24. Nitrogen Balance Flashcards

1
Q

What is the ‘nitrogen balance’ a balance between?

Explain the different categories of AAs.

How can ingested proteins be metabolised by the body?

A

+ve: N intake exceeds output (periods of growth, pregnancy) and -ve: N output exceeds ingestion (body proteolysis, fasting, trauma, protein malnutrition). Balance imp b/c no significant N store in humans.

N from AA in diet. 20 AAs with differing R groups. Essential (9): must get in diet. Conditional essential (6): can make but body has limited capacity to do so - becomes essential when exceeds capacity to make it.

AA taken off and used to make proteins directly (for growth/repair), OR can use C skeleton to make glucose/KB -> energy, OR can be important substrates to make other things e.g. nucleotides, NTs, coenzymes

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2
Q

List some of the things the following can be metabolised to:

a) Tyrosine (phenylalanine can be broken down into it too)
b) Tryptophan
c) Arginine
d) Histadine
e) Glycine, glutamate, aspartate

A

a) melanin, DA, adrenaline, NA, thyroxine
b) serotonin, melatonin
c) NO - vasodilation!
d) histamine
e) used directly as NTs

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3
Q

Describe how an amino acid’s C skeleton can be used in transamination.

If you remove the amino group from the following AAs, what keto acids do you get: alanine, glutamate, aspartate

What are glucogenic AAs? Give examples.

Are all amino acids glucogenic?

A

Make one AA from another. AA + keto acid (C skeleton with no amino group), and move the amino group from the AA onto the keto skeleton to make a new amino acid and keto acid.

Alanine = Pyruvate, glutamate = alpha-ketoglutarate, aspartate = oxaloacetate

AA that can be converted to glucose via GNG e.g. aspartate (feeds into oxaloacetate), alanine (feeds into pyruvate), glutamine/glutamate (feeds into alpha-ketoglutarate)

No - not leucine and lysine

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4
Q

What are ketogenic AAs? Give examples.

The AA C skeleton is used to make e.g. NT or melanin. The amino group is turned into NH3

a) Why is it hard to excrete?
b) How is excess ammonia transported/excreted in: fish, us, birds

A

An AA that can be degraded directly into acetyl CoA, which is the precursor of ketone bodies. Leucine and lysine -> acetoacetyl CoA, isoleucine -> acetyl CoA. Some are ketogenic AND glucogenic e.g. tryptophan, some only one or the other e.g. glycine is only glucogenic.

a) Toxic, v reactive, not v water soluble - need alot of water to excrete it.
b) Fish: excrete excess NH3. Us: Convert to urea (contains 2 amino groups) which is more soluble and less reactive, so need less H2O to excrete. Birds: uric acid - concentrate it more so use less water = less water weight when flying

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5
Q

Describe the glucose-alanine cycle.

A

Overall: Transports peripheral amino groups into the liver, and delivers amino groups to urea cycle in liver.

Muscle: Periphery takes glucose -> pyruvate -> alanine transamination (take amino group from glutamate). Glutamate can have it’s amino group turned into NH4+ in muscle when conveted to alpha-ketoglutarate by glutamate dehydrogenase (reversible). NH3 group added to more glutamate to make glutamine via glutamine synthase (oneway). To reverse = glutaminase, releases NH3

Alanine transported in blood -> liver, converted back to pyruvate by traansferring amino group back onto alpha-ketoglutarate to make glutamate, which enters urea cycle. Only prod little NH3, can also fo to urea cycle from blood.

Kidney: uses glutamine to help buffer blood and for GNG and immune system

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6
Q

Give the roles of glutamate in the following tissues:

a) skeletal muscle
b) kidney
c) CNS
d) immune cells

A

a) synthesised, stored and released in fasting. Can be used as fuel: convert to alphaKG an feed to TCA
b) substrate for gluconeogenesis; formation of NH3 for buffering protons - balanace pH
c) shuttle for maintenance of glutamate as a NT
d) fuel and enhances T-lymph response to infection; also supports phagocytosis by neutrophils and macrophages

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7
Q

List the sources of surpluss NH3 that accumulate in the liver for excretion.

What happens to this NH3?

A

1) Gluamate (made from alanine), glutamate dehydrogenase used -> NH3.
2) Liver breaks down other AA releasing amino groups and excess nucleotides -> NH3
3) When immune system uses glutamine as fuel -> releases NH3 into blood -> liver
4) Gut microbiota break down proteins and produce urea -> NH3 -> liver.

All converted to urea and sent to kidney -> excrete

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8
Q

Describe the urea cycle.

What is the point of control/energy utilising step? How is it controlled?

What intermediate can be taken from the cycle?

A

Omithine cycle.

Glutamate -> NH3 and CO2 by glutamate dehydrogenase. NH3 (plus more NH3 from blood etc.) reacts with carbomyl phosphate synthase to make carbomyl phosphate, which reacts with omithine to make citrulline. Citrulline + aspartate -> argino-succinate -> arginine -> omithine which releases urea.

Carbomyl phosphate synthase. Allosteric control from N-acetyl glutamate (when NAG is high, CPS is active, when low its inactive). NAG is only high when levels of glutamate are high (glutamate + acetyl CoA -> NAG + CoA), so this links urea cycle to amount of excess N in liver; the more glutamate, the more this is turned on.

Creatine (used as energy store in muscle)

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