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Ketone Body Synthesis | Ketogenesis | Formation Pathway and Regulation 

JJ Medicine
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Lesson on Ketone Body Synthesis (Ketogenesis): In-Depth, step-by-step pathway analysis of the formation of ketones, and regulation of the enzymes involved.
Hey everyone! This lesson is on ketone body synthesis, how ketone bodies are produced, the location of ketone body formation, and how ketone body synthesis is regulated by glucagon and insulin.
If you found this video helpful, please like and subscribe for my videos! Please also check out my videos for more lessons on human metabolism, health and disease.
***EXCLAIMER: The content (ex. images) used in this lesson are used in accordance with Fair Use laws and are intended for educational/teaching purposes only.***
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**MEDICAL DISCLAIMER**: JJ Medicine does not provide medical advice, and the information available on this channel does not offer a diagnosis or advice regarding treatment. Information presented in these lessons is for educational purposes ONLY, and information presented here is not to be used as an alternative to a healthcare professional’s diagnosis and treatment of any person/animal.
Only a physician or other licensed healthcare professional are able to determine the requirement for medical assistance to be given to a patient. Please seek the advice of your physician or other licensed healthcare provider if you have any questions regarding a medical condition.
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Although I try my best to present accurate information, there may be mistakes in this video. If you do see any mistakes with information in this lesson, please comment and let me know.
I am always looking for ways to improve my lessons! Please don't hesitate to leave me feedback and comments - all of your feedback is greatly appreciated! :) And please don't hesitate to send me any messages if you need any help - I will try my best to be here to help you guys :)
Thanks for watching! If you found this video helpful, please like and subscribe!
JJ

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23 ноя 2017

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Комментарии : 112   
@velvaka
@velvaka 3 месяца назад
Bro just made me understand in less than five minutes rather than studying a slide of fourty pages four three hours 😂😂😂 and get nothing
@schuggy4408
@schuggy4408 3 года назад
This is flat out, the best explanation of this topic on RU-vid. Great job.
@hadeelalshangiti2675
@hadeelalshangiti2675 5 лет назад
AMAZING! My professor spend an entire class explaining this and I could not get it! You made it perfectly simple! Nice work
@lj4190
@lj4190 3 года назад
This video is life saving for biochemistry lectures. THANK YOU.
@dloromrajabova5260
@dloromrajabova5260 3 года назад
Wooow actually last 3 days lm reading about the ketone bodies but didn't got it l saw this video and completely understood even my professor also didn't explain this much thank you sooo much waiting more video if possible with CC
@Teddy_______
@Teddy_______ 4 года назад
I’m a personal trainer and as of late I’ve been trying to broaden my nutritional knowledge. These vids are amazing! Keep it up 👍🏼
@lucaslopesbraga8032
@lucaslopesbraga8032 2 года назад
Good on you, sir! The world needs more professionals like you, who go out of their comfort zone to better serve their clients. Keep it up
@aspektn.5066
@aspektn.5066 4 года назад
Seen once. Shall be seen again. Great vid.
@shamimsamad9304
@shamimsamad9304 4 года назад
Good clear explanation and good slides as well.
@annier844
@annier844 3 года назад
Great video! Thank you so much!
@Hawkman6788
@Hawkman6788 5 лет назад
Really Helped with my BioChem II Class! Thanks
@SumanMondal-tp9yd
@SumanMondal-tp9yd 6 лет назад
I understood...thank you so much
@ernesttse1102
@ernesttse1102 Год назад
At 0:34, you said that decreased pyruvate dehydrogenase (PDH) activity leads to high levels of acetyl CoA, but I think is PDH responsible for converting pyruvate into acetyl CoA, so isn't it the *increase in PDH activity* that leads to the higher level of acetyl CoA?
@Littleprinceleon
@Littleprinceleon Год назад
Most likely... but why would be PDH upregulated?
@testingtesting421
@testingtesting421 Год назад
This is true. Acetyl coa provides feedback inhibition which will shift the equilibrium towards gluconeogenesis via pyruvate carboxylase. Relatively high concentrations of acetyl coa will thus push pyruvate towards making glucose.
@liliummy
@liliummy 5 лет назад
Very nice explanation! Ty!
@tolulopeobasuyi290
@tolulopeobasuyi290 10 месяцев назад
Thank you. This was really helpful
@InnerFireme
@InnerFireme 5 лет назад
Thank you for the great video
@mashiyageoffrey5660
@mashiyageoffrey5660 2 года назад
Excellent lesson!!!!!
@marinahovakimyan9387
@marinahovakimyan9387 2 года назад
Amazing!! Thank you so much
@SehrKhan
@SehrKhan 5 лет назад
thanks so much for the help!
@ricardoanoriegarivera985
@ricardoanoriegarivera985 5 лет назад
"Mitochondrial synthase or synthetase". Idk what you meant there, but they are not the same thing. Its name is HMG CoA Synthase. Synthetase means that uses ATP, which this enzyme doesn't use.
@julielabelle2783
@julielabelle2783 2 года назад
Great education video, thank you for sharing. ⚛️
@milohuss6404
@milohuss6404 5 лет назад
thank you very much for this
@1amortensen
@1amortensen 3 года назад
Great videos. I do want to make one comment and the is to say that ketones are far from being a simple energy source. Ketones are signaling molecules of which bind to receptors and therefore cause down stream effects. Ketones mediate immune responses, they act as HDAC inhibitors and provide a very efficient and less reactive energy source. There are dozens of good peer reviewed papers explaining the various ways in which ketones alter physiology advantageously. If you are interested I suggest you search the following. 1. Epilepsy and ketones 2. Ketone signaling 3. Inflammasome (NLRP3) ketones 4. Hdac ketones and aging 5 metabolism and ketones
@Littleprinceleon
@Littleprinceleon Год назад
Please answer briefly if possible: why should be the inhibition of a natural process (downregulation of momentarily unnecessary genes via deacetylation of histones) be beneficial in general?
@anabellei
@anabellei 6 лет назад
more biochem videos! med students are in need :) thank you!!!
@jakemeow
@jakemeow 5 лет назад
Dentistry students are also
@edthoreum7625
@edthoreum7625 5 лет назад
please biGGer FONT is appreciated for US half blind people ... THANKYOU
@abcgames4454
@abcgames4454 4 года назад
Hi are you medical student from Israel?
@machinized
@machinized 2 года назад
Very interesting, thanks!
@apostlekennedoandhismusicc298
@apostlekennedoandhismusicc298 9 месяцев назад
Thank you for saving my life
@owaniedmond8914
@owaniedmond8914 Год назад
This is just so amazing
@johnathanwu2524
@johnathanwu2524 3 года назад
Wouldn’t decreased pdh activity lead to more pyruvate and less acetyl-CoA since it is the enzyme responsible for the conversion? @0:40
@jeje2993
@jeje2993 4 года назад
This vedio is very helpful thank you👍❤️❤️
@jjmedicine
@jjmedicine 4 года назад
Glad you like it :)
@taniyan7322
@taniyan7322 3 года назад
Why does decreased pyruvate dehydrogenase activity cause more acetyl CoA? Isnt that enzyme the one that converts pyruvate into acetyl CoA?
@shereal3196
@shereal3196 3 года назад
PDH enzyme activity when decreased will not direct acetyl-CoA to the Krebs cycle, thus acetyl-CoA can be used to generate ketone bodies. Moreover, in a FASTING STATE, the Krebs cycle is inhibited thereby more ketogenesis pathway for available acetyl-CoA. I hope this help :)
@Littleprinceleon
@Littleprinceleon Год назад
@@shereal3196 is that PDH directly responsible for directing acCoA into the Krebs ...?
@zainy_inc154
@zainy_inc154 5 месяцев назад
Thank you! ❤​@@shereal3196
@balikoowabrian2360
@balikoowabrian2360 8 месяцев назад
Thank you
@praveenanara9301
@praveenanara9301 Год назад
It was really easy to understand with my notes.. thank you
@telugumm5792
@telugumm5792 Год назад
Ikkadiki kuda chaccha ra mana vallu, chaa
@limathecat
@limathecat Год назад
can you tell me how much ATP is generated from glucose and how much energy (ATP) from ketones? I cant figure this out, maybe asking you might help. Thank you very much!
@jesseel-nassar8842
@jesseel-nassar8842 2 года назад
Thank you very much 🥰
@lucindadewaal9511
@lucindadewaal9511 4 года назад
Thank you !!
@abdameer9755
@abdameer9755 3 года назад
absolute legend
@BeSelfish-bh5xx
@BeSelfish-bh5xx 9 месяцев назад
Love this explanation. One cinfusion on @0:55 wouldnt decreased levels of pyruvate dehydrogenase lead to decreased levels of acetyl coa since less pyruvate is being converted into aceytl coa?
@deem643
@deem643 4 года назад
Amazing!👌🏾👌🏾💙💚
@emanenany4023
@emanenany4023 4 года назад
From Egypt 🇪🇬 Saying “ thank you ☺️ “
@jjmedicine
@jjmedicine 4 года назад
You’re very welcome! 😁 and greetings from Canada 🇨🇦
@nabeelalipkhan23
@nabeelalipkhan23 Год назад
why high levels in acetyl coa is due to decrease level of pyruvate dehydrogenase when the pyruvate dehydrogenase complex helps in conversion of pyruavte to acetyl coa??
@wolacuil2054
@wolacuil2054 3 года назад
I love your channel 🙂💝💝💝💝
@JeonJungkook-zn8kk
@JeonJungkook-zn8kk 3 года назад
Awesome video,thank you so much! I have a doubt: why could the decreased activity of Pyruvate DeHydrogenase result in high levels of acetyl CoA? Since pyruvate dehydrogenase synthesizes acetyl-CoA, aren't the acetyl CoA levels supposed to be lower during reduced PDH activity?
@ziadqumizakis7770
@ziadqumizakis7770 3 года назад
i think hes mistaken... or he mightve meant that when high levels of acetyl CoA accumulate they decrease the activity of PDH
@JeonJungkook-zn8kk
@JeonJungkook-zn8kk 3 года назад
@@ziadqumizakis7770 thank you for answering!
@sinnykwon
@sinnykwon 4 года назад
Thank you sooooo much
@walidragab2114
@walidragab2114 4 года назад
Thank you for such a great video. But I have a question; I don't understand how high levels of acetyl coA can be a consequence of decreased pyruvate dehydrogenase activity??
@rukashniazi3178
@rukashniazi3178 4 года назад
I think he did explain it right, so basically during fasting, free fatty acid are "mobilized" to liver, now fatty acid oxidation(beta oxidation) occurs converting FA's into Acetyl CoA, now this high level of acetyl CoA inhibits pyruvate dehydrogenase (like a negative feedback) Acetyl CoA also activates pyruvate carboxylase (which forms oxaloacetate) used for gluconeogenesis So basically beta oxidation inc level of acetyl CoA which in turn inhibits pyruvate dehydrogenase
@ka6091
@ka6091 3 года назад
@@rukashniazi3178 but this means decreased pyruvate dehydrogenase activity is a result of high level of acetyl CoA, not the other way round like what he stated at the beginning of the video
@drasimhashmi.
@drasimhashmi. 2 года назад
Excellent 😊
@drm1996
@drm1996 3 года назад
Thank you ❤❤❤
@argwanqueen6040
@argwanqueen6040 2 года назад
Thanks 🥰
@baraskparas9559
@baraskparas9559 2 года назад
Thanks.
@burakdeveli2121
@burakdeveli2121 5 лет назад
Thans a lot!
@foziadayib1964
@foziadayib1964 4 года назад
Thanks lot
@MrExeetor
@MrExeetor 5 лет назад
seen the trails from the 50 I think it was when they dropped the bloodglucose levels in a few patients so low that they would have entered coma but didnt since they had fasted for such a long time that the brain more or less was not dependent on blood-glucose at all?
@Littleprinceleon
@Littleprinceleon Год назад
Is that possible for longer periods of time?
@DJmisterpeluca
@DJmisterpeluca 2 года назад
As a future biochemist who's on a ketogenic diet, this is key
@Littleprinceleon
@Littleprinceleon Год назад
Your reasons for keto? if not private! Thanks
@sharonstrahan7193
@sharonstrahan7193 Год назад
@JJ Medicine Thank you for the helpful and to-the-point videos. I have 2 questions on this one please. 1) if fats can't cross BBB then how does the brain use ketones for energy? and 2) can you explain how certain amino acids can feed into the ketogenesis pathway please (lysine and leucine?) Thanks!
@peteaguirre2013
@peteaguirre2013 Год назад
Ketone bodies are water soluble which can cross the blood brain barrier once oxidized which substitutes the brain's need for glucose energy?
@Littleprinceleon
@Littleprinceleon Год назад
Why specifically lysine and leucine?
@djl3ittu904
@djl3ittu904 5 лет назад
High levels of Acetyl CoA from "decreased" pyruvate dehydrogenase activity?
@noorothman8567
@noorothman8567 5 лет назад
TESRACT tex it works as an inhibitor, cause acetyl coA is the result from the activity of pyruvate dehydrogenase
@thefenerbahcesk4156
@thefenerbahcesk4156 5 лет назад
I think it's because there's not enough Oxaloacetate
@rukashniazi3178
@rukashniazi3178 4 года назад
I think he did explain it right, so basically during fasting free fatty acid are "mobilized" to liver, now fatty acid oxidation(beta oxidation) occurs converting FA's into Acetyl CoA, now this high level of acetyl CoA inhibits pyruvate dehydrogenase (like a negative feedback) Acetyl CoA also activates pyruvate carboxylase (which forms oxaloacetate) used for gluconeogenesis So basically beta oxidation inc level of acetyl CoA which in turn inhibits pyruvate dehydrogenase
@markomeara7962
@markomeara7962 5 лет назад
Any transcripts available?
@franzchandi6396
@franzchandi6396 6 лет назад
Is it true that during dry fasting you can enter in ketosis much faster? If so can you explain why?
@GunsAndRotts
@GunsAndRotts 5 лет назад
Very true
@noorothman8567
@noorothman8567 5 лет назад
franzz chandi cause u don’t have much of energy , cause the glucose decreases 2 , so ketones are lysis to produce energy , so a lot of ketone may make a kitosis if it increase more than normal ,
@Littleprinceleon
@Littleprinceleon Год назад
Dry fasting?
@baraasaifi6098
@baraasaifi6098 5 лет назад
great
@maliknaveed2489
@maliknaveed2489 5 лет назад
Great explanation! Thanks alot sir❤️
@shahbaz9231
@shahbaz9231 3 года назад
Acetoacetate is formed first so is called primary ketone body.
@husseinmaster5615
@husseinmaster5615 5 лет назад
Thank u so much.
@shahsawarkhan1970
@shahsawarkhan1970 2 года назад
Why the beta Hodrxybutayrate is abundantly produce
@hudaaanee9285
@hudaaanee9285 Год назад
question, which part of it is responsible for losing weight rapidly? is it because the fat is burning non-stop?
@Littleprinceleon
@Littleprinceleon Год назад
1) Ketonic pathways on their own are less efficient at utilising the chemical energy... 2) the body will even turn on glucoNEOgenesis (the name speaks for itself), which uses up some energy, too Body needs glucose. Period I wouldn't be surprised if many of those on shorter term keto (two-three months) won't even absorb all the eaten fat, because the body isn't used to. (less efficient emulgent action...) On the other hand low carbs, especially simple sugars are the easiest way to pump up the energy levels of the body, so it quickly decides to store some of the excess. Evolutionarily conserved traits in genes favour fat reserves in most of us. Before the mass production of refined sugars and the use of artificial fertilizers there were much less calories available for an average individual. I've read that many on keto simply aren't able to eat that much because higher fats and proteins satiete more... Probably one of the reasons for binge eating is craving for sugar on the verge of an addiction
@sarahzhang8757
@sarahzhang8757 5 лет назад
decreased PDH activity?
@giovanniielapi9296
@giovanniielapi9296 4 года назад
Im actually asking myself the same
@rukashniazi3178
@rukashniazi3178 4 года назад
I think he did explain it right, so basically during fasting free fatty acid are "mobilized" to liver, now fatty acid oxidation(beta oxidation) occurs converting FA's into Acetyl CoA, now this high level of acetyl CoA inhibits pyruvate dehydrogenase (like a negative feedback) Acetyl CoA also activates pyruvate carboxylase (which forms oxaloacetate) used for gluconeogenesis So basically beta oxidation inc level of acetyl CoA which in turn inhibits pyruvate dehydrogenase
@tompuijpeNL
@tompuijpeNL 4 года назад
Really helpful, but where are the sources :/
@Littleprinceleon
@Littleprinceleon Год назад
If there are no errors, why the request for sources? This should be biochemistry 101, so each and every standard book would have to contain this info
@aishuacharya802
@aishuacharya802 2 года назад
My own experience suggests that the keto diet is over-hyped. A good diet shoould be easy to stick with and be healthy. Agoge diet is a good option, I lost a lot of persistent belly fat.
@armidasholtis6362
@armidasholtis6362 2 года назад
my biggest issue is that I want to bulk but I hate eating, for me, eating is the boring part 😆
@shahayzstark3659
@shahayzstark3659 2 года назад
Got my plan, looks good 👌
@DJmisterpeluca
@DJmisterpeluca 2 года назад
is the agoge diet based on plant-based protein, fiber and healthy fats? If so, that's not so different from a classic ketogenic diet
@michellebalos8339
@michellebalos8339 2 года назад
I really tried sticking with the keto, but I just felt awful and it is also really tough to adhere to. I then tried the Agoge diet and it was life changing, I highly recommend it to everybody.
@DJmisterpeluca
@DJmisterpeluca 2 года назад
it's been really advantageous for me, I suppose it's not for everybody
@GamingShow11
@GamingShow11 6 лет назад
God I hate metabolism.. why did choose this major what have I done ..:’’’’)
@timothyli5598
@timothyli5598 6 лет назад
Hang in there buddy!
@mahnoorhosseini
@mahnoorhosseini 5 лет назад
God loves you, its gonna be fine ☺️😙
@user-nw4vt3hb2r
@user-nw4vt3hb2r Год назад
Ничего непонятно. А то что понятно и так давно было известно. Жаль нет наглядности. Где-то находил 3D анимация химических реакций. Вот там намного лучше
@jackylouwe3360
@jackylouwe3360 5 лет назад
Blah blah blah
@exoticspeedefy7916
@exoticspeedefy7916 4 года назад
No one has seen any of this under a microscope. Because we are talking about what takes place inside a body, de novo, naturally, organically. There is not one study done on the ketogenic diet that was done by a biochemist, nor any books on the keto diet that were penned by a biochemist. Even the original ketogenics had zero to do with foods - and certainly not bacon not butter. It was about no foods at all. It was about deprivation of foods. And those folks in medical science at the time these original studies were done, came to zero conclusions except that seizures had to do with certain proteins in the brain. Somehow, someway, modern man, non science folk, adopted this diet to mean we can eat steak and eggs all day and slather everything with copious amounts of butter. Love of fried foods is what gave the "keto Diet" it legs, it wings (pun intended). There is zero science knowledge exhibited by anyone who now writes or speaks about the keto diet and ketones etc. None of them realize that ketones are made by sugar. They also don't realize that sugar is NEVER EVER leaving the body - unless one is dead. And, none of them realize that when they speak to fat as fueling, ATP the endgame, final stage in energy (production/transfer) is sugar based. Yes, ATP is a sugar based molecule. So sugar wins the day always. Not fat, not at all fat. And they also don't realize that the fat we have on our body and in our body (with the exclusion of the stomach and digestive tracks), is made by us, via dietary carbohydrates. Yes, humans make their own fats, triglycerides. As for dietary fats, the list is long how they can harm us. You can google any of this stuff to see for yourself - but here are just a few things; Oxidized and rancid fats and oils can cause malnutrition, anemia, diarrhea, hair loss, dermatitis, swelling of the lips and eyes, kidney and liver bleeding, gastric papilloma (growths in the stomach), reproductive failure and loss of offspring, cancer, and death; Toxic oil syndrome (TOS) - fever, rash, muscle pain, and problems with blood vessels and white blood cells; respiratory failure (lungs stop working) is main cause of death;In continuing - muscle pain, muscle wasting, fluid retention, high triglycerides, pulmonary hypertension (high blood pressure in the lungs), liver disease, and sicca syndrome (aka Sjogren syndrome, an autoimmune disorder that stops tear and saliva production and is often accompanied by rheumatoid arthritis); main causes of death were thromboembolism (a blood clot that moves to an area of the body like the heart, brain, or lungs) and pulmonary hypertension. Corn Oil: contains very large amounts of biologically active fats called Omega-6 polyunsaturated fatty acids, which are harmful in excess and are associated with an increased risk of various diseases, like heart disease, cancer, diabetes and obesity. Corn oil may also impair immune function. Omega 3 oils have never ever been proven to be effective in a human. And by proven i mean absolute proof of molecular efficacy. There is not one study wherein they tagged a fat molecule, O3 and tracked it from place of original, through the extraction process, through processing (purification, handling etc.), through digestion - and on to where all of these crap doctors on TV (Larry king show) say it will go and do what it will do. We are just now, in this century/decade, fine tuning various tech that gives us the ability to see what molecules are actually doing inside a cell, in real time, de novo. So anything prior to having this tech is speculative and assumptions - many which turned out to be wrong. And none of these food companies nor supplement companies have and use this tech
@Littleprinceleon
@Littleprinceleon Год назад
Thanks.... Good summary. I think in the end we'll just realize that in general a balanced diet with quality food and some personal tweaking based on genetics and lifestyle will do the most what can be done for a healthy body/mind. I'm curious if info on the microbiom in the gut will be of any special use... Do oxidized (rancid) oils a concern in western parts of the world? I mean the nut creams, in specific
@Littleprinceleon
@Littleprinceleon Год назад
You don't want to forget of course all the DNA and RNA molecules which are also partly based on sugars: (deoxy)ribose
@Littleprinceleon
@Littleprinceleon Год назад
As a molecular biologist I have to add that some effects in our bodies will never be able to track down as directly as to individual molecules: Some cell types can profit from specific changes, while others will have to "pay" for the adaptation, most of them will react neutrally (if at all): however, all of them will contribute to the final outcomes... Take keto people as volunteers for a global experiment. Those that argue the most either had achieved benefits (real and/or perceived) from this diet, or take it almost as a religion. Many just feel the need to defend their resoluteness... Sadly (for me), most of them commenting under YT videos has biological knowledge restricted to keto-related....and/or other lifestyle issues. ... they think that "their" nutritional studies are (more) conclusive, than the majority If keto-persons were to realise how little can be yet deduced about long term effects of such radical diet (those who are consuming less than 20% carbs), they wouldn't pursue this lifestyle more than two-three years.
@RX-du2hv
@RX-du2hv Год назад
Thank you
@ail33n66
@ail33n66 Год назад
Thank you
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