Figure 18.7 Reactions of the pyruvate dehydrogenase complex. At the top (left), the enzyme (represented by a yellow, a green, and two red spheres) is unmodified and ready for a catalytic cycle. (1) Pyruvate is decarboxylated to form hydroxyethyl-TPP by E1. (2) The lipoamide arm of E2 moves into the active site of E1. (3) E1 catalyzes the transfer of the two-carbon group to the lipoamide group to form the acetyl–lipoamide complex. (4) E2 catalyzes the transfer of the acetyl moiety to CoA to form the product acetyl CoA. The dihydrolipoamide arm then swings to the active site of E3. E3 catalyzes (5) the oxidation of the dihydrolipoamide acid and (6) the transfer of the protons and electrons to NAD+ to complete the reaction cycle.