Body lipids are generally found compartmentalized due to their insolubility in aqueous solutions, such as in the case of membrane-associated lipids or droplets of triacylglycerol in white adipocytes.
Ketoacidosis rarely may also be seen in cases of fasting.
An elevation of the ketone body concentration in the blood results in acidemia.
Each ketone body loses a proton (H+) as it circulates in the blood, which lowers the pH of the body.
Lipids are a major source of stored energy for the body, and they also provide the hydrophobic barrier that permits partitioning of the aqueous contents of cells and subcellular structures.
Lipids serve additional functions in the body, for example, some fat-soluble vitamins have regulatory or coenzyme functions, and the prostaglandins and steroid hormones play major roles in the control of the body’s homeostasis.
A fatty acid consists of a hydrophobic hydrocarbon chain with a terminal carboxyl group.
At physiologic pH, the terminal carboxyl group (–COOH) ionizes, becoming –COO–.
This anionic group has an affinity for water, giving the fatty acid its amphipathic nature (having both a hydrophilic and a hydrophobic region).
The first product in the cytosol for Fatty acid synthesis is malonyl - CoA (3C).
Each FAS monomer is a multicatalytic polypeptide and the enzyme has seven different enzymatic activities plus a domain that covalently binds a molecule of 4' - phosphopantetheine.
The first step going to fatty acid synthesis is irreversible and involves the carboxylation of acetyl CoA to form malonyl CoA.
Citrate is produced by the condensation of oxaloacetate (OAA) and acetyl CoA.
4' - Phosphopantetheine, a derivative of the vitamin pantothenic acid, carries acyl units on its terminal thiol (–SH) group during fatty acid synthesis.
Fatty acid synthase (FAS) is a multifunctional enzyme in eukaryotes.
Fatty acid synthesis is catalyzed by fatty acid synthase (FAS), which catalyzes a repeating four-step sequence that elongates the fatty acyl chain by two carbons at each step.
4' - Phosphopantetheine also is a component of CoA transfer onto the enzyme.
The carboxylation of acetyl CoA to form malonyl CoA is catalyzed by acetyl CoA carboxylase, which requires CO2 and ATP.
The coenzyme in the carboxylation of acetyl CoA to form malonyl CoA is the vitamin biotin, which is covalently bound to a lysyl residue of the carboxylase.
In every four steps of fatty acid synthesis, 2C are added to the fatty acid.
Fatty acid chains may contain no double bonds — that is, saturated — or contain one or more double bonds — that is, mono- or polyunsaturated.
When double bonds are present, they are nearly always in the cis rather than in the trans configuration.
The introduction of a cis double bond causes the fatty acid to bend or “kink” at that position.
If the fatty acid has two or more double bonds, they are always spaced at three-carbon intervals.
In general, the addition of double bonds decreases the melting temperature (Tm) of a fatty acid, while increasing the chain length increases the Tm.
Membrane lipids typically contain Long Chain Fatty Acid, and the presence of double bonds in some fatty acids helps maintain the fluid nature of those lipids.
The free (unesterified) fatty acids move through the cell membrane of the adipocyte, and bind to plasma albumin.
Because β-oxidation occurs in the mitochondrial matrix, the fatty acid must be transported across the inner mitochondrial membrane that is impermeable to CoA.
A specialized carrier transports the long-chain acyl group from the cytosol into the mitochondrial matrix.
DHAP can participate in glycolysis or gluconeogenesis.
The mobilization of stored fat is initiated by hormone-sensitive lipase, which removes a fatty acid from carbon 1 and/or carbon 3 of the TAG.
cAMP is produced in the adipocyte when one of several hormones (such as epinephrine or glucagon) binds to receptors on the cell membrane, and activates adenylyl cyclase.
Rather, glycerol is transported through the blood to the liver, where it can be phosphorylated.
Hormone-sensitive lipase (HSL) is activated when phosphorylated by a cAMP-dependent protein kinase.
Because acetyl CoA carboxylase is inhibited by hormone-directed phosphorylation when the cAMP-mediated cascade is activated, fatty acid synthesis is turned off when TAG degradation is turned on.
The resulting glycerol phosphate can be used to form TAG in the liver, or can be converted to DHAP by reversal of the glycerol phosphate dehydrogenase reaction.
They are transported to the tissues, enter cells, get activated to their CoA derivatives, and are oxidized for energy.
The glycerol released during TAG degradation cannot be metabolized by adipocytes because they apparently lack glycerol kinase.
After a long-chain fatty acid (LCFA) enters a cell, it is converted in the cytosol to its CoA derivative by long-chain fatty acyl CoA synthetase (thiokinase), an enzyme of the outer mitochondrial membrane.