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Acetoacetate, beta-hydroxybutyrate, and their spontaneous breakdown product, acetone, [9] are known as ketone bodies. The ketone bodies are released by the liver into the blood. All cells with mitochondria can take ketone bodies up from the blood and reconvert them into acetyl-CoA, which can then be used as fuel in their citric acid cycles, as ...
Both acetoacetate and beta-hydroxybutyrate are acidic, and, if levels of these ketone bodies are too high, the pH of the blood drops, resulting in ketoacidosis. Ketoacidosis is known to occur in untreated type I diabetes (see diabetic ketoacidosis ) and in alcoholics after prolonged binge-drinking without intake of sufficient carbohydrates (see ...
In fact, β-Hydroxybutyrate is the most abundant ketone-like molecule in the blood during ketosis. [5] Acetone. Acetone is an organic compound with the formula (CH3)2CO and is one of the simplest and smallest ketones. It is synthesized from the breakdown of acetoacetate in ketotic individuals within the liver. [3]
Although beta-hydroxybutyrate is the predominant circulating ketone, urine test strips only measure acetoacetate. Urinary ketones often correlate poorly with serum levels because of variability in excretion of ketones by the kidney, influence of hydration status, and renal function. [1] [8]
Acetoacetate and D-β-hydroxybutyrate are exported to non-hepatic tissues, where they are converted back into acetyl-coA and used for fuel. Acetone and carbon dioxide on the other hand are exhaled, and not allowed to accumulate under normal conditions. Acetoacetate and D-β-hydroxybutyrate freely interconvert through the action of D-β ...
Acetoacetate is an intermediate in the Krebs cycle which releases energy from sugars and carbohydrates. [ 22 ] In medicine, acetone , acetoacetate, and beta-hydroxybutyrate are collectively called ketone bodies , generated from carbohydrates , fatty acids , and amino acids in most vertebrates , including humans.
A pH measurement is performed to detect acidosis. Blood from a vein is adequate, as there is little difference between the arterial and the venous pH; arterial samples are only required if there are concerns about oxygen levels. [6] Ketones can be measured in the urine (acetoacetate) and blood (β-hydroxybutyrate).
Acetoacetyl-CoA also behaves as a product of acetoacetyl-CoA synthetase (AACS) within the cytosol, using acetoacetate as the substrate, the reaction provides acetyl groups for lipogenesis. [8] Understanding acetoacetyl-CoA is important in cholesterol development and lipogenesis and Acetoacetyl-CoA synthetase playing a role in its development ...