TCA cycle

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TCA cycle steps enzymes NADH FADH2 summary

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Here is a complete, textbook-based overview of the TCA cycle.

The TCA (Citric Acid / Krebs) Cycle

Location: Mitochondrial matrix (enzymes free or attached to the inner mitochondrial membrane)
Function: Oxidizes acetyl-CoA (2C) to CO2, capturing energy as reducing equivalents (NADH, FADH2) and GTP. It is the central hub of metabolism - both catabolic and synthetic - making it amphibolic.

The Cycle Diagram

TCA cycle with all enzymes and intermediates
Harper's Illustrated Biochemistry, 32nd Ed - Fig 16-3: Full TCA cycle with enzymes, cofactors, and sites of inhibition

Entry Point: Pyruvate to Acetyl-CoA

Before entering the cycle, pyruvate (from glycolysis) is decarboxylated to acetyl-CoA by the pyruvate dehydrogenase complex, releasing one CO2 and producing one NADH. Acetyl-CoA (C2) is then the substrate that enters the TCA cycle.

The 8 Steps

StepReactionEnzymeCofactors / Products
1Oxaloacetate (C4) + Acetyl-CoA (C2) → Citrate (C6)Citrate synthaseH2O consumed; CoA released
2Citrate → cis-Aconitate → Isocitrate (C6)Aconitase (aconitate hydratase)Fe2+ required; inhibited by fluoroacetate
3Isocitrate → Oxalosuccinate → α-Ketoglutarate (C5)Isocitrate dehydrogenaseNAD+ → NADH; CO2 released; Mg2+/Mn2+ required
4α-Ketoglutarate (C5) → Succinyl-CoA (C4)α-Ketoglutarate dehydrogenase complexNAD+ → NADH; CO2 released; thiamin-PP, lipoate, FAD, CoA; inhibited by arsenite
5Succinyl-CoA → Succinate (C4)Succinate thiokinase (succinyl-CoA synthetase)ADP/GDP → ATP/GTP (substrate-level phosphorylation - the only one in the cycle)
6Succinate → Fumarate (C4)Succinate dehydrogenaseFAD → FADH2; inhibited by malonate; Fe-S protein; directly reduces ubiquinone
7Fumarate + H2O → L-Malate (C4)Fumarase (fumarate hydratase)H2O added
8L-Malate → Oxaloacetate (C4)Malate dehydrogenaseNAD+ → NADH; cycle regenerates OAA

Net Yield Per Turn (per acetyl-CoA)

ProductNumberATP equivalent (via ox. phosphorylation)
NADH33 × 2.5 = 7.5 ATP
FADH211 × 1.5 = 1.5 ATP
GTP/ATP11 ATP
Total~10 ATP per acetyl-CoA
Since one glucose yields 2 acetyl-CoA, the cycle contributes ~20 ATP per glucose (before accounting for pyruvate dehydrogenase). NADH and FADH2 are reoxidized by the respiratory chain - this process requires oxygen, making the TCA cycle strictly aerobic.
  • Harper's Illustrated Biochemistry, 32nd Ed, p. 168-170

Vitamins Required as Cofactors

Four B-vitamins are indispensable:
VitaminActive FormRole in TCA
Niacin (B3)NAD+Electron acceptor for isocitrate DH, α-KG DH, malate DH
Riboflavin (B2)FADCofactor for succinate dehydrogenase
Thiamin (B1)Thiamin diphosphateDecarboxylation at α-KG dehydrogenase (and pyruvate DH)
Pantothenic acid (B5)Coenzyme AForms acetyl-CoA and succinyl-CoA
  • Harper's Illustrated Biochemistry, 32nd Ed, p. 171

Regulation

The cycle is controlled at three main points - all three regulated by the energy charge of the cell (high NADH, ATP inhibit; ADP, Ca2+ activate):
  1. Citrate synthase - inhibited by ATP, NADH, succinyl-CoA, and citrate itself
  2. Isocitrate dehydrogenase - activated by ADP and Ca2+; inhibited by ATP, NADH
  3. α-Ketoglutarate dehydrogenase complex - inhibited by succinyl-CoA, NADH, ATP; activated by Ca2+

Anaplerosis and Cataplerosis

The cycle needs OAA replenishment when intermediates are drained for biosynthesis. Key anaplerotic reactions:
  • Pyruvate carboxylase (pyruvate + CO2 → OAA) - the main anaplerotic enzyme, activated by acetyl-CoA
  • Glutamate → α-ketoglutarate (via transamination)
Conversely, cycle intermediates leave (cataplerosis) as precursors for:
  • Gluconeogenesis - OAA → phosphoenolpyruvate
  • Fatty acid synthesis - citrate exported to cytosol → acetyl-CoA
  • Amino acid synthesis - α-KG → glutamate, OAA → aspartate
  • Porphyrin/heme synthesis - succinyl-CoA + glycine → δ-aminolevulinic acid

Clinical Connections

Poison/DrugTargetEffect
FluoroacetateAconitase (via fluorocitrate)Citrate accumulates; lethal in animals
Arseniteα-Ketoglutarate DH (lipoate)α-KG accumulates
MalonateSuccinate dehydrogenaseCompetitive inhibition; succinate accumulates
Thiamin (B1) deficiency impairs both pyruvate DH and α-KG DH, causing lactic acidosis and neurological damage (beriberi, Wernicke's encephalopathy) because the cycle cannot process pyruvate or α-KG normally.

The TCA cycle sits at the intersection of carbohydrate, fat, and protein catabolism - all three macronutrients ultimately converge on acetyl-CoA or cycle intermediates, making this pathway the central axis of aerobic energy metabolism.
  • Harper's Illustrated Biochemistry, 32nd Ed (primary source)
  • Guyton and Hall Textbook of Medical Physiology
  • Ganong's Review of Medical Physiology, 26th Ed
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