{"id":532,"date":"2017-10-26T14:33:32","date_gmt":"2017-10-26T14:33:32","guid":{"rendered":"https:\/\/courses.lumenlearning.com\/sunynutrition\/?post_type=chapter&#038;p=532"},"modified":"2017-11-13T20:03:52","modified_gmt":"2017-11-13T20:03:52","slug":"6-34-ketone-body-synthesis","status":"publish","type":"chapter","link":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/chapter\/6-34-ketone-body-synthesis\/","title":{"raw":"6.34 Ketone Body Synthesis","rendered":"6.34 Ketone Body Synthesis"},"content":{"raw":"<div class=\"__UNKNOWN__\">\r\n\r\nIn cases where there is not enough glucose available for the brain (very low carbohydrate diets, starvation), the liver can use acetyl-CoA, primarily from fatty acids (but also certain amino acids), to synthesize ketone bodies (ketogenesis). The structures of the three ketone bodies; acetone, acetoacetic acid, and beta-hydroxybutyric acid, are shown below.\r\n<div>\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"312\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/26143223\/100002000000013800000256AD392DAD.png\" alt=\"\" width=\"312\" height=\"598\" \/> Figure 6.341 The three ketone bodies from top to bottom (acetone, acetoacetic acid, and beta-hydroxybutyric acid<sup>1<\/sup>)[\/caption]\r\n\r\n<\/div>\r\nAfter they are synthesized in the liver, ketone bodies are released into circulation where they can travel to the brain. The brain converts the ketone bodies to acetyl-CoA that can then enter the citric acid cycle for ATP production, as shown below.\r\n<div>\r\n\r\n[caption id=\"\" align=\"aligncenter\" width=\"1025\"]<img src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/26143226\/1000000000000401000002D8869E2E82.png\" alt=\"\" width=\"1025\" height=\"728\" \/> Figure 6.342 The production, release, use, or exhalation of ketone bodies<sup>2<\/sup>[\/caption]\r\n\r\n<\/div>\r\nIf there are high levels of ketones secreted, it results in a condition known as ketosis or ketoacidosis. The high level of ketones in the blood decreases the blood\u2019s pH, meaning it becomes more acidic. It is debatable whether mild ketoacidosis is harmful, but severe ketoacidosis can be lethal. One symptom of this condition is fruity or sweet smelling breath, which is due to increased acetone exhalation.\r\n\r\n<b>References &amp; Links<\/b>\r\n\r\n1. http:\/\/en.wikipedia.org\/wiki\/File:Ketone_bodies.png\r\n\r\n2. http:\/\/commons.wikimedia.org\/wiki\/File:Liver.svg\r\n\r\n<\/div>","rendered":"<div class=\"__UNKNOWN__\">\n<p>In cases where there is not enough glucose available for the brain (very low carbohydrate diets, starvation), the liver can use acetyl-CoA, primarily from fatty acids (but also certain amino acids), to synthesize ketone bodies (ketogenesis). The structures of the three ketone bodies; acetone, acetoacetic acid, and beta-hydroxybutyric acid, are shown below.<\/p>\n<div>\n<div style=\"width: 322px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/26143223\/100002000000013800000256AD392DAD.png\" alt=\"\" width=\"312\" height=\"598\" \/><\/p>\n<p class=\"wp-caption-text\">Figure 6.341 The three ketone bodies from top to bottom (acetone, acetoacetic acid, and beta-hydroxybutyric acid<sup>1<\/sup>)<\/p>\n<\/div>\n<\/div>\n<p>After they are synthesized in the liver, ketone bodies are released into circulation where they can travel to the brain. The brain converts the ketone bodies to acetyl-CoA that can then enter the citric acid cycle for ATP production, as shown below.<\/p>\n<div>\n<div style=\"width: 1035px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/s3-us-west-2.amazonaws.com\/courses-images\/wp-content\/uploads\/sites\/2569\/2017\/10\/26143226\/1000000000000401000002D8869E2E82.png\" alt=\"\" width=\"1025\" height=\"728\" \/><\/p>\n<p class=\"wp-caption-text\">Figure 6.342 The production, release, use, or exhalation of ketone bodies<sup>2<\/sup><\/p>\n<\/div>\n<\/div>\n<p>If there are high levels of ketones secreted, it results in a condition known as ketosis or ketoacidosis. The high level of ketones in the blood decreases the blood\u2019s pH, meaning it becomes more acidic. It is debatable whether mild ketoacidosis is harmful, but severe ketoacidosis can be lethal. One symptom of this condition is fruity or sweet smelling breath, which is due to increased acetone exhalation.<\/p>\n<p><b>References &amp; Links<\/b><\/p>\n<p>1. http:\/\/en.wikipedia.org\/wiki\/File:Ketone_bodies.png<\/p>\n<p>2. http:\/\/commons.wikimedia.org\/wiki\/File:Liver.svg<\/p>\n<\/div>\n\n\t\t\t <section class=\"citations-section\" role=\"contentinfo\">\n\t\t\t <h3>Candela Citations<\/h3>\n\t\t\t\t\t <div>\n\t\t\t\t\t\t <div id=\"citation-list-532\">\n\t\t\t\t\t\t\t <div class=\"licensing\"><div class=\"license-attribution-dropdown-subheading\">CC licensed content, Shared previously<\/div><ul class=\"citation-list\"><li>Kansas State University Human Nutrition Flexbook. <strong>Authored by<\/strong>: Brian Lindshield. <strong>Provided by<\/strong>: Kansas State University. <strong>Located at<\/strong>: <a target=\"_blank\" href=\"http:\/\/goo.gl\/vOAnR\">http:\/\/goo.gl\/vOAnR<\/a>. <strong>License<\/strong>: <em><a target=\"_blank\" rel=\"license\" href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\">CC BY: Attribution<\/a><\/em><\/li><\/ul><\/div>\n\t\t\t\t\t\t <\/div>\n\t\t\t\t\t <\/div>\n\t\t\t <\/section>","protected":false},"author":44985,"menu_order":17,"template":"","meta":{"_candela_citation":"[{\"type\":\"cc\",\"description\":\"Kansas State University Human Nutrition Flexbook\",\"author\":\"Brian Lindshield\",\"organization\":\"Kansas State University\",\"url\":\"goo.gl\/vOAnR\",\"project\":\"\",\"license\":\"cc-by\",\"license_terms\":\"\"}]","CANDELA_OUTCOMES_GUID":"","pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-532","chapter","type-chapter","status-publish","hentry"],"part":442,"_links":{"self":[{"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/pressbooks\/v2\/chapters\/532","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/wp\/v2\/users\/44985"}],"version-history":[{"count":4,"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/pressbooks\/v2\/chapters\/532\/revisions"}],"predecessor-version":[{"id":1733,"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/pressbooks\/v2\/chapters\/532\/revisions\/1733"}],"part":[{"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/pressbooks\/v2\/parts\/442"}],"metadata":[{"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/pressbooks\/v2\/chapters\/532\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/wp\/v2\/media?parent=532"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/pressbooks\/v2\/chapter-type?post=532"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/wp\/v2\/contributor?post=532"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/courses.lumenlearning.com\/atd-herkimer-nutrition\/wp-json\/wp\/v2\/license?post=532"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}