Overview
Metabolism is the entire network of chemical reactions that keeps a cell alive. It has two directions. Anabolism builds larger molecules from smaller ones and requires an energy input, such as linking amino acids into a protein. Catabolism breaks larger molecules into smaller ones and releases energy, such as digesting food. These two are coupled: catabolism releases energy that anabolism uses. The molecule that connects them is ATP.
ATP: The Energy Currency
ATP (adenosine triphosphate) is how cells carry energy in a form ready for immediate use. It consists of adenosine plus a chain of three phosphate groups. The bond to the last phosphate stores energy; when it is broken, ATP becomes ADP (adenosine diphosphate) plus a free phosphate, releasing energy that powers muscle contraction, nerve signaling, and building new molecules. Cells then use energy from food to reattach the phosphate, recharging ADP back into ATP. This cycle turns over constantly, which is why ATP is called a currency rather than a savings account: it is spent and replaced continuously.
Extracting Energy from Glucose
Cells commonly break down glucose to make ATP. Full aerobic respiration happens in three stages.
1. Glycolysis
Glycolysis takes place in the cytoplasm and does not require oxygen. It splits one six-carbon glucose molecule into two three-carbon pyruvate molecules. It produces a small net gain of 2 ATP and loads two molecules of the electron carrier NADH.
2. The Krebs Cycle
If oxygen is present, pyruvate enters the mitochondrion. There it is converted to a molecule called acetyl-CoA, which feeds the Krebs cycle (also called the citric acid cycle) in the mitochondrial matrix. The cycle releases carbon dioxide as waste and captures high-energy electrons onto the carriers NADH and FADH2, along with a small amount of ATP.
3. The Electron Transport Chain
The loaded carriers deliver their electrons to the electron transport chain, a set of proteins in the inner mitochondrial membrane. As electrons pass down the chain, they pump hydrogen ions across the membrane, and the ions flow back through an enzyme that forges the bulk of the cell’s ATP. The final electron acceptor is oxygen, which combines with hydrogen to form water. This is why we breathe: oxygen keeps the chain running.
| Stage | Location | Oxygen needed? | Main ATP contribution |
|---|---|---|---|
| Glycolysis | Cytoplasm | No | Small (net 2 ATP) |
| Krebs cycle | Mitochondrial matrix | Yes (indirectly) | Small, plus loaded carriers |
| Electron transport chain | Inner mitochondrial membrane | Yes | Large (most of the ATP) |
Altogether, aerobic respiration of one glucose molecule can yield roughly 30 or more ATP, far more than glycolysis alone.
Aerobic vs. Anaerobic
When oxygen is scarce, the electron transport chain backs up and cannot accept more electrons. Cells then rely on fermentation, which does not use oxygen. Fermentation does not make more ATP itself; instead it regenerates the carrier NAD+ so that glycolysis can keep producing its small 2 ATP. In human muscle during intense exercise, fermentation produces lactic acid (lactate), which contributes to muscle fatigue and is later cleared when oxygen returns. Yeast, by contrast, ferments sugar into ethanol and carbon dioxide, the basis of baking and brewing.
| Feature | Aerobic respiration | Anaerobic fermentation |
|---|---|---|
| Oxygen | Required | Not required |
| ATP yield | High (about 30+) | Low (net 2) |
| End products | CO2 and water | Lactic acid (in muscle) or ethanol + CO2 (in yeast) |
Clinical Relevance
Metabolism explains why oxygen and glucose matter so urgently in emergencies. The brain relies almost entirely on a steady supply of glucose and oxygen; interrupt either, as in a stroke or cardiac arrest, and cells run out of ATP within minutes and begin to die. This is why restoring breathing and circulation is the first priority in emergency care. Inherited enzyme deficiencies in these pathways cause metabolic diseases, since a single missing enzyme can block ATP production. Lactose intolerance is a familiar example of a metabolic gap: without enough lactase, lactose passes undigested into the large intestine, where bacteria ferment it and cause gas, bloating, and diarrhea. Finally, cyanide is deadly precisely because it blocks the electron transport chain, halting aerobic ATP production even when oxygen is plentiful.