What molecule primarily inhibits fatty acid oxidation after a meal, particularly one high in carbohydrates and fats, such as a large sandwich: Acetyl-CoA (Acetyl Coenzyme A), Citrate, Malate, Malonyl-CoA (Malonyl Coenzyme A), or Pyruvate?

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From the Research

Malonyl-CoA is primarily responsible for inhibiting fatty acid oxidation after eating a large sandwich. When we consume carbohydrates and proteins in a meal, insulin levels rise, promoting glucose uptake and utilization. This metabolic shift increases the conversion of glucose to acetyl-CoA, which is then partially directed toward fatty acid synthesis. The first committed step in fatty acid synthesis involves the conversion of acetyl-CoA to malonyl-CoA by acetyl-CoA carboxylase (ACC) 1. Malonyl-CoA serves a dual purpose - it's both a substrate for fatty acid synthesis and a potent inhibitor of carnitine palmitoyltransferase-1 (CPT-1), the enzyme that facilitates fatty acid transport into mitochondria for oxidation, as shown in studies such as 2 and 3. This inhibition makes physiological sense: when energy is abundant after a meal, the body prioritizes energy storage (fatty acid synthesis) over energy expenditure (fatty acid oxidation). The other molecules listed (acetyl-CoA, citrate, malate, and pyruvate) play various roles in metabolism but don't directly inhibit fatty acid oxidation to the same extent as malonyl-CoA in the post-prandial state. Some key points to consider include:

  • The role of malonyl-CoA in regulating fatty acid oxidation in different tissues, including liver and muscle, as discussed in 4 and 5
  • The relationship between malonyl-CoA and other metabolic intermediates, such as citrate and acetyl-CoA
  • The impact of nutritional status and hormonal signals on malonyl-CoA levels and fatty acid oxidation. Overall, the evidence suggests that malonyl-CoA plays a critical role in regulating fatty acid oxidation in response to changes in nutritional status and energy availability.

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