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Krebs cycle

 
(krĕbz) pronunciation
n.
A series of enzymatic reactions in aerobic organisms involving oxidative metabolism of acetyl units and producing high-energy phosphate compounds, which serve as the main source of cellular energy. Also called citric acid cycle, tricarboxylic acid cycle.

[After Sir Hans Adolf KREBS.]


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Variant: citric acid cycle;tricarboxylic acid cycle; TCA cycle

A cyclical series of biochemical reactions that is fundamental to the metabolism of aerobic organisms, i.e. animals, plants, and many microorganisms . The enzymes of the Krebs cycle are located in the mitochondria and are in close association with the components of the electron transport chain. The two-carbon acetyl coenzyme A (acetyl CoA) reacts with the four-carbon oxaloacetate to form the six-carbon citrate. In a series of seven reactions, this is reconverted to oxaloacetate and produces two molecules of carbon dioxide. Most importantly, the cycle generates one molecule of guanosine triphosphate (GTP – equivalent to 1 ATP) and reduces three molecules of the coenzyme NAD to NADH and one molecule of the coenzyme FAD to FADH2. NADH and FADH2 are then oxidized by the electron transport chain to generate three and two molecules of ATP respectively. This gives a net yield of 12 molecules of ATP per molecule of acetyl CoA.

Acetyl CoA can be derived from carbohydrates (via glycolysis), fats, or certain amino acids. (Other amino acids may enter the cycle at different stages.) Thus the Krebs cycle is the central 'crossroads' in the complex system of metabolic pathways and is involved not only in degradation and energy production but also in the synthesis of biomolecules. It is named after its principal discoverer, Sir Hans Adolf Krebs.




Krebs cycle



Britannica Concise Encyclopedia:

tricarboxylic acid cycle

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Last stage of the chemical processes by which living cells obtain energy from foodstuffs. Described by Hans Adolf Krebs in 1937, the reactions of the cycle have been shown in animals, plants, microorganisms, and fungi, and it is thus a feature of cell chemistry shared by all types of life. It is a complex series of reactions beginning and ending with the compound oxaloacetate. In addition to re-forming oxaloacetate, the cycle produces carbon dioxide and the energy-rich compound ATP. The enzymes that catalyze each step are located in mitochondria in animals, in chloroplasts in plants, and in the cell membrane in microorganisms. The hydrogen atoms and electrons that are removed from intermediate compounds formed during the cycle are channeled ultimately to oxygen in animal cells or to carbon dioxide in plant cells.

For more information on tricarboxylic acid cycle, visit Britannica.com.

Or citric acid cycle, a central pathway for the metabolism of fats, carbohydrates, and amino acids.


citric acid cycle

A series of reactions named after the 1953 Nobel prize winner, Sir Hans Krebs, its discoverer. The Krebs cycle is an integral part of aerobic respiration in which acetyl coenzyme A, a product of carbohydrate, fat, and protein metabolism, is broken down in the presence of oxygen to release energy.

The Krebs cycle is a series of biochemical changes that occur during the metabolism of nutrients, facilitating the storage of energy for further use. It is named after Hans Adolph Krebs (1900–1981), the biochemist who identified it. The alternative, and more descriptive, name is the tricarboxylic, or citric acid, cycle. The fundamental process involves oxidizing acetate molecules to carbon dioxide (CO2) and water with transfer of the metabolic energy to "high energy" bonds for later use by the body. In the process, acetate is attached biochemically to a dicarboxylic acid to produce citric acids—the tricarboxylic acid from which the cycle derives its name. The citric acid then goes through a number of biochemical steps to oxidize the two carbons from acetate, and to regenerate the dicarboxylic acid to which the acetate was originally attached.

(SEE ALSO: Energy; Nutrition)

— GEORGE A. BRAY




citric acid cycle; tricarboxylic acid cycle

A series of aerobic chemical reactions occurring in mitochondria, in which carbon dioxide is produced and hydrogen is removed from carbon molecules; a process known as oxidative decarboxylation. The cycle is named after Sir Hans Krebs, the 1953 Nobel prize winner in Physiology and Medicine. The reactions are exothermic, enabling one molecule of ATP to be generated during each cycle.

Krebs cycle (Click to enlarge)
Krebs cycle
(Click to enlarge)

Columbia Encyclopedia:

Krebs cycle

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Krebs cycle, series of chemical reactions carried out in the living cell; in most higher animals, including humans, it is essential for the oxidative metabolism of glucose and other simple sugars. The breakdown of glucose to carbon dioxide and water is a complex set of chemical interconversions called carbohydrate catabolism, and the Krebs cycle is the second of three major stages in the process, occurring between glycolysis and oxidative phosphorylation. This cycle, also known as the citric acid cycle, was named in recognition of the German chemist Hans Krebs, whose research into the cellular utilization of glucose contributed greatly to the modern understanding of this aspect of metabolism. The name citric acid cycle is derived from the first product generated by the sequence of conversions, i.e., citric acid. The reactions are seen to comprise a cycle inasmuch as citric acid is both the first product and the final reactant, being regenerated at the conclusion of one complete set of chemical rearrangements. Citric acid is a so-called tricarboxylic acid, containing three carboxyl groups (COOH). Hence the Krebs cycle is sometimes referred to as the tricarboxylic acid (TCA) cycle. The Krebs cycle begins with the condensation of one molecule of a compound called oxaloacetic acid and one molecule of acetyl CoA (a derivative of coenzyme A; see coenzyme). The acetyl portion of acetyl CoA is derived from pyruvic acid, which is produced by the degradation of glucose in glycolysis. After condensation, the oxaloacetic acid and acetyl CoA react to produce citric acid, which serves as a substrate for seven distinct enzyme-catalyzed reactions that occur in sequence and proceed with the formation of seven intermediate compounds, including succinic acid, fumaric acid, and malic acid. Malic acid is converted to oxaloacetic acid, which, in turn, reacts with yet another molecule of acetyl CoA, thus producing citric acid, and the cycle begins again. Each turn of the citric acid cycle produces, simultaneously, two molecules of carbon dioxide and eight atoms of hydrogen as byproducts. The carbon dioxide generated is an ultimate end product of glucose breakdown and is removed from the cell by the blood. The hydrogen atoms are donated as hydride ions to the system of electron transport molecules, which allow for oxidative phosphorylation. In most higher plants, in certain microorganisms, such as the bacterium Escherichia coli, and in the algae, the citric acid cycle is modified to a form called the glyoxylate cycle, so named because of the prominent intermediate, glyoxylic acid.


Biology Q&A:

What is the Krebs cycle?

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The Krebs cycle (also referred to as the citric acid cycle) is central to aerobic metabolism. It is an adaptation that allows cells to gain increased energy from glucose. The process is critical to the development of multicellular organisms, and is essential to the harvesting of high energy electrons during the final breakdown of the glucose molecule. By-products of this cycle are carbon dioxide and water. It is named in recognition of the German chemist Hans Krebs (1900-1981), who received the 1953 Nobel Prize in Physiology or Medicine.

Previous question: What is the difference between catabolic and anabolic reactions?
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Wiley Dictionary of Flavors:

Kreb's Cycle

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Also known as the citric acid cycle and the tricarboxylic acid cycle, or the TCA cycle. This mechanism is a series of chemical reactions wherein chemical conversion of carbohydrates, fats, and proteins are changed into carbon dioxide and water. This is typical to all aerobic organisms and is called respiration. The result of this reaction is the generation of energy to keep the cells going. Sir Hans Krebs (1900-1981) was awarded the Nobel Prize in Medicine for its discovery in 1953. Plants respire during the night and use the alternative reaction, photosynthesis, which produces sugars in the presence of sunlight during the day. This is why a plant can theoretically live in a closed system.

Saunders Veterinary Dictionary:

tricarboxylic acid cycle

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The cyclic metabolic mechanism by which the complete oxidation of the acetyl moiety of acetyl-coenzyme A is effected; abbreviated TCA cycle. It is the chief source of mammalian energy, during which acetyl groups derived from the metabolism of sugars, fatty acids and amino acid are oxidized to yield carbon dioxide, water and reduced coenzymes. Called also Krebs cycle and citric acid cycle.

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Wikipedia on Answers.com:

Citric acid cycle

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Overview of the citric acid cycle

The citric acid cycle — also known as the tricarboxylic acid cycle (TCA cycle), the Krebs cycle, or the Szent-Györgyi–Krebs cycle[1][2] — is a series of chemical reactions used by all aerobic organisms to generate energy through the oxidization of acetate derived from carbohydrates, fats and proteins into carbon dioxide and water. In addition, the cycle provides precursors for the biosynthesis of compounds including certain amino acids as well as the reducing agent NADH that is used in numerous biochemical reactions. Its central importance to many biochemical pathways suggests that it was one of the earliest established components of cellular metabolism and may have originated abiogenically.[3]

The name of this metabolic pathway is derived from citric acid (a type of tricarboxylic acid) that is first consumed and then regenerated by this sequence of reactions to complete the cycle. In addition, the cycle consumes acetate in the form of acetyl-CoA, reduces NAD+ to NADH, and produces carbon dioxide. The NADH generated by the TCA cycle is fed into the oxidative phosphorylation pathway. The net result of these two closely linked pathways is the oxidation of nutrients to produce energy in the form of ATP.

In eukaryotic cells, the citric acid cycle occurs in the matrix of the mitochondrion. Bacteria also use the TCA cycle to generate energy, but since they lack mitochondria, the reaction sequence is performed in the cytosol with the proton gradient for ATP production being across the plasma membrane rather than the inner membrane of the mitochondria.

The components and reactions of the citric acid cycle were established in the 1930s by seminal work from the Nobel laureates Albert Szent-Györgyi[4] and Hans Adolf Krebs.[5]

Contents

Evolution

Components of the TCA cycle were derived from anaerobic bacteria and the TCA cycle itself may have evolved more than once.[6] Theoretically there are several alternatives to the TCA cycle, however the TCA cycle appears to be the most efficient.[7] If several alternatives independently evolved, they all undoubtedly rapidly converged to the TCA cycle.

Overview

The citric acid cycle is a key component of the metabolic pathway by which all aerobic organisms generate energy. Through catabolism of sugars, fats, and proteins, a two carbon organic product acetate in the form of acetyl-CoA is produced. Acetyl-CoA along with two equivalents of water (H2O) are consumed by the citric acid cycle producing two equivalents of carbon dioxide (CO2) and one equivalent of HS-CoA. In addition, one complete turn of the cycle converts three equivalents of nicotinamide adenine dinucleotide (NAD+) into three equivalents of reduced NAD+ (NADH), one equivalent of ubiquinone (Q) into one equivalent of reduced ubiquinone (QH2), and one equivalent each of guanosine diphosphate (GDP) and inorganic phosphate (Pi) into one equivalent of guanosine triphosphate (GTP). The NADH and QH2 that is generated by the citric acid cycle is in turn used by the oxidative phosphorylation pathway to generate energy-rich adenosine triphosphate (ATP).

One of the primary sources of acetyl-CoA is sugars that are broken down by glycolysis to produce pyruvate that in turn is decarboxylated by the enzyme pyruvate dehydrogenase generating acetyl-CoA according to the following reaction scheme:

The product of this reaction, acetyl-CoA, is the starting point for the citric acid cycle. Below is a schematic outline of the cycle:

  • The citric acid cycle begins with the transfer of a two-carbon acetyl group from acetyl-CoA to the four-carbon acceptor compound (oxaloacetate) to form a six-carbon compound (citrate).
  • The citrate then goes through a series of chemical transformations, losing two carboxyl groups as CO2. The carbons lost as CO2 originate from what was oxaloacetate, not directly from acetyl-CoA. The carbons donated by acetyl-CoA become part of the oxaloacetate carbon backbone after the first turn of the citric acid cycle. Loss of the acetyl-CoA-donated carbons as CO2 requires several turns of the citric acid cycle. However, because of the role of the citric acid cycle in anabolism, they may not be lost, since many TCA cycle intermediates are also used as precursors for the biosynthesis of other molecules.[8]
  • Most of the energy made available by the oxidative steps of the cycle is transferred as energy-rich electrons to NAD+, forming NADH. For each acetyl group that enters the citric acid cycle, three molecules of NADH are produced.
  • Electrons are also transferred to the electron acceptor Q, forming QH2.
  • At the end of each cycle, the four-carbon oxaloacetate has been regenerated, and the cycle continues.

Steps

Two carbon atoms are oxidized to CO2, the energy from these reactions being transferred to other metabolic processes by GTP (or ATP), and as electrons in NADH and QH2. The NADH generated in the TCA cycle may later donate its electrons in oxidative phosphorylation to drive ATP synthesis; FADH2 is covalently attached to succinate dehydrogenase, an enzyme functioning both in the TCA cycle and the mitochondrial electron transport chain in oxidative phosphorylation. FADH2, therefore, facilitates transfer of electrons to coenzyme Q, which is the final electron acceptor of the reaction catalyzed by the Succinate:ubiquinone oxidoreductase complex, also acting as an intermediate in the electron transport chain.[9]

The citric acid cycle is continuously supplied with new carbon in the form of acetyl-CoA, entering at step 1 below.[10]

Substrates Products Enzyme Reaction type Comment
1 Oxaloacetate +
Acetyl CoA +
H2O
Citrate +
CoA-SH
Citrate synthase Aldol condensation irreversible,
extends the 4C oxaloacetate to a 6C molecule
2 Citrate cis-Aconitate +
H2O
Aconitase Dehydration reversible isomerisation
3 cis-Aconitate +
H2O
Isocitrate Hydration
4 Isocitrate +
NAD+
Oxalosuccinate +
NADH + H +
Isocitrate dehydrogenase Oxidation generates NADH (equivalent of 2.5 ATP)
5 Oxalosuccinate α-Ketoglutarate +
CO2
Decarboxylation rate-limiting, irreversible stage,
generates a 5C molecule
6 α-Ketoglutarate +
NAD+ +
CoA-SH
Succinyl-CoA +
NADH + H+ +
CO2
α-Ketoglutarate dehydrogenase Oxidative
decarboxylation
irreversible stage,
generates NADH (equivalent of 2.5 ATP),
regenerates the 4C chain (CoA excluded)
7 Succinyl-CoA +
GDP + Pi
Succinate +
CoA-SH +
GTP
Succinyl-CoA synthetase substrate-level phosphorylation or ADPATP instead of GDP→GTP,[9]
generates 1 ATP or equivalent
8 Succinate +
ubiquinone (Q)
Fumarate +
ubiquinol (QH2)
Succinate dehydrogenase Oxidation uses FAD as a prosthetic group (FAD→FADH2 in the first step of the reaction) in the enzyme,[9]
generates the equivalent of 1.5 ATP
9 Fumarate +
H2O
L-Malate Fumarase Hydration
10 L-Malate +
NAD+
Oxaloacetate +
NADH + H+
Malate dehydrogenase Oxidation reversible (in fact, equilibrium favors malate), generates NADH (equivalent of 2.5 ATP)

Mitochondria in animals, including humans, possess two succinyl-CoA synthetases: one that produces GTP from GDP, and another that produces ATP from ADP.[11] Plants have the type that produces ATP (ADP-forming succinyl-CoA synthetase).[10] Several of the enzymes in the cycle may be loosely-associated in a multienzyme protein complex within the mitochondrial matrix.[12]

The GTP that is formed by GDP-forming succinyl-CoA synthetase may be utilized by nucleoside-diphosphate kinase to form ATP (the catalyzed reaction is GTP + ADP → GDP + ATP).[9]

Products

Products of the first turn of the cycle are: one GTP (or ATP), three NADH, one QH2, two CO2.

Because two acetyl-CoA molecules are produced from each glucose molecule, two cycles are required per glucose molecule. Therefore, at the end of two cycles, the products are: two GTP, six NADH, two QH2, and four CO2

Description Reactants Products
The sum of all reactions in the citric acid cycle is: Acetyl-CoA + 3 NAD+ + Q + GDP + Pi + 2 H2O → CoA-SH + 3 NADH + 3 H+ + QH2 + GTP + 2 CO2
Combining the reactions occurring during the pyruvate oxidation with those occurring during the citric acid cycle, the following overall pyruvate oxidation reaction is obtained: Pyruvate ion + 4 NAD+ + Q + GDP + Pi + 2 H2O → 4 NADH + 4 H+ + QH2 + GTP + 3 CO2
Combining the above reaction with the ones occurring in the course of glycolysis, the following overall glucose oxidation reaction (excluding reactions in the respiratory chain) is obtained: Glucose + 10 NAD+ + 2 Q + 2 ADP + 2 GDP + 4 Pi + 2 H2O → 10 NADH + 10 H+ + 2 QH2 + 2 ATP + 2 GTP + 6 CO2

The above reactions are balanced if Pi represents the H2PO4- ion, ADP and GDP the ADP2- and GDP2- ions, respectively, and ATP and GTP the ATP3- and GTP3- ions, respectively.

The total number of ATP obtained after complete oxidation of one glucose in glycolysis, citric acid cycle, and oxidative phosphorylation is estimated to be between 30 and 38. A recent assessment of the total ATP yield with the updated proton-to-ATP ratios provides an estimate of 29.85 ATP per glucose molecule.[13]

Regulation

The regulation of the TCA cycle is largely determined by substrate availability and product inhibition. NADH, a product of all dehydrogenases in the TCA cycle with the exception of succinate dehydrogenase, inhibits pyruvate dehydrogenase, isocitrate dehydrogenase, α-ketoglutarate dehydrogenase, and also citrate synthase. Acetyl-coA inhibits pyruvate dehydrogenase, while succinyl-CoA inhibits alpha-ketoglutarate dehydrogenase and citrate synthase. When tested in vitro with TCA enzymes, ATP inhibits citrate synthase and α-ketoglutarate dehydrogenase; however, ATP levels do not change more than 10% in vivo between rest and vigorous exercise. There is no known allosteric mechanism that can account for large changes in reaction rate from an allosteric effector whose concentration changes less than 10%.[14]

Calcium is used as a regulator. It activates pyruvate dehydrogenase, isocitrate dehydrogenase and α-ketoglutarate dehydrogenase.[15] This increases the reaction rate of many of the steps in the cycle, and therefore increases flux throughout the pathway.

Citrate is used for feedback inhibition, as it inhibits phosphofructokinase, an enzyme involved in glycolysis that catalyses formation of fructose 1,6-bisphosphate,a precursor of pyruvate. This prevents a constant high rate of flux when there is an accumulation of citrate and a decrease in substrate for the enzyme.

Recent work has demonstrated an important link between intermediates of the citric acid cycle and the regulation of hypoxia-inducible factors (HIF). HIF plays a role in the regulation of oxygen homeostasis, and is a transcription factor that targets angiogenesis, vascular remodeling, glucose utilization, iron transport and apoptosis. HIF is synthesized consititutively, and hydroxylation of at least one of two critical proline residues mediates their interaction with the von Hippel Lindau E3 ubiquitin ligase complex, which targets them for rapid degradation. This reaction is catalysed by prolyl 4-hydroxylases. Fumarate and succinate have been identified as potent inhibitors of prolyl hydroxylases, thus leading to the stabilisation of HIF.[16]

Major metabolic pathways converging on the TCA cycle

Several catabolic pathways converge on the TCA cycle. Reactions that form intermediates of the TCA cycle in order to replenish them (especially during the scarcity of the intermediates) are called anaplerotic reactions.

The citric acid cycle is the third step in carbohydrate catabolism (the breakdown of sugars). Glycolysis breaks glucose (a six-carbon-molecule) down into pyruvate (a three-carbon molecule). In eukaryotes, pyruvate moves into the mitochondria. It is converted into acetyl-CoA by decarboxylation and enters the citric acid cycle.

In protein catabolism, proteins are broken down by proteases into their constituent amino acids. The carbon backbone of these amino acids can become a source of energy by being converted to acetyl-CoA and entering into the citric acid cycle.

In fat catabolism, triglycerides are hydrolyzed to break them into fatty acids and glycerol. In the liver the glycerol can be converted into glucose via dihydroxyacetone phosphate and glyceraldehyde-3-phosphate by way of gluconeogenesis. In many tissues, especially heart tissue, fatty acids are broken down through a process known as beta oxidation, which results in acetyl-CoA, which can be used in the citric acid cycle. Beta oxidation of fatty acids with an odd number of methylene groups produces propionyl CoA, which is then converted into succinyl-CoA and fed into the citric acid cycle.[17]

The total energy gained from the complete breakdown of one molecule of glucose by glycolysis, the citric acid cycle, and oxidative phosphorylation equals about 30 ATP molecules, in eukaryotes. The citric acid cycle is called an amphibolic pathway because it participates in both catabolism and anabolism.

Interactive pathway map

Click on genes, proteins and metabolites below to link to respective articles. [18]

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Citric_acid_cycle edit

See also

References

  1. ^ Lowenstein JM (1969). Methods in Enzymology, Volume 13: Citric Acid Cycle. Boston: Academic Press. ISBN 0-12-181870-5. 
  2. ^ Krebs HA, Weitzman PDJ (1987). Krebs' citric acid cycle: half a century and still turning. London: Biochemical Society. ISBN 0-904498-22-0. 
  3. ^ Lane, Nick (2009). Life Ascending: The Ten Great Inventions of Evolution. New York: W.W. Norton & Co. ISBN 0-393-06596-0. 
  4. ^ "The Nobel Prize in Physiology or Medicine 1937". The Nobel Foundation. http://nobelprize.org/nobel_prizes/medicine/laureates/1937/. Retrieved 2011-10-26. 
  5. ^ "The Nobel Prize in Physiology or Medicine 1953". The Nobel Foundation. http://nobelprize.org/nobel_prizes/medicine/laureates/1953/. Retrieved 2011-10-26. 
  6. ^ Gest H (1987). "Evolutionary roots of the citric acid cycle in prokaryotes". Biochem. Soc. Symp. 54: 3–16. PMID 3332996. 
  7. ^ Meléndez-Hevia E, Waddell TG, Cascante M (September 1996). "The puzzle of the Krebs citric acid cycle: assembling the pieces of chemically feasible reactions, and opportunism in the design of metabolic pathways during evolution". J. Mol. Evol. 43 (3): 293–303. doi:10.1007/BF02338838. PMID 8703096. 
  8. ^ Wolfe RR, Jahoor F (February 1990). "Recovery of labeled CO2 during the infusion of C-1- vs C-2-labeled acetate: implications for tracer studies of substrate oxidation". Am. J. Clin. Nutr. 51 (2): 248–52. PMID 2106256. 
  9. ^ a b c d Stryer L, Berg J, Tymoczko JL (2002). Biochemistry. San Francisco: W.H. Freeman. ISBN 0-7167-4684-0. 
  10. ^ a b Jones RC, Buchanan BB, Gruissem W (2000). Biochemistry & molecular biology of plants (1st ed.). Rockville, Md: American Society of Plant Physiologists. ISBN 0-943088-39-9. 
  11. ^ Johnson JD, Mehus JG, Tews K, Milavetz BI, Lambeth DO (October 1998). "Genetic evidence for the expression of ATP- and GTP-specific succinyl-CoA synthetases in multicellular eucaryotes". J. Biol. Chem. 273 (42): 27580–6. doi:10.1074/jbc.273.42.27580. PMID 9765291. 
  12. ^ Barnes SJ, Weitzman PD (June 1986). "Organization of citric acid cycle enzymes into a multienzyme cluster". FEBS Lett. 201 (2): 267–70. doi:10.1016/0014-5793(86)80621-4. PMID 3086126. 
  13. ^ Rich PR (December 2003). "The molecular machinery of Keilin's respiratory chain". Biochem. Soc. Trans. 31 (Pt 6): 1095–105. doi:10.1042/BST0311095. PMID 14641005. 
  14. ^ Voet D, Voet JG (2004). Biochemistry (3rd ed.). New York: John Wiley & Sons, Inc.. p. 615. 
  15. ^ Denton RM, Randle PJ, Bridges BJ, Cooper RH, Kerbey AL, Pask HT, Severson DL, Stansbie D, Whitehouse S (October 1975). "Regulation of mammalian pyruvate dehydrogenase". Mol. Cell. Biochem. 9 (1): 27–53. doi:10.1007/BF01731731. PMID 171557. 
  16. ^ Koivunen P, Hirsilä M, Remes AM, Hassinen IE, Kivirikko KI, Myllyharju J (February 2007). "Inhibition of hypoxia-inducible factor (HIF) hydroxylases by citric acid cycle intermediates: possible links between cell metabolism and stabilization of HIF". J. Biol. Chem. 282 (7): 4524–32. doi:10.1074/jbc.M610415200. PMID 17182618. 
  17. ^ Halarnkar PP, Blomquist GJ (1989). "Comparative aspects of propionate metabolism". Comp. Biochem. Physiol., B 92 (2): 227–31. doi:10.1016/0305-0491(89)90270-8. PMID 2647392. 
  18. ^ The interactive pathway map can be edited at WikiPathways: "TCA_Cycle_WP78". http://www.wikipathways.org/index.php/Pathway:WP78. 

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