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Day 98 MCAT Practice Question

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Passage 9: Mitochondria

Mitochondria are the primary source of energy production and are implicated in a

wide range of biological processes in most eukaryotic cells. Skeletal muscle heavily

relies on mitochondria for energy supplements. In addition to being a powerhouse,

mitochondria evoke many functions in skeletal muscle, including regulating

calcium and reactive oxygen species levels. A healthy mitochondria population is

necessary for the preservation of skeletal muscle homeostasis, while mitochondrial

dysregulation is linked to numerous myopathies.



Mitochondria generates energy in the form of adenosine triphosphate (ATP) from

energy-enriched molecules such as pyruvate, fatty acids, and amino acids via

oxidative phosphorylation. Electrons generated from oxidations of energy-enriched

molecules are transferred via nicotinamide adenine dinucleotide hydrogen (NADH)

to complex I (NADH ubiquinone oxidoreductase) or flavin adenine dinucleotide

(FADH2) to complex II (succinate dehydrogenase), then transported to coenzyme

Q. Coenzyme Q then delivers electrons generated from complex I or II via complex

III (cytochrome bc1 complex) to cytochrome c and then to complex IV (cytochrome

c oxidase), where oxygen is reduced to water. Finally, coupling with electron

generation, the protons (H+) are pumped to the intermembrane space from

complex I, III, and IV for ATP production in complex V (ATP synthase).



In addition to ATP generation, mitochondria have other functions, including

the production of reactive oxygen species (ROS) and the regulation of cellular

calcium homeostasis. Mitochondrial ROS is the side product of the incomplete

mitochondrial oxidative phosphorylation process from the electron leakage

predominately in complexes I and III. Excess ROS damages cells by oxidation of

nucleic acids, proteins, and lipids. Yet, the growing evidence reveals that ROS acts

as a secondary messenger that participates in a wide range of cell signaling to

stimulate cell proliferation, differentiation, death, etc.



Mitochondria in skeletal muscle form a dynamic network, named mitochondrial

reticulum, to minimize metabolite distribution and maximize energy utilization

efficiency. The mitochondrial reticulum is constantly reshaped by fusion and fission

events, allowing mitochondria to exchange their content, including mitochondrial

DNA (mtDNA). This is shown in Figure 1.



The control of skeletal muscle is voluntary by motor neurons to generate force

and locomotion. The coordination of differences in nerve impulse transmission,

membrane excitability, excitation–contraction coupling calcium flux between

sarcoplasmic reticulum and cytosol, and ATP hydrolysis rate of myosin ATPase

generates a variety of movements in our daily life. Most, if not all, of the cellular

actions controlling movement are highly dependent on mitochondrial activities. It

was not surprising that the common feature of mitochondrial diseases is muscle

dysfunction.
Which of the following is true according to the passage and Figure 1 about

muscle cell mitochondria?

I. They reproduce sexually

II. They reproduce asexually

III. They share nuclear DNA

A) only II

B) only III

C) I and III

D) II and III
Click to reveal answer
Correct answer: A. Like with any Roman numeral question, it is first

important to decide which statement to analyze first, depending on how frequently it

appears in the answer choices. In this case, statement III appears the most, so it should

be analyzed first. Since the passage states that the mitochondria share mitochondrial

DNA when they reproduce, this is likel, not nuclear DNA since this DNA is specific to the

mitochondria. Therefore, even though they share DNA, the DNA would not be nuclear,

making the statement false. Thus, answer choices B, C, and D are eliminated, and we

are left with answer choice A. Regardless, let’s analyze each statement in depth. Since

Figure 1 shows how the mitochondrial DNA undergoes fission and fusion, we know that

this process is likely asexual. Fission occurs when a cell splits from its own organelles and

parts without sexual intervention, making it asexual reproduction. When fusion occurs,

the cell’s materials combine and produce one cell. In this case, according to Figure 1, the

cell reproduces asexually. This means that statement II is true and statement I is false.

It is important to notice if two statements of answer choices conflict with each other

because analyzing one will automatically help either rule in or out the other statement. In

this case, since statements I and II oppose each other and statement II is true, statement

I is false.
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