Amino Acid Degradation and Synthesis Flashcards

1
Q

What are termed Glucogenic or Glycogenic amino acids?

A

Amino acids whose catabolism yields pyruvate or one of the intermediates of the citric acid cycle are termed glucogenic or glycogenic. These intermediates are substrates for gluconeogenesis and, therefore can give rise to the net formation of glucose or glycogen in the liver and glycogen in the muscle.

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2
Q

What are ketogenic amino acids? What are the amino acids found in protein, that are exclusively ketogenic?

A

Amino acids whose catabolism yields either acetoacetate or one of its precursors (Acetyl coA or acetoacetyl coA) . Leucine and Lysine are the only exclusively ketogenic amino acids found in proteins.

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3
Q

Folic acid helps with the degradation of which amino acid? What happens when there is a deficiency?

A

Individuals deficient in folic acid excrete increased amounts of FIGLu in the urine, particularly after ingestion of a large dose of histidine. The FIGLu excretion test has been used in diagnosing a deficiency of folic acid.

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4
Q

What is the amino acid that form OAA?

A

Aspartate

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5
Q

What are the A.A. that can form alpha-ketoglutarate?

A

Glutamine, Proline, Arginine, Histidine “Go Practice Histo Again”

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6
Q

What amino acid form OAA?

A

Aspartate. Asparagine is hydrolyzed by asparaginase, liberating ammonia and aspartate.

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7
Q

What amino acids can form pyruvate?

A

Alanine, Serine, Glyicne, Cystine, Threonine

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8
Q

Deficiencies in the enzymes of phenyalanine and tyrosine metabolism lead to which diseases?

A

Phenylketonuria, and Alkaptonuria. Also albinism.

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9
Q

Methionine is an amino acid that can form from which TCA cycle derivative?

A

Succinyl CoA

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10
Q

After hydrolysis of SAM, Homocysteine can undergo two pathways, remethylation or transsulfication.

Explain the remethylated pathway

What vitamin do we need?

A

Homocysteine accepts a methyl group from N5-methltetrahydrofolate (N5-methul-THF) in a rx requiring methylcobalamin, a coenzyme derived from B12. The methyl group is transferred from the B12 derivative to homocysteine, and cobalamin is recharged from N5-methul-THF.

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11
Q

After hydrolysis of SAM, Homocysteine can undergo two pathways, remethylation or transsulfication.

Explain the transsulfication pathway

What vitamin is needed?

A

Homocysteine condenses with serine, forming cystathionine, which is hydrolyzed to alpha-ketobutyrate and cysteine.

This vitamin B6-requiring sequence has the net effect of converting serine to cysteine and homocysteine to alpha-ketobutyrate, which is oxidativly decarbaoxylated to form propionyl CoA.

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12
Q

what will happen if we have increase homocysteine levels?

What can be a treatment for this?

Rare deficiencies of what enzyme will cause increase levels of homocysteine?

A

Eleveations in plasma homocysteine levels promote oxidative damamge, inflammation, and endothelial dysfuction, and are an independent risk factor for occulise vascular disease.

Studies have shown that plasma homocysteine levels are inversely relatied to plasma levels of folate, B12, B6 - the three vitamins involved in the conversion of homocysteine to methionine or cysteine. Supplementation with these vitamins have been shown to reduce circulating levels of homocysteine.

Rare deficiencies in Cystathionine beta-synthase are seen in patients with classic homocystinuria. These individuals experience premature vascular disease.

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13
Q

Besides Methionine, what other 3 amino acids form Succinyl CoA?

How do these A.A. convert to Succinyl CoA?

A

Threonine, Valine and Isoleucine.

Valine and Isoleucine: are branched A.A. that generate propoinyl CoA, which is converted to Succinyl CoA by biotin and vitamin B12.

Threonine: gets dehydrated to alpha-ketoglutyrate, which is converted to propionyl CoA and then Succinyl CoA.

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14
Q

What are the 4 amino acids that give form to Acetyl CoA or Acetoacetyl CoA?

A

Leucine: exclusively ketogenic

Isoleucine: Keto and glucogenic

Lysine: exclusive ketogenic

Tryptopha: Gluco and Ketogenic

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15
Q

What are the 3d branched essential amino acids?

Where are these A.A. metabolized?

What are the 3 steps of their catabolism?

A

Isoleucine, Leucine, and Valine are essential amino acids. They are metabolized by the peripheral tissues (particularly muscle) rather than liver.

Their catabolism involves transamination, oxidative decarboxylation, and dehydrogenation.

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16
Q

Explain the 3 steps of branched A.A. catabolism?

A

Isoleucine, Valine, and leucine go through 3 steps:

Transamination: removal of the amino groups of all 3 amino acids is catalyzed by a single Vitamin B6-requiring enzyme, branched-chain alpha-amino acid aminotransferase.

Oxidative decarboxylation: Removal of the carboxyl group of the alpha-keto acids derived from leucine, valine, and isoleucine is catalyzed by a single multienzyme complex, branched-chain alpha-keto acid dehydrogenase complex. An inherited deficiency of this enzyme results in accumulation of the branched-alpha-keto acid substrate in the urine. (Mapple syrup disease)

Dehydrogenation: Oxidation of the products formed in the above rx yields alpha-beta-unsaturated acyl CoA derivatives.

17
Q

What can cause megaloblastic anemia?

A

Folate deficiency presents as a megoloblastic anemia due to decrease availability of the TMP (thymidine monophosphate) needed for DNA synthesis.

The active form of folic acid, tetrahydrofolic acid (THF), is produced from folate by dihydrofolate reductase (DHFR) in a two-step rx requiring two moles of NADPH.

18
Q

How is Serine synthesize?

A

This amino acid arises from 3-phosphoglycerate, an intermediate in glycolysis, which is first oxidized to 3-phosphopyruvate, and then transaminated to 3-phosphoserine. Serine is formed by hydrolysis of the phosphate ester. Serine can also be formed from glycine through transfer of hydroxymethyl group by serine hydroxymethyl transferase.

19
Q

How is Glycine synthesize?

A

This amino acid is synthesized from serine by removal of a hydroxy-methyl group, also by serine hydroxymethyl transferase.

20
Q

What disease develops from a deficiency in phenylalanine hydroxulase?

Symptoms?

A

A deficiency in phenylalanine hydroxylase results in the disease of Phenylketonuria (PKU). PKU is the most common clinically encountered inborn error of amino acids metabolism. Accumulation of phenylalanine and deficiency of tyrosine.

Phenylalanine will be elevated in plasma, tissues, urine. Phenylacetate, phenyllactate, and phenylpyruvate which are not normally made in significant amounts in the presence of functional phenylalanine hydroxylase. Give urine a “mousey/musty” odor.

CNS symptoms include mental retardation, failure to walk or talk, seizures, hyperactivity, tremor, miicrocephaly, and failure to grow are charesterisitic found in PKU.

21
Q

What disease other than Albinism shows hypopigmentation?

A

Patients with phenylketonuria (PKU) often show a deficiency of pigmentation (fair hair, light skin color, and blue eyes) The hydroxylation of tyrosine by tyrosinase, which is the first step oin the formation of the pigment melanin, is competitively inhibited by the high levels of phenylalanine present in PKU.

22
Q

In patients with PKU, what other amino acid besides phenylalanine, becomes an essential that needs to be supplied through diet?

A

Tyrosine

23
Q

What happens on maternal PKU syndrome?

A

When women with PKU who are not on a low-phenylalanine diet become pregnant, the offspring are affected with “Maternal PKU syndrome” high blood phenylalanine levels in the mother cause microcephaly, mental retardation, and congenital heart abnormalities in the fetus.

24
Q

What disease arises from branched-chain alpha-keto acid dehydrogenase deficiency?

A

Maple syrup uine disease (MSUD). branched-chain alpha-keto acid dehydrogenase is an enzyme complex that decarboxylates leucin, isoleucine, and valine.

These amino acids and their corresponding alpha-keto acids accumulate in blood, causing a toxic effect that interferes with brain function.

25
Q

What are pophyrin?

A

Porphyrins are cyclic compound (linkage of 4 pyrrole rings through methenyl bridges) that readily bind metal ions, usually Fe2+/Fe3+.

The most prevalent metalloporphyrin in humans is heme (prosthetic group for hemoglobin, myoglobin, and cytochromes, catalase, and tryptophan pyrrolase).

Only type III porphyrins are physiologically importain in humans.

26
Q

What is the committed and rate-controlling step in hepatic porphyrin biosynthesis?

Substrate? Enzyme? co-enzyme needed?

A

Glycine and succinyl CoA condense to form ALA (delta-aminolevulinic acid) in a rx catalyzed by ALA synthase. This reaction requires vitamin B6 pyridoxal phosphate as a coenzyme.

27
Q

What inhibits porphyrin production when it exceeds the availability of globin?

A

When porphyrin exceeds the availability of globin, heme accumulates and is converted to hemin by the oxidaton of Fe2+ to Fe3+. Hemin decreases the activity of hepatic ALA synthase by causing decreased synthesis of the enzyme, through inhibition of mRNA synthesis and use.

28
Q

If we prescribe a pt. these drugs griseofuvin (antifungal agent), hydontoin, and phenobarbital (anticonvulsants used to treat epilepsy), the patient will have an increase of P450 activity.

How will this affect Heme synthesis?

A

It will increase ALA synthesis by increasing the hepatic ALA synthase activity. These drugs are metabolized by the microsomal cytochrome P450.

In response to these drugs, the synthesis of P450 proteins increases, leading to an enhanced consumption of heme. This in turn, causes a decrese in the concentraition of heme in liver cells, which leads to an increase in the synthesis of ALA synthase and prompts a corresponding increase in ALA synthesis.

29
Q

Why will lead poisoning lead to anemia?

A

It will block ALA dehydratase, which is extremely sensitive to inhibition by heavy metals ions.

The condensation of two molecules of ALA to from prophobilinogen is catalyzed by ALA dehydratase.

30
Q

What are porphorias?

A

They are rare inhereted or sometimes acquired defects in heme synthesis. This results in the accumulation and increased excretion of porphyrins or porphyrin precursors.

31
Q

Patient presents with urine that is red to brown in natural light, and has skin eruptions.

What disease related to A.A. specialized products can be?

A

Chronic porphyria: Porphyria cuatanea tarda, the most common porphyria, is a chronic disease of the liver and erythroid tissues. The disease is associated with a deficiency in uroporphyrinogen decarboxylase. Uroporphyrinogen III won’t be able to turn into coporporphyrinogen III which is a precursor of Heme.

Individuals with an enxyme defect leading to the accumulation of tetrapyrrole intermediates show photosensitivity, that is, their skin itche and burns (pruritis) when exposed to visible light. (superoxides damage membranes, and cause the release of destructive enzymes form lysosomes).

32
Q

What is the heme degradation pathway?

What is the enzyme that participates on it?

A

Bilirubin Glucuronyl-transferase.

Takes bilirubin that entered the liver through Bilirubin-albumin complex, and coverts it to Bilirubin Diglucuronide.

33
Q

What happens on Crigler-Najjar I and II / Gilbert syndrome?

What happens on Dubin-Johnson syndrome?

A

Crigler-Najjar I and II syndrome bilirubin can not be turned into bilirubin diglucuronide because the enzyme bilirubin glucuronyl-transferase is deficient

In Dubin-Johnson, there is a deficiency in th eprotein required for transport of conjugated bilirubin out of the liver. (Higher levels on conjugated bilirubin)

34
Q

What are the 3 types of joundice we can encounter?

A

Hemolytic Jaundice

Hepatocellular Jaundice

Obstructive Jaundice

35
Q

If a pt. presents with Pyruvate kinase deficiency or glucose-6-dehydrogenase deficiency. How can this cause Jaundice?

A

Pt. will have massive lysis of RBCs and will produce bilirubin faster that what it can be conjugated in the liver. Hence pt. ends up with Hemolytic Jaundice.

36
Q

Pt. presents with elevated levels of AST, ALT, nausea, dark urine, and its anorexic. What can be the cause of these symptoms?

A

Hepatocellular Jaundice: Damage to liver cells in patients with cirrhosis or hepatatis for instance, can cause unconjugated bilirubin levels to increase in the blood as a result of decrease conjugation. Bilirubin diffuses (leaks) into the blood.

37
Q
A