CH 39 Flashcards

1
Q

what is the quintessential coenzyme of aa metabolism

A

pyridoxal phosphat (derived from vit B6)

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2
Q

what is pyridoxal phosphate involved in in aa degradation and synthesis

A

removal of amino groups through transamination rxns and donation of amino groups

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3
Q

what else is pyridoxal phosphate involved in

A

rxns that involve carbon skeleton of aas

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4
Q

what coenzyme is used to transfer one-carbon groups at various oxidation states

A

Tetrahyrdofolate (FH4)

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5
Q

what aas does FH4 help degrade

A

serine and histidine

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6
Q

what aas does FH4 help synthesize

A

glycine

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7
Q

what is the cofactor required for ring hydroxylation rxns…in what aas

A

Tetrahydrobiopterin (BH4); phenylalanine to tyrosine

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8
Q

how many of the 20 common aas can be synthesized in the body

A

11-most are aas used for synthesis of additional nitrogen-containing cmpds

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9
Q

what is glycine used as a substate for

A

porphyrin and purine synthesis

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10
Q

what is glutamate used as a substrate for

A

neurotransmitter and purine synthesis

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11
Q

What is aspartate used a substrate for

A

purine and pyrimidine synthesis

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12
Q

what can 9 of the 11 nonessential aas be synthesized from

A

glucose plus a source of nitrogen (like another aa or ammonia)

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13
Q

what do 2 of the 11 nonessential aas require for synthesis and what are they

A

tyrosine and cysteine require another nonessential aa for synthesis (phenylalanine and methionone respectively)

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14
Q

what 4 aas are produced from glucose via glycolytic pathways components

A

serine, glycine, cysteine, and alanine

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15
Q

what provides components for other 6 glucose dependent nonessential aas

A

TCA cycle intermediates

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16
Q

what is alpha-Ketoglutarate the precursor for

A

glutamate, glutamine, proline, and arginine

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17
Q

what is oxaloacetate the precursor for

A

aspartate and asparagine

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18
Q

what can almost every aa be degraded to when used as a fuel source

A

NADH, an electron source for oxidative phosphorylation

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19
Q

what occurs in the liver during fasting

A

aa carbon skeletons produce glucose, ketone bodies, and CO2

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20
Q

what occurs in liver during fed state

A

convert intermediates of aa metabolism to glycogen and triacylglycerols

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21
Q

when are aas considered glucogenic

A

if carbon skeletons can be converted to precursor of glucose

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22
Q

when are aas considered ketogenic

A

if carbon skeletons can be converted directly to acetyl CoA or acetoacetate

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23
Q

what do aas synthesized from glycilysis intermediates produce when degraded

A

pyruvate

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24
Q

what occurs to aas synthesized by TCA cycle intermediates when degraded

A

reconverted back to the same intermediates

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25
Q

how is histidine degraded

A

converted to glutamate then to TCA intermediate alpha-ketoglutarate

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26
Q

what do methionine, threonone, valine, and isoleucine form when degraded

A

succinyl CoA

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27
Q

What do phenylalanine (thus tyrosine as well) form when degraded

A

fumarate

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28
Q

glucogenic and ketogenic aas that form glucose plus acetyl CoA

A

tryptophan, isoleucine, threonine

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29
Q

glucogenic and ketogenic aas that form glucose plus acetoacetate

A

phenylalanine and tyrosine

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30
Q

what two essential aas are only ketogenic

A

lysine and leucine (only produce acetoacetate and acetyl-CoA)

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31
Q

guthrie bacterial inhibition assay

A

spores of Bacillus subtilis plated with B2-thienylalanine (inhibitor of growth); blood sample placed in plate…if phenylalanine >2-4 mg/dL bacterial growth will occur

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32
Q

3 important cofactors in aa metabolism

A

pyridoxal phosphate, tetrahydrofolate (FH4), tetrehydrobiopterin (BH4)

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33
Q

what is serine synthesized from

A

3-phosphoglycerate; serine goes on to produce glycine and cysteine

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34
Q

what is alanine synthesized from

A

transamination of pyruvate

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35
Q

Step 1 of serine synthesis from glucose

A

3-phosphoglycerate is oxidized to a 2-keto cmpd (3-phosphohydroxypyruvate)

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36
Q

Step 2 of serine synthesis from glucose

A

3-phosphohydroxypyruvate is tranaminated to form phosphoserine

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37
Q

Step 3 in serine synthesis from glucose

A

phosphoserine phosphatase removes the phosphate fomring serine

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38
Q

where are the major sites of synthesis for serine

A

liver and kidney

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39
Q

what is serine generally degraded to by transamination

A

hydroxypyruvate, followed by reduction and phosphorylation to form 2-phosphoglycerate (intermediate of glycolysis)

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40
Q

what can glycine be synthesized from

A

serine, minorly threonine

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41
Q

medically importantt conversion of glycine

A

to glyoxylate by enzyme D-amino acid oxidase

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42
Q

what can occur to glyoxylate once formed

A

oxidized to oxalate, which is sparingly soluble and tend to precipitate in kidneys

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43
Q

what precent of axalate formation in liver comes from glycine metabolism

A

40.00%

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44
Q

primary oxaluria type 1 (PH 1)

A

lack of transaminase that can convert glyoxylate to glycine; causes renal failure

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45
Q

what does glycine cleavage enzyme create from glycine

A

CO2, ammonia, and a carbon that is donated to FH4

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46
Q

cysteine synthesis

A

carbons and nitrogen from serine and sulfur from methionine

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47
Q

Step 1 of cysteine synthesis

A

serine reacts with homocysteine (produced from methionine) to form cystathionine

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48
Q

what is step 1 of cysteine synthesis catalyzed by

A

Beta-synthase

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49
Q

Step 2 of cysteine sythesis

A

cleavage of cystathionine via cystathionase produces cysteine and alpha-ketobutyrate

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50
Q

what does alpha-ketobutyrate break down into

A

succinyl CoA via propionyl CoA

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51
Q

What do cystathionine B-synthase and cystathionase require

A

pyridoxal phosphate (PLP)

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52
Q

how does cysteine regulate its own production

A

inhibits cystathionine B-synthase; helps adjust form dietary cysteine

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53
Q

when does cysteine become an essential aa

A

when methionine supply inadequate; excess dietary custeine ‘spares’ methionine

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54
Q

what is cysteine degraded into

A

notrogen converted to urea, carbons to pyruvate, sulfur to sulfate

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55
Q

what are the 2 fates of sulfate

A

in aqueous soln, basically makes sulfuric acid; used to generate PAPS

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56
Q

What is PAPS

A

3’-phosphoadenosine 5’-phosphosulfate; used as a sulfate donor in modifying carbs or aas in various structures (like GAGs)

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57
Q

major degrative route of methionine, homocystein, and cysteine

A

methionine to homocysteine to cysteine; only route for homocysteine degradation

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58
Q

what occurs if there is a vit B6 deficiency or congenital cystathionine B-synthase deficiency

A

homocystinemia since homocysteine only has one degradative route; associated with Cardiovascular disease

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59
Q

what is the medical effect of cystathiouria

A

benign disorder; common in remature infants

60
Q

cystinuria

A

defect in transport protein of intestinal epithelial cells; allows resorption of aas affected by renal cells, but cysteine in not very soluble and forms renal caniculi aka stones

61
Q

cystinosis

A

defective carrier that normally transports cysteine across lysosomal membrane; forms crystals causing renal failure by6-12 years old

62
Q

how is alanine produced

A

from pyruvate via transamination rxn catalyzed by alanine aminotransferase (ALT); reversible rxn

63
Q

why is alanone the major gluconeogenic aa

A

produced in many tissue to transport nitrogen to liver

64
Q

how is glutamate formed

A

alpha-ketoglutarate via transamination or glutamate dehydrogenase rxn; both reversible

65
Q

how can glutamete form glucose in liver

A

alpha-ketoglutarate forms malate, which produces glucose via gluconeogenesis

66
Q

glutamate is made in synthesizing what other aas

A

glutamine, proline, ornithine, and arginine

67
Q

what other important molecules does glutamate produce

A

glutamyl moiety of glutathione; an important antioxidant

68
Q

glutamine formation

A

from glutamate by glutamine synthetase-ads NH4+ to carboxyl group of the side chain forming an amide

69
Q

what 3 human enzymes can fix free ammonia

A

glutamine synthase, glutamate dehydrogenase, and carbamoyl phosphate synthetase I

70
Q

what is glutamine reconverted to glutamate by

A

glutaminase; important in kidneys-ammonia produced wnters urine and can be used to excrete metabolic aids

71
Q

what is the relationship btwn homocysteine and homocystine

A

homocystine is 2 homocysteines with a di-sulfide bond

72
Q

proline synthesis step 1

A

glutamate phosphorylated

73
Q

proline synthesis step 2

A

converted to glutamate 5-semialdehyde by reduction of the side-chain carboxyl group to an aldehyde

74
Q

proline synthesis step 3

A

semialdhyde spontaneously cyclizes

75
Q

proline synthesis step 4

A

cyclic cmpd reduced to form proline

76
Q

when is hydroxyproline formed

A

when proline is incorporated into collagen by prolyl hydroxylase system

77
Q

proline degradation

A

converted back to glutamate semialdehyde, which is oxudized to form glutamate; used different ezymes than synthesis

78
Q

hydroxyproline degradation

A

completely different than proline; aldolase-like rxn occurs once ring hydrolyzed

79
Q

arginine synthesis

A

glutamate via glutamate semialdehyde transamination to form ornithine

80
Q

what is ornithine

A

intermediate of urea cycle

81
Q

where is ornithine aminotransferase activity the greatest

A

small intestine; rxns of urea cycle produce arginine

82
Q

when is arginine an essential aa

A

during periods of growth when urea cycle argenine synthesis is not sufficient

83
Q

what occurs when arginine is used for protein synthesis

A

levels of ornithine drops and stimulates formation from glutamate

84
Q

how is arginine degraded

A

arginase cleaves to form urea and ornithine

85
Q

what occurs when ornithineis present in excess for urea cycle requirements

A

tansaminated to glutamate semialdehyde and reduced to glutamate; requires PLP

86
Q

histidine formation

A

is an essential aa

87
Q

histimine degradation

A

5 of carbons form glutamate

88
Q

aspartate producation

A

transamination of oxaloacetate; readily reversible

89
Q

aparagine formation

A

from aspartate in rxn where glutamine provides nitrogen for amide

90
Q

asparaginase fxn

A

hydrolyzes asparagine to NH4+ and aspartate

91
Q

major route for asparatate degradation

A

oxaloacetate; although carbons can form furmarate in urea cycle

92
Q

process of minor route of asparatae degradation

A

reacts with inosine monophosphate (IMP) to form adenylosuccinate intermediate which is cleaved to form AMP and fumarate

93
Q

phenylalanine degradation

A

converted to tyrosine by hydroxylation rxn; tyrosine is oxidized and forms acetoacetate and fumartate

94
Q

These amino acids degrade to form what: methionine, valine, isoleucone, and threonine

A

propionyl CoA then succinyl CoA

95
Q

where else is propionyl CoA produced

A

oxidation of odd-chain fatty acids

96
Q

Leukemic cells and many tumor cells require what aa for their growth

A

asparagine; asparaginase has been used as anti-tumor agent

97
Q

what occurs to propionyl CoA once formed

A

carboxylated and forms D-methylmalonyl CoA (requires biotin); this is racemized to L-methylmalonyl CoA

98
Q

what does the reation leading to succinyl CoA from propionyl CoA require

99
Q

methionine degradation

A

converted to S-adenosylmethionine (SAM) which donates its methyl to other cmpds to form D-adenosylhomocysteine (SAH)

100
Q

What happens to SAH

A

converted to homocysteine

101
Q

how can methionine be regenerated

A

FH4 plus homocysteine plus B12

102
Q

what are carbons of homocysteine metabolized to

A

alpha-ketobutyrate, which undergoes oxidative decarboxylation to propionyl CoA

103
Q

homocystinuria is caused by…

A

enzyme cytathionase B-synthase and cystathionase deficiencies as well as methyltetrahydrofolate (Ch3-FH4) or methyl-B12

104
Q

how can you get deficiencies in Ch3-FH4 or methyl-B12

A

inadequate dietary intake or defective enzymes that join methyl groups to FH4

105
Q

threonine degradation

A

PLP-requiring dehydratase to ammonia and alpha-ketobutyrate

106
Q

Which aa are universal fuels

A

valine, isoleucine, and leucine; all are branched-chain aas

107
Q

what carries out branched chain aa oxidation

A

mitochondria of most tissues; muscle has highest level

108
Q

what aa content in a protein consist of branched-chain aas

109
Q

two fxns of valine and isoleucine degradation

A

fuel and provide intermediates for TCA

110
Q

first step in branched chain aa degradation

A

transamination; remaining steps analagous to B-oxidation of fatty acids-NADH and FAD2H generated

111
Q

what do valine and isoleucine convert to when degraded

A

succinyl CoA; isoleucine also forms acetyl CoA

112
Q

What does leucine form when degraded

A

acetoacetate and acetyl CoA-strongly ketogenic

113
Q

what is wrong in maple syrup urine disease

A

branch-chain alpha-keto acid dehydrogenaase is defective; leads to neuro complications

114
Q

what is difficult in treating maple syrup urine disease

A

involves 3 amino-acids, so difficult to use dietary constrictions

115
Q

alcaptonuria

A

homogentisate can’t be further oxidized since homogenitsate defective (intermediate in tyrosine metabolism)

116
Q

what converts phenylalanine to tyrosine

A

hydrolated by phenylalanine hydroxylase (PAH)-requires O2 and tetrahydrobiopterin

117
Q

what is tetrahydrobiopterin converted to in the rxn

A

quininoid dihydrobiopterin, which must be reconverted in order for rxm to continue producing tyrosine

118
Q

tryptophan is oxidized to form…

A

alanine, formate, and acetyl CoA

119
Q

what can be produced from the ring stucture of tryptophan sparing niacin

A

NAD and NADP

120
Q

what conditions can cause tyrosinemia

A

prematurity, enzyme defects

121
Q

tyrosinemia II

A

defect in tyrosine aminotransferase (TAT) and may lead to lesion of eye and skin as well as neuro problems

122
Q

Tyrosinemia I (aka tyrosinosis)

A

defect in fumarylace-toacetate hydrolase; acute form associated with liver failure, cabbagelike body odor, and death within 1st year

123
Q

diseases caused by deficiencies in phenylalanine-tyrosine conversion

A

PKU, tyrosenemia, alcaptonuria

124
Q

what occurs with defect in dihydropteridine reductase (DHPR-required for BH4 regeneration)

A

hyperphenylalaninemia which responds to diet change, but symptoms persist and patients die within first 2 years

125
Q

what is BH4

A

a cofactor of PAH

126
Q

what occurs with BH4 defect

A

diet control lowers phenylalanine, but BH4 is required for synthesis of neurotransmitters

127
Q

what neurotransmitter is BH4 required for

A

tryptophan to 5-hydroxytryptophan and tyrosine to L-dopa

128
Q

when does pellagra occur

A

insufficiency of niacin and tryptophan

129
Q

What does pellagra cause

A

dermatitis, diarrhea, dementia, finally death

130
Q

what occurs in tryptophan degradation if vit B6 is deficient

A

enters minor pathway creating xanthurenic acid

131
Q

lysine degradation

A

can’t be directly transaminated at either of its amino groups and is degraded by a complex pathway

132
Q

intermediates of lysine degradation

A

saccharopine, alpha-ketoadipate, crotonyl CoA; NADH and FADH2 generated in process; ultimately produces acetyl CoA-strictly ketogenic

133
Q

indidence of PKU

A

100 per million births with wide geographic/ethnic variation

134
Q

cause of PKU

A

defective PAH gene

135
Q

what causes symptoms of PKU

A

competative interaction of phenylalanine with brain aa transport systems and inhibition of neurotransmitter synthesis; lead to impaired myelin synthesis and delayed neuro development

136
Q

what accumulates in cystathionine B-synthase deficiency

A

homocysteine and methionine in the blood

137
Q

what pathological effect of the eyes occur in cystathionine B-synthase deficiency

A

zzonular fibers that normally hold the lens of the ye become frayed and break causing dislocation of the lens

138
Q

what pathological effect of the bones occur in cystathionine B-synthase deficiency

A

skeleton has loss of ground substance (may explain curvature of spine often seen); long bones are also elongated leading to tall stature

139
Q

what do animal experiements of increased homocysteine and methionine in the brain reveal

A

may trap S-adenosylhomocysteine diminishing adenosine levels; adenosine normally acts as a CNS depressant

140
Q

why may methionine not appear in urine despite elevated levels

A

renal tubular reabsoption of methionine is highly efficient

141
Q

why is homocysteine found in urine when elevated

A

less efficiently reabsorbed and excess of 1 mmol/day may be excreted

142
Q

type II homocystinuria

A

defect in synthesis of methyl cobalamin; required for methylation of homocysteine to form methionine

143
Q

type III homocystinuria

A

defect in synthesis of N5-methyltetrahydrofolate; required for methylation of homocysteine to form methionine

144
Q

type I homocystinuria

A

cystathionine B-synthase deficiency; homocysteine and methionine levels elevated

145
Q

what is associated with elevated homocysteine levels, but there is no known mechanism

A

increased thrombi and emboli

146
Q

what therapies are in place for homocystinurias

A

diet control of homocysteine and methionine; high oral doses of pyridoxine (vit B6)-50% of type 1 respond to