Pyruvate dehydrogenase with TPP decarboxylates pyruvate to hydroxyethyl thiamine pyrophosphate.
Conversion & Transfer:
Dihydrolipoyl transacetylase converts hydroxyethyl TPP to acetyllipoamide and transfers the acetyl group to CoA, forming acetyl CoA.
Regeneration of Coenzymes:
Dihydrolipoyl dehydrogenase regenerates oxidized lipoamide by transferring electrons to FAD, forming FADH2.
FADH2 transfers electrons to NAD+, forming NADH + H+.
ATP Production:
NADH + H+ enters the respiratory chain, yielding 2.5 ATP.
Total 5 ATP are produced per PDH cycle from two moles of pyruvate.
Regulation
End-product inhibition
Phosphorylation state:
Active as dephosphorylated enzyme
Inactive as phosphorylated enzyme
Promotors:
PDH phosphatase (activated by calcium, magnesium, insulin)
PDH kinase (activated by ATP, NADH, acetyl CoA; inhibited by NAD+, CoA, pyruvate)
Clinical Applications
Arsenic Poisoning:
Arsenite inhibits PDH and alpha-ketoglutarate dehydrogenase by binding to lipoic acid's sulfhydryl group.
Lactic Acidosis:
Caused by PDH deficiency, leading to excess pyruvate converting to lactic acid.
Metabolic Notes
Carbohydrate to Fat Conversion:
Pyruvate (from carbohydrates) converts to acetyl CoA (mainly from fats)
Excess carbohydrates can form fats, but fats cannot convert to carbohydrates due to the irreversible nature of PDH reaction, except glycerol and propionic acid which can be converted to glucose.