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Day 14 MCAT Practice Question

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Passage 3: ATP

Regulation of cellular ATP level is critical for diverse biological processes and may be

defective in diseases such as cancer and mitochondrial disorders. While mitochondria

play critical roles in ATP level regulation, we still lack a systematic and quantitative

picture of how individual mitochondrial-related genes contribute to cellular ATP levels

and how dysregulated ATP levels may affect downstream cellular processes. Advances

in genetically encoded ATP biosensors have provided new opportunities for addressing

these issues. ATP biosensors allow researchers to quantify the changes of ATP levels in

real-time at the single-cell level and characterize corresponding effects at the cellular,

tissue, and organismal level.

Mitochondria are best known as the powerhouses of the cell that produce ATP via

oxidative phosphorylation (OXPHOS). Mitochondrial ATP synthesis involves tricarboxylic

acid (TCA) cycle enzymes, electron transport chain complexes, and ATP synthase, in

which acetyl-coenzyme A (CoA) derived from food molecules is oxidized to produce

ATP. During bioenergetic reactions, mitochondria also produce other physiologically

important molecules such as reactive oxygen species.

Two studies presented a new generation of ATP biosensors. In the first, a circularly

permuted green fluorescent protein (cpGFP) was combined with a bacterial ATPbinding protein to generate a reporter that quantitatively reports cellular ATP to

adenosine diphosphate (ADP) ratio. Because of differential binding affinities to ATP

and ADP, the reporter exhibits different degrees of conformational change in cpGFP

and, thus, different fluorescent signal changes in response to ATP or ADP binding.

In the second study, Imamura and colleagues developed a series of highly sensitive

and selective Förster resonance energy transfer (FRET)-based reporters for cellular

ATP concentrations. FRET-based reporters contain a subunit of a bacterial ATP

synthase fused between cyan fluorescent protein (CFP) and yellow fluorescent

protein (YFP). The reversible binding of ATP leads to conformational changes of

the synthase subunit, resulting in altered spatial proximities between fluorescent

proteins and thus changes in the FRET signal.

Dissecting the regulation and function of ATP at the single-cell level. Adapted from

Zhang et al. (2018).
CpGFP creates a blue stain when bound to ATP and a red stain when bound to

ADP, and researchers discovered a new toxic agent that blocked ATP synthase

but increased the amount of glycolysis in the mitochondria. What would be

most likely the resulting effect?

A) mostly blue staining

B) mostly red staining

C) mostly purple staining

D) not enough information
Click to reveal answer
Correct answer: B. Since the question stem informs us that the colors

correspond with what the detector binds to, a higher intracellular concentration

of a particular species would correspond to the respective color. This means that

red would result from high ADP concentration, blue would result from high ATP

concentration, and purple would be the result of roughly equal concentrations of

the two species. Therefore, we should investigate the concentration of both species

in the cell. The question stem also states that there is a new toxin that inhibits

ATP synthase but stimulates glycolysis. Glycolysis produces two molecules of ATP

for every molecule of glucose. While this can be used for energy for the body, the

body and cells primarily rely on oxidative phosphorylation, producing high-energy

electron carriers (during glycolysis, the TCA cycle, and pyruvate dehydrogenase) to

fuel the ATP synthase via the electron transport chain (ETC). The ETC makes about

30-32 ATP per glucose molecule, and this is the primary source of ATP for the cell.

Since the toxin outlined in the question increases glycolysis (which does produce

some ATP), it still inhibits ATP synthase, so the net effect on ATP production is

still negative. This large reduction in ATP will cause there to be a large buildup of

ADP in the cells and thus be a very unbalanced concentration of ADP in the cell

because cellular processes would consume more ATP than is being produced,

whose consumption necessarily entails producing ADP. This unbalanced high

concentration of ADP will then yield mostly red staining, making answer choice B

correct.
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