Biochemistry II Flashcards

1
Q

What are some inborn errors of fructose and galactose metabolism?

A
  • Classical galactosemia
  • Essential fructosuria
  • Hereditary fructose intolerance (type 2)
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2
Q

What is classical galactosemia?

A

Defect: deficiency of Gal-1-phosphate uridylyl transferase leads to galactose accumulation in the body

  • *Symptoms and signs:**
  • Aversion to milk
  • failure to thrive
  • hepatomegaly
  • cataracts
  • mental retardation
  • hypoglycemia
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3
Q

What is the mechanism of classical galactosemia?

A
  • accumulation of Galactose-1-phosphate in liver and galactose in blood and all tissues
  • high Gal-1-P in liver leads to liver damage
  • high galactose –> accumulation of galactitol in lens of eye and brain, which lead to cataracts and mental retardation
    galactose ==> Galactitol
    (Enzyme: aldose reductase)
    (NADPH –> NADP)
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4
Q

Why is neonatal screening done for classical galactosemia?

A

Detecting the disorder early allows for elimination of all dietary galactose and prevents the development of more serious complications

  • it is thought that the majority of mental retardation occurs in the womb
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5
Q

Where does fructose enter glycolysis?

A
  • After* control point, PFK-1, as Dihydroxy Acetone Phosphate (DHAP) and Glyceraldehyde-3-Phosphate (G3P)
  • this is so it can rapidly produce lactate and/or fatty acids
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6
Q

Where is fructose metabolized?

A

Mostly in the Liver

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7
Q

What are the reactions that allow fructose to enter glycolysis?

A
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8
Q

What happens to fructose in tissues other than the liver?

A

It is phosphorylated to Fructose-6-kinase by hexokinase, then enters glycolysis

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9
Q

How is glucose converted into fructose?

A

Glucose ==> Sorbitol
(Enzyme: Aldose Reductase)
(NADPH –> NADP)

Sorbitol ==> Fructose
(Enzyme: Sorbitol Dehydrogenase)
(NAD –> NADH)

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10
Q

How does Glycerol enter glycolysis?

A

Glycerol ==> Glycerol-3-P
(Enzyme: Glycerol Kinase)
(ATP –> ADP)

Glycerol-3-P ==> Dihydroxy Acetone Phosphate
(Enzyme: Glycerol-3-P dehydrogenase)
(NAD –> NADH)

(Also part of the glycerol phosphate shuttle)

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11
Q

How is galactose metabolized?

A
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12
Q

How do people with lactose intolerance acquire galactose?

A

UDP-glucose is made from Glucose-1-P by UDP-glucose pyrophosphorylase

UDP-Glucose is then made into UDP-Galactose by epimerase

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13
Q

Why is galactose necessary for life?

A

UDP-galactose is needed for glycoprotein and proteoglycan synthesis

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14
Q

Why does a build up of galactitol lead to?

A

In Classical galactosemia, galactose is not metabolized and is then converted to galactitol

  • galactitol accumulates in cells, increasing their osmotic pressure and promoting cell swelling
  • cell swelling leads to damage of nerves, lenses of the eye, and liver cells
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15
Q

What is Essential Fructosuria?

A

-Defect: hepatic fructokinase (fructose cannot be made into fructose-1-P)

  • Symptoms: Fructosemia
    Fructosuria after fructose injection

Benign condition

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16
Q

What is Hereditary Fructose Intolerance (Type 2)?

A

-Defect: Hepatic Aldolase B with greater affinity for Fructose-1-P cleavage than F-1,6-BP, but will not cleave F-1-P and will not release it from active site

-Symptoms: get sick when ingest fructose
fasting hypoglycemia
hepatomegaly
failure to thrive

Note: Doesn’t seem to be an issue with breast milk

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17
Q

Why does Hereditary fructose interolerance (Type 2) cause hypoglycemia while fasting?

A
  • Fructose-1-P is a competitive inhibitor of phosphorylase and aldolase
  • cells continue to make an accumulation of F1P during fasting which causes depletion of Pi and ATP
  • Pi is a substrate for glycogen phosphorylase, therefore, glycogen stores cannot be used to get free glucose
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18
Q

Fill in the blank

A
  1. 2 NADP+
  2. 2 NADPH
  3. Ribulose-5-Phosphate
  4. Xylulose-5-Phosphate
  5. Ribose-5-Phosphate
  6. Nucleotide synthesis
  7. CO2
    8, 9, 10. Fatty Acid Synthesis
    Glutathione Reduction
    Other rxns such as detox
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19
Q

PPP Oxidative rxns
Fill in the blank

A
  1. Glucose-6-P
  2. NADP –> NADPH
  3. 6-Phosphogluconolactone
  4. H20 –> H+
  5. 6-Phosphogluconate
  6. NADP –> NADPH
  7. Ribulose-5-phosphate
  8. CO2
  9. Glucose-6-Phosphate dehydrogenase
  10. Lactonase
  11. 6-Phosphogluconate dehydrogenase
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20
Q

What is the overall reaction of PPP oxidative reactions

A

Glucose-6-phosphate + 2 NADP + H20 ==>
Ribose-5-phosphate+ 2 NADPH + 1 H+ +CO2

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21
Q

What is the flow of the PPP when more Ribose-5-Phosphate than NADPH is needed?

A
  • Oxidative phase is off
  • only glycolysis and non-oxidative phase rxns are necessary
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22
Q

What is the flow of the PPP when both NADPH and Ribose-5-Phosphate are required?

A
  • Only oxidative phase is used
  • Isomerase converts Ribulose-5-P to Ribose-5-P
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23
Q

What is the flow of the PPP when more NADPH than Ribose-5-Phosphate is needed?

A
  • Both oxidative and non-oxidative rxns are required
  • Ribose-5-P is converted back to G3P by non-oxidative and glycolysis rxns
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24
Q

What is the flow of the PPP when both NADPH and pyruvate are required?

A
  • Both oxidative and non-oxidative rxns are required
  • G3P is further converted to Pyruvate through glycoslysis
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25
What is the importance of the PPP?
- Produces NADPH for reductions - Produces pentoses for nucleotide synthesis
26
What are the pathways requiring NADPH?
**Synthesis:** Fatty acid biosynthesis Fatty acid chain elongation Cholesterol biosynthesis Neurotransmitter biosynthesis Nucleotide biosynthesis Superoxide synthesis **Detoxification:** Reduction of oxidized glutathione Cytochrome P450 monooxygenases
27
Why is NADPH more effective for reductions?
Intracellular ratio of NADPH/NADP+ \>\> NADH/NAD+
28
What is a blood indicator of free radical damage? Why?
Malondialdehyde in blood - Free radicals extract hydrogen atoms from lipid to form lipid radicals - reaction with O2 propagates radical chain rxn and forms lipid peroxy radical and lipid peroxide - electron rearrangements result in lipid degredation
29
What dietary chemicals can terminate free radical chain reactions?
Antioxidants i.e. vitamin E
30
What is the main biological defense against ROSs?
Glutathione - Glutathione with free sulfhydryl group - Reduces hydrogen peroxide and lipid peroxides by formation of disulfide GSH + GSH ==\> GSSG (Enzyme: Glutathione peroxidase) (H2O2 --\> 2H2O)
31
What is the mechanism that makes Glucose-6-Phosphate Dehydrogenase Deficiency harmful?
Glucose-6-Phosphate Dehydrogenase allows for the oxidative reactions of the PPP to produce NADPH -NADPH is necessary for Glutathione defenses against ROS damage - Without G6P Dehydrogenase, cells are vulnerable to ROSs
32
What is Glucose-6-Phosphate Dehydrogenase Deficiency?
- X-linked enzymopathy affects males Affected males usually have 10% normal enzyme activity, sufficient to handle normal oxidative stress - Crisis occurswhen cells are assaulted by high levels of oxidants (i.e. antimalarials) - RBCs are most susceptible because they cannot repair oxidative damage by replacement of lipids, proteins, etc.
33
What are Heinz bodies?
Occur in erythrocytes of G6P deficient people after drug exposure - they are particles of denatured hemoglobin that has become crosslinked, adhering to the RBC membrane visible when stained with basic dyes
34
How can a drug deplete NADPH?
In a normal individual, NADPH depletion is fast, but so is the G6P dehydrogenase rxn In a G6P dehydrogenase deficient individual, NADPH depletion is just as fast, but they are unable to produce NADPH to keep up with the depletion **G6P Dehydrogenase rxn is too slow**
35
What are the three energy systems of Muscles?
1. **Immediate**: "Phosphagens" (ATP and creatine-P) 2. **Short Term**: Anaerobic glycolysis 3. **Long Term**: Aerobic - Aerobic glycolysis - fatty acid oxidation - The 3 systems are used in overlapping sequence
36
Why are RBCs more suscleptible to Glucose-6-Phosphate dehydrogenase Deficiency?
Because they do not have the ability to replace and repair affected structures (lipids, proteins, etc) and, thus, cannot otherwise repair oxidative damage
37
How can thiamine deficiency affect the PPP?
Transketolase is dependent on thiamine pyrophosphate as a cofactor Reactions in PPP: **Glyceraldehyde-3-P + Sedoheptulose-7-P ==\> Fructose-6-P + Erythose-4-P** **Erythose-4-P + Xylu****lose-5-P ==\> Fructose-6-P + Glyceraldehyde-3-P**
38
What allows aerobic metabolism to take over long term exercise?
Increased blood flow
39
What are the approximate time scales of each muscle energy system?
**Phosphagens:** ~10s **Anaerobic:** ~2min **Aerobic:** ~2hrs
40
Which energy system is able to produce the most ATPs per sec? Why?
Phosphagen system: Creatine Phosphate contains a high energy bond that can easily be given to ADP or AMP: ADP + phosphocreatine ==\> ATP + creatine Allows for quick production of ATP until phosphocreatine is exhausted
41
Why was it previously believed that Phosphocreatine and glycogen was not used in moderate exercise?
When measured, PCr and Glycogen stores remain consistent through exercise - no *net* loss was observed When in actuality, PCr and Glycogen stores are restored between muscle twitches - net loss is only observed during intense exercise because there is not enough time between twitches to restore levels
42
What are key regulatory steps of metabolism OUTSIDE of the mitochondrial matrix?
GLUT-4 Transporters Hexokinase PFK-1 Glycogen phosphorylase Carnitine Palmityl Transferase I (CPTI)
43
How is GLUT-4 Regulated?
- Activated by insulin and/or exercise - Activated by AMP (via AMP-PK) More GLUT-4 transporters are transported to the cell surface to allow more glucose into the cell
44
How is hexokinase regulated?
Through Feedback Inhibition: Limits drain on blood glucose when using glycogen Hexokinase is inhibited by it's product, Glucose-6-P Lack of inhibition can result in depleted phosphate stores, while lack of activation by substrate allows unphosphorylated glucose to leave the cell
45
How is Glycogen degredation regulated?
- Activated by AMP (Allosterically), epinephrine, Ca2+ **Epinephrine** activates Adenylate cyclase **Ca2+ and Ca2+-calmodulin** help push the reaction of Phosphorylase kinase A (inactive) to Phosphorylated Phosphorylase kinase (active) **AMP** helps push the reaction of Phosphorylase B (inactive) to Phosphorylated Phosphorylase B (active) (which breaks down glycogen)
46
How is PFK-1 Regulated?
- Activated by insulin, F-2,6-BP, and AMP (allosterically) - Inhibited by citrate, and ATP
47
How is Carnitine Polmityl Transferase I (CPT-1) regulated?
It is blocked by malonyl-CoA -Acetyl CoA Carboxylase-2 (ACC-2) synthesizes MCoA from Acetyl-CoA and CO2 (inhibited by AMP-PK) - Malonyl CoA Decarboxylase decarboxylates MCoA to AcCoA (Activated by AMP-PK)
48
What regulation is directly or indirectly activated by AMP?
Glucose transport into cell Glycolysis Glycogenolysis FA transport into Mitochondria
49
What points of ATP production are controled by NAD+?
Pyruvate -\> AcCoA +CO2 TCA Cycle Beta-oxidation of FA
50
What is respiratory control?
The process in which ADP controls the rate of oxphos, and the rate in which O2 is used in the cell and ATP produced
51
What are three major proteins found in connective tissue?
Collagen Elastin Laminin
52
What is elastin?
A major protein found in elastic fibers in the ECM of connective tissue of smooth muscle cells, endothelial and microvascular cells, chondrocytes, and fibroblasts Allow tissues to expand and contract particularly important for blood vessels
53
What is laminin?
After Type IV collagen, most abundant protein in basal laminae provides additional structural support for tissues Able to bind Type IV collagen to other molecules present in ECM
54
What are the major proteins present in connective tissue? What is their purpose?
**Collagen**: tensile strength of tissue (resist tearing) **Proteoglycan**: Resilliency of tissues **Elastic Fibers:** Elasticity of tissues **Laminin**: Structural support of basal lamina
55
What is the general structure of collagen?
- All types contain 3 long polypeptide chains with at least one strech wound together to form a triple-helix General sequence: **GLY-X-Y (X usually Pro, Y usually hydroxyproline or hydroxylysine)** - Right handed collagen super helix is formed by intertwining three, left-handed helical strands - collagens are glycoproteins, but the amount of carbohydrate is variable
56
What is the formula for chain designation of collagens?
Col(collagen type)alpha(chain type) i.e. three-chain a2b structure that makes up Type I collagen = [Col(I)alpha1]2Col(I)alpha2
57
What is Type I collagen?
Accounts for 90% of total body collagen and occurs in skin, bone, tendons, cornea, soft tissues, and scars. Has the least carbohydrate a2b = [Col(I)alpha1]2Col(I)alpha2
58
What can defects in Type I collagen cause?
Osteogenesis imperfecta
59
What is Type II collagen?
Occurs in cartilage (made by chondrocytes) and vitreous humor 10% carbohydrate c3 = [Col(II)alpha1]3
(homotrimer)
60
What is Type III collagen?
Occurs mainly in blood vessel walls, other hollow organs, and fetal skin (also scars and adult soft tissue) Contains disulfide bridges between chains d3 = [Col(III)alpha1]3 (homotrimer)
61
What can defects in Type III collagen cause?
Ehlers-Danlos type 4 - aortic rupture, GI tract, pregnancy problems - skin fragility, poor wound healing --\> surgical issues
62
What is Type IV collagen?
Collagen of basement membranes has disulfide bridges and has highest carbohydrate content non-fibrillar type, interruptions of the triple helix due to highest content of carbohydrate Mesh forming collagen All homotrimers w/different subunits (subunits 1-5): [Col(IV)alpha(1-5)]3
63
How are the chemical bonds oriented in a collagen triple helix?
H-bonds occur between each Gly-N-H and the C=O of the succeeding X residue on neighboring chain Hydroxylation of Y residues give a polar outside surface to stabilize overal structure with H-bonds to H2O Every 3rd residue must be Gly since there is no room near the helix axis for the side chain of ANY other AA
64
What is the structure of Procollagen?
Procollagen is formed from preprocollagen after removal of signal peptides in the ER _3 Domains of procollagen_: 1. Globular (N and C terminal) 2. Triple Helical 3. Non-triple helical Aminoprocollagen peptidase cleaves at the non-triple-helical domain near the N terminal Carboxylprocollagen peptidase cleaves the non-triple-helical domain near the C terminal
65
Describe the steps of collagen synthesis
1. Polypeptide chains of preprocollagen are synthesized on the rER and the signal (pre) sequence is cleaved 2. Proline and lysine residues are hydroxylated by a rxn that requires O2 (activated by Fe2+) and Vitamin C 3. Galactose and glucose are added to hydroxylysine residues (addition of carbohydrates) 4. Triple helix forms, and procollagen is secreted from the cell and cleaved to form collagen 5. Cross-links are produced.
66
What happens biochemically during scurvy?
With a lack of Vitamin C, Hydroxylation of collagen is not possible, leading to: Loss of Strength easy bruising and petechiae bad breath gum disease loss of teeth poor wound healing
67
What occurs biochemically during Copper deficiency?
Lysyl Oxidase is unable to work and patient presents with tissue dysfunction Lysyl oxidase converts lysine residues to aldehydes, allowing for intermolecular cross-link reactions to occur in collagen Fibers are unable to fit together in ECM
68
What is the general presentation of Ehlers-Danlos sydrome?
A heterogenous group of connective tissue disorders major manifestations are: skin fragility skin hyperextensibility joint hypermobility
69
What is the collagen defect and clinical manifestation of Ehlers-Danlos IV?
**Defect:** Decrease in Type III collagen **Manifestation:** Arterial, intestinal or uterine rupture thin, translucent, **easily bruised skin** This is because Type III collagen is often found in blood vessels and the GI tract
70
What is the collagen defect and clinical manifestation of Ehlers-Danlos VI?
``` **Defect:** Decreased hydroxylysine (deficiency of lysyl hydroxylase) ``` **Manifestation:** **Hyperextensible skin** and joints poor wound healing This is because hydroxylation of lysine allows for stabilization of collagen with H2O Hbonds
71
What is the collagen defect and clinical manifestation of Ehlers-Danlos VII?
**Defect:** N-terminal propetide not cleaved **Manifestations:** **Joint hypermobility** easily bruised skin hip dislocations Lack of procollagen cleavage prevents collagen from maturing and leaves globular regions of collagen intact
72
What are the collagen defect and clinical manifestations of Osteogenesis Imperfecta Type I?
**Defect:** Autosomal dominant defect causing Decreased synthesis of Type I collagen **Manifestations:** Blue sclera long bone multiple fractures prior to puberty Type I collagen is prevalent in bone formation and is 90% of total body collagen
73
## Footnote What are the collagen defect and clinical manifestations of Osteogenesis Imperfecta Type II?
**Defect:** Point mutations and exon rearrangements; defects in Type I collagen (Autosomal dominant) **Manifestations:** Perinatal lethality malformed and soft, fragile bones Dark sclera absent calvarial (skull) mineralization
74
What are proteoglycans?
Highly osmotically active extracellular polymers with gel-like properties taht protect cells and provide tissues with **mechanical resiliency** Associated with collagen in ECM Specific properties depend on type and amount of Glycosaminoglycans (GAGs) in structure Proteo = protein cores (many per single giant molecule) glycan = carbohydrate chains (glycosaminoglycans)
75
What are some common Glycosaminoglycans?
**Hyaluronate** **Chondroitin-6-sulfate** **Dermatan Sulfate** **Keratan Sulfate** **Heparin**
76
What is the cause of Hurler Syndrome?
- Autosomal Recessive disorder caused by deficiency of alpha-L-Iduronidase ==\> inability to degrate proteoglycans - Results in abnormal intra-lysosomal accumulation of dermatan and heparan sulfate ==\> cell death, organ dysfunction - Osmotically active polymers accumulate in tissues: neuronal involvement leads to delays and retardation hydrocephalus resulting from meningeal involvement etc. Diagnosis at 6-24 Months. Need to demonstrate enzyme deficiency in cultured fibroblasts from patient - Palliative care
77
What are symptoms of Hurler syndrome?
- Characterized by: Developmental delays mental retardation coarse facial features with macroglossia skeletal abnormalties organomegaly CV disease; valvular dysfunction joint stiffness hydrocephalus corneal clouding umbilical and inguinal hernias