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Clinical Biochemistry of Domestic Animals (Sixth Edition) - UMK ...

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720<br />

Chapter | 23 Vitamins<br />

Carnitine<br />

Reverses the<br />

inhibition<br />

by CoA<br />

CoA<br />

Inhibitor<br />

Coenzyme A synthesis<br />

Pantothenate<br />

ATP<br />

Pantothenate Kinase<br />

ADP<br />

4-Phosphopantothenate<br />

ATP<br />

4- Phosphopantothenoylcysteine Synthetase<br />

ADP P i<br />

4-Phosphopantothenoylcysteine<br />

4-Phosphopantothenoylcysteine Decarboxylase<br />

CO 2<br />

PP i<br />

3,5-ADP<br />

4-Phosphopantetheine<br />

ATP<br />

Dephosphocoenzyme A<br />

ATP<br />

ADP<br />

Coenzyme A (CoA or CoASH)<br />

Dephosphocoenzyme A Kinase<br />

FIGURE 23-19 Pantothenic acid and coenzyme A. The most important control step in CoA synthesis is the phosphorylation <strong>of</strong> pantothenic acid to<br />

4 -phosphopantothenic acid by pantothenic acid kinase. There is feedback regulation from CoA and carnitine reverses that inhibition. Most cells are<br />

able to conserve pantothenic acid by reutilizing 4 -phosphopantothenic acid.<br />

Elvehjem, Jukes, and others demonstrated pantothenic acid<br />

to be essential for animals. Pantothenic acid is a component<br />

<strong>of</strong> coenzyme A ( Fig. 23-19 ). Pantothenic acid (as a<br />

part <strong>of</strong> phosphopantetheine) is also present at the active<br />

site <strong>of</strong> acyl carrier protein (ACP), a component <strong>of</strong> the fatty<br />

acid synthesis complex. Both forms are present in foods.<br />

Consequently, absorbed pantothenic acid must first be<br />

released from coenzyme A and ACP, steps that involve the<br />

actions <strong>of</strong> peptidases and nucleosidases.<br />

b . Absorption and Regulation<br />

Intestinal phosphatases and nucleosidases are capable<br />

<strong>of</strong> very efficient hydrolysis <strong>of</strong> coenzyme A so that near<br />

quantitative release <strong>of</strong> pantothenic acid occurs as a normal<br />

part <strong>of</strong> digestion. In rats, pantothenic acid was initially<br />

found to be absorbed in all sections <strong>of</strong> the small<br />

intestine by simple diffusion ( Rucker and Bauerly, 2007 ).<br />

However, subsequent work in rats and chicks indicated<br />

that at low concentrations, the vitamin is absorbed by a<br />

saturable, sodium-dependent transport mechanism ( Rucker<br />

and Bauerly, 2007 ; Said, 2004 ). Further, the overall km<br />

for pantothenic acid intestinal uptake is 10 to 20 μ m. At<br />

an intake <strong>of</strong> 20/30mg/kg diet as coenzyme A or pantetheine<br />

, a concentration typical <strong>of</strong> many foodstuffs, the<br />

pantothenic acid concentration in luminal fluid would be<br />

1 to 2 μ m. At this concentration, pantothenic acid does<br />

not saturate the transport system, and should be efficiently<br />

and actively absorbed. Pantothenic acid shares a common<br />

membrane transport system in the small intestine with<br />

another vitamin, biotin ( Said, 2004 ). Following uptake,<br />

the maintenance <strong>of</strong> pantothenic acid cellular concentration<br />

depends on its incorporation into cellular CoASH and pantetheine.<br />

The most important control step in this process<br />

is the phosphorylation <strong>of</strong> pantothenic acid to 4 -phosphopantothenic<br />

acid by pantothenic acid kinase. At least four<br />

known enzyme is<strong>of</strong>orms serve as pantothenic acid kinases.<br />

They possess a broad pH optimum (between pH 6 and 9).<br />

The K m for pantothenic acid in the liver enzyme <strong>of</strong> most<br />

animals is 20 μ m. Mg-ATP is the nucleotide substrate for<br />

the phosphorylation reaction.<br />

c . Metabolism Functions and Requirements<br />

CoA is the principal moiety for the vectorial transport <strong>of</strong><br />

acyl and acetyl groups in synthetic and catabolic reactions,<br />

and a deficiency is characterized by impaired acetyl and<br />

acyl metabolism. The ability to utilize fatty acids as fuels<br />

is compromised. There is also an increased production <strong>of</strong><br />

short chain fatty acids and ketone bodies, which can lead<br />

to severe metabolic acidosis.<br />

CoA is involved in a broad array <strong>of</strong> acetyl and acyl<br />

transfer reactions, which also includes carbohydrates and<br />

amino acids as cosubstrates, as well as processes related<br />

primarily to lipid oxidative metabolism and catabolism,<br />

whereas ACP is involved in mostly synthetic reactions<br />

involving primarily lipids and possibly amino acids. Protein<br />

acetylations and acylations are also key functions catalyzed<br />

with CoA as a cosubstrate in reactions. Aminoterminal<br />

acetylations occur cotranslationally and posttranslationally

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