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What problem do the shuttles solve?
Cytosolic NADH can't cross the inner mitochondrial membrane, so the shuttles carry its electrons in instead.
Where is the malate-aspartate shuttle used?
Liver, heart, kidney.
Mnemonic: "Malate for the Major organs."
Step 1 in the cytosol?
OAA + NADH → malate + NAD⁺ (MDH1).
How does malate get into the matrix?
Malate-α-KG antiporter (malate in, α-KG out).
What happens in the matrix?
Malate + NAD⁺ → OAA + NADH (MDH2). This NADH feeds Complex I.
Why must OAA be converted to aspartate?
OAA can't cross back out. Glutamate gives it an amino group → aspartate + α-KG (AST/GOT2, B6).
How does aspartate leave?
Glutamate-aspartate antiporter (aspartate out, glutamate in), driven by the proton gradient.
How is OAA regenerated in the cytosol?
Aspartate + α-KG → OAA + glutamate (AST/GOT1, B6).
ATP yield?
2.5 per cytosolic ATP