Amino Acid Degredation and The Urea Cycle Flashcards

1
Q

Proteolysis

A

-the breakdown of protein to free amino acids

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2
Q

The amino acid pool

A
  • is an abstraction used to represent several compartments in the body which vary in their pattern of amino acids as well as their concentrations
  • in intracellular compartments the concentration is considerably higher than in the extracellular compartment, this gradient is maintained by active transport of amino acids into cells. The size of the gradient varies with the different amino acids, being greatest with glutamate and glutamine
  • glutamine and alanine are the most abundant amino acids in serum
  • amount of free amino acids- in the body there is about 100g of free amino acids, of which 100g amino acids, 50% glutamate and glutamine, 10% essential amino acids
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3
Q

Essential amino acids

A
  • these are carbon skeletons that cannot be synthesized by humans and are essential dietary factors
  • 10 are essential
  • histidine, isoleucine, leucine, lysine, methionine, phenylalanine, threonine, tryptophan, valine, arginine (for growth)
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4
Q

Non-essential

A
  • alanine, arginine, asparagrine, aspartate, cysteine (Made from methionine), glutamate, glutamine, glycine, proline, serine, tyrosine (made from phenylalanine)
  • cysteine becomes essential if methionine is low and tyrosine becomes essential if phenylalanine is low
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5
Q

Inputs to the amino acid pool

A

gastrointestinal inputs:

-70-100g of dietary protein and 35-200g of endogenous protein from sloshed off intestinal cells absorbed daily

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6
Q

Cystic fibrosis

A
  • patients defective in pancreatic secretions, must supplement with pancreatic enzymes
  • defect in the chloride channels in the pancreastic secretory ducts , they harden and eventually block, leading to a lack of pancreastic enzymes in the intestinal lumen to digest proteins
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7
Q

Absorption in the small intestine

A
  • five separate systems have been identified for the transport of amino acids from the gut into intestinal epithelial cells. These five overlap considerably in their specificity
  • disorders associated with defects in amino acid transporters lead to increased levels of these amino acids in the urine, since the same transporters are used in renal tubules
  • most cases disorders are benign, or cause minor problems since amino acids are also absorbed from the intestines as small peptides by a separate transport system
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8
Q

Important points of absorption

A
  • 5 separate transporters
  • all Na or proton symporters
  • same transporters in kidneys
  • high degree of redundancy
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9
Q

Hartnup’s Disease

A
  • a defect in the transport system for neutral and aromatic amino acids from the gut and the renal tubules
  • Symptoms: similar to pellagra (niacin deficiency, 4D’s: Diarrhea, Dermatitis, Dementia, Death_
  • Treatment: administration of niacrin
  • Diagnosis: symptoms of pellagra with high levels of neutral and aromatic amino acids in the urine and feces
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10
Q

Cystinuria

A
  • a defect in the transport system for basic amino acids and cystine (a disulfide-linked dimer of cysteine) from the gut and the renal tubules
  • Symptoms: cystine is relatively insoluble and forms crystals which can lead to urinary tract infections and kidney stones
  • Treatment: fluids, and adminstration of the drug penicillamine, which reacts with cystine for form a significantly more soluble compound
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11
Q

Transcytosis

A
  • across the brush border membrane
  • most pronounced in infants where it enables them to acquire antibodies from breast milk
  • this can also cause problems in infants where it can lead to allergies to various proteins in their food
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12
Q

Proteolysis of endogenous proteins

A
  • body protein is continuously being broke down to free amino acids
  • the rate of this varies widely between proteins from half lives of a few minutes to years
  • for a 70 kg man, about 400 grams of protein turn over per day
  • 50 grams undergoes oxidative degradation and is replaced
  • Measure of protein breakdown- histidine residues of muscle protein actomyosin are methylated posttranslationally. When actomyosin is broken down, 3-methyl histidine is liberated and excreted into the urine. The urinary levels of this compound can provide a measure of muscle protein breakdown
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13
Q

Outputs from the amino acid pool

A
  • protein systhesis- translation OR
  • catabolism of amino acids- Metabolic breakdown of amino acids to urea and Co2 is a continuous drain. This is reduced during starvation, but is never turned off. Hence there must be a daily intake of amino acids to replenish the pools (USRDA 40-50g/day) from 12 to 20 grams of nitrogen (from amino acids) is excreted per day, principally as urea
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14
Q

Nitrogen Balance

A
  • if total daily loss in urine, skin and feces is equal to daily intake- in balance
  • positive balance- losses are less than intake, children and convalescing adults
  • negative balance- losses are more than intake, as in starvation or wasting diseases, prolonged could be fatal if reaches 1/3 total body protein
  • even not enough of one essential amino acid can turn someone to a negative balacne
  • animal proteins- high biological value
  • plants deficient in lysine, methionine and tryptophan, less concentrated and less digestible than in aminals
  • absence of lysine in grains in underdeveloped countries- kwashiorkor
  • grains and beans provide complementing- have to eat both
  • you will not gain net nitrogen- you will pee off most of it and store away the carbon
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15
Q

Amino Acid Degredation

A

-free ammonia ion is highly poisonous so the body can remove free NH4+ in three ways:
-Glutamate Dehydrogenase: take NH4+ NAD(P)H and protons with alpha ketoglutarate and changes it to glutamate and NAD(P)+ and H20
-Glutamine Synthase, reversibly by Glutaminase: glutamate to glutamine using ATP and NH4+ - glutamine is a major carrier of NH4 groups in the blood
-Carbamoyl Phosphate Synthase I and II- NH4+ CO2 +2 ATMP to get the Co2 to carry,
I- in mitochondria for urea cycle, II- in cytoplasm for pyrimidine nucleotide biosynthesis (doesn’t use NH4)

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16
Q

Metabolism of Amino Acids

A

-primary means by which amino acid derived nitrogen is metabolized through the sequential action of transaminases, glutamate dehydrogenase, and the urea cycle

17
Q

Transamination

A
  • the transfer of of an amino group from an amino acid to and alpha keto acid to form a new amino acid and the new keto acid
  • cofactor- pyridoxal phosphate (vit B6): an essential cofactor for all transaminations
  • enzymes- transaminases or aminotransferases- alpha amino groups are removed by pyridozal phosphate transaminases: alanine, arginine, asparagine, aspartate, cysteine, isoleucine, leucine, lysine, phenylalanine, tryptophan, tyrosine, and valine
  • reaction catalyzed by aspartate transaminase is model- with use alanine, leucine and tyrosine as well
18
Q

Pyridoxine functions as cofactor

A
  • transaminations
  • decarboxylations
  • dehydration of Beta- hydroxyamino acids
  • racemizations of alpha amino acids
  • removal of H2S from cysteine
19
Q

Transaminases

A
  • Converge on the amino acid glutamate
  • this represents a convergence of pathways and a method of collecting amino acid groups in one amino acid
  • glutamate can serve as specific donor of amino acid groups for production of nitrogenous waste products
  • transaminases converge on it and oxidative deamination you can make energy by ripping NH4 group off
20
Q

Oxidative Deamination by Glutamate Dehydrogenase

A
  • reversible reaction
  • site: enzyme in mitochondria (where alpha KG is located and the NADH can be quickly used for energy
  • reaction:take NH4+ NAD(P)H and protons with alpha ketoglutarate and changes it to glutamate and NAD(P)+ and H20
  • cofactors: oxidized NAD or NADP (under normal conditions the ratio of NADPH to NADP is high and the ratio of NADH to NAD is low so that there is always cofactor available to participate in either forward or reverse
  • allosteric regulators- activated by ADP and GDP and is inhibited by ATP and GTP- lowering of energy charge of a cell accelerates the oxidation of amino acids
  • deaminated in liver, if need energy it will generate NADH for electron transport, if do not with generate NADPH for biosynthetic reaction
21
Q

Amino acid oxidases

A
  • both L and D amino acids oxidases occur in the kidneys and the liver
  • these enzymes use tightly bound flavins as cofactors, and convert an amino acid and water into alpha keto acid and ammonia
22
Q

Direct deamination by dehydratases

A
  • chemistry of the hydroxyl side chain of serine and threonine,their direct deamination is facilitated
  • the cofactor for both serine and threonine dehydratase is pyridoxal phosphate again
23
Q

Desulfhydrases

A
  • homocysteine desulfhydrase is also a pyridoxal phosphate containing enzyme that removes both ammonia and sulfur from homocysteine
  • the alpha ketobutyrate goes to propionyl CoA to methylmalonyl CoA to succinyl coA (with B12)
24
Q

Formation of nitogenous waste products the urea cycle

A
  • ammonia release during catabolism of amino acids is toxic and must be constantly removed from the body
  • since the constant excretion of ammonia in the urine would lead to drastic changes in the blood pH, the body converts the free ammonia to urea, a readily soluble and easily excreted compound
  • free ammonia can be picked up into carbamoylphosphate and glutamate and glutamine as discussed earlier
25
Q

Reactions of the urea cycle

A

1) Carbamoylphosphate is formed from ammonia and CO2
Enzyme- carbamoylphosphate synthetase
Energy requirement- two molecules of ATP

2) Citrulline is formed from carbamoylphosphate and ornithine in a reaction that is catalyzed by ornithine transcarbamoylase (OTC)- X linked, most common genetic defect in pathway

3) Argininosuccinate is formed from citrulline and aspartate
Enzyme- argininosuccinate synthetase
Energy requirement- one molecule of ATP goes to AMP, PPi generated and degraded by pyrophosphatase
Aspartate- is generated arises from the transamination of oxaloacetate by glutamate

4) Argine and Fumarate- formed from cleavage of argininosuccinate
Enzyme- argininosuccinate lyase
Fumarate is a citric acid cycle intermediate and thus links the urea and citric acid cycles

5) Urea and Ornithine are formed from cleavage of argine
Enzyme- arginase
-urea is highly soluble, non toxic
-ornithine can re renter the mitochondria and be intermediate in urea cycle

26
Q

Net reaction of 1 urea cycle

A

CO2 + NH4+ + 3ATP + Aspartate +2H2O Urea + 2ADP +1AMP + PPi +Fumarate +2Pi

27
Q

Compartmentation of urea cycle enzymes

A
  • Mitchondria: carbamoylphosphate synthetase, ornithine transcarbamoylase
  • Cytosol: arginosuccinate synthetase, arginosuccinate lyase, arginase
28
Q

Regulation of the urea cycle

A
  • protein free diet- urea excretion accounts for only 60% of the total urinary nitrogen as compared to 80% in a normal diet. Levels of urea cycle enzymes decline
  • high protein diet- or in starvation, gluconeogenesis from amino acids is high, and levels or urea cycle enzymes increase several fold
29
Q

Why urea?

A
  • carries two ammonia groups
  • soluble to up to 10 M
  • non protonable- 10% solution pH 7.2
  • low reactivity (inert)
30
Q

Argininosuccinic aciduria

A
  • ammonia intoxication
  • NH4 and argininosuccinic acid in blood
  • arginosuccinic acid in urine
  • normal intelligence
  • defect in arginosuccinase
31
Q

Hyperammoniema

A
  • ammonia intoxication
  • high NH4 in blood
  • nothing in urine
  • normal intelligence
  • defect in carbamyol phosphate synthase
32
Q

Arginiema

A
  • ammonia intoxication
  • high NH4 and arginine in blood
  • Arg, Lys, Orn in urine
  • normal intelligence
  • defect in arginase
33
Q

Citrullinemia

A
  • ammonia intoxication
  • high NH4 and citrulline in blood
  • citrulline in urine
  • mental retardation
  • defect in argininosuccinate synthetase
34
Q

Hyperornithinemia

A
  • ammonia intoxication
  • high NH4, orotate and ornithine in blood
  • ornithine in urine
  • normal intelligence
  • defect in ornithine transcarbamylase
35
Q

Treatment for errors in urea cycle

A
  • low protein diet supplemented with arginine or citrulline since arginine usually becomes essential to these pateitns
  • also sodium benzoate and sodium phenylacetate which bind up glycine and glutamine in adducts which are excreted in the urine can be helpful
  • serum ammonia is lowered since it must then be used to synthesize more of these nonessential amino acids thereby helping to lower the overall ammonia level