Final answer:
Two carbons from pyruvate combine with coenzyme A to form acetyl CoA during oxidative decarboxylation, and NAD+ is reduced to NADH.
Step-by-step explanation:
During pyruvate processing, two carbons from pyruvate combine with coenzyme A to form acetyl CoA, which then enters the Krebs cycle. This process is referred to as oxidative decarboxylation where a carboxyl group is released from pyruvate as carbon dioxide, and the remaining two-carbon unit combines with coenzyme A. Alongside this reaction, the enzyme complex pyruvate dehydrogenase also facilitates the transfer of electrons to NAD+, reducing it to NADH, which carries the electrons to later stages of cellular respiration for ATP production.