How Mitochondria Control Your Metabolism | Dr. Jared Rutter
In a Nutshell
Mitochondria act as metabolic decision-makers by controlling pyruvate's fate: burning it for ATP or converting it to biomass via lactate. The mitochondrial pyruvate carrier (MPC) is the critical gatekeeper for this allocation. When cells prioritize biomass over energy production—whether in cancer, failing hearts, or aging—they lose their specialized function and contribute to disease.
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There's a widely accepted hypothesis that mitochondria with excess energy leads to problems. Many people have heard of reactive oxygen species, which are forms of oxygen that become reactive and end up damaging proteins and nucleic acids. One contributor is mitochondria that have too much energy. The form energy takes when extracted from food before conversion to ATP is powering the mitochondria. When mitochondria are overpowered, this leads to a state susceptible to generation of reactive species that damage the genome, create mutations, damage proteins, and create many problems.
When thinking about metabolism, the body's metabolic rate represents calories in, calories out. The body's metabolism is the sum total of what is ingested through eating, drinking, and breathing that enters the body and gets processed. The results are individual molecules like amino acids and sugars that distribute throughout the body, go into individual cells, and enter cellular metabolism. Cellular metabolism can be thought of as a map with an entry point. A molecule of glucose comes into a cell and can be chemically modified in various ways to fulfill the needs of that cell. The cell processes molecules to fulfill particular functions, leading to release of waste products eliminated from the body.
The metabolism of the body is the sum total of the metabolism of each one of the 30 trillion cells. The passions lie in understanding how individual cells choose to take up certain nutrients, how they process them, turn them into other things, how they use them to fulfill particular functions, and how this is regulated. The coordination of each cell working together allows complex activities, and this happens at the level of individual cells.
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