Pyruvate metabolism

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Product Lactate Acetyl-CoA Oxaloacetate Alanine
Reaction Pyruvate → lactate (reversible) Pyruvate → acetyl-CoA (irreversible) Pyruvate → oxaloacetate Pyruvate → alanine (reversible)
Enzyme: lactate dehydrogenase (LDH) Enzyme: pyruvate dehydrogenase complex Enzyme: pyruvate carboxylase Enzyme: alanine aminotransferase (ALT)
Present in heart, RBCs, muscle Produces CO2, NADH+ + H+ Requires biotin (vitamin B7), CO2, and ATP Requires pyridoxal phosphate (active form of vitamin B6)
Occurs in anaerobic glycolysis Occurs in states of muscle breakdown (catabolism)
Location Cytosol Mitochondrion Mitochondrion Cytosol of myocytes
Function Lactic acid cycle (Cori cycle), lactate is released during anaerobic glycolysis Acetyl-CoA enters the TCA cycle, ketogenesis, fatty acid synthesis Intermediate for TCA cycle and gluconeogenesis Alanine transports amino groups (from protein degradation) and carbons to the liver for gluconeogenesis (Cahill cycle)
Lactate is used for gluconeogenesis in heart and kidney Liver converts alanine back into pyruvate, urea is a byproduct
NAD+ is replenished in anaerobic states by lactate formation
Stimulated by ↑ NADH/NAD+ ratio, anaerobic states (e.g., exercise), breakdown of ethanol ↑ ADP, ↓ NADH/NAD+ ratio, ↑ Ca2+ Acetyl-CoA High protein intake, fasting, cortisol, epinephrine, and glucagon
Inhibited by High lactate concentrations (feedback inhibition) ↑ Acetyl-CoA/CoA ratio, ↑ NADH/NAD+ ratio, ↑ ATP/ADP ratio