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cofactor · 2
Pyruvate dehydrogenase uses both lipoic acid and coenzyme A: the two-carbon piece cut from pyruvate is handed by the lipoic acid arm to coenzyme A, forming acetyl-CoA, which can then enter the citric acid cycle. Coenzyme A is made from pantothenic acid (B5). The enzyme needs five helper molecules in all and stalls without any one of them.
Vitamin B5 (pantothenic acid) is the raw material for coenzyme A. Whether fatty acids are being built or broken down for fuel, they first have to be attached to coenzyme A before they can be moved and processed.