{"id":4472,"date":"2019-06-24T12:44:33","date_gmt":"2019-06-24T12:44:33","guid":{"rendered":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/chapter\/4-10-cellular-respiration-3\/"},"modified":"2023-11-30T17:54:44","modified_gmt":"2023-11-30T17:54:44","slug":"4-10-cellular-respiration-3","status":"publish","type":"chapter","link":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/chapter\/4-10-cellular-respiration-3\/","title":{"raw":"4.10\u00a0Cellular Respiration","rendered":"4.10\u00a0Cellular Respiration"},"content":{"raw":"&nbsp;\r\n\r\n[caption id=\"attachment_1795\" align=\"aligncenter\" width=\"333\"]<img class=\"wp-image-1795\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/SMores-2-scaled.jpg\" alt=\"Image shows a photo of the ingredients for smores sitting on a table. In the background, a campfire is burning.\" width=\"333\" height=\"500\" \/> <em>Figure 4.10.1 Ready to make s'mores!<\/em>[\/caption]\r\n\r\n<div>\r\n<h1>Bring on the S'mores!<\/h1>\r\n<\/div>\r\nThis inviting camp fire can be used for both\u00a0heat\u00a0and light. Heat and light are two\u00a0forms of [pb_glossary id=\"5753\"]energy[\/pb_glossary]\u00a0that are released when a fuel like wood is burned. The\u00a0[pb_glossary id=\"5665\"]cells\u00a0[\/pb_glossary]of living things also get\u00a0energy\u00a0by \"burning.\" They \"burn\" [pb_glossary id=\"5451\"]glucose[\/pb_glossary] in\u00a0a\u00a0process called[pb_glossary id=\"5725\"] cellular respiration[\/pb_glossary].\r\n<div>\r\n<h1>What Is Cellular Respiration?<\/h1>\r\n<\/div>\r\n<strong>[pb_glossary id=\"5725\"]Cellular respiration[\/pb_glossary]<\/strong>\u00a0is the process by which living\u00a0cells\u00a0break down [pb_glossary id=\"5451\"]glucose[\/pb_glossary] molecules and release\u00a0[pb_glossary id=\"5753\"]energy[\/pb_glossary]. The process is similar to burning, although it doesn\u2019t produce light or intense\u00a0heat\u00a0as a campfire does. This is because cellular respiration releases the energy in glucose\u00a0<em>slowly\u00a0<\/em>and<em>\u00a0<\/em>in many small steps. It uses the\u00a0energy\u00a0released to form molecules of\u00a0<strong>[pb_glossary id=\"5549\"]ATP[\/pb_glossary]<\/strong>, the energy-carrying molecules that\u00a0cells\u00a0use to power biochemical processes. In this way, cellular respiration is an example of energy coupling: glucose is broken down in an exothermic reaction, and then the energy from this reaction powers the endothermic reaction of the formation of ATP.\u00a0 Cellular respiration involves many\u00a0chemical reactions, but they can all be summed up with this chemical equation:\r\n<p style=\"text-align: center;\"><strong>C<sub>6<\/sub>H<sub>12<\/sub>O<sub>6<\/sub>\u00a0 6O<sub>2<\/sub>\u00a0\u2192 6CO<sub>2<\/sub>\u00a0 6H<sub>2<\/sub>O Chemical Energy (in ATP)<\/strong><\/p>\r\nIn words, the equation shows that glucose (C<sub>6<\/sub>H<sub>12<\/sub>O<sub>6<\/sub>)\u00a0and oxygen (O<sub>2<\/sub>)\u00a0react to form carbon dioxide (CO<sub>2<\/sub>) and\u00a0water\u00a0(H<sub>2<\/sub>O), releasing energy in the process. Because oxygen is required for cellular respiration, it is an\u00a0[pb_glossary id=\"1796\"]<strong>aerobic<\/strong>[\/pb_glossary] process.\r\n\r\nCellular respiration occurs in the [pb_glossary id=\"5665\"]cells[\/pb_glossary] of all living things, both [pb_glossary id=\"1708\"]autotrophs[\/pb_glossary] and [pb_glossary id=\"1716\"]heterotrophs[\/pb_glossary]. All of them burn [pb_glossary id=\"5451\"]glucose[\/pb_glossary] to form [pb_glossary id=\"5549\"]ATP[\/pb_glossary]. The reactions of [pb_glossary id=\"5725\"]cellular respiration[\/pb_glossary] can be grouped into three stages: glycolysis, the Krebs cycle (also called the citric acid cycle), and electron transport. Figure 4.10.2 gives an overview of these three stages, which are also described in detail below.\r\n\r\n[caption id=\"attachment_1797\" align=\"aligncenter\" width=\"720\"]<img class=\"wp-image-1797\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Carbohydrate_Metabolism-2-scaled.jpg\" alt=\"Image shows a diagram of the four stages in cellular respiration: Glycolysis, transition reaction, Kreb's cycle, and the electron transport system.\" width=\"720\" height=\"1122\" \/> <em>Figure 4.10.2 Cellular respiration takes place in the stages shown here. The process begins with a molecule of glucose, which has six carbon atoms. What happens to each of these atoms of carbon?<\/em>[\/caption]\r\n\r\n<div>\r\n\r\n&nbsp;\r\n\r\n<\/div>\r\n<div>\r\n<h1>Cellular Respiration Stage I:\u00a0Glycolysis<\/h1>\r\n<\/div>\r\nThe first stage of cellular respiration is\u00a0<strong>[pb_glossary id=\"1798\"]glycolysis[\/pb_glossary]<\/strong>,\u00a0which happens\u00a0in the [pb_glossary id=\"5737\"]cytosol[\/pb_glossary] of the [pb_glossary id=\"5465\"]cytoplasm[\/pb_glossary].\r\n<h2>Splitting Glucose<\/h2>\r\nThe word\u00a0<em>glycolysis<\/em>\u00a0literally means \u201cglucose splitting,\u201d which is exactly what happens in this stage.\u00a0[pb_glossary id=\"5757\"]Enzymes[\/pb_glossary]\u00a0split a molecule of glucose into two molecules of pyruvate (also known as pyruvic acid). This occurs in several steps, as summarized in the\u00a0following\u00a0diagram.\r\n\r\n[caption id=\"attachment_1800\" align=\"aligncenter\" width=\"784\"]<img class=\"wp-image-1800\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Glycolysis-2.png\" alt=\"\" width=\"784\" height=\"523\" \/> <em>Figure 4.10.3 Glycolysis is a complex ten-step reaction that ultimately converts glucose into two molecules of pyruvate.\u00a0This releases energy, which is transferred to ATP. How many ATP molecules are made during this stage of cellular respiration?<\/em>[\/caption]\r\n<h2>Results of Glycolysis<\/h2>\r\nEnergy is needed at the start of [pb_glossary id=\"1798\"]glycolysis[\/pb_glossary] to split the glucose molecule into two pyruvate molecules which go on to stage II of cellular respiration. The energy needed to split glucose is provided by two molecules of ATP; this is called the energy investment phase. As glycolysis proceeds, energy is released, and the energy is used to make four molecules of ATP; this is the energy harvesting phase. As a result, there is a <em>net gain<\/em> of two ATP molecules during glycolysis. During this stage, high-energy electrons are also transferred to molecules of NAD \u00a0to produce two molecules of NADH, another energy-carrying molecule. NADH is used in stage III of cellular respiration to make more ATP.\r\n<h2>Transition Reaction<\/h2>\r\nBefore pyruvate can enter the next stage of cellular respiration it needs to be modified slightly.\u00a0 The transition reaction is a very short reaction which converts the two molecules of pyruvate to two molecules of acetyl CoA, carbon dioxide, and two high energy electron pairs convert NAD to NADH.\u00a0 The carbon dioxide is released, the acetyl CoA moves to the mitochondria to enter the Kreb's Cycle (stage II), and the NADH carries the high energy electrons to the Electron Transport System (stage III).\r\n\r\n[caption id=\"attachment_9093\" align=\"aligncenter\" width=\"747\"]<img class=\" wp-image-9093\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Transition-Reaction-4-10-14-2.png\" alt=\"In the transition reaction, two molecules of pyruvate are converted to two molecules of acetyl coA and two molecules of carbon dioxide. The acetyl CoA moves to the Kreb's cycle, the carbon dioxide diffuses out of the cell, and two hydrogen atoms are carried on NADH to the ETS.\" width=\"747\" height=\"485\" \/> <em>Figure 4.10.14: During the Transition Reaction, pyruvate is converted to acetyl CoA and carbon dioxide.<\/em>[\/caption]\r\n\r\n<div>\r\n<h2>Structure of the Mitochondrion<\/h2>\r\n<\/div>\r\n\r\n[caption id=\"attachment_1804\" align=\"alignleft\" width=\"496\"]<img class=\"wp-image-1804\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Mitochondrion-2.png\" alt=\"Image shows a diagram of a mitochondria. Several structures are labelled including cristae, matrix, DNA, intermembrane space, inner membrane, outer membrane, and ATP synthase particles.\" width=\"496\" height=\"341\" \/> <em>Figure 4.10.5 Labelled mitochondrion structure. <\/em>[\/caption]\r\n\r\nBefore you read about the last two stages of cellular respiration, you need to know more about the [pb_glossary id=\"5783\"]mitochondrion[\/pb_glossary], where these two stages take place. A diagram of a mitochondrion is shown in Figure 4.10.5.\r\n<div>\r\n\r\nThe structure of a mitochondrion is defined by an inner and outer membrane. This structure plays an important role in aerobic respiration.\r\n\r\n<\/div>\r\nAs you can see from the figure, a mitochondrion has an inner and outer membrane. The space between the inner and outer membrane is called the\u00a0<strong>[pb_glossary id=\"5629\"]intermembrane space[\/pb_glossary]<\/strong>. The space enclosed by the inner membrane is called the\u00a0<strong>[pb_glossary id=\"1812\"]matrix[\/pb_glossary]<\/strong>. The second stage of cellular respiration (the Krebs cycle) takes place in the matrix. The third stage (electron\u00a0transport)\u00a0happens on\u00a0the inner membrane.\r\n<div>\r\n<h1>Cellular Respiration Stage II: The\u00a0Krebs Cycle<\/h1>\r\n<\/div>\r\nRecall that [pb_glossary id=\"1798\"]glycolysis[\/pb_glossary] produces two molecules of pyruvate (pyruvic acid), which are then converted to acetyl CoA during the short transition reaction. These molecules enter the matrix of a mitochondrion, where they start the\u00a0<strong>[pb_glossary id=\"1805\"]Krebs cycle[\/pb_glossary] <\/strong>(also known as the Citric Acid Cycle). The reason this stage is considered a cycle is because a molecule called oxaloacetate is present at both the beginning and end of this reaction and is used to break down the two molecules of acetyl CoA.\u00a0 The reactions that occur next are shown in Figure 4.10.6.\r\n\r\n[caption id=\"attachment_1809\" align=\"alignnone\" width=\"835\"]<img class=\"wp-image-1809\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/krebs-cycle-2.png\" alt=\"Image shows a diagram of the reactants and products of the Krebs Cycle. Two molecules of acetyl CoA are converted to 4 carbon dioxide which are released as cellular waste, 2 ATP which are used in the cell for energy, and 8 NADH and 2 FADH2, both of which travel to the ETS.\" width=\"835\" height=\"510\" \/> <em>Figure 4.10.6 Reactants and products of the Krebs Cycle.<\/em>[\/caption]\r\n\r\n<div>\r\n\r\n<span style=\"font-size: 1.424em; font-weight: bold;\">Steps of the Krebs Cycle<\/span>\r\n\r\n<\/div>\r\nThe [pb_glossary id=\"1805\"]Krebs cycle[\/pb_glossary] itself actually begins when acetyl-CoA combines with a four-carbon molecule called OAA (oxaloacetate) (see Figure 4.10.6). This produces citric acid, which has six carbon atoms. This is why the Krebs cycle is also called the citric acid cycle.\r\n\r\nAfter citric acid forms, it goes through a series of reactions that release energy. The energy is captured in molecules of NADH, ATP, and FADH<sub>2<\/sub>, another energy-carrying\u00a0coenzyme. Carbon dioxide is also released as a waste product of these reactions.\r\n\r\nThe final step of the Krebs cycle <em>regenerates<\/em> OAA, the molecule that began the Krebs cycle. This molecule is needed for the next turn through the cycle. Two turns are needed because glycolysis produces <em>two<\/em> pyruvic acid molecules when it splits glucose.\r\n<h2>Results of the Glycolysis, Transition Reaction and Krebs Cycle<\/h2>\r\nAfter glycolysis, transition reaction, and the Krebs cycle, the glucose molecule has been broken down completely. All six of its carbon atoms have combined with oxygen to form carbon dioxide. The energy from its\u00a0chemical bonds\u00a0has been stored in a total of 16 energy-carrier molecules. These molecules are:\r\n<ul>\r\n \t<li>4 ATP (2 from glycolysis, 2 from Krebs Cycle)<\/li>\r\n \t<li>12 NADH (2 from glycolysis, 2 from transition reaction, and 8 from Krebs cycle)<\/li>\r\n \t<li>2 FADH<sub>2 <\/sub>(both from the Krebs cycle)<\/li>\r\n<\/ul>\r\nThe events of cellular respiration up to this point are\u00a0<span style=\"font-size: 1em;\">[pb_glossary id=\"993\"]exergonic reactions[\/pb_glossary]<\/span><span style=\"text-align: initial; font-size: 1em;\">- they are releasing energy that had been stored in the bonds of the glucose molecule.\u00a0 This energy will be transferred to the third and final stage of cellular respiration: the Electron Transport System, which is an [pb_glossary id=\"5511\"]endergonic reaction[\/pb_glossary].\u00a0 Using an exothermic reaction to power an endothermic reaction is known as [pb_glossary id=\"5981\"]energy coupling[\/pb_glossary].<\/span>\r\n<div>\r\n<h1>Cellular Respiration Stage III:\u00a0Electron Transport Chain<\/h1>\r\n<\/div>\r\n\r\n[caption id=\"attachment_1820\" align=\"alignright\" width=\"489\"]<img class=\"wp-image-1820\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/ETC-2.png\" alt=\"Image shows the reactants and products of the electron transport chain. In this stage, 32 adenosine diphosphate and 32 inorganic phosphates combine to form 32 ATP. In addition, hydrogen and oxygen combine to form 6 molecules of water.\" width=\"489\" height=\"277\" \/> <em>Figure 4.10.7. Reactants and products of the electron transport chain.<\/em>[\/caption]\r\n\r\n<span style=\"text-align: initial; font-size: 1em;\"><span style=\"text-align: initial; font-size: 1em;\">\u00a0ETC, the final stage in cellular respiration produces 32 ATP.\u00a0\u00a0<\/span><\/span>The Electron Transport Chain is the final stage of cellular respiration. In this stage, energy being transported by NADH and FADH<sub>2<\/sub>\u00a0is transferred to ATP.\u00a0 In addition, oxygen acts as the final proton acceptor for the hydrogens released from all the NADH and FADH<sub>2<\/sub>, forming water.\u00a0 Figure 4.10.8 shows the reactants and products of the ETC.\r\n<h2>Transporting Electrons<\/h2>\r\nThe <strong>[pb_glossary id=\"5473\"]Electron transport chain[\/pb_glossary]<\/strong> is the third stage of cellular respiration and is illustrated in Figure 4.10.8. During this stage, high-energy electrons are released from NADH and FADH<sub>2<\/sub>, and they move along electron-transport chains on the inner membrane of the mitochondrion.\u00a0An electron-transport chain is a series of molecules that transfer electrons from molecule to molecule by\u00a0chemical reactions. Some of the energy from the electrons is used to pump hydrogen ions (H ) across the inner membrane, from the matrix into the intermembrane space. This\u00a0ion\u00a0transfer creates an\u00a0[pb_glossary id=\"1817\"]electrochemical gradient[\/pb_glossary]\u00a0that drives the synthesis of [pb_glossary id=\"5549\"]ATP[\/pb_glossary].\r\n\r\n&nbsp;\r\n\r\n[caption id=\"attachment_1819\" align=\"aligncenter\" width=\"811\"]<img class=\"wp-image-1819\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/The_Electron_Transport_Chain-2.jpg\" alt=\"\" width=\"811\" height=\"558\" \/> <em>Figure 4.10.8 Electron-transport chains on the inner membrane of the mitochondrion carry out the last stage of cellular respiration.<\/em>[\/caption]\r\n\r\n<div>\r\n\r\n<span style=\"font-size: 1.424em; font-weight: bold;\">Making ATP<\/span>\r\n\r\n<\/div>\r\nAs shown in Figure 4.10.8, the pumping of hydrogen ions across the inner membrane creates a greater concentration of the ions in the intermembrane space than in the matrix. This gradient causes the ions to flow back across the membrane into the matrix, where their concentration is lower. ATP synthase acts as a channel protein, helping the hydrogen ions cross the membrane. It also acts as an enzyme, forming ATP from ADP and inorganic phosphate in a process called oxidative phosphorylation. After passing through the electron-transport chain, the \u201cspent\u201d electrons combine with oxygen to form water.\r\n<div>\r\n<h1>How Much ATP?<\/h1>\r\n<\/div>\r\nYou have seen how the three stages of [pb_glossary id=\"5877\"]aerobic respiration[\/pb_glossary] use the energy in glucose to make [pb_glossary id=\"5549\"]ATP[\/pb_glossary]. How much ATP is produced in all three stages combined? Glycolysis produces two ATP molecules, and the Krebs cycle produces two more. Electron transport begins with several molecules of NADH and FADH<sub>2<\/sub>\u00a0from the Krebs cycle and transfers their energy into as many as 34 more ATP molecules. All told, then, up to 38 molecules of ATP can be produced from just one molecule of glucose in the process of cellular respiration.\r\n<div>\r\n<div class=\"textbox textbox--key-takeaways\"><header class=\"textbox__header\">\r\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">4.10 Summary<\/span><\/h1>\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n<ul>\r\n \t<li>[pb_glossary id=\"5725\"]Cellular respiration[\/pb_glossary] is the [pb_glossary id=\"1796\"]aerobic[\/pb_glossary] process by which living cells break down [pb_glossary id=\"5451\"]glucose[\/pb_glossary] molecules, release energy, and form molecules of [pb_glossary id=\"5549\"]ATP[\/pb_glossary].\u00a0Generally speaking, this three-stage process involves glucose and oxygen reacting to form carbon dioxide and\u00a0water.<\/li>\r\n \t<li>The first stage of cellular respiration, called [pb_glossary id=\"1798\"]glycolysis[\/pb_glossary], takes place in the cytoplasm. In this step,\u00a0enzymes\u00a0split a molecule of glucose into two molecules of pyruvate, which releases energy that is transferred to ATP.\u00a0 Following glycolysis, a short reaction called the transition reaction converts the pyruvate into two molecules of acetyl CoA.<\/li>\r\n \t<li>The organelle called a mitochondrion is the site of the other two stages of cellular respiration. The mitochondrion has an inner and outer membrane separated by an intermembrane space, and the inner membrane encloses a space called the matrix.<\/li>\r\n \t<li>The second stage of cellular respiration, called the [pb_glossary id=\"1805\"]Krebs cycle[\/pb_glossary], takes place in the matrix of a mitochondrion. During this stage, two turns through the cycle result in all of the carbon atoms from the two pyruvate molecules forming carbon dioxide and the energy from their\u00a0chemical bonds\u00a0being stored in a total of 16 energy-carrying molecules (including two from glycolysis and two from transition reaction).<\/li>\r\n \t<li>The third and final stage of cellular respiration, called [pb_glossary id=\"5473\"]electron transport[\/pb_glossary], takes place on the inner membrane of the mitochondrion. Electrons are transported from molecule to molecule down an electron-transport chain. Some of the energy from the electrons is used to pump hydrogen ions\u00a0across the membrane, creating an\u00a0electrochemical gradient\u00a0that drives the synthesis of many more molecules of ATP.<\/li>\r\n \t<li>In all three stages of cellular respiration combined, as many as 38 molecules of ATP are produced from just one molecule of glucose.<\/li>\r\n<\/ul>\r\n<\/div>\r\n<\/div>\r\n<\/div>\r\n<div>\r\n<div class=\"textbox textbox--exercises\"><header class=\"textbox__header\">\r\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">4.10 Review Questions<\/span><\/h1>\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n<ol>\r\n \t<li>What is the purpose of cellular respiration? Provide a concise summary of the process.<\/li>\r\n \t<li>State what happens during glycolysis.<\/li>\r\n \t<li>Describe the structure of a mitochondrion.<\/li>\r\n \t<li>What molecule is present at both the beginning and end of the Krebs cycle?<\/li>\r\n \t<li>What happens during the electron transport stage of cellular respiration?<\/li>\r\n \t<li>How many molecules of ATP can be produced from one molecule of glucose during all three stages of cellular respiration combined?<\/li>\r\n \t<li>Do plants undergo cellular respiration? Why or why not?<\/li>\r\n \t<li>Explain why the process of cellular respiration described in this section is considered aerobic.<\/li>\r\n \t<li>Name three energy-carrying molecules involved in cellular respiration.<\/li>\r\n \t<li>[h5p id=\"478\"]<\/li>\r\n \t<li>Which stage of aerobic cellular respiration produces the most ATP?<\/li>\r\n \t<li>[h5p id=\"479\"]<\/li>\r\n<\/ol>\r\n<\/div>\r\n<\/div>\r\n<div class=\"textbox textbox--examples\"><header class=\"textbox__header\">\r\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">4.10 Explore More<\/span><\/h1>\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n\r\nhttps:\/\/www.youtube.com\/watch?time_continue=2&amp;amp;v=00jbG_cfGuQ&amp;amp;feature=emb_logo\r\n<p style=\"text-align: center;\">ATP &amp; Respiration: Crash Course Biology #7, CrashCourse, 2012.<\/p>\r\nhttps:\/\/www.youtube.com\/watch?v=4Eo7JtRA7lg&amp;amp;t=3s\r\n<p style=\"text-align: center;\">Cellular Respiration and the Mighty Mitochondria, The Amoeba Sisters, 2014.<\/p>\r\n\r\n<\/div>\r\n<\/div>\r\n<h2>Attributions<\/h2>\r\n<strong>Figure 4.10.1<\/strong>\r\n\r\n<a href=\"https:\/\/unsplash.com\/photos\/bU7vx56Fn50\" rel=\"cc:attributionURL\">Smores<\/a> by <a href=\"https:\/\/unsplash.com\/@jruscello\">Jessica Ruscello<\/a> on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).\r\n\r\n<strong>Figure 4.10.2<\/strong>\r\n\r\n<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:2509_Carbohydrate_Metabolism.jpg\" rel=\"cc:attributionURL\">Carbohydrate_Metabolism<\/a> by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/24-2-carbohydrate-metabolism\">OpenStax College<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\/deed.en\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.\r\n\r\n<strong>Figure 4.10.3<\/strong>\r\n\r\nGlycolysis by Christine Miller is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" rel=\"license\">CC BY 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/4.0\/) license.\r\n\r\n<strong>Figure 4.10.4<\/strong>\r\n\r\nTransition Reaction by Christine Miller is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" rel=\"license\">CC BY 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/4.0\/) license.\r\n\r\n<strong>Figure 4.10.5<\/strong>\r\n\r\n<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Animal_mitochondrion_diagram_en.svg\" rel=\"cc:attributionURL\">Mitochondrion<\/a>\u00a0by Mariana Ruiz Villarreal [<a title=\"User:LadyofHats\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:LadyofHats\">LadyofHats<\/a>] on Wikimedia Commons is released into the <a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/Public_domain).\r\n\r\n<strong>Figure 4.10.6<\/strong>\r\n\r\nKrebs cycle by Christine Miller is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" rel=\"license\">CC BY 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/4.0\/) license.\r\n\r\n<strong>Figure 4.10.7<\/strong>\r\n\r\nElectron Transport Chain (ETC) by Christine Miller is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" rel=\"license\">CC BY 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/4.0\/) license.\r\n\r\n<strong>Figure 4.10.8<\/strong>\r\n\r\n<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:2508_The_Electron_Transport_Chain.jpg\" rel=\"cc:attributionURL\">The_Electron_Transport_Chain<\/a> by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/24-2-carbohydrate-metabolism\">OpenStax College<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\/deed.en\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.\r\n\r\n<\/div>\r\n<h2>References<\/h2>\r\n<p class=\"hanging-indent\">CrashCourse. (2012, March 12). ATP &amp; Respiration: Crash Course Biology #7. YouTube. https:\/\/www.youtube.com\/watch?time_continue=2&amp;amp;v=00jbG_cfGuQ&amp;amp;feature=emb_logo<\/p>\r\n<p class=\"hanging-indent\"><span class=\"os-title-label\"><span class=\"search-highlight text\" data-timestamp=\"1593971709033\" data-highlight-id=\"be4d62de-64ba-45d3-9e0a-94a6f01c99c3\" data-highlighted=\"true\"><span class=\"search-highlight text focus\" data-timestamp=\"1593971124968\" data-highlight-id=\"cf2748f4-996a-4532-916c-452da1001e7f\" data-highlighted=\"true\">Betts, J. G., Young, K.A., Wise, J.A., Johnson, E., Poe, B., Kruse, D.H., Korol, O., Johnson, J.E., Womble, M., DeSaix, P. (2013, April 25). <\/span>Figure\u00a0<\/span><\/span><span class=\"os-number\"><span class=\"search-highlight text\" data-timestamp=\"1593971709033\" data-highlight-id=\"be4d62de-64ba-45d3-9e0a-94a6f01c99c3\" data-highlighted=\"true\">24.8<\/span><\/span><span class=\"os-divider\">\u00a0<\/span><span id=\"15064\" class=\"os-title\" data-type=\"title\"><span class=\"search-highlight text\" data-timestamp=\"1593971709033\" data-highlight-id=\"be4d62de-64ba-45d3-9e0a-94a6f01c99c3\" data-highlighted=\"true\">Electron Transport Chain [digital image]<\/span><\/span><span class=\"os-caption\"><span class=\"search-highlight text last\" data-timestamp=\"1593971709033\" data-highlight-id=\"be4d62de-64ba-45d3-9e0a-94a6f01c99c3\" data-highlighted=\"true\">. In <em>Anatomy &amp; Physiology, Connexions<\/em> (Section ). OpenStax.\u00a0 https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/24-2-carbohydrate-metabolism<\/span><\/span><\/p>\r\n<p class=\"hanging-indent\"><span class=\"os-title-label\"><span class=\"search-highlight text focus\" data-timestamp=\"1593971124968\" data-highlight-id=\"cf2748f4-996a-4532-916c-452da1001e7f\" data-highlighted=\"true\">Betts, J. G., Young, K.A., Wise, J.A., Johnson, E., Poe, B., Kruse, D.H., Korol, O., Johnson, J.E., Womble, M., DeSaix, P. (2013, April 25). Figure <\/span><\/span><span class=\"os-number\"><span class=\"search-highlight text focus\" data-timestamp=\"1593971124968\" data-highlight-id=\"cf2748f4-996a-4532-916c-452da1001e7f\" data-highlighted=\"true\">24.9<\/span><\/span><span class=\"os-divider\">\u00a0<\/span><span id=\"83491\" class=\"os-title\" data-type=\"title\"><span class=\"search-highlight text focus\" data-timestamp=\"1593971124968\" data-highlight-id=\"cf2748f4-996a-4532-916c-452da1001e7f\" data-highlighted=\"true\">Carbohydrate Metabolism [digital image]<\/span><\/span><span class=\"os-caption\"><span class=\"search-highlight text last focus\" data-timestamp=\"1593971124968\" data-highlight-id=\"cf2748f4-996a-4532-916c-452da1001e7f\" data-highlighted=\"true\">. <\/span><\/span>In <em>Anatomy &amp; Physiology, Connexions<\/em> (Section 24.2). OpenStax.\u00a0 https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/24-2-carbohydrate-metabolism<\/p>\r\n<p class=\"hanging-indent\">The Amoeba Sisters. (2014, October 22). Cellular Respiration and the Mighty Mitochondria. YouTube. https:\/\/www.youtube.com\/watch?v=4Eo7JtRA7lg&amp;amp;t=3s<\/p>\r\n&nbsp;","rendered":"<p>&nbsp;<\/p>\n<figure id=\"attachment_1795\" aria-describedby=\"caption-attachment-1795\" style=\"width: 333px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1795\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/SMores-2-scaled.jpg\" alt=\"Image shows a photo of the ingredients for smores sitting on a table. In the background, a campfire is burning.\" width=\"333\" height=\"500\" \/><figcaption id=\"caption-attachment-1795\" class=\"wp-caption-text\"><em>Figure 4.10.1 Ready to make s&#8217;mores!<\/em><\/figcaption><\/figure>\n<div>\n<h1>Bring on the S&#8217;mores!<\/h1>\n<\/div>\n<p>This inviting camp fire can be used for both\u00a0heat\u00a0and light. Heat and light are two\u00a0forms of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_5753\">energy<\/a>\u00a0that are released when a fuel like wood is burned. The\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_5665\">cells\u00a0<\/a>of living things also get\u00a0energy\u00a0by &#8220;burning.&#8221; They &#8220;burn&#8221; <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_5451\">glucose<\/a> in\u00a0a\u00a0process called<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_5725\"> cellular respiration<\/a>.<\/p>\n<div>\n<h1>What Is Cellular Respiration?<\/h1>\n<\/div>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_5725\">Cellular respiration<\/a><\/strong>\u00a0is the process by which living\u00a0cells\u00a0break down <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_5451\">glucose<\/a> molecules and release\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_5753\">energy<\/a>. The process is similar to burning, although it doesn\u2019t produce light or intense\u00a0heat\u00a0as a campfire does. This is because cellular respiration releases the energy in glucose\u00a0<em>slowly\u00a0<\/em>and<em>\u00a0<\/em>in many small steps. It uses the\u00a0energy\u00a0released to form molecules of\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_5549\">ATP<\/a><\/strong>, the energy-carrying molecules that\u00a0cells\u00a0use to power biochemical processes. In this way, cellular respiration is an example of energy coupling: glucose is broken down in an exothermic reaction, and then the energy from this reaction powers the endothermic reaction of the formation of ATP.\u00a0 Cellular respiration involves many\u00a0chemical reactions, but they can all be summed up with this chemical equation:<\/p>\n<p style=\"text-align: center;\"><strong>C<sub>6<\/sub>H<sub>12<\/sub>O<sub>6<\/sub>\u00a0 6O<sub>2<\/sub>\u00a0\u2192 6CO<sub>2<\/sub>\u00a0 6H<sub>2<\/sub>O Chemical Energy (in ATP)<\/strong><\/p>\n<p>In words, the equation shows that glucose (C<sub>6<\/sub>H<sub>12<\/sub>O<sub>6<\/sub>)\u00a0and oxygen (O<sub>2<\/sub>)\u00a0react to form carbon dioxide (CO<sub>2<\/sub>) and\u00a0water\u00a0(H<sub>2<\/sub>O), releasing energy in the process. Because oxygen is required for cellular respiration, it is an\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_1796\"><strong>aerobic<\/strong><\/a> process.<\/p>\n<p>Cellular respiration occurs in the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_5665\">cells<\/a> of all living things, both autotrophs and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_1716\">heterotrophs<\/a>. All of them burn <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_5451\">glucose<\/a> to form <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_5549\">ATP<\/a>. The reactions of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_5725\">cellular respiration<\/a> can be grouped into three stages: glycolysis, the Krebs cycle (also called the citric acid cycle), and electron transport. Figure 4.10.2 gives an overview of these three stages, which are also described in detail below.<\/p>\n<figure id=\"attachment_1797\" aria-describedby=\"caption-attachment-1797\" style=\"width: 720px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1797\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Carbohydrate_Metabolism-2-scaled.jpg\" alt=\"Image shows a diagram of the four stages in cellular respiration: Glycolysis, transition reaction, Kreb's cycle, and the electron transport system.\" width=\"720\" height=\"1122\" \/><figcaption id=\"caption-attachment-1797\" class=\"wp-caption-text\"><em>Figure 4.10.2 Cellular respiration takes place in the stages shown here. The process begins with a molecule of glucose, which has six carbon atoms. What happens to each of these atoms of carbon?<\/em><\/figcaption><\/figure>\n<div>\n<p>&nbsp;<\/p>\n<\/div>\n<div>\n<h1>Cellular Respiration Stage I:\u00a0Glycolysis<\/h1>\n<\/div>\n<p>The first stage of cellular respiration is\u00a0<strong>glycolysis<\/strong>,\u00a0which happens\u00a0in the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_5737\">cytosol<\/a> of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_5465\">cytoplasm<\/a>.<\/p>\n<h2>Splitting Glucose<\/h2>\n<p>The word\u00a0<em>glycolysis<\/em>\u00a0literally means \u201cglucose splitting,\u201d which is exactly what happens in this stage.\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_5757\">Enzymes<\/a>\u00a0split a molecule of glucose into two molecules of pyruvate (also known as pyruvic acid). This occurs in several steps, as summarized in the\u00a0following\u00a0diagram.<\/p>\n<figure id=\"attachment_1800\" aria-describedby=\"caption-attachment-1800\" style=\"width: 784px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1800\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Glycolysis-2.png\" alt=\"\" width=\"784\" height=\"523\" \/><figcaption id=\"caption-attachment-1800\" class=\"wp-caption-text\"><em>Figure 4.10.3 Glycolysis is a complex ten-step reaction that ultimately converts glucose into two molecules of pyruvate.\u00a0This releases energy, which is transferred to ATP. How many ATP molecules are made during this stage of cellular respiration?<\/em><\/figcaption><\/figure>\n<h2>Results of Glycolysis<\/h2>\n<p>Energy is needed at the start of glycolysis to split the glucose molecule into two pyruvate molecules which go on to stage II of cellular respiration. The energy needed to split glucose is provided by two molecules of ATP; this is called the energy investment phase. As glycolysis proceeds, energy is released, and the energy is used to make four molecules of ATP; this is the energy harvesting phase. As a result, there is a <em>net gain<\/em> of two ATP molecules during glycolysis. During this stage, high-energy electrons are also transferred to molecules of NAD \u00a0to produce two molecules of NADH, another energy-carrying molecule. NADH is used in stage III of cellular respiration to make more ATP.<\/p>\n<h2>Transition Reaction<\/h2>\n<p>Before pyruvate can enter the next stage of cellular respiration it needs to be modified slightly.\u00a0 The transition reaction is a very short reaction which converts the two molecules of pyruvate to two molecules of acetyl CoA, carbon dioxide, and two high energy electron pairs convert NAD to NADH.\u00a0 The carbon dioxide is released, the acetyl CoA moves to the mitochondria to enter the Kreb&#8217;s Cycle (stage II), and the NADH carries the high energy electrons to the Electron Transport System (stage III).<\/p>\n<figure id=\"attachment_9093\" aria-describedby=\"caption-attachment-9093\" style=\"width: 747px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-9093\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Transition-Reaction-4-10-14-2.png\" alt=\"In the transition reaction, two molecules of pyruvate are converted to two molecules of acetyl coA and two molecules of carbon dioxide. The acetyl CoA moves to the Kreb's cycle, the carbon dioxide diffuses out of the cell, and two hydrogen atoms are carried on NADH to the ETS.\" width=\"747\" height=\"485\" \/><figcaption id=\"caption-attachment-9093\" class=\"wp-caption-text\"><em>Figure 4.10.14: During the Transition Reaction, pyruvate is converted to acetyl CoA and carbon dioxide.<\/em><\/figcaption><\/figure>\n<div>\n<h2>Structure of the Mitochondrion<\/h2>\n<\/div>\n<figure id=\"attachment_1804\" aria-describedby=\"caption-attachment-1804\" style=\"width: 496px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1804\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Mitochondrion-2.png\" alt=\"Image shows a diagram of a mitochondria. Several structures are labelled including cristae, matrix, DNA, intermembrane space, inner membrane, outer membrane, and ATP synthase particles.\" width=\"496\" height=\"341\" \/><figcaption id=\"caption-attachment-1804\" class=\"wp-caption-text\"><em>Figure 4.10.5 Labelled mitochondrion structure. <\/em><\/figcaption><\/figure>\n<p>Before you read about the last two stages of cellular respiration, you need to know more about the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_5783\">mitochondrion<\/a>, where these two stages take place. A diagram of a mitochondrion is shown in Figure 4.10.5.<\/p>\n<div>\n<p>The structure of a mitochondrion is defined by an inner and outer membrane. This structure plays an important role in aerobic respiration.<\/p>\n<\/div>\n<p>As you can see from the figure, a mitochondrion has an inner and outer membrane. The space between the inner and outer membrane is called the\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_5629\">intermembrane space<\/a><\/strong>. The space enclosed by the inner membrane is called the\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_1812\">matrix<\/a><\/strong>. The second stage of cellular respiration (the Krebs cycle) takes place in the matrix. The third stage (electron\u00a0transport)\u00a0happens on\u00a0the inner membrane.<\/p>\n<div>\n<h1>Cellular Respiration Stage II: The\u00a0Krebs Cycle<\/h1>\n<\/div>\n<p>Recall that glycolysis produces two molecules of pyruvate (pyruvic acid), which are then converted to acetyl CoA during the short transition reaction. These molecules enter the matrix of a mitochondrion, where they start the\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_1805\">Krebs cycle<\/a> <\/strong>(also known as the Citric Acid Cycle). The reason this stage is considered a cycle is because a molecule called oxaloacetate is present at both the beginning and end of this reaction and is used to break down the two molecules of acetyl CoA.\u00a0 The reactions that occur next are shown in Figure 4.10.6.<\/p>\n<figure id=\"attachment_1809\" aria-describedby=\"caption-attachment-1809\" style=\"width: 835px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1809\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/krebs-cycle-2.png\" alt=\"Image shows a diagram of the reactants and products of the Krebs Cycle. Two molecules of acetyl CoA are converted to 4 carbon dioxide which are released as cellular waste, 2 ATP which are used in the cell for energy, and 8 NADH and 2 FADH2, both of which travel to the ETS.\" width=\"835\" height=\"510\" \/><figcaption id=\"caption-attachment-1809\" class=\"wp-caption-text\"><em>Figure 4.10.6 Reactants and products of the Krebs Cycle.<\/em><\/figcaption><\/figure>\n<div>\n<p><span style=\"font-size: 1.424em; font-weight: bold;\">Steps of the Krebs Cycle<\/span><\/p>\n<\/div>\n<p>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_1805\">Krebs cycle<\/a> itself actually begins when acetyl-CoA combines with a four-carbon molecule called OAA (oxaloacetate) (see Figure 4.10.6). This produces citric acid, which has six carbon atoms. This is why the Krebs cycle is also called the citric acid cycle.<\/p>\n<p>After citric acid forms, it goes through a series of reactions that release energy. The energy is captured in molecules of NADH, ATP, and FADH<sub>2<\/sub>, another energy-carrying\u00a0coenzyme. Carbon dioxide is also released as a waste product of these reactions.<\/p>\n<p>The final step of the Krebs cycle <em>regenerates<\/em> OAA, the molecule that began the Krebs cycle. This molecule is needed for the next turn through the cycle. Two turns are needed because glycolysis produces <em>two<\/em> pyruvic acid molecules when it splits glucose.<\/p>\n<h2>Results of the Glycolysis, Transition Reaction and Krebs Cycle<\/h2>\n<p>After glycolysis, transition reaction, and the Krebs cycle, the glucose molecule has been broken down completely. All six of its carbon atoms have combined with oxygen to form carbon dioxide. The energy from its\u00a0chemical bonds\u00a0has been stored in a total of 16 energy-carrier molecules. These molecules are:<\/p>\n<ul>\n<li>4 ATP (2 from glycolysis, 2 from Krebs Cycle)<\/li>\n<li>12 NADH (2 from glycolysis, 2 from transition reaction, and 8 from Krebs cycle)<\/li>\n<li>2 FADH<sub>2 <\/sub>(both from the Krebs cycle)<\/li>\n<\/ul>\n<p>The events of cellular respiration up to this point are\u00a0<span style=\"font-size: 1em;\"><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_993\">exergonic reactions<\/a><\/span><span style=\"text-align: initial; font-size: 1em;\">&#8211; they are releasing energy that had been stored in the bonds of the glucose molecule.\u00a0 This energy will be transferred to the third and final stage of cellular respiration: the Electron Transport System, which is an <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_5511\">endergonic reaction<\/a>.\u00a0 Using an exothermic reaction to power an endothermic reaction is known as <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_5981\">energy coupling<\/a>.<\/span><\/p>\n<div>\n<h1>Cellular Respiration Stage III:\u00a0Electron Transport Chain<\/h1>\n<\/div>\n<figure id=\"attachment_1820\" aria-describedby=\"caption-attachment-1820\" style=\"width: 489px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1820\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/ETC-2.png\" alt=\"Image shows the reactants and products of the electron transport chain. In this stage, 32 adenosine diphosphate and 32 inorganic phosphates combine to form 32 ATP. In addition, hydrogen and oxygen combine to form 6 molecules of water.\" width=\"489\" height=\"277\" \/><figcaption id=\"caption-attachment-1820\" class=\"wp-caption-text\"><em>Figure 4.10.7. Reactants and products of the electron transport chain.<\/em><\/figcaption><\/figure>\n<p><span style=\"text-align: initial; font-size: 1em;\"><span style=\"text-align: initial; font-size: 1em;\">\u00a0ETC, the final stage in cellular respiration produces 32 ATP.\u00a0\u00a0<\/span><\/span>The Electron Transport Chain is the final stage of cellular respiration. In this stage, energy being transported by NADH and FADH<sub>2<\/sub>\u00a0is transferred to ATP.\u00a0 In addition, oxygen acts as the final proton acceptor for the hydrogens released from all the NADH and FADH<sub>2<\/sub>, forming water.\u00a0 Figure 4.10.8 shows the reactants and products of the ETC.<\/p>\n<h2>Transporting Electrons<\/h2>\n<p>The <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_5473\">Electron transport chain<\/a><\/strong> is the third stage of cellular respiration and is illustrated in Figure 4.10.8. During this stage, high-energy electrons are released from NADH and FADH<sub>2<\/sub>, and they move along electron-transport chains on the inner membrane of the mitochondrion.\u00a0An electron-transport chain is a series of molecules that transfer electrons from molecule to molecule by\u00a0chemical reactions. Some of the energy from the electrons is used to pump hydrogen ions (H ) across the inner membrane, from the matrix into the intermembrane space. This\u00a0ion\u00a0transfer creates an\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_1817\">electrochemical gradient<\/a>\u00a0that drives the synthesis of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_5549\">ATP<\/a>.<\/p>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_1819\" aria-describedby=\"caption-attachment-1819\" style=\"width: 811px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1819\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/The_Electron_Transport_Chain-2.jpg\" alt=\"\" width=\"811\" height=\"558\" \/><figcaption id=\"caption-attachment-1819\" class=\"wp-caption-text\"><em>Figure 4.10.8 Electron-transport chains on the inner membrane of the mitochondrion carry out the last stage of cellular respiration.<\/em><\/figcaption><\/figure>\n<div>\n<p><span style=\"font-size: 1.424em; font-weight: bold;\">Making ATP<\/span><\/p>\n<\/div>\n<p>As shown in Figure 4.10.8, the pumping of hydrogen ions across the inner membrane creates a greater concentration of the ions in the intermembrane space than in the matrix. This gradient causes the ions to flow back across the membrane into the matrix, where their concentration is lower. ATP synthase acts as a channel protein, helping the hydrogen ions cross the membrane. It also acts as an enzyme, forming ATP from ADP and inorganic phosphate in a process called oxidative phosphorylation. After passing through the electron-transport chain, the \u201cspent\u201d electrons combine with oxygen to form water.<\/p>\n<div>\n<h1>How Much ATP?<\/h1>\n<\/div>\n<p>You have seen how the three stages of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_5877\">aerobic respiration<\/a> use the energy in glucose to make <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_5549\">ATP<\/a>. How much ATP is produced in all three stages combined? Glycolysis produces two ATP molecules, and the Krebs cycle produces two more. Electron transport begins with several molecules of NADH and FADH<sub>2<\/sub>\u00a0from the Krebs cycle and transfers their energy into as many as 34 more ATP molecules. All told, then, up to 38 molecules of ATP can be produced from just one molecule of glucose in the process of cellular respiration.<\/p>\n<div>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">4.10 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_5725\">Cellular respiration<\/a> is the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_1796\">aerobic<\/a> process by which living cells break down <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_5451\">glucose<\/a> molecules, release energy, and form molecules of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_5549\">ATP<\/a>.\u00a0Generally speaking, this three-stage process involves glucose and oxygen reacting to form carbon dioxide and\u00a0water.<\/li>\n<li>The first stage of cellular respiration, called glycolysis, takes place in the cytoplasm. In this step,\u00a0enzymes\u00a0split a molecule of glucose into two molecules of pyruvate, which releases energy that is transferred to ATP.\u00a0 Following glycolysis, a short reaction called the transition reaction converts the pyruvate into two molecules of acetyl CoA.<\/li>\n<li>The organelle called a mitochondrion is the site of the other two stages of cellular respiration. The mitochondrion has an inner and outer membrane separated by an intermembrane space, and the inner membrane encloses a space called the matrix.<\/li>\n<li>The second stage of cellular respiration, called the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_1805\">Krebs cycle<\/a>, takes place in the matrix of a mitochondrion. During this stage, two turns through the cycle result in all of the carbon atoms from the two pyruvate molecules forming carbon dioxide and the energy from their\u00a0chemical bonds\u00a0being stored in a total of 16 energy-carrying molecules (including two from glycolysis and two from transition reaction).<\/li>\n<li>The third and final stage of cellular respiration, called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_5473\">electron transport<\/a>, takes place on the inner membrane of the mitochondrion. Electrons are transported from molecule to molecule down an electron-transport chain. Some of the energy from the electrons is used to pump hydrogen ions\u00a0across the membrane, creating an\u00a0electrochemical gradient\u00a0that drives the synthesis of many more molecules of ATP.<\/li>\n<li>In all three stages of cellular respiration combined, as many as 38 molecules of ATP are produced from just one molecule of glucose.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">4.10 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>What is the purpose of cellular respiration? Provide a concise summary of the process.<\/li>\n<li>State what happens during glycolysis.<\/li>\n<li>Describe the structure of a mitochondrion.<\/li>\n<li>What molecule is present at both the beginning and end of the Krebs cycle?<\/li>\n<li>What happens during the electron transport stage of cellular respiration?<\/li>\n<li>How many molecules of ATP can be produced from one molecule of glucose during all three stages of cellular respiration combined?<\/li>\n<li>Do plants undergo cellular respiration? Why or why not?<\/li>\n<li>Explain why the process of cellular respiration described in this section is considered aerobic.<\/li>\n<li>Name three energy-carrying molecules involved in cellular respiration.<\/li>\n<li>\n<div id=\"h5p-478\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-478\" class=\"h5p-iframe\" data-content-id=\"478\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Cellular Respiration\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>Which stage of aerobic cellular respiration produces the most ATP?<\/li>\n<li>\n<div id=\"h5p-479\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-479\" class=\"h5p-iframe\" data-content-id=\"479\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Breakdown of glucose during cellular respiration\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff;\">4.10 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/www.youtube.com\/watch?time_continue=2&amp;v=00jbG_cfGuQ&amp;feature=emb_logo<\/p>\n<p style=\"text-align: center;\">ATP &amp; Respiration: Crash Course Biology #7, CrashCourse, 2012.<\/p>\n<p><iframe loading=\"lazy\" id=\"oembed-1\" title=\"(OLD VIDEO) Cellular Respiration and the Mighty Mitochondria\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/4Eo7JtRA7lg?feature=oembed&#38;rel=0&#38;rel=0\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p style=\"text-align: center;\">Cellular Respiration and the Mighty Mitochondria, The Amoeba Sisters, 2014.<\/p>\n<\/div>\n<\/div>\n<h2>Attributions<\/h2>\n<p><strong>Figure 4.10.1<\/strong><\/p>\n<p><a href=\"https:\/\/unsplash.com\/photos\/bU7vx56Fn50\" rel=\"cc:attributionURL\">Smores<\/a> by <a href=\"https:\/\/unsplash.com\/@jruscello\">Jessica Ruscello<\/a> on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/p>\n<p><strong>Figure 4.10.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:2509_Carbohydrate_Metabolism.jpg\" rel=\"cc:attributionURL\">Carbohydrate_Metabolism<\/a> by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/24-2-carbohydrate-metabolism\">OpenStax College<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\/deed.en\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<p><strong>Figure 4.10.3<\/strong><\/p>\n<p>Glycolysis by Christine Miller is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" rel=\"license\">CC BY 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/4.0\/) license.<\/p>\n<p><strong>Figure 4.10.4<\/strong><\/p>\n<p>Transition Reaction by Christine Miller is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" rel=\"license\">CC BY 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/4.0\/) license.<\/p>\n<p><strong>Figure 4.10.5<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Animal_mitochondrion_diagram_en.svg\" rel=\"cc:attributionURL\">Mitochondrion<\/a>\u00a0by Mariana Ruiz Villarreal [<a title=\"User:LadyofHats\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:LadyofHats\">LadyofHats<\/a>] on Wikimedia Commons is released into the <a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/Public_domain).<\/p>\n<p><strong>Figure 4.10.6<\/strong><\/p>\n<p>Krebs cycle by Christine Miller is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" rel=\"license\">CC BY 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/4.0\/) license.<\/p>\n<p><strong>Figure 4.10.7<\/strong><\/p>\n<p>Electron Transport Chain (ETC) by Christine Miller is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" rel=\"license\">CC BY 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/4.0\/) license.<\/p>\n<p><strong>Figure 4.10.8<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:2508_The_Electron_Transport_Chain.jpg\" rel=\"cc:attributionURL\">The_Electron_Transport_Chain<\/a> by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/24-2-carbohydrate-metabolism\">OpenStax College<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\/deed.en\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<\/div>\n<h2>References<\/h2>\n<p class=\"hanging-indent\">CrashCourse. (2012, March 12). ATP &amp; Respiration: Crash Course Biology #7. YouTube. https:\/\/www.youtube.com\/watch?time_continue=2&amp;amp;v=00jbG_cfGuQ&amp;amp;feature=emb_logo<\/p>\n<p class=\"hanging-indent\"><span class=\"os-title-label\"><span class=\"search-highlight text\" data-timestamp=\"1593971709033\" data-highlight-id=\"be4d62de-64ba-45d3-9e0a-94a6f01c99c3\" data-highlighted=\"true\"><span class=\"search-highlight text focus\" data-timestamp=\"1593971124968\" data-highlight-id=\"cf2748f4-996a-4532-916c-452da1001e7f\" data-highlighted=\"true\">Betts, J. G., Young, K.A., Wise, J.A., Johnson, E., Poe, B., Kruse, D.H., Korol, O., Johnson, J.E., Womble, M., DeSaix, P. (2013, April 25). <\/span>Figure\u00a0<\/span><\/span><span class=\"os-number\"><span class=\"search-highlight text\" data-timestamp=\"1593971709033\" data-highlight-id=\"be4d62de-64ba-45d3-9e0a-94a6f01c99c3\" data-highlighted=\"true\">24.8<\/span><\/span><span class=\"os-divider\">\u00a0<\/span><span id=\"15064\" class=\"os-title\" data-type=\"title\"><span class=\"search-highlight text\" data-timestamp=\"1593971709033\" data-highlight-id=\"be4d62de-64ba-45d3-9e0a-94a6f01c99c3\" data-highlighted=\"true\">Electron Transport Chain [digital image]<\/span><\/span><span class=\"os-caption\"><span class=\"search-highlight text last\" data-timestamp=\"1593971709033\" data-highlight-id=\"be4d62de-64ba-45d3-9e0a-94a6f01c99c3\" data-highlighted=\"true\">. In <em>Anatomy &amp; Physiology, Connexions<\/em> (Section ). OpenStax.\u00a0 https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/24-2-carbohydrate-metabolism<\/span><\/span><\/p>\n<p class=\"hanging-indent\"><span class=\"os-title-label\"><span class=\"search-highlight text focus\" data-timestamp=\"1593971124968\" data-highlight-id=\"cf2748f4-996a-4532-916c-452da1001e7f\" data-highlighted=\"true\">Betts, J. G., Young, K.A., Wise, J.A., Johnson, E., Poe, B., Kruse, D.H., Korol, O., Johnson, J.E., Womble, M., DeSaix, P. (2013, April 25). Figure <\/span><\/span><span class=\"os-number\"><span class=\"search-highlight text focus\" data-timestamp=\"1593971124968\" data-highlight-id=\"cf2748f4-996a-4532-916c-452da1001e7f\" data-highlighted=\"true\">24.9<\/span><\/span><span class=\"os-divider\">\u00a0<\/span><span id=\"83491\" class=\"os-title\" data-type=\"title\"><span class=\"search-highlight text focus\" data-timestamp=\"1593971124968\" data-highlight-id=\"cf2748f4-996a-4532-916c-452da1001e7f\" data-highlighted=\"true\">Carbohydrate Metabolism [digital image]<\/span><\/span><span class=\"os-caption\"><span class=\"search-highlight text last focus\" data-timestamp=\"1593971124968\" data-highlight-id=\"cf2748f4-996a-4532-916c-452da1001e7f\" data-highlighted=\"true\">. <\/span><\/span>In <em>Anatomy &amp; Physiology, Connexions<\/em> (Section 24.2). OpenStax.\u00a0 https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/24-2-carbohydrate-metabolism<\/p>\n<p class=\"hanging-indent\">The Amoeba Sisters. (2014, October 22). Cellular Respiration and the Mighty Mitochondria. YouTube. https:\/\/www.youtube.com\/watch?v=4Eo7JtRA7lg&amp;amp;t=3s<\/p>\n<p>&nbsp;<\/p>\n<div class=\"glossary\"><span class=\"screen-reader-text\" id=\"definition\">definition<\/span><template id=\"term_4472_5753\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4472_5753\"><div tabindex=\"-1\"><p>The ability to do work.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4472_5665\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4472_5665\"><div tabindex=\"-1\"><p>The smallest unit of life, consisting of at least a membrane, cytoplasm, and genetic material.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4472_5451\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4472_5451\"><div tabindex=\"-1\"><p>Glucose (also called dextrose) is a simple sugar with the molecular formula C6H12O6. Glucose is the most abundant monosaccharide, a subcategory of carbohydrates. Glucose is mainly made by plants and most algae during photosynthesis from water and carbon dioxide, using energy from sunlight.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4472_5725\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4472_5725\"><div tabindex=\"-1\"><p>A set of metabolic reactions and processes that take place in the cells of organisms to convert biochemical energy from nutrients into adenosine triphosphate (ATP).<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4472_5549\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4472_5549\"><div tabindex=\"-1\"><p>A complex organic chemical that provides energy to drive many processes in living cells, e.g. muscle contraction, nerve impulse propagation, and chemical synthesis. Found in all forms of life, ATP is often referred to as the \"molecular unit of currency\" of intracellular energy transfer.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4472_1796\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4472_1796\"><div tabindex=\"-1\"><p>Created by CK-12 Foundation\/Adapted by Christine Miller<\/p>\n<figure id=\"attachment_3498\" aria-describedby=\"caption-attachment-3498\" style=\"width: 409px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-3498\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Insulin_Application-1.jpg\" alt=\"9.7.1 Blood glucose testing\" width=\"409\" height=\"435\"><figcaption id=\"caption-attachment-3498\" class=\"wp-caption-text\"><em>Figure 9.7.1 Got to keep the balance.<\/em><\/figcaption><\/figure>\n<div>\n<h1>A Shot in the Arm<\/h1>\n<\/div>\n<p>Giving yourself an injection can be difficult, but for someone with <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_2969\">diabetes<\/a>, it may be a matter of life or death. The person in the photo has diabetes and is injecting themselves with insulin, the hormone that helps control the level of glucose in the blood. Insulin is produced by the pancreas.<\/p>\n<div>\n<h1>Introduction to the Pancreas<\/h1>\n<\/div>\n<p>The\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_3197\">pancreas<\/a><\/strong> is a large gland located in the upper left abdomen behind the stomach, as shown in Figure 9.7.2. The pancreas is about 15 cm (6 in) long, and it has a flat, oblong shape. Structurally, the pancreas is divided into a head, body, and tail. Functionally, the pancreas serves as both an endocrine gland and an exocrine gland.<\/p>\n<ul>\n<li>As an endocrine gland, the pancreas is part of the endocrine system. As such, it releases hormones (such as insulin) directly into the bloodstream for transport to cells throughout the body.<\/li>\n<li>As an exocrine gland, the pancreas is part of the digestive system. As such, it releases digestive enzymes into ducts that carry the enzymes to the gastrointestinal tract, where they assist with digestion. In this concept, the focus is on the pancreas as an endocrine gland. You can read about the pancreas as an exocrine gland in <a href=\"http:\/\/humanbiology.pressbooks.tru.ca\/chapter\/17-6-accessory-organs-of-digestion\/\">Chapter 15 Digestive System.<\/a><\/li>\n<\/ul>\n<figure id=\"attachment_3499\" aria-describedby=\"caption-attachment-3499\" style=\"width: 2047px\" class=\"wp-caption aligncenter\"><img class=\"size-full wp-image-3499\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Blausen_0699_PancreasAnatomy2-1.png\" alt=\"Location of the pancreas\" width=\"2047\" height=\"1638\"><figcaption id=\"caption-attachment-3499\" class=\"wp-caption-text\"><em>Figure 9.7.2 The pancreas is located behind the stomach and near the upper part of the small intestine (duodenum). Its ducts carry digestive enzymes into the small intestine. The endocrine hormones it produces are secreted into the blood.<\/em><\/figcaption><\/figure>\n<div>\n<h1>The Pancreas as an Endocrine Gland<\/h1>\n<\/div>\n<p>The tissues within the pancreas that have an endocrine role exist as clusters of cells called\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_3500\">pancreatic islets<\/a>.<\/strong> They are also called the islets of Langerhans. You can see pancreatic tissue, including islets, in Figure 9.7.3. There are approximately three million pancreatic islets, and they are crisscrossed by a dense network of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_3501\">capillaries<\/a>. The capillaries are lined by layers of islet cells that have direct contact with the blood vessels, into which they secrete their endocrine hormones.<\/p>\n<figure id=\"attachment_3502\" aria-describedby=\"caption-attachment-3502\" style=\"width: 637px\" class=\"wp-caption aligncenter\"><img class=\"size-full wp-image-3502\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Exocrine_and_Endocrine_Pancreas-1.jpg\" alt=\"Pancreas: Endocrine and Exocrine Gland\" width=\"637\" height=\"827\"><figcaption id=\"caption-attachment-3502\" class=\"wp-caption-text\"><em>Figure 9.7.3 The anatomy of the pancreas. The inset diagram shows pancreatic islet cells that produce endocrine hormones. It also shows the cells (called acinar cells) that secrete exocrine substances involved in digestion into pancreatic ducts.<\/em><\/figcaption><\/figure>\n<div>\n<p>&nbsp;<\/p>\n<\/div>\n<p>The pancreatic islets consist of four main types of cells, each of which secretes a different endocrine hormone.\u00a0All of the hormones produced by the pancreatic islets, however, play crucial roles in <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_317\">glucose<\/a> <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_176\">metabolism<\/a> and the regulation of blood glucose levels, among other functions.<\/p>\n<ol>\n<li>Islet cells called alpha (\u03b1) cells secrete the hormone <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_3405\">glucagon<\/a>. The function of glucagon is to increase the level of glucose in the blood. It does this by stimulating the liver to convert stored glycogen into glucose, which is released into the bloodstream.<\/li>\n<li>Islets cells called beta (\u03b2) cells secrete the hormone <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_2590\">insulin<\/a>. The function of insulin is to decrease the level of glucose in the blood. It does this by promoting the absorption of glucose from the blood into fat, liver, and skeletal muscle cells. In these tissues, the absorbed glucose is converted into glycogen, fats (triglycerides), or both.<\/li>\n<li>Islet cells called delta (\u03b4) cells secrete the hormone\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_3503\">somatostatin<\/a>.<\/strong>\u00a0This hormone is also called growth hormone inhibiting hormone, because it inhibits the anterior lobe of the pituitary gland from producing growth hormone. Somatostatin also inhibits the secretion of pancreatic endocrine hormones and pancreatic exocrine enzymes.<\/li>\n<li>Islet cells called gamma (\u03b3) cells secrete the hormone <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_3504\">pancreatic polypeptide<\/a>. The function of pancreatic polypeptide is to help regulate the secretion of both endocrine and exocrine substances by the pancreas.<\/li>\n<\/ol>\n<div>\n<h1>Disorders of the Pancreas<\/h1>\n<\/div>\n<p>There are a variety of disorders that affect the pancreas. They include pancreatitis, pancreatic cancer, and diabetes mellitus.<\/p>\n<h2>Pancreatitis<\/h2>\n<figure id=\"attachment_3506\" aria-describedby=\"caption-attachment-3506\" style=\"width: 390px\" class=\"wp-caption alignright\"><img class=\" wp-image-3506\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Jaundice_eye_new-1.jpg\" alt=\"Jaundice due to Pancreatitis\" width=\"390\" height=\"165\"><figcaption id=\"caption-attachment-3506\" class=\"wp-caption-text\"><em>Figure 9.7.4 Jaundice, or yellowing of the skin and whites of the eyes, is a common sign of pancreatitis.<\/em><\/figcaption><\/figure>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_3505\">Pancreatitis<\/a><\/strong> is inflammation of the pancreas. It has a variety of possible causes, including gallstones, chronic alcohol use, infections (such as measles or mumps), and certain medications. Pancreatitis occurs when digestive enzymes produced by the pancreas damage the gland\u2019s tissues, which causes problems with fat digestion. The disorder is usually associated with intense pain in the central abdomen, and the pain may radiate to the back. Yellowing of the skin and whites of the eyes (see Figure 9.7.4), which is called jaundice, is a common sign of pancreatitis. People with pancreatitis may also have pale stools and dark urine. Treatment of pancreatitis includes administering drugs to manage pain, and addressing the underlying cause of the disease, for example, by removing gallstones.<\/p>\n<h2>Pancreatic Cancer<\/h2>\n<p>There are several different types of pancreatic cancer that may affect either the endocrine or the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_3398\">exocrine<\/a> tissues of the gland. Cancers affecting the endocrine tissues are all relatively rare. However, their incidence has been rising sharply. It is unclear to what extent this reflects increased detection, especially through medical imaging techniques. Unfortunately, pancreatic cancer is usually diagnosed at a relatively late stage when it is too late for surgery, which is the only way to cure the disorder. In 2020 it is estimated that 6,000 Canadians will be newly diagnosed with pancreatic cancer, and that during this same year, 5,300 will die of pancreatic cancer.<\/p>\n<p>While it is rare before the age of 40, pancreatic cancer occurs most often after the age of 60. Factors that increase the risk of developing pancreatic cancer include smoking, obesity, diabetes, and a family history of the disease. About one in four cases of pancreatic cancer are attributable to smoking. Certain rare genetic conditions are also risk factors for pancreatic cancer.<\/p>\n<h2>Diabetes Mellitus<\/h2>\n<p>By far the most common type of pancreatic disorder is <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_2771\">diabetes mellitus<\/a>, more commonly called simply diabetes. There are many different types of diabetes, but diabetes mellitus is the most common. It occurs in two major types, <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_3507\">type 1 diabetes<\/a> and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_2970\">type 2 diabetes<\/a>. The two types have different causes and may also have different treatments, but they generally produce the same initial symptoms, which include excessive urination and thirst. These symptoms occur because the kidneys excrete more urine in an attempt to rid the blood of excess glucose. Loss of water in urine stimulates greater thirst. Other signs and symptoms of diabetes are listed in Figure 9.7.5.<\/p>\n<figure id=\"attachment_3508\" aria-describedby=\"caption-attachment-3508\" style=\"width: 738px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-3508\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Main_symptoms_of_diabetes.svg_-1.png\" alt=\"Symptoms of Diabetes\" width=\"738\" height=\"755\"><figcaption id=\"caption-attachment-3508\" class=\"wp-caption-text\"><em>Figure 9.7.5 This chart shows symptoms shared by both type 1 and type 2 diabetes in black and symptoms more common in type 1 diabetes in blue.<\/em><\/figcaption><\/figure>\n<p>When diabetes is not well controlled, it is likely to have several serious long-term consequences. Most of these consequences are due to damage to small blood vessels caused by high <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_317\">glucose<\/a> levels in the blood. Damage to blood vessels, in turn, may lead to increased risk of coronary artery disease and stroke. Damage to blood vessels in the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_3139\">retina<\/a> of the eye can result in gradual vision loss and blindness. Damage to blood vessels in the kidneys can lead to chronic kidney disease, sometimes requiring dialysis or kidney transplant. Long-term consequences of diabetes may also include damage to the nerves of the body, known as diabetic neuropathy. In fact, this is the most common complication of diabetes. Symptoms of diabetic neuropathy may include numbness, tingling, and pain in the extremities.<\/p>\n<h3>Type 1 Diabetes<\/h3>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_3507\">Type 1 diabetes<\/a><\/strong>\u00a0is a chronic autoimmune disorder in which the immune system attacks the insulin-secreting beta cells of the pancreas. As a result, people with type 1 diabetes lack the insulin needed to keep blood glucose levels within the normal range. Type 1 diabetes may develop in people of any age, but is most often diagnosed before adulthood. For type 1 diabetics, insulin injections are critical for survival.<\/p>\n<h3>Type 2 Diabetes<\/h3>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_2970\">Type 2 diabetes<\/a><\/strong>\u00a0is the single most common form of diabetes. The cause of high blood glucose in this form of diabetes usually includes a combination of insulin resistance and impaired insulin secretion. Both genetic and environmental factors play roles in the development of type 2 diabetes.\u00a0Type 2 diabetes can be managed with\u00a0changes in diet and physical activity, which may increase insulin sensitivity and help reduce blood glucose levels to normal ranges. Medications may also be used as part of the treatment, as may insulin injections.<\/p>\n<div>\n<h1>Feature: Human Biology in the News<\/h1>\n<\/div>\n<p>Some patients with type 1 diabetes have been given pancreatic islet cells transplants from other human donors. If the transplanted cells are not rejected by the recipient\u2019s immune system, they can cure the patient of diabetes. However,\u00a0because of a shortage of appropriate human donors, only about\u00a0one thousand\u00a0such surgeries have been performed over the past ten years.<\/p>\n<p>In June of 2016, a research team led by Dr. David K.C. Cooper at the Thomas E. Starzl Transplantation Institute in Pittsburgh, Pennsylvania, reported on their work developing pig islet cells for transplant into human diabetes patients. The researchers genetically engineered the pig islet cells to be protected from the human immune response. As a result, patients receiving the transplanted cells would require only minimal suppression of their immune system after the surgery. The pig islet cells would also be less likely to transmit pathogenic agents, because the animals could be raised in a controlled environment.<\/p>\n<p>The researchers have successfully transplanted the pig islet cells into monkey models of type 1 diabetes. As of June 2016, the scientists were looking for funding to undertake clinical trials in humans with type 1 diabetes. Dr. Cooper predicted then that if the human trials go as well as expected, the pig islet cells could be available for curing patients in as little as two years.<\/p>\n<div>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">9.7 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_3197\">pancreas<\/a> is a gland located in the upper left abdomen behind the stomach that functions as both an <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_2939\">endocrine gland<\/a> and an <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_3398\">exocrine gland<\/a>. As an endocrine gland, the pancreas releases hormones (such as <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_2590\">insulin<\/a>) directly into the bloodstream. As an exocrine gland, the pancreas releases digestive enzymes into ducts that carry them to the gastrointestinal tract.<\/li>\n<li>Tissues in the pancreas that have an endocrine role exist as clusters of cells called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_3500\">pancreatic islets<\/a>. The islets consist of four main types of cells, each of which secretes a different endocrine hormone. Alpha (\u03b1) cells secrete <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_3405\">glucagon<\/a>, beta (\u03b2) cells secrete insulin, delta (\u03b4) cells secrete <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_3503\">somatostatin<\/a>, and gamma (\u03b3) cells secrete <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_3504\">pancreatic polypeptide<\/a>.<\/li>\n<li>The endocrine hormones secreted by the pancreatic islets all play a role, either directly or indirectly, in glucose metabolism and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_173\">homeostasis<\/a> of blood glucose levels. For example, insulin stimulates the uptake of glucose by cells and decreases the level of glucose in the blood, whereas glucagon stimulates the conversion of glycogen to glucose and increases the level of glucose in the blood.<\/li>\n<li>Disorders of the pancreas include <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_3505\">pancreatitis<\/a>, pancreatic <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_1600\">cancer<\/a>, and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_2771\">diabetes mellitus<\/a>. Pancreatitis is painful inflammation of the pancreas that has many possible causes. Pancreatic cancer of the endocrine tissues is rare, but increasing in frequency. It is generally discovered too late to cure surgically. Smoking is a major risk factor for pancreatic cancer.<\/li>\n<li>Diabetes mellitus is the most common type of pancreatic disorder. In diabetes, inadequate\u00a0activity\u00a0of insulin results in high blood levels of glucose. <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_3507\">Type 1 diabetes<\/a> is a chronic autoimmune disorder in which the immune system attacks the insulin-secreting beta cells of the pancreas. <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_2970\">Type 2 diabetes<\/a> is usually caused by a combination of insulin resistance and impaired insulin secretion due to a variety of environmental and genetic factors.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">9.7 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>Describe the structure and location of the pancreas.<\/li>\n<li>Distinguish between the endocrine and exocrine functions of the pancreas.<\/li>\n<li>\n<div id=\"h5p-139\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-139\" class=\"h5p-iframe\" data-content-id=\"139\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Label the brain\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>\n<div id=\"h5p-140\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-140\" class=\"h5p-iframe\" data-content-id=\"140\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"Brain\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>What is pancreatitis? What are possible causes and effects of pancreatitis?<\/li>\n<li>Describe the incidence, prognosis, and risk factors of cancer of the endocrine tissues of the pancreas.<\/li>\n<li>Compare and contrast type 1 and type 2 diabetes.<\/li>\n<li>If the alpha islet cells of the pancreas were damaged to the point that they no longer functioned, how would this affect blood glucose levels? Assume that no outside regulation of this system is occurring and explain your answer. Further, would administration of insulin be more likely to help or hurt\u00a0this condition? Explain your answer.<\/li>\n<li>Explain why diabetes causes excessive thirst.<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">9.7 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/www.youtube.com\/watch?v=8dgoeYPoE-0&amp;t=2s<\/p>\n<p style=\"text-align: center\">What does the pancreas do? - Emma Bryce, TED-Ed, 2015.<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=qlzLSbAGMqA&amp;feature=emb_logo<\/p>\n<p style=\"text-align: center\">Type 2 diabetes in children, Children's Health, 2008.<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=da1vvigy5tQ<\/p>\n<p style=\"text-align: center\">Reversing Type 2 diabetes starts with ignoring the guidelines | Sarah Hallberg | TEDxPurdueU, TEDx Talks, 2015.<\/p>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<\/div>\n<h2>Attributions<\/h2>\n<p><strong>Figure 9.7.1<\/strong><\/p>\n<section class=\"standard post-785 chapter type-chapter status-publish hentry focusable\" data-type=\"chapter\">\n<div class=\"media-atttributions\">\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Insulin_Application.jpg\" rel=\"cc:attributionURL\">Insulin_Application<\/a> by <a class=\"extiw\" title=\"w:cs:User:Mr Hyde\" href=\"https:\/\/en.wikipedia.org\/wiki\/cs:User:Mr_Hyde\">Mr Hyde<\/a>\u00a0at\u00a0<a class=\"extiw\" title=\"w:cs:\" href=\"https:\/\/en.wikipedia.org\/wiki\/cs:\">Czech Wikipedia<\/a> (Original text: moje foto) on Wikimedia Commons is released into the <a class=\"extiw\" title=\"w:public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/Public_domain)<i>.<\/i><\/p>\n<p><strong>Figure 9.7.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Blausen_0699_PancreasAnatomy2.png\" rel=\"cc:attributionURL\">Blausen_0699_PancreasAnatomy2<\/a> by <a title=\"User:BruceBlaus\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:BruceBlaus\">BruceBlaus<\/a> on Wikimedia Commons is used under a\u00a0 <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\" rel=\"license\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<p><strong>Figure 9.7.3<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:2424_Exocrine_and_Endocrine_Pancreas.jpg\" rel=\"cc:attributionURL\">Exocrine_and_Endocrine_Pancreas<\/a>\u00a0by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/23-6-accessory-organs-in-digestion-the-liver-pancreas-and-gallbladder\">OpenStax College<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\/deed.en\" rel=\"license\">CC BY 3.0 <\/a>(https:\/\/creativecommons.org\/licenses\/by\/3.0\/deed.en) license.<\/p>\n<p><strong>Figure 9.7.4<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Jaundice_eye_new.jpg\" rel=\"cc:attributionURL\">Jaundice_eye_new<\/a> by <a class=\"mw-userlink\" title=\"User:Info-farmer\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:Info-farmer\">Info-farmer<\/a> on Wikimedia Commons is in the <a class=\"extiw\" title=\"w:public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/Public_domain)<i>.<\/i>\u00a0(Original image, File:<a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Jaundice_eye.jpg\">Jaundice eye.jpg<\/a>, is from <a class=\"extiw\" title=\"w:Centers for Disease Control and Prevention\" href=\"https:\/\/en.wikipedia.org\/wiki\/Centers_for_Disease_Control_and_Prevention\">Centers for Disease Control and Prevention<\/a>'s\u00a0<a class=\"external text\" href=\"https:\/\/phil.cdc.gov\/\" rel=\"nofollow\">Public Health Image Library<\/a>\u00a0(PHIL), with identification number\u00a0<b><a class=\"external text\" href=\"https:\/\/phil.cdc.gov\/details.aspx?pid=2860\" rel=\"nofollow\">#2860<\/a><\/b><a class=\"external text\" href=\"https:\/\/phil.cdc.gov\/details.aspx?pid=2860\" rel=\"nofollow\">)<\/a><\/p>\n<p><strong>Figure 9.7.5<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Main_symptoms_of_diabetes.svg\" rel=\"cc:attributionURL\">Main_symptoms_of_diabetes.svg<\/a> by <a class=\"extiw\" title=\"en:User:Mikael H\u00e4ggstr\u00f6m\" href=\"https:\/\/en.wikipedia.org\/wiki\/User:Mikael_H%C3%A4ggstr%C3%B6m\">Mikael H\u00e4ggstr\u00f6m<\/a> on Wikimedia Commons is released into the <a class=\"extiw\" title=\"w:public domain\" href=\"https:\/\/en.wikipedia.org\/wiki\/public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/Public_domain)<i>.<\/i><\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<div class=\"glossary\"><span style=\"font-size: 1.424em;font-weight: bold;color: #333333\">References<\/span><\/div>\n<\/section>\n<p class=\"hanging-indent\">Betts, J. G., Young, K.A., Wise, J.A., Johnson, E., Poe, B., Kruse, D.H., Korol, O., Johnson, J.E., Womble, M., DeSaix, P. (2013, July 19). Figure 23.26 Exocrine and endocrine pancreas [digital image].\u00a0 In <em>Anatomy and Physiology<\/em> (Section 23.6). OpenStax. https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/23-6-accessory-organs-in-digestion-the-liver-pancreas-and-gallbladder<\/p>\n<p class=\"hanging-indent\">Blausen.com Staff. (2014). Medical gallery of Blausen Medical 2014. <em>WikiJournal of Medicine 1<\/em> (2). DOI:10.15347\/wjm\/2014.010. ISSN 2002-4436.<\/p>\n<p class=\"hanging-indent\">Children's Health. (2008, June 13). Type 2 diabetes in children. YouTube. https:\/\/www.youtube.com\/watch?v=qlzLSbAGMqA&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\"><span class=\"author\">Hering, B. J.<\/span>,\u00a0<span class=\"author\">Cozzi, E.<\/span>,\u00a0<span class=\"author\">Spizzo, T.<\/span>,\u00a0<span class=\"author\">Cowan, P. J.<\/span>,\u00a0<span class=\"author\">Rayat, G. R.<\/span>,\u00a0<span class=\"author\">Cooper, D. K. C.<\/span>,\u00a0<span class=\"author\">Denner, J<\/span>. (2016, March 4). <span class=\"articleTitle\">First update of the International Xenotransplantation Association consensus statement on conditions for undertaking clinical trials of porcine islet products in type 1 diabetes\u2014Executive summary<\/span>.\u00a0<i>Xenotransplantation<\/i>\u00a0<em><span class=\"pubYear\">2016<\/span><\/em>, <span class=\"vol\">23<\/span>:\u00a0<span class=\"pageFirst\">3<\/span>\u2013\u00a0<span class=\"pageLast\">13<\/span>. https:\/\/doi.org\/10.1111\/xen.12231<\/p>\n<p class=\"hanging-indent\">TED-Ed. (2015, February 19). What does the pancreas do? - Emma Bryce. YouTube. https:\/\/www.youtube.com\/watch?v=8dgoeYPoE-0&amp;feature=youtu.be<\/p>\n<p class=\"hanging-indent\">TEDx Talks. (2015, May 4).\u00a0Reversing Type 2 diabetes starts with ignoring the guidelines | Sarah Hallberg | TEDxPurdueU. YouTube. https:\/\/www.youtube.com\/watch?v=da1vvigy5tQ&amp;feature=youtu.be<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4472_1708\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4472_1708\"><div tabindex=\"-1\"><p>Created by CK-12 Foundation\/Adapted by Christine Miller<\/p>\n<figure id=\"attachment_1707\" aria-describedby=\"caption-attachment-1707\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-1705\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/Couple.jpg\" alt=\"Figure 18.1.1 Couple\" width=\"400\" height=\"266\"><figcaption id=\"caption-attachment-1707\" class=\"wp-caption-text\"><em>Figure 18.1.1 Let's make a baby.<\/em><\/figcaption><\/figure>\n<div>\n<h1>Case Study: Trying to Conceive<\/h1>\n<\/div>\n<p>Alicia, 28, and Victor, 30, have been married for three years. A year ago, they decided they wanted to have a baby, and they stopped using birth control. At first, they did not pay attention to the timing of their sexual activity in relation to Alicia\u2019s menstrual cycle, but after six months passed without Alicia becoming pregnant, they decided to try to maximize their efforts.<\/p>\n<p>They knew that in order for a woman to become pregnant, the man\u2019s sperm must encounter the woman\u2019s egg, which is typically released once a month through a process called ovulation. They also had heard that for the average woman, ovulation occurs around day 14 of the menstrual cycle. To maximize their chances of conception, they tried to have sexual intercourse on day 14 of Alicia\u2019s menstrual cycle each month.<\/p>\n<p>After several months of trying this method, Alicia is still not pregnant. She is concerned that she may not be ovulating on a regular basis, because her menstrual cycles are irregular and often longer than the average 28 days. Victor is also concerned about his own fertility. He had some injuries to his testicles (testes) when he was younger, and wonders if that may have caused a problem with his sperm.<\/p>\n<p>Alicia calls her doctor for advice. Dr. Bashir recommends that she try taking her temperature each morning before she gets out of bed. This temperature is called basal body temperature (BBT), and recording BBT throughout a woman\u2019s menstrual cycle can sometimes help identify\u00a0if and when she is ovulating. Additionally, Dr. Bashir recommends she try using a home ovulation predictor kit, which predicts ovulation by measuring the level of luteinizing hormone (LH) in urine. In the meantime, Dr. Bashir sets up an appointment for Victor to give a semen sample, so that his sperm may be examined with a microscope.<\/p>\n<figure id=\"attachment_1707\" aria-describedby=\"caption-attachment-1707\" style=\"width: 800px\" class=\"wp-caption alignnone\"><img class=\"wp-image-1707 size-full\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Basal_Body_Temperature-e1592890819810.png\" alt=\"18.1.2 Basal Body Temperature\" width=\"800\" height=\"222\"><figcaption id=\"caption-attachment-1707\" class=\"wp-caption-text\"><em>Figure 18.1.2 Monitoring body temperature before getting out of bed in the morning can often help tell if and when a woman is ovulating because a women's body temperature fluctuates during a monthly cycle. Usually, a special highly sensitive thermometer is used.<\/em><\/figcaption><\/figure>\n<p>As you read this chapter, you will learn about the male and female reproductive systems, how sperm and eggs are produced, and how they meet each other to ultimately produce a baby. You will learn how these complex processes are regulated, and how they can be susceptible to problems along the way. Problems in either the male or female reproductive systems can result in infertility, or\u00a0difficulty in achieving a successful pregnancy. As you read the chapter, you will understand exactly how BBT and LH relate to ovulation, why Dr. Bashir recommended that Alicia monitor these variables, and the types of problems she will look for in Victor\u2019s semen. At the end of the chapter, you will find out the results of Alicia and Victor\u2019s fertility assessments, steps they can take to increase their chances of conception, and whether they are ultimately able to get pregnant.<\/p>\n<div class=\"textbox textbox--learning-objectives\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">Chapter Overview: Reproductive System<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>In this chapter you will learn about the male and female reproductive systems. Specifically, you will learn about:<\/p>\n<ul>\n<li>The functions of the reproductive system, which includes the production and fertilization of gametes (eggs and sperm), the production of sex hormones by the gonads (testes and ovaries), and, in females, the carrying of a fetus.<\/li>\n<li>How the male and female reproductive systems differentiate in the embryo and fetus, and how they mature during puberty.<\/li>\n<li>The structures of the male reproductive system, including the testes, epididymis, <em>vas deferens<\/em>, ejaculatory ducts, seminal vesicles, prostate gland, bulbourethral glands, and the penis.<\/li>\n<li>How sperm are produced, how they mature, how they are stored, and how they are deposited into the female.<\/li>\n<li>The fluids in semen that protect and nourish sperm, and where those fluids are produced.<\/li>\n<li>Disorders of the male reproductive system, including erectile dysfunction, epididymitis, prostate cancer, and testicular cancer \u2014 some of which predominantly affect younger men.<\/li>\n<li>The structures of the female reproductive system, including the ovaries, fallopian tubes, uterus, cervix, vagina, and external structures of the vulva.<\/li>\n<li>How eggs are produced in the female fetus, and how they then mature after puberty through the process of ovulation.<\/li>\n<li>The menstrual cycle, its purpose, and the hormones that control it.<\/li>\n<li>How fertilization and implantation occur, the stages of pregnancy and childbirth, and how the mother\u2019s body produces milk to feed the baby.<\/li>\n<li>Disorders of the female reproductive system, including cervical cancer, endometriosis, and vaginitis (which includes yeast infections).<\/li>\n<li>Some causes and treatments of male and female infertility.<\/li>\n<li>Forms of contraception (birth control), including barrier methods (such as condoms), hormonal methods (such as the birth control pill), behavioural methods, intrauterine devices, and sterilization.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox shaded\">\n<p>As you read the chapter, think about the following questions:<\/p>\n<ol>\n<li>Why might sexual intercourse on day 14 of Alicia\u2019s menstrual cycle not necessarily be optimal timing to achieve a pregnancy?<\/li>\n<li>Why is Alicia concerned about her irregular and long menstrual cycles? How could tracking her BBT and LH level help identify if she is ovulating and when?<\/li>\n<li>Why do you think Victor is concerned about past injuries to his testes? How might analysis of his semen help assess whether he has a fertility issue and, if so, the type of issue?<\/li>\n<\/ol>\n<\/div>\n<p>&nbsp;<\/p>\n<h2>Attributions<\/h2>\n<p><strong>Figure 18.1.1<\/strong><\/p>\n<p><a href=\"https:\/\/flic.kr\/p\/brKjW1\" rel=\"cc:attributionURL\">Couple<\/a> by <a class=\"owner-name truncate\" title=\"Go to Md saad andalib's photostream\" href=\"https:\/\/www.flickr.com\/photos\/saadandalib\/\" data-track=\"attributionNameClick\">Md saad andalib<\/a> on <a href=\"http:\/\/flickr.com\">Flickr<\/a> is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/2.0\/\" rel=\"license\">CC BY 2.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/2.0\/) license.<\/p>\n<p><strong>Figure 18.1.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Basal_Body_Temperature.png\" rel=\"cc:attributionURL\">Basal_Body_Temperature<\/a> by <a title=\"User:BruceBlaus\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:BruceBlaus\">BruceBlaus<\/a> on Wikimedia Commons is used under a \u00a0<a href=\"https:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/\" rel=\"license\">CC BY SA 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by-sa\/4.0) license.<\/p>\n<p><span style=\"font-size: 1.424em;font-weight: bold\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4472_1716\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4472_1716\"><div tabindex=\"-1\"><p>Image shows a labelled diagram of the human reproductive system.  This includes components that hang below the pelvic cavity including the testes and epididymes, which are enclosed in the scrotum.  The vas deferens is a tube than runs up into the pelvic cavity from each testes.  These two vas deferens merge and empty into the urinary urethra, which runs along the length of the penis.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4472_1798\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4472_1798\"><div tabindex=\"-1\"><\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4472_5737\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4472_5737\"><div tabindex=\"-1\"><p>The aqueous component of the cytoplasm of a cell, within which various organelles and particles are suspended.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4472_5465\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4472_5465\"><div tabindex=\"-1\"><p>The jellylike material that makes up much of a cell inside the cell membrane, and, in eukaryotic cells, surrounds the nucleus. The organelles of eukaryotic cells, such as mitochondria, the endoplasmic reticulum, and (in green plants) chloroplasts, are contained in the cytoplasm.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4472_5757\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4472_5757\"><div tabindex=\"-1\"><p>Biological molecules that lower amount the energy required for a reaction to occur.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4472_5783\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4472_5783\"><div tabindex=\"-1\"><p>A double-membrane-bound organelle found in most eukaryotic organisms. Mitochondria convert oxygen and nutrients into adenosine triphosphate (ATP). ATP is the chemical energy \"currency\" of the cell that powers the cell's metabolic activities.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4472_5629\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4472_5629\"><div tabindex=\"-1\"><p>The space occurring between two or more membranes. In cell biology, it's most commonly described as the region between the inner membrane and the outer membrane of a mitochondrion or a chloroplast.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4472_1812\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4472_1812\"><div tabindex=\"-1\"><p>Image shows a young girl receiving a vaccination shot from a doctor.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4472_1805\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4472_1805\"><div tabindex=\"-1\"><p>Image shows a four-tier diagram in a 28 day timeline of the menstruation cycle.  The  first tier shows basal body temperature (BBT) over the 28 days.  BBT is about 1 degree celcius lower before ovulation than after.  The next tier shows relative levels of follicle stimulating hormone (FSH), leutenizing hormone (LH), estrogen and progesterone.  At the time of ovulation, levels of FSH, LH and estrogen spike and then drop off.  Progesterone increases after ovulation and then drops off close to day 25.<br \/>\nIn the third tier is a representation of changes to the follicle and corpus luteum during the ovarian cycle.  In the first 14 days of the cycle, the follicle is growing.  On day 14, the follicle ejects the ovum and starts converting to a corpus lutem, which persists from day 15-28, at which point it has degenerated.<br \/>\nIn the fourth tier, the uterine cycle is illustrated, showing relative thickness of the endometrium.  On days 1-5 menses rids the body of broken down endometrial tissue from the last cycle.  Day 6-14 the endometrium thickens and develops, and then day 15 the endometrium is maintained.  If fertilization and implantation do no occur, the endometrium begins to break down towards the end of the secretory phase.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4472_993\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4472_993\"><div tabindex=\"-1\"><p>Created by:\u00a0CK-12\/Adapted by Christine Miller<\/p>\n<figure id=\"attachment_1795\" aria-describedby=\"caption-attachment-1795\" style=\"width: 333px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-1795\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2019\/06\/SMores-1-scaled.jpg\" alt=\"Image shows a photo of the ingredients for smores sitting on a table. In the background, a campfire is burning.\" width=\"333\" height=\"500\"><figcaption id=\"caption-attachment-1795\" class=\"wp-caption-text\"><em>Figure 4.10.1 Ready to make s'mores!<\/em><\/figcaption><\/figure>\n<div>\n<h1>Bring on the S'mores!<\/h1>\n<\/div>\n<p>This inviting camp fire can be used for both\u00a0heat\u00a0and light. Heat and light are two\u00a0forms of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_302\">energy<\/a>\u00a0that are released when a fuel like wood is burned. The\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_175\">cells\u00a0<\/a>of living things also get\u00a0energy\u00a0by \"burning.\" They \"burn\" <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_317\">glucose<\/a> in\u00a0a\u00a0process called<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_1172\"> cellular respiration<\/a>.<\/p>\n<div>\n<h1>What Is Cellular Respiration?<\/h1>\n<\/div>\n<p><strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_1172\">Cellular respiration<\/a><\/strong>\u00a0is the process by which living\u00a0cells\u00a0break down <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_317\">glucose<\/a> molecules and release\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_302\">energy<\/a>. The process is similar to burning, although it doesn\u2019t produce light or intense\u00a0heat\u00a0as a campfire does. This is because cellular respiration releases the energy in glucose\u00a0<em>slowly\u00a0<\/em>and<em>\u00a0<\/em>in many small steps. It uses the\u00a0energy\u00a0released to form molecules of\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_1623\">ATP<\/a><\/strong>, the energy-carrying molecules that\u00a0cells\u00a0use to power biochemical processes. In this way, cellular respiration is an example of energy coupling: glucose is broken down in an exothermic reaction, and then the energy from this reaction powers the endothermic reaction of the formation of ATP.\u00a0 Cellular respiration involves many\u00a0chemical reactions, but they can all be summed up with this chemical equation:<\/p>\n<p style=\"text-align: center\"><strong>C<sub>6<\/sub>H<sub>12<\/sub>O<sub>6<\/sub>\u00a0 6O<sub>2<\/sub>\u00a0\u2192 6CO<sub>2<\/sub>\u00a0 6H<sub>2<\/sub>O Chemical Energy (in ATP)<\/strong><\/p>\n<p>In words, the equation shows that glucose (C<sub>6<\/sub>H<sub>12<\/sub>O<sub>6<\/sub>)\u00a0and oxygen (O<sub>2<\/sub>)\u00a0react to form carbon dioxide (CO<sub>2<\/sub>) and\u00a0water\u00a0(H<sub>2<\/sub>O), releasing energy in the process. Because oxygen is required for cellular respiration, it is an\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_1796\"><strong>aerobic<\/strong><\/a> process.<\/p>\n<p>Cellular respiration occurs in the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_175\">cells<\/a> of all living things, both autotrophs and <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_1716\">heterotrophs<\/a>. All of them burn <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_317\">glucose<\/a> to form <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_1623\">ATP<\/a>. The reactions of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_1172\">cellular respiration<\/a> can be grouped into three stages: glycolysis, the Krebs cycle (also called the citric acid cycle), and electron transport. Figure 4.10.2 gives an overview of these three stages, which are also described in detail below.<\/p>\n<figure id=\"attachment_1797\" aria-describedby=\"caption-attachment-1797\" style=\"width: 720px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-1797\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Carbohydrate_Metabolism-1-scaled.jpg\" alt=\"Image shows a diagram of the four stages in cellular respiration: Glycolysis, transition reaction, Kreb's cycle, and the electron transport system.\" width=\"720\" height=\"1122\"><figcaption id=\"caption-attachment-1797\" class=\"wp-caption-text\"><em>Figure 4.10.2 Cellular respiration takes place in the stages shown here. The process begins with a molecule of glucose, which has six carbon atoms. What happens to each of these atoms of carbon?<\/em><\/figcaption><\/figure>\n<div>\n<p>&nbsp;<\/p>\n<\/div>\n<div>\n<h1>Cellular Respiration Stage I:\u00a0Glycolysis<\/h1>\n<\/div>\n<p>The first stage of cellular respiration is\u00a0<strong>glycolysis<\/strong>,\u00a0which happens\u00a0in the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_1608\">cytosol<\/a> of the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_1459\">cytoplasm<\/a>.<\/p>\n<h2>Splitting Glucose<\/h2>\n<p>The word\u00a0<em>glycolysis<\/em>\u00a0literally means \u201cglucose splitting,\u201d which is exactly what happens in this stage.\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_304\">Enzymes<\/a>\u00a0split a molecule of glucose into two molecules of pyruvate (also known as pyruvic acid). This occurs in several steps, as summarized in the\u00a0following\u00a0diagram.<\/p>\n<figure id=\"attachment_1800\" aria-describedby=\"caption-attachment-1800\" style=\"width: 784px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-1800\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Glycolysis-1.png\" alt=\"\" width=\"784\" height=\"523\"><figcaption id=\"caption-attachment-1800\" class=\"wp-caption-text\"><em>Figure 4.10.3 Glycolysis is a complex ten-step reaction that ultimately converts glucose into two molecules of pyruvate.\u00a0This releases energy, which is transferred to ATP. How many ATP molecules are made during this stage of cellular respiration?<\/em><\/figcaption><\/figure>\n<h2>Results of Glycolysis<\/h2>\n<p>Energy is needed at the start of glycolysis to split the glucose molecule into two pyruvate molecules which go on to stage II of cellular respiration. The energy needed to split glucose is provided by two molecules of ATP; this is called the energy investment phase. As glycolysis proceeds, energy is released, and the energy is used to make four molecules of ATP; this is the energy harvesting phase. As a result, there is a <em>net gain<\/em> of two ATP molecules during glycolysis. During this stage, high-energy electrons are also transferred to molecules of NAD \u00a0to produce two molecules of NADH, another energy-carrying molecule. NADH is used in stage III of cellular respiration to make more ATP.<\/p>\n<h2>Transition Reaction<\/h2>\n<p>Before pyruvate can enter the next stage of cellular respiration it needs to be modified slightly.\u00a0 The transition reaction is a very short reaction which converts the two molecules of pyruvate to two molecules of acetyl CoA, carbon dioxide, and two high energy electron pairs convert NAD to NADH.\u00a0 The carbon dioxide is released, the acetyl CoA moves to the mitochondria to enter the Kreb's Cycle (stage II), and the NADH carries the high energy electrons to the Electron Transport System (stage III).<\/p>\n<figure id=\"attachment_9093\" aria-describedby=\"caption-attachment-9093\" style=\"width: 747px\" class=\"wp-caption aligncenter\"><img class=\" wp-image-9093\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Transition-Reaction-4-10-14-1.png\" alt=\"In the transition reaction, two molecules of pyruvate are converted to two molecules of acetyl coA and two molecules of carbon dioxide. The acetyl CoA moves to the Kreb's cycle, the carbon dioxide diffuses out of the cell, and two hydrogen atoms are carried on NADH to the ETS.\" width=\"747\" height=\"485\"><figcaption id=\"caption-attachment-9093\" class=\"wp-caption-text\"><em>Figure 4.10.14: During the Transition Reaction, pyruvate is converted to acetyl CoA and carbon dioxide.<\/em><\/figcaption><\/figure>\n<div>\n<h2>Structure of the Mitochondrion<\/h2>\n<\/div>\n<figure id=\"attachment_1804\" aria-describedby=\"caption-attachment-1804\" style=\"width: 496px\" class=\"wp-caption alignleft\"><img class=\"wp-image-1804\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/Mitochondrion-1.png\" alt=\"Image shows a diagram of a mitochondria. Several structures are labelled including cristae, matrix, DNA, intermembrane space, inner membrane, outer membrane, and ATP synthase particles.\" width=\"496\" height=\"341\"><figcaption id=\"caption-attachment-1804\" class=\"wp-caption-text\"><em>Figure 4.10.5 Labelled mitochondrion structure. <\/em><\/figcaption><\/figure>\n<p>Before you read about the last two stages of cellular respiration, you need to know more about the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_1579\">mitochondrion<\/a>, where these two stages take place. A diagram of a mitochondrion is shown in Figure 4.10.5.<\/p>\n<div>\n<p>The structure of a mitochondrion is defined by an inner and outer membrane. This structure plays an important role in aerobic respiration.<\/p>\n<\/div>\n<p>As you can see from the figure, a mitochondrion has an inner and outer membrane. The space between the inner and outer membrane is called the\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_1811\">intermembrane space<\/a><\/strong>. The space enclosed by the inner membrane is called the\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_1812\">matrix<\/a><\/strong>. The second stage of cellular respiration (the Krebs cycle) takes place in the matrix. The third stage (electron\u00a0transport)\u00a0happens on\u00a0the inner membrane.<\/p>\n<div>\n<h1>Cellular Respiration Stage II: The\u00a0Krebs Cycle<\/h1>\n<\/div>\n<p>Recall that glycolysis produces two molecules of pyruvate (pyruvic acid), which are then converted to acetyl CoA during the short transition reaction. These molecules enter the matrix of a mitochondrion, where they start the\u00a0<strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_1805\">Krebs cycle<\/a> <\/strong>(also known as the Citric Acid Cycle). The reason this stage is considered a cycle is because a molecule called oxaloacetate is present at both the beginning and end of this reaction and is used to break down the two molecules of acetyl CoA.\u00a0 The reactions that occur next are shown in Figure 4.10.6.<\/p>\n<figure id=\"attachment_1809\" aria-describedby=\"caption-attachment-1809\" style=\"width: 835px\" class=\"wp-caption alignnone\"><img class=\"wp-image-1809\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/krebs-cycle-1.png\" alt=\"Image shows a diagram of the reactants and products of the Krebs Cycle. Two molecules of acetyl CoA are converted to 4 carbon dioxide which are released as cellular waste, 2 ATP which are used in the cell for energy, and 8 NADH and 2 FADH2, both of which travel to the ETS.\" width=\"835\" height=\"510\"><figcaption id=\"caption-attachment-1809\" class=\"wp-caption-text\"><em>Figure 4.10.6 Reactants and products of the Krebs Cycle.<\/em><\/figcaption><\/figure>\n<div>\n<p><span style=\"font-size: 1.424em;font-weight: bold\">Steps of the Krebs Cycle<\/span><\/p>\n<\/div>\n<p>The <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_1805\">Krebs cycle<\/a> itself actually begins when acetyl-CoA combines with a four-carbon molecule called OAA (oxaloacetate) (see Figure 4.10.6). This produces citric acid, which has six carbon atoms. This is why the Krebs cycle is also called the citric acid cycle.<\/p>\n<p>After citric acid forms, it goes through a series of reactions that release energy. The energy is captured in molecules of NADH, ATP, and FADH<sub>2<\/sub>, another energy-carrying\u00a0coenzyme. Carbon dioxide is also released as a waste product of these reactions.<\/p>\n<p>The final step of the Krebs cycle <em>regenerates<\/em> OAA, the molecule that began the Krebs cycle. This molecule is needed for the next turn through the cycle. Two turns are needed because glycolysis produces <em>two<\/em> pyruvic acid molecules when it splits glucose.<\/p>\n<h2>Results of the Glycolysis, Transition Reaction and Krebs Cycle<\/h2>\n<p>After glycolysis, transition reaction, and the Krebs cycle, the glucose molecule has been broken down completely. All six of its carbon atoms have combined with oxygen to form carbon dioxide. The energy from its\u00a0chemical bonds\u00a0has been stored in a total of 16 energy-carrier molecules. These molecules are:<\/p>\n<ul>\n<li>4 ATP (2 from glycolysis, 2 from Krebs Cycle)<\/li>\n<li>12 NADH (2 from glycolysis, 2 from transition reaction, and 8 from Krebs cycle)<\/li>\n<li>2 FADH<sub>2 <\/sub>(both from the Krebs cycle)<\/li>\n<\/ul>\n<p>The events of cellular respiration up to this point are\u00a0<span style=\"font-size: 1em\"><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_993\">exergonic reactions<\/a><\/span><span style=\"text-align: initial;font-size: 1em\">- they are releasing energy that had been stored in the bonds of the glucose molecule.\u00a0 This energy will be transferred to the third and final stage of cellular respiration: the Electron Transport System, which is an <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_984\">endergonic reaction<\/a>.\u00a0 Using an exothermic reaction to power an endothermic reaction is known as <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_1813\">energy coupling<\/a>.<\/span><\/p>\n<div>\n<h1>Cellular Respiration Stage III:\u00a0Electron Transport Chain<\/h1>\n<\/div>\n<figure id=\"attachment_1820\" aria-describedby=\"caption-attachment-1820\" style=\"width: 489px\" class=\"wp-caption alignright\"><img class=\"wp-image-1820\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/ETC-1.png\" alt=\"Image shows the reactants and products of the electron transport chain. In this stage, 32 adenosine diphosphate and 32 inorganic phosphates combine to form 32 ATP. In addition, hydrogen and oxygen combine to form 6 molecules of water.\" width=\"489\" height=\"277\"><figcaption id=\"caption-attachment-1820\" class=\"wp-caption-text\"><em>Figure 4.10.7. Reactants and products of the electron transport chain.<\/em><\/figcaption><\/figure>\n<p><span style=\"text-align: initial;font-size: 1em\"><span style=\"text-align: initial;font-size: 1em\">\u00a0ETC, the final stage in cellular respiration produces 32 ATP.\u00a0\u00a0<\/span><\/span>The Electron Transport Chain is the final stage of cellular respiration. In this stage, energy being transported by NADH and FADH<sub>2<\/sub>\u00a0is transferred to ATP.\u00a0 In addition, oxygen acts as the final proton acceptor for the hydrogens released from all the NADH and FADH<sub>2<\/sub>, forming water.\u00a0 Figure 4.10.8 shows the reactants and products of the ETC.<\/p>\n<h2>Transporting Electrons<\/h2>\n<p>The <strong><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_1816\">Electron transport chain<\/a><\/strong> is the third stage of cellular respiration and is illustrated in Figure 4.10.8. During this stage, high-energy electrons are released from NADH and FADH<sub>2<\/sub>, and they move along electron-transport chains on the inner membrane of the mitochondrion.\u00a0An electron-transport chain is a series of molecules that transfer electrons from molecule to molecule by\u00a0chemical reactions. Some of the energy from the electrons is used to pump hydrogen ions (H ) across the inner membrane, from the matrix into the intermembrane space. This\u00a0ion\u00a0transfer creates an\u00a0<a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_1817\">electrochemical gradient<\/a>\u00a0that drives the synthesis of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_1623\">ATP<\/a>.<\/p>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_1819\" aria-describedby=\"caption-attachment-1819\" style=\"width: 811px\" class=\"wp-caption aligncenter\"><img class=\"wp-image-1819\" src=\"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-content\/uploads\/sites\/152\/2023\/10\/The_Electron_Transport_Chain-1.jpg\" alt=\"\" width=\"811\" height=\"558\"><figcaption id=\"caption-attachment-1819\" class=\"wp-caption-text\"><em>Figure 4.10.8 Electron-transport chains on the inner membrane of the mitochondrion carry out the last stage of cellular respiration.<\/em><\/figcaption><\/figure>\n<div>\n<p><span style=\"font-size: 1.424em;font-weight: bold\">Making ATP<\/span><\/p>\n<\/div>\n<p>As shown in Figure 4.10.8, the pumping of hydrogen ions across the inner membrane creates a greater concentration of the ions in the intermembrane space than in the matrix. This gradient causes the ions to flow back across the membrane into the matrix, where their concentration is lower. ATP synthase acts as a channel protein, helping the hydrogen ions cross the membrane. It also acts as an enzyme, forming ATP from ADP and inorganic phosphate in a process called oxidative phosphorylation. After passing through the electron-transport chain, the \u201cspent\u201d electrons combine with oxygen to form water.<\/p>\n<div>\n<h1>How Much ATP?<\/h1>\n<\/div>\n<p>You have seen how the three stages of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_1818\">aerobic respiration<\/a> use the energy in glucose to make <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_1623\">ATP<\/a>. How much ATP is produced in all three stages combined? Glycolysis produces two ATP molecules, and the Krebs cycle produces two more. Electron transport begins with several molecules of NADH and FADH<sub>2<\/sub>\u00a0from the Krebs cycle and transfers their energy into as many as 34 more ATP molecules. All told, then, up to 38 molecules of ATP can be produced from just one molecule of glucose in the process of cellular respiration.<\/p>\n<div>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">4.10 Summary<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li><a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_1172\">Cellular respiration<\/a> is the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_1796\">aerobic<\/a> process by which living cells break down <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_317\">glucose<\/a> molecules, release energy, and form molecules of <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_1623\">ATP<\/a>.\u00a0Generally speaking, this three-stage process involves glucose and oxygen reacting to form carbon dioxide and\u00a0water.<\/li>\n<li>The first stage of cellular respiration, called glycolysis, takes place in the cytoplasm. In this step,\u00a0enzymes\u00a0split a molecule of glucose into two molecules of pyruvate, which releases energy that is transferred to ATP.\u00a0 Following glycolysis, a short reaction called the transition reaction converts the pyruvate into two molecules of acetyl CoA.<\/li>\n<li>The organelle called a mitochondrion is the site of the other two stages of cellular respiration. The mitochondrion has an inner and outer membrane separated by an intermembrane space, and the inner membrane encloses a space called the matrix.<\/li>\n<li>The second stage of cellular respiration, called the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_1805\">Krebs cycle<\/a>, takes place in the matrix of a mitochondrion. During this stage, two turns through the cycle result in all of the carbon atoms from the two pyruvate molecules forming carbon dioxide and the energy from their\u00a0chemical bonds\u00a0being stored in a total of 16 energy-carrying molecules (including two from glycolysis and two from transition reaction).<\/li>\n<li>The third and final stage of cellular respiration, called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_4472_1816\">electron transport<\/a>, takes place on the inner membrane of the mitochondrion. Electrons are transported from molecule to molecule down an electron-transport chain. Some of the energy from the electrons is used to pump hydrogen ions\u00a0across the membrane, creating an\u00a0electrochemical gradient\u00a0that drives the synthesis of many more molecules of ATP.<\/li>\n<li>In all three stages of cellular respiration combined, as many as 38 molecules of ATP are produced from just one molecule of glucose.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">4.10 Review Questions<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>What is the purpose of cellular respiration? Provide a concise summary of the process.<\/li>\n<li>State what happens during glycolysis.<\/li>\n<li>Describe the structure of a mitochondrion.<\/li>\n<li>What molecule is present at both the beginning and end of the Krebs cycle?<\/li>\n<li>What happens during the electron transport stage of cellular respiration?<\/li>\n<li>How many molecules of ATP can be produced from one molecule of glucose during all three stages of cellular respiration combined?<\/li>\n<li>Do plants undergo cellular respiration? Why or why not?<\/li>\n<li>Explain why the process of cellular respiration described in this section is considered aerobic.<\/li>\n<li>Name three energy-carrying molecules involved in cellular respiration.<\/li>\n<li>\n<div id=\"h5p-26\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-26\" class=\"h5p-iframe\" data-content-id=\"26\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"3.7 True\/False\"><\/iframe><\/div>\n<\/div>\n<\/li>\n<li>Which stage of aerobic cellular respiration produces the most ATP?<\/li>\n<li>\n<div id=\"h5p-25\">\n<div class=\"h5p-content\" data-content-id=\"25\"><\/div>\n<\/div>\n<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<h1 class=\"textbox__title\"><span style=\"color: #ffffff\">4.10 Explore More<\/span><\/h1>\n<\/header>\n<div class=\"textbox__content\">\n<p>https:\/\/www.youtube.com\/watch?time_continue=2&amp;amp;v=00jbG_cfGuQ&amp;amp;feature=emb_logo<\/p>\n<p style=\"text-align: center\">ATP &amp; Respiration: Crash Course Biology #7, CrashCourse, 2012.<\/p>\n<p>https:\/\/www.youtube.com\/watch?v=4Eo7JtRA7lg&amp;amp;t=3s<\/p>\n<p style=\"text-align: center\">Cellular Respiration and the Mighty Mitochondria, The Amoeba Sisters, 2014.<\/p>\n<\/div>\n<\/div>\n<h2>Attributions<\/h2>\n<p><strong>Figure 4.10.1<\/strong><\/p>\n<p><a href=\"https:\/\/unsplash.com\/photos\/bU7vx56Fn50\" rel=\"cc:attributionURL\">Smores<\/a> by <a href=\"https:\/\/unsplash.com\/@jruscello\">Jessica Ruscello<\/a> on <a href=\"https:\/\/unsplash.com\/\">Unsplash<\/a> is used under the <a class=\"ICezk _2GAZm _2WvKc\" href=\"https:\/\/unsplash.com\/license\">Unsplash License<\/a> (https:\/\/unsplash.com\/license).<\/p>\n<p><strong>Figure 4.10.2<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:2509_Carbohydrate_Metabolism.jpg\" rel=\"cc:attributionURL\">Carbohydrate_Metabolism<\/a> by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/24-2-carbohydrate-metabolism\">OpenStax College<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\/deed.en\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<p><strong>Figure 4.10.3<\/strong><\/p>\n<p>Glycolysis by Christine Miller is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" rel=\"license\">CC BY 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/4.0\/) license.<\/p>\n<p><strong>Figure 4.10.4<\/strong><\/p>\n<p>Transition Reaction by Christine Miller is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" rel=\"license\">CC BY 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/4.0\/) license.<\/p>\n<p><strong>Figure 4.10.5<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:Animal_mitochondrion_diagram_en.svg\" rel=\"cc:attributionURL\">Mitochondrion<\/a>\u00a0by Mariana Ruiz Villarreal [<a title=\"User:LadyofHats\" href=\"https:\/\/commons.wikimedia.org\/wiki\/User:LadyofHats\">LadyofHats<\/a>] on Wikimedia Commons is released into the <a href=\"https:\/\/en.wikipedia.org\/wiki\/Public_domain\">public domain<\/a> (https:\/\/en.wikipedia.org\/wiki\/Public_domain).<\/p>\n<p><strong>Figure 4.10.6<\/strong><\/p>\n<p>Krebs cycle by Christine Miller is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" rel=\"license\">CC BY 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/4.0\/) license.<\/p>\n<p><strong>Figure 4.10.7<\/strong><\/p>\n<p>Electron Transport Chain (ETC) by Christine Miller is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" rel=\"license\">CC BY 4.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/4.0\/) license.<\/p>\n<p><strong>Figure 4.10.8<\/strong><\/p>\n<p><a href=\"https:\/\/commons.wikimedia.org\/wiki\/File:2508_The_Electron_Transport_Chain.jpg\" rel=\"cc:attributionURL\">The_Electron_Transport_Chain<\/a> by <a href=\"https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/24-2-carbohydrate-metabolism\">OpenStax College<\/a> on Wikimedia Commons is used under a <a href=\"https:\/\/creativecommons.org\/licenses\/by\/3.0\/deed.en\">CC BY 3.0<\/a> (https:\/\/creativecommons.org\/licenses\/by\/3.0) license.<\/p>\n<\/div>\n<h2>References<\/h2>\n<p class=\"hanging-indent\">CrashCourse. (2012, March 12). ATP &amp; Respiration: Crash Course Biology #7. YouTube. https:\/\/www.youtube.com\/watch?time_continue=2&amp;amp;v=00jbG_cfGuQ&amp;amp;feature=emb_logo<\/p>\n<p class=\"hanging-indent\"><span class=\"os-title-label\"><span class=\"search-highlight text\" data-timestamp=\"1593971709033\" data-highlight-id=\"be4d62de-64ba-45d3-9e0a-94a6f01c99c3\" data-highlighted=\"true\"><span class=\"search-highlight text focus\" data-timestamp=\"1593971124968\" data-highlight-id=\"cf2748f4-996a-4532-916c-452da1001e7f\" data-highlighted=\"true\">Betts, J. G., Young, K.A., Wise, J.A., Johnson, E., Poe, B., Kruse, D.H., Korol, O., Johnson, J.E., Womble, M., DeSaix, P. (2013, April 25). <\/span>Figure\u00a0<\/span><\/span><span class=\"os-number\"><span class=\"search-highlight text\" data-timestamp=\"1593971709033\" data-highlight-id=\"be4d62de-64ba-45d3-9e0a-94a6f01c99c3\" data-highlighted=\"true\">24.8<\/span><\/span><span class=\"os-divider\">\u00a0<\/span><span id=\"15064\" class=\"os-title\" data-type=\"title\"><span class=\"search-highlight text\" data-timestamp=\"1593971709033\" data-highlight-id=\"be4d62de-64ba-45d3-9e0a-94a6f01c99c3\" data-highlighted=\"true\">Electron Transport Chain [digital image]<\/span><\/span><span class=\"os-caption\"><span class=\"search-highlight text last\" data-timestamp=\"1593971709033\" data-highlight-id=\"be4d62de-64ba-45d3-9e0a-94a6f01c99c3\" data-highlighted=\"true\">. In <em>Anatomy &amp; Physiology, Connexions<\/em> (Section ). OpenStax.\u00a0 https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/24-2-carbohydrate-metabolism<\/span><\/span><\/p>\n<p class=\"hanging-indent\"><span class=\"os-title-label\"><span class=\"search-highlight text focus\" data-timestamp=\"1593971124968\" data-highlight-id=\"cf2748f4-996a-4532-916c-452da1001e7f\" data-highlighted=\"true\">Betts, J. G., Young, K.A., Wise, J.A., Johnson, E., Poe, B., Kruse, D.H., Korol, O., Johnson, J.E., Womble, M., DeSaix, P. (2013, April 25). Figure <\/span><\/span><span class=\"os-number\"><span class=\"search-highlight text focus\" data-timestamp=\"1593971124968\" data-highlight-id=\"cf2748f4-996a-4532-916c-452da1001e7f\" data-highlighted=\"true\">24.9<\/span><\/span><span class=\"os-divider\">\u00a0<\/span><span id=\"83491\" class=\"os-title\" data-type=\"title\"><span class=\"search-highlight text focus\" data-timestamp=\"1593971124968\" data-highlight-id=\"cf2748f4-996a-4532-916c-452da1001e7f\" data-highlighted=\"true\">Carbohydrate Metabolism [digital image]<\/span><\/span><span class=\"os-caption\"><span class=\"search-highlight text last focus\" data-timestamp=\"1593971124968\" data-highlight-id=\"cf2748f4-996a-4532-916c-452da1001e7f\" data-highlighted=\"true\">. <\/span><\/span>In <em>Anatomy &amp; Physiology, Connexions<\/em> (Section 24.2). OpenStax.\u00a0 https:\/\/openstax.org\/books\/anatomy-and-physiology\/pages\/24-2-carbohydrate-metabolism<\/p>\n<p class=\"hanging-indent\">The Amoeba Sisters. (2014, October 22). Cellular Respiration and the Mighty Mitochondria. YouTube. https:\/\/www.youtube.com\/watch?v=4Eo7JtRA7lg&amp;amp;t=3s<\/p>\n<p>&nbsp;<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4472_5511\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4472_5511\"><div tabindex=\"-1\"><p>A chemical reaction which happens spontaneously and results in the release of energy.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4472_5981\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4472_5981\"><div tabindex=\"-1\"><p>When the energy produced by one reaction or system is used to drive another reaction or system.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4472_5473\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4472_5473\"><div tabindex=\"-1\"><p>A series of electron transporters embedded in the inner mitochondrial membrane that shuttles electrons from NADH and FADH2 to molecular oxygen. In the process, protons are pumped from the mitochondrial matrix to the intermembrane space, and oxygen is reduced to form water.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4472_1817\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4472_1817\"><div tabindex=\"-1\"><p>Image shows a photomicrograph of Candida, which are roughly ovoid, but may grow hyphae in some situations.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_4472_5877\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_4472_5877\"><div tabindex=\"-1\"><p>The process of producing cellular energy involving oxygen. Cells break down food in the mitochondria in a long, multi-step process that produces roughly 36 ATP. The first step in is glycolysis, the second is the Krebs cycle and the third is the electron transport system.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><\/div>","protected":false},"author":32,"menu_order":10,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":"cc-by-nc"},"chapter-type":[48],"contributor":[],"license":[55],"class_list":["post-4472","chapter","type-chapter","status-publish","hentry","chapter-type-numberless","license-cc-by-nc"],"part":4404,"_links":{"self":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapters\/4472","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/wp\/v2\/users\/32"}],"version-history":[{"count":4,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapters\/4472\/revisions"}],"predecessor-version":[{"id":6387,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapters\/4472\/revisions\/6387"}],"part":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/parts\/4404"}],"metadata":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapters\/4472\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/wp\/v2\/media?parent=4472"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/pressbooks\/v2\/chapter-type?post=4472"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/wp\/v2\/contributor?post=4472"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/acchumanbio\/wp-json\/wp\/v2\/license?post=4472"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}