A 34-year-old woman with a history of malabsorption presents with progressive fatigue, paresthesias, and impaired wound healing over 3 months. Laboratory studies reveal low serum albumin and fat-soluble vitamin deficiencies. A muscle biopsy shows abnormal mitochondrial morphology and impaired oxidative metabolism. An investigator studying her metabolic dysfunction focuses on the first committed step of the citric acid cycle, where acetyl-CoA condenses with oxaloacetate to form citrate. This reaction is catalyzed by citrate synthase. Which of the following vitamins is an essential component of the cofactor required for this enzyme-catalyzed reaction?

  1. A)Thiamine (vitamin B1)
  2. B)Pantothenic acid (vitamin B5)GABARITO
  3. C)Cobalamin (vitamin B12)
  4. D)Niacin (vitamin B3)
  5. E)Riboflavin (vitamin B2)

Explicação

Pantothenic acid (vitamin B5) is the essential vitamin component of coenzyme A (CoA), the critical cofactor required for citrate synthase activity. In the citrate synthase reaction, acetyl-CoA (derived from acetyl group bound to CoA) reacts with oxaloacetate t... Ver explicação completa e trilha adaptativa →

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