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Biomedical Sciences I
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What are the two phases of energy production from fuel oxidation?
Production of reduced NADH and FADH2
Use of generated energy to produce ATP = oxidative phosphorylation
How is energy produced in oxidative phosphorylation?
Electrons flow from NADH and FADH2 through carriers to reach O2
Energy from electron transfer is used to pump protons (H+) into the intermembrane space
Energy released when protons reenter the mitochondrial matrix is used to synthesize ATP
ETC coupled with ATP synthesis = oxidative phosphorylation
How are reducing agents transported into the mitochondria if the IMM lacks an NADH transporter?
Via the Glycerol 3-P shuttle (NADH → FADH2) and the Malate shuttle (NADH → NADH)
Describe the mechanism of the Glycerol 3-P shuttle (NADH → FADH2).
Electrons from NADH are transferred to DHAP by cytosolic glycerol 3-P dehydrogenase
Glycerol 3-P is then oxidized by mitochondrial isoenzyme, turning FAD → FADH2
Describe the mechanism of the Malate shuttle (NADH → NADH)
Oxaloacetate reduced to malate using NADH
Malate enters mitochondria and is oxidized back to oxaloacetate, reforming NADH
How are ATP and ADP transported across the IMM?
Adenine nucleotide antiporter: imports 1 ADP into the matrix, exports 1 ATP to cytosol
Phosphate transporter: carries phosphate from cytosol into the matrix
Where is the ETC located and what are its main components?
Located in the inner mitochondrial membrane
4 large multiprotein complexes (I–IV)
2 small carriers: coenzyme Q (CoQ) and cytochrome c
Prosthetic groups:
FAD, FMN: complexes I & II
Heme groups: complexes III & IV
Copper ion: complex IV
Carriers transfer electrons between complexes → final combination with O2 + H+ → H2O
What occurs in Complex I (NADH:CoQ oxidoreductase)?
Giant protein complex in IMM
Electrons from NADH are passed to complex I, energy is lost → used to pump 4 H+ from matrix into IMS
What occurs in Complex II (Succinate dehydrogenase)?
Oxidizes succinate → fumarate (TCA cycle), producing FADH2
No protons pumped (no energy lost here)
Provides a parallel entry for electrons into the ETC
Electrons passed to CoQ one at a time
What is Coenzyme Q (ubiquinone)?
Quinone derivative from cholesterol
Only lipid-soluble, non-protein-bound ETC component
Mobile carrier of electrons from Complex I/II → Complex III
Carries 2 electrons at a time
What occurs in Complex III (Cytochrome bc1)?
2 electrons from ubiquinone transferred: ubiquinone → cytochrome b → cytochrome c1 → cytochrome c
Cytochrome c is a mobile electron carrier (1 electron at a time) to Complex IV
Large energy drop → 4 H+ pumped into IMS
What occurs in Complex IV (Cytochrome oxidase, cytochrome a+a3)?
Conducts electrons through cytochromes a and a3, finally reducing O2
With 4 electrons, 4 protons are reduced and O2 is split → forms 2 H2O
Pumps additional 2 H+ per H2O into IMS
What are Reactive Oxygen Species (ROS)?
O2 can accept 4 electrons → reduced in 4 steps
CoQ can accidentally interact with O2 → superoxide
Partially reduced oxygen is unstable and electron-hungry = ROS
What is oxidative stress?
Imbalance between ROS production and removal mechanisms
Results in free-radical mediated damage:
Lipid peroxidation
Protein oxidation/degradation/aggregation
DNA damage (base oxidation, double-strand breaks)
What defenses exist against oxygen toxicity?
Enzymes: glutathione peroxidase, catalase, superoxide dismutase
Antioxidants: vitamins A, C, E
What are the inhibitors of the ETC?
Block electron flow to oxygen → inhibit ATP synthesis
Complex I: rotenone, barbiturates
Complex III: antimycin A
Complex IV: cyanide (CN⁻), carbon monoxide (CO)
What is the chemiosmotic theory?
Energy for ADP → ATP phosphorylation is produced by proton flow down an electrochemical gradient
Proton gradient established by H+ pumped into IMS during electron transport (Complexes I, III, IV)
Electron flow is coupled to proton flow, and proton flow is coupled to ADP phosphorylation
What is the structure of ATP synthase (Complex V)?
Multisubunit enzyme with two domains:
Fo (membrane domain): rotor + H+ channel
F1 (matrix domain): protruding sphere with 3 αβ-subunits, each β with catalytic site
What is the mechanism of ATP synthase (Complex V)?
H+ reenters matrix through Fo H-channel → drives rotation of c ring
Rotation causes conformational changes in F1 catalytic sites → ADP + Pi → ATP
One complete c ring rotation = 3 ATP molecules
What are the requirements for oxidative phosphorylation?
Electron donors: NADH, FADH2
Electron acceptor: O2
Intact mitochondrial membrane
Functional ETC components
ATP synthase
What happens if ATP synthase is inhibited or ADP is inadequate?
ATP synthesis inhibited
O2 not consumed
ETC components accumulate in reduced states
What is the function of oligomycin (poison)?
Binds Fo domain, closes H+ channels → blocks H+ reentry → inhibits ATP synthesis and oxidative phosphorylation
What are oxidative phosphorylation uncouplers?
Proteins/channels that allow H+ reentry into matrix without ATP synthesis
What are the effects of oxidative phosphorylation uncouplers?
ATP production ↓
O2 consumption and ETC rate ↑
Energy released as heat (non-shivering thermogenesis)
What are some examples of oxidative phosphorylation uncouplers?
UPC1/thermogenin: brown adipose tissue heat production
Dinitrophenol: lipophilic H+ carrier disrupting proton gradient
How many proteins involved in oxidative phosphorylation are encoded by mitochondrial DNA (mtDNA)?
13 proteins are encoded by mtDNA and synthesized in the mitochondrial matrix.
Why does mtDNA have a higher mutation rate than nuclear DNA?
It lacks protective histones
Has limited repair mechanisms
Is directly exposed to ROS generated by the ETC
What are the main consequences of mtDNA mutations affecting oxidative phosphorylation?
Defective oxidative phosphorylation → ATP deficiency
Affects tissues with high ATP demand (muscle and nerve)
Leads to:
Lactic acidosis (cells shift to anaerobic glycolysis → lactate buildup)
Myopathy (muscle weakness, fatigue, exercise intolerance)
Neuropathy/neurodegeneration (since neurons need continuous ATP)
What is Leber’s Hereditary Optic Neuropathy (LHON)?
Caused by mutations in Complex I of the ETC
Leads to bilateral degeneration of retinal ganglion cells and optic nerve atrophy
Clinical presentation: sudden, painless central vision loss, usually in young adults
Optic nerve especially vulnerable because of its high ATP demand
What is Leigh Syndrome?
Often linked to mutations in the Fo portion of ATP synthase (Complex V), though other ETC mutations can cause it
Clinical features:
Optic nerve atrophy
Hypotonia (“floppy baby”)
Ataxia (unsteady movements, poor coordination)
Respiratory abnormalities (due to ATP-dependent brainstem centers)
It is a progressive, neurodegenerative disorder of infancy/early childhood