Which enzyme is inhibited by Carbon Monoxide and Cyanide, impacting the electron transport chain?

Prepare for USMLE Step 1 Pathology Exam with comprehensive quizzes, flashcards, and detailed explanations. Enhance your understanding and be exam-ready!

Carbon monoxide and cyanide are both well-known inhibitors of the electron transport chain, specifically targeting cytochrome oxidase, also referred to as complex IV. This complex plays a crucial role in the final step of the oxidative phosphorylation process, where it catalyzes the transfer of electrons from cytochrome c to molecular oxygen (O2), leading to the formation of water.

The inhibition of cytochrome oxidase by carbon monoxide and cyanide disrupts the electron transport chain's function, halting the electron flow and consequently impeding ATP production. This is because the cell can no longer utilize oxygen effectively to produce the energy currency of the cell, ATP, through aerobic respiration.

Understanding this mechanism is essential for grasping the severe effects of carbon monoxide and cyanide poisoning. Patients exposed to these toxins experience cellular hypoxia and energy failure, leading to serious physiological consequences.

In contrast, while cytochrome b and cytochrome c are also components of the electron transport chain, they are not the direct targets of these specific inhibitors. Additionally, ATP synthase, which is responsible for synthesizing ATP from ADP and inorganic phosphate, operates downstream of complex IV and is not directly affected by carbon monoxide and cyanide's action on cytochrome oxid

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