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Dr. Ashok Kumar J 
International Medical School 
Management and Science University 
Malaysia
Oxidation is defined as the removal of electrons 
e- (Electron) 
Fe2+ Fe3+ 
e- (Electron) 
Cu+ Cu2+ 
Reduction as the gain of electrons 
Oxidation is always accompanied by reduction of an 
electron acceptor 
Fe2+ + Cu2+ Fe3+ + Cu+ 
Dr. Ashok Kumar J; Professor; Biochemistry
Higher organisms dietary fuels are metabolized to: 
1. Carbon dioxide (CO2 ; Fully oxidized form of carbon) 
2. Water fully reduced form of oxygen 
Fuels 
Oxidized 
Electrons are 
transferred to 
coenzymes 
ETC 
ADP ATP 
CO2 
H2O 
½O2 
Dr. Ashok Kumar J; Professor; Biochemistry
Cytoplasm 
Pyruvic acid 
Mitochondrion 
Dr. Ashok Kumar J; Professor; Biochemistry
Dr. Ashok Kumar J; Professor; Biochemistry
Dr. Ashok Kumar J; Professor; 
Biochemistry 
MITOCHONDRIA
ELECTRON TRANSPORT CHAIN 
There are four different complexes 
Complex I, II, III, IV, 
Dr. Ashok Kumar J; Professor; Biochemistry
Dr. Ashok Kumar J; Professor; Biochemistry
Peter D. Mitchell 
United Kingdom 
Glynn Research 
Laboratories 
Bodmin, United Kingdom 
b. 1920 
d. 1992 
Mitchell’s hypothesis explains 
Mechanism of Oxidative 
phosphorylation 
Dr. Ashok Kumar J; Professor; Biochemistry
Mitchell’s chemiosmotic theory 
Energy from oxidation of components in 
the respiratory chain is coupled to the 
translocation of hydrogen ions (protons, 
H+) from the inside to the outside of the 
inner mitochondrial membrane. 
Complexes I, III, and IV acts as a 
proton pump 
Dr. Ashok Kumar J; Professor; Biochemistry
Dr. Ashok Kumar J; Professor; Biochemistry 
The transfer of two electrons 
from NADH+ H+ to O2 is 
accompanied by the outward 
pumping of 10 H+ 
Complex I and complex III 
pumps 4 protons each 
Complex IV pumps 2 protons 
To inter-membranous space 
10 protons are pumped by the 
electron transport chain 
10 protons are pumped out per NADH 
1. 4 must flow in to produce 1 ATP 
2. The proton-based P/O ratio is 2.5 for NADH as the electron donor and 1.5 
(6/4) for succinate
ATP synthase 
1. ATP Synthesizing enzyme complex 
2. Two major components (F0 and F1) 
3. F1 in all aerobic organisms consists of 
- α3β3γδε subunits 
- binding sites for ATP and ADP 
- Catalytic site for ATP synthesis 
Dr. Ashok Kumar J; Professor; Biochemistry
Dr. Ashok Kumar J; Professor; Biochemistry 
P:O Ratio 
Number of moles of inorganic phosphate consumed 
per atom of oxygen utilized 
Phosphate group esterified 
P:O ratio = 
Electron pairs transferred 
Number of moles of inorganic phosphate consumed 
per atom of oxygen utilized
Paul Boyer (1964) proposed that a conformational 
change in the mitochondrial membrane protein 
leads to synthesis of ATP 
Paul Boyer hypothesis is now considered as 
- rotatory motor 
- engine driving model 
- binding change model 
To explain generation of ATP 
Dr. Ashok Kumar J; Professor; Biochemistry
In response to proton influx ‘γ’ subunit physically rotates 
This induces conformational change in the β3 subunit 
β Subunit can adopt different conformations 
Loose (L) conformation - (ADP and Pi bind ) 
Tight (T) conformation - (Tightly bound ATP) 
Open (O) conformation - (Release ATP) 
Dr. Ashok Kumar J; Professor; Biochemistry
[ATP] 
Dr. Ashok Kumar J; Professor; Biochemistry 
[ADP] [Pi] 
[NADH] 
[NAD+] 
Increases rate of mitochondrial respiration 
Enhanced oxidative phosphorylation 
Increased ATP synthesis 
Cellular activity 
ATP is used 
ADP concentration 
increased 
Increased rate of 
catabolism of nutrients 
Mitochondrial ADP 
concentration has 
important role in 
regulating oxidative 
phosphorylation 
RESPIRATORY 
CONTROL 
ADP transport across the inner mitochondrial membrane can be inhibited by 
Atractyloside 
It can inhibit oxidative phosphorylation
Uncouplers 
Uncouplers is to dissociate oxidation in the respiratory 
chain from phosphorylation 
Compounds are toxic in vivo, causing respiration to become 
uncontrolled, since the rate is no longer limited by the 
concentration of ADP or Pi 
Uncouplers 
2,4 dinitro phenol 
Dinitrocresol 
Pentachlorophenol 
CCCP (m-chlorocarbonyl- cyanide phenyl hydrazine) 
Dr. Ashok Kumar J; Professor; Biochemistry
Dr. Ashok Kumar J; Professor; Biochemistry 
Physiological uncouplers 
Thyroxine 
Long chain free fattyacids 
Unconjugated bilirubin 
Ionohores 
Valenomycin (Ionophore for K+ ions) 
Nigercin (Ionophore for K+ ions) 
Electron transport chain continues; energy is released as heat
Brown adipose tissue 
Dr. Ashok Kumar J; Professor; Biochemistry 
Characterized by 
- High content of mitochondria 
- High content of cytochrome 
- Well developed blood supply 
- Relatively rich in carnitine 
- Has low ATP synthase activity 
- High oxygen consumption 
- Involved mainly in metabolism particularly at times when 
heat generation is required 
Brown color is due to relatively high content of mitochondria
Tissue is extremely active in 
In some species in arousal from hibernation 
In animals exposed to cold (non-shivering thermogenesis) 
In heat production in the newborn animal 
• Shown to be active in normal individuals 
• Responsible for diet induced thermogenesis 
‘Eat and do not get fat 
Dr. Ashok Kumar J; Professor; Biochemistry
Disorders of mitochondrial function 
• About 100 polypeptides are required for oxidative phosphorylation 
• 13 of these polypeptides are coded by mitochondrial DNA (mtDNA) and 
synthesized in the mitochondria 
Mitochondrial is maternally inherited 
(Mitochondria from the sperm do not enter the fertilized ovum) 
Mitochondrial DNA is about 10 times more susceptible to mutations than 
nuclear DNA 
Dr. Ashok Kumar J; Professor; Biochemistry
Mitochondrial Myopathies 
May result in cell death 
Particularly affect skeletal and cardiac muscles 
Dr. Ashok Kumar J; Professor; Biochemistry 
Characterized by 
- Accumulation of lactic acid 
- Myopathies 
- Cardiomyopathies 
- Encephalopathies 
• Characterized by the presence of mitochondria with abnormal shape and size 
• Typically results in muscle fibers appearing as ragged red fibers 
( Muscle biopsy; Gomori trichrome or other stains)
Courtesy of Dr Ana Sotrel 
Gomori trichrome stain. 
Mitochondrial myopathy. 
There are several isolated 
muscle fibers with red 
granular staining and 
disruption of fiber structure.
Mitochondrial encephalomyopathy lactic acidosis stroke 
like episodes (MELAS) 
A. MRI of the brain showing atrophy 
and enhancing low attenuation 
lesions. 
B. B. Gomori trichrome stain showing 
a ragged red fiber (black arrow) and 
two severely atrophic denervated 
fibers (white arrow). 
- Complex I defect; Lactic acidosis, 
strokes,myopathy,seizures, dementia
Leber's hereditary optic myopathy (LHON) 
• Characterized by blindness in young males 
• Caused by a single base mutation in NADH Coenzyme Q 
reductase 
• Streptomycin induced deafness is also found to be due to a 
mutation in the mitochondrial rRNA 
Myoclonic epilepsy ragged red fiber disease (MERRF) 
• Myoclonic epilepsy, myopathy, dementia 
Leigh's syndrome 
• Complex I defect; Movement disorders
Dr. Ashok Kumar J; Professor; Biochemistry

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Oxidative Phosphorylation and Mitochondrial Diseases

  • 1. Dr. Ashok Kumar J International Medical School Management and Science University Malaysia
  • 2. Oxidation is defined as the removal of electrons e- (Electron) Fe2+ Fe3+ e- (Electron) Cu+ Cu2+ Reduction as the gain of electrons Oxidation is always accompanied by reduction of an electron acceptor Fe2+ + Cu2+ Fe3+ + Cu+ Dr. Ashok Kumar J; Professor; Biochemistry
  • 3. Higher organisms dietary fuels are metabolized to: 1. Carbon dioxide (CO2 ; Fully oxidized form of carbon) 2. Water fully reduced form of oxygen Fuels Oxidized Electrons are transferred to coenzymes ETC ADP ATP CO2 H2O ½O2 Dr. Ashok Kumar J; Professor; Biochemistry
  • 4. Cytoplasm Pyruvic acid Mitochondrion Dr. Ashok Kumar J; Professor; Biochemistry
  • 5. Dr. Ashok Kumar J; Professor; Biochemistry
  • 6. Dr. Ashok Kumar J; Professor; Biochemistry MITOCHONDRIA
  • 7. ELECTRON TRANSPORT CHAIN There are four different complexes Complex I, II, III, IV, Dr. Ashok Kumar J; Professor; Biochemistry
  • 8.
  • 9. Dr. Ashok Kumar J; Professor; Biochemistry
  • 10. Peter D. Mitchell United Kingdom Glynn Research Laboratories Bodmin, United Kingdom b. 1920 d. 1992 Mitchell’s hypothesis explains Mechanism of Oxidative phosphorylation Dr. Ashok Kumar J; Professor; Biochemistry
  • 11. Mitchell’s chemiosmotic theory Energy from oxidation of components in the respiratory chain is coupled to the translocation of hydrogen ions (protons, H+) from the inside to the outside of the inner mitochondrial membrane. Complexes I, III, and IV acts as a proton pump Dr. Ashok Kumar J; Professor; Biochemistry
  • 12. Dr. Ashok Kumar J; Professor; Biochemistry The transfer of two electrons from NADH+ H+ to O2 is accompanied by the outward pumping of 10 H+ Complex I and complex III pumps 4 protons each Complex IV pumps 2 protons To inter-membranous space 10 protons are pumped by the electron transport chain 10 protons are pumped out per NADH 1. 4 must flow in to produce 1 ATP 2. The proton-based P/O ratio is 2.5 for NADH as the electron donor and 1.5 (6/4) for succinate
  • 13. ATP synthase 1. ATP Synthesizing enzyme complex 2. Two major components (F0 and F1) 3. F1 in all aerobic organisms consists of - α3β3γδε subunits - binding sites for ATP and ADP - Catalytic site for ATP synthesis Dr. Ashok Kumar J; Professor; Biochemistry
  • 14. Dr. Ashok Kumar J; Professor; Biochemistry P:O Ratio Number of moles of inorganic phosphate consumed per atom of oxygen utilized Phosphate group esterified P:O ratio = Electron pairs transferred Number of moles of inorganic phosphate consumed per atom of oxygen utilized
  • 15. Paul Boyer (1964) proposed that a conformational change in the mitochondrial membrane protein leads to synthesis of ATP Paul Boyer hypothesis is now considered as - rotatory motor - engine driving model - binding change model To explain generation of ATP Dr. Ashok Kumar J; Professor; Biochemistry
  • 16. In response to proton influx ‘γ’ subunit physically rotates This induces conformational change in the β3 subunit β Subunit can adopt different conformations Loose (L) conformation - (ADP and Pi bind ) Tight (T) conformation - (Tightly bound ATP) Open (O) conformation - (Release ATP) Dr. Ashok Kumar J; Professor; Biochemistry
  • 17. [ATP] Dr. Ashok Kumar J; Professor; Biochemistry [ADP] [Pi] [NADH] [NAD+] Increases rate of mitochondrial respiration Enhanced oxidative phosphorylation Increased ATP synthesis Cellular activity ATP is used ADP concentration increased Increased rate of catabolism of nutrients Mitochondrial ADP concentration has important role in regulating oxidative phosphorylation RESPIRATORY CONTROL ADP transport across the inner mitochondrial membrane can be inhibited by Atractyloside It can inhibit oxidative phosphorylation
  • 18. Uncouplers Uncouplers is to dissociate oxidation in the respiratory chain from phosphorylation Compounds are toxic in vivo, causing respiration to become uncontrolled, since the rate is no longer limited by the concentration of ADP or Pi Uncouplers 2,4 dinitro phenol Dinitrocresol Pentachlorophenol CCCP (m-chlorocarbonyl- cyanide phenyl hydrazine) Dr. Ashok Kumar J; Professor; Biochemistry
  • 19. Dr. Ashok Kumar J; Professor; Biochemistry Physiological uncouplers Thyroxine Long chain free fattyacids Unconjugated bilirubin Ionohores Valenomycin (Ionophore for K+ ions) Nigercin (Ionophore for K+ ions) Electron transport chain continues; energy is released as heat
  • 20. Brown adipose tissue Dr. Ashok Kumar J; Professor; Biochemistry Characterized by - High content of mitochondria - High content of cytochrome - Well developed blood supply - Relatively rich in carnitine - Has low ATP synthase activity - High oxygen consumption - Involved mainly in metabolism particularly at times when heat generation is required Brown color is due to relatively high content of mitochondria
  • 21. Tissue is extremely active in In some species in arousal from hibernation In animals exposed to cold (non-shivering thermogenesis) In heat production in the newborn animal • Shown to be active in normal individuals • Responsible for diet induced thermogenesis ‘Eat and do not get fat Dr. Ashok Kumar J; Professor; Biochemistry
  • 22.
  • 23. Disorders of mitochondrial function • About 100 polypeptides are required for oxidative phosphorylation • 13 of these polypeptides are coded by mitochondrial DNA (mtDNA) and synthesized in the mitochondria Mitochondrial is maternally inherited (Mitochondria from the sperm do not enter the fertilized ovum) Mitochondrial DNA is about 10 times more susceptible to mutations than nuclear DNA Dr. Ashok Kumar J; Professor; Biochemistry
  • 24. Mitochondrial Myopathies May result in cell death Particularly affect skeletal and cardiac muscles Dr. Ashok Kumar J; Professor; Biochemistry Characterized by - Accumulation of lactic acid - Myopathies - Cardiomyopathies - Encephalopathies • Characterized by the presence of mitochondria with abnormal shape and size • Typically results in muscle fibers appearing as ragged red fibers ( Muscle biopsy; Gomori trichrome or other stains)
  • 25. Courtesy of Dr Ana Sotrel Gomori trichrome stain. Mitochondrial myopathy. There are several isolated muscle fibers with red granular staining and disruption of fiber structure.
  • 26. Mitochondrial encephalomyopathy lactic acidosis stroke like episodes (MELAS) A. MRI of the brain showing atrophy and enhancing low attenuation lesions. B. B. Gomori trichrome stain showing a ragged red fiber (black arrow) and two severely atrophic denervated fibers (white arrow). - Complex I defect; Lactic acidosis, strokes,myopathy,seizures, dementia
  • 27. Leber's hereditary optic myopathy (LHON) • Characterized by blindness in young males • Caused by a single base mutation in NADH Coenzyme Q reductase • Streptomycin induced deafness is also found to be due to a mutation in the mitochondrial rRNA Myoclonic epilepsy ragged red fiber disease (MERRF) • Myoclonic epilepsy, myopathy, dementia Leigh's syndrome • Complex I defect; Movement disorders
  • 28. Dr. Ashok Kumar J; Professor; Biochemistry