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The Mitochondrial Free Radical Theory of Aging - Supernova: Pliki

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104<br />

<strong>The</strong> <strong>Mitochondrial</strong> <strong>Free</strong> <strong>Radical</strong> <strong>The</strong>ory <strong>of</strong> <strong>Aging</strong><br />

cease activity and allow the oxygen supply to catch up, so that the lactate can be turned back<br />

into pyruvate and its mitochondrially-mediated derivatives.<br />

But the toxicity <strong>of</strong> lactate is not the reason OXPHOS-less cells in culture die: it is not<br />

present in nearly high enough quantities to be toxic, since after excretion by the cells it is<br />

diluted out in the culture medium. <strong>The</strong> problem is the NADH. It turns out that a net zero<br />

conversion <strong>of</strong> NAD + to NADH is not good enough for the cell: it relies on OXPHOS for a<br />

significant conversion the other way. This is because certain vital cellular processes, such as<br />

the synthesis <strong>of</strong> serine (and consequently various other amino acids), turn NAD + into<br />

NADH. 14 Other equally vital processes do the opposite (usually with NADP rather than<br />

NAD), so it is actually a rather close-run thing whether the cell can balance the books;<br />

facultative aerobes, such as the fungi that exhibit suppressiveness (see Section 6.3), can balance<br />

them when pushed, so they can survive (albeit with severely retarded growth) with the<br />

net zero recycling <strong>of</strong> NADH that glycolysis provides.<br />

Now it should be clear why pyruvate worked (see Fig. 9.1). <strong>The</strong> pyruvate created from<br />

glucose was being turned into lactate and excreted; but now, the exogenous, imported<br />

pyruvate could also be turned into lactate and excreted. This supplied the cell with the net<br />

conversion <strong>of</strong> NADH to NAD + that it needed in order to go about the rest <strong>of</strong> its business.<br />

9.3. <strong>The</strong> Plasma Membrane Oxidoreductase<br />

This was the state <strong>of</strong> knowledge until 1993. In that year, experiments in the laboratory<br />

<strong>of</strong> Alfons Lawen discovered a variety <strong>of</strong> other chemicals which could substitute for pyruvate:<br />

that is, they could keep ρ 0 cells alive without pyruvate, so long as the medium also contained<br />

glucose and uridine. 15 <strong>The</strong>y were eager acceptors <strong>of</strong> electrons, so they were presumably<br />

working by taking electrons from intracellular NADH, thereby recycling it. But the really<br />

curious thing about these chemicals—ferricyanide, for example—was that they were<br />

impermeant to the cell membrane. Since the NADH is inside the cell at all times (being<br />

also impermeant), there must be some intermediate system in the membrane itself, which<br />

transfers electrons across it.<br />

It was no accident that Lawen investigated such chemicals. Many years previously, a<br />

system had been discovered 16,17 which potentially has the capacity to achieve, for anaerobic<br />

cells, the same effect as the exchange <strong>of</strong> lactate and pyruvate with their environment. It has<br />

been found in all cell types yet examined; it is called the Plasma Membrane OxidoReductase,<br />

or PMOR. This system is able to accept electrons from intracellular NADH—thereby<br />

regenerating the all-important NAD + —and export them out <strong>of</strong> the cell, as long as some<br />

chemical is present in the extracellular medium which can then absorb them. Evidently,<br />

despite presumably operating only at low rates in aerobically respiring cells, it is able to<br />

pump electrons at a sufficient rate in anaerobic cells that there is no need for a pyruvate/<br />

lactate exchange with the culture medium.<br />

9.4. Getting the Most ATP Without Oxygen<br />

<strong>The</strong>re is, however, a very big difference between a pyruvate/lactate exchange and a PMOR<br />

in terms <strong>of</strong> the anaerobic cell’s energy supply. One <strong>of</strong> the enzymes that Müller-Höcker and<br />

many others since have tested for in muscle fibers 18,19 is succinate dehydrogenase (SDH),<br />

otherwise known as Complex II. <strong>The</strong>y have assayed for it because it has important similarities<br />

to, and differences from, the proton-pumping respiratory chain enzymes, so is a good<br />

“control” for the validity <strong>of</strong> the experimental technique. Like the proton pumps, it is<br />

embedded in the mitochondrial inner membrane; but unlike them, it is entirely encoded by<br />

nuclear genes. Müller-Höcker and others found that, in line with MiFRA, it was never affected<br />

in the anaerobic fibers they examined. Moreover, they found that it is actually present at

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