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The breakdown of fatty acids, called fatty acid oxidation    or beta (β)-oxidation    , begins in the cytoplasm, where fatty acids are converted into fatty acyl CoA molecules. This fatty acyl CoA combines with carnitine to create a fatty acyl carnitine molecule, which helps to transport the fatty acid across the mitochondrial membrane. Once inside the mitochondrial matrix, the fatty acyl carnitine molecule is converted back into fatty acyl CoA and then into acetyl CoA ( [link] ). The newly formed acetyl CoA enters the Krebs cycle and is used to produce ATP in the same way as acetyl CoA derived from pyruvate.

Breakdown of fatty acids

This figure shows the reactions that break down fatty acids. The top panel shows the conversion of fatty acids into carnitine. The bottom panel shows the conversion of carnitine into acetyl-CoA.
During fatty acid oxidation, triglycerides can be broken down into acetyl CoA molecules and used for energy when glucose levels are low.

Ketogenesis

If excessive acetyl CoA is created from the oxidation of fatty acids and the Krebs cycle is overloaded and cannot handle it, the acetyl CoA is diverted to create ketone bodies    . These ketone bodies can serve as a fuel source if glucose levels are too low in the body. Ketones serve as fuel in times of prolonged starvation or when patients suffer from uncontrolled diabetes and cannot utilize most of the circulating glucose. In both cases, fat stores are liberated to generate energy through the Krebs cycle and will generate ketone bodies when too much acetyl CoA accumulates.

In this ketone synthesis reaction, excess acetyl CoA is converted into hydroxymethylglutaryl CoA (HMG CoA)    . HMG CoA is a precursor of cholesterol and is an intermediate that is subsequently converted into β-hydroxybutyrate, the primary ketone body in the blood ( [link] ).

Ketogenesis

This pathway shows the production of beta-hydroxybutyrate from acetyl-CoA.
Excess acetyl CoA is diverted from the Krebs cycle to the ketogenesis pathway. This reaction occurs in the mitochondria of liver cells. The result is the production of β-hydroxybutyrate, the primary ketone body found in the blood.

Ketone body oxidation

Organs that have classically been thought to be dependent solely on glucose, such as the brain, can actually use ketones as an alternative energy source. This keeps the brain functioning when glucose is limited. When ketones are produced faster than they can be used, they can be broken down into CO 2 and acetone. The acetone is removed by exhalation. One symptom of ketogenesis is that the patient’s breath smells sweet like alcohol. This effect provides one way of telling if a diabetic is properly controlling the disease. The carbon dioxide produced can acidify the blood, leading to diabetic ketoacidosis, a dangerous condition in diabetics.

Ketones oxidize to produce energy for the brain. beta (β)-hydroxybutyrate    is oxidized to acetoacetate and NADH is released. An HS-CoA molecule is added to acetoacetate, forming acetoacetyl CoA. The carbon within the acetoacetyl CoA that is not bonded to the CoA then detaches, splitting the molecule in two. This carbon then attaches to another free HS-CoA, resulting in two acetyl CoA molecules. These two acetyl CoA molecules are then processed through the Krebs cycle to generate energy ( [link] ).

Questions & Answers

demand and supply rules
jamac Reply
compative demand and supply
jamac
compare demand and supply
jamac
what are simple epithelial tissues
Ushie Reply
is a type of tissue which covers the external and internal part of the body
Fatou
more information would be better understanding.
Tasha
what is platelets
Lilian Reply
platelet is also known as thrombocyte.thrombo means clot.it is a formed element of blood formed from fragment of megakaryocyte surrounded by plasma membrane in the redbone marow
Adeyemo
what is diabetes insipidus
namrata Reply
it is an infection due to less or no secretion of ADH characterized by excretion of dilute urine
Meshack
Infection? I don't think any form of diabetes, whether it's mellitus or insipidus, is caused by an infection.
Matias
ya
Akanyijuka
it is the disorder of salt & water metabolism
Emma
diabetes inspidus is a condition were the liver can't produce insulin to convert the excess sugar to glycogen.
mangs
sorry that is for diabetes mellitus
mangs
what is septal cartilage
Arthur Reply
I don't understand please
Esther Reply
hey
Austine
good evening boss
Austine
Evening
Esther
good evening
Melissa
evening
Vitus
hi
Rodgers
good morning
Aurelia
hello
Helsa
you guys are from ?
Aurelia
Philippines
Helsa
im from india
Aurelia
Hello
Amos
why
Sami
wat
Rodgers
what's that
Gift
what's the medulla?
alhussiney Reply
The medulla oblongata or simply medulla is a long stem-like structure which makes up the lower part of the brainstem. It is anterior and partially inferior to the cerebellum
Ludmila
define bone in simple terms
Mhoses Reply
bones are made up by collagen and calcium phosphate
Aurelia
yes
Confidence
Bones are the hard large calcareous connective tissue of which the adult skeleton of most vertebrates is chiefly composed
Olalekan
Bone is the substance that forms skeleton
Frances
good morning
Mrinal
Skelton muscles is any disorder of calcium
Mrinal
Bones protect the various organs of the body
Celina
Bone is a hard strong and durable type of connective tissue
Bkv
bone is a hard, calcareous connective tissue which gives structural support to the body and helpless in its locomotion!
Divya
It also is the main site for synthesis of the RBCs
Divya
thanks for your answers
Mhoses
A diagram of epithelial tissue
Emmanuel Reply
What does the urinary regulate blood pressure
Jennifer Reply
functions of melatonin
marion Reply
d. inversely proportional
John Reply
Airway resistance in the human lung is? a. Greatest in the generation of distal bronchioles in healthy people because these airways have the smallest radii b. Not increased during a forced expiration in a healthy subject c. Decreased when breathing through the mouth d. Inversely proportional
Maryam Reply
1. Chemical level 2. Cellular level 3.Tissue level 4. Organ level 5.Organ system level 5.Organismal level
Jamela Reply
d
HMD
High
HMD
hlw
Maryam
------is not a content of femoral canal? a. Fatty tissue b. Femoral nerve c. Lymph vessels d. Lymph node
Maryam
a
Alhassan
why there is bleeding in menstruation?
KUHELI Reply
menopause
Vasu
no
KUHELI
no one ready to help me
Maryam
skin
The following hormones increase the blood glucose level except_____________? a. Parathormone b. Growth Hormone c. Epinephrine d. Thyroxine
Maryam
c.epinephrine
Divya
Which of the following is NOT a characteristic feature of alveoli in the lung? a. Poor blood supply b. A large surface area c. Thin walls d. Chemical layer called surfactant
Maryam
a.poor blood supply
Divya
poor blood supply
Tanvi
Excess of cortisol causes______________? a. Acromegaly b. Conn’s syndrome c. Diabetes insipidus d. Cushing syndrome
Maryam
plz fast
Maryam
cushing syndrome
Tanvi
thank you
Maryam
Airway resistance in the human lung is? a. Greatest in the generation of distal bronchioles in healthy people because these airways have the smallest radii b. Not increased during a forced expiration in a healthy subject c. Decreased when breathing through the mouth d. Inversely proportional
Maryam
what happens to the brain when one cannot sleep
aghedo
it means melatonin is not released enough to make u fall asleep or there is a disturbance or destruction for melatonin to be released on time
Mhoses

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Source:  OpenStax, Anatomy & Physiology. OpenStax CNX. Feb 04, 2016 Download for free at http://legacy.cnx.org/content/col11496/1.8
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