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Cellular Respiration

For medical students2 min readUpdated 2026-10-10

Cellular respiration is a set of exergonic metabolic reactions in which organic compounds are oxidized using oxygen. This process yields water and carbon dioxide, while the released energy is conserved by the cell.

LocalizationMajor dehydrogenation reactions take place in the mitochondrial matrix.
EnergeticsAbout 40% of the released energy is utilized for ATP synthesis, while the remainder is dissipated as heat.
CoenzymesThe active centers of dehydrogenases contain derivatives of vitamin PP (NAD) and vitamin B2 (FAD).

Stages and Energetics of the Process

Broadly, cellular respiration can be divided into two closely linked components:

  1. Oxidation of substrates. The process is initiated by dehydrogenation reactions, which involve the removal of hydrogen atoms from organic molecules. This is followed by a multi-step electron transfer cascade, with oxygen as the final electron acceptor.
  2. Energy transformation. As electrons move down the respiratory chain, their free energy level decreases. The released energy is partitioned: a portion is inevitably lost as heat, while approximately 40% drives oxidative phosphorylation. This is the key mechanism for synthesizing the cellular energy currency—ATP—from ADP and inorganic phosphate.

First-Line Enzymes: Dehydrogenases

The initial step of cellular respiration is the dehydrogenation of substrates generated during catabolism. This task is carried out by dehydrogenases, which are localized primarily within the mitochondrial matrix.

Depending on their coenzyme structure, they are divided into two major groups: NAD-dependent and FAD-dependent dehydrogenases. Their mechanisms of action and chemical structures differ fundamentally.

Characteristics of NAD-Dependent Dehydrogenases

In this group of catalysts, the non-protein moiety is nicotinamide adenine dinucleotide ($NAD^+$). The molecule is a dinucleotide composed of an adenylic nucleotide (adenine, ribose, phosphate) and a nicotinamide nucleotide linked via their phosphate groups.

Key characteristics:

A classic example is the conversion of malate to oxaloacetate by malate dehydrogenase. The reaction is: Malate + $NAD^+ \rightarrow$ Oxaloacetate + $NADH + H^+$

Characteristics of FAD-Dependent Dehydrogenases

The second group utilizes flavin adenine dinucleotide (FAD). Its structure is more complex, consisting of adenine, ribose, pyrophosphate, and riboflavin (composed of the sugar alcohol ribitol and an isoalloxazine ring).

Key characteristics:

Because FAD is rigidly fixed to the enzyme, a second substrate—a mobile hydrogen acceptor—is required to continue the reaction. For all flavin enzymes, this role is fulfilled by ubiquinone (coenzyme Q).

An example is the oxidation of succinate to fumarate by succinate dehydrogenase. First, succinate is oxidized and FAD is reduced to $FADH_2$. Then, $FADH_2$ transfers its hydrogen to ubiquinone, yielding $QH_2$.

Mnemonic

To keep coenzyme mechanisms straight, remember: FAD is bound to the enzyme "permanently" (covalently), so it strictly requires a mobile courier—ubiquinone (coenzyme Q). NAD, by contrast, is "free" and can transfer hydrogen independently.

Frequently asked questions

Which enzyme complexes make up the mitochondrial respiratory chain?

The mitochondrial electron transport chain consists of:

  • Complex I — NADH dehydrogenase (NADH-ubiquinone oxidoreductase), containing the FMN coenzyme.
  • Complex II — Succinate dehydrogenase, containing the FAD coenzyme.
  • Complex III — $QH_2$ dehydrogenase ($QH_2$-cytochrome c oxidoreductase).
  • Complex IV — Cytochrome c oxidase (cytochrome c oxidase).

Mobile carriers between complexes: Coenzyme Q (ubiquinone) and cytochrome c.

What are the mechanisms of coupling oxidation and phosphorylation according to Mitchell's chemiosmotic theory?

According to Peter Mitchell's chemiosmotic theory, the coupling of oxidation and phosphorylation occurs via the generation of a transmembrane electrochemical proton gradient.

  • The energy from electron transport along the electron transport chain is used by Complexes I, III, and IV to pump protons ($H^+$) from the matrix into the intermembrane space.
  • This establishes a proton electrochemical gradient (ΔμH⁺).
  • Protons flow back into the matrix through a specialized channel in ATP synthase (Complex V).
  • The energy from this proton flux drives the synthesis of ATP from ADP and inorganic phosphate on the matrix side of the inner mitochondrial membrane.
What is the P/O ratio, and what are its values for the oxidation of NADH and FADH2?

The oxidative phosphorylation ratio (P/O) is the ratio of moles of inorganic phosphate ($H_3PO_4$) consumed to the number of oxygen atoms reduced to $H_2O$. It reflects the efficiency of ATP synthesis.

Hydrogen DonorP/O RatioCoupled Complexes Involved
NADH3I, III, IV
$FADH_2$2III, IV

Actual P/O values are somewhat lower than theoretical values because a fraction of the energy is dissipated as heat.

Which specific inhibitors block various complexes of the respiratory chain?

Specific agents inhibit distinct enzyme complexes of the respiratory chain:

  • Barbiturates (including amobarbital) and rotenone inhibit NADH dehydrogenase (Complex I), interrupting electron transfer between iron-sulfur clusters and ubiquinone.
  • Antimycin A inhibits $QH_2$ dehydrogenase (Complex III).
  • CO, $H_2S$, and cyanide inhibit cytochrome c oxidase (Complex IV).
What is oxidative phosphorylation?

It is the process of synthesizing ATP molecules from ADP and inorganic phosphate, driven by the energy released during cellular respiration.

Where does the second proton go during NAD reduction?

During the reaction, only a single hydride ion ($H^-$) adds to the nicotinamide ring. The second proton ($H^+$) does not bind to the coenzyme molecule and remains free in the surrounding aqueous environment.

Why do FAD-dependent dehydrogenases require a second substrate?

The FAD coenzyme is covalently bound to the protein moiety and cannot detach after reduction. To pass hydrogen further down the chain, it requires an external mobile acceptor, which is ubiquinone.

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