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The Key Role of Anaplerosis and Cataplerosis for Citric Acid Cycle Function
Open accessAbstract
tricarboxylic acid cycle phosphoenolpyruvate carboxykinase phosphoenolpyruvate The oxidation of acetyl-CoA to CO2by the TCA1 cycle is the central process in energy metabolism. However, the TCA cycle also functions in biosynthetic pathways in which intermediates leave the cycle to be converted primarily to glucose, fatty acids, or non-essential amino acids. If TCA cycle anions are removed from the cycle they must be replaced to permit its continued function. This process is termed anaplerosis. Pyruvate carboxylase, which generates oxalacetate directly in the mitochondria, is the major anaplerotic enzyme. Conversely, 4- and 5-carbon intermediates enter the TCA cycle during the catabolism of amino acids. Because the TCA cycle cannot fully oxidize 4- and 5-carbon compounds, these intermediates must be removed from the cycle by a process termedcataplerosis. Cataplerosis may be linked to biosynthetic processes such as gluconeogenesis in the liver and kidney cortex, fatty acid synthesis in the liver, and glyceroneogenesis in adipose tissue. Cataplerotic enzymes present in many mammalian tissues include P-enolpyruvate carboxykinase (PEPCK), glutamate dehydrogenase, aspartate aminotransferase, and citrate lyase. In this review we have evaluated the roles of anaplerosis and cataplerosis in whole body metabolism. The expression anaplerotic sequences was a term used in biochemistry by Sir Hans Kornberg (1Kornberg H.L. Essays Biochem. 1966; 2: 1-31Crossref Scopus (359) Google Scholar) to describe a series of enzymatic reactions or pathways that replenish the pools of metabolic intermediates in the TCA cycle. These intermediates are critical for the functioning of the TCA cycle, the primary role of which is the oxidation of acetyl-CoA to carbon dioxide. The pool of TCA cycle intermediates is sufficient to sustain the oxidative carbon flux over a fairly wide range, so that during high energy consumption (e.g. exercise) or during lower energy consumption (e.g. fasting), there is not a large change in the pool size of TCA intermediates (2Graham T.E. Gibala M.J. Richter E.A. Galbo H. Kiens B. Saltin B. Skeletal Muscle Metabolism in Exercise and Diabetes. Plenum Press, New York1998: 271-286Google Scholar). However, in several physiological states, there is a large influx (anaplerosis) of 4- and 5-carbon intermediates into the TCA cycle. Because the TCA cycle cannot act as a carbon sink, anaplerosis must be coupled with the exit of intermediates from the cycle via cataplerosis. The importance of anaplerotic reactions for cellular metabolism is thus apparent. However, the coupling of this process with cataplerosis and the roles that both pathways play in the regulation of amino acid, glucose, and fatty acid metabolism have not been emphasized to a sufficient extent. The terms anaplerosis and cataplerosis describe reciprocal and correlative reactions involved in the function of the TCA cycle. The enzymatic steps in these processes have long been known, but the overall concept of a linkage between anaplerosis and cataplerosis should be underscored, because the balance between these two processes controls the entry and exit of TCA cycle anions. Anaplerotic and cataplerotic reactions are involved in the ultimate disposal of all metabolic intermediates. The metabolic role of anaplerosis and cataplerosis in amino acid metabolism varies with specific organs and is dependent on the nutritional/metabolic status of the individual. During feeding, the intestine is an important site of catabolism of enterally derived amino acids, whereas in the starved state amino acid catabolism occurs primarily in the kidney, liver, and muscle. The catabolism of amino acids produces gluconeogenic or ketogenic precursors (Table I). The disposal of gluconeogenic anions in the TCA cycle employs anaplerotic and cataplerotic pathways for their terminal oxidation. The only known pathway for the terminal oxidation of leucine is through acetoacetate to acetyl-CoA and subsequent oxidation in the TCA cycle. However, other amino acids also have for their disposal alternate ketogenic pathways for terminal oxidation. Thus, the ketogenic amino acids from proteolysis can be terminally oxidized in muscle, whereas the gluconeogenic amino acids are dependent upon anaplerosis and cataplerosis for conversion to glucose in the liver and kidney before oxidation to CO2 and H2O.Table IMetabolic fates of amino acids in the TCA cycle1. Amino acids converted to pyruvate Alanine, serine, glycine, threonine, cysteine, tryptophan2. Amino acids converted to oxaloacetate Aspartate, asparagine3. Amino acids converted to α-ketoglutarate Glutamate, glutamine, proline, histidine, arginine4. Amino acids converted to fumarate Phenylalanine, tyrosine5. Amino acids converted to succinyl-CoA Methionine, isoleucine, valine6. Amino acids converted to acetyl-CoA Leucine, isoleucine, lysine, phenylalanine, tyrosine, tryptophan, threonine Open table in a new tab The first reaction of the TCA cycle,
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“Pyruvate, derived from glucose, lactate, and amino acid sources, can function as a major anaplerotic source of OAA through the activity of the mitochondrial enzyme pyruvate carboxylase (PC) (37).”
From Regulation and function of the mammalian tricarboxylic acid cycle (2023) · cites this paper as [37]
In the citing paper
“Cataplerosis of any TCA cycle intermediate requires compensatory input to sustain TCA cycle activity, a process termed “anaplerosis” (37).”
From Regulation and function of the mammalian tricarboxylic acid cycle (2023) · cites this paper as [37]
In the citing paper
“Among the mitochondrial functions that may be relevant for white adipose tissue function are the anaplerotic generation of metabolic intermediates for fatty acid synthesis and esterification (159), the maintenance of a robust pathway for the folding and secretion of high abundance circulating proteins such as adiponectin (160), and interactions between mitochondrial function and components of the”
From The role of mitochondria in the pathogenesis of type 2 diabetes (2010) · cites this paper as [159]
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“Examples include amino acids that are converted to TCA cycle intermediates.(144) In addition, decreased TCA cycle metabolism, impaired OXPHOS, increased glycolysis/fermentation, and decreased PDH activity in CL-deficient cells are linked through the redox balance between NAD and NADH and indicate a decreased NAD/NADH…”
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“PEPCK isozymes have been demonstrated to possess broader metabolic functions and actively participate in (1) gluconeogenesis in hepatic and renal tissues, (2) glyceroneogenesis in liver and adipose tissue, (3) acts as cataplerotic enzyme by removing Krebs cycle intermediates [Owen et al., 2002], and (4) exhibits anapl…”
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“Mitochondrial cataplerotic activity relies greatlyon glutamine-dependent anaplerosis through incorporating glutamine-derived α KG to replenish the pools of the tricarboxylic acid (TCA) cycle and maintain mitochondrial functions (DeBerardinis et al., 2008; Owen et al., 2002).”
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“Conversion of glutamine to glutamate via glutaminase (GLS) with subsequent conversion to alpha ketoglutarate (a-KG) allows for entry of glutamine-derived carbons into the TCA cycle to replenish intermediates that have been extracted for other biosynthetic reactions (25).”
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“Given the apparently critical importance of mitochondrial pyruvate transport, would there be sufficient room for maneuver in engaging MPCs as drug targets? Would MPC inhibition detrimentally diminish ATP production or critically paralyze the TCA cycle’s energetic and anaplerotic [73] roles? Studies with MPC silencing…”
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BackgroundMitochondrial signal transduction in pancreatic β-cells
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Schmidt, A., & Lamzin, V. S. (2007) · Cellular and Molecular Life Sciences · doi:10.1007/s00018-007-7195-7 · Cited by 14
Metabolomic profiles delineate mycolactone signature in Buruli ulcer disease
Niang, F., Sarfo, F. S., Frimpong, M., Guenin‐Macé, L., Wansbrough-Jones, M. H., Stinear, T. P., Phillips, R. O., & Demangel, C. (2015) · Scientific Reports · doi:10.1038/srep17693 · Cited by 19
“It requires equilibrated anaplerosis and cata-plerosis (for entry and exit of TCA anions, respectively) 27 .”
Gouni‐Berthold, I., Giannakidou, E., Faust, M., Berthold, H. K., & Krone, W. (2006) · Diabetic Medicine · doi:10.1111/j.1464-5491.2006.01819.x · Cited by 13
1.4 The Cerebral Tricarboxylic Acid Cycles
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Al-Saafin, B. A., Al‐Bakri, A. G., Abdelrazig, S., & Dahabiyeh, L. A. (2023) · Microbial Pathogenesis · doi:10.1016/j.micpath.2023.106057 · Cited by 13
Amino acids and the changing face of the α-cell
Hamilton, A., Eliasson, L., & Knudsen, J. G. (2023) · Peptides · doi:10.1016/j.peptides.2023.171039 · Cited by 14
“All amino acids are potentially capable of exerting metabolic effects as they feed into the anaplerotic pathways of the TCA cycle [28].”
BackgroundBrain Mitochondria as a Therapeutic Target for Carnosic Acid
Infantino, V., Pappalardo, I., Santarsiero, A., Tripathi, S., Singh, G., & de Oliveira, M. R. (2024) · Journal of Integrative Neuroscience · doi:10.31083/j.jin2303053 · Cited by 13
“TCA cycle intermediates serve as substrates for the biosynthesis of various molecules, including heme and macromolecules [ 17], and act as signaling molecules in epigenetics, immunity, hypoxic response, and cell homeostasis [18–23].”
Early Sepsis Metabolic Changes in Kidney and Liver Precede Clinical Evidence of Organ Dysfunction
McCann, M. R., Fry, C., Maile, M. D., Farkash, E. A., Cummings, B. C., Flott, T. L., McLellan, L. A., Puskarich, M. A., Jones, A. E., Sjoding, M. W., et al. (2025) · American Journal of Respiratory Cell and Molecular Biology · doi:10.1165/rcmb.2024-0391oc · Cited by 12
Metabolic rewiring caused by mitochondrial dysfunction promotes mTORC1-dependent skeletal aging
Bubb, K., Etich, J., Probst, K., Parashar, T. R., Schütter, M., Dethloff, F., Reincke, S., Nolte, J. L., Krüger, M., Schlötzer-Schrehard, U., et al. (2025) · Science Advances · doi:10.1126/sciadv.ads1842 · Cited by 14
“These results suggest that TCA cycle metabolites enter amino acid biosynthesis pathways to generate a unique profile of amino acids in cartilage when the chondrocyte mtRC is dysfunctional in vivo presumably to sustain protein synthesis reactions required for skeletal growth ( 11 ).”
Long chain omega-3 fatty acids: Micronutrients in disguise
Innis, S. M., Novak, E. M., & Keller, B. O. (2012) · Prostaglandins Leukotrienes and Essential Fatty Acids · doi:10.1016/j.plefa.2012.05.007 · Cited by 13
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An Update on the Metabolic Landscape of Oncogenic Viruses
Gaballah, A. H., & Bartosch, B. (2022) · Cancers · doi:10.3390/cancers14235742 · Cited by 13
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Šarkić, N., López, J. H., López‐Costas, O., & Grandal‐d'Anglade, A. (2018) · Archaeological and Anthropological Sciences · doi:10.1007/s12520-018-0734-3 · Cited by 12
“…observed that in diets with low protein content, carbohydrates contributed to δ13C in the body protein of the consumer (Ambrose and Norr 1993), probably due to cataplerotic reactions—that is, the routing of glycolysis and citric acid cycle intermediates to produce amino acids (Owen et al. 2002).”
BackgroundIn Vivo Assessment of Oxygen Consumption via Deuterium Magnetic Resonance
Mateescu, G. D., Ye, A., Flask, C. A., Erokwu, B. O., & Duerk, J. L. (2011) · Advances in experimental medicine and biology · doi:10.1007/978-1-4419-7756-4_26 · Cited by 13
Utilization of Amino Acid-Rich Wastes for Microbial Lipid Production
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How Gut Microbes Nurture Intestinal Stem Cells: A Drosophila Perspective
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“Glutamine, as a substrate molecule for the rate-limiting enzyme glutamine fructose-6-phosphate aminotransferase (Gfat) [80], is used to control the nutrient-responsive hexosamine biosynthetic pathway (HBP) [81].”
BackgroundGlutamate-Glutamine Cycle and Anaplerosis
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Targeted and untargeted metabolomics reveal dynamic purine metabolism in soy whey fermented by yeast
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Chapter 5: Moving from a complete energy balance towards substrate oxidation: use of stable isotopes
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Differential liver histopathological responses to amphibian chytrid infection
Salla, R. F., Jones-Costa, M., Abdalla, F., Pinto-Vidal, F. A., Boeing, G., Oliveira, C., Silva-Zacarín, E. C. M., Franco‐Belussi, L., Rizzi-Possignolo, G., Lambertini, C., et al. (2020) · Diseases of Aquatic Organisms · doi:10.3354/dao03541 · Cited by 12
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Targeting Mitochondrial Metabolism to Save the Failing Heart
Schenkl, C., Heyne, E., Doenst, T., Schulze, P. C., & Nguyễn, T. D. (2023) · Life · doi:10.3390/life13041027 · Cited by 12
“Because intermediates of the TCA cycle are also consumed by anabolic reactions (cataplerosis) [39,40], they need to be constantly replenished by anaplerotic pathways to maintain cycle activity.”
BackgroundXu, W., Lin, D., & Huang, C. (2017) · Acta Biochimica et Biophysica Sinica · doi:10.1093/abbs/gmx043 · Cited by 12
“All of these amino acids can be utilized as alternative sources of TCA cycle anaplerosis [37].”
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“Thus, it is also likely that a greater protein turnover in the muscle of HBCS cows plays a role in supporting glucose and lipid oxidation, a process known as anaplerosis, which seems to be more important than its direct contribution to energy supply (Owen et al., 2002; White, 2015).”
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“It plays an important role in adapting to low levels of oxygen [43].”
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“This process is balanced via the supply of carbon to the TCA cycle via anaplerotic reactions, which maintain the levels of cycle intermediates required for optimal cycle activity[47].”
Insights into an adipocyte whitening program
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“Metabolomics analysis also identified elevated levels of the Krebs cycle intermediates malate and succinate, which may be particularly important for fat storage: malate is known to be used for the cataplerotic production of precursors of glycerol-3-phosphate, which is used for fat esterification18; and the higher leve…”
BackgroundUnmeasured anions: the unknown unknowns
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“Elevations must be considered within the context of anaplerosis and cataplerosis [15], which combine to maintain adequate concentrations of TCA intermediates.”
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“Pyruvate from glycolysis is converted into acetyl-CoA, which enters the TCA cycle, producing key intermediates like α-ketoglutarate and succinate that contribute to biosynthesis and cellular signaling [16].”
Metadata
- Authors
- Owen, O. E., Kalhan, S. C., & Hanson, R. W.
- Affiliations
- MetroHealth Medical Center (US)
- Corresponding author
- Owen, Oliver E.
- ORCID
- Kalhan, Satish C.
- Venue
- Journal of Biological Chemistry
- Publisher
- Elsevier BV
- Published
- 2002-08
- Volume
- 277
- Issue
- 34
- Pages
- 30409-30412
- ISSN
- 0021-9258 (ISSN-L)
- OpenAlex
- W2134294998
- Cited by
- 1,172
- References
- 21
- Citations by year
- 2026: 51 · 2025: 73 · 2024: 72 · 2023: 71 · 2022: 87 · 2021: 108 · 2020: 101 · 2019: 84 · 2018: 67 · 2017: 67 · 2016: 61 · 2015: 50 · 2014: 49 · 2013: 27 · 2012: 38
- FWCI
- 6.84
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Biological Chemistry (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- National Institute of Diabetes and Digestive and Kidney Diseases (DK-58620, R01DK058620)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (HD11089)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Biochemical Acid Research Studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Mitochondrial Function and Pathology
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Microbial metabolism and enzyme function
- Keywords
- anaplerosis, cataplerosis, TCA cycle, TCA cycle intermediates, pyruvate carboxylase, oxaloacetate, phosphoenolpyruvate carboxykinase, gluconeogenesis, fatty acid synthesis, glyceroneogenesis, amino acid catabolism, glutamate dehydrogenase
- MeSH terms
- Adipose Tissue, Amino Acids, Animals, Citric Acid Cycle, Gluconeogenesis, Glutamine, Humans, Intestine, Small, Kidney, Triglycerides, Muscle, Skeletal
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