1 00:00:00,000 --> 00:00:01,928 [SQUEAKING] 2 00:00:01,928 --> 00:00:03,374 [RUSTLING] 3 00:00:03,374 --> 00:00:04,820 [CLICKING] 4 00:00:09,815 --> 00:00:11,190 MATTHEW VANDER HEIDEN: OK, hello. 5 00:00:11,190 --> 00:00:16,880 So last time, we discussed the pentose phosphate pathway, 6 00:00:16,880 --> 00:00:23,390 which can serve as this shunt from glycolysis 7 00:00:23,390 --> 00:00:28,850 where glucose can be converted to five-carbon ribulose 8 00:00:28,850 --> 00:00:37,010 1, 5-bisphosphate generating NADPH and ribose. 9 00:00:37,010 --> 00:00:39,950 And this shunt from glycolysis can 10 00:00:39,950 --> 00:00:42,290 work with the non-oxidative pathway, where 11 00:00:42,290 --> 00:00:44,480 those five-carbon units can then be 12 00:00:44,480 --> 00:00:48,920 used by the non-oxidative pathway to re-enter glycolysis, 13 00:00:48,920 --> 00:00:53,210 giving cells and ability to generate NADPH. 14 00:00:53,210 --> 00:00:57,310 Now, we described that this non-oxidative pathway can also 15 00:00:57,310 --> 00:00:59,360 operate in the reverse direction, 16 00:00:59,360 --> 00:01:02,240 such that cells can take products of glycolysis 17 00:01:02,240 --> 00:01:08,510 and instead use them to generate ribose for nucleotides 18 00:01:08,510 --> 00:01:11,120 and avoid the production of NADPH, 19 00:01:11,120 --> 00:01:13,460 really giving cells the flexibility 20 00:01:13,460 --> 00:01:16,260 to either make NADPH when they need it, 21 00:01:16,260 --> 00:01:19,280 make ribose when they need it, with the ability 22 00:01:19,280 --> 00:01:21,980 to either operate in this direction as a shunt 23 00:01:21,980 --> 00:01:25,430 and allow NADPH to be produced and material to re-enter 24 00:01:25,430 --> 00:01:27,890 glycolysis for further oxidation, 25 00:01:27,890 --> 00:01:31,580 or to just generate ribose if they have enough NADPH 26 00:01:31,580 --> 00:01:35,630 and they simply need that for nucleotide synthesis. 27 00:01:35,630 --> 00:01:37,250 And we've spent some time discussing 28 00:01:37,250 --> 00:01:41,690 that NADPH is a key molecule that allows cells 29 00:01:41,690 --> 00:01:45,020 to do reductive reactions. 30 00:01:45,020 --> 00:01:50,090 This includes the biosynthesis of reduced carbon, which 31 00:01:50,090 --> 00:01:52,460 is, of course, the way that nature 32 00:01:52,460 --> 00:01:56,050 stores energy for later use. 33 00:01:56,050 --> 00:02:00,470 We saw this used as a way to make reduce carbon 34 00:02:00,470 --> 00:02:03,170 as carbohydrates and photosynthesis. 35 00:02:03,170 --> 00:02:05,210 And of course, it can also be used 36 00:02:05,210 --> 00:02:08,030 to generate fatty acids, which is the most reduced 37 00:02:08,030 --> 00:02:10,970 form of carbon that all organisms can 38 00:02:10,970 --> 00:02:13,640 have to store energy for later. 39 00:02:13,640 --> 00:02:17,030 And the topic of today is really to go through the pathway 40 00:02:17,030 --> 00:02:21,920 that all organisms use to produce those fatty acids 41 00:02:21,920 --> 00:02:27,980 and lipids as a way to store this energy as reduced 42 00:02:27,980 --> 00:02:29,760 carbon for later. 43 00:02:29,760 --> 00:02:32,240 Now, you'll notice I drew up there, 44 00:02:32,240 --> 00:02:36,200 as an introduction for the reminder of what we talked 45 00:02:36,200 --> 00:02:41,310 about last time with the pentose phosphate pathways, 46 00:02:41,310 --> 00:02:43,890 really layering it on top of many 47 00:02:43,890 --> 00:02:47,850 of the other pathways in central carbon metabolism 48 00:02:47,850 --> 00:02:49,920 that we've already discussed. 49 00:02:49,920 --> 00:02:53,220 And I drew it that way because I want to show that you already 50 00:02:53,220 --> 00:02:54,505 know quite a bit. 51 00:02:54,505 --> 00:02:56,130 If you think back to the very beginning 52 00:02:56,130 --> 00:02:59,700 where we had this complex metabolic pathway chart, well, 53 00:02:59,700 --> 00:03:04,800 we've already been able to build quite a complex network of how 54 00:03:04,800 --> 00:03:07,020 metabolism works. 55 00:03:07,020 --> 00:03:09,510 And really, at this point, you know the basics. 56 00:03:09,510 --> 00:03:12,890 So today's lectures and the three lectures after it, 57 00:03:12,890 --> 00:03:15,843 so the four remaining lectures that we have in this course, 58 00:03:15,843 --> 00:03:17,760 we're going to cover an awful lot of material. 59 00:03:17,760 --> 00:03:21,210 Because, of course, we have to discuss how all 60 00:03:21,210 --> 00:03:24,480 of the remaining classes of biomolecules-- lipids, 61 00:03:24,480 --> 00:03:26,460 nucleic acids, proteins-- 62 00:03:26,460 --> 00:03:31,600 link into the rest of metabolism, 63 00:03:31,600 --> 00:03:33,270 which is an awful lot to cover. 64 00:03:33,270 --> 00:03:37,170 But what you will see is that, in understanding 65 00:03:37,170 --> 00:03:40,830 the basics and the complexity of what we've already described, 66 00:03:40,830 --> 00:03:43,410 you actually know already most of what 67 00:03:43,410 --> 00:03:46,620 you need to know to understand these remaining pathways. 68 00:03:46,620 --> 00:03:52,710 That is nature continues to repurpose the same relatively 69 00:03:52,710 --> 00:03:57,660 simple reactions over and over and over again to really build 70 00:03:57,660 --> 00:04:01,230 this complex network that is metabolism, including 71 00:04:01,230 --> 00:04:04,290 this diversity of macromolecules. 72 00:04:04,290 --> 00:04:07,110 Now, of course, there's a few bits of chemistry 73 00:04:07,110 --> 00:04:08,970 that we still have to discuss. 74 00:04:08,970 --> 00:04:12,000 We haven't discussed much in terms of nitrogen metabolism. 75 00:04:12,000 --> 00:04:14,970 But most of what you need to know you've 76 00:04:14,970 --> 00:04:20,339 already covered in understanding glycolysis, the TCA cycle, 77 00:04:20,339 --> 00:04:23,190 pentose phosphate pathway, et cetera. 78 00:04:23,190 --> 00:04:24,390 OK. 79 00:04:24,390 --> 00:04:26,740 So now onto the topic of the day, 80 00:04:26,740 --> 00:04:31,830 which is really lipids and fatty acid synthesis. 81 00:04:31,830 --> 00:04:34,980 And so, again, I want to reiterate that organisms 82 00:04:34,980 --> 00:04:37,290 store energy as reduced carbon. 83 00:04:37,290 --> 00:04:41,130 Fat is the most reduced form of carbon to store. 84 00:04:41,130 --> 00:04:42,840 And so if we're going to generate fat, 85 00:04:42,840 --> 00:04:44,250 we need a source of electrons. 86 00:04:44,250 --> 00:04:45,930 Because if we're going to reduce carbon, 87 00:04:45,930 --> 00:04:47,580 something else has to be oxidized. 88 00:04:47,580 --> 00:04:50,500 That is those electrons have to come from somewhere. 89 00:04:50,500 --> 00:04:52,800 And as hopefully as clear to you, 90 00:04:52,800 --> 00:04:55,440 those electrons will come from NADPH 91 00:04:55,440 --> 00:05:00,240 because it forms this useful electron donor for cells. 92 00:05:00,240 --> 00:05:02,880 Now, it should also hopefully be clear at this point 93 00:05:02,880 --> 00:05:05,670 that, if oxidation of carbon releases 94 00:05:05,670 --> 00:05:08,700 energy, reduction of carbon, therefore, 95 00:05:08,700 --> 00:05:10,260 it needs energy input. 96 00:05:10,260 --> 00:05:12,810 And so we're also going to need a bunch of ATP 97 00:05:12,810 --> 00:05:14,740 if we're going to make fat. 98 00:05:14,740 --> 00:05:19,380 And so ADP and NADPH are really the energetic drivers 99 00:05:19,380 --> 00:05:24,650 of how we're going to take more oxidized carbon 100 00:05:24,650 --> 00:05:27,630 and reduce it to build fatty acids. 101 00:05:27,630 --> 00:05:33,590 Now, all organisms use similar pathways to do this. 102 00:05:33,590 --> 00:05:36,480 But, of course, the sources of where the NADPH the 103 00:05:36,480 --> 00:05:40,080 ATP come from can be different depending on the organism. 104 00:05:40,080 --> 00:05:42,740 And so we described photosynthesis 105 00:05:42,740 --> 00:05:46,250 is this process used by photosynthetic organisms, where 106 00:05:46,250 --> 00:05:49,490 they can use the light reactions of photosynthesis 107 00:05:49,490 --> 00:05:51,830 to make both ATP and NADPH. 108 00:05:51,830 --> 00:05:55,100 And we described how that ATP and NADPH 109 00:05:55,100 --> 00:05:58,510 could be used to drive synthesis of glucose 110 00:05:58,510 --> 00:06:00,470 or other carbohydrates. 111 00:06:00,470 --> 00:06:03,620 And effectively, you can also imagine 112 00:06:03,620 --> 00:06:07,160 that that same ATP and NADPH from the light reactions 113 00:06:07,160 --> 00:06:11,600 could also be used to form the electron donors 114 00:06:11,600 --> 00:06:16,640 and the ATP needed to synthesize fats and lipids. 115 00:06:16,640 --> 00:06:18,560 But of course, as animals, we also 116 00:06:18,560 --> 00:06:21,290 know that, if we eat too much, we also have the ability 117 00:06:21,290 --> 00:06:24,410 to store excess energy as fat. 118 00:06:24,410 --> 00:06:29,600 And, therefore, we must also have sources of NADPH and ATP 119 00:06:29,600 --> 00:06:31,670 that we can use that are non-photosynthetic. 120 00:06:31,670 --> 00:06:33,770 And those, of course, are the reactions 121 00:06:33,770 --> 00:06:36,260 that we've already talked about with glycolysis and the TCA 122 00:06:36,260 --> 00:06:38,210 cycle, oxidative phosphorylation as a way 123 00:06:38,210 --> 00:06:41,930 to make ATP, as well as NADPH from reactions 124 00:06:41,930 --> 00:06:44,150 like the oxidative pentose phosphate 125 00:06:44,150 --> 00:06:48,300 pathway as a source of NADPH. 126 00:06:48,300 --> 00:06:58,690 Now, eukaryotes will make fatty acids in the cytosol. 127 00:07:11,800 --> 00:07:15,280 And if you think about why that is, 128 00:07:15,280 --> 00:07:18,610 it's because mitochondria, remember, is where 129 00:07:18,610 --> 00:07:21,190 we did fatty acid oxidation. 130 00:07:21,190 --> 00:07:24,490 And so fatty acid oxidation is breaking down fatty acids. 131 00:07:24,490 --> 00:07:27,310 Fatty acid synthesis-- building fatty acids. 132 00:07:27,310 --> 00:07:31,150 One set of reactions is in the cytosol, synthesis. 133 00:07:31,150 --> 00:07:35,240 One set is in the mitochondria, breakdown, makes sense. 134 00:07:35,240 --> 00:07:37,120 Remember, compartmentalized metabolism 135 00:07:37,120 --> 00:07:40,120 gives you this ability to favor different pathways. 136 00:07:40,120 --> 00:07:42,460 Mitochondria is better at oxidative reactions. 137 00:07:42,460 --> 00:07:46,190 Cytosol is going to be better at reductive reactions. 138 00:07:46,190 --> 00:07:48,670 And also, this compartmentalization 139 00:07:48,670 --> 00:07:52,150 will keep catabolism and anabolism separate, so another 140 00:07:52,150 --> 00:07:55,390 example of a point that we've been making over and over again 141 00:07:55,390 --> 00:07:57,530 throughout this course. 142 00:07:57,530 --> 00:08:00,350 Now, if we look up here at our diagram, 143 00:08:00,350 --> 00:08:05,620 we're going to make fatty acids from two carbon acetyl-CoA 144 00:08:05,620 --> 00:08:07,120 units, OK? 145 00:08:07,120 --> 00:08:10,570 And so, remember, when we broke down fatty acids, 146 00:08:10,570 --> 00:08:12,790 most fatty acids were even in number. 147 00:08:12,790 --> 00:08:16,510 That's allowed us to break them down into acetyl-CoA units. 148 00:08:16,510 --> 00:08:19,570 Well, we're also going to build them with two carbon acetyl-CoA 149 00:08:19,570 --> 00:08:20,240 units. 150 00:08:20,240 --> 00:08:24,790 And so this also contributes to why most fatty acids in nature 151 00:08:24,790 --> 00:08:27,820 have even numbers of carbons. 152 00:08:27,820 --> 00:08:30,790 Now, you'll also recall from our past lectures 153 00:08:30,790 --> 00:08:34,390 that fatty acids are often esterified to alcohols. 154 00:08:34,390 --> 00:08:37,030 Those can be things such as glycerol 155 00:08:37,030 --> 00:08:39,700 based alcohols, which allow us to form lipids, 156 00:08:39,700 --> 00:08:42,820 either triacylglyerides, those neutral lipids for energy 157 00:08:42,820 --> 00:08:46,990 storage, or phospholipids to form membranes. 158 00:08:46,990 --> 00:08:50,620 And that, of course, comes from a branch of-- 159 00:08:50,620 --> 00:08:54,640 glycerol, of course, comes from dihydroxyacetone phosphate, 160 00:08:54,640 --> 00:08:58,750 a molecule in glycolysis. 161 00:08:58,750 --> 00:09:02,688 Now, of course, I'm not going to draw acetyl-CoA now. 162 00:09:02,688 --> 00:09:03,480 I'll draw it later. 163 00:09:03,480 --> 00:09:06,230 But remember, it is not reduced. 164 00:09:06,230 --> 00:09:10,760 And so that's where we're going to need the electrons, NADPH 165 00:09:10,760 --> 00:09:14,390 as well as ATP for the energetic requirements 166 00:09:14,390 --> 00:09:16,640 in order to take those two carbon units, 167 00:09:16,640 --> 00:09:19,460 build the acyl chain, and ultimate reduce 168 00:09:19,460 --> 00:09:21,560 them to make fat. 169 00:09:21,560 --> 00:09:23,720 Now, when we do this, you're going 170 00:09:23,720 --> 00:09:29,450 to see that carbon dioxide, as well as biotin-- 171 00:09:29,450 --> 00:09:32,690 OK, so you might be thinking, oh, what's biotin used for? 172 00:09:32,690 --> 00:09:34,830 It's a carboxylation reaction. 173 00:09:34,830 --> 00:09:39,620 And so CO2 in a carboxylation reaction involving biotin 174 00:09:39,620 --> 00:09:47,080 is going to be required for fatty acid synthesis. 175 00:09:49,940 --> 00:09:53,600 However, you will also see that that CO2 carbon is not 176 00:09:53,600 --> 00:09:57,320 incorporated into the fatty acyl chain. 177 00:09:57,320 --> 00:10:05,330 And so you'll see that the CO2 is required, but ultimately 178 00:10:05,330 --> 00:10:08,960 is added and released, which is exactly 179 00:10:08,960 --> 00:10:14,310 the same analogy to what we saw when we did gluconeogenesis. 180 00:10:14,310 --> 00:10:17,460 Remember, the pyruvate carboxylase PEPCK reaction 181 00:10:17,460 --> 00:10:19,560 in gluconeogenesis, if you look back, 182 00:10:19,560 --> 00:10:25,350 a CO2 was added to pyruvate to make oxaloacetate and then 183 00:10:25,350 --> 00:10:28,830 release later to generate PEP. 184 00:10:28,830 --> 00:10:32,430 That helped drive the energetics of that reaction, no net CO2 185 00:10:32,430 --> 00:10:34,800 incorporation, very similar thing 186 00:10:34,800 --> 00:10:38,520 happening in fatty acid synthesis. 187 00:10:38,520 --> 00:10:55,210 Now, in animals, mammals, much of fatty acid synthesis 188 00:10:55,210 --> 00:11:07,600 is catalyzed by a giant single polypeptide enzyme called 189 00:11:07,600 --> 00:11:11,300 FASN or Fatty Acid Synthase Complex, 190 00:11:11,300 --> 00:11:13,660 which is, unlike other complexes we 191 00:11:13,660 --> 00:11:16,180 talked about where you might have different polypeptide 192 00:11:16,180 --> 00:11:18,820 subunits coming together to form a complex, 193 00:11:18,820 --> 00:11:22,420 this is one gigantic polypeptide that 194 00:11:22,420 --> 00:11:25,840 is able to catalyze many of the enzymatic steps 195 00:11:25,840 --> 00:11:28,270 of fatty acid synthesis. 196 00:11:28,270 --> 00:11:30,940 Now, a bit of trivia is that this 197 00:11:30,940 --> 00:11:36,780 is different from plants and bacteria, which 198 00:11:36,780 --> 00:11:40,720 will carry out the exact same enzymatic reactions. 199 00:11:40,720 --> 00:11:45,510 However, it, rather than using a giant fatty 200 00:11:45,510 --> 00:11:47,370 acid synthase complex, will have all 201 00:11:47,370 --> 00:11:49,470 the different enzymatic activities 202 00:11:49,470 --> 00:11:54,540 broken up and catalyzed by different proteins, separately 203 00:11:54,540 --> 00:11:56,950 encoded polypeptides. 204 00:11:56,950 --> 00:12:06,900 Now, all organisms will do this using a protein called 205 00:12:06,900 --> 00:12:14,140 acyl carrier protein. 206 00:12:14,140 --> 00:12:17,800 And so acyl carrier protein, you'll see, 207 00:12:17,800 --> 00:12:21,610 is really analogous to acetyl-CoA. 208 00:12:21,610 --> 00:12:24,220 So it's a way to add a thioester, 209 00:12:24,220 --> 00:12:28,720 mark a separate pool, and will carry the growing fatty acyl 210 00:12:28,720 --> 00:12:31,840 chain as we synthesize it, OK? 211 00:12:31,840 --> 00:12:42,880 So acyl carrier protein is part of FASN, the big polypeptide 212 00:12:42,880 --> 00:12:45,700 FASN in mammals that catalyze this thing. 213 00:12:45,700 --> 00:12:47,560 The acyl carrier protein is not separate. 214 00:12:47,560 --> 00:12:51,970 It's actually built in to the sequence of FASN, 215 00:12:51,970 --> 00:12:58,150 whereas acyl carrier protein in plants and bacteria 216 00:12:58,150 --> 00:13:04,720 is a small 9 kilodalton protein, all right? 217 00:13:04,720 --> 00:13:07,240 So in mammals, acyl carrier protein-- part 218 00:13:07,240 --> 00:13:09,820 of the fatty acids synthase polypeptide 219 00:13:09,820 --> 00:13:11,350 in plants and bacteria. 220 00:13:11,350 --> 00:13:15,520 Acyl carrier protein is a small 9 kilodalton protein. 221 00:13:15,520 --> 00:13:18,820 And so what acyl carrier protein looks 222 00:13:18,820 --> 00:13:23,740 like is that as, part of this 9 kilodalton protein 223 00:13:23,740 --> 00:13:31,060 or sequence within FASN, there is a serine residue. 224 00:13:31,060 --> 00:13:34,810 Remember, serine has an alcohol on its side chain. 225 00:13:34,810 --> 00:13:40,270 And that alcohol on its side chain has a phosphodiester bond 226 00:13:40,270 --> 00:13:45,280 to a phosphopantothenate group just 227 00:13:45,280 --> 00:14:03,930 like we saw with coenzyme A. 228 00:14:03,930 --> 00:14:06,000 So if you look back in your notes 229 00:14:06,000 --> 00:14:10,770 when I drew out coenzyme A, the business end of the molecule 230 00:14:10,770 --> 00:14:16,020 was right here with the sulfur on the end 231 00:14:16,020 --> 00:14:19,800 there being the one that form the phosphodiester bond. 232 00:14:19,800 --> 00:14:24,330 This one, rather than being linked to a nucleotide, 233 00:14:24,330 --> 00:14:28,410 in this case is linked to a serine as part of a peptide. 234 00:14:28,410 --> 00:14:32,910 And so this is why it's very, very similar. 235 00:14:32,910 --> 00:14:43,910 So this here is same as end of coenzyme A. And so really 236 00:14:43,910 --> 00:14:47,720 you can think of ACP, Acyl Carrier Protein, 237 00:14:47,720 --> 00:14:52,280 and coenzyme A, in some ways analogous to how 238 00:14:52,280 --> 00:14:55,100 we talked about NAD and NADPH-- 239 00:14:55,100 --> 00:14:57,050 same functionality, in this case, 240 00:14:57,050 --> 00:15:03,800 providing a sulfur to make these thioester bonds as a way 241 00:15:03,800 --> 00:15:09,620 to activate the acid on the end of the fatty acid. 242 00:15:09,620 --> 00:15:12,730 One used for synthesis, one use for breakdown-- 243 00:15:12,730 --> 00:15:14,720 acyl carrier protein used for synthesis. 244 00:15:14,720 --> 00:15:21,290 Coenzyme A, acetyl-CoA is used for oxidation, whereas in, 245 00:15:21,290 --> 00:15:25,640 remember, NAD in NADP, one was used to create an NAD, 246 00:15:25,640 --> 00:15:29,750 NADH ratio that favored oxidative reactions, the other 247 00:15:29,750 --> 00:15:33,680 used to create an NADP, NADPH ratio that favored 248 00:15:33,680 --> 00:15:41,100 reductive reactions even though the functionality 249 00:15:41,100 --> 00:15:44,090 of the electron donor, in the case of NAD and NADP 250 00:15:44,090 --> 00:15:49,880 or, in this case, the carrier function with the thioester 251 00:15:49,880 --> 00:15:56,630 bond in ACP and coenzyme A are analogous, 252 00:15:56,630 --> 00:15:59,480 really allows you to mark different pools to carry out, 253 00:15:59,480 --> 00:16:03,890 in this case, anabolic and catabolic reactions in cells. 254 00:16:03,890 --> 00:16:09,140 So often, we will abbreviate this just as we abbreviate CoA 255 00:16:09,140 --> 00:16:12,830 as sort of CoASH or SCoA. 256 00:16:12,830 --> 00:16:17,030 In this case, we're going to use ACPSH 257 00:16:17,030 --> 00:16:21,570 as an abbreviation for Acyl Carrier Protein. 258 00:16:21,570 --> 00:16:23,930 However, remember, just like coenzyme A was 259 00:16:23,930 --> 00:16:26,270 this giant molecule, it kind of is a little misleading 260 00:16:26,270 --> 00:16:27,440 to write it this way. 261 00:16:27,440 --> 00:16:30,800 Acyl carrier protein is an even bigger molecule, a 9 kilodalton 262 00:16:30,800 --> 00:16:32,870 peptide in plants and bacteria. 263 00:16:32,870 --> 00:16:36,020 And so, again, misleading to write it this way 264 00:16:36,020 --> 00:16:39,890 because it's really this giant group linked to 265 00:16:39,890 --> 00:16:44,270 and carrying the acyl chain. 266 00:16:44,270 --> 00:16:44,770 OK. 267 00:16:48,240 --> 00:16:51,750 Now, the first step in fatty acid synthesis 268 00:16:51,750 --> 00:16:55,830 is carboxylation of acetyl-CoA. 269 00:16:55,830 --> 00:16:58,890 This is a very important step of the process. 270 00:16:58,890 --> 00:17:02,820 And it is not catalyzed by the fatty acid synthase 271 00:17:02,820 --> 00:17:07,770 complex, the fatty acid synthase protein in mammals. 272 00:17:07,770 --> 00:17:11,460 And so, in all organisms, it is catalyzed 273 00:17:11,460 --> 00:17:15,390 by a separate enzyme abbreviated ACC, which stands 274 00:17:15,390 --> 00:17:19,890 for Acetyl-CoA Carboxylase. 275 00:17:24,310 --> 00:17:27,400 So ACC is a pretty famous enzyme. 276 00:17:27,400 --> 00:17:31,000 It's argued by many to be the rate limiting 277 00:17:31,000 --> 00:17:34,785 step in fatty acid synthesis. 278 00:17:34,785 --> 00:17:36,160 And it makes sense because you're 279 00:17:36,160 --> 00:17:38,170 going to see this as we're doing a carboxylation 280 00:17:38,170 --> 00:17:41,500 reaction, big energetics here. 281 00:17:41,500 --> 00:17:44,110 And that is, obviously, as we learned 282 00:17:44,110 --> 00:17:45,970 before, the steps that you regulate 283 00:17:45,970 --> 00:17:51,350 are the ones with the biggest change in free energy. 284 00:17:51,350 --> 00:18:00,400 So here's our old friend, acetyl-CoA. 285 00:18:00,400 --> 00:18:08,500 And what ACC carries out is it carries out the 286 00:18:08,500 --> 00:18:13,420 as biotin found in the active site, which, 287 00:18:13,420 --> 00:18:16,600 of course, can contain a CO2. 288 00:18:16,600 --> 00:18:20,230 Just as a quick reminder, how do we put CO2 on biotin 289 00:18:20,230 --> 00:18:22,550 for carboxylic reactions? 290 00:18:22,550 --> 00:18:30,490 And so, remember, CO2 is in equilibrium with bicarbonate. 291 00:18:30,490 --> 00:18:38,170 That bicarbonate can be phosphorylated by ATP 292 00:18:38,170 --> 00:18:51,230 to give this phosphobicarbonate. 293 00:18:51,230 --> 00:18:56,630 And then that phosphate can be released 294 00:18:56,630 --> 00:19:05,450 to add the CO2 onto the active biotin part of the enzyme. 295 00:19:05,450 --> 00:19:08,210 That then carries that CO2 and can 296 00:19:08,210 --> 00:19:13,400 be used to transfer the CO2 to carboxylate, 297 00:19:13,400 --> 00:19:26,240 in this example, acetyl-CoA to generate 298 00:19:26,240 --> 00:19:30,530 this carboxylated acetyl-CoA three-carbon molecule, which 299 00:19:30,530 --> 00:19:35,550 is referred to as malonyl CoA, all right? 300 00:19:35,550 --> 00:19:39,000 So this is exactly the same mechanism 301 00:19:39,000 --> 00:19:42,720 that we described before for pyruvate carboxylase 302 00:19:42,720 --> 00:19:45,510 in gluconeogenesis, all right. 303 00:19:45,510 --> 00:19:48,040 So I drew a part of it here. 304 00:19:48,040 --> 00:19:56,840 Remember, if we draw acetyl-CoA, in the enol form 305 00:19:56,840 --> 00:19:59,000 of the molecule-- 306 00:19:59,000 --> 00:20:07,560 here we have our biotin, CO2. 307 00:20:07,560 --> 00:20:14,370 If you look back at your notes, we drew a mechanism like that. 308 00:20:14,370 --> 00:20:18,330 And that allowed us to, in that case, 309 00:20:18,330 --> 00:20:21,270 take pyruvate and turn it into oxaloacetate 310 00:20:21,270 --> 00:20:23,970 and gluconeogenesis by pyruvate carboxylase. 311 00:20:23,970 --> 00:20:26,970 In this case-- identical reaction, 312 00:20:26,970 --> 00:20:29,040 but this time you're carboxylating acetyl-CoA 313 00:20:29,040 --> 00:20:31,890 to make malonyl-CoA, right? 314 00:20:31,890 --> 00:20:35,310 And it's malonyl-CoA that ends up 315 00:20:35,310 --> 00:20:39,510 being the substrate for fatty acid synthase, 316 00:20:39,510 --> 00:20:44,820 either the single fatty acid synthase protein in mammals 317 00:20:44,820 --> 00:20:50,070 or the same sets of individually encoded activities 318 00:20:50,070 --> 00:20:54,120 on different polypeptide in plants and bacteria. 319 00:20:54,120 --> 00:20:58,510 All right, so let's draw this out. 320 00:20:58,510 --> 00:21:01,290 So here's fatty acid synthase. 321 00:21:01,290 --> 00:21:05,040 And so fatty acid synthase has on it 322 00:21:05,040 --> 00:21:08,640 two different acyl carrier protein sites, 323 00:21:08,640 --> 00:21:11,070 so two different acyl carrier protein 324 00:21:11,070 --> 00:21:15,360 encoded within the fatty acid synthase polypeptide, each 325 00:21:15,360 --> 00:21:19,290 of which have attached to them this phosphopantothenate group 326 00:21:19,290 --> 00:21:21,450 to make it an acyl carrier protein. 327 00:21:21,450 --> 00:21:23,760 Or there would be two separate acyl carrier proteins 328 00:21:23,760 --> 00:21:26,550 in plants and bacteria as part of the complex that 329 00:21:26,550 --> 00:21:28,740 synthesizes fatty acids. 330 00:21:28,740 --> 00:21:37,020 And each of them can pick up a acyl-CoA. 331 00:21:39,840 --> 00:21:47,130 So here's a malonyl-CoA and an acetyl-CoA. 332 00:21:47,130 --> 00:21:54,030 Each of those can basically, onto the acyl carrier protein, 333 00:21:54,030 --> 00:21:57,750 exchange the thioester bond with the CoA 334 00:21:57,750 --> 00:22:02,835 to be a thioester bond with the acyl carrier protein. 335 00:22:16,820 --> 00:22:19,640 And so to get this started, on one site 336 00:22:19,640 --> 00:22:22,190 you'll end up going an acetyl-CoA, exchange 337 00:22:22,190 --> 00:22:25,070 the thioester bond, such that you release the CoA. 338 00:22:25,070 --> 00:22:28,010 And now, you have an acetyl ACP. 339 00:22:28,010 --> 00:22:29,240 And on the other side-- 340 00:22:29,240 --> 00:22:32,300 a malonyl-CoA exchange that thioester bond 341 00:22:32,300 --> 00:22:33,530 releasing the CoA. 342 00:22:33,530 --> 00:22:37,130 So you have a malonyl ACP, all right? 343 00:22:37,130 --> 00:22:39,030 So what does that look like? 344 00:22:39,030 --> 00:22:40,895 Well, it'll look like this. 345 00:23:09,340 --> 00:23:13,660 OK, so here we're going to have basically-- 346 00:23:36,115 --> 00:23:38,740 I'll give you some color, so you can see what's going on. 347 00:23:38,740 --> 00:23:41,940 But here you have, on an upper acyl carrier protein 348 00:23:41,940 --> 00:23:46,230 site, the malonyl group, so malonyl ACP. 349 00:23:46,230 --> 00:23:52,800 And on this lower site, I put on an acetyl ACP, OK? 350 00:23:52,800 --> 00:23:57,980 So what happens is you now release 351 00:23:57,980 --> 00:24:07,970 the CO2 that was added by acetyl-CoA carboxylase. 352 00:24:07,970 --> 00:24:11,720 And that allows forming carbon bond from here to here, 353 00:24:11,720 --> 00:24:22,930 releasing the ACP on the lower site 354 00:24:22,930 --> 00:24:54,340 and generating this longer four-carbon chain 355 00:24:54,340 --> 00:25:02,410 on the upper acyl carrier protein site. 356 00:25:02,410 --> 00:25:03,670 OK. 357 00:25:03,670 --> 00:25:09,475 Once you have this, now, four-carbon chain, obviously, 358 00:25:09,475 --> 00:25:11,140 if we're going to make a fatty acid, 359 00:25:11,140 --> 00:25:14,480 we have to reduce this carbon. 360 00:25:14,480 --> 00:25:17,900 And so that's exactly what happens. 361 00:25:17,900 --> 00:25:20,560 And so how do we reduce it? 362 00:25:20,560 --> 00:25:23,350 We've now seen this many, many times. 363 00:25:23,350 --> 00:25:28,180 And so if we use NADPH as an electron donor, 364 00:25:28,180 --> 00:25:37,960 oxidizing it to NADP+, that generates this hydride ion 365 00:25:37,960 --> 00:25:39,070 to electron carrier. 366 00:25:44,690 --> 00:26:11,650 And now, we net reduce this ketone to this alcohol, OK? 367 00:26:11,650 --> 00:26:15,400 Next step is we're going to remove water 368 00:26:15,400 --> 00:26:20,200 across that bond, just a dehydration. 369 00:26:56,550 --> 00:26:57,940 All right. 370 00:26:57,940 --> 00:27:04,750 Now, we can further reduce that carbon-carbon bond. 371 00:27:04,750 --> 00:27:11,620 The electrons, again, come from NADPH as it's oxidized 372 00:27:11,620 --> 00:27:13,210 to NADP+. 373 00:27:21,090 --> 00:27:41,330 And that leaves us with a reduced four-carbon fatty 374 00:27:41,330 --> 00:27:44,210 acid, a four zero fatty acid here 375 00:27:44,210 --> 00:27:50,150 on this, esterified by this thioester 376 00:27:50,150 --> 00:27:56,570 to ACP, on the upper site of fatty acid synthase. 377 00:27:56,570 --> 00:27:57,890 OK. 378 00:27:57,890 --> 00:28:01,680 All right, so what happens next? 379 00:28:01,680 --> 00:28:04,400 Well, we can repeat this cycle. 380 00:28:04,400 --> 00:28:13,790 So, now, we can have basically this S-ACP on the lower site 381 00:28:13,790 --> 00:28:33,030 pick up a malonyl-CoA, release the CoA. 382 00:28:33,030 --> 00:28:39,140 And then we have, down here, another malonyl-CoA. 383 00:29:04,840 --> 00:29:11,590 Now, they're esterified to the ACP on the lower side. 384 00:29:11,590 --> 00:29:17,510 All right, now, we can run this exact same series of reactions 385 00:29:17,510 --> 00:29:18,010 again. 386 00:29:34,560 --> 00:29:35,060 OK. 387 00:29:42,550 --> 00:29:57,970 That releases CO2, also releases a free S-ACP on the upper site. 388 00:29:57,970 --> 00:30:01,675 And now, we are left with this. 389 00:30:37,310 --> 00:30:41,600 This now-- six-carbon molecule with a thioester 390 00:30:41,600 --> 00:30:46,160 now on the ACP on the lower side. 391 00:30:46,160 --> 00:30:48,020 Hopefully, you're getting the point. 392 00:30:48,020 --> 00:30:56,090 I can now take this through the same cycles I took before. 393 00:30:56,090 --> 00:30:59,030 But first, we're going to use NADPH 394 00:30:59,030 --> 00:31:06,590 to reduce this ketone to the alcohol, the dehydration, 395 00:31:06,590 --> 00:31:13,980 use NADPH again to reduce the carbon-carbon double bond. 396 00:31:13,980 --> 00:31:44,760 And we are left with now this S-APP on the lower site. 397 00:31:44,760 --> 00:31:52,455 I can now run this cycle five times. 398 00:31:52,455 --> 00:31:56,620 We'll add another malonyl-CoA, this time to the upper site, 399 00:31:56,620 --> 00:31:57,400 combine them. 400 00:31:57,400 --> 00:32:00,310 Now, you have this growing chain on the upper site, 401 00:32:00,310 --> 00:32:04,340 reduction, another malonyl-CoA to the lower site, 402 00:32:04,340 --> 00:32:05,480 blah, blah, blah. 403 00:32:05,480 --> 00:32:06,710 Run it five times. 404 00:32:06,710 --> 00:32:14,540 Eventually, I'm going to end up with a 16, 0, fatty acyl ACP. 405 00:32:14,540 --> 00:32:23,550 And then I can take that, exchange it back for a CoA. 406 00:32:23,550 --> 00:32:31,320 And I end up with a 16 carbon fatty acyl-CoA 407 00:32:31,320 --> 00:32:38,230 or palmitoyl-CoA CoA molecule, such that all of the carbons 408 00:32:38,230 --> 00:32:43,330 added came from acetyl-CoA except for one. 409 00:32:43,330 --> 00:32:46,720 All of that acetyl-CoA was added by, first, 410 00:32:46,720 --> 00:32:50,110 adding a CO2 via acetyl-CoA carboxylase, 411 00:32:50,110 --> 00:32:54,340 generating a malonyl-CoA that's spending ATP 412 00:32:54,340 --> 00:32:55,990 to put the carboxyl group on. 413 00:32:55,990 --> 00:32:58,120 Because, of course, we need it to spend an ATP 414 00:32:58,120 --> 00:33:01,070 in the acetyl-CoA reaction. 415 00:33:01,070 --> 00:33:05,290 And so seven cycles were needed to generate 416 00:33:05,290 --> 00:33:07,870 this 16, 0 fatty acyl-CoA. 417 00:33:07,870 --> 00:33:13,090 And so those seven cycles were seven ATP molecules. 418 00:33:13,090 --> 00:33:19,690 I also needed 2 times 7, or 14, NADPH molecules. 419 00:33:22,260 --> 00:33:27,530 And that allowed me to run this cycle 17 times 420 00:33:27,530 --> 00:33:32,360 and make a fully reduced 16-carbon fatty acid. 421 00:33:32,360 --> 00:33:36,880 Now, it turns out that all of this activity 422 00:33:36,880 --> 00:33:42,220 stops on the fatty acid synthase molecule when it gets 423 00:33:42,220 --> 00:33:45,010 to a 16-carbon palmitoyl-CoA. 424 00:33:45,010 --> 00:33:47,020 But of course, as we described before, 425 00:33:47,020 --> 00:33:53,900 organisms have longer fatty acids than 16 carbons. 426 00:33:53,900 --> 00:34:04,360 And so 18-carbon and longer fatty acids 427 00:34:04,360 --> 00:34:10,000 are made in exactly the same chemistry, same reactions 428 00:34:10,000 --> 00:34:11,650 that we just described. 429 00:34:11,650 --> 00:34:14,020 The only difference is that they are not 430 00:34:14,020 --> 00:34:17,570 made on the fatty acid synthase complex. 431 00:34:17,570 --> 00:34:19,699 So they're made in a different location. 432 00:34:19,699 --> 00:34:25,280 And so they're made at the ER membrane 433 00:34:25,280 --> 00:34:31,760 in eukaryotes, all right, so the ER in eukaryotes. 434 00:34:36,800 --> 00:34:38,330 Even though the enzymes themselves 435 00:34:38,330 --> 00:34:42,080 carry out the same reaction, the enzymes that carry out this 436 00:34:42,080 --> 00:34:52,350 are encoded by different polypeptides, 437 00:34:52,350 --> 00:34:55,949 so-called fatty acid elongase enzymes. 438 00:34:55,949 --> 00:34:57,660 Although the chemistry is exactly what 439 00:34:57,660 --> 00:35:00,300 we already described. 440 00:35:00,300 --> 00:35:04,620 But those enzymes act on the thioester 441 00:35:04,620 --> 00:35:12,510 with the CoA, not the thioester with the acyl carrier protein. 442 00:35:12,510 --> 00:35:14,140 But it's still the same. 443 00:35:14,140 --> 00:35:19,950 There's still one ATP per acetylcholine 444 00:35:19,950 --> 00:35:23,502 for two carbon unit added because that 445 00:35:23,502 --> 00:35:24,960 is needed to carboxylate it to make 446 00:35:24,960 --> 00:35:28,770 the malonyl-CoA because that's what's driving the addition 447 00:35:28,770 --> 00:35:37,150 and two NADPHs per two-carbon unit 448 00:35:37,150 --> 00:35:43,600 added to carry out the reduction to take that carbonyl 449 00:35:43,600 --> 00:35:46,300 from the acetyl CoA or the malonyl-CoA that's 450 00:35:46,300 --> 00:35:51,100 added as a two-carbon unit and reduce it to the fully reduced 451 00:35:51,100 --> 00:35:52,610 carbon. 452 00:35:52,610 --> 00:35:53,720 OK. 453 00:35:53,720 --> 00:35:58,650 And so that is how you make saturated fatty acids. 454 00:35:58,650 --> 00:36:01,160 So what about unsaturated fatty acids? 455 00:36:01,160 --> 00:36:05,330 Well, it is not that you just stop and don't 456 00:36:05,330 --> 00:36:06,710 make it fully saturated. 457 00:36:06,710 --> 00:36:10,550 Nature, first, makes a fully saturated fatty acid. 458 00:36:10,550 --> 00:36:13,940 And then it comes back and reoxidizes the fully saturated 459 00:36:13,940 --> 00:36:20,180 fatty acid to introduce double bonds in the right positions. 460 00:36:20,180 --> 00:36:40,050 And so for unsaturated, so you start with a saturated fatty 461 00:36:40,050 --> 00:36:44,310 acid of the desired length. 462 00:36:48,530 --> 00:36:50,870 So you make that first. 463 00:36:50,870 --> 00:37:00,810 And then you use so-called desaturase enzymes 464 00:37:00,810 --> 00:37:19,830 to introduce double bonds at the desired location, all right? 465 00:37:19,830 --> 00:37:22,100 So it's a little counterintuitive, 466 00:37:22,100 --> 00:37:25,430 but this is effectively why you end up 467 00:37:25,430 --> 00:37:28,040 with double bonds at the stereotyped places. 468 00:37:28,040 --> 00:37:30,590 So, remember, the delta 9 position 469 00:37:30,590 --> 00:37:32,990 is the first place, when we describe 470 00:37:32,990 --> 00:37:36,050 the nomenclature of fatty acids, where we always 471 00:37:36,050 --> 00:37:39,270 put the first double bond. 472 00:37:39,270 --> 00:37:40,930 Why does nature do it this way? 473 00:37:40,930 --> 00:37:42,630 Well, it's very hard to say that, 474 00:37:42,630 --> 00:37:45,300 but you can imagine evolution of how you would 475 00:37:45,300 --> 00:37:47,070 get these enzyme activities. 476 00:37:47,070 --> 00:37:50,280 It's hard to evolve a fatty acid synthase complex that 477 00:37:50,280 --> 00:37:56,430 would stop doing the reduction reaction only 478 00:37:56,430 --> 00:37:57,810 at specific locations. 479 00:37:57,810 --> 00:38:00,810 And so you probably first generate 480 00:38:00,810 --> 00:38:04,320 these fatty acids fully saturated because that's 481 00:38:04,320 --> 00:38:07,230 the way an enzyme could do it and then, later, 482 00:38:07,230 --> 00:38:09,030 have a different enzyme that can pick out 483 00:38:09,030 --> 00:38:11,610 a location on a saturated fatty acid 484 00:38:11,610 --> 00:38:14,760 to introduce a double bond. 485 00:38:14,760 --> 00:38:17,580 All right, so how can we introduce a double bond? 486 00:38:17,580 --> 00:38:20,440 Well, that's an oxidation reaction. 487 00:38:20,440 --> 00:38:24,420 And so if we're going to do an oxidation reaction, 488 00:38:24,420 --> 00:38:27,840 we need a place for the electrons that we move. 489 00:38:27,840 --> 00:38:31,890 So if we oxidize the fatty acid, that's removing electrons. 490 00:38:31,890 --> 00:38:34,230 Those electrons have to go somewhere. 491 00:38:34,230 --> 00:38:38,190 You might imagine, if we're oxidizing a carbon-carbon bond, 492 00:38:38,190 --> 00:38:41,790 we've seen that reaction before when 493 00:38:41,790 --> 00:38:44,370 we did succinate to fumarate. 494 00:38:44,370 --> 00:38:47,610 Succinate dehydrogenase, that was an oxidation reaction. 495 00:38:47,610 --> 00:38:48,960 We used FAD. 496 00:38:48,960 --> 00:38:52,770 We saw it with the fatty acid breakdown 497 00:38:52,770 --> 00:38:55,370 when we first put the double bond in. 498 00:38:55,370 --> 00:38:57,120 We used FAD. 499 00:38:57,120 --> 00:39:01,600 And so, indeed, FAD is used in this reaction, 500 00:39:01,600 --> 00:39:05,460 but it does not work like other FAD reactions 501 00:39:05,460 --> 00:39:08,850 to carry out this oxidation. 502 00:39:08,850 --> 00:39:15,400 For whatever reason, the way desaturases work is different. 503 00:39:15,400 --> 00:39:16,210 OK. 504 00:39:16,210 --> 00:39:22,120 So these desaturase reactions use oxygen 505 00:39:22,120 --> 00:39:27,190 as a final electron acceptor. 506 00:39:27,190 --> 00:39:37,090 And they work via a mini-electron transport chain 507 00:39:37,090 --> 00:39:41,000 in the ER in eukaryotes OK. 508 00:39:41,000 --> 00:39:44,420 So it's a little bit of a different weird mechanism. 509 00:39:44,420 --> 00:39:53,200 But if we think here's our carbon-carbon bond 510 00:39:53,200 --> 00:39:56,110 that we're going to oxidize to introduce a double bond 511 00:39:56,110 --> 00:40:01,330 and desaturate our lipid, so what is that? 512 00:40:01,330 --> 00:40:05,720 Well, it's basically this reaction. 513 00:40:05,720 --> 00:40:06,220 OK. 514 00:40:06,220 --> 00:40:12,810 So this is, rather than just remove this as a hydride ion, 515 00:40:12,810 --> 00:40:15,540 it turns out that those electrons 516 00:40:15,540 --> 00:40:22,620 go to oxygen, which, of course, will generate one water 517 00:40:22,620 --> 00:40:23,550 molecule. 518 00:40:23,550 --> 00:40:25,380 But there's two oxygen there, so you 519 00:40:25,380 --> 00:40:27,750 need to generate a second water molecule. 520 00:40:27,750 --> 00:40:30,340 Those electrons have to come from somewhere else. 521 00:40:30,340 --> 00:40:36,090 And those electrons come from this little mini-electron 522 00:40:36,090 --> 00:40:37,210 transport chain. 523 00:40:39,760 --> 00:40:44,400 So if we oxidize iron, we can get electrons 524 00:40:44,400 --> 00:40:45,940 from that reaction. 525 00:40:45,940 --> 00:40:59,030 And so this ends up generating a double bond in the fatty acid 526 00:40:59,030 --> 00:41:02,300 with two of the electrons going to oxygen and the other two 527 00:41:02,300 --> 00:41:05,810 electrons coming from this mini-electron transport chain 528 00:41:05,810 --> 00:41:10,760 in this desaturase complex in the endoplasmic reticulum, 529 00:41:10,760 --> 00:41:11,300 all right? 530 00:41:11,300 --> 00:41:12,950 And so, of course, those electrons 531 00:41:12,950 --> 00:41:15,900 have to come from somewhere. 532 00:41:15,900 --> 00:41:18,290 So we have to re-reduce. 533 00:41:18,290 --> 00:41:21,540 This iron we oxidize to get the electrons from. 534 00:41:21,540 --> 00:41:26,510 And so this works via an electron transport 535 00:41:26,510 --> 00:41:28,490 chain similar to what we saw before, 536 00:41:28,490 --> 00:41:32,480 where it's this whole series of oxidation and reduction 537 00:41:32,480 --> 00:41:39,230 reactions that does happen to involve FAD and FADH2. 538 00:41:39,230 --> 00:41:43,220 But ultimately, the electrons are coming from NADH. 539 00:41:46,710 --> 00:41:51,000 So oxidation of NADH ultimately is 540 00:41:51,000 --> 00:41:55,200 providing electrons that together with oxidation here 541 00:41:55,200 --> 00:41:59,350 lead to the reduction of oxygen to water. 542 00:41:59,350 --> 00:42:02,790 And you can, of course, read more about this 543 00:42:02,790 --> 00:42:05,310 if you're interested in it, but it's 544 00:42:05,310 --> 00:42:08,250 important to point out that this process works by a slightly 545 00:42:08,250 --> 00:42:14,490 different mechanism than you might predict from sort 546 00:42:14,490 --> 00:42:17,580 of the general principles of the way most double bonds are 547 00:42:17,580 --> 00:42:22,320 introduced in carbon-carbon molecules in metabolism. 548 00:42:22,320 --> 00:42:24,630 Why it works this way is something 549 00:42:24,630 --> 00:42:27,720 we can only speculate about. 550 00:42:27,720 --> 00:42:29,400 OK. 551 00:42:29,400 --> 00:42:41,900 Now, mammals only use a disaccharase enzyme 552 00:42:41,900 --> 00:42:45,830 that, in a fully saturated fatty acid, 553 00:42:45,830 --> 00:42:57,100 can only introduce a double bond at the delta 9 position. 554 00:42:57,100 --> 00:43:06,335 That is between carbons 9 and 10 of a fully saturated fatty 555 00:43:06,335 --> 00:43:06,835 acid. 556 00:43:11,180 --> 00:43:14,450 And that's because they only have an enzyme complex that 557 00:43:14,450 --> 00:43:15,120 does that. 558 00:43:15,120 --> 00:43:21,050 So that is they can take an 18, 0 newly synthesized fatty acid 559 00:43:21,050 --> 00:43:22,940 and they can make an 18, 1-- 560 00:43:22,940 --> 00:43:28,980 or we can make an 18, 1 delta 9 fatty acid, OK? 561 00:43:28,980 --> 00:43:31,170 That's the only desaturase enzyme 562 00:43:31,170 --> 00:43:34,410 we have to put into a saturated fatty acid. 563 00:43:34,410 --> 00:43:39,330 That is to make completely a de novo unsaturated fatty 564 00:43:39,330 --> 00:43:42,810 acid, which is one of the reasons why 565 00:43:42,810 --> 00:43:45,940 we don't have a lot of polyunsaturated fatty acids. 566 00:43:45,940 --> 00:43:48,840 Now, we do have enzyme complexes that work similarly 567 00:43:48,840 --> 00:43:52,290 to these that can add double bonds at other locations, 568 00:43:52,290 --> 00:43:55,260 but they have to start having a double bond already present 569 00:43:55,260 --> 00:43:56,850 in those locations. 570 00:43:56,850 --> 00:43:59,220 Many of those lipids have to come from the diet. 571 00:43:59,220 --> 00:44:02,160 And that's that concept of essential lipids, something 572 00:44:02,160 --> 00:44:04,740 that we have to eat from a plant or bacteria that already has 573 00:44:04,740 --> 00:44:06,270 a double bond there in order to add 574 00:44:06,270 --> 00:44:10,105 double bonds to make some of our other polyunsaturated fatty 575 00:44:10,105 --> 00:44:10,605 acids. 576 00:44:13,390 --> 00:44:18,460 So that's how fatty acids are made. 577 00:44:18,460 --> 00:44:22,030 But as I alluded to earlier, all of this 578 00:44:22,030 --> 00:44:25,810 is taking place in the cytosol. 579 00:44:25,810 --> 00:44:30,760 And if we're doing all of this work in the cytosol, 580 00:44:30,760 --> 00:44:32,920 maybe you notice that we actually 581 00:44:32,920 --> 00:44:38,320 have another problem that nature has to solve. 582 00:44:38,320 --> 00:44:43,590 And that is, because we're doing all this from acetyl-CoA, 583 00:44:43,590 --> 00:44:46,560 and so we have to have acetyl-CoA in the cytosol 584 00:44:46,560 --> 00:44:48,150 to have this work. 585 00:44:48,150 --> 00:44:50,470 But acetyl-CoA, all the ways we've talked 586 00:44:50,470 --> 00:44:52,830 or most of the ways we've talked about producing it, 587 00:44:52,830 --> 00:44:54,690 happen in the mitochondria. 588 00:44:54,690 --> 00:44:56,430 Remember, acetyl-CoA can't get across 589 00:44:56,430 --> 00:44:57,560 the mitochondrial membrane. 590 00:44:57,560 --> 00:44:59,160 So we need a way to get acetyl-CoA 591 00:44:59,160 --> 00:45:02,370 out of the mitochondria into the cytosol for this whole thing 592 00:45:02,370 --> 00:45:03,390 to work. 593 00:45:03,390 --> 00:45:05,190 Put another way-- so if we draw here, 594 00:45:05,190 --> 00:45:06,900 here's glucose to pyruvate. 595 00:45:06,900 --> 00:45:09,070 That's glycolysis. 596 00:45:09,070 --> 00:45:17,200 Remember to turn that pyruvate into acetyl-CoA. 597 00:45:17,200 --> 00:45:21,100 We had to move the pyruvate into the mitochondria. 598 00:45:21,100 --> 00:45:27,520 That's where the PDH complex was to generate the acetyl-CoA. 599 00:45:27,520 --> 00:45:33,820 But if we need acetyl-CoA in the cytosol for fatty acid synthase 600 00:45:33,820 --> 00:45:40,530 to make fatty acids, we basically 601 00:45:40,530 --> 00:45:43,680 need a way to get that acetyl-CoA back out 602 00:45:43,680 --> 00:45:47,510 of the mitochondria in order to generate fatty acids. 603 00:45:47,510 --> 00:45:50,670 Other big source of, remember, was 604 00:45:50,670 --> 00:45:54,690 we start with a fatty acid in the mitochondria, 605 00:45:54,690 --> 00:45:59,250 run fatty acid oxidation. 606 00:45:59,250 --> 00:46:01,860 Again, fatty acid oxidation in the mitochondria 607 00:46:01,860 --> 00:46:03,690 generates acetyl-CoA in the mitochondria. 608 00:46:03,690 --> 00:46:05,730 We're going to use it to rebuild a fatty acid, 609 00:46:05,730 --> 00:46:10,070 need to get it out of the mitochondria into the cytosol. 610 00:46:10,070 --> 00:46:14,360 Coenzyme A is not membrane permeable. 611 00:46:14,360 --> 00:46:17,150 Remember, we had shuttles to get fatty acids 612 00:46:17,150 --> 00:46:19,250 in the mitochondria. 613 00:46:19,250 --> 00:46:22,280 We did the pyruvate dehydrogenase reaction here 614 00:46:22,280 --> 00:46:23,340 to begin with. 615 00:46:23,340 --> 00:46:28,660 And so it's a problem to get this giant CoA, 616 00:46:28,660 --> 00:46:31,940 the CoA from the acetyl-CoA, out of the mitochondria 617 00:46:31,940 --> 00:46:32,765 into the cytosol. 618 00:46:36,290 --> 00:46:37,130 OK. 619 00:46:37,130 --> 00:46:42,680 So one solution to this, to getting acetyl CoA 620 00:46:42,680 --> 00:46:47,600 in the cytosol, is simply to start with acetate, OK? 621 00:46:47,600 --> 00:46:50,960 That is take the CoA group off and just have 622 00:46:50,960 --> 00:46:53,030 an acetate molecule. 623 00:46:53,030 --> 00:46:57,500 And of course, acetate or acetic acid, well, that's food. 624 00:46:57,500 --> 00:46:58,490 That's vinegar. 625 00:46:58,490 --> 00:47:02,480 All right, the salad you ate has acetate in it, acetyl-CoA. 626 00:47:02,480 --> 00:47:03,890 It can be in the cytosol. 627 00:47:03,890 --> 00:47:06,740 We can make acetate if you look back at your notes 628 00:47:06,740 --> 00:47:08,850 about how we metabolized alcohol. 629 00:47:08,850 --> 00:47:11,990 So alcohol gets metabolized to acetate. 630 00:47:11,990 --> 00:47:15,770 And so that acetate in the cytosol, 631 00:47:15,770 --> 00:47:19,880 we can just add a CoA group to it in the cytosol. 632 00:47:19,880 --> 00:47:20,960 And how do we do that? 633 00:47:20,960 --> 00:47:23,270 Well, we saw the reaction to do this already. 634 00:47:31,990 --> 00:47:32,490 OK. 635 00:47:32,490 --> 00:47:40,320 And this is basically when we added any fatty acid 636 00:47:40,320 --> 00:47:42,000 to make a fatty acyl-CoA. 637 00:47:42,000 --> 00:47:45,150 Remember, the free fatty acid turned into a fatty acyl-CoA. 638 00:47:45,150 --> 00:47:48,120 We add this reaction where we used ATP. 639 00:47:48,120 --> 00:47:51,600 We added the AMP to it. 640 00:47:51,600 --> 00:47:53,460 And then that [INAUDIBLE] pyrophosphate 641 00:47:53,460 --> 00:47:56,040 can drive it forward with the two pyrophosphate molecules 642 00:47:56,040 --> 00:47:58,470 and take the AMP off and adds a CoA group. 643 00:47:58,470 --> 00:47:59,970 If you look back in your notes, it's 644 00:47:59,970 --> 00:48:03,240 the identical reaction to how we made a fatty acyl-CoA. 645 00:48:03,240 --> 00:48:06,720 Well, there's also an enzyme that can act on acetate 646 00:48:06,720 --> 00:48:09,840 and do this to make acetyl-CoA. 647 00:48:09,840 --> 00:48:10,680 And that's great. 648 00:48:10,680 --> 00:48:13,590 It's a way to make acetyl-CoA in the cytosol 649 00:48:13,590 --> 00:48:16,210 if you start with acetate. 650 00:48:16,210 --> 00:48:20,190 However, this is not the way it works 651 00:48:20,190 --> 00:48:26,460 if you already have an acetyl-CoA in the mitochondria. 652 00:48:26,460 --> 00:48:31,080 And so if in the mitochondria you already have 653 00:48:31,080 --> 00:48:35,990 an acetyl-CoA-- 654 00:48:35,990 --> 00:48:45,600 so this can come from pyruvate via the PDH reaction. 655 00:48:45,600 --> 00:48:50,640 It can come from fatty acid oxidation, this acetyl-CoA 656 00:48:50,640 --> 00:48:52,770 in the mitochondria, all right? 657 00:48:52,770 --> 00:48:57,150 Well, what do we talk about doing with it in the TCA cycle? 658 00:48:57,150 --> 00:49:00,390 Well, the TCA cycle, we can use citrate synthase 659 00:49:00,390 --> 00:49:05,610 to generate this citrate molecule. 660 00:49:05,610 --> 00:49:10,860 And it turns out citrate itself can be used as a carrier 661 00:49:10,860 --> 00:49:19,650 to export the acetyl-CoA from the mitochondria to the side 662 00:49:19,650 --> 00:49:24,780 cytosol, such that now, when you have citrate in the side 663 00:49:24,780 --> 00:49:34,830 cytosol, that citrate can now be used where you basically carry 664 00:49:34,830 --> 00:49:38,850 out the opposite of the citrate synthase reaction 665 00:49:38,850 --> 00:49:45,800 to regenerate acetyl-CoA and oxaloacetate. 666 00:49:45,800 --> 00:49:47,990 Well, if one direction is favorable, 667 00:49:47,990 --> 00:49:50,400 the other direction is going to be not favorable. 668 00:49:50,400 --> 00:49:53,420 And so you need energy input in one of the directions. 669 00:49:53,420 --> 00:49:57,725 And so this costs you ATP. 670 00:50:01,650 --> 00:50:03,750 And this is carried out by an enzyme 671 00:50:03,750 --> 00:50:13,050 called ATP citrate lyase, often abbreviated ACLY. 672 00:50:17,010 --> 00:50:21,330 So ATP citrate lyase allows you to basically reverse 673 00:50:21,330 --> 00:50:23,730 the citrate synthase reaction, such 674 00:50:23,730 --> 00:50:28,140 that you can shuttle acetyl-CoA out of the mitochondria 675 00:50:28,140 --> 00:50:32,760 to the cytosol using citrate as a molecule. 676 00:50:32,760 --> 00:50:36,720 And then, of course, that oxaloacetate 677 00:50:36,720 --> 00:50:40,573 can be shuttled back into the mitochondria via something 678 00:50:40,573 --> 00:50:42,240 like the malate-aspartate shuttle, which 679 00:50:42,240 --> 00:50:45,330 we describe several lectures ago, 680 00:50:45,330 --> 00:50:49,960 as a way to make this a complete cycle. 681 00:50:49,960 --> 00:50:52,300 I want to spend a little bit of time talking about this 682 00:50:52,300 --> 00:50:55,180 because, here, a lot of metabolism 683 00:50:55,180 --> 00:50:58,600 begins to come together, all right? 684 00:50:58,600 --> 00:51:04,860 And so when do you want to produce fatty acids? 685 00:51:04,860 --> 00:51:08,740 We want to produce fatty acids when you have a lot of ATP. 686 00:51:08,740 --> 00:51:11,310 And so if you have a lot of ATP, this 687 00:51:11,310 --> 00:51:14,250 is a situation where the TCA cycle 688 00:51:14,250 --> 00:51:15,480 isn't going to want to run. 689 00:51:15,480 --> 00:51:20,760 And so that favors citrate export from the TCA cycle 690 00:51:20,760 --> 00:51:22,530 into the cytosol. 691 00:51:22,530 --> 00:51:25,920 Remember, citrate was this important regulator 692 00:51:25,920 --> 00:51:27,420 of glycolysis. 693 00:51:27,420 --> 00:51:29,520 We talked about you have a lot of citrate. 694 00:51:29,520 --> 00:51:31,590 Let's slow down glycolysis. 695 00:51:31,590 --> 00:51:33,630 Well, that citrate in the side cytosol 696 00:51:33,630 --> 00:51:37,170 also now provides a source of acetyl-CoA 697 00:51:37,170 --> 00:51:42,030 to take all that extra carbon and turn it into fatty acids, 698 00:51:42,030 --> 00:51:44,310 all right? 699 00:51:44,310 --> 00:51:47,070 We also, in the process of moving this out, 700 00:51:47,070 --> 00:51:49,650 we generate oxaloacetate. 701 00:51:49,650 --> 00:51:52,030 Remember, oxaloacetate, of course, 702 00:51:52,030 --> 00:51:53,760 is part of the malate-aspartate shuttle. 703 00:51:53,760 --> 00:51:56,040 We'll come back to that in a minute. 704 00:51:56,040 --> 00:51:58,980 But oxaloacetate in the cytosol, that 705 00:51:58,980 --> 00:52:02,100 was the product of the pyruvate carboxylase reaction 706 00:52:02,100 --> 00:52:06,330 to get oxaloacetate in the cytosol so PEPCK can make 707 00:52:06,330 --> 00:52:09,120 PEP and do gluconeogenesis. 708 00:52:09,120 --> 00:52:13,200 And so the same thing is also taking oxaloacetate 709 00:52:13,200 --> 00:52:15,540 and putting that in this cytosol where it's a good thing 710 00:52:15,540 --> 00:52:17,880 to do gluconeogenesis, which is something else that you 711 00:52:17,880 --> 00:52:22,150 want to do if you have a lot of excess ATP to store carbon. 712 00:52:22,150 --> 00:52:25,800 And so this is really set up in a way 713 00:52:25,800 --> 00:52:27,870 that, now, you have your citrate and oxaloacetate 714 00:52:27,870 --> 00:52:30,690 in the cytosol, which are the starting points 715 00:52:30,690 --> 00:52:34,980 to generate either fat or carbohydrate as a way 716 00:52:34,980 --> 00:52:41,070 to store excess energy if you have plenty of ATP around. 717 00:52:41,070 --> 00:52:44,460 Now, it turns out that oxaloacetate in the cytosol 718 00:52:44,460 --> 00:52:48,250 is also beneficial in another way 719 00:52:48,250 --> 00:52:51,630 because it can be part of a series of enzyme reactions 720 00:52:51,630 --> 00:52:58,110 that also benefits fatty acid synthesis. 721 00:52:58,110 --> 00:53:02,730 And that's because it's a substrate for an enzyme. 722 00:53:02,730 --> 00:53:03,900 It can create a substrate. 723 00:53:03,900 --> 00:53:07,980 It can create malate that's a substrate for an enzyme called 724 00:53:07,980 --> 00:53:12,750 malic enzyme, which is another way to generate NADPH. 725 00:53:12,750 --> 00:53:15,220 All right, so let's go through this. 726 00:53:15,220 --> 00:53:21,510 So remember, oxaloacetate differs from malate 727 00:53:21,510 --> 00:53:23,715 by an oxidation reduction reaction. 728 00:53:23,715 --> 00:53:28,770 So remember, we described malate dehydrogenase in the TCA cycle 729 00:53:28,770 --> 00:53:32,040 to turn malate into oxaloacetate in the malate-aspartate 730 00:53:32,040 --> 00:53:32,670 shuttle. 731 00:53:32,670 --> 00:53:35,790 We pointed out that this enzyme can run in reverse, 732 00:53:35,790 --> 00:53:43,530 and so can be used to regenerate NAD in the cytosol. 733 00:53:43,530 --> 00:53:46,230 And this oxaloacetate back to malate 734 00:53:46,230 --> 00:53:48,270 as part of the malate-aspartate shuttle 735 00:53:48,270 --> 00:53:53,010 was a way to regenerate NAD to help keep glycolysis going 736 00:53:53,010 --> 00:53:54,750 as an alternative to fermentation, 737 00:53:54,750 --> 00:53:56,590 get those electrons into the mitochondria, 738 00:53:56,590 --> 00:53:59,500 so we give them to oxygen. 739 00:53:59,500 --> 00:54:04,270 Well, this malate that's made is the substrate not just 740 00:54:04,270 --> 00:54:06,460 for the malate-aspartate shuttle to bring electrons 741 00:54:06,460 --> 00:54:11,200 into the mitochondria, but is also a substrate for an enzyme 742 00:54:11,200 --> 00:54:12,835 called malic enzyme. 743 00:54:15,490 --> 00:54:19,060 And malic enzyme is a way to make NADPH. 744 00:54:19,060 --> 00:54:20,410 Well, how does this work? 745 00:54:32,170 --> 00:54:32,670 OK. 746 00:54:32,670 --> 00:54:33,435 So here's malate. 747 00:54:36,120 --> 00:55:00,230 All right, so if we reoxidize this alcohol to bring malate 748 00:55:00,230 --> 00:55:09,270 back to oxaloacetate, so that generates hydride ion, 749 00:55:09,270 --> 00:55:14,640 which can, of course, be given to a nicotinamide group, 750 00:55:14,640 --> 00:55:15,840 the malic enzyme. 751 00:55:15,840 --> 00:55:21,810 The nicotinamide group is NAD+ to generate NADPH. 752 00:55:21,810 --> 00:55:25,320 NAPDH is, of course, useful for reducing power 753 00:55:25,320 --> 00:55:26,920 to make fatty acids. 754 00:55:26,920 --> 00:55:28,140 So what does this generate? 755 00:55:28,140 --> 00:55:32,270 Well, this generates-- again, all I've done 756 00:55:32,270 --> 00:55:34,820 is regenerate oxaloacetate. 757 00:55:37,440 --> 00:55:38,430 OK. 758 00:55:38,430 --> 00:55:40,800 This is oxaloacetate. 759 00:55:40,800 --> 00:55:45,330 It turns out this oxaloacetate is retained on the enzyme. 760 00:55:45,330 --> 00:55:52,050 And remember, oxaloacetate is a beta-keto acid, so acid group, 761 00:55:52,050 --> 00:55:58,670 alpha, beta, beta-keto acid. 762 00:55:58,670 --> 00:56:05,261 And beta carboxylation is favorable. 763 00:56:05,261 --> 00:56:08,150 You've now seen this many, many times. 764 00:56:08,150 --> 00:56:10,670 This is going to generate enolpyruvate. 765 00:56:16,520 --> 00:56:21,330 Enolpyruvate will want to rearrange to pyruvate. 766 00:56:30,360 --> 00:56:34,260 And so, effectively, I can turn malate into pyruvate 767 00:56:34,260 --> 00:56:36,990 and generate NADPH. 768 00:56:36,990 --> 00:56:40,020 And that's what malic enzyme does. 769 00:56:40,020 --> 00:56:43,740 And if you look back at the malate-aspartate shuttle, 770 00:56:43,740 --> 00:56:45,960 we used oxaloacetate to make malate. 771 00:56:45,960 --> 00:56:49,590 And it was malate that was sent back to the mitochondria. 772 00:56:49,590 --> 00:56:53,160 Well, here, we can also use it to make pyruvate. 773 00:56:53,160 --> 00:56:56,010 And then the pyruvate can go back to the mitochondria 774 00:56:56,010 --> 00:56:59,910 and use pyruvate carboxylase to generate acetate 775 00:56:59,910 --> 00:57:02,550 via pyruvate carboxylase as a way 776 00:57:02,550 --> 00:57:06,880 to do anaplerosis for this mini-cycle if you want. 777 00:57:06,880 --> 00:57:08,880 A lot of moving parts here, let me 778 00:57:08,880 --> 00:57:11,190 be explicit about what's going on 779 00:57:11,190 --> 00:57:16,410 and show you how I can build a series of reactions here 780 00:57:16,410 --> 00:57:22,050 that is very useful if I want to generate that. 781 00:57:22,050 --> 00:57:22,550 OK. 782 00:57:22,550 --> 00:57:26,120 So here's glycolysis. 783 00:57:26,120 --> 00:57:29,570 Remember to run glycolysis. 784 00:57:29,570 --> 00:57:33,050 I need a source of NAD+ plus for the GAPDH reaction. 785 00:57:33,050 --> 00:57:35,000 If I'm not going to ferment the pyruvate, 786 00:57:35,000 --> 00:57:37,760 I need to deal with that NAD+. 787 00:57:37,760 --> 00:57:41,780 Well, if I send now that pyruvate here 788 00:57:41,780 --> 00:57:51,150 into the mitochondria, that pyruvate 789 00:57:51,150 --> 00:57:54,500 can go through the pyruvate dehydrogenase reaction, 790 00:57:54,500 --> 00:57:57,820 make acetyl-CoA. 791 00:57:57,820 --> 00:58:03,785 Acetyl-CoA combine with oxaloacetate to make citrate. 792 00:58:08,980 --> 00:58:09,480 OK. 793 00:58:13,370 --> 00:58:21,590 Export that citrate from the mitochondria to the cytosol. 794 00:58:21,590 --> 00:58:26,135 Run the ATP citrate lyase reaction. 795 00:58:37,100 --> 00:58:41,150 Now, I have acetyl-CoA in the cytosol 796 00:58:41,150 --> 00:58:46,310 and can use that to generate fatty acids. 797 00:58:46,310 --> 00:58:54,450 And of course, that requires NADPH 798 00:58:54,450 --> 00:59:00,360 as reducing power to make those fatty acids, OK? 799 00:59:00,360 --> 00:59:07,110 So all series of reactions that you've seen many, many times, 800 00:59:07,110 --> 00:59:13,500 this is glycolysis, pyruvate dehydrogenase, 801 00:59:13,500 --> 00:59:24,090 citrate synthase, ATP citrate lyase that we just described 802 00:59:24,090 --> 00:59:29,400 and, of course, this over here acetyl-CoA carboxylase, 803 00:59:29,400 --> 00:59:33,760 of course, and fatty acid synthase to do that. 804 00:59:33,760 --> 00:59:42,240 All right, now, that's great, but we have this NAD+ to deal 805 00:59:42,240 --> 00:59:43,530 with. 806 00:59:43,530 --> 00:59:47,550 And we need sources of NADPH to balance all the electrons 807 00:59:47,550 --> 00:59:49,265 to make this work. 808 00:59:49,265 --> 00:59:50,640 Let's show how we can incorporate 809 00:59:50,640 --> 00:59:53,580 malate dehydrogenase and malic enzyme as a way 810 00:59:53,580 --> 00:59:56,620 to make all this balanced. 811 00:59:56,620 --> 01:00:11,920 So if we take oxaloacetate and make malate, 812 01:00:11,920 --> 01:00:19,640 this is our malate dehydrogenase reaction. 813 01:00:19,640 --> 01:00:23,140 I've now regenerated the NAD I need in the cytosol 814 01:00:23,140 --> 01:00:29,990 to keep that carbon flowing in from glucose to make 815 01:00:29,990 --> 01:00:32,770 acetylcholine, right? 816 01:00:32,770 --> 01:00:34,930 Now, I have malate. 817 01:00:34,930 --> 01:00:40,450 I can use malic enzyme to turn malate into pyruvate. 818 01:00:48,700 --> 01:00:56,440 That's going to serve as a source of NADPH 819 01:00:56,440 --> 01:00:59,980 that I can use, again, NADPH in the cytosol 820 01:00:59,980 --> 01:01:03,940 to drive fatty acid synthase in the cytosol. 821 01:01:03,940 --> 01:01:07,010 Obviously, you need more than one NADPH to do this, 822 01:01:07,010 --> 01:01:10,330 but at least it generates NADPH's reducing power 823 01:01:10,330 --> 01:01:11,920 to make the fatty acids. 824 01:01:14,750 --> 01:01:20,680 And of course, take that pyruvate, bring it 825 01:01:20,680 --> 01:01:24,490 back in the mitochondria. 826 01:01:24,490 --> 01:01:34,915 I can run the pyruvate carboxylase reaction. 827 01:01:40,320 --> 01:01:45,960 And I'll regenerate oxaloacetate in the mitochondria. 828 01:01:45,960 --> 01:01:48,360 And now, I have a balanced cycle where 829 01:01:48,360 --> 01:01:52,530 I can run this cycle to turn glucose carbon into acetyl-CoA 830 01:01:52,530 --> 01:01:56,460 for fat and, in the process, also make some NADPH's reducing 831 01:01:56,460 --> 01:02:01,170 power to support my fatty acid synthase reaction. 832 01:02:01,170 --> 01:02:05,880 This is just one way that I can take all these reactions we 833 01:02:05,880 --> 01:02:08,310 talked about and build a pathway that's 834 01:02:08,310 --> 01:02:13,530 balanced, at least for the NAD-NADH oxidation piece, 835 01:02:13,530 --> 01:02:15,225 and gives us something useful. 836 01:02:15,225 --> 01:02:17,340 Well, it gives us ATP from glycolysis 837 01:02:17,340 --> 01:02:21,180 and also gives NADPH from the malic enzyme reaction 838 01:02:21,180 --> 01:02:21,870 to do this. 839 01:02:21,870 --> 01:02:23,160 And what does it cost me? 840 01:02:23,160 --> 01:02:24,990 Well, it costs me a bunch of ATP, right? 841 01:02:24,990 --> 01:02:26,355 It cost me ATP here. 842 01:02:26,355 --> 01:02:30,270 It costs me ATP there, of course a lot of ATP up here. 843 01:02:30,270 --> 01:02:33,660 But you're doing this when there's energy excess. 844 01:02:33,660 --> 01:02:35,670 You have plenty of ATP around. 845 01:02:35,670 --> 01:02:38,340 And it's a way that nature then can 846 01:02:38,340 --> 01:02:44,220 use this high-energy, high-ATP state as a way to store carbon, 847 01:02:44,220 --> 01:02:47,280 ultimately, reduce carbon is fatty acids that 848 01:02:47,280 --> 01:02:53,660 can be used later when times are not so good. 849 01:02:53,660 --> 01:02:59,910 All right, so let's spend a couple 850 01:02:59,910 --> 01:03:01,760 of minutes talking about the regulation 851 01:03:01,760 --> 01:03:03,530 of fatty acid synthesis. 852 01:03:03,530 --> 01:03:05,930 It's very straightforward, not really 853 01:03:05,930 --> 01:03:07,330 a whole lot to talk about. 854 01:03:07,330 --> 01:03:14,190 You really only want to make fat if you have high ATP-ADP ratio. 855 01:03:14,190 --> 01:03:17,900 This is a situation excess citrate in the cytosol. 856 01:03:17,900 --> 01:03:26,830 And so high citrate, which, remember, inhibits glycolysis-- 857 01:03:26,830 --> 01:03:39,450 well, high citrate is going to activate fatty acid synthase. 858 01:03:39,450 --> 01:03:41,850 OK. 859 01:03:41,850 --> 01:03:45,210 The big step, though, is acetyl-CoA carboxylase. 860 01:03:45,210 --> 01:03:47,190 That's what makes the malonyl-CoA. 861 01:03:47,190 --> 01:03:50,760 That's the big change in delta g. 862 01:03:50,760 --> 01:03:52,950 By all the reasons we talked about before, that's 863 01:03:52,950 --> 01:03:54,540 a step you want to regulate. 864 01:03:54,540 --> 01:04:03,390 And so it turns out that high levels of palmitoyl-CoA-- 865 01:04:03,390 --> 01:04:07,050 that is the 16, 0 fatty acid, the product 866 01:04:07,050 --> 01:04:09,720 of the fatty acid synthase reaction. 867 01:04:09,720 --> 01:04:21,460 This is going to inhibit acetyl-CoA carboxylase. 868 01:04:21,460 --> 01:04:26,290 It makes sense-- have a lot of product around. 869 01:04:26,290 --> 01:04:28,060 Stop making it. 870 01:04:28,060 --> 01:04:30,880 Stop the step that costs the most, that's hardest 871 01:04:30,880 --> 01:04:33,540 to go back to generate it. 872 01:04:33,540 --> 01:04:34,540 OK? 873 01:04:34,540 --> 01:04:35,500 What's the other thing? 874 01:04:35,500 --> 01:04:42,550 Well, you only want to do this if cells have enough energy 875 01:04:42,550 --> 01:04:43,780 to do it. 876 01:04:43,780 --> 01:04:44,960 What's their energy charge? 877 01:04:44,960 --> 01:04:50,500 ATP-AMP ratio-- if AMP is high, you also want to inhibit ACC. 878 01:04:50,500 --> 01:04:52,840 Low energy-- don't try to make fat. 879 01:04:52,840 --> 01:04:56,440 That's basically what you need to know about the regulation 880 01:04:56,440 --> 01:04:58,810 of fatty acid synthase. 881 01:04:58,810 --> 01:05:02,240 Now, of course, that's making fatty acids. 882 01:05:02,240 --> 01:05:04,420 But of course, most fatty acids are not 883 01:05:04,420 --> 01:05:06,220 floating around free in nature. 884 01:05:06,220 --> 01:05:08,170 They're stored as lipids. 885 01:05:08,170 --> 01:05:10,630 And so just to remind you, here is an image 886 01:05:10,630 --> 01:05:11,770 from an earlier lecture. 887 01:05:11,770 --> 01:05:15,290 These were the image of a fat cell, as well as a plant cell 888 01:05:15,290 --> 01:05:15,790 here. 889 01:05:15,790 --> 01:05:18,820 They both have these lipid droplets 890 01:05:18,820 --> 01:05:20,920 that are filled with these neutral lipids, 891 01:05:20,920 --> 01:05:22,990 these triacylglycerides. 892 01:05:22,990 --> 01:05:27,235 And so you want to store the fatty acid for energy. 893 01:05:27,235 --> 01:05:29,590 You put it into a triacylglyceride, 894 01:05:29,590 --> 01:05:31,180 pop it into a lipid droplet. 895 01:05:31,180 --> 01:05:32,680 And now, you have this efficient way 896 01:05:32,680 --> 01:05:36,520 to store all this reduced carbon without having to carry around 897 01:05:36,520 --> 01:05:38,680 the weight of the water. 898 01:05:38,680 --> 01:05:42,610 Or maybe you want to use this to generate membranes, right? 899 01:05:42,610 --> 01:05:45,370 Phospholipids, you need to generate phospholipids. 900 01:05:45,370 --> 01:05:47,440 Both triacylglycerides, phospholipids 901 01:05:47,440 --> 01:05:50,110 are built on this glycerol backbone. 902 01:05:50,110 --> 01:05:51,910 And I just want to mention briefly 903 01:05:51,910 --> 01:05:53,920 the pathway that cells really use 904 01:05:53,920 --> 01:05:57,820 or a pathway the cells use to make these glycerol based 905 01:05:57,820 --> 01:05:59,050 lipids. 906 01:05:59,050 --> 01:06:03,220 And so as we talked about before, here's 907 01:06:03,220 --> 01:06:10,090 our old friend dihydroxyacetone phosphate from glycolysis. 908 01:06:10,090 --> 01:06:21,270 Remember, if we reduce this ketone to the alcohol, that's 909 01:06:21,270 --> 01:06:24,570 how we made glycerol. 910 01:06:24,570 --> 01:06:28,320 It turns out, first, before doing this, 911 01:06:28,320 --> 01:06:32,330 the way nature does it is it first adds the fatty acid. 912 01:06:32,330 --> 01:06:38,220 So it takes the fatty acyl-CoA, releases the CoA. 913 01:06:38,220 --> 01:06:48,970 And you end up with this intermediate, OK? 914 01:06:48,970 --> 01:06:52,990 It's this molecule that then you reduce. 915 01:06:55,670 --> 01:06:57,770 Of course, you can reduce it within NADH. 916 01:06:57,770 --> 01:07:01,270 You can also reduce it with NADPH. 917 01:07:01,270 --> 01:07:08,500 And that gives us this phospho-monoacylglycerol, OK? 918 01:07:08,500 --> 01:07:11,320 So this molecule, with that being the alcohol instead 919 01:07:11,320 --> 01:07:12,430 of the ketone-- 920 01:07:12,430 --> 01:07:16,300 phospho-monoacylglycerol. 921 01:07:16,300 --> 01:07:21,580 Now, come on, add another fatty acyl-CoA. 922 01:07:21,580 --> 01:07:27,250 Releasing the CoA, that gives us a phospho-diacylglycerol, 923 01:07:27,250 --> 01:07:32,740 so, now, a fatty acid esterified to that middle carbon. 924 01:07:32,740 --> 01:07:36,550 And then this phospho-diacylglycerol, 925 01:07:36,550 --> 01:07:44,770 we can remove the phosphate to get just a diacylglycerol 926 01:07:44,770 --> 01:07:50,710 and then generate a triacylglycerol by putting 927 01:07:50,710 --> 01:07:57,660 on a third fatty acid from a fatty acyl-CoA, 928 01:07:57,660 --> 01:07:59,100 releasing the CoA. 929 01:07:59,100 --> 01:08:01,110 And now, we have this triacylglyceride, 930 01:08:01,110 --> 01:08:05,310 this neutral lipid that can be packed into the lipid droplet 931 01:08:05,310 --> 01:08:11,650 here and store energy as reduced carbon for later. 932 01:08:11,650 --> 01:08:12,490 That's great. 933 01:08:12,490 --> 01:08:17,740 But what if we want to make a phospholipid? 934 01:08:17,740 --> 01:08:20,560 Well, I'll show you briefly how this works. 935 01:08:20,560 --> 01:08:22,359 Don't worry about the details of this. 936 01:08:22,359 --> 01:08:26,109 I just want you to have a flavor for how this happens because it 937 01:08:26,109 --> 01:08:29,439 illustrates another way that nature repurposes 938 01:08:29,439 --> 01:08:32,090 the same reactions over and over again. 939 01:08:32,090 --> 01:08:36,729 And so as one releases this phosphate 940 01:08:36,729 --> 01:08:43,910 from the diacylglycerol, it now picks up head group on there. 941 01:08:43,910 --> 01:08:47,890 And so one that can be picked up is ethanolamine. 942 01:08:47,890 --> 01:08:51,340 And the ethanolamine comes from a molecule 943 01:08:51,340 --> 01:08:55,060 called CDP ethanolamine. 944 01:08:55,060 --> 01:08:57,310 If you're interested in the structure of ethanolamine, 945 01:08:57,310 --> 01:08:59,740 be reminded of that, you can, of course, look it up. 946 01:08:59,740 --> 01:09:05,979 But basically, it's ethanolamine attached to a CDP group 947 01:09:05,979 --> 01:09:11,860 releasing a CMP group, which makes a phospho-ethanolamine. 948 01:09:17,520 --> 01:09:20,130 And then that phospho-ethanolamine 949 01:09:20,130 --> 01:09:25,210 can be turned into phosphatidylethanolamine. 950 01:09:31,319 --> 01:09:33,569 A phospholipid phosphatidylethanolamine 951 01:09:33,569 --> 01:09:36,290 can be turned into phosphatidylcholine. 952 01:09:39,005 --> 01:09:40,380 And if you look up the difference 953 01:09:40,380 --> 01:09:42,569 between choline and ethanolamine, 954 01:09:42,569 --> 01:09:44,310 it's adding three methyl groups. 955 01:09:44,310 --> 01:09:47,670 And we'll talk about how to do that in one of the upcoming 956 01:09:47,670 --> 01:09:49,410 lectures, all right? 957 01:09:49,410 --> 01:09:51,960 And so here's two of the major phospholipids, 958 01:09:51,960 --> 01:09:54,570 phosphatidylcholine, phosphatidylethanolamine. 959 01:09:54,570 --> 01:09:58,440 They are added to a diacylglyceride 960 01:09:58,440 --> 01:10:01,680 by basically taking the phosphate off and adding 961 01:10:01,680 --> 01:10:07,140 a phosphate from CDP ethanolamine releasing CMP. 962 01:10:07,140 --> 01:10:09,250 What's CDP ethanolamine? 963 01:10:09,250 --> 01:10:12,570 Well, it's very similar to how we already 964 01:10:12,570 --> 01:10:18,030 talked about with UDP glucose in glycogen metabolism. 965 01:10:18,030 --> 01:10:27,030 And so if you start with the amino alcohol ethanolamine, 966 01:10:27,030 --> 01:10:28,980 which itself is made from serine, 967 01:10:28,980 --> 01:10:33,110 but we don't have time to talk about how, 968 01:10:33,110 --> 01:10:47,820 this can basically be phosphorylated by ATP 969 01:10:47,820 --> 01:10:49,500 to put a phosphate on the alcohol 970 01:10:49,500 --> 01:10:51,260 to make phosphoethanolamine. 971 01:10:55,150 --> 01:10:58,810 So you have a phosphoethanolamine. 972 01:10:58,810 --> 01:11:02,260 And then that phosphoethanolamine 973 01:11:02,260 --> 01:11:13,390 can react with a CTP, releasing a pyrophosphate such 974 01:11:13,390 --> 01:11:22,450 that the phospho from the ATP is replaced by the CDP. 975 01:11:22,450 --> 01:11:25,360 You end up getting a CDP ethanolamine 976 01:11:25,360 --> 01:11:30,688 with two pyrophosphate coming off by a series of reactions 977 01:11:30,688 --> 01:11:32,230 that, if you look back in your notes, 978 01:11:32,230 --> 01:11:36,460 will look identical to how we made UDP glucose in making 979 01:11:36,460 --> 01:11:39,370 glycogen. And then the CDP ethanolamine 980 01:11:39,370 --> 01:11:41,860 transfers the phosphoethanolamine 981 01:11:41,860 --> 01:11:44,290 onto the diacylglyceride to give you 982 01:11:44,290 --> 01:11:46,960 the phosphatidylethanolmine. 983 01:11:46,960 --> 01:11:48,040 Why do I mention this? 984 01:11:48,040 --> 01:11:51,490 Just because I want you to have a flavor of how phospholipids 985 01:11:51,490 --> 01:11:56,980 are made, realize that here is a repurposing of a same series 986 01:11:56,980 --> 01:11:59,920 and type of reactions as we saw for glycogen metabolism, 987 01:11:59,920 --> 01:12:03,790 but now to make phospholipids, and also 988 01:12:03,790 --> 01:12:06,250 to point out that it's really expensive to make 989 01:12:06,250 --> 01:12:07,900 a phospholipid, all right? 990 01:12:07,900 --> 01:12:11,470 You need three ATPs just to add this ethanolamine group 991 01:12:11,470 --> 01:12:12,050 to there. 992 01:12:12,050 --> 01:12:14,540 So that's actually fairly expensive. 993 01:12:14,540 --> 01:12:17,680 And so a lot of energy goes into cells 994 01:12:17,680 --> 01:12:21,280 building these phospholipids. 995 01:12:21,280 --> 01:12:24,790 Now, for the last bit of time today, I 996 01:12:24,790 --> 01:12:29,620 want to return to a brief topic of another lipid. 997 01:12:29,620 --> 01:12:32,500 And that's this guy here, cholesterol. 998 01:12:32,500 --> 01:12:36,130 And so you'll remember that cholesterol 999 01:12:36,130 --> 01:12:43,180 is this complex ring structure, lots of reduced carbon there. 1000 01:12:43,180 --> 01:12:48,080 It's a molecule that mammals use, 1001 01:12:48,080 --> 01:12:51,470 if you recall, to keep their membranes fluid. 1002 01:12:51,470 --> 01:12:54,590 Now, mammals, of course, can make cholesterol. 1003 01:12:54,590 --> 01:12:56,990 And you probably have heard about cholesterol 1004 01:12:56,990 --> 01:12:59,473 because high levels of cholesterol 1005 01:12:59,473 --> 01:13:00,890 have been linked to heart disease. 1006 01:13:00,890 --> 01:13:03,920 And so a lot of people talk about what their cholesterol 1007 01:13:03,920 --> 01:13:06,750 levels are, something doctors check a lot. 1008 01:13:06,750 --> 01:13:10,790 And this has led the recognition that cholesterol 1009 01:13:10,790 --> 01:13:13,580 can be associated with vascular disease, 1010 01:13:13,580 --> 01:13:19,160 has led to the development of a class of drugs called statins. 1011 01:13:19,160 --> 01:13:24,080 And statins are one of the most commonly prescribed drugs 1012 01:13:24,080 --> 01:13:25,310 out there. 1013 01:13:25,310 --> 01:13:29,150 They're a drug that blocks an enzyme in cholesterol synthesis 1014 01:13:29,150 --> 01:13:33,440 and have been very effective at lowering risk of heart attacks 1015 01:13:33,440 --> 01:13:34,580 and strokes. 1016 01:13:34,580 --> 01:13:37,070 They've also been a huge windfall, 1017 01:13:37,070 --> 01:13:40,550 a huge moneymaker for lots of pharmaceutical companies. 1018 01:13:40,550 --> 01:13:42,170 And so if you care about medicine, 1019 01:13:42,170 --> 01:13:43,420 they're important to medicine. 1020 01:13:43,420 --> 01:13:45,800 If you care about biotech, they also 1021 01:13:45,800 --> 01:13:48,950 were very important in supporting 1022 01:13:48,950 --> 01:13:52,910 the pharmaceutical industry. 1023 01:13:52,910 --> 01:13:54,890 All right, now, we don't have time 1024 01:13:54,890 --> 01:13:57,950 to talk fully about how cholesterol synthesis works. 1025 01:13:57,950 --> 01:13:59,510 It's a long pathway. 1026 01:13:59,510 --> 01:14:01,250 You can look it up if you're interested. 1027 01:14:01,250 --> 01:14:02,750 You have all the tools that you need 1028 01:14:02,750 --> 01:14:06,410 to understand all of the steps to make cholesterol. 1029 01:14:06,410 --> 01:14:08,600 You'll see you build it from acyl-CoA. 1030 01:14:08,600 --> 01:14:11,300 You need a bunch of NADPH. 1031 01:14:11,300 --> 01:14:13,580 I don't have time to go through all those steps. 1032 01:14:13,580 --> 01:14:15,630 But I will discuss the initial steps, 1033 01:14:15,630 --> 01:14:18,260 so you can understand how statins work. 1034 01:14:18,260 --> 01:14:20,510 Because that's important in medicine, and some of you, 1035 01:14:20,510 --> 01:14:22,190 I know, want to go to medical school. 1036 01:14:22,190 --> 01:14:24,440 But apart from that, these early steps 1037 01:14:24,440 --> 01:14:28,520 affect other aspects of biology, making lipid tails 1038 01:14:28,520 --> 01:14:31,820 for signaling proteins, also introduces 1039 01:14:31,820 --> 01:14:33,260 a discussion of ketones, which are 1040 01:14:33,260 --> 01:14:35,030 another important metabolic fuel that we 1041 01:14:35,030 --> 01:14:37,740 need to talk about as well. 1042 01:14:37,740 --> 01:14:44,510 Now, the way that one makes these things is basically you 1043 01:14:44,510 --> 01:14:49,610 start with three acetyl-CoA molecules. 1044 01:15:03,310 --> 01:15:03,810 OK. 1045 01:15:03,810 --> 01:15:07,500 So here's two acetyl-CoA molecules. 1046 01:15:07,500 --> 01:15:17,100 We can combine those two together, releasing a CoA. 1047 01:15:17,100 --> 01:15:25,260 And this is really the identical reaction 1048 01:15:25,260 --> 01:15:32,745 that we just saw for the early steps in fatty acid synthase. 1049 01:15:37,500 --> 01:15:38,370 OK. 1050 01:15:38,370 --> 01:15:44,010 That generates this molecule called acetoacetyl-CoA. 1051 01:15:50,330 --> 01:16:08,380 And then this can combine with yet another acetyl-CoA 1052 01:16:08,380 --> 01:16:42,530 to make this molecule, which is called Hydroxy-Methyl-Glutaryl, 1053 01:16:42,530 --> 01:16:48,048 or HMG, CoA, all right? 1054 01:16:48,048 --> 01:16:50,340 I don't need to describe any of these reactions to you. 1055 01:16:50,340 --> 01:16:52,410 As I said, this is just what we showed earlier 1056 01:16:52,410 --> 01:16:54,180 for fatty acid synthesis. 1057 01:16:54,180 --> 01:16:58,020 And this reaction is the identical reaction 1058 01:16:58,020 --> 01:17:00,900 to citrate synthase in the TCA cycle 1059 01:17:00,900 --> 01:17:05,640 and takes these three, 1, 2, 3 acetyl-CoAs and makes 1060 01:17:05,640 --> 01:17:09,710 this molecule, HMG-CoA. 1061 01:17:09,710 --> 01:17:15,900 HMG-CoA is the substrate for an enzyme 1062 01:17:15,900 --> 01:17:24,000 called HMG-CoA reductase. 1063 01:17:24,000 --> 01:17:30,300 HMG-CoA reductase is the famous target 1064 01:17:30,300 --> 01:17:37,560 of statins to block cholesterol synthesis. 1065 01:17:37,560 --> 01:17:45,860 What HMG-CoA reductase does is it releases that CoA group 1066 01:17:45,860 --> 01:17:56,090 and uses two NADPH oxidizing it to two NAD+. 1067 01:17:56,090 --> 01:18:01,340 That effectively is, when you release 1068 01:18:01,340 --> 01:18:02,840 this CoA, what are you're left with? 1069 01:18:02,840 --> 01:18:04,670 The acid, you reduce it twice. 1070 01:18:04,670 --> 01:18:07,310 And you end up with the alcohol. 1071 01:18:07,310 --> 01:18:35,490 And that gives you this molecule, 1072 01:18:35,490 --> 01:18:37,370 which is called mevalonate. 1073 01:18:41,460 --> 01:18:52,020 And mevalonate is what you use to build cholesterol. 1074 01:18:52,020 --> 01:18:56,250 And so statins, by blocking HMG-CoA reductase, 1075 01:18:56,250 --> 01:18:58,620 basically block the reactions that 1076 01:18:58,620 --> 01:19:02,460 are necessary to make the precursor mevalonate, which is 1077 01:19:02,460 --> 01:19:04,540 necessary to make cholesterol. 1078 01:19:04,540 --> 01:19:07,740 And that's why statins stop cholesterol synthesis. 1079 01:19:07,740 --> 01:19:12,060 Now, mevalonate, it turns out, is also 1080 01:19:12,060 --> 01:19:14,820 used for other things in cells. 1081 01:19:14,820 --> 01:19:18,180 It's not just used to make cholesterol. 1082 01:19:18,180 --> 01:19:20,730 It's also used to make a class of molecules 1083 01:19:20,730 --> 01:19:21,730 called isoprenoids. 1084 01:19:21,730 --> 01:19:24,930 Isoprenoids are important. 1085 01:19:24,930 --> 01:19:27,660 And you'll encounter them if you study signaling or anything 1086 01:19:27,660 --> 01:19:29,970 like that because these make things 1087 01:19:29,970 --> 01:19:38,140 like the farnesylation lipid modifications that 1088 01:19:38,140 --> 01:19:41,920 are oftentimes added to the membrane associated proteins, 1089 01:19:41,920 --> 01:19:43,900 like signaling proteins. 1090 01:19:43,900 --> 01:19:47,530 And so statins will also block the production 1091 01:19:47,530 --> 01:19:52,180 of these molecules that are important for these various 1092 01:19:52,180 --> 01:19:54,050 signaling proteins. 1093 01:19:54,050 --> 01:19:57,940 And so you should have some understanding 1094 01:19:57,940 --> 01:20:02,860 of what mevalonate is, where it comes from, 1095 01:20:02,860 --> 01:20:05,170 that it's involved in cholesterol and isoprenoid 1096 01:20:05,170 --> 01:20:09,140 synthesis, and that it's the target of statins. 1097 01:20:09,140 --> 01:20:12,010 And of course, you didn't need a whole lot. 1098 01:20:12,010 --> 01:20:14,840 We already have all the tools to understand that pathway. 1099 01:20:14,840 --> 01:20:17,740 And if you look up isoprenoid synthesis, cholesterol 1100 01:20:17,740 --> 01:20:21,730 synthesis, you'll see you'll have the tools to understand 1101 01:20:21,730 --> 01:20:23,960 that as well. 1102 01:20:23,960 --> 01:20:25,660 The last thing I want to talk about 1103 01:20:25,660 --> 01:20:31,450 is taking the acetoacetyl-CoA. 1104 01:20:31,450 --> 01:20:35,260 And if I take the CoA group off, what I'm left with 1105 01:20:35,260 --> 01:20:39,880 is a molecule called acetoacetate, OK? 1106 01:20:39,880 --> 01:20:52,990 This is basically two acetyl-CoAs brought together 1107 01:20:52,990 --> 01:20:55,075 losing CoAs times 2. 1108 01:21:03,150 --> 01:21:03,900 OK. 1109 01:21:03,900 --> 01:21:06,270 So this here is acetoacetate. 1110 01:21:06,270 --> 01:21:13,080 And acetoacetate is a canonical ketone body. 1111 01:21:16,190 --> 01:21:17,600 What is a ketone body? 1112 01:21:17,600 --> 01:21:20,480 Well, it turns out ketones are an alternative fuel 1113 01:21:20,480 --> 01:21:24,500 that the body can use to glucose, primarily the brain. 1114 01:21:24,500 --> 01:21:27,470 And so for reasons that no one really understands, 1115 01:21:27,470 --> 01:21:32,660 a quirk of human and mammalian physiology, 1116 01:21:32,660 --> 01:21:36,500 is that the brain prefers to use glucose as its fuel. 1117 01:21:36,500 --> 01:21:40,230 If glucose is not available, it doesn't use fatty acids. 1118 01:21:40,230 --> 01:21:42,690 It uses ketone bodies instead. 1119 01:21:42,690 --> 01:21:47,870 And so the ketone is acetate is the canonical ketone body. 1120 01:21:47,870 --> 01:21:52,350 This underlies the keto diet, which has become very popular. 1121 01:21:52,350 --> 01:21:54,140 And so what is the keto diet? 1122 01:21:54,140 --> 01:21:57,630 Well, the keto diet is you don't eat any carbohydrates. 1123 01:21:57,630 --> 01:21:59,960 And so if you don't eat carbohydrates, 1124 01:21:59,960 --> 01:22:03,420 you don't have a source of glucose. 1125 01:22:03,420 --> 01:22:06,200 The liver, of course, can do gluconeogenesis. 1126 01:22:06,200 --> 01:22:10,470 But if you run out of things to make and turn into glucose, 1127 01:22:10,470 --> 01:22:11,960 now the liver gets into trouble. 1128 01:22:11,960 --> 01:22:15,290 Remember, we talked about with anaplerosis of the TCA cycle. 1129 01:22:15,290 --> 01:22:17,780 There's no way to turn two-carbon units that are made 1130 01:22:17,780 --> 01:22:21,140 from fat, acetyl-CoA from fat-- 1131 01:22:21,140 --> 01:22:23,720 mammals cannot turn that back into glucose because we 1132 01:22:23,720 --> 01:22:27,090 don't have the glyoxylate cycle. 1133 01:22:27,090 --> 01:22:30,170 And so we can't turn fat into glucose. 1134 01:22:30,170 --> 01:22:33,030 And so when the liver can no longer make glucose, 1135 01:22:33,030 --> 01:22:36,800 it will take acetyl-CoA from the breakdown of fat 1136 01:22:36,800 --> 01:22:38,990 and make ketones instead. 1137 01:22:38,990 --> 01:22:44,020 And the ketone is this acetoacetate. 1138 01:22:44,020 --> 01:22:47,500 People do the keto diet because ketones, like acetoacetate, 1139 01:22:47,500 --> 01:22:49,900 will suppress appetite. 1140 01:22:49,900 --> 01:22:53,200 And that's at least how one way it's thought to work. 1141 01:22:53,200 --> 01:22:56,440 But I want to talk about what these ketones are 1142 01:22:56,440 --> 01:22:59,710 and how they fit into metabolism. 1143 01:22:59,710 --> 01:23:01,600 So here's acetoacetate. 1144 01:23:01,600 --> 01:23:11,150 If you notice, acetoacetate is a beta-keto acid. 1145 01:23:11,150 --> 01:23:17,300 Alpha, beta, the ketone is beta to the acid group. 1146 01:23:17,300 --> 01:23:21,170 So a beta-keto acid, as I've said now 1147 01:23:21,170 --> 01:23:26,030 many, many, many times, beta-keto acids 1148 01:23:26,030 --> 01:23:33,710 can undergo decarboxylation that generates 1149 01:23:33,710 --> 01:23:38,810 the enol, which can be rearranged to the keto group. 1150 01:23:38,810 --> 01:23:41,240 And in that case, what's the keto group? 1151 01:23:41,240 --> 01:23:45,750 Well, the keto group would be this molecule, 1152 01:23:45,750 --> 01:23:49,862 which is acetone, fingernail polish remover. 1153 01:23:49,862 --> 01:23:51,320 If you go to medical school, you'll 1154 01:23:51,320 --> 01:23:55,460 learn that, if type 1 diabetics have 1155 01:23:55,460 --> 01:23:59,780 a state of a physiology called ketoacidosis, 1156 01:23:59,780 --> 01:24:02,420 we don't have time to go into what drives that state, 1157 01:24:02,420 --> 01:24:04,130 that physiological state. 1158 01:24:04,130 --> 01:24:08,300 But it's basically a state with very high ketones. 1159 01:24:08,300 --> 01:24:10,460 They smell like acetone. 1160 01:24:10,460 --> 01:24:12,620 The reason is because they have very high levels 1161 01:24:12,620 --> 01:24:14,630 of acetate, the ketone body. 1162 01:24:14,630 --> 01:24:19,310 And some of that spontaneously carboxylates to make acetone, 1163 01:24:19,310 --> 01:24:20,740 all right? 1164 01:24:20,740 --> 01:24:22,030 The body does this, though. 1165 01:24:22,030 --> 01:24:24,790 It's making the acetoacetate as a way 1166 01:24:24,790 --> 01:24:26,380 to give food to the brain. 1167 01:24:26,380 --> 01:24:30,120 But because acetoacetate is unfavorable, 1168 01:24:30,120 --> 01:24:33,460 that's not the form that is put into the blood. 1169 01:24:33,460 --> 01:24:39,610 Instead, it undergoes an oxidation reduction reaction 1170 01:24:39,610 --> 01:24:46,180 where this ketone is reduced to the alcohol 1171 01:24:46,180 --> 01:24:48,970 or interconverted between the ketone and the alcohol. 1172 01:24:48,970 --> 01:24:50,180 Something gets oxidized. 1173 01:24:50,180 --> 01:24:51,347 Something else gets reduced. 1174 01:24:51,347 --> 01:24:53,290 NAD, NADH is the donor. 1175 01:24:53,290 --> 01:25:01,860 And that leads to this molecule, which 1176 01:25:01,860 --> 01:25:03,820 is called beta-hydroxybutyrate. 1177 01:25:08,410 --> 01:25:12,310 And beta-hydroxybutyrate is the canonical ketone 1178 01:25:12,310 --> 01:25:14,230 that circulates in your blood. 1179 01:25:14,230 --> 01:25:17,115 And measurement of beta-hydroxybutyrate levels 1180 01:25:17,115 --> 01:25:18,490 really tells you if you're really 1181 01:25:18,490 --> 01:25:22,220 doing the ketone diet properly. 1182 01:25:22,220 --> 01:25:28,110 So basically, your liver, if it doesn't have enough glucose, 1183 01:25:28,110 --> 01:25:29,330 will have to break down fat. 1184 01:25:29,330 --> 01:25:31,950 It can't turn the acetyl-CoA from fat into glucose. 1185 01:25:31,950 --> 01:25:34,340 So instead, it'll turn it into acetoacetate, 1186 01:25:34,340 --> 01:25:37,760 which will convert to the more stable beta-hydroxybutyrate. 1187 01:25:37,760 --> 01:25:40,670 And then the more stable beta-hydroxybutyrate 1188 01:25:40,670 --> 01:25:45,590 can be oxidized by peripheral tissues, predominantly 1189 01:25:45,590 --> 01:25:48,020 the brain, as an alternative source of fuel 1190 01:25:48,020 --> 01:25:52,550 to glucose when the liver can't maintain glucose. 1191 01:25:52,550 --> 01:25:56,060 To why this happens this way, no one 1192 01:25:56,060 --> 01:25:58,640 really knows why it uses ketones instead of that. 1193 01:25:58,640 --> 01:26:00,950 But it fits with all the physiology, 1194 01:26:00,950 --> 01:26:03,410 and it also fits the metabolism that we've already 1195 01:26:03,410 --> 01:26:08,252 learned about to see why it works this way. 1196 01:26:08,252 --> 01:26:09,710 I just want to point out, for those 1197 01:26:09,710 --> 01:26:12,620 of you who are doing the keto diet, to do it properly. 1198 01:26:12,620 --> 01:26:14,630 Yes, you have to limit carbohydrates. 1199 01:26:14,630 --> 01:26:16,710 That's the most popular way to do it. 1200 01:26:16,710 --> 01:26:19,190 But to really make this work, you also 1201 01:26:19,190 --> 01:26:22,190 have to eliminate other sources of carbon that 1202 01:26:22,190 --> 01:26:25,720 can be used for gluconeogenesis, mostly amino acid, 1203 01:26:25,720 --> 01:26:27,300 so lowering protein. 1204 01:26:27,300 --> 01:26:30,680 So a true ketogenic diet is really all fat 1205 01:26:30,680 --> 01:26:35,960 because that is what basically makes acetyl-CoA really 1206 01:26:35,960 --> 01:26:39,290 the only carbon source that the liver can use. 1207 01:26:39,290 --> 01:26:44,030 And then it has to only generate ketones, beta-hydroxybutyrate, 1208 01:26:44,030 --> 01:26:47,510 which then circulates as an alternative oxidizable carbon 1209 01:26:47,510 --> 01:26:49,550 source for the brain. 1210 01:26:49,550 --> 01:26:50,660 OK. 1211 01:26:50,660 --> 01:26:52,660 Thanks so much.