In ETC cmplex-4 is inhibited by all except ?
**Core Concept**
Complex-4, also known as cytochrome c oxidase, is a crucial enzyme in the electron transport chain (ETC) of mitochondria, playing a key role in the process of oxidative phosphorylation. Inhibiting this enzyme disrupts the energy production process, leading to various cellular effects.
**Why the Correct Answer is Right**
BAL (British Anti-Lewisite, also known as Dimercaprol) is a chelating agent used to treat heavy metal poisoning, particularly arsenic, mercury, and lead. Unlike carbon monoxide (CO), cyanide (CN), and hydrogen sulfide (H2S), which are potent inhibitors of Complex-4, BAL does not directly interact with the electron transport chain. Instead, it binds to heavy metals, rendering them less toxic, and facilitating their excretion.
**Why Each Wrong Option is Incorrect**
**Option A:** Carbon monoxide (CO) inhibits Complex-4 by binding to the iron atom at the active site, thereby preventing the transfer of electrons and disrupting the electron transport chain.
**Option B:** Cyanide (CN) is a potent inhibitor of Complex-4, as it binds to the iron atom, preventing electron transfer and disrupting the electron transport chain.
**Option C:** Hydrogen sulfide (H2S) also inhibits Complex-4 by binding to the iron atom, disrupting the electron transport chain and leading to cellular effects.
**Clinical Pearl / High-Yield Fact**
It is essential to remember that cyanide, carbon monoxide, and hydrogen sulfide are potent inhibitors of Complex-4, and poisoning with these substances can lead to severe cellular effects, including tissue hypoxia and metabolic acidosis.
**β Correct Answer: D. BAL. Dimercaprol (BAL) does not inhibit Complex-4.**