Anatomy and Physiology 2e · Metabolism and Nutrition
Overview of Metabolic Reactions
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In 30 seconds
Metabolism The sum of all chemical reactions in the body is the sum of all chemical reactions occurring in the body, and it runs in two directions. Catabolism Reactions that break molecules down and release energy Full entry → breaks larger molecules into smaller ones and releases energy; Anabolism Reactions that build molecules up and consume energy Full entry → builds larger molecules from smaller ones and consumes energy. The two are coupled: energy released by catabolic reactions drives the anabolic reactions that build and maintain the body. The connecting currency is ATP The cell's energy currency (adenosine triphosphate) Full entry → — the molecule that stores and delivers energy for cellular work. Most energy-releasing pathways work by transferring electrons (redox reactions), with carriers such as NAD+ and FAD shuttling electrons to the machinery that makes ATP. Glucose catabolism runs in three stages — Glycolysis Cytosolic splitting of glucose into two pyruvate Full entry →, the Krebs (citric acid) cycle, and the Electron transport chain Membrane protein series that accepts electrons Full entry → with Oxidative phosphorylation ATP production driven by the proton gradient (chemiosmosis) Full entry → — and nearly every fuel the body uses funnels into a common junction molecule, Acetyl-CoA Two-carbon junction molecule feeding the Krebs cycle Full entry →. This topic builds the vocabulary and the big picture; the next three topics apply it to carbohydrates, lipids, and proteins.
Why this matters
Metabolism answers questions people actually ask: why we gain and lose weight, why a sprinter and a marathon runner use different fuels, why fasting changes how the brain is powered, and why uncontrolled diabetes is dangerous. Every cell depends on ATP, and the pathways that make it are the ones influenced by hormones such as insulin, glucagon, and thyroid hormone and disrupted in metabolic disease. For exams, this overview is the skeleton of all of Chapter 24: catabolism versus anabolism, ATP's role, where each pathway occurs (cytosol versus mitochondria), and aerobic versus anaerobic conditions. Master the skeleton, and carbohydrate, lipid, and protein metabolism become variations on one theme.
The college version
Core Concepts
Catabolism and anabolism: two directions of one process
Catabolism breaks molecules apart: glycogen → glucose, triglycerides → fatty acids + glycerol, proteins → amino acids. Digestion (Chapter 23) is catabolism, and so is the burning of fuels inside cells. These reactions are generally exergonic — they release energy, much of which is captured rather than lost as heat. Anabolism builds molecules up: glucose → glycogen, amino acids → proteins, fatty acids → triglycerides. These reactions are endergonic — they require energy input. The trick of metabolism is coupling: exergonic catabolism drives endergonic anabolism, with ATP as the transfer agent. When you lift weights and then eat, the catabolism of food energy pays for the anabolic building of muscle protein.
ATP: the energy currency
ATP (adenosine triphosphate) is a nucleotide with three phosphate groups. Hydrolysis of the terminal phosphate converts ATP to ADP + inorganic phosphate and releases energy that cells use for work — muscle contraction, active transport, synthesis reactions. Because cells keep only a small pool of ATP, it must be regenerated constantly: ADP + phosphate + energy → ATP, powered by the catabolic pathways. The commonly taught analogy is a rechargeable battery: ATP is the charged state, ADP is the discharged state, and metabolism is the charger. The takeaway: ATP hydrolysis delivers usable energy, and ATP must be continuously regenerated.
Redox reactions and electron carriers
Energy extraction from food is mostly a matter of moving electrons. Oxidation is the loss of electrons (frequently along with hydrogen atoms); reduction is the gain of electrons; the two always occur together. When a fuel is oxidized, electrons are handed to carriers: NAD+ becomes NADH, and FAD becomes FADH2. These reduced carriers then deliver electrons to the electron transport chain, where the energy released as electrons cascade down the chain is used to make ATP. The carriers are the shuttle system that connects fuel breakdown to the ATP-producing machinery.
Glucose catabolism in three stages
Glucose is the model fuel, and its oxidation proceeds in three stages:
- Glycolysis (cytosol): glucose (6 carbons) is split into two pyruvate molecules (3 carbons each). The commonly taught net yield is 2 ATP and 2 NADH per glucose. Oxygen is not required — glycolysis runs anaerobically.
- Krebs cycle Mitochondrial cycle that oxidizes acetyl-CoA to CO2 Full entry → (mitochondrial matrix): pyruvate is converted to acetyl-CoA, which enters the cycle; the carbons are progressively released as CO2. The commonly taught yield per glucose is 2 ATP (as GTP), 6 NADH, and 2 FADH2.
- Electron transport chain and oxidative phosphorylation (inner mitochondrial membrane): NADH and FADH2 donate electrons; the energy drives protons across the membrane, building a gradient; ATP synthase uses the flow of protons back across the membrane to make ATP (chemiosmosis). Oxygen is the final electron acceptor — this is where most ATP is made, commonly taught as roughly 28–34 ATP per glucose depending on the shuttle system used.
When oxygen is limited — during intense exercise, for example — the electron transport chain backs up, NADH cannot be unloaded, and glycolysis would stall. The cell solves this by converting pyruvate to Lactate Product of pyruvate reduction when oxygen is limited Full entry → (fermentation), regenerating NAD+ so glycolysis can continue. Lactate is not waste; the liver recycles it back to glucose (the Cori cycle, Topic 2).
Acetyl-CoA: the metabolic hub
Carbohydrates, fats, and proteins all converge on acetyl-CoA. Glucose gives acetyl-CoA via pyruvate; fatty acids give acetyl-CoA via beta-oxidation (Topic 3); many amino acids give acetyl-CoA after deamination (Topic 4). Acetyl-CoA then enters the Krebs cycle — or, when the cycle is overwhelmed, as in prolonged fasting, the liver converts excess acetyl-CoA into ketone bodies, alternative fuels discussed in Topic 3. The hub concept explains why fuels are partly interchangeable: the body can burn whatever it has, but the routes to the hub differ.
Regulation of metabolism
Pathways are not constant; they are switched on and off. The key control points are enzymes that catalyze slow, irreversible steps, regulated by feedback inhibition (the end product inhibits an early enzyme), allosteric effectors, and hormones — insulin generally promotes anabolic (storage) reactions in the fed state, while glucagon, epinephrine, and cortisol promote catabolic (mobilization) reactions during fasting or stress. The overall pace is the metabolic rate — total energy expended per day — which varies with activity, body size, age, and thyroid status (commonly taught concepts; see Topic 6).
Common Confusions
| Do Not Confuse | With | Difference |
|---|---|---|
| Catabolism and anabolism | Two directions of the same process | Catabolism releases energy by breakdown; anabolism consumes energy by building |
| "Energy stored in ATP's bonds" | Energy released on hydrolysis | The released energy reflects the stability of the products; hydrolysis delivers usable energy |
| Glycolysis requiring oxygen | Glycolysis being anaerobic | Glycolysis runs without oxygen; the ETC is the oxygen-dependent stage |
| The Krebs cycle using oxygen directly | Oxygen's role in the ETC | Oxygen accepts electrons at the end of the chain; the Krebs cycle feeds the chain |
| NADH and FADH2 being equal | Their different ATP yields | Each NADH yields more ATP than each FADH2 (commonly taught) |
| The body storing large ATP reserves | Continuous ATP regeneration | The ATP pool is small and turns over constantly |
| Lactate being a toxic waste product | Lactate as a recyclable fuel | It regenerates NAD+ and can be converted back to glucose by the liver |

Eli explains
The same idea, in plain words
Explain it like I’m 10
Metabolism is like a bank account for energy. Catabolism is cashing in: the body breaks down food molecules and earns energy coins (ATP). Anabolism is spending: the body uses those coins to build things like muscle and fat. You can't spend without earning first, so the body keeps a wallet (ATP), a checking account (glycogen), and a savings account (fat).
Worked example
At 7:00 a.m., you lace up for a 30-minute jog. Seconds 0–10: muscles use their tiny existing ATP pool, then phosphocreatine (creatine phosphate) donates phosphate to regenerate ATP quickly — a burst that lasts only seconds (commonly taught). Minutes 1–5: muscle glycogen breaks down (catabolism) to glucose, which runs glycolysis; oxygen is plentiful, so pyruvate enters the Krebs cycle and the electron transport chain, producing ATP aerobically. Minutes 5–30: as the pace settles and glycogen thins, the body shifts to burning fatty acids — beta-oxidation feeds acetyl-CoA into the same Krebs/ETC machinery, sparing glucose for tissues that need it most, especially the brain. After the run, the body is in recharge mode: insulin rises with the next meal, glucose is stored back into glycogen, and any excess is converted to fat. One run, one metabolism — but three fuel strategies unfolding in sequence: phosphocreatine, then carbohydrate, then fat, all converging on the same ATP machinery.
Key takeaways
- Catabolism breaks down and releases energy; anabolism builds up and consumes energy; ATP couples them.
- ATP → ADP + phosphate releases usable energy; ATP must be continuously regenerated — cells store very little.
- Energy extraction is redox: fuels are oxidized; NAD+ → NADH and FAD → FADH2 carry the electrons.
- Glycolysis: cytosol, no oxygen needed, net 2 ATP + 2 NADH per glucose (commonly taught).
- Krebs cycle: mitochondrial matrix, releases CO2; per glucose commonly taught 2 ATP, 6 NADH, 2 FADH2.
- Electron transport chain + oxidative phosphorylation: inner mitochondrial membrane, oxygen-dependent, produces most ATP (~28–34 per glucose, commonly taught).
- Anaerobic conditions → pyruvate → lactate, regenerating NAD+ so glycolysis continues.
- Acetyl-CoA is the convergence hub for carbohydrates, fats, and proteins.
- Enzymes at slow, irreversible steps are the control points; feedback inhibition and hormones (insulin vs. glucagon) regulate them.
- Pathway locations matter: cytosol (glycolysis) vs. mitochondria (Krebs, ETC).
Check yourself
6 review questions from the chapter. Try each one, then open the answer.
Define catabolism and anabolism, and give one example of each.
Show answer
Catabolism breaks molecules down and releases energy (e.g., glycogen → glucose); anabolism builds molecules up and consumes energy (e.g., glucose → glycogen, amino acids → protein).
What is ATP's role, and why must it be regenerated constantly?
Show answer
ATP delivers usable energy for cellular work when hydrolyzed to ADP + phosphate; because cells store very little ATP, it must be regenerated by catabolic pathways.
List the three stages of glucose catabolism and where each occurs in the cell.
Show answer
Glycolysis (cytosol), Krebs cycle (mitochondrial matrix), electron transport chain with oxidative phosphorylation (inner mitochondrial membrane).
What happens to pyruvate when oxygen is limited, and why is that step necessary?
Show answer
Pyruvate is converted to lactate, which regenerates NAD+ so glycolysis can continue producing ATP without oxygen.
What is acetyl-CoA, and why is it called the metabolic hub?
Show answer
Acetyl-CoA is the two-carbon compound that feeds the Krebs cycle; carbohydrates, fats, and proteins all produce it, so it is the convergence point of fuel metabolism.
Name two ways metabolic pathways are regulated.
Show answer
By feedback inhibition (end product slows an early enzyme) and by hormones (e.g., insulin promotes anabolism; glucagon, epinephrine, cortisol promote catabolism).
Study tools & related lessonsKey vocabulary · Related
Key vocabulary
- Metabolism
- The sum of all chemical reactions in the body
- Catabolism
- Reactions that break molecules down and release energy
- Anabolism
- Reactions that build molecules up and consume energy
- ATP
- The cell's energy currency (adenosine triphosphate)
- Redox reaction
- A paired transfer of electrons (oxidation + reduction)
- NAD+ / FAD
- Electron carrier molecules
- Glycolysis
- Cytosolic splitting of glucose into two pyruvate
- Krebs cycle
- Mitochondrial cycle that oxidizes acetyl-CoA to CO2
- Electron transport chain
- Membrane protein series that accepts electrons
- Oxidative phosphorylation
- ATP production driven by the proton gradient (chemiosmosis)
- Acetyl-CoA
- Two-carbon junction molecule feeding the Krebs cycle
- Lactate
- Product of pyruvate reduction when oxygen is limited
Sources & references
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