Fat Metabolism: Degradation
Physiological Pathway of Lipid Oxidation:

Lipolysis:
Hydrolysis of triacyglycerol to fatty acids and glycerol in the cytoplasm. Occurs primarily in adipose tissue but also in liver and muscle.
Hormone-Sensitive Lipase: catalyzes intracellular lipolysis
Lipoprotein Lipase: catalyzes hydrolysis of circulating triacylglycerols
Overview of Hepatic Fatty Acid Degradation:
FA = fatty acid
LPL = lipoprotein lipase
FABP = fatty acid binding protein

[1] Free fatty acids bound to albumin are released and delivered via the blood to tissues (i.e. liver).
[2] The lipoprotein system also delivers fatty acids to the liver and other tissues.
[3] Fatty acids w/in cell bound to fatty acid binding protein.
[4] Fats may also be derived by synthesis (lipogenesis) or breakdown of triacylglycerols or phospholipids. These fats are then activated to their acyl CoA form by acyl CoA synthetase (ACS).
[5] Once in an "acyl CoA" form it is converted into a carnitine derivative for transport into the mitochondria.
[6] It is then subjected to b-oxidation.
[7] Acetyl CoA produced by b-oxidation feeds into the citric acid cycle for energy production.
Mitochondrial Uptake and b-Oxidation of Fatty Acids
Carnitines Role in Mitochondrial Fatty Acid Transport:

[1] The product of acyl CoA synthetase, (ACS) long-chain acyl CoA, cannot pass through the inner mitochondrial membrane.
[2] So, it is transformed by carnitine palmitoyl transferase I (CPT-I) to acylcarnitine. (-) Malonyl CoA (lipogenesis)
[3] Carnitine-acylcarnitine translocase acts as a membrane carnitine "exchange transporter".
[4] Acylcarnitine goes in and a carnitine comes out.
The acylcarnitine reacts with CoA via carnitine palmitoyl transferase II (CPT-II), attached to the inner membrane.
Acyl CoA is reformed in the mitochondrial matrix and carnitine is liberated.
Deficiencies in CPT's lead to considerable muscle weakness, as fatty acids are a major fuel during muscle use.
Fatty Acid Activation and Transport
b-Oxidation of Free Fatty Acids With an Even Number of Carbons:

Reactions 2 through 5 recycle to remove consecutive 2-carbon units. On the final cycle, 2 acetyl CoA molecules are formed. Thus, a 16 carbon fatty acid needs to cycle only 7 times.
Energy Production:
35 ATP (7 cycles b-oxidation, NADH and FADH2 produced)
72 ATP (6 cycles b-oxidation, accounts for 12 carbon atoms)
2 Acetyl CoA: 24 ATP (produced in the last step from the remaining 4 carbons, enters TCA cycle)
Total: 131 ATP
Odd Chain Fatty Acids:
Endproducts are propionyl CoA and acetyl CoA caused by cleavage of a 5-carbon fatty acid during the final cycle.
Propionyl CoA Carboxylase:
Propionyl CoA + ATP + CO2 -----> Methylmalonyl CoA + AMP + PPi
Methylmalonyl CoA Mutase:
Methylmalonyl CoA -----> Succinyl CoA (enters Citric Acid Cycle)
Energy Production:
35 ATP (7 cycles b-oxidation, NADH and FADH2 produced)
72 ATP (6 cycles b-oxidation, accounts for 12 carbon atoms)
Acetyl CoA + 1 Succinyl CoA 18 ATP (produced in the last step from the remaining 5 carbons, enters TCA cycle)
Total: 125 ATP
-1 ATP = 124 ATP
Comparison of Fatty Acid b-Oxidation and Synthesis

Ketone Metabolism (Ketogenesis):
Occurs in liver when acetyl CoA production exceeds the limits of its oxidation in the citric acid cycle --------> starvation or uncontrolled diabetes.
Conditions Favoring Ketoacidosis:

Ketone Body Formation in Liver:

Normal Prevention of Ketoacidosis:
Insulin whose release is promoted by ketone bodies, inhibits lipolysis to decrease the supply of fatty acids and thus curtail ketogenesis ---> prevent ketoacidosis

Ketone Body Oxidation: long-term starvation or ketoacidosis
Tissues that can use ketones as "fuel": brain, muscle, kidney, intestine
b-hydroxybutyrate + NAD+ ---> NADH + acetoacetate
acetoacetate + succinyl CoA ---> acetoacetyl CoA + succinate
acetoacetyl CoA + CoA ---> 2 acetyl CoA
© Dr. Noel Sturm 2008