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Pyruvate Dehydrogenase
Medical School Biochemistry
19
Biochemistry
Graduate
10/13/2011

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Term
Pyruvate Dehydrogenase activity is found in which part of the cell?
Definition
mitochondria, specifically in the mitrochondrial matrix
Term
What is the function of Pyruvate Dehydrogenase?
Definition
Pyruvate -> Acetyl Coa

Pyruvate Dehydrogenase catalyzes oxidative decarboxylation in the above reaction
Term
Pyruvate Dehydrogenase is a complex containing how many distinct enzymes?
Definition
Many copies of 3 enzymes

E1, E2, E3
Term
What is the enzyme and prosthetic group associated with E1 of Pyruvate Dehydrogenase?
Definition
Pyruvate Dehydrogenase

Prosthetic Group: Thiamine pyrophosphate TPP
Term
What is the enzyme and associated prosthetic group of E2 of Pyruvate Dehydrogenase?
Definition
Dihydrolipoyl Transacetylase

Prosthetic group: Lipoamide
Term
What is the enzyme and prosthetic group related to E3 of Pyruvate Dehydrogenase?
Definition
Dihydrolipoyl Dehydrogenase

Prosthetic Group: FAD
Term
What are diseases associated with Thiamine deficiency?
Definition
Beriberi: dry, wet, and infantile

Wernicke-Korsakoff syndrome: Thiamine important cofactor for Transketolase in PPP
Term
What compounds directly inhibit the action of Pyruvate Dehydrogenase?
Definition
NADH and Acetyl CoA

NADH by competing with NAD for E3
Acetyl CoA by competing with CoA for E2
Term
What enzymes activate/deactivate Pyruvate Dehydrogenase?
Definition
Pyruvate Dehydrogenase is activated by Pyruvate Dehydrogenase Phosphatase

inhibited by Pyruvate Dehydrogenase Kinase
Term
What compounds upregulate the action of Pyruvate Dehydrogenase Kinase?
Definition
ATP, Acetyl CoA, and NADH
Term
What compounds inhibit Pyruvate Dehydrogenase Kinase action?
Definition
Pyruvate
Term
What role does calcium, in muscles, play on the action of Pyruvate Dehydrogenase?
Definition
Calcium can upregulate a calcium sensitive isomer of Pyruvate Dehydrogenase Phosphatase which then upregulates the action of Pyruvate Dehydrogenase (by dephosphorylating it)
Term
What happens with Pyruvate Dehydrogenase during starvation?
Definition
In select tissues Pyruvate Dehydrogenase is inhibited by increaseing of Pyruvate Dehydrogenase Kinase and decreasing of Pyruvate Dehydrogenase Phosphatase.

This is a special compensatory mechanism that allows for preferential glucose uptake in the tissues that critically need them (brain, aerobic tissue)
Term
Recent studies link Pyruvate Dehydrogenase Kinase activity with which two pathologies?
Definition
Cancer and Pulmonary Hypertension
Term
By what mechanism does arsenic inhibit Pyruvate Dehydrogenase?
Definition
arsenic is a strong inhibitor of lipoamide containing enzymes

remember that E2 (dihydrolipolyl transacetolase) enzyme of Pyruvate dehydrogenase uses lipamide as a prosthetic group

finally the clinical presentation mimics that of thiamine deficiency as arsenic inhibits the enzymes that use thiamine
Term
What are common pathways to arsenic exposure?
Definition
poultry, industries that use inorganic arsenic, occupational exposure (coper/lead smelting, wood treatment), found in some wines, contaminated well water
Term
How does one diagnose and treat arsenic poisoning?
Definition
arsenic can be measured in the blood, hair, urine, or fingernails.

Treatment is chelation
Term
What is the clinical picture of Pyruvate Dehydrogenase Deficiency?
Definition
Congenital lactic acidosis. This can cause neonatal death or brain damage.

Ingestion of a carbohydrate rich diet can cause episodic ataxia
Term
What is the the therapy for pyruvate dehydrogenase deficiency?
Definition
Low carb (ketogenic) diet to try and maintain low pyruvate levels
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