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Fates of Pyruvate - 3. Lactic Acid Fermentation

KEY FATES OF PYRUVATE 1. Acetyl CoA: substrate for citric acid cycle and fatty acid synthesis 2. Oxaloacetate: intermediate in CAC and substrate for gluconeogenesis 3. Lactate: produced by eukaryotes in absence of oxygen 4. Ethanol: produced by yeast and some bacteria (including intestinal flora) in absence of oxygen.
  • There are aerobic and anaerobic conditions.
Lactic acid fermentation (humans)
  • Anaerobic conditions
  • Occurs in exercising muscle and red blood cells: cytosol
  • Glycolysis: 1 glucose = 2 pyruvates + 2 ATP + 2 NADH
  • Lactate dehydrogenase: 2 pyruvate + 2NADH = 2 lactate + 2 NAD+
  • Reversible reaction
  • Lactate can enter bloodstream and travel to liver: lactate dehydrogenase catalyzes reverse reaction (lactate to pyruvate)
Clinical correlation: intense exercise can produce lactic acidosis; lactate accumulates in muscle cells and causes intracellular drop in pH

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