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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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Rojas, B. E., & Iglesias, A. (2023) · AoB Plants · doi:10.1093/aobpla/plad053 · Cited by 7
“These enzymatic steps, known as cataplerotic reactions, are critical to cellular homeostasis (Owen et al. 2002).”
Differential detection of aspartic acid in MCF-7 breast cancer cells
Ghosh, P., Das, T., Chattopadhyay, A., & Sahoo, P. (2023) · Organic & Biomolecular Chemistry · doi:10.1039/d3ob01072d · Cited by 5
Integrated Transcriptome Analysis of miRNAs and mRNAs in the Skeletal Muscle of Wuranke Sheep
Yun, Y., Wu, R., He, X., Qin, X., Chen, L., Sha, L., Yun, X., Nishiumi, T., & Borjigin, G. (2023) · Genes · doi:10.3390/genes14112034 · Cited by 5
“This study’s findings provide a theoretical basis for a deeper understanding of the functions of the miRNAs and their candidate target mRNAs that underlie skeletal muscle development in sheep.”
BackgroundNichols, K., Wever, N., Rolland, M., & Dijkstra, J. (2024) · Journal of Dairy Science · doi:10.3168/jds.2023-24370 · Cited by 5
Zhang, S., Tuo, P., Ji, Y., Huang, Z., Xiong, Z., Li, H., & Ruan, C. (2024) · Journal of Cancer Research and Clinical Oncology · doi:10.1007/s00432-024-05848-6 · Cited by 5
“…“β-alanine metabo-lism” and “pyrimidine metabolism” were dysregulated in both two comparisons. β-alanine β-alanine is an important metabolite in humans and is involved in a variety of metabolic pathways, including gluconeogenesis and fatty acid synthesis (Metallo et al. 2011; Owen et al. 2002).”
Backgroundda Silva, Y. B., Bedogni, G., Picanço, G. D. A., de Souza, J. Y., Nunes, W. S., da Costa, T. L., de Campos, G. B., Michelena, L. V., Salomon, C. J., & Vinaud, M. C. (2024) · Pharmaceutical Development and Technology · doi:10.1080/10837450.2024.2422936 · Cited by 5
“…not produce succinate but produced citrate, malate, and a -ketoglutarate in higher concentrations than in the control group; this is also an example of TCA simplification since citrate can be transported to the cyto-sol and used as a precursor for the synthesis of fatty acids (Owen et al. 2002).”
Oliver, R., Friday, E., Turturro, F., & Welbourne, T. (2010) · Cellular Physiology and Biochemistry · doi:10.1159/000322329 · Cited by 5
Is serum biotinidase enzyme activity a potential marker of perturbed glucose and lipid metabolism?
Forny, P., Burda, P., Bode, P. K., & Rohrbach, M. (2020) · JIMD Reports · doi:10.1002/jmd2.12168 · Cited by 5
“Together with the increased PC transcript level, the ACACA gene also shows higher expression in the GSD IV patient liver, possibly due to an effect termed carboxylic acid cycle cataplerosis.(19) Eventually, our data suggests that as a consequence of the increased levels of the two biotin-dependent carboxylases ACACA a…”
BackgroundYajima, Y., Okuno, A., Nakamura, I., Miyazaki, T., Honda, A., & Toyoda, A. (2022) · International Journal of Tryptophan Research · doi:10.1177/11786469211066285 · Cited by 5
Nutritional Regulation of Mitochondrial Function
Vasam, G., Reid, K., Burelle, Y., & Menzies, K. J. (2019) · Elsevier eBooks · doi:10.1016/b978-0-12-811752-1.00004-3 · Cited by 6
Araújo, A. M., Enea, M., Fernandes, E. G. R., Carvalho, F. D., Bastos, M. D. L., Carvalho, M. C., & de Pinho, P. G. (2020) · Journal of Proteome Research · doi:10.1021/acs.jproteome.9b00741 · Cited by 5
Sadri, H., Ghaffari, M. H., Steinhoff‐Wagner, J., Görs, S., Hammon, H. M., & Sauerwein, H. (2021) · Journal of Dairy Science · doi:10.3168/jds.2021-20527 · Cited by 5
Zeng, J., Li, N., Ge, J., Ma, H., Sun, S., Jing, Y., Qian, C., Cui, R., Qu, S., & Sheng, H. (2025) · BMC Geriatrics · doi:10.1186/s12877-025-05697-z · Cited by 4
“ALT, an enzyme catalyzing the reversible transfer between alanine and α-ketoglutaric acid to form pyruvate and glutamate [7, 20], could provide raw materials for the tri-carboxylic acid cycle, thereby enhancing muscle energy supply [21].”
The metabolic signature of salt intake: a cross-sectional analysis from the SCAPIS-study
Wuopio, J., Yi-Ting, L., Dekkers, K. F., Fall, T., Smith, J. G., Larsson, A., Engström, G., Orho‐Melander, M., Johnson, L., & Ärnlöv, J. (2025) · Nutrition & Metabolism · doi:10.1186/s12986-025-00997-y · Cited by 4
“This increase in TCA intermediates, a process known as “anaplerosis”, replenishes the TCA cycle to support sustained energy production [22].”
Moving towards a novel therapeutic strategy for hyperammonemia that targets glutamine metabolism
Fukui, K., Takahashi, T., Matsunari, H., Uchikura, A., Watanabe, M., Nagashima, H., Ishihara, N., Kakuma, T., Watanabe, Y., Yamashita, Y., et al. (2022) · Journal of Inherited Metabolic Disease · doi:10.1002/jimd.12540 · Cited by 4
“However, such a suppressive intervention must ensure anaplerosis at the same time because glutaminolysis is a major anaplerotic pathway.(21) We focused on AKG, which is a known inhibitor of GLUD,(6,22) that meets the two prerequisites.”
BackgroundHibino, Y., Iguchi, A., & Zaitsu, K. (2022) · Toxicology and Applied Pharmacology · doi:10.1016/j.taap.2022.116316 · Cited by 4
Krebs, N., Bock, C., Tebben, J., Mark, F. C., Lucassen, M., Lannig, G., & Pörtner, H. (2023) · Biomolecules · doi:10.3390/biom13101507 · Cited by 4
“Depending on the metabolic state, it is released from skeletal muscle and often a precursor of other non-essential amino acids [69].”
BackgroundSkeletal Muscle Metabolism Is Dynamic during Porcine Postnatal Growth
Rimmer, L. A., Geisbrecht, E. R., Chao, M. D., O’Quinn, T. G., Woodworth, J. C., & Zumbaugh, M. D. (2024) · Metabolites · doi:10.3390/metabo14070357 · Cited by 4
“In conclusion, these data depict the intricacies of muscle metabolism and highlight potential avenues in mitochondria metabolism that may be necessary for optimal nutrient utilization during lean muscle deposition.”
BackgroundLoss of mitochondrial enzyme GPT2 leads to reprogramming of synaptic glutamate metabolism
Baytaş, O., Davidson, S. M., Kauer, J. A., & Morrow, E. M. (2024) · Molecular Brain · doi:10.1186/s13041-024-01154-x · Cited by 5
“Loss of GPT2 leads to deficits in the TCA cycle intermediates in the mouse brain, likely through impaired ana-plerosis [11, 38].”
Santana-Román, M. E., Ramírez-Carreto, S., Maycotte, P., & Pando‐Robles, V. (2025) · Frontiers in Physiology · doi:10.3389/fphys.2025.1507059 · Cited by 4
Metabolic control of microglia in health and disease
Colombo, G., Monsorno, K., & Paolicelli, R. C. (2025) · Handbook of clinical neurology · doi:10.1016/b978-0-443-19104-6.00009-7 · Cited by 4
The mdx mouse as a model for carnitine deficiency in the pathogenesis of duchenne muscular dystrophy
Zolkipli‐Cunningham, Z., Mai, L., Lamhonwah, A., & Tein, I. (2012) · Muscle & Nerve · doi:10.1002/mus.23368 · Cited by 4
Long-chain fatty acid oxidation disorders: managed care and specialty pharmacy implications
Alan Pannier, P. (2020) · The American Journal of Managed Care · doi:10.37765/ajmc.2020.88479 · Cited by 4
Chen, Y., Li, Y., Jia, P., Ji, S., Zhang, H., & Wang, T. Z. (2022) · Antioxidants · doi:10.3390/antiox11040666 · Cited by 4
“The metabolic products of fatty acid oxidation include acetyl-CoA and reducing equivalents, and these substrates can be further utilized by the mitochondrial citrate cycle or ETC complexes [50].”
BackgroundTissue Metabolic Responses to Artificial Bending and Gravitation Stimuli in Betula platyphylla
Yao, C., Zhang, N., Zou, A., Yu, Y., Wang, Y., & Wang, C. (2023) · Forests · doi:10.3390/f14030457 · Cited by 4
Song, G., Zhang, D., Zhu, J., Wang, A., Zhou, X., Han, T.-L., & Zhang, H. (2024) · Heliyon · doi:10.1016/j.heliyon.2024.e25252 · Cited by 4
“It is known that PDK1 inactivates mitochondrial pyruvate dehydrogenase (PDH), which in turn decarboxylates pyruvate to acetyl-CoA and subsequently adds an acetyl group to TCA cycle intermediates to maintain mitochondrial function [25].”
BackgroundMitochondria and Tumor Metabolic Flexibility: Mechanisms and Therapeutic Perspectives
Rovini, A. M. F., Heslop, K. A., & Maldonado, E. N. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-820472-6.00090-6 · Cited by 5
Understanding the aging fly through physiological genetics
Missirlis, F. (2003) · Advances in cell aging and gerontology · doi:10.1016/s1566-3124(03)14007-2 · Cited by 4
“This raises the intriguing possibility that the enzymes functioning in the mitochondria are geared towards ATP production (NADH and FADH2), while their cytosolic counterparts may be primarily involved in cataplerotic and anaplerotic functions (Owen et al., 2002).”
BackgroundEpistemic Consequences of Two Different Strategies for Decomposing Biological Networks
Krohs, U. (2010) · Springer eBooks · doi:10.1007/978-90-481-3252-2_15 · Cited by 4
“But each metabolic intermediate of the cycle is, besides its two edges within the cycle, also involved in many reactions that do not belong to the cycle but link it to other functional modules and help regulate the size of the pools of each of the intermediates (Kornberg 1965; Owen et al. 2002 ).”
BackgroundWang, Z., Chen, S., Lifang, R., Ming, S., & Ziniu, Y. (2007) · Bioprocess and Biosystems Engineering · doi:10.1007/s00449-007-0118-z · Cited by 4
“Glycolysis and TCA cycle are the main pathways of central carbon metabolism [18] providing building blocks for the synthesis of cellular components [19].”
BackgroundOwen, O. E., & Hanson, R. W. (2004) · Elsevier eBooks · doi:10.1016/b0-12-475570-4/01447-5 · Cited by 4
Venter, L., Alfaro, A. C., Lindeque, J. Z., van Rensburg, P. J., Delorme, N. J., Ragg, N. L. C., & Zamora, L. N. (2025) · Animals · doi:10.3390/ani15060860 · Cited by 3
“The metabolites, malic acid (in both gill and muscle tissue), citric acid, and cis-aconitic are linked directly to the tricarboxylic acid (TCA) cycle, the central process of energy metabolism [33].”
Ruiz, J. D. C., Sánchez, J. I. A., Fernández, J. J. D., Díaz‐Brochero, C., & Martínez, L. (2025) · Experimental Physiology · doi:10.1113/ep092109 · Cited by 3
Boasiako, T. A., Han, Y., Boateng, I. D., Afoakwa, E. O., & Ma, Y. (2025) · Food Bioscience · doi:10.1016/j.fbio.2025.106951 · Cited by 4
Knight, L. J., Martis, R. M., Donaldson, P. J., Acosta, M. L., & Lim, J. C.-H. (2025) · Investigative Ophthalmology & Visual Science · doi:10.1167/iovs.66.12.31 · Cited by 3
Brown adipose tissue activity impacts systemic lactate clearance in male mice
Montané, R., Jeanson, Y., Lagarde, D., Khoury, S., Porcher‐Bibes, L., Nakhle, J., Sallese, M., Parny, M., Raymond‐Letron, I., Huard, E., et al. (2025) · The Journal of Physiology · doi:10.1113/jp288871 · Cited by 3
Glucose metabolism in the pathogenic free‐living amoebae: Tempting targets for treatment development
Milanes, J. E., Kwain, S., Drawdy, A., Dodson, L., Monaghan, M. T., Rice, C. A., Dominy, B. N., Whitehead, D. C., & Morris, J. C. (2023) · Chemical Biology & Drug Design · doi:10.1111/cbdd.14377 · Cited by 3
“Anaplerosis is particularly important due to depletion of malate that would happen during lipid metabolism (Owen et al., 2002).”
BackgroundThe effect of pregnancy toxemia on serum carnitine and amino acid levels in goats
Akkuş, T., & Yaprakcı, Ö. (2024) · Arquivo Brasileiro de Medicina Veterinária e Zootecnia · doi:10.1590/1678-4162-13216 · Cited by 3
Kler, A., Fok, M., Grundy, G. J., Sciacovelli, M., Dunn, W. B., & Vimalachandran, D. (2025) · Metabolomics · doi:10.1007/s11306-025-02319-y · Cited by 3
“However, the TCA cycle will also simultaneously supply precursors for other biological pathways (Owen et al., 2002 ), as well as provide more NADPH production through the reductive carboxylation pathway.”
Kang, T., Usherwood, Y.-K., Reisz, J. A., Kamerkar, S. C., Culp‐Hill, R., Wilkins, O. M., Veríssimo, A. F., Kolling, F., Hung, A. M., Musial, S. C., et al. (2025) · JCI Insight · doi:10.1172/jci.insight.187680 · Cited by 4
“…source utilization, it is increasingly reported that the intermediate molecules of glycolysis and TCA cycle are not solely committed to one pathway but can be transferred in and out of mitochondria to be used in other pathways, such as anaplero-sis/cataplerosis and alternative TCA cycle (33–37).”
The role of succinylation-mediated metabolic reprogramming in tumor progression
He, S., Wang, C., Li, R., Xu, K., Zhang, W., Feng, B., Cheng, S., Ren, J., & Chen, J. (2025) · Molecular Biology Reports · doi:10.1007/s11033-025-11061-6 · Cited by 3
“Since succinyl-CoA is primarily produced in the mitochondria through the oxidation of odd-chain fatty acids (FAO) [45] or the TCA cycle [46], nonen-zymatic succinylation was initially believed to be confined to the mitochondria and regulated by pH and succinyl-CoA concentration [3, 5].”
Udono, H., & Nishida, M. (2021) · International Immunology · doi:10.1093/intimm/dxab067 · Cited by 3
The ubiquitous expression of pyruvate carboxylase among human prostate tumors
Gondáš, E., Híveš, M., Kliment, J., Sivoňová, M. K., Dobrota, D., & Murín, R. (2022) · Bratislavské lekárske listy/Bratislava medical journal · doi:10.4149/bll_2022_077 · Cited by 3
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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