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How cells turn glucose into ATP

5 min lesson 2 min for the key points

Fact-checked October 15, 2026

HESI A2 topic: Cellular respiration

In 30 seconds
  • Respiration turns glucose and oxygen into CO₂, water, and ATP.
  • Glycolysis runs in the cytoplasm, needs no oxygen, and nets 2 ATP.
  • The Krebs cycle runs in the mitochondrial matrix and turns twice per glucose.
  • The electron transport chain makes most ATP; oxygen becomes water there.
  • Without oxygen, fermentation keeps glycolysis going; it makes no extra ATP.

Key facts

  1. Overall equation: C6H12O6 + 6O2 → 6CO2 + 6H2O, with part of the released energy captured as ATP; it is the reverse of the photosynthesis equation.
  2. Glycolysis happens in the cytoplasm, does not use oxygen, and turns one glucose into two pyruvate for a net gain of 2 ATP and 2 NADH.
  3. Pyruvate oxidation and the citric acid (Krebs) cycle happen in the mitochondrial matrix; the cycle turns twice per glucose and releases CO2.
Show all 7 key factsShow fewer
  1. The electron transport chain sits in the inner mitochondrial membrane; oxygen is the final electron acceptor and becomes water.
  2. Chemiosmosis through ATP synthase makes about 90 percent of the ATP from aerobic glucose breakdown.
  3. OpenStax Biology 2e says the total ATP per glucose varies; OpenStax Anatomy & Physiology 2e counts a net 36 ATP.
  4. Without oxygen, fermentation regenerates NAD+ so glycolysis can keep making its 2 ATP; muscle cells make lactate and yeast make ethanol and CO2.

Quick check1 question · 2 more at the end

Where in a eukaryotic cell does glycolysis take place?

Full lesson

Each part starts with its main idea. Open a part when you want the details.

The short answer: Cellular respiration breaks glucose down with oxygen to make ATP, releasing carbon dioxide and water. Glycolysis in the cytoplasm splits glucose into two pyruvate for a net 2 ATP. In the mitochondria, pyruvate oxidation and the citric acid (Krebs) cycle release CO2 and load NADH and FADH2, and the electron transport chain uses them to make most of the ATP.

1 What is cellular respiration for?Cellular respiration is the catabolic pathway that turns the energy in glucose into ATP the cell can spend. 1 min

Cellular respiration is the catabolic pathway that turns the energy in glucose into ATP the cell can spend. With oxygen available, the overall reaction is:

C₆H₁₂O₆ + 6O₂ → 6CO₂ + 6H₂O (+ energy, partly captured as ATP)

Glucose and oxygen go in; carbon dioxide and water come out. This is the reverse of the photosynthesis equation. It happens in a series of stages, each in its own part of the cell.

2 Where does each stage happen?Each stage has a fixed address in the cell, and that location is worth memorizing. 1 min

Each stage has a fixed address in the cell, and that location is worth memorizing. Numbers below are per glucose.

Stage Where Uses O₂? Main products
Glycolysis Cytoplasm No 2 pyruvate, net 2 ATP, 2 NADH
Pyruvate oxidation Mitochondrial matrix Not directly 2 acetyl CoA, 2 CO₂, 2 NADH
Citric acid (Krebs) cycle Mitochondrial matrix Not directly 4 CO₂, 6 NADH, 2 FADH₂, 2 ATP
Electron transport chain + chemiosmosis Inner mitochondrial membrane Yes Most of the ATP, plus water

The Krebs cycle never touches oxygen itself. It still counts as aerobic because the NADH and FADH₂ it makes can only unload at the electron transport chain, which needs oxygen.

3 What happens in glycolysis?Glycolysis splits one six-carbon glucose into two three-carbon pyruvate molecules in the cytoplasm. 1 min

Glycolysis splits one six-carbon glucose into two three-carbon pyruvate molecules in the cytoplasm. The cell first invests 2 ATP to get glucose ready to split, then makes 4 ATP, for a net gain of 2 ATP. It also loads 2 NADH, an electron carrier.

Glycolysis needs no oxygen, and nearly all living things run it. Mature red blood cells have no mitochondria, so glycolysis is their only source of ATP.

4 What happens inside the mitochondrion?Inside the mitochondrion, the rest of glucose's carbon is stripped off as CO₂ while electron carriers fill up. 1 min

Inside the mitochondrion, the rest of glucose's carbon is stripped off as CO₂ while electron carriers fill up.

  1. Pyruvate oxidation (matrix): each pyruvate loses one carbon as CO₂, becomes acetyl CoA, and loads one NADH.
  2. Citric acid (Krebs) cycle (matrix): each acetyl CoA enters one turn, so the cycle turns twice per glucose. Each turn releases 2 CO₂ and makes 3 NADH, 1 FADH₂, and 1 ATP (or GTP).
  3. Electron transport chain (inner membrane): NADH and FADH₂ hand their electrons to a chain of proteins. The chain uses that energy to pump hydrogen ions (H⁺) across the membrane. Oxygen is the final electron acceptor: it picks up the spent electrons and H⁺ and becomes water.
  4. Chemiosmosis: the H⁺ flow back through ATP synthase, which uses the flow to attach phosphate to ADP. This step makes about 90 percent of the ATP.
5 How much ATP does one glucose make?Most of the ATP comes from the electron transport chain, not from the earlier stages. 1 min

Most of the ATP comes from the electron transport chain, not from the earlier stages. Glycolysis nets 2 ATP and the Krebs cycle makes 2; the rest comes from chemiosmosis.

OpenStax Biology 2e does not give a single total, because the number varies between species and with how electrons are carried into the mitochondrion. OpenStax Anatomy & Physiology 2e counts a net total of 36 ATP per glucose. Know the pattern: a small amount from glycolysis, the large majority from the electron transport chain.

6 What happens without oxygen?Without oxygen, the electron transport chain stops, and cells fall back on glycolysis alone. 1 min

Without oxygen, the electron transport chain stops, and cells fall back on glycolysis alone. Glycolysis needs a steady supply of NAD⁺, so cells use fermentation to turn NADH back into NAD⁺. The cell then harvests only the 2 ATP from glycolysis per glucose.

Type Who does it Products from pyruvate
Lactic acid fermentation Red blood cells; skeletal muscle short on oxygen Lactate (lactic acid)
Alcohol fermentation Yeast Ethanol and CO₂

The liver can later convert lactate back to pyruvate. Some prokaryotes use anaerobic respiration instead, running an electron transport chain with a non-oxygen final acceptor such as sulfate.

Common mistakes

The traps students fall into most. Read these before you practice.

  • Watch out: Glycolysis happens in the cytoplasm, not in the mitochondria.

  • Watch out: Oxygen is used at the end of the electron transport chain, where it becomes water; the CO2 you release comes from pyruvate oxidation and the Krebs cycle, not from oxygen.

  • Watch out: Most ATP comes from the electron transport chain and chemiosmosis, not from glycolysis or the Krebs cycle.

  • Watch out: Fermentation does not make extra ATP; it only regenerates NAD+ so glycolysis can continue.

  • Watch out: Lactic acid fermentation happens in human muscle and red blood cells; alcohol fermentation (ethanol and CO2) happens in yeast, not humans.

How to remember it

Memory hook: "Get Kids Energy": Glycolysis, Krebs, Electron transport chain, in order. Then pin each to its address: cytoplasm, matrix, inner membrane.

Self-check:

  1. Name the stage that runs in the cytoplasm and its net ATP per glucose.
  2. Explain what oxygen does in the electron transport chain and what it becomes.
  3. A muscle runs short of oxygen. Say what pyruvate becomes and why the cell bothers.
Check yourself

Try it: 2 questions

  • 2 questions
  • Biology
  • 5 min in exam mode

Questions are original practice items written to the published exam content, not real exam questions.

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Sources (7)
  1. OpenStax Concepts of Biology, 4.1 Energy and Metabolism
  2. OpenStax Biology 2e, 7.2 Glycolysis
  3. OpenStax Biology 2e, 7.3 Oxidation of Pyruvate and the Citric Acid Cycle
  4. OpenStax Biology 2e, 7.4 Oxidative Phosphorylation
  5. OpenStax Biology 2e, 7.5 Metabolism without Oxygen
  6. OpenStax Concepts of Biology, 4.2 Glycolysis
  7. OpenStax Anatomy and Physiology 2e, 24.2 Carbohydrate Metabolism

Written with AI and checked against the sources above by a separate review step. No teacher or nurse reviews this content. How we make our content. HealthcareExams is independent and not affiliated with Elsevier.

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