2013
DOI: 10.1002/jnr.23196
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Which way does the citric acid cycle turn during hypoxia? The critical role of α‐ketoglutarate dehydrogenase complex

Abstract: The citric acid cycle forms a major metabolic hub and as such it is involved in many disease states implicating energetic imbalance. In spite of the fact that it is being branded as a 'cycle', during hypoxia, when the electron transport chain does not oxidize reducing equivalents, segments of this metabolic pathway remain operational but exhibit opposing directionalities. This serves the purpose of harnessing high energy phosphates through matrix substrate-level phosphorylation in the absence of oxidative phos… Show more

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Cited by 112 publications
(106 citation statements)
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References 197 publications
(196 reference statements)
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“…3E), despite decreased succinate downstream, which could be explained by the fall in both α-ketoglutarate dehydrogenase and isocitrate dehydrogenase, as reported previously in Lowlanders following an identical ascent to EBC (21). α-Ketoglutarate plays regulatory roles in hypoxia, including suppression of HIF stabilization (35), but also supporting glutathione synthesis (36). Taken together, these results indicate different TCA cycle regulation in Sherpas and Lowlanders.…”
Section: Resultssupporting
confidence: 73%
“…3E), despite decreased succinate downstream, which could be explained by the fall in both α-ketoglutarate dehydrogenase and isocitrate dehydrogenase, as reported previously in Lowlanders following an identical ascent to EBC (21). α-Ketoglutarate plays regulatory roles in hypoxia, including suppression of HIF stabilization (35), but also supporting glutathione synthesis (36). Taken together, these results indicate different TCA cycle regulation in Sherpas and Lowlanders.…”
Section: Resultssupporting
confidence: 73%
“…Furthermore, the notion that both ATP-and GTPforming SUCL activity should exhibit an extremely lowif any-rate in human astrocytes, hints at peculiarities of the directionality of citric acid cycle in these cells (Chinopoulos 2013). Although the citric acid cycle is branded as a ''cycle'', it does not necessarily operate as one (Chinopoulos 2013).…”
Section: Discussionmentioning
confidence: 99%
“…Although the citric acid cycle is branded as a ''cycle'', it does not necessarily operate as one (Chinopoulos 2013). It is well known, that astrocytes produce and release large quantities of succinate (Westergaard et al 1994).…”
Section: Discussionmentioning
confidence: 99%
“…As it is mentioned in the "Introduction", succinyl CoA ligase is a reversible enzyme; when it proceeds towards generation of succinyl-CoA, this product may only follow heme-or ketone body metabolism (Labbe et al 1965;Ottaway et al 1981;Dringen et al 2007;Lopes-Cardozo et al 1986) because it cannot be processed further by the irreversible α-ketoglutarate dehydrogenase complex (Chinopoulos 2013). When succinyl CoA ligase operates in the opposite direction towards ATP or GTP formation (a process termed 'substratelevel phosphorylation'), it yields succinate that can be either further processed by succinate dehydrogenase, and advance in the citric acid cycle, or act as a metabolic signal in inflammation (Mills and O'Neill 2014).…”
Section: Discussionmentioning
confidence: 99%