Cyanide is rapidly lethal because it blocks

  • A. glycolysis at the phosphofructokinase step
  • B. the ATP synthase channel
  • C. cytochrome oxidase, the last carrier of the electron transport chain
  • D. the Krebs cycle at citrate synthase

Explanation

Cyanide binds the iron of cytochrome oxidase, so electrons can no longer be passed to oxygen, the whole chain backs up and oxidative phosphorylation stops even though the blood is fully oxygenated. Cells are left with only the two ATP of glycolysis, which the brain and heart cannot survive on. Blocking glycolysis alone would be far less immediately fatal, since aerobic tissues could still use other substrates.

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