II. Transducing and Storing Energy 22. Fatty Acid Metabolism
Summary
Triacylglycerols Are Highly Concentrated Energy Stores
Fatty acids are physiologically important as (1) components of phospholipids and glycolipids, (2) hydrophilic modifiers
of proteins, (3) fuel molecules, and (4) hormones and intracellular messengers. They are stored in adipose tissue as
triacylglycerols (neutral fat).
The Utilization of Fatty Acids as Fuel Requires Three Stages of Processing
Triacylglycerols can be mobilized by the hydrolytic action of lipases that are under hormonal control. Fatty acids are
activated to acyl CoAs, transported across the inner mitochondrial membrane by carnitine, and degraded in the
mitochondrial matrix by a recurring sequence of four reactions: oxidation by FAD, hydration, oxidation by NAD
+
, and
thiolysis by CoA. The FADH
2
and NADH formed in the oxidation steps transfer their electrons to O
2
by means of the
respiratory chain, whereas the acetyl CoA formed in the thiolysis step normally enters the citric acid cycle by condensing
with oxaloacetate. Mammals are unable to convert fatty acids into glucose, because they lack a pathway for the net
production of oxaloacetate, pyruvate, or other gluconeogenic intermediates from acetyl CoA.
Certain Fatty Acids Require Additional Steps for Degradation
Fatty acids that contain double bonds or odd numbers of carbon atoms require ancillary steps to be degraded. An
isomerase and a reductase are required for the oxidation of unsaturated fatty acids, whereas propionyl CoA derived from
chains with odd numbers of carbons requires a vitamin B
12
-dependent enzyme to be converted into succinyl CoA.
Fatty Acids Are Synthesized and Degraded by Different Pathways
Fatty acids are synthesized in the cytosol by a different pathway from that of β oxidation. Synthesis starts with the
carboxylation of acetyl CoA to malonyl CoA, the committed step. This ATP-driven reaction is catalyzed by acetyl CoA
carboxylase, a biotin enzyme. The intermediates in fatty acid synthesis are linked to an acyl carrier protein. Acetyl ACP
is formed from acetyl CoA, and malonyl ACP is formed from malonyl CoA. Acetyl ACP and malonyl ACP condense to
form acetoacetyl ACP, a reaction driven by the release of CO
2
from the activated malonyl unit. A reduction, a
dehydration, and a second reduction follow. NADPH is the reductant in these steps. The butyryl ACP formed in this way
is ready for a second round of elongation, starting with the addition of a two-carbon unit from malonyl ACP. Seven
rounds of elongation yield palmitoyl ACP, which is hydrolyzed to palmitate. In higher organisms, the enzymes carrying
out fatty acid synthesis are covalently linked in a multifunctional enzyme complex. A reaction cycle based on the
formation and cleavage of citrate carries acetyl groups from mitochondria to the cytosol. NADPH needed for synthesis is
generated in the transfer of reducing equivalents from mitochondria by the malate-pyruvate shuttle and by the pentose
phosphate pathway.
Acetyl Coenzyme A Carboxylase Plays a Key Role in Controlling Fatty Acid
Metabolism
Fatty acid synthesis and degradation are reciprocally regulated so that both are not simultaneously active. Acetyl CoA
carboxylase, the essential control site, is stimulated by insulin and inhibited by glucagon and epinephrine. These
hormonal effects are mediated by changes in the amounts of the active dephosphorylated and inactive phosphorylated
forms of the carboxylase. Citrate, which signals an abundance of building blocks and energy, allosterically stimulates the
carboxylase. Glucagon and epinephrine stimulate triacylglycerol breakdown by activating the lipase. Insulin, in contrast,
inhibits lipolysis. In times of plenty, fatty acyl CoAs do not enter the mitochondrial matrix because malonyl CoA inhibits