Explain the difference between ketogenesis and ketoacidosis.
Biochemistry
9th Edition
ISBN:9781319114671
Author:Lubert Stryer, Jeremy M. Berg, John L. Tymoczko, Gregory J. Gatto Jr.
Publisher:Lubert Stryer, Jeremy M. Berg, John L. Tymoczko, Gregory J. Gatto Jr.
Chapter1: Biochemistry: An Evolving Science
Section: Chapter Questions
Problem 1P
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I don't get it at all. I struggled with my homework. Can you help me? Can you help me to explain to me to get the difference between ketogenesis and ketoacidosis., please?

Transcribed Image Text:15.23) Explain the difference between ketogenesis and ketoacidosis.
YOUR ANSWER SHOULD BE SOMETHING LIKE THIS (perhaps a bit less detailed):
Acetyl-CoA that is produced in excess of the amount that can be metabolized in the citric acid cycle results in a high
concentration of acetyl-CoA. When this occurs, acetyl-CoA reacts with other acetyl-CoA to produce the three
compounds that are referred to as ketone bodies. This process is referred to as ketogenesis. Ketone bodies are produced
as shown in the reactions below. When individuals diet, they begin to metabolize the triglycerides that are stored in fat
cells. This leads to ketogenesis.
NAD
ОН
CH₂CH-CH₂C-0
B-hydroxybutyrate
CHO-COA
acetyl-CoA
NADH + H+
ہے
+
CHIC-COA
acetyl-CoA
H₂O
2 H-CoA + H+
_______
CH₂C-CH₂C-0
acetoacetate
ketone bodies
CO₂
LCH_i_
CH₂-C-CH,
acetone
In cases of starvation, poorly treated diabetes, and conditions
related to alcoholic binge drinking, the cells cannot get glucose
and extremely high rates of fatty acid catabolism results in
dangerous, and even fatal levels of ketone bodies. ß-
hydroxybutyric acid and acetoacetic acid (the acid forms of ß-
hydroxybutyrate and acetoacetate, respectively) have significant
acid strength. Their production results in a higher concentration
of H3O+, which can overcome the blood's buffering capacity.
When this occurs, the blood becomes acidic. When blood pH is
less than the normal range (7.35-7.45), the condition is called
acidosis. When acidosis is caused by excess ketone bodies, the
condition is called ketoacidosis.
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