Conversion to malate for gluconeogenesis (PEP → glucose).
Precursor for heme synthesis (porphyrins).
Related Disorders: Pernicious anemia (due to lack of vitamin B12 affecting this pathway).
Peroxisomal Fatty Acid Oxidation
Differences: First step uses oxygen to form H2O2 instead of transferring electrons to the electron transport chain.
Catalase Role: Breaks down H2O2 to prevent damage.
Disorders:
MCAD Deficiency: Medium-Chain Acyl-CoA Dehydrogenase deficiency causing hypoglycemia, lipid accumulation in the liver, vomiting, sleepiness, coma. Treatment involves high-carb diet.
X-linked Adrenoleukodystrophy: Transporter deficiency leading to high blood fatty acids, visual and behavioral disturbances, coma, and potential death.
Zellweger Syndrome: Defective peroxisome biogenesis leading to multiple systemic issues.
Summary
Reviewed beta oxidation pathway activation, transport, and energy tally from a 16-carbon fatty acid.
Discussed oxidation of odd-chain fatty acids and roles of propionyl-CoA, biotin, and vitamin B12.
Peroxisomal fatty acid oxidation compared to mitochondrial oxidation.
Highlighted metabolic disorders associated with fatty acid oxidation deficiencies.