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AMBOSS - Beta-Oxidation Reactions

Apr 22, 2025

Energy Metabolism - Part 5: Beta-oxidation Reactions

Overview

  • Beta-oxidation degrades activated fatty acids to form acetyl-CoA.
  • Cleavage occurs at the beta-carbon (C3) in four reaction steps.
  • Molecule reactivity near the carboxylic acid group enables breakdown at the head.

Reaction Steps

Step 1: Formation of Delta-2-trans-enoyl-CoA

  • Process: Single bond between C2 and C3 in acyl-CoA is converted to a double bond.
  • Compound: Delta-2-trans-enoyl-CoA with trans orientation of hydrogen atoms.
  • Enzyme: Acyl-CoA dehydrogenase.
  • Reaction Type: Oxidation.
  • Outcome: Transfer of 2 electrons and 2 protons to FAD, forming FADH2.

Step 2: Formation of Beta-Hydroxyacyl-CoA

  • Process: Addition of water molecule to double bond by enoyl-CoA hydratase.
  • Result: Restoration of single bond and hydroxyl group attachment to beta-carbon.
  • Reaction Type: Hydration (not oxidation).

Step 3: Formation of Beta-Ketoacyl-CoA

  • Process: Hydroxyl group at beta-carbon converted to keto group.
  • Enzyme: 3-hydroxyacyl-CoA dehydrogenase.
  • Reaction Type: Oxidation.
  • Outcome: Transfer of electrons and protons to NAD+, forming NADH and H+.

Step 4: Thiolysis

  • Process: Coenzyme A transferred to beta-Carbon, cleaving the molecule.
  • Enzyme: Thiolase.
  • Outcome: Formation of acetyl-CoA and shortened acyl-CoA.

Energy Balance

  • Per cleavage of C2 unit:
    • 1 FADH2 and 1 NADH and H+ produced.
    • Total of 4 ATP molecules (1.5 ATP from FADH2, 2.5 ATP from NADH and H+).
  • Mitochondrial Beta-oxidation: Complete energy yield.
  • Peroxisomal Beta-oxidation: Lower energy yield due to FADH2 regeneration in peroxisome.

Special Cases

Fatty Acids with Odd Number of Carbons

  • Results in propionyl-CoA, converted to succinyl-CoA for the citric acid cycle.

Unsaturated Fatty Acids

  • Challenge: Presence of cis double bonds.
  • Solution: Conversion of cis to trans configuration for metabolism.

Clinical Significance

  • Beta-oxidation Malfunction:
    • Rare genetic defects apparent during fasting.
    • Conditions: MCAD deficiency, VLCAD deficiency, LCHAD deficiency.
  • Dietary Recommendations:
    • Rich in carbohydrates, avoid fasting.
  • Testing: Part of newborn screening.

Key Points

  • Beta-oxidation involves four steps: oxidation, hydration, another oxidation, and thiolysis.
  • Produces reducing equivalents for ATP synthesis in mitochondria.
  • Special mechanisms handle odd-numbered and unsaturated fatty acids.
  • Clinical conditions relate to enzyme deficiencies impacting fatty acid breakdown.

Upcoming Topics: Acetyl-CoA metabolism in the citric acid cycle.