[20] ALT and AST Transamination Flashcards

1
Q

What are ALT and AST?

A

They are enzymes involved in transamination, a key process in amino acid metabolism.

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2
Q

What does ALT stand for?

A

Alanine Aminotransferase

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3
Q

What does AST stand for?

A

Aspartate Aminotransferase

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4
Q

What is the role of ALT in transamination?

A

ALT facilitates the transfer of an amino group from Alanine to α-Ketoglutarate.

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5
Q

What is the role of AST in transamination?

A

AST facilitates the transfer of an amino group from Aspartate to α-Ketoglutarate.

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6
Q

Where is ALT mainly found?

A

In the liver.

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7
Q

Where is AST mainly found?

A

In the liver, heart, skeletal muscle, kidneys, brain, and red blood cells.

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8
Q

Why are ALT and AST levels in the blood significant?

A

Elevated levels can indicate damage to tissues where these enzymes are abundant, particularly the liver.

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9
Q

What is the reaction catalyzed by ALT?

A

Alanine + α-Ketoglutarate ⇌ Pyruvate + Glutamate

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10
Q

What is the reaction catalyzed by AST?

A

Aspartate + α-Ketoglutarate ⇌ Oxaloacetate + Glutamate

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11
Q

How are ALT and AST related to the urea cycle?

A

They play a role in removing excess nitrogen from the body.

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12
Q

What is the clinical significance of a high ALT/AST ratio in the blood?

A

It can indicate liver damage, such as that caused by alcohol abuse or viral hepatitis.

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13
Q

What does “transaminase” mean?

A

It’s an enzyme that catalyzes a type of reaction called transamination.

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14
Q

What is Pyruvate?

A

A key intermediate in several metabolic pathways.

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15
Q

What is Glutamate?

A

An amino acid that plays a key role in protein synthesis and other metabolic processes.

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16
Q

What is Oxaloacetate?

A

A metabolite in the citric acid cycle.

17
Q

Why is transamination important?

A

It helps the body maintain balance between different amino acids and produce non-essential amino acids.

18
Q

How do the body’s cells use the products of the reactions catalyzed by ALT and AST?

A

They use them to generate ATP, synthesize new proteins, and carry out other metabolic functions.

19
Q

How are ALT and AST levels in the blood measured?

A

Through a simple blood test, often part of a comprehensive metabolic panel.