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ETC Inhibitors, Uncouplers, and Transporter Inhibitors of Oxidative Phosphorylation
- October 26, 2024
- Posted by: Namrata Chhabra
- Category: Bioenergetics Energy metabolism Learning resources Library Quick Revision Series Quick revisions Quick revisions USMLE Content
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Site of Action | Inhibitors / Uncouplers | Mechanism | Mnemonic for Easy Recall |
Complex I (NADH Dehydrogenase) | Rotenone, Piericidin A, Amytal | Blocks electron transfer from NADH to CoQ | “Rotten Pies Available” (Rotenone, Piericidin A, Amytal block Complex I) |
Complex II (Succinate Dehydrogenase) | Malonate, Carboxin, TTFA | Competes with succinate, preventing electron transfer to CoQ | “Malonate Causes Trouble Fast” (Malonate, Carboxin, TTFA block Complex II) |
Complex III (Cytochrome bc1) | Antimycin A, BAL | Inhibits electron transfer from CoQ to cytochrome c | “Anti-BAL for Three” (Antimycin, BAL block Complex III) |
Complex IV (Cytochrome c Oxidase) | Cyanide (CN⁻), Carbon Monoxide (CO), Azide (N₃⁻), Hydrogen Sulfide (H₂S) | Prevents oxygen from acting as the final electron acceptor | “Certain Compounds Attack Hearts” (Cyanide, CO, Azide, H₂S) |
ATP Synthase (Complex V) | Oligomycin | Blocks proton flow through ATP synthase | “O for ATP” (Oligomycin blocks ATP production) |
Uncouplers (Chemical) | DNP, Aspirin, Calcium ions | Dissipate the proton gradient, generating heat without ATP production | “Do Not Push Aspirin or Calcium (DNP, Aspirin, Calcium ions) |
Uncouplers (Physiological) | Thermogenin (UCP1), Fatty Acids, Thyroxine | Disrupt the proton gradient to generate heat (brown adipose tissue) | “The Fat Tissue Uncouples” (Thermogenin, Fatty acids, Thyroxine) |
ADP/ATP Transporter Inhibitors | Atractyloside, Bongkrekic Acid | Inhibit the ADP/ATP exchange across the inner mitochondrial membrane | “A Tricky Bong Blocks ATP” (Atractyloside, Bongkrekic Acid inhibit ADP/ATP exchange) |
Author:Namrata Chhabra

With over 38 years of experience as a Medical Educator, Medical Biochemist, and Researcher, Dr. Namrata Chhabra has a proven track record of leading and contributing to clinical, academic, and research initiatives that advance medical science and education. She holds an M.B.B.S., an M.D. and Ph.D. in Medical Biochemistry, and a Master's in Health Professions Education (MHPE). She is also a FAIMER Fellow, a prestigious recognition of her excellence in medical education and research.
Currently, she serves as the Associate Dean of Admissions, Chair of the Admissions Committee, and a Professor of Biochemistry at the American University of Antigua College of Medicine (AUACOM). In this role, she oversees the academic quality, curriculum development, faculty development, accreditation processes of the college, and student recruitment. She also teaches and mentors medical students, conducts and supervises biomedical and educational research projects, and publishes and presents her findings in national and international journals and conferences. Additionally, she is the author of three comprehensive textbooks on Medical Biochemistry, which are widely used by medical students and professionals. She is passionate about improving the health outcomes of communities and individuals by fostering a culture of innovation, collaboration, and excellence in medical education and research.