Disorders in ketone body synthesis (WP5175)
Homo sapiens
Ketone bodies, acetoacetate and (beta)3-hydroxybutyric acid, are produced in times of hunger/starvation. The compounds are water-soluble (and also include the spontaneous breakdown product of acetoacetate, acetone). All ketone bodies are by-products when fatty acids are broken down for energy in the liver and kidneys, and used as energy source for the heart and brain. Ketogenesis can be impeded by inborn errors of metabolism such as Methylacetoacetyl-CoA thiolase deficiency, 3-hydroxy-3-methylglutaryl-CoA synthase deficiency and 3-hydroxy-3-methylglutaryl-CoA lyase deficiency. In this pathway ketogenesis is visualised and linked to the different diseases. Ketogenesis can derive from leucine metabolism and fatty acid beta-oxidation and happens in the mitochondria. The enzymes ACAT1, HMGCS2, HMGCL and BDH1 play an important role during this proces. This pathway is based on chapter 23 of the book of Blau et al. (ISBN 3642403360 (978-3642403361)), Figures 23.1 and 23.2. For the ketolysis pathway see: [https://www.wikipathways.org/index.php/Pathway:WP5195 WP5195]
Authors
Sam Drabbe , Amaury Pelzer , Denise Slenter , Egon Willighagen , Lars Willighagen , and Eric WeitzActivity
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Organisms
Homo sapiensCommunities
Inherited Metabolic Disorders (IMD) Pathways Rare DiseasesAnnotations
Cell Type Ontology
native cellDisease Ontology
beta-ketothiolase deficiencyPathway Ontology
classic metabolic pathway ketone bodies metabolic pathway 3-hydroxy-3-methylglutaryl-CoA lyase deficiency pathway citric acid cycle pathway fatty acid metabolic pathway disease pathwayLabel | Type | Compact URI | Comment |
---|---|---|---|
Acetoacetyl-CoA | Metabolite | chebi:15345 | [PMID:14769483] |
Coenzyme A | Metabolite | chebi:15346 | |
3-hydroxybutyric acid | Metabolite | chebi:20067 | aka 3HB [PMID:14769483] |
Acetyl-CoA | Metabolite | chebi:57288 | [PMID:14769483] |
Acetoacetate | Metabolite | chebi:13705 | [PMID:14769483] |
Acetone | Metabolite | chebi:15347 | |
Leucine | Metabolite | chebi:15603 | |
CoASH | Metabolite | chebi:15346 | |
Fatty acids | Metabolite | chebi:35366 | |
NAD+ | Metabolite | chebi:15846 | |
3-hydroxy-3-methylglutaryl-coenzyme A | Metabolite | chebi:11814 | [PMID:14769483] |
H+ | Metabolite | chebi:15378 | |
NADH | Metabolite | chebi:16908 | |
Acetyl-CoA | Metabolite | chebi:57288 | |
Carbon dioxide | Metabolite | chebi:16526 | |
HMGCL | Protein | uniprot:H0Y2L7 | |
ACAT1 | Protein | uniprot:P24752 | In the book by Blau et al. referred to as MAT ; [PMID:14769483] |
OXCT1 | Protein | uniprot:P55809 | [PMID:14769483] |
BDH1 | Protein | uniprot:Q02338 | In the book by Blau et al. they use the abbriviation 3HBD; [PMID:14769483] |
HMGCS2 | Protein | uniprot:P54868 | [PMID:14769483] |
References
- Physician’s Guide to the Diagnosis, Treatment, and Follow-Up of Inherited Metabolic Diseases [Internet]. Blau N, Duran M, Gibson KM, Dionisi Vici C, editors. Springer Berlin Heidelberg; 2014. Available from: http://dx.doi.org/10.1007/978-3-642-40337-8 DOI Scholia
- Inborn Metabolic Diseases [Internet]. Saudubray JM, van den Berghe G, Walter JH. Springer Science & Business Media; 2011. 660 p. Available from: https://play.google.com/store/books/details?id=IVaGNJ3Htz8C OpenLibrary Worldcat