Amino Acid Metabolism Flashcards
How can carbon skeletons from aa enter TCA cycle (as which intermediates)?
- acetyl coA
- alpha-ketoglutarate
- succinyl coA
- fumarate
- OAA
- pyruvate
what is FH4?
tetrahydrofolate
what is BH4?
tetrahydrobiopterin
what is PLP?
pyridoxyl phosphate - B6
what is the only organ to have all enzymes for aa synthesis and breakdown?
liver
glucogenic vs. ketogenic
glucogenic: contribute to blood glucose levels
ketogenic: does not
what aa’s are purely ketogenic?
Leu
Lys
what aa’s are both ketogenic and glucogenic?
Ile Thr Phe Tyr Trp
what aa’s are purely glucogenic?
everything except Lue, Lys, Ile, Thr, Phe, Tyr, Trp
fates of L,V,I,A,Q,D
L: ketogenic V: glucogenic I: both A: glucogenic Q: glucogenic D: glucogenic
which central pathways are aa carbons converted to intermediates of?
- glycolytic pathways
- TCA
- lipid metabolism
what is the first step of aa metabolism?
transamination - transfer alpha amino group to a-KG or OAA, providing Glu and Asp (N for urea cycle)
which aa cannot undergo transamination?
Lys
ketogenic products of ketogenic aa’s?
acetyl coA -> Thr, Lys, Ile, Trp
HMG-coA -> Leu
acetoacetate -> Phe, Tyr
how do all of the ketogenic products of aa’s contribute to ketone body synthesis (pathway)?
acetyl coA + acetoacetyl coA -> HMG-coA -> acetoacetate (ketone bodies)
treatment for ALL
asparaginase - reduce serum Asn (leukemia cells require exogenous Asn)
how to reduce allergic rxn in leukemia patients treated with asparaginase?
put the enzyme in RBCs -> less allergic rxn
what aa’s can enter metabolism as pyruvate?
Ala
Ser
Cys
besides pyruvate, what is Cys also turned into?
taurine - bile salts
addition of a hydroxymethyl group to glycine forms?
serine
what intermediate can Thr be turned into that can subsequently be transformed into pyruvate?
aminoacetone
what enzyme converts Gly Ser?
serine hydroxymethyl transferase
what cofactor does serine hydroxynethyl transferase require?
PLP
ways to convert Gly -> glyoxylate
glyoxylate transaminase: reversible
D-aa oxidase: non-reversible
what else does the Gly -> glyoxylate D-aa oxidase rxn form?
H2O2 and NH4+
why is glyoxylate clinically relevant?
it can form kidney stones if lacking glyoxylate transaminase = oxaluria type I
what is glyoxylate normally transformed into?
oxalate and alpha-hydroxy-beta-ketoadipate (requires TPP)
what are citrate and EDTA used for in blood collection tubes?
anti-coagulants b/c they can chelate divalent cations
what three aa’s can be formed from 3-phosphoglycerate?
serine, cysteine, glycine
rxns to take 3-phosphoglycerate -> serine
- oxidation -> 3-phosphoglycerate DH (makes NADH)
- transamination from Glu
- hydrolysis
how is Gly made from Ser?
serine hydroxymethyltransferase -> side chain methylene group of Ser transferred to TH4 to form Gly
how is Cys made from Ser?
- homoCys + Ser -> cystathionine (cystathionine B-synthase)
- cystathionine -> a-KG and Cys (deaminated, cleaved by cystathionase/cystathionine lyase)
where do the parts of Cys come from?
carbons from Ser
sulfur from homoCys
what do defects in cystathionine B-synthase cause?
homocystinuria
why is homocystinuria bad?
- increased risk for CHD, arteriosclerosis
- dislocation of eye lens
- damages cells lining blood vessels
- raises oxidative stress
treatment for homocystinuria?
PLP (B6) - some mutations respond to this, but only if enzyme is deficient, not completely gone