In contrast to the liver, uptake of pantothenic acid by
heart and skeletal muscle of fasting rats is reduced, and
yet the rate of pantothenic acid conversion to CoA is
increased. Evidently, myocardial and muscle CoA syn-
thesis is not governed by the availability of pantothenic
acid to these tissues, but rather is controlled intracel-
lularly by regulation of enzymes involved in the CoA
synthetic and/or degradative pathways.
0009 Pantothenic acid derived from the degradation of
CoA is excreted intact in urine. The amount excreted
varies proportionally with dietary intake over a wide
range of intake values. Both fasting and diabetes
result in decreased excretion, thus conserving whole-
body pantothenic acid under these conditions.
Biochemical Functions of Coenzyme A
and Acyl Carrier Protein in Cellular
Metabolism
0010 A molecule of pantothenic acid is incorporated into
the structures of CoA and acyl carrier protein.
Though the functional sulfhydryl group of these co-
enzymes is not part of the pantothenate moiety, the
steric configuration of pantothenic acid is important
for enzymatic recognition.
0011 Acetyl-CoA and succinyl-CoA are energy-rich
thioesters that play important roles in the tricar-
boxylic acid cycle. Acetyl-CoA is also required for
the acetylation of choline to form the neurotransmit-
ter, acetylcholine. The amino sugars d-glucosamine
and d-galactosamine react with acetyl-CoA to form
acetylated products, which are structural components
of various mucopolysaccharides. The biosynthesis
of cholesterol begins with the condensation of
two molecules of acetyl-CoA to form acetoacetyl-
CoA. The latter reacts with acetyl-CoA to form 3-
hydroxy-3-methylglutaryl-CoA (HMG-CoA), which
in turn is reduced to the key intermediate, mevalonic
acid. CoA is required at two steps in each cycle of the
b-oxidation of fatty acids. Acyl carrier protein, as an
integral part of fatty acid synthase, is involved in the
biosynthesis of fatty acids.
Physiological Roles of Coenzyme A in the
Modification of Proteins
0012 Many diverse cellular proteins are modified by acetyl-
ation and/or by the covalent attachment of lipids. The
modifications fall into three main categories: acetyla-
tion, acylation, and isoprenylation. The alterations in
protein structure may be relevant to the association of
proteins with the plasma membrane or with subcel-
lular membranes, protein–protein binding, or the
targeting of proteins to specific intracellular locations.
In some cases, the modifications are cotranslational,
i.e., they take place on the growing polypeptide chain
associated with the ribosome during protein synthesis;
in other cases, they are posttranslational.
0013Most soluble proteins are modified at their amino
termini with an acetate group that is donated by CoA.
Acetylation alters the protein’s binding affinity for
receptors or other proteins.
0014A wide variety of proteins are modified with long-
chain fatty acids donated by CoA. The two fatty acids
most commonly attached to proteins are myristic acid
(14:0) and palmitic acid (16:0). The enzyme linking
myristate to amino-terminal glycine residues by an
amide bond is N-myristoyl transferase. For myristoyl-
ation to take place, the protein substrate must have a
glycine residue at position 2, immediately following
methionine, and preferably a hydroxyamino acid
(typically serine) at position 6. Myristoylated proteins
include G protein a subunits (signal transduction),
ADP-ribosylation factors (vesicular transport), myr-
istoylated alanine-rich C kinase substrate protein
(cytoskeletal rearrangements), recoverin (vision),
proteins of the immune system, and several enzymes.
Palmitoyl transferases link palmitate to the side
chains of cysteine residues by a thioester bond. The
cysteine residues can reside at any point in the pri-
mary structure of the protein; there is little evidence
for any specific sequence requirements. Unlike the
highly stable amide linkages to myristate, modifica-
tions of proteins by palmitate occur in thioester or
oxyester linkages that are subject to hydrolysis by
esterases. Cycles of palmitoylation and depalmitoyla-
tion allow the modified protein to have a regulating
function. Palmitoylated proteins include G protein a
subunits, many plasma membrane-anchored recep-
tors, cytoskeletal proteins, gap junction proteins,
neuronal proteins, and the enzymes acetylcholinester-
ase and glutamic acid decarboxylase. Palmitate modi-
fication is also a prerequisite for the budding of
transport vesicles from Golgi cisternae.
0015Two important isoprenoids, the 15-carbon farnesyl
pyrophosphate and the 20-carbon geranylgeranyl
pyrophosphate (Figure 1), are metabolic products of
mevalonic acid. Attachment of either isoprenoid
chain is the first step in the modification of proteins
bearing a C-A1-A2-X motif, where C is a carboxy-
terminal cysteine residue, A1 and A2 are aliphatic
amino acids, and X is an undefined amino acid. The
attachment is a thioester bond with the terminal cyst-
eine. Isoprenylated proteins include Ras proteins
(signal transduction), Rab proteins (vesicular trans-
port), nuclear lamins A and B (assembly and stabiliza-
tion of the nuclear membrane), G protein g subunits,
and the enzymes phosphorylase kinase and rhodopsin
kinase.
4340 PANTOTHENIC ACID/Physiology