What intracellular ratio contributes to the inhibition of Pyruvate Dehydrogenase (PDH) kinase in a well-fed state?

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From the Research

In the well-fed state, a high ATP/ADP ratio contributes to the inhibition of pyruvate dehydrogenase (PDH) kinase. When we consume and digest food, especially carbohydrates, cellular energy levels increase, resulting in elevated ATP concentrations relative to ADP. This high ATP/ADP ratio signals energy abundance to the cell, inhibiting PDH kinase activity, as supported by the concept that nucleotide coenzymes, including ATP/ADP, play a crucial role in regulating energy metabolism 1. PDH kinase normally phosphorylates and inactivates the pyruvate dehydrogenase complex, so when PDH kinase is inhibited, PDH remains active. Active PDH allows pyruvate to enter the TCA cycle by converting it to acetyl-CoA, promoting glucose oxidation rather than gluconeogenesis. Additionally, high levels of pyruvate and CoA-SH (coenzyme A) in the fed state further inhibit PDH kinase, while elevated NADH/NAD+ ratios have the opposite effect, activating PDH kinase, as discussed in the context of NAD and NADP metabolism and their roles in cellular functions and cell death 2. Some key points to consider include:

  • The role of ATP/ADP ratio in signaling energy abundance and inhibiting PDH kinase activity
  • The impact of high pyruvate and CoA-SH levels on PDH kinase inhibition
  • The effect of elevated NADH/NAD+ ratios on PDH kinase activation
  • The importance of understanding NAD and NADP metabolism in the context of energy regulation and cellular functions, as highlighted in recent studies 3, 1. However, the most recent and highest quality study 1 suggests that the ATP/ADP ratio is a key regulator of PDH kinase activity, and thus, a high ATP/ADP ratio is the primary contributor to the inhibition of PDH kinase in the well-fed state.

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