NADH
(beta-nicotinamide adenine dinucleotide)
The
importance of energy metabolism for brain function:
"At times of peak activity, some regions in the CNS use as
much energy as any other tissue in the body, including striated
muscle." (Adelbert Ames III). It is widely believed that the
brain depends almost entirely on oxidative energy metabolism for
fulfilling its energy requirements.
Some
basic bioenergetics: The
oxidation of fuel molecules (glucose, ketone-bodies, fatty acids)
provides free energy for aerobic organisms. However, electrons from
the fuel molecules are not directly transported to the final electron
acceptor oxygen. Instead the fuel molecules are being broken down
to intermediate metabolites which donate electrons to special carriers,
pyridine nucleotides or flavins. These electron carriers then feed
the mitochondrial electron-transport chain (ETC) for ATP-synthesis.
The reduced
pyridine nucleotide NADH is the principal electron donor for the
respiratory chain in mammalian cells. The oxidation of NADH by the
electron transport chain is coupled to the phosphorylation of ADP
by ATP synthase. The relationship between the rate of ATP production
and the ratio of reduced NADH to oxidized NAD+, known as the redox
ratio, allows the metabolic state of a cell to be measured by its
NADH/NAD+ ratio.
How
can one estimate the NADH/NAD+ ratio ?
When NADH donates
2 electrons to complex I of the respiratory chain, it gets oxidized
to NAD+. Fortunately, NADH is fluorescent whereas NAD+ is not,
hence the NADH/NAD+ ratio can be measured using fluorescence techniques.
Britton Chance first utilized the intrinsic NADH fluorescence in
living cells to measure metabolic states in single cells, tissue
explants and the in vivo brain and heart - this technique
came to be known as redox-fluorimetry.
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