What fraction of human energy needs is provided by dietary triacylglycerols?
About one-third of energy needs
What percentage of energy needs of the mammalian heart and liver is met by fatty acid oxidation?
About 80%
Which energy source do many hibernating animals, such as grizzly bears, rely on almost exclusively?
Fats (fatty acids/triacylglycerols)
For what type of energy needs are glucose and glycogen primarily used?
Short-term energy needs and quick delivery
For what type of energy needs are fats primarily used?
Long-term (months) energy storage with slow delivery
Why do fatty acids carry more energy per carbon than carbohydrates?
Because fatty acids are more reduced, giving more energy per carbon
Why are fats advantageous for storage compared with carbohydrates regarding water weight?
Fats are nonpolar and therefore carry less associated water
Where are bile salts synthesized and where are they stored?
What is the primary action of bile salts on dietary fats in the small intestine?
Bile salts emulsify dietary fats, forming mixed micelles in the small intestine.
What is the role of intestinal lipases in fat digestion?
Intestinal lipases degrade triacylglycerols.
After degradation by lipases, what happens to fatty acids and breakdown products in the intestine?
They are taken up by the intestinal mucosa and converted into triacylglycerols.
How are triacylglycerols transported from intestinal mucosa to tissues?
Triacylglycerols are incorporated with cholesterol and apolipoproteins into chylomicrons, which move through the lymphatic system and bloodstream to tissues.
Which protein activates lipoprotein lipase in the capillary?
ApoC-II activates lipoprotein lipase in the capillary.
What reaction does lipoprotein lipase catalyze at the capillary?
Lipoprotein lipase converts triacylglycerols to fatty acids and glycerol.
Once fatty acids enter myocytes or adipocytes, what are their two fates described?
Name two bile acids that have an R4 group of '-NHCH₂COO' or '-NHCH₂CH₂SO₃' as listed.
What structural feature of bile acids is highlighted in the lipid–bile acid diagram?
Bile acids have a hydrophobic side and a hydrophilic side that interact with lipids to form micelles.
Provide a concise summary of the sequence from dietary fat ingestion to fatty acid uptake by tissues.
1) Bile salts emulsify fats → 2) Intestinal lipases degrade triacylglycerols → 3) Intestinal mucosa converts products to triacylglycerols → 4) Chylomicrons transport them → 5) Lipoprotein lipase releases fatty acids for tissue uptake.
Which image illustrates the overall process of fatty acid absorption including bile salt emulsification and chylomicron transport?
See diagram: 
How are dietary lipids transported in the blood to storage sites?
They are transported in chylomicrons and brought to adipocytes.
After release from adipocytes, what protein binds fatty acids for delivery to other tissues?
Albumin binds released fatty acids for delivery to other tissues.
Which apolipoproteins are listed for chylomicrons?
What property of apolipoproteins explains their role in lipid particles?
Apolipoproteins are amphipathic (like a detergent).
Name the main lipid components present in chylomicrons.
Where is white fat primarily stored in the body?
From what conditions is beige fat derived?
What are the origins and primary function-related location of brown fat?
What signaling materials do adipocytes release to communicate with other organs?
Name three example protein adipokines listed in the notes.
List three lipid or small-molecule adipose-derived factors mentioned.
Which types of non-coding RNAs are specified as released by adipose tissue?
What are the main cellular components shown for white, beige, and brown adipocytes?
What effect does insulin have on adipocyte lipolysis?
Insulin inhibits lipolysis in adipocytes.
Which hormone activates adipocyte lipolysis during low glucose?
Glucagon activates lipolysis during low glucose.
What second messenger rises after glucagon receptor activation to promote lipolysis?
cAMP levels increase after glucagon receptor activation.
Which kinase is activated by cAMP to phosphorylate lipolytic proteins?
Protein kinase A (PKA) is activated by cAMP.
Name two enzymes or proteins phosphorylated by PKA to promote triacylglycerol breakdown.
What are the immediate lipid products of triacylglycerol hydrolysis in adipocytes?
How are released free fatty acids transported in the bloodstream?
Free fatty acids bind to serum albumin for transport in the bloodstream.
After uptake by muscle cells, into which pathways are fatty acids metabolized for energy?
What are the final common products of complete fatty acid oxidation listed in the diagram?
Which adipocyte enzyme abbreviations appear in the lipolysis diagram as initiating triglyceride breakdown?
What reaction do lipases catalyze?
Lipases catalyze triacylglycerol hydrolysis into free fatty acids and glycerol.
Where does triacylglycerol hydrolysis occur in adipocytes?
Hydrolysis occurs in the cytoplasm of adipocytes.
How does epinephrine (adrenaline) affect metabolism according to the text?
Epinephrine responds to stress and signals 'we need energy now,' increasing gluconeogenesis.
How does glucagon affect metabolism according to the text?
Glucagon responds to low blood sugar and signals 'we are out of glucose,' increasing glycogenolysis.
What is the combined effect of epinephrine and glucagon on triacylglycerol?
Both epinephrine and glucagon activate triacylglycerol breakdown.
What role does adenylate cyclase play in the hormone signaling diagram?
Adenylate cyclase converts ATP to cAMP (ATP → cAMP + PPi) in the signaling pathway.
How does insulin modulate the effect of glucagon/epinephrine on lipolysis?
Insulin stimulates a phosphatase that reverses the effect of glucagon/epinephrine.
How is hormone-sensitive lipase regulated in the pathway shown?
Protein kinase activation (via the signaling cascade) activates hormone-sensitive lipase; phosphatase inactivates it.
Do different lipases act on partially hydrolyzed glycerides?
Yes, different lipases work on diacylglycerol and monoacylglycerol.
Give an example of a mixed triacylglycerol mentioned in the text.
How does dietary glycerol first enter the glycolytic pathway?
Glycerol is phosphorylated by glycerol kinase to form glycerol 3-phosphate using ATP.
Which enzyme converts glycerol 3-phosphate to dihydroxyacetone phosphate and what cofactor is involved?
Glycerol 3-phosphate dehydrogenase converts glycerol 3-phosphate to dihydroxyacetone phosphate using NAD+ → NADH + H+.
What enzyme interconverts dihydroxyacetone phosphate and D-glyceraldehyde 3-phosphate?
Triose phosphate isomerase converts dihydroxyacetone phosphate to D-glyceraldehyde 3-phosphate.
How many ATP are produced from glycerol catabolism through the described reactions (gross and net)?
The subsequent reactions produce 21 ATP (20 net).
What metabolic capabilities does glycerol entry into glycolysis enable?
It allows limited anaerobic catabolism of fats and enables gluconeogenesis, creating a potential futile cycle.
Pathway diagram: show the sequence from glycerol to glycolysis (use image for illustration).

Where are fatty acids converted to fatty acyl-CoA inside the cell?
What are three cellular fates that require conversion of fatty acids to fatty acyl-CoA?
What is the first chemical step catalyzed by fatty acyl-CoA synthetase?
The carboxylate ion is adenylated by ATP to form a fatty acyl-adenylate and PPi.
How is fatty acyl-CoA formed from the enzyme-bound acyl-adenylate?
The thiol of coenzyme A attacks the acyl-adenylate, displacing AMP and forming the thioester fatty acyl-CoA.
What is the energetic change associated with the overall two-step activation of a fatty acid to fatty acyl-CoA?
Which molecule is hydrolyzed immediately after formation of fatty acyl-adenylate, and by what general process?
The pyrophosphate (PPi) released is immediately hydrolyzed to two Pi (inorganic phosphate).
Use the diagram showing fatty acyl-CoA synthetase to review the activation steps (image on answer).
- ATP adenylates the fatty acid → acyl-adenylate + PPi
- CoA-SH attacks to give fatty acyl-CoA + AMP
Which fatty acids diffuse freely across mitochondrial membranes?
What enzyme attaches larger fatty acyl-CoAs to carnitine and where does this occur?
How does the carnitine acyl-carnitine carrier move fatty acyl groups into the matrix?
What reaction does Carnitine acyltransferase II (CAT II) perform inside the matrix?
Where does β-oxidation of transported fatty acyl groups occur?
Illustrate the carnitine shuttle's main components and steps.

Where does fatty acid (β-oxidation) occur in the cell?
Mitochondrial matrix
What is the main outcome of Stage 1 (β-oxidation) of fatty acid oxidation?
Oxidative conversion of two-carbon units into acetyl-CoA, generating NADH and FADH2
What chemical transformation occurs to the fatty acyl-CoA β-carbon during β-oxidation?
Oxidation of the fatty acyl-CoA β-carbon to a thioester
What occurs in Stage 2 of fatty acid oxidation?
Oxidation of acetyl-CoA into CO₂ via the citric acid cycle, generating NADH and FADH2
What is produced in Stage 3 of fatty acid oxidation from NADH and FADH2?
ATP via oxidative phosphorylation (respiratory electron-transfer chain)
Name the main steps of the carnitine shuttle shown in the pathway.
List the core enzymatic steps of the β-oxidation cycle shown in the diagram.
What are the immediate products after one cycle of β-oxidation according to the pathway text?
Shortened fatty acyl-CoA (−2C) plus one acetyl-CoA
What are the electron carriers generated during stages 1 and 2 that feed into the respiratory chain?
NADH and FADH2
What are the final electron-transfer chain products listed in the diagram when ATP is produced?
What does each round of the β-oxidation cycle remove from the fatty acyl-CoA?
One 2‑carbon acetyl group removed as acetyl‑CoA.
How many β-oxidation rounds are required to oxidize palmitoyl‑CoA (C16)?
Seven rounds of β‑oxidation.
How many acetyl‑CoA molecules are produced from one 16‑carbon palmitate?
What is the first enzymatic step in each β‑oxidation cycle and its cofactor change?
Acyl‑CoA dehydrogenase oxidizes the acyl‑CoA; FAD is reduced to FADH2.
What reaction does enoyl‑CoA hydratase perform in β‑oxidation?
Enoyl‑CoA hydratase adds H2O across the double bond to form L‑β‑hydroxyacyl‑CoA.
What is the role of β‑hydroxyacyl‑CoA dehydrogenase in the cycle and which cofactor is involved?
It oxidizes L‑β‑hydroxyacyl‑CoA to β‑ketoacyl‑CoA using NAD+, producing NADH + H+.
What reaction does acyl‑CoA acetyltransferase (thiolase) catalyze in β‑oxidation?
Thiolase cleaves β‑ketoacyl‑CoA to yield acetyl‑CoA and a shortened acyl‑CoA (e.g., C16 → C14 + acetyl‑CoA).
What is an example of the shortened acyl‑CoA after one round of palmitoyl‑CoA β‑oxidation?
Palmitoyl‑CoA (C16) becomes myristoyl‑CoA (C14) plus acetyl‑CoA.
List the main enzymes of one β‑oxidation cycle in order (compact summary).

Where do acyl-CoA dehydrogenases dehydrogenate alkanes to alkenes?
On the inner mitochondrial membrane
What is the product stereochemistry formed by acyl-CoA dehydrogenase dehydrogenation?
A trans double bond
Name the three chain-length specific acyl-CoA dehydrogenases listed.
Which electron carrier is reduced by acyl-CoA dehydrogenase during dehydrogenation?
FAD
How are electrons from the bound FAD of acyl-CoA dehydrogenase transferred to the electron transport chain?
They are transferred directly to the electron transport chain via an electron-transferring flavoprotein (ETF)
Which citric acid cycle enzyme reaction is the acyl-CoA dehydrogenase step similar to?
The succinate dehydrogenase reaction
In β-oxidation, what chemical change occurs during the hydration (Step 2)?
The double bond (alkene) is hydrated with water to produce an alcohol catalyzed by enoyl-CoA hydratases.
Which enzymes catalyze the hydration of enoyl-CoA?
What is the stereospecific product of enoyl-CoA hydration?
L-β-hydroxy-acyl-CoA (L-B-hydroxy-acyl-CoA). 
How does the enoyl-CoA hydration compare to a citric acid cycle reaction?
It is similar to the fumarase reaction in the citric acid cycle and has the same stereospecificity.
Which enzyme catalyzes the dehydrogenation of L-β-hydroxyacyl-CoA to β-ketoacyl-CoA?

What cofactor acts as the hydride acceptor for β-hydroxyacyl-CoA dehydrogenase?
The dehydrogenation by β-hydroxyacyl-CoA dehydrogenase is similar to which citric acid cycle reaction?
What is the overall net chemical event in the chain transfer step of β-oxidation?
Thiolysis of a carbon–carbon bond, yielding a shortened acyl‑CoA and acetyl‑CoA.
Which carbon in 3-ketoacyl‑CoA is electrophilic during chain transfer?
The carbonyl carbon of 3-ketoacyl‑CoA is electrophilic.
What role does the enzyme active site thiolate play in the chain transfer step?
The active site thiolate acts as a nucleophile that attacks and releases acetyl‑CoA from the substrate.
How does CoA‑SH participate in transferring the fatty acid chain during thiolysis?
The terminal sulfur of CoA‑SH acts as a nucleophile and accepts the fatty acid chain from the enzyme to form a new acyl‑CoA.
What are the two products formed after thiolysis in the chain transfer step?
Give a brief description of the chain transfer step illustrated in the diagram.
3‑Ketoacyl‑CoA undergoes enzyme‑mediated thiolysis: enzyme thiolate forms intermediate releasing acetyl‑CoA; CoA‑SH attacks to produce a shortened acyl‑CoA. 
Which enzyme complex catalyzes steps 2–4 of fatty acid β‑oxidation for chains ≥12 carbons?
The trifunctional protein (TFP) complex catalyzes steps 2–4 and processes fatty acid chains with 12 or more carbons.
What is the quaternary structure of the trifunctional protein and one functional consequence?
TFP is a hetero-octamer, and this quaternary structure allows substrate channeling.
Which enzymatic activities are carried on the four TFP alpha (a) subunits?
What activity do the four TFP beta (ẞ) subunits provide?
The four TFP ẞ subunits provide long-chain 3-ketoacyl-CoA thiolase activity.
How are shorter fatty acyl chains (less than 12 carbons) processed after TFP action?
Soluble enzymes in the mitochondrial matrix process shorter chains, including those broken down by TFP to less than 12 carbons.
How does TFP function change with age and what molecule was shown to affect FA oxidation and CD8+ T cells?
TFP function decreases with age; spermidine, a natural polyamine, increased fatty acid oxidation and rejuvenated CD8+ T cells.
What does the provided diagram illustrate about TFP and related components?
Illustration of the TFP complex, acyl-CoA dehydrogenases, TFPα (hydratase and dehydrogenase), TFPẞ (thiolase), MOM, MIM, OXPHOS, and the TCA cycle

Write the overall reaction for one cycle of fatty acid β-oxidation (substrate C-acyl-CoA).
C-acyl-CoA + FAD + NAD+ + H₂O + COA → Cn-2-acyl-CoA + FADH2 + NADH + H+ + acetyl-CoA
How many β-oxidation cycles are required to fully degrade palmitate (C16)?
7 cycles
How many acetyl-CoA molecules are produced from complete oxidation of palmitate (C16)?
8 acetyl-CoA
What are the NADH, FADH2 yields per palmitate from the β-oxidation dehydrogenase steps listed?
What is the ATP yield assumed per NADH and per FADH2 during oxidative phosphorylation in these calculations?
What is the total ATP yield from complete oxidation of one palmitoyl-CoA to CO₂ and H₂O (per the table)?
108 ATP
Per acetyl-CoA entering the citric acid cycle, what reduced cofactors and high-energy product are formed?
Show the table image illustrating ATP yield from palmitoyl-CoA oxidation (use as study aid).

Show the diagram image of fatty acid catabolism (use as study aid).

What general observation is made about cellular processes?
Cellular processes often have similar pathways.
What is β-oxidation described as in the text?
A conserved reaction sequence to convert a β-carbon to a carbonyl.
Name the three processes compared in the provided diagram.
What type of double bonds do unsaturated fatty acids contain, and are they substrates for enoyl-CoA hydratase (Step 2)?
What enzymatic step is required for monounsaturated fatty acid β-oxidation when a cis double bond starts at carbon 3?
An isomerase converts the cis double bond at carbon 3 to a trans double bond (Δ3 → Δ2 isomerization).
In the provided Oleoyl-CoA pathway, what intermediate is formed after three β-oxidation cycles and which enzyme converts it to a trans-Δ2 form?
According to the diagram transcript, how many Acetyl-CoA units are produced after the initial three β-oxidation cycles of Oleoyl-CoA, and how many after the subsequent five cycles?
Where should the diagram illustrating Δ3, Δ2-enoyl-CoA isomerase be placed for a question about the image contents?
Use the diagram on the question side when asking about structures or processes visible in the image: 
Which enzymes are required for polyunsaturated fatty acid β-oxidation?
What does the first double bond encountered in polyunsaturated FA β-oxidation require?
Isomerization
What does the second double bond encountered in polyunsaturated FA β-oxidation require?
Reduction and/or isomerization
What is the double-bond configuration of linoleoyl-CoA as listed?
cis-Δ9, cis-Δ12
How many acetyl-CoA molecules are produced after the three β-oxidation cycles shown for linoleoyl-CoA?
3 Acetyl-CoA
Which two specific enzymes are highlighted in the diagram of polyunsaturated FA β-oxidation? 
Which organisms commonly synthesize odd-numbered fatty acids?
What intermediate forms from β-oxidation of odd-numbered fatty acids?
Propionyl-CoA
Is propionyl-CoA gluconeogenic or ketogenic?
Gluconeogenic
Name two biological sources or routes that produce propionyl-CoA besides odd-chain β-oxidation.
Which coenzyme is required to break down odd-numbered fatty acids?
Coenzyme B12 (cobalamin)
Which trace element is used by coenzyme B12?
Cobalt
How is coenzyme B12 formed in a rare reaction involving ATP?
By a reaction that cleaves the triphosphate from ATP
Which conversion in odd-chain fatty acid metabolism requires coenzyme B12?

What hematologic function requires vitamin B12?
Vitamin B12 is required to make red blood cells
What condition results from vitamin B12 deficiency due to intestinal malabsorption?
Pernicious anemia
Name two clinical consequences of vitamin B12 deficiency mentioned in the text.
How is vitamin B12 deficiency treated as stated in the text?
Treat with large doses of vitamin B12
What structural features are highlighted in the coenzyme B12 molecular diagram?

What effect does insulin have on fatty acid metabolism?
Insulin activates fatty acid synthesis by causing acetyl-CoA carboxylase to be dephosphorylated.
What effect does glucagon have on fatty acid metabolism?
Glucagon activates fatty acid breakdown and causes acetyl-CoA carboxylase to be phosphorylated.
Where does most β-oxidation occur in animals?
Mitochondria (with mitochondrial acyl-CoA dehydrogenase passing electrons into the respiratory chain)
What role do peroxisomes play in animal fatty acid β-oxidation?
They are used only to breakdown very long fatty acids (≥ 22 carbons).
How are electrons from mitochondrial acyl-CoA dehydrogenase transferred in animals and what is the energy outcome?
Electrons pass to an electron-transferring flavoprotein and into the respiratory chain; energy is captured as ATP.
In plants, where does β-oxidation occur in leaves and in seeds?
Leaves: peroxisomal β-oxidation; Seeds: glyoxysomal β-oxidation.
In plant peroxisomal/glyoxysomal β-oxidation, what is the final electron acceptor and what happens to the released energy?
Electrons are passed directly to molecular oxygen (O2) and the energy is released as heat.
Show a diagram comparing mitochondrial versus peroxisomal/glyoxysomal β-oxidation.

Use this diagram to review differences in electron transfer and energy outcome between mitochondrion and peroxisome/glyoxysome.
Show a diagram of peroxisome/glyoxysome pathways including VLCFA processing.

Refer to it to visualize VLCFA-CoA and BCFA-CoA processing, ROS metabolism, and bile acid synthesis links.
Show a diagram of glyoxysome seed triacylglycerol conversion to glucose.

Use this to review conversion of seed triacylglycerols through β-oxidation and the glyoxylate cycle to gluconeogenesis and glucose.
What are 'ketone bodies' in biochemical metabolism?
Water-soluble molecules produced from acetyl-CoA when glucose is low; formed by ketogenesis in the liver.
When does the body convert fats (as acetyl-CoA) into ketone bodies?
During times of low glucose the liver converts fats (acetyl-CoA) into ketone bodies via ketogenesis.
What is the first enzymatic step in ketogenesis described in the notes?
A thiolase reaction that joins two acetate units; it is the reverse of the last step in β-oxidation.
Name the three interconvertible ketone bodies listed.
Show a diagram of the ketogenesis pathway that starts from 2 Acetyl-CoA.
Pathway diagram:
(Thiolase → HMG-CoA synthase → HMG-CoA lyase → Acetoacetate / ẞ-hydroxybutyrate)
Provide an image of the molecular structure of acetoacetate.
Molecular structure:
Name: Acetoacetate
Provide an image of the molecular structure of ẞ-hydroxybutyrate.
Molecular structure:
Name: ẞ-hydroxybutyrate
In which tissues does the provided diagram show ketone body production and related processes?

Name three key metabolites labeled in the ketone body production diagram.

List enzymes or proteins shown in the ketone body production diagram.

Which metabolic cycle is indicated as connected to ketone body metabolism in the diagram?

Which physiological states are plotted on the plasma βHB concentration graph?

What does the plasma βHB graph indicate about concentration ranges?

Why is acetyl-CoA converted into ketone bodies when oxaloacetate is depleted?
Because entry of acetyl-CoA into the citric acid cycle requires oxaloacetate, so when oxaloacetate is depleted acetyl-CoA is diverted to ketone body formation.
How does ketone body formation affect CoA availability for ẞ-oxidation?
Conversion of acetyl-CoA into ketone bodies frees CoA, allowing continued ẞ-oxidation.
Where are ketone bodies synthesized and can the liver use them for its own energy?
Ketone bodies are made in the liver, but the liver lacks ẞ-ketoacyl-CoA transferase so it cannot use them for energy.
How do ketone bodies reach other tissues?
Ketone bodies travel from the liver to other tissues through the bloodstream.
What happens to ketone bodies once they enter a peripheral cell?
They are imported into the mitochondria and converted into acetyl-CoA, which then enters the citric acid cycle.
Can acetyl-CoA produced from ketone bodies be converted back into pyruvate or glucose?
No, acetyl-CoA cannot be converted back to pyruvate or glucose.
Which enzymes are named in the pathway converting ketone bodies back to acetyl-CoA?
The pathway is shown as proceeding via ẞ-ketoacyl-CoA transferase and thiolase.
What happens to ketone body production in healthy, well-nourished individuals?
Healthy, well-nourished individuals produce ketone bodies at a relatively low rate.
Under what metabolic conditions do ketone bodies increase and why?
During starvation and diabetes, cellular glucose is low, oxaloacetate is depleted, and acetyl-CoA accumulates, increasing ketone production.
Where are ketone bodies synthesized and how are they distributed?
Ketone bodies are made in the liver mitochondrial matrix and released into the bloodstream.
Which organs use ketone bodies as an energy source?
Ketone bodies are used by the brain, heart, and muscle.
What are the clinical consequences of high ketone body levels?
High ketone body levels lower blood pH, causing ketoacidosis.
What causes the characteristic breath odor in ketosis or ketoacidosis?
High blood acetone results in a characteristic breath odor.
Name the two ketone bodies exported as energy sources mentioned in the diagram transcript.
Use the diagram of hepatic ketogenesis as an illustration of ketone export (image on answer).
Diagram:
This shows acetoacetate and D-β-hydroxybutyrate exported as energy sources for heart, skeletal muscle, kidney, and brain.
Why can the adult brain not rely primarily on fatty acids for energy?
Which two substrates must be used as energy for the brain?
Why is glucose preferred over fatty acids for ATP generation in neurons?
Give one reason albumin does not deliver fatty acids to the brain.
What brain cell type also produces ketone bodies?

What fraction of human energy needs is provided by dietary triacylglycerols?
About one-third of energy needs
What percentage of energy needs of the mammalian heart and liver is met by fatty acid oxidation?
About 80%
Which energy source do many hibernating animals, such as grizzly bears, rely on almost exclusively?
Fats (fatty acids/triacylglycerols)
For what type of energy needs are glucose and glycogen primarily used?
Short-term energy needs and quick delivery
For what type of energy needs are fats primarily used?
Long-term (months) energy storage with slow delivery
Why do fatty acids carry more energy per carbon than carbohydrates?
Because fatty acids are more reduced, giving more energy per carbon
Why are fats advantageous for storage compared with carbohydrates regarding water weight?
Fats are nonpolar and therefore carry less associated water
What is the primary action of bile salts on dietary fats in the small intestine?
Bile salts emulsify dietary fats, forming mixed micelles in the small intestine.
What is the role of intestinal lipases in fat digestion?
Intestinal lipases degrade triacylglycerols.
After degradation by lipases, what happens to fatty acids and breakdown products in the intestine?
They are taken up by the intestinal mucosa and converted into triacylglycerols.
How are triacylglycerols transported from intestinal mucosa to tissues?
Triacylglycerols are incorporated with cholesterol and apolipoproteins into chylomicrons, which move through the lymphatic system and bloodstream to tissues.
Which protein activates lipoprotein lipase in the capillary?
ApoC-II activates lipoprotein lipase in the capillary.
What reaction does lipoprotein lipase catalyze at the capillary?
Lipoprotein lipase converts triacylglycerols to fatty acids and glycerol.
Once fatty acids enter myocytes or adipocytes, what are their two fates described?
Name two bile acids that have an R4 group of '-NHCH₂COO' or '-NHCH₂CH₂SO₃' as listed.
What structural feature of bile acids is highlighted in the lipid–bile acid diagram?
Bile acids have a hydrophobic side and a hydrophilic side that interact with lipids to form micelles.
Provide a concise summary of the sequence from dietary fat ingestion to fatty acid uptake by tissues.
1) Bile salts emulsify fats → 2) Intestinal lipases degrade triacylglycerols → 3) Intestinal mucosa converts products to triacylglycerols → 4) Chylomicrons transport them → 5) Lipoprotein lipase releases fatty acids for tissue uptake.
Which image illustrates the overall process of fatty acid absorption including bile salt emulsification and chylomicron transport?
See diagram: 
How are dietary lipids transported in the blood to storage sites?
They are transported in chylomicrons and brought to adipocytes.
After release from adipocytes, what protein binds fatty acids for delivery to other tissues?
Albumin binds released fatty acids for delivery to other tissues.
What property of apolipoproteins explains their role in lipid particles?
Apolipoproteins are amphipathic (like a detergent).
Name the main lipid components present in chylomicrons.
Where is white fat primarily stored in the body?
What are the origins and primary function-related location of brown fat?
What signaling materials do adipocytes release to communicate with other organs?
List three lipid or small-molecule adipose-derived factors mentioned.
Which types of non-coding RNAs are specified as released by adipose tissue?
What are the main cellular components shown for white, beige, and brown adipocytes?
Which hormone activates adipocyte lipolysis during low glucose?
Glucagon activates lipolysis during low glucose.
What second messenger rises after glucagon receptor activation to promote lipolysis?
cAMP levels increase after glucagon receptor activation.
Which kinase is activated by cAMP to phosphorylate lipolytic proteins?
Protein kinase A (PKA) is activated by cAMP.
Name two enzymes or proteins phosphorylated by PKA to promote triacylglycerol breakdown.
What are the immediate lipid products of triacylglycerol hydrolysis in adipocytes?
How are released free fatty acids transported in the bloodstream?
Free fatty acids bind to serum albumin for transport in the bloodstream.
After uptake by muscle cells, into which pathways are fatty acids metabolized for energy?
Which adipocyte enzyme abbreviations appear in the lipolysis diagram as initiating triglyceride breakdown?
What reaction do lipases catalyze?
Lipases catalyze triacylglycerol hydrolysis into free fatty acids and glycerol.
Where does triacylglycerol hydrolysis occur in adipocytes?
Hydrolysis occurs in the cytoplasm of adipocytes.
How does epinephrine (adrenaline) affect metabolism according to the text?
Epinephrine responds to stress and signals 'we need energy now,' increasing gluconeogenesis.
How does glucagon affect metabolism according to the text?
Glucagon responds to low blood sugar and signals 'we are out of glucose,' increasing glycogenolysis.
What is the combined effect of epinephrine and glucagon on triacylglycerol?
Both epinephrine and glucagon activate triacylglycerol breakdown.
What role does adenylate cyclase play in the hormone signaling diagram?
Adenylate cyclase converts ATP to cAMP (ATP → cAMP + PPi) in the signaling pathway.
How does insulin modulate the effect of glucagon/epinephrine on lipolysis?
Insulin stimulates a phosphatase that reverses the effect of glucagon/epinephrine.
How is hormone-sensitive lipase regulated in the pathway shown?
Protein kinase activation (via the signaling cascade) activates hormone-sensitive lipase; phosphatase inactivates it.
Do different lipases act on partially hydrolyzed glycerides?
Yes, different lipases work on diacylglycerol and monoacylglycerol.
Give an example of a mixed triacylglycerol mentioned in the text.
How does dietary glycerol first enter the glycolytic pathway?
Glycerol is phosphorylated by glycerol kinase to form glycerol 3-phosphate using ATP.
Which enzyme converts glycerol 3-phosphate to dihydroxyacetone phosphate and what cofactor is involved?
Glycerol 3-phosphate dehydrogenase converts glycerol 3-phosphate to dihydroxyacetone phosphate using NAD+ → NADH + H+.
What enzyme interconverts dihydroxyacetone phosphate and D-glyceraldehyde 3-phosphate?
Triose phosphate isomerase converts dihydroxyacetone phosphate to D-glyceraldehyde 3-phosphate.
How many ATP are produced from glycerol catabolism through the described reactions (gross and net)?
The subsequent reactions produce 21 ATP (20 net).
What metabolic capabilities does glycerol entry into glycolysis enable?
It allows limited anaerobic catabolism of fats and enables gluconeogenesis, creating a potential futile cycle.
Pathway diagram: show the sequence from glycerol to glycolysis (use image for illustration).

Where are fatty acids converted to fatty acyl-CoA inside the cell?
What are three cellular fates that require conversion of fatty acids to fatty acyl-CoA?
What is the first chemical step catalyzed by fatty acyl-CoA synthetase?
The carboxylate ion is adenylated by ATP to form a fatty acyl-adenylate and PPi.
How is fatty acyl-CoA formed from the enzyme-bound acyl-adenylate?
The thiol of coenzyme A attacks the acyl-adenylate, displacing AMP and forming the thioester fatty acyl-CoA.
What is the energetic change associated with the overall two-step activation of a fatty acid to fatty acyl-CoA?
Which molecule is hydrolyzed immediately after formation of fatty acyl-adenylate, and by what general process?
The pyrophosphate (PPi) released is immediately hydrolyzed to two Pi (inorganic phosphate).
Use the diagram showing fatty acyl-CoA synthetase to review the activation steps (image on answer).
- ATP adenylates the fatty acid → acyl-adenylate + PPi
- CoA-SH attacks to give fatty acyl-CoA + AMP
What enzyme attaches larger fatty acyl-CoAs to carnitine and where does this occur?
How does the carnitine acyl-carnitine carrier move fatty acyl groups into the matrix?
What reaction does Carnitine acyltransferase II (CAT II) perform inside the matrix?
Where does β-oxidation of transported fatty acyl groups occur?
Illustrate the carnitine shuttle's main components and steps.

What is the main outcome of Stage 1 (β-oxidation) of fatty acid oxidation?
Oxidative conversion of two-carbon units into acetyl-CoA, generating NADH and FADH2
What chemical transformation occurs to the fatty acyl-CoA β-carbon during β-oxidation?
Oxidation of the fatty acyl-CoA β-carbon to a thioester
What occurs in Stage 2 of fatty acid oxidation?
Oxidation of acetyl-CoA into CO₂ via the citric acid cycle, generating NADH and FADH2
What is produced in Stage 3 of fatty acid oxidation from NADH and FADH2?
ATP via oxidative phosphorylation (respiratory electron-transfer chain)
Name the main steps of the carnitine shuttle shown in the pathway.
List the core enzymatic steps of the β-oxidation cycle shown in the diagram.
What are the immediate products after one cycle of β-oxidation according to the pathway text?
Shortened fatty acyl-CoA (−2C) plus one acetyl-CoA
What are the electron carriers generated during stages 1 and 2 that feed into the respiratory chain?
NADH and FADH2
What are the final electron-transfer chain products listed in the diagram when ATP is produced?
What does each round of the β-oxidation cycle remove from the fatty acyl-CoA?
One 2‑carbon acetyl group removed as acetyl‑CoA.
How many β-oxidation rounds are required to oxidize palmitoyl‑CoA (C16)?
Seven rounds of β‑oxidation.
How many acetyl‑CoA molecules are produced from one 16‑carbon palmitate?
What is the first enzymatic step in each β‑oxidation cycle and its cofactor change?
Acyl‑CoA dehydrogenase oxidizes the acyl‑CoA; FAD is reduced to FADH2.
What reaction does enoyl‑CoA hydratase perform in β‑oxidation?
Enoyl‑CoA hydratase adds H2O across the double bond to form L‑β‑hydroxyacyl‑CoA.
What is the role of β‑hydroxyacyl‑CoA dehydrogenase in the cycle and which cofactor is involved?
It oxidizes L‑β‑hydroxyacyl‑CoA to β‑ketoacyl‑CoA using NAD+, producing NADH + H+.
What reaction does acyl‑CoA acetyltransferase (thiolase) catalyze in β‑oxidation?
Thiolase cleaves β‑ketoacyl‑CoA to yield acetyl‑CoA and a shortened acyl‑CoA (e.g., C16 → C14 + acetyl‑CoA).
What is an example of the shortened acyl‑CoA after one round of palmitoyl‑CoA β‑oxidation?
Palmitoyl‑CoA (C16) becomes myristoyl‑CoA (C14) plus acetyl‑CoA.
List the main enzymes of one β‑oxidation cycle in order (compact summary).

Where do acyl-CoA dehydrogenases dehydrogenate alkanes to alkenes?
On the inner mitochondrial membrane
What is the product stereochemistry formed by acyl-CoA dehydrogenase dehydrogenation?
A trans double bond
Name the three chain-length specific acyl-CoA dehydrogenases listed.
How are electrons from the bound FAD of acyl-CoA dehydrogenase transferred to the electron transport chain?
They are transferred directly to the electron transport chain via an electron-transferring flavoprotein (ETF)
Which citric acid cycle enzyme reaction is the acyl-CoA dehydrogenase step similar to?
The succinate dehydrogenase reaction
In β-oxidation, what chemical change occurs during the hydration (Step 2)?
The double bond (alkene) is hydrated with water to produce an alcohol catalyzed by enoyl-CoA hydratases.
Which enzymes catalyze the hydration of enoyl-CoA?
What is the stereospecific product of enoyl-CoA hydration?
L-β-hydroxy-acyl-CoA (L-B-hydroxy-acyl-CoA). 
How does the enoyl-CoA hydration compare to a citric acid cycle reaction?
It is similar to the fumarase reaction in the citric acid cycle and has the same stereospecificity.
Which enzyme catalyzes the dehydrogenation of L-β-hydroxyacyl-CoA to β-ketoacyl-CoA?

What cofactor acts as the hydride acceptor for β-hydroxyacyl-CoA dehydrogenase?
The dehydrogenation by β-hydroxyacyl-CoA dehydrogenase is similar to which citric acid cycle reaction?
What is the overall net chemical event in the chain transfer step of β-oxidation?
Thiolysis of a carbon–carbon bond, yielding a shortened acyl‑CoA and acetyl‑CoA.
Which carbon in 3-ketoacyl‑CoA is electrophilic during chain transfer?
The carbonyl carbon of 3-ketoacyl‑CoA is electrophilic.
What role does the enzyme active site thiolate play in the chain transfer step?
The active site thiolate acts as a nucleophile that attacks and releases acetyl‑CoA from the substrate.
How does CoA‑SH participate in transferring the fatty acid chain during thiolysis?
The terminal sulfur of CoA‑SH acts as a nucleophile and accepts the fatty acid chain from the enzyme to form a new acyl‑CoA.
What are the two products formed after thiolysis in the chain transfer step?
Give a brief description of the chain transfer step illustrated in the diagram.
3‑Ketoacyl‑CoA undergoes enzyme‑mediated thiolysis: enzyme thiolate forms intermediate releasing acetyl‑CoA; CoA‑SH attacks to produce a shortened acyl‑CoA. 
Which enzyme complex catalyzes steps 2–4 of fatty acid β‑oxidation for chains ≥12 carbons?
The trifunctional protein (TFP) complex catalyzes steps 2–4 and processes fatty acid chains with 12 or more carbons.
What is the quaternary structure of the trifunctional protein and one functional consequence?
TFP is a hetero-octamer, and this quaternary structure allows substrate channeling.
Which enzymatic activities are carried on the four TFP alpha (a) subunits?
What activity do the four TFP beta (ẞ) subunits provide?
The four TFP ẞ subunits provide long-chain 3-ketoacyl-CoA thiolase activity.
How are shorter fatty acyl chains (less than 12 carbons) processed after TFP action?
Soluble enzymes in the mitochondrial matrix process shorter chains, including those broken down by TFP to less than 12 carbons.
How does TFP function change with age and what molecule was shown to affect FA oxidation and CD8+ T cells?
TFP function decreases with age; spermidine, a natural polyamine, increased fatty acid oxidation and rejuvenated CD8+ T cells.
What does the provided diagram illustrate about TFP and related components?
Illustration of the TFP complex, acyl-CoA dehydrogenases, TFPα (hydratase and dehydrogenase), TFPẞ (thiolase), MOM, MIM, OXPHOS, and the TCA cycle

Write the overall reaction for one cycle of fatty acid β-oxidation (substrate C-acyl-CoA).
C-acyl-CoA + FAD + NAD+ + H₂O + COA → Cn-2-acyl-CoA + FADH2 + NADH + H+ + acetyl-CoA
What are the NADH, FADH2 yields per palmitate from the β-oxidation dehydrogenase steps listed?
What is the ATP yield assumed per NADH and per FADH2 during oxidative phosphorylation in these calculations?
What is the total ATP yield from complete oxidation of one palmitoyl-CoA to CO₂ and H₂O (per the table)?
108 ATP
Per acetyl-CoA entering the citric acid cycle, what reduced cofactors and high-energy product are formed?
Show the table image illustrating ATP yield from palmitoyl-CoA oxidation (use as study aid).

Show the diagram image of fatty acid catabolism (use as study aid).

What general observation is made about cellular processes?
Cellular processes often have similar pathways.
What is β-oxidation described as in the text?
A conserved reaction sequence to convert a β-carbon to a carbonyl.
Name the three processes compared in the provided diagram.
What type of double bonds do unsaturated fatty acids contain, and are they substrates for enoyl-CoA hydratase (Step 2)?
What enzymatic step is required for monounsaturated fatty acid β-oxidation when a cis double bond starts at carbon 3?
An isomerase converts the cis double bond at carbon 3 to a trans double bond (Δ3 → Δ2 isomerization).
In the provided Oleoyl-CoA pathway, what intermediate is formed after three β-oxidation cycles and which enzyme converts it to a trans-Δ2 form?
According to the diagram transcript, how many Acetyl-CoA units are produced after the initial three β-oxidation cycles of Oleoyl-CoA, and how many after the subsequent five cycles?
Where should the diagram illustrating Δ3, Δ2-enoyl-CoA isomerase be placed for a question about the image contents?
Use the diagram on the question side when asking about structures or processes visible in the image: 
Which enzymes are required for polyunsaturated fatty acid β-oxidation?
What does the first double bond encountered in polyunsaturated FA β-oxidation require?
Isomerization
What does the second double bond encountered in polyunsaturated FA β-oxidation require?
Reduction and/or isomerization
How many acetyl-CoA molecules are produced after the three β-oxidation cycles shown for linoleoyl-CoA?
3 Acetyl-CoA
Which two specific enzymes are highlighted in the diagram of polyunsaturated FA β-oxidation? 
Name two biological sources or routes that produce propionyl-CoA besides odd-chain β-oxidation.
How is coenzyme B12 formed in a rare reaction involving ATP?
By a reaction that cleaves the triphosphate from ATP
Which conversion in odd-chain fatty acid metabolism requires coenzyme B12?

What condition results from vitamin B12 deficiency due to intestinal malabsorption?
Pernicious anemia
Name two clinical consequences of vitamin B12 deficiency mentioned in the text.
What structural features are highlighted in the coenzyme B12 molecular diagram?

What effect does insulin have on fatty acid metabolism?
Insulin activates fatty acid synthesis by causing acetyl-CoA carboxylase to be dephosphorylated.
What effect does glucagon have on fatty acid metabolism?
Glucagon activates fatty acid breakdown and causes acetyl-CoA carboxylase to be phosphorylated.
Where does most β-oxidation occur in animals?
Mitochondria (with mitochondrial acyl-CoA dehydrogenase passing electrons into the respiratory chain)
What role do peroxisomes play in animal fatty acid β-oxidation?
They are used only to breakdown very long fatty acids (≥ 22 carbons).
How are electrons from mitochondrial acyl-CoA dehydrogenase transferred in animals and what is the energy outcome?
Electrons pass to an electron-transferring flavoprotein and into the respiratory chain; energy is captured as ATP.
In plants, where does β-oxidation occur in leaves and in seeds?
Leaves: peroxisomal β-oxidation; Seeds: glyoxysomal β-oxidation.
In plant peroxisomal/glyoxysomal β-oxidation, what is the final electron acceptor and what happens to the released energy?
Electrons are passed directly to molecular oxygen (O2) and the energy is released as heat.
Show a diagram comparing mitochondrial versus peroxisomal/glyoxysomal β-oxidation.

Use this diagram to review differences in electron transfer and energy outcome between mitochondrion and peroxisome/glyoxysome.
Show a diagram of peroxisome/glyoxysome pathways including VLCFA processing.

Refer to it to visualize VLCFA-CoA and BCFA-CoA processing, ROS metabolism, and bile acid synthesis links.
Show a diagram of glyoxysome seed triacylglycerol conversion to glucose.

Use this to review conversion of seed triacylglycerols through β-oxidation and the glyoxylate cycle to gluconeogenesis and glucose.
What are 'ketone bodies' in biochemical metabolism?
Water-soluble molecules produced from acetyl-CoA when glucose is low; formed by ketogenesis in the liver.
When does the body convert fats (as acetyl-CoA) into ketone bodies?
During times of low glucose the liver converts fats (acetyl-CoA) into ketone bodies via ketogenesis.
What is the first enzymatic step in ketogenesis described in the notes?
A thiolase reaction that joins two acetate units; it is the reverse of the last step in β-oxidation.
Show a diagram of the ketogenesis pathway that starts from 2 Acetyl-CoA.
Pathway diagram:
(Thiolase → HMG-CoA synthase → HMG-CoA lyase → Acetoacetate / ẞ-hydroxybutyrate)
Provide an image of the molecular structure of acetoacetate.
Molecular structure:
Name: Acetoacetate
Provide an image of the molecular structure of ẞ-hydroxybutyrate.
Molecular structure:
Name: ẞ-hydroxybutyrate
In which tissues does the provided diagram show ketone body production and related processes?

Name three key metabolites labeled in the ketone body production diagram.

Which physiological states are plotted on the plasma βHB concentration graph?

What does the plasma βHB graph indicate about concentration ranges?

Why is acetyl-CoA converted into ketone bodies when oxaloacetate is depleted?
Because entry of acetyl-CoA into the citric acid cycle requires oxaloacetate, so when oxaloacetate is depleted acetyl-CoA is diverted to ketone body formation.
How does ketone body formation affect CoA availability for ẞ-oxidation?
Conversion of acetyl-CoA into ketone bodies frees CoA, allowing continued ẞ-oxidation.
Where are ketone bodies synthesized and can the liver use them for its own energy?
Ketone bodies are made in the liver, but the liver lacks ẞ-ketoacyl-CoA transferase so it cannot use them for energy.
How do ketone bodies reach other tissues?
Ketone bodies travel from the liver to other tissues through the bloodstream.
What happens to ketone bodies once they enter a peripheral cell?
They are imported into the mitochondria and converted into acetyl-CoA, which then enters the citric acid cycle.
Can acetyl-CoA produced from ketone bodies be converted back into pyruvate or glucose?
No, acetyl-CoA cannot be converted back to pyruvate or glucose.
Which enzymes are named in the pathway converting ketone bodies back to acetyl-CoA?
The pathway is shown as proceeding via ẞ-ketoacyl-CoA transferase and thiolase.
What happens to ketone body production in healthy, well-nourished individuals?
Healthy, well-nourished individuals produce ketone bodies at a relatively low rate.
Under what metabolic conditions do ketone bodies increase and why?
During starvation and diabetes, cellular glucose is low, oxaloacetate is depleted, and acetyl-CoA accumulates, increasing ketone production.
Where are ketone bodies synthesized and how are they distributed?
Ketone bodies are made in the liver mitochondrial matrix and released into the bloodstream.
Which organs use ketone bodies as an energy source?
Ketone bodies are used by the brain, heart, and muscle.
What are the clinical consequences of high ketone body levels?
High ketone body levels lower blood pH, causing ketoacidosis.
What causes the characteristic breath odor in ketosis or ketoacidosis?
High blood acetone results in a characteristic breath odor.
Name the two ketone bodies exported as energy sources mentioned in the diagram transcript.
Use the diagram of hepatic ketogenesis as an illustration of ketone export (image on answer).
Diagram:
This shows acetoacetate and D-β-hydroxybutyrate exported as energy sources for heart, skeletal muscle, kidney, and brain.
Why can the adult brain not rely primarily on fatty acids for energy?
Why is glucose preferred over fatty acids for ATP generation in neurons?
Give one reason albumin does not deliver fatty acids to the brain.
Alt: Diagram of intestinal fat absorption and mixed micelle formation.
Alt: Chylomicron showing apolipoproteins and lipid cargo.
Alt: Comparison of white, beige, and brown adipocytes.
Alt: Lipolysis regulation flowchart.
Alt: Glycerol to DHAP and glycolysis pathway.
Alt: Fatty acyl‑CoA synthetase reaction scheme.
Alt: Carnitine acyltransferase I/II and translocase.
Alt: Stage 1 β-oxidation, Stage 2 TCA, Stage 3 electron transport.Thiolysis by thiolase (acyl‑CoA acetyltransferase) → acetyl‑CoA + acyl‑CoA shortened by 2 C.
Overall single-cycle stoichiometry:
\(\(\text{C-acyl-CoA} + \text{FAD} + \text{NAD}^+ + \text{H}_2\text{O} + \text{CoA-SH} \rightarrow \text{C}_{n-2}\text{-acyl-CoA} + \text{FADH}_2 + \text{NADH} + \text{H}^+ + \text{acetyl-CoA}\)\)
Example: palmitoyl‑CoA (\(C_{16}\)) undergoes 7 cycles → \(8\ \text{acetyl-CoA}\), \(7\ \text{FADH}_2\), \(7\ \text{NADH}\).
Alt: Pathway from acyl‑CoA to acetyl‑CoA by β-oxidation.
Alt: TFP α and β subunits and activities.
Alt: Table of NADH/FADH2 and ATP yields during palmitoyl-CoA oxidation.
Alt: Conversion of propionyl-CoA to succinyl-CoA pathway.
Alt: Insulin vs glucagon regulation of ACC and β-oxidation.
Alt: Mitochondrion vs peroxisome β-oxidation comparison.
Alt: Ketone body synthesis pathway (thiolase, HMG‑CoA synthase, HMG‑CoA lyase).
Alt: Ketone production by liver and uptake by brain.References: core mechanisms summarized from lecture figures (bile salts, chylomicrons, lipolysis signaling, acyl‑CoA activation, carnitine shuttle, β‑oxidation, propionyl‑CoA pathway, ketogenesis).
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