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Electron Transport Chain generate the electron-rich NADH and FADH2.

And when
those molecules are coming from the cytoplasm, they
 It is a series of protein complexes and other can only enter the mitochondria using a specific shuttle.
molecules that transfer electrons from electron
When using the malate-aspartate shuttle, electrons
donors to electron acceptors via redox reactions
enter the electron transport chain as NADH.
and couples this electron transfer with the transfer
of protons (H+ ions) across a membrane. When using the glycerol-3-phosphate shuttle, electrons
 Your heart is constantly working. Whether you’re enter electron transport chain as FADH2.
swimming or taking a nap, your heart is always on
the go.
 The main form of energy that keeps our heart cells, There are two entry points into the electron transport
and really all of our body cells, going is adenosine chain.
triphosphate, or ATP.
 Mitochondria: the main ATP producing factory. 1. The first point of entry, is where NADH gives its
which has an inner and an outer membrane electrons to Complex I.
 The inner membrane where a process called Complex I contain flavin mononucleotide - a
oxidative phosphorylation occurs. derivative of riboflavin or Vitamin B2 - and iron-sulfur
“Oxidative” refers to oxidation - which is when a centers called FeS.
molecule donates its electron, and “phosphorylation” NADH gives its electron to flavin mononucleotide,
which refers to the addition of a phosphate group to and it gets turned back to NAD+, and can then be re-
adenosine diphosphate, or ADP, to form ATP. used by dehydrogenases to make more NADH.
So Oxidative phosphorylation is the process of 2. The second point of entry, is where FADH2 gives
making ATP by Donating electrons to complexes its electron to Complex II.
embedded within the inner mitochondrial membrane.
Complex II which is also called succinate
These complexes are proteins or lipids coupled with dehydrogenase - the exact same enzyme that takes part
metals like iron and copper that facilitate the in the citric acid cycle!
movement of electrons. Together, they form the
electron transport chain. That means that citric acid cycle and electron
transport chain actually share a step, so their activity
During the electron transport chain, electrons are Rises and falls together.
passed on from complex to complex, and finally to
oxygen, creating a proton gradient that will be used to 3. Ultimately, electrons from complexes I and II
make ATP. flow directly to Coenzyme Q which is also called
UBIQUINONE.
The electron transport chain begins with two key 4. Next coenzyme Q passes on the electrons to a
molecules that want to donate their electrons: series of cytochromes, which are proteins that
1. Nicotinamide Adenine Dinucleotide, or NADH contain heme groups.
2. Flavin Adenine Dinucleotide, or FADH2 Heme groups contain iron, which is able to grab an
both of which get oxidized in the electron transport electron and go from Fe3+ to Fe2+.
chain. 5. The heme iron can then release the electron to
NADH and FADH2 are primarily generated in the the next cytochrome in the chain and go back to
citric acid cycle which occurs in the mitochondria, but it Fe3+, so that it’s ready to grab another
can also come directly from glycolysis - which is the electron. It’s a bit like factory chain workers
breakdown of glucose in the cytoplasm, or fatty acid relaying the electrons between one another!
oxidation, which is the breakdown of fats in the 6. Complex III is made up of cytochrome b and
mitochondria. Enzymes called DEHYDROGENASES help cytochrome c1, and then electrons move over
to cytochrome c,
7. and from there the electrons get passed to 11. so ATP synthase is in charge of the
complex IV, which is composed of cytochromes “phosphorylation” step of oxidative
a and a3, which are together referred to as phosphorylation. Sometimes it’s called Complex
CYTOCHROME OXIDASE. V of electron transport chain.

Interestingly, the heme groups of complex IV contain Since ATP is formed in the mitochondria, it uses an
copper rather than iron. ATP/ADP antiport to get pumped out of the
mitochondria and into the cytoplasm, and that way the
8. Cytochrome oxidase transfers the electrons to
mitochondria gets a new ADP molecule, which it uses to
the final electron acceptor, oxygen, making the
make the next ATP. You can think of it as an ATP
oxygen electronegative enough to grab two
shuttle!
protons - making a molecule of H20.
Approximately 1 NADH molecule that donates its
Now, if a cell doesn’t receive enough oxygen, like in
electron to the electron transport chain generates a
hypoxia, which is the most common cellular injury, then
proton gradient strong enough to make 3 ATP
electron transport chain gets interrupted and ATP
molecules, since NADH activates 3 proton pumps -
synthesis doesn’t happen.
complexes I, III and IV. whereas, 1 FADH2 molecule only
So, the complexes are responsible for the “oxidative” makes 2 ATP molecules, because FADH2 skips complex
part of oxidative phosphorylation – and you can think of 1, and starts at complex 2, activating only 2 proton
the electron transport chain as a game of hot potato - pumps - complexes III and IV.
with the complexes rapidly passing electrons off to one
Since both NADH and FADH2 require an oxygen
another, creating an electrical current.
molecule to ultimately accept their electrons, these
9. That electrical current creates energy that values are called the phosphate to oxygen ratio or p/o
drives complexes I, III, and IV to pump positively ratio, which is the ratio of ATP produced per oxygen
charged protons out of the mitochondria and consumed for each molecule. Again, these are just
into the space between the inner and outer approximate ratios.
mitochondrial membrane, creating a proton
Electron transport chain isn’t controlled hormonally,
gradient across the inner mitochondrial
rather it’s controlled by the energy level within the cell
membrane.
itself.
That’s because complexes I, III, and IV are the only
12. When ATP builds up within a cell, a sign of high
ones to span the inner mitochondrial membrane. In
energy, electron transport chain slows down,
fact, as the electrons are hopping through, the
and when ADP builds up, a sign of low energy,
complexes are changing their conformation to push
electron transport chain speeds up.
protons across.
Now, it turns out that drugs and chemicals can
It’s a bit like how electrons hop wires in a home, and
effectively “break” oxidative phosphorylation in two
that energy can be used to do work - like plugging in a
ways - uncoupling and inhibition.
vacuum to suck up dirt. In this case, the little complexes
would be the vacuums, sucking up protons.  Uncoupling: Normally, the electron transport chain
is coupled with ATP synthesis, meaning that they
Now, this gradient is considered unstable because
happen together. Uncoupling agents break that link.
the protons are always trying to equilibrate across the
They do this by inserting their own proton channels,
inner mitochondrial membrane, even though it’s totally
called ionophores, into the inner mitochondrial
impermeable to them.
membrane or by simply carrying the protons back
10. To get across, protons have to use a special into the mitochondrial matrix, thereby allowing
proton channel called F0, that’s attached to an them to bypass the F0 subunit of the ATP synthase
enzyme called F1. enzyme.

F1 is an ATP synthase that uses the proton gradient


to phosphorylate an ADP molecule and make ATP –
Uncoupling agents dissipate the proton gradient way that oxidative phosphorylation can go awry is
created by the complexes. And because the protons by inhibition, meaning that some chemicals and
enter back into the mitochondria with the drugs inhibit components of the electron transport
uncoupling agent instead of through the F0 chain.
component of ATP synthase, F1 isn’t able to
phosphorylate ADP to make ATP. Unlike uncoupling, inhibition stops the flow of
electrons through the electron transport chain, and
Now it’s important to note that the electrons are that leads to a decrease in ATP synthesis. Because
still flowing from complex to complex all the way to electron flow is put to a stop, electron donors such
the final electron recipient, oxygen. as NADH and FADH2 build up, so the body doesn’t
feel the need to make more, and the metabolic rate
So red blood cells keep delivering oxygen to the falls.
tissues so that it can be the electron recipient.
Inhibition is like turning off the car engine, which of
course means that the car won’t move. And not
Also, as the cell’s ADP levels rise, the body tries
surprisingly, poisons that work by inhibiting electron
to increase its metabolic rate to make more
transport chain can lead to death pretty quickly.
electron donors like NADH and FADH2. But this
electron flow is useless, because no matter how Examples of inhibiting:
large of a proton gradient there is, the protons just
go back with the uncoupling agent instead of going  Agents include carbon monoxide and cyanide , both
through F0. of which inhibit complex IV of the electron
transport chain.
Because some of the electron’s energy is not used  Barbiturates, which are GABA agonists that can be
up in moving protons across the inner effective for seizure disorders, inhibit complex I at
mitochondrial membrane, more of it is available to high doses.
turn into heat energy.  Oligomycin, which is an antibiotic too toxic for
human use, inhibits the F0 component of ATP
There are some endogenous uncoupling agents like: synthase.
- Thermogenin, which is a protein found in the brown  Statins, which are a class of lipid-lowering
adipose tissue of babies, used to generate heat. It is also medications don’t inhibit electron transport chain,
found in hibernating animals - so yeah, we’re kind of but they can decrease the synthesis of coenzyme Q.
like polar bears when we’re babies. That reduction in coenzyme Q can result in decreased
ATP production and lead to muscle pains and cramps -
and rarely can even cause rhabdomyolysis, which is
 Uncoupling: is kind of like a car with a hot, when there’s severe muscle breakdown resulting in
hardworking engine, but despite that, the car isn’t kidney failure from the myoglobin released.
moving.

Another example of a medication that can be an


uncoupling agent in high doses is aspirin.

The uncoupling can lead to a really high


metabolic rate, which can lead to a metabolic
acidosis, and if ATP levels start to fall too low to
allow the respiratory centers and respiratory
muscles to work, then it can lead to a respiratory
acidosis as well.
A combined metabolic and respiratory acidosis
quickly becomes life-threatening. Okay, the other

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