Skip to content
Epomedicine

Mnemonics, Simplified Concepts & Thoughts

Epomedicine

Mnemonics, Simplified Concepts & Thoughts

krebs cycle

Kreb’s cycle (Citric Acid Cycle) : Mnemonic

Dr. Sulabh Kumar Shrestha, MS Orthopedics, Jan 25, 2016Oct 31, 2024

Mnemonic: Our City Is Kept Safe And Sound From Malice

krebs cycle
  1. Oxaloacetate

    Citrate synthase

  2. Citrate (may leave the mitochondria to enter CITRATE SHUTTLE for fatty acid synthesis)

    Aconitase (Aconitic acid is a dehydrated citric acid)

  3. Isocitrate

    Isocitrate dehydrogenase (dehydrogenated H+ added to NAD to form NADH & CO2)
    Major control enzyme (inhibited by NADH & ATP & activated by ADP)

  4. α-Ketoglutarate

    α-Ketoglutarate dehydrogenase (dehydrogenated H+ added to NAD to form NADH & CO2)
    Similar to pyruvate dehydrogenase (requires thiamine, lipoic acid, CoA, FAD, NAD)
    Lack of thiamine slows oxidation of acetyl-CoA in citric acid cycle

  5. Succinyl-CoA (also for heme synthesis & ketone body activation in extrahepatic tissues)

    Succinyl-CoA synthetase (GDP+Pi = GTP - substrate level phosphorylation)
    Also, called Succinate thiokinase

  6. Succinate

    Succinate dehydrogenase (dehydrogenated H+ added to FAD to form FADH2)
    On mitochondrial membrnae (complex II of Electron Transport Chain)

  7. Fumarate

    Fumarase

  8. Malate (can leave mitochondria to enter MALATE SHUTTLE for gluconeogenesis)

    Malate dehydrogenase (H+ exchanged between NAD and NADH)

  9. Oxaloacetate

Remember the enzymes of the cycle:

All the enzymes are in the matrix of mitochondria except succinate dehydrogenase which is in inner mitochondrial membrane.

  1. 2 “substrate”-ase: ACONITASE and FUMARASE
  2. 2  “sythase/synthetase”: CITRATE SYNTHASE and SUCCINYL-COA SYNTHETASE
  3. Others “dehydrogenases”: ISOCITRATE DEHYDROGENASE, α-KETOGLUTARATE DEHYDROGENASE, SUCCINATE DEHYDROGENASE, MALATE DEHYDROGENASE

In short, Kreb’s cycle is
Acetyl-CoA——————————————→  2 CO2
3 NAD + FAD + GDP + Pi                             3 NADH + FADH2 + GTP

NADH production in TCA cycle:

KIM likes goNADs

After:

  1. alpha-Ketoglutarate
  2. Isocitrate
  3. Malate

Function: Oxidation of Acetyl-CoA to CO2 with release of energy (NADH, FADH2, GTP)
Acetyl-CoA is yielded from glucose, fatty acids, ketone bodies, ketogenic amino acids and alcohol.

Pyruvate from aerobic glycolysis enters mitochondria, where it may be converted into acetyl-CoA (irreversible reaction) under the action of enzyme Pyruvate Dehydrogenase (PDH – inhibited by it’s product acetyl-CoA) for entry into:

  1. If ATP is needed: Citric acid cycle
  2. If ATP is sufficient: Fatty acid synthesis

PDH includes cofactors and conenzymes. Easy way to remember this is – they are vitamin B or vitamin B like:

  1. Vitamin B1 – Thiamine (Thiamine Pyrophosphate/TPP) for PDH (E1)
  2. Vitamin B like – Lipoic acid for Acetyl Transferase (E2)
  3. Vitamin B5 – Panothenic acid (CoA/Cofactor A) for E2
  4. Vitamin B2 – Riboflavin (FAD) for E3
  5. Vitamin B3 – Nicotinamide (NAD) for E3

Another Mnemonic: Citrate Is Kreb’s Starting Substrate For Making Oxaloacetate

  1. Citrate
  2. Isocitrate
  3. Alpha-Ketoglutarate
  4. Succinyl CoA
  5. Succinate
  6. Fumarate
  7. Malate
  8. Oxaloacetate

Alcoholism and Hypoglycemia:

  1. Poor nutrition
  2. High NADH from alcohol and acetaldehyde dehydrogenase favors formation of:
    • Lactate from pyruvate
    • Malate from oxaloacetate
    • Glycerol-3-phosphate from Dihydroxyacetone phosphate
dr. sulabh kumar shrestha
Dr. Sulabh Kumar Shrestha, MS Orthopedics

He is the section editor of Orthopedics in Epomedicine. He searches for and share simpler ways to make complicated medical topics simple. He also loves writing poetry, listening and playing music. He is currently pursuing Fellowship in Hip, Pelvi-acetabulum and Arthroplasty at B&B Hospital.

27 shares
  • Facebook27
  • Twitter
PGMEE, MRCS, USMLE, MBBS, MD/MS BiochemistryGeneral concepts

Post navigation

Previous post
Next post

Related Posts

PGMEE, MRCS, USMLE, MBBS, MD/MS

Heel Pad Syndrome vs Plantar Fasciitis

Apr 18, 2025Apr 18, 2025

Heel pad syndrome and plantar fasciitis both cause heel pain, but they affect different areas and have distinct characteristics. Further reading and differential diagnoses of heel pain: Heel Pain : Mnemonic Plantar Fasciitis Heel Pad Syndrome Definition Inflammation of the calcaneal origin of plantar fascia Traumatic irritation of the specialized…

Read More
PGMEE, MRCS, USMLE, MBBS, MD/MS

Dupuytren’s contracture : Mnemonics

Apr 20, 2023Apr 20, 2023

Associations of Dupuytren’s Contracture Mnemonic: DEAFEST LIAR Dupuytren’s diathesis Mnemonic: ABCDEF Severity and recurrence risk is increased in: If all 6 diathesis risk factors are present: risk of recurrence is 71% If none of diathesis risk factors are present: risk of recurrence is 23% Involvement of fingers Mnemonic: RaSMIT In…

Read More
PGMEE, MRCS, USMLE, MBBS, MD/MS

Basics of voiding cystourethrogram (VCUG)

Jan 12, 2024Jan 12, 2024

The above picture shows a VCUG scan which is a commonly performed test in urology for diagnosing various conditions related to urethra, bladder as well as assessing upper tracts. Diseases that can be diagnosed using VCUG includes: So, it is always better to have an idea about interpreting the scan as…

Read More

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.

Shrestha SK. Kreb’s cycle (Citric Acid Cycle) : Mnemonic [Internet]. Epomedicine; 2016 Jan 25 [cited 2026 Jan 27]. Available from: https://epomedicine.com/medical-students/krebs-cycle-mnemonic/.

Pre-clinical (Basic Sciences)

Anatomy

Biochemistry

Community medicine (PSM)

Embryology

Microbiology

Pathology

Pharmacology

Physiology

Clinical Sciences

Anesthesia

Dermatology

Emergency medicine

Forensic

Internal medicine

Gynecology & Obstetrics

Oncology

Ophthalmology

Orthopedics

Otorhinolaryngology (ENT)

Pediatrics

Psychiatry

Radiology

Surgery

RSS Ask Epomedicine

  • What to study for Clinical examination in Orthopedics?
  • What is the mechanism of AVNRT?

Epomedicine weekly

  • About Epomedicine
  • Contact Us
  • Author Guidelines
  • Submit Article
  • Editorial Board
  • USMLE
  • MRCS
  • Thesis
©2026 Epomedicine . All rights reserved.