Chapter 27: Problem 8
(Integrates with Chapters 19 and \(20 .\) ) Acetate produced in ethanol metabolism can be transformed into acetyl-CoA by the acetyl thiokinase reaction: $$\text { Acetate }+\mathrm{ATP}+\mathrm{CoASH} \longrightarrow \text { acetyl-CoA }+\mathrm{AMP}+\mathrm{PP}_{\mathrm{i}}$$ Acetyl-CoA then can enter the citric acid cycle and undergo oxidation to \(2 \mathrm{CO}_{2}\). How many ATP equivalents can be generated in a liver cell from the oxidation of one molecule of ethanol to \(2 \mathrm{CO}_{2}\) by this route, assuming oxidative phosphorylation is part of the process? (Assume all reactions prior to acetyl-CoA entering the citric acid cycle occur outside the mitochondrion.) Per carbon atom, which is a better metabolic fuel, ethanol or glucose? That is, how many ATP equivalents per carbon atom are generated by combustion of glucose versus ethanol to \(\mathrm{CO}_{2}\) ?
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