Amino Acid Metabolism Flashcards

1
Q

What is the nitrogen balance?

A

The amount of nitrogen intake + the amount f nitrogen excreetion.

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2
Q

Ketogenic vs glucogenic amino acids

A

Ketogenic amino acids yield endproducts of AcCoA and AcAc.

Glucogenic aminoacids yield pyruvate or a member of the TCA cycle.

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3
Q

Therapeutic transamination in case of hyperammonemia? What is done?

A

Hyperammonemia occurs when nitrogen excretion is impaired.

A keto acid analogs are therapeutically incorporatedto patients.

Acids are then transaminated to formcorresponding amino acid

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4
Q

Pyridoxal phosphate?

A

Functional form of vitamin B6, coenzyme for transamination reactions, bound with schiff base to enzyme

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5
Q

What is glutamines main function?

A

To bind to toxic ammonia and transport it to the kidneys and liver.

Glutamine + H2O –> glutamate + NH3

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6
Q

Explain the major pathway of nitrogen transport following musle proteolysis.

A

I) Proteins get degraded to amino acids , transaminated to mainly alanine and glutamine. To get transported to liver or kidney when conditions of energy needed.

II) Branched chain amino acids –> most important source of fuel

III) Main destination is liver. Ammonia is released by glutaminase and glutamate dehydrogenase.

IV) Some glutamine and alanine is taken up by kidney, ammonia is released and excreted.

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7
Q

Explain the urea cycle?

A

Bicarbonate condenses with ammonia to form bicarbamoyl phosphate.

Bicarbomoyl phosphate reacts with ornithine to form citrulline. Rest of urea cycle happens in cytosol.

Aspartate adds seconds ammonia and citrulline becomes argininosuccinate. Aspartate is excreted as fumarate.

Argininosuccinate is cleaved to form arginine and fumarate.

Arginine is hydrolyzed to form ornithine and urea.

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8
Q

What happens to the fumarate that is excreted from the urea cycle?

A

It can enter mitohondria and be metabolized to oxaloacetate

Oxaloacetate can be converted as
I) aspartate to reenter urea cycle.
II) produce ATP
III) form glucose

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9
Q

Defects of enzymes in urea cycle almost always lead to?

A

Hyperammonemia and mental retardation.

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10
Q

Explain Nonketotic Hyperglycinemia?

A

Deficient glycine cleaving complex

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11
Q

What is tetrahydrofolate and why is it so important?

A

It is the reduced form of folic acid.

It is a cofactor in metabolism of amino acids such as:
Methionine
Histidine
Tryptophan
Serine
Glycine
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12
Q

Phenylketoneuria???

A

I) Missing or deficient phenylalanine hydroxylase leads to genetic disease called phenylketonuria (PKU).

II) Mental retardation caused by elevated levels of phenylalanine, becomes akor donor of amino groupsin aminotransferase activity. And depletes neural tissue of alpha - ketoglutarate.

III) Absence of aketoglutarate in brain –> shuts down TCA cycle and associated rod of aerobic activity which is essentisl for normal brain development.

IV) Presence of phenylacetate in urine imparts mousy odour.

V) If diagnosed early, addition of tyrosine and restriction of phenylalanine an minimize extent of mental retardation.

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13
Q

Major pathway of metabolism of tyrosine?

A

Tyrosine–> p- Hydroxyphenylpyruvate –> homogentisate

Further oxidation leads to acetoacetate and fumarate.

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14
Q

Minor pathway of tyrosine metabolism?

A

Tyrosine –> DOPA –> Dopamine –> Norepinephrine –> Epinephrine

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15
Q

Tyrosinemia, explain?

A

Deficiency of tyrosine aminotransferase –> accumulation and excretion of tyrosine METABOLITES, no metabolites formed.

Symptoms: mental retardation, liver failure etc

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16
Q

Alcaptonuria, explain?

A

Deficiency of homogentisate oxidase.

Patients excrete ingested tyrosine as homogentisic acid in their urine!

17
Q

What enzyme oxidizes tyrosine to form melanine?

A

Tyrosinase

18
Q

Homocysteineuria??

A

Deficency of cystathionine b-synthase

Symptoms:
Dislocated lenses
Mental redardation
Osteoporosis

19
Q

Tryptophan metabolism gives to other important amino acids, which are they?

A

Tryptophan –> Serotonin –> Melatonin

20
Q

What is serotonins main function?

A

Brain: regulation of sleep, mood, apetite, neurotransmittor
Plateletes: platelete aggregation, vasoconstriction
Muscles: contraction

21
Q

Drugs affecting serotonin are used to treat?

A
Depression
   Serotonin selective reuptake inhibitors
Migraine
Schizophrenia
Obsessive cumpolsury disorder
22
Q

L- Tryptophan supplement caused?

A

Eosinophilia Myalgia Syndrome (EMS)

Muscle joint pain
Weakness
Swelling of arms and legs
Fever

Also some deaths, traced to gave inpurities

23
Q

Functions of melatonin?

A

NT, causes contraction of smooth muscle in arterioles and bronchioles

Sleep inducing molecule, involved in circadian rythm.

24
Q

Defect of metabolism of branched chain amino acids and symptoms?

A

Defect in aminotransferases and branched chain amino acid dehydrogenase.

Leads to Mental retardation, keto acidosis and short life span.

25
Q

Function of glutathione?

A
I) It is a reductant
II) makes drugs more soluable
III) transports amino acids across membranes
IV) cofactor in some enzymatic reactions
V) Rearrangement in disulfide bonds
VI) Stabilizes erythrocyte membranes