Free energy, ATP and coupled reactions
Biochemical reactions are governed by changes in free energy. A reaction with a negative free-energy change is thermodynamically favourable under the specified conditions, but thermodynamics does not determine how rapidly it occurs. Cells drive energetically unfavourable processes by coupling them to favourable reactions.
ATP is useful because hydrolysis of its phosphoanhydride bonds can be coupled to mechanical work, active transport and biosynthesis. ATP is not a long-term energy store comparable with adipose triacylglycerol; it is continually generated and consumed. Other high-energy compounds can transfer phosphoryl groups or contribute to ATP regeneration.
Oxidation-reduction reactions transfer electrons. NAD+ and FAD accept reducing equivalents during fuel oxidation to become NADH and FADH2. These reduced cofactors then deliver electrons to mitochondrial electron transport, connecting carbon oxidation to ATP generation.
Without looking back, reconstruct the mechanism in your own words and identify the regulated step, required substrate/cofactor, major product and one clinically important consequence of failure.
