from oxaloacetate via an abbreviated version of gluconeo-
genesis (Fig. 23-8) termed glyceroneogenesis. Glyceroneo-
genesis is necessary in times of starvation, since approxi-
mately 30% of the fatty acids that enter the liver during a
fast are reesterified to triacylglycerol and exported as
VLDL (Section 25-1 and 25-6A).Adipocytes also carry out
glyceroneogenesis in times of starvation.They do not carry
out gluconeogenesis but contain the gluconeogenic en-
zyme phosphoenolpyruvate carboxykinase (PEPCK),
which is upregulated when glucose concentration is low,
and participates in the glyceroneogenesis required for tria-
cylglycerol biosynthesis.
5 REGULATION OF FATTY ACID
METABOLISM
Discussions of metabolic control are usually concerned
with the regulation of metabolite flow through a pathway
in response to the differing energy needs and dietary states
of an organism. For example, the difference in the energy
requirement of muscle between rest and vigorous exertion
may be as much as 100-fold. Such varying demands may be
placed on the body when it is in either a fed or a fasted
state. For instance, Eric Newsholme, an authority on the
biochemistry of exercise, enjoys a 2-hour run before break-
fast. Others might wish for no greater exertion than the
motion of hand to mouth. In both individuals, glycogen and
triacylglycerols serve as primary fuels for energy-requiring
processes and are synthesized in times of quiet plenty for
future use.
a. Hormones Regulate Fatty Acid Metabolism
Synthesis and breakdown of glycogen and triacylglyc-
erols, as detailed in Chapter 18 and above, are processes that
concern the whole organism, with its organs and tissues
forming an interdependent network connected by the blood-
stream. The blood carries the metabolites responsible for
energy production: triacylglycerols in the form of chylomi-
crons and VLDL (Section 12-5A), fatty acids as their albu-
min complexes (Section 25-1e), ketone bodies, amino acids,
lactate, and glucose. The pancreatic and cells sense the
organism’s dietary and energetic state mainly through the
glucose concentration in the blood. The cells respond to
the low blood glucose concentration of the fasting and
energy-demanding states by secreting glucagon.The cells
respond to the high blood glucose concentration of the fed
and resting states by secreting insulin. We have previously
discussed (Sections 18-3E and 18-3F) how these hormones
are involved in glycogen metabolism. They also regulate the
rates of the opposing pathways of lipid metabolism and
therefore control whether fatty acids will be oxidized or syn-
thesized. Their targets are the regulatory (flux-generating)
enzymes of fatty acid synthesis and breakdown in specific
tissues (Fig. 25-43).
We are already familiar with most of the mechanisms by
which the catalytic activities of regulatory enzymes may be
controlled: substrate availability, allosteric interactions,
and covalent modification (phosphorylation). These are
examples of short-term regulation, regulation that occurs
with a response time of minutes or less. Fatty acid synthesis
is controlled, in part, by short-term regulation. Acetyl-CoA
carboxylase, which catalyzes the first committed step of
this pathway, is inhibited by palmitoyl-CoA and by the
glucagon-stimulated cAMP-dependent increase in phos-
phorylation, and is activated by citrate and by insulin-
stimulated dephosphorylation (Section 25-4B).
Another mechanism exists for controlling a pathway’s
regulatory enzymes: alteration of the amount of enzyme
present by changes in the rates of protein synthesis and/or
breakdown. This process requires hours or days and is
therefore called long-term regulation (the control of pro-
tein synthesis and breakdown is discussed in Chapters 31
and 32). Lipid biosynthesis is also controlled by long-term
regulation, with insulin stimulating and starvation inhibit-
ing the synthesis of acetyl-CoA carboxylase and fatty acid
synthase. The presence in the diet of polyunsaturated fatty
acids also decreases the concentrations of these enzymes.
The amount of adipose tissue lipoprotein lipase, the en-
zyme that initiates the entry of lipoprotein-packaged fatty
acids into adipose tissue for storage (Section 12-5Ba), is
also increased by insulin and decreased by starvation. In
contrast, the concentration of heart lipoprotein lipase,
which controls the entry of fatty acids from lipoproteins
into heart tissue for oxidation rather than storage, is de-
creased by insulin and increased by starvation. Starvation
and/or regular exercise, by decreasing the glucose concentra-
tion in the blood, change the body’s hormone balance. This
situation results in long-term changes in gene expression that
increase the levels of fatty acid oxidation enzymes and de-
crease those of lipid biosynthesis.
Fatty acid oxidation is regulated largely by the concen-
tration of fatty acids in the blood, which is, in turn, con-
trolled by the hydrolysis rate of triacylglycerols in adipose
tissue by hormone-sensitive triacylglycerol lipase. This
enzyme is so named because it is susceptible to regulation
by phosphorylation and dephosphorylation in response to
hormonally controlled cAMP levels. Epinephrine and
norepinephrine, as does glucagon, act to increase adipose
tissue cAMP concentrations. cAMP allosterically acti-
vates protein kinase A (PKA) which, in turn, increases
the phosphorylation levels of susceptible enzymes. Phos-
phorylation activates hormone-sensitive triacylglycerol li-
pase, thereby stimulating lipolysis in adipose tissue, raising
blood fatty acid levels, and ultimately activating the -
oxidation pathway in other tissues such as liver and muscle.
In liver, this process leads to the production of ketone
bodies that are secreted into the bloodstream for use by
peripheral tissues as an alternative fuel to glucose. PKA,
acting in concert with AMP-dependent protein kinase
(AMPK), also causes the inactivation of acetyl-CoA car-
boxylase (Section 25-4B), one of the rate-determining en-
zymes of fatty acid synthesis, so that cAMP-dependent
phosphorylation simultaneously stimulates fatty acid oxida-
tion and inhibits fatty acid synthesis.
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