4 iron atoms bound to sulfur within a protein
• Copper (Cu) atoms bound to protein
• Coenzyme Q is nonprotein carrier mobile in the lipid bilayer of the inner membrane
Tortora & Grabowski 9/e 2000 JWS 25-20
Steps in Electron Transport
• Carriers of electron transport chain are clustered into 3 complexes that each act as proton pump (expel H+)
• Mobile shuttles pass electrons between complexes• Last complex passes its electrons (2H+) to a half of O2
molecule to form a water molecule (H2O)
Tortora & Grabowski 9/e 2000 JWS 25-21
Proton Motive Force & Chemiosmosis
• Buildup of H+ outside the inner membrane creates + charge– electrochemical gradient potential energy is called proton motive
force
• ATP synthase enzyme within H+ channel uses proton motive force to synthesize ATP from ADP and P
Tortora & Grabowski 9/e 2000 JWS 25-22
Summary of Cellular Respiration• Glucose + O2 is broken down into
CO2 + H2O + energy used to form 36 to 38 ATPs– 2 ATP are formed during glycolysis
– 2 ATP are formed by phosphorylation during Krebs cycle
– electron transfers in transport chain generate 32 or 34 ATPs from one glucose molecule
• Summary in Table 25.1
• Points to remember – ATP must be transported out of
mitochondria in exchange for ADP• uses up some of proton motive force
– Oxygen is required or many of these steps can not occur
Tortora & Grabowski 9/e 2000 JWS 25-23
Carbohydrate Loading
• Long-term athletic events (marathons) can exhaust glycogen stored in liver and skeletal muscles
• Eating large amounts of complex carbohydrates (pasta & potatoes) for 3 days before a marathon maximizes glycogen available for ATP production
• Useful for athletic events lasting for more than an hour
Tortora & Grabowski 9/e 2000 JWS 25-24
Glycogenesis & Glycogenolysis
• Glycogenesis– glucose storage as glycogen– 4 steps to glycogen
formation in liver orskeletal muscle
– stimulated by insulin
• Glycogenolysis– glucose release not a simple
reversal of steps– enzyme phosphorylase splits off a glucose molecule by
phosphorylation to form glucose 1-phosphate– enzyme only in hepatocytes so muscle can’t release glucose– enzyme activated by glucagon (pancreas) & epinephrine (adrenal)
Tortora & Grabowski 9/e 2000 JWS 25-25
Gluconeogenesis
• Liver glycogen runs low if fasting, starving or not eating carbohydrates forcing formation from other substances– lactic acid, glycerol & certain amino acids (60% of available)
• Stimulated by cortisol (adrenal) & glucagon (pancreas)– cortisol stimulates breakdown of proteins freeing amino acids– thyroid mobilizes triglycerides from adipose tissue
Tortora & Grabowski 9/e 2000 JWS 25-26
Transport of Lipids by Lipoproteins• Most lipids are nonpolar and must be combined with
protein to be tranported in blood• Lipoproteins are spheres containing hundreds of
molecules– outer shell polar proteins
(apoproteins) & phospholipids
– inner core of triglyceride & cholesterol esters
• Lipoprotein categorized byfunction & density
• 4 major classes of lipoproteins– chylomicrons, very low-density, low-density & high-density
lipoproteins
Tortora & Grabowski 9/e 2000 JWS 25-27
Classes of Lipoproteins• Chylomicrons (2 % protein)
– form in intestinal epithelial cells to transport dietary fat• apo C-2 activates enzyme that releases the fatty acids from the
chylomicron for absorption by adipose & muscle cells• liver processes what is left
• VLDLs (10% protein)– transport triglycerides formed in liver to fat cells
• LDLs (25% protein) --- “bad cholesterol”– carry 75% of blood cholesterol to body cells– apo B100 is docking protein for receptor-mediated endocytosis
of the LDL into a body cell• if cells have insufficient receptors, remains in blood and more likely to
deposit cholesterol in artery walls (plaque)
• HDLs (40% protein) --- “good cholesterol” – carry cholesterol from cells to liver for elimination
Tortora & Grabowski 9/e 2000 JWS 25-28
Blood Cholesterol• Sources of cholesterol in the body
– food (eggs, dairy, organ meats, meat)– synthesized by the liver
• All fatty foods still raise blood cholesterol– liver uses them to create cholesterol– stimulate reuptake of cholesterol containing bile normally lost in
the feces
• Desirable readings for adults– total cholesterol under 200 mg/dL; triglycerides 10-190 mg/dL– LDL under 130 mg/dL; HDL over 40 mg/dL– cholesterol/HDL ratio above 4 is undesirable risk
• Raising HDL & lowering cholesterol can be accomplished by exercise, diet & drugs
Tortora & Grabowski 9/e 2000 JWS 25-29
Fate of Lipids• Oxidized to produce ATP• Excess stored in adipose tissue or liver• Synthesize structural or important
molecules– phospholipids of plasma membranes– lipoproteins that transport cholesterol– thromboplastin for blood clotting– myelin sheaths to speed up nerve
conduction– cholesterol used to synthesize bile salts
and steroid hormones.
Tortora & Grabowski 9/e 2000 JWS 25-30
Triglyceride Storage• Adipose tissue removes triglycerides from
chylomicrons and VLDL and stores it– 50% subcutaneous, 12% near kidneys, 15% in
omenta, 15% in genital area, 8% between muscles
• Fats in adipose tissue are ever-changing– released, transported & deposited in other adipose
• Triglycerides store more easily than glycogen– do not exert osmotic pressure on cell membranes – are hydrophobic
Tortora & Grabowski 9/e 2000 JWS 25-31
Lipid Catabolism: Lipolysis & Glycerol
• Triglycerides are split into fatty acids & glycerol by lipase– glycerol
• if cell ATP levels are high, converted into glucose• if cell ATP levels are low, converted into pyruvic acid which
enters aerobic pathway to ATP production
Tortora & Grabowski 9/e 2000 JWS 25-32
Lipolysis & Fatty acids
• Beta oxidation in mitochondria removes 2 carbon units from fatty acid & forms acetyl coenzyme A
• Liver cells form acetoacetic acid from 2 carbon units & ketone bodies from acetoacetic acid (ketogenesis)– heart muscle & kidney cortex prefer to use acetoacetic acid for ATP
production
Liver cells
Tortora & Grabowski 9/e 2000 JWS 25-33
Lipid Anabolism: Lipogenesis
• Synthesis of lipids by liver cells = lipogenesis– from amino acids
• converted to acetyl CoA & then to triglycerides
– from glucose• from glyceraldehyde 3-phosphate to triglycerides
• Stimulated by insulin when eat excess calories
Tortora & Grabowski 9/e 2000 JWS 25-34
Ketosis
• Blood ketone levels are usually very low– many tissues use ketone for ATP production
• Fasting, starving or high fat meal with few carbohydrates results in excessive beta oxidation & ketone production– acidosis (ketoacidosis) is abnormally low blood pH– sweet smell of ketone body acetone on breath– occurs in diabetic since triglycerides are used for ATP
production instead of glucose & insulin inhibits lipolysis
Tortora & Grabowski 9/e 2000 JWS 25-35
Fate of Proteins• Proteins are broken down into amino acids
– transported to the liver
• Usage– oxidized to produce ATP– used to synthesize new proteins
– excess converted into glucose or triglycerides• no storage is possible
• Absorption into body cells is stimulated by insulinlike growth factors (IGFs) & insulin
Tortora & Grabowski 9/e 2000 JWS 25-36
Protein Catabolism
• Breakdown of protein into amino acids
• Liver cells convert amino acids into substances that can enter the Krebs cycle– deamination removes the
amino group (NH2)• converts it to ammonia (NH3)
& then urea• urea excreted in the urine
• Converted substances enter the Krebs cycle to produce ATP
Tortora & Grabowski 9/e 2000 JWS 25-37
Protein Anabolism• Production of new proteins by formation of peptide bonds between
amino acids– 10 essential amino acids are ones we must eat because we can not synthesize
them
– nonessential amino acids can be synthesized by transamination (transfer of an amino group to a substance to create an amino acid)
• Occurs on ribosomes in almost every cell• Stimulated by insulinlike growth factor, thyroid hormone, insulin,
estrogen & testosterone• Large amounts of protein in the diet do not cause the growth of
muscle, only weight-bearing exercise
Tortora & Grabowski 9/e 2000 JWS 25-38
Phenylketonuria (PKU)
• Genetic error of protein metabolism that produces elevated blood levels of amino acid phenylalanine– causes vomiting, seizures & mental retardation– normally converted by an enzyme into tyrosine which
can enter the krebs cycle
• Screening of newborns prevents retardation– spend their life with a diet restricting phenylalanine– restrict Nutrasweet which contains phenylalanine
Tortora & Grabowski 9/e 2000 JWS 25-39
Key Molecules at Metabolic Crossroads
• Glucose 6-phosphate, pyruvic acid and acetyl coenzyme A play pivotal roles in metabolism
• Different reactions occur because of nutritional status or level of physical activity
Tortora & Grabowski 9/e 2000 JWS 25-40
Role of Glucose 6-Phosphate• Glucose is converted to glucose 6-
phosphate just after entering the cell• Possible fates of glucose 6-
phosphate– used to synthesize glycogen when
glucose is abundant– if glucose 6-phosphatase is present,
glucose can be re-released from the cell– precursor of a five-carbon sugar used to
make RNA & DNA– converted to pyruvic acid during
glycolysis in most cells of the body
Tortora & Grabowski 9/e 2000 JWS 25-41
Role of Pyruvic Acid
• 3-carbon molecule formed when glucose undergoes glycolysis
• If oxygen is available, cellular respiration proceeds• If oxygen is not available, only anaerobic reactions can
occur– pyruvic acid is changed to lactic acid
• Conversions– amino acid alanine produced from pyruvic acid– to oxaloacetic acid of Krebs cycle
Tortora & Grabowski 9/e 2000 JWS 25-42
Role of Acetyl coenzyme A
• Can be used to synthesize fatty acids, ketone bodies, or cholesterol
• Can not be converted to pyruvic acid so can not be used to reform glucose
Tortora & Grabowski 9/e 2000 JWS 25-43
Metabolic Adaptations• Absorptive state
– nutrients entering the bloodstream– glucose readily available for ATP production– 4 hours for absorption of each meal so
absorptive state lasts for 12 hours/day
• Postabsorptive state– absorption of nutrients from GI tract is
complete– body must meet its needs without outside
nutrients• late morning, late afternoon & most of the evening• assuming no snacks, lasts about 12 hours/day• more cells use ketone bodies for ATP production
– maintaining a steady blood glucose level is critical
Tortora & Grabowski 9/e 2000 JWS 25-44
Metabolism during Absorptive State
• Body cells use glucose for ATP production– about 50% of absorbed glucose
• Storage of excess fuels occur in hepatocytes, adipocytes & skeletal muscle– most glucose entering liver cells is converted to
glycogen (10%) or triglycerides (40%)– dietary lipids are stored in adipose tissue– amino acids are deaminated to enter Krebs
cycle or are converted to glucose or fatty acids– amino acids not taken up by hepatocytes used
by other cells for synthesis of proteins
Tortora & Grabowski 9/e 2000 JWS 25-45
Absorptive State
Points where insulin stimulation occurs.
Tortora & Grabowski 9/e 2000 JWS 25-46
Regulation of Metabolism during Absorptive State
• Beta cells of pancreas release insulin
• Insulin’s functions– increases anabolism & synthesis of storage molecules– decreases catabolic or breakdown reactions– promotes entry of glucose & amino acids into cells– stimulates phosphorylation of glucose– enhances synthesis of triglycerides– stimulates protein synthesis along with thyroid & growth
hormone
Tortora & Grabowski 9/e 2000 JWS 25-47
Metabolism During Postabsorptive State
• Maintaining normal blood glucose level (70 to 110 mg/100 ml of blood) is major challenge– glucose enters blood from 3 major sources
• glycogen breakdown in liver produces glucose• glycerol from adipose converted by liver into glucose• gluconeogenesis using amino acids produces glucose
– alternative fuel sources are• fatty acids from fat tissue fed into Krebs as acetyl CoA• lactic acid produced anaerobically during exercise• oxidation of ketone bodies by heart & kidney
• Most body tissue switch to utilizing fatty acids, except brain still need glucose.
Tortora & Grabowski 9/e 2000 JWS 25-48
Postabsorptive State
Tortora & Grabowski 9/e 2000 JWS 25-49
Regulation of Metabolism During Postabsorptive State
– higher body temperature raises BMR– ingestion of food raises BMR 10-20%– children’s BMR is double that of an elderly person
Tortora & Grabowski 9/e 2000 JWS 25-54
Mechanisms of Heat Transfer
• Temperature homeostasis requires mechanisms of transferring heat from the body to the environment– conduction is heat exchange requiring direct contact
with an object– convection is heat transfer by movement of gas or
liquid over body– radiation is transfer of heat in form of infrared rays
from body– evaporation is heat loss due to conversion of liquid
to a vapor (insensible water loss)
Tortora & Grabowski 9/e 2000 JWS 25-55
Hypothalamic Thermostat
• Preoptic area in anterior hypothalamus– receives impulses from thermoreceptors– generates impulses at a higher frequency when blood
temperature increases– impulses propagate to other parts of hypothalamus
• heat-losing center• heat-promoting center
• Set in motion responses that either lower or raise body temperature
Tortora & Grabowski 9/e 2000 JWS 25-56
Thermoregulation• Declining body temperature
– thermoreceptors signal hypothalamus to produce TRH
– TRH causes anterior pituitary to produce TSH resulting in
• vasoconstriction in skin
• adrenal medulla stimulates cell metabolic rate
• shivering
• release of more thyroid hormone raises BMR
• Increases in body temperature– sweating & vasodilation
Tortora & Grabowski 9/e 2000 JWS 25-57
Hypothermia
• Lowering of core body temperature to 35°C (95°F)
• Causes– immersion in icy water (cold stress)– metabolic diseases (hypoglycemia, adrenal
insufficiency or hypothyroidism)– drugs (alcohol, antidepressants, or sedatives)– burns and malnutrition
• Symptoms that occur as body temperature drops– shivering, confusion, vasoconstriction, muscle rigidity,
bradycardia, acidosis, hypoventilation, coma & death
Tortora & Grabowski 9/e 2000 JWS 25-58
Regulation of Food Intake
• Hypothalamus regulates food intake– feeding (hunger) center– satiety center
• Stimuli that decrease appetite– glucagon, cholecystokinin, epinephrine,
glucose & leptin– stretching of the stomach and duodenum
• Signals that increase appetite– growth releasing hormone, opioids,
• Nutrients include water, carbohydrates, lipids, proteins, vitamins and minerals
• Caloric intake– women 1600 Calories/day is needed– active women and most men 2200 Calories– teenage boys and active men 2800 calories
• Food guide pyramid developed by U.S. Department of Agriculture– indicates number of servings of each food
group to eat each day
Tortora & Grabowski 9/e 2000 JWS 25-60
Food Guide Pyramid
Tortora & Grabowski 9/e 2000 JWS 25-61
Minerals• Inorganic substances = 4% body weight• Functions
– calcium & phosphorus form part of the matrix of bone
– help regulate enzymatic reactions• calcium, iron, magnesium & manganese
– magnesium is catalyst for conversion of ADP to ATP
– form buffer systems– regulate osmosis of water– generation of nerve impulses
Tortora & Grabowski 9/e 2000 JWS 25-62
Vitamins• Organic nutrients needed in very small
amounts– serve as coenzymes
• Most cannot be synthesized by the body• Fat-soluble vitamins
– absorbed with dietary fats by the small intestine– stored in liver and include vitamins A, D, E, and K
• Water-soluble vitamins are absorbed along with water in the Gl tract– body does not store---excess excreted in urine– includes the B vitamins and vitamin C
Tortora & Grabowski 9/e 2000 JWS 25-63
Antioxidant Vitamins
• C, E and beta-carotene (a provitamin)
• Inactivate oxygen free radicals– highly reactive particles that carry an unpaired
electron• damage cell membranes, DNA, and contribute to
atherosclerotic plaques
• arise naturally or from environmental hazards such as tobacco or radiation
• Protect against cancer, aging, cataract formation, and atherosclerotic plaque
Tortora & Grabowski 9/e 2000 JWS 25-64
Vitamin and Mineral Supplements
• Eat a balanced diet rather than taking supplements
• Exceptions– iron for women with heavy menstrual
bleeding– iron & calcium for pregnant or nursing
women– folic acid if trying to become pregnant
• reduce risk of fetal neural tube defects
– calcium for all adults– B12 for strict vegetarians– antioxidants C and E recommended by some
Tortora & Grabowski 9/e 2000 JWS 25-65
Fever• Abnormally high body temperature
– toxins from bacterial or viral infection = pyrogens– heart attacks or tumors– tissue destruction by x-rays, surgery, or trauma– reactions to vaccines
• Beneficial in fighting infection & increasing rate of tissue repair during the course of a disease