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Pyruvate Dehydrogenase Complex
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Pyruvate Dehydrogenase Complex

The pyruvate dehydrogenase complex links glycolysis to the citric acid cycle under aerobic conditions.
PYRUVATE DEHYDROGENASE COMPLEX (PDC)
  • Pyruvate + CoA + NAD+ --> Acetyl CoA + CO2 + NADH
  • Located in mitochondrial matrix
  • Irreversible reaction
PDC ENZYMES
E1, pyruvate dehydrogenase/pyruvate decarboxylase
  • Catalyzes pyruvate to acetyl (releases CO2)
  • Cofactor: thiamine pyrophosphate (Vitamin B1)
E2, dihydrolipoyl transacetylase
  • Attaches CoA to acetyl
  • Cofactor: lipoic acid (not vitamin-derived) & coenzyme A (pantothenic acid/vitamin B5)
E3, dihydrolipoyl dehydrogenase
  • Reduces NAD+ to NADH
  • Cofactor: NAD+ (niacin/vitamin B3) & FAD (riboflavin/vitamin B2)
Lipoic acid is only cofactor for PDC that is not vitamin-derived
CLINICAL CORRELATION
PDC-based pathology
  • Deficiencies in vitamins or PDC cofactors produce initial neurological/muscular symptoms
PDC REGULATION
  • Acetyl CoA, major product of the PDC catalyzed reaction.
  • NADH, product of PDC and citric acid cycle.
Covalent modification
PDH kinase – adds an inhibitory phosphate to PDC
  • Activated by: ATP, Acetyl CoA and NADH
  • Inhibited by: CoA, Pyruvate and NAD+
PDH phosphatase – removes inhibitory phosphate from PDC
  • Activate PDC by removing inhibitory phosphate
  • Activated by insulin and free calcium in the muscle
CLINICAL CORRELATIONS
PDC-based pathology
  • Neurological symptoms: brain cells rely on citric acid cycle for ATP
  • Muscular symptoms: dysfunctional PDC produces lactic acidosis
Thiamine deficiency
  • Cofactor of E1 of PDC
  • CNS problems: brain cells cannot produce ATP
  • Results in a syndrome called Wernicke's encephalopathy
Arsenic and mercury poisoning
  • Inhibit PDC
  • Van Gogh (arsenic-based paint) & "mad hatters" (mercury-treated animal furs)