CC GNE Flashcards
ultimate end product of protein
AMINO ACID
Basic structure of an amino acid
amino group
R group
carboxyl group
hydrogen
carbon- central part
enzymes that are responsible for digestion of protein
pepsin
trypsin
What is DEAMINATIOM
enzyme for deaminatiom
where do deamination happens
Deamination is the removal of amino group
DEAMINASE
kidneys and liver
WHAT IS TRANSAMINATION
removal of amino group but will be transferred to a keto acid
these are amino acids that can be converted into glucose
glucogenic amino acid
examples of glucogenic AA and its deaminated form
alanine- pyrivate
arginine- a ketoglutarate
aspartate- oxaloacetate
amino acids that generates ketone bodies
ketogenic AA
what do ketone bodies degrade
acetyl-coA
example of ketogenic AA
leucine
lysine
differentiate essential AA from non-essential AA
essential- come from food
non-essential- naturally made by body
NAME THE ESSENTIAL AMINO ACIDS
PVTTIMHALL
fasting for AA
6-8 hrs
best anticoag for plasma (AA)
Heparin
AA- if analysis cannot be done store in
-20- x- 40
Urine is used to (quantify/qualify) level of amino acids?
sample should be collected for
preservative
quantify
24 hrs
thymol
what happens when WBCs are elevated
affects AA determination (aspartic, glitamic)
absence of phenylalanine hydroxylase
PHENYLKETONURIA
what do PAH convert
phenylalanine to tyrosine
a drug used to manage PKI
Kuvan
semi quantitaive test to determine level of phenylalanine
Guthrie
used to quantify conc of phenylalanine
HPLC
inhibits break down of tyrosine
tyrosinemia
metabolite of tyrosine
succinylacetone
Patient has microcephaly and has musty odor urine
Phenylketonuria
Most severe.
Urine is cabbage like
Low levels of Fumarylacetoacetate Hydrolase
Type 1 Tyrosinemia
deficiency in tyrosine aminotransferase
Type 2 Tyrosinemia
Most rare.
Mainly found in liver
Type 3 Tyrosinemia
Urine turns brownish black when exposed to air
Alkaptonuria
absence of a-ketoacid dehydrogenase
MSUD
burnt sugar odor in urine,breathe and skin
MSUD
sweaty feet urine odor
ISOVALERIC ANEMIA
enzyme required for breaking down of branced AA
a-ketoacid dehydrogenase
enzyme involved in the conversion of methionine to cysteine
elevated levels of methionine and cysteine in blood and urine
cross eyed
Homocystinuria
most common form of citrullinemia
ASS deficiency
Type 1
baby won’t breastfeed
baby vomits
seizure
type 1 citrullinemia
rare type of citrullinemia
japanese people
type 2
defect in the AA transport system
formation of kidney stones
cystinuria
small precursors to large molecules
anabolic pathway
3 STAGES OF CATABOLIC PATHWAY
DIGESTION
ENERGY RELEASE
ENERGY STORAGE
hormones that promote building up of larger molecules
anabolic hormone
higher intake, lower elimination
positive nitrogen balance
lower intake, higher elimination
negative nitrogen balance
Where do digestion starts
stomach
summary of protein digestion
stomach -pancreas- small intestine- liver
what will be the net charge if the ph is greater than isoelectric point
if the ph is lower than ip
greater- negative
lesser- positive
level of protein on edematous people
low level
2 plasma proteins
albumin
globulin
long term monitoring of glucose
HbA1c
ascending concentration of major plasma protein
pre al
albumin
a1
a2
hapto
transferrin
storage of oxygen
myoglobin
cardiac marker
myoglobin
myoglobin increase on AMI within ____ onset and reaches peak level in ______ hours
2-3
8-12
gold standard for acute coronary syndrome
Cardiac troponin
level of cTnT that can kndicate myocardial damage
0.1 mg/L
adhesive glycoproteins
fibronectin
used to predict short term risk of premature delivery
fetal fibronectin
accurate marker of CSF leakage
b-trance protein
marker for bone resorption
cross linked C-telopeptide
marker for GFR
cystatin C
differentiates alzheimers from diff forms of dementia
amyloid
test for urine proteins
TCA
SSA
positive result for urine proteins
precipitate
reference range for urinary protein
10-250 mg/24 hrs
reference values for CSF protein
15-45 mg/dL
csf albumin serum albumin ratio
<2.7- 7.3
Patient has CSF protein of 10 mg/dL. What possible conditions are associated
hyperthyroidism
test used in total nitrogen analysis
chemiluminescence
in salt fractionation, what is the supernatant
albumin
reference for total protein in ambulatory and recumbent
6.5-8.3
6.0-7.8
test to quantify CHON
Kjedahl
widely used for protein analysis
Biuret
presence of 2 polypeptide in biuret method give what color
violet colored chelate