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Acetyl coenzyme A arises not only from the oxidation of pyruvate but also from that of fats and many of the amino acids constituting proteins. The sequence of enzyme-catalyzed steps that effects the total combustion of the acetyl moiety of the coenzyme represents the terminal oxidative pathway for virtually all food materials. The balance of the overall reaction of the TCA cycle [37a] is that three molecules of water react with acetyl coenzyme A to form carbon dioxide, coenzyme A, and reducing equivalents. The oxidation by oxygen of the reducing equivalents is accompanied by the conservation (as ATP) of most of the energy of the food ingested by aerobic organisms.Chemical equation.

Formation of coenzyme A, carbon dioxide, and reducing equivalent

The relative complexity and number of chemical events that constitute the TCA cycle, and their location as components of spatially determined structures such as cell membranes in microorganisms and mitochondria in plants and higher animals, reflect the problems involved chemically in “dismembering” a compound having only two carbon atoms and releasing in a controlled and stepwise manner the reducing equivalents ultimately to be passed to oxygen. These problems have been overcome by the simple but effective device of initially combining the two-carbon compound with a four-carbon acceptor; it is much less difficult chemically to dismember and oxidize a compound having six carbon atoms.Chemical equation.

In the TCA cycle, acetyl coenzyme A initially reacts with oxaloacetate to yield citrate and to liberate coenzyme A. This reaction [38] is catalyzed by citrate synthase. (As mentioned above, many of the compounds in living cells that take part in metabolic pathways exist as charged moieties, or anions, and are named as such.) Citrate undergoes isomerization (i.e., a rearrangement of certain atoms constituting the molecule) to form isocitrate [39]. The reaction involves first the removal of the elements of water from citrate to form cis-aconitate and then the re-addition of water to cis-aconitate in such a way that isocitrate is formed. It is probable that all three reactants—citrate, cis-aconitate, and isocitrate—remain closely associated with aconitase, the enzyme that catalyzes the isomerization process, and that most of the cis-aconitate is not released from the enzyme surface but is immediately converted to isocitrate.Chemical equation.

Isocitrate is oxidized—i.e., hydrogen is removed—to form oxalosuccinate. The two hydrogen atoms are usually transferred to NAD+, thus forming reduced NAD+ [40].Chemical equation.

In some microorganisms, and during the biosynthesis of glutamate in the cytoplasm of animal cells, however, the hydrogen atoms may also be accepted by NADP+. Thus, the enzyme controlling this reaction, isocitrate dehydrogenase, differs in specificity for the coenzymes; various forms occur not only in different organisms but even within the same cell. In [40] NAD(P)+ indicates that either NAD+ or NADP+ can act as a hydrogen acceptor.

The position of the carboxylate (―COO) that is sandwiched in the middle of the oxalosuccinate molecule renders it very unstable, and, as a result, the carbon of this group is lost as carbon dioxide (note the dotted rectangle) in a reaction (reaction [41]) that can occur spontaneously but may be further accelerated by an enzyme.Chemical equation.

The five-carbon product of reaction [41], α-oxoglutarate, has chemical properties similar to pyruvate (free-acid forms of both are so-called α-oxoacids), and the chemical events involved in the oxidation of α-oxoglutarate are analogous to those already described for the oxidation of pyruvate (reaction [37]). Reaction [42] is effected by a multi-enzyme complex; TPP, lipS2 (6,8-dithio-n-octanoate), and coenzyme A are required as coenzymes. The products are carbon dioxide and succinyl coenzyme A. As was noted with reaction [37], this oxidation of α-oxoglutarate results in the reduction of lipS2, which must be reoxidized. This is done by transfer of reducing equivalents to FAD and thence to NAD+. The resultant NADH + H+ is reoxidized by the passage of the electrons, ultimately, to oxygen, via the electron transport chain.Chemical equation.

Unlike the acetyl coenzyme A produced from pyruvate in reaction [37], succinyl coenzyme A undergoes a phosphorolysis reaction—i.e., transfer of the succinyl moiety from coenzyme A to inorganic phosphate. The succinyl phosphate thus formed is not released from the enzyme surface; an unstable, high-energy compound called an acid anhydride, it transfers a high-energy phosphate to ADP, directly or via guanosine diphosphate (GDP) [43].Chemical equation.

If guanosine triphosphate (GTP) forms, ATP can readily arise from it in an exchange involving ADP [43a]:Chemical equation.

Regeneration of oxaloacetate

The remainder of the reactions of the TCA cycle serve to regenerate the initial four-carbon acceptor of acetyl coenzyme A (oxaloacetate) from succinate, the process requiring in effect the oxidation of a methylene group (―CH2―) to a carbonyl group (―CO―), with concomitant release of 2 × [2H] reducing equivalents. It is therefore similar to, and is effected in like manner to, the oxidation of fatty acids (steps [22, 23, and 24]). As is the case with fatty acids, hydrogen atoms or electrons are initially removed from the succinate formed in [43] and are accepted by FAD; the reaction, catalyzed by succinate dehydrogenase [44], results in the formation of fumarate and reduced FAD.Chemical equation.

The elements of water are added across the double bond (―CH=CH―) of fumarate in a reaction catalyzed by fumarase [45]; this type of reaction also occurred in step [39] of the cycle. The product of reaction [45] is malate.Chemical equation.

Malate can be oxidized to oxaloacetate by removal of two hydrogen atoms, which are accepted by NAD+. This type of reaction, catalyzed by malate dehydrogenase in reaction [46], also occurred in step [40] of the cycle. The formation of oxaloacetate completes the TCA cycle, which can now begin again with the formation of citrate [38].Chemical equation.

ATP yield of aerobic oxidation

The loss of the two molecules of carbon dioxide in steps [41] and [42] does not yield biologically useful energy. The substrate-linked formation of ATP accompanies step [43], in which one molecule of ATP is formed during each turn of the cycle. The hydrogen ions and electrons that result from steps [40], [42], [44], and [46] are passed down the chain of respiratory carriers to oxygen, with the concomitant formation of three molecules of ATP per 2H as NADH + H+. Similarly, the oxidation of the reduced FAD formed in [44] results in the formation of two ATP. Each turn of the cycle thus leads to the production of a total of 12 ATP. It will be recalled that the anaerobic fragmentation of glucose to two molecules of pyruvate yielded two ATP; the aerobic oxidation via the TCA cycle of two molecules of pyruvate thus makes available to the cell at least 15 times more ATP per molecule of glucose catabolized than is produced anaerobically. If, in addition, the 2 × [NADH + H+] generated per glucose in the second stage of glucose catabolism (see above The formation of ATP, reaction [6]) are passed on to oxygen, a further six ATP are generated. The advantage to living organisms is to be able to respire rather than merely to ferment.