Dai 2 Flashcards

0
Q

_____, a cofactor of aminotransferase, is a derivative of vitamin __.

A

PLP Pyridoxal phosphate, B6

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1
Q

transamination step: aketoglutarate to glutamate by enzyme _______.
oxidative deamination step: glutamate to NH3 by enzyme ______

A

aminotransferase

glutamate dehydrogenase.

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2
Q

Decreased arginine, citrulline, urea, and increased orotic aciduria is a sign of

A

OTC deficiency

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3
Q

CPS1 is located in the ____

CPS2 is located in the ____

A

mitochondria

cytosol

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4
Q

CP can spill into cytosol and become pyrimidines during _____deficiency.

A

OTC

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5
Q

deficiency of arginosuccinate synthetase leads to accumulation of

A

citrulline

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6
Q

deficiency of arginosuccinate lyase leads to accumulation of

A

arginosuccinate,

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7
Q

arginase deficiency leads to accumulation of

A

arginine.

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8
Q

in differential diagnosis of urea cycle disorders in neonates, no citrulline and no orotic acid are signs of

A

CPS1 or NAG synthase deficiency.

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9
Q

CPS1 deficiency is an autosomal _________ disorder.

OTC deficiency is an ____________ disorder

A

recessive

xlinked

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10
Q

in urea cycle deficient patients, a low N diet can be supplemented with _________

A

a keto acid, can become aa via aminotransferase.

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11
Q

T or F. alternative n excretion: ammonia can react with Glycine+THF, and glutamate and be excreted.

A

true

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12
Q

T or F. arginine is a substrate and positive regulator of urea cycle.

A

true. arginine supplementatoin can help urea cycle disorders, unless its an arginase deficiency.

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13
Q

hydrolysis of glutamine by glutaminase generates nh3 that is an important defense mechanism against _____.

A

acidosis. good for places that arent liver kidney,

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14
Q

Name a few other alternative sources of ammonia besides aa degradation.

A

glutaminase
bacterial urease
direct deamination of certain aa.

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15
Q

How is ammonia (N) produced in extraheptic tissues

transported into the bloodstream and liver, the site of glu oxidative deamination and urea cycle?

A

In the form of glutamine, alanine.

16
Q

Which are glucogenic amino acids?

A

all the ones that arent ketogenic or both glucogenic and ketogenic. :)

17
Q

Which aa are ketogenic?

A

lysine, leucine

18
Q

AA that are both ketogenic and glucogenic?

A

Trypt
tyr
thre

phe
isoleucine

19
Q

2 common products of ketogenic aa are

A

acetyl coa, acetoacetyl coa

20
Q

What are the two metabolic fates of glycine? What are the enzymes and cofactors for each?

A
  1. Serine, uses serine hydromethyl transferase and THF cofactor
  2. CO2 and ammonia, uses glycine synthase(glycine cleavage complex) and THF cofactor
21
Q

Defect in glycine cleavage complex leads to increased _____, causing mental retardation, seizures, death.

22
Q

Asn–>asp–>OAA. what enzymes

A

asparaginase, aminotransferase.

23
Q

What is a potential treatment for leukemia, involving amino acids?

A

some leukemia can’t make Asn. Asparaginase therapy depletes Asn, kills leukemia cells.

24
Histidine can become a ketoglutarate. What are the intermediates?
urocanic acid(by histidase), Figlu, glutamate (needs THF cofactor to make glutamate)
25
A folate deficiency can cause accumulation of what His-->aketoglutarate intermediate?
FiGlu.
26
Which amino acids can become glutamate and then alphaketoglutarate?
PHAG. Pro, His, Arg, Gln
27
Which 3 amino acids are branched chain aa? What is the end product after aminotransferases and branched chain alpha keto acid dehydrogenase? What is the major site of this?
Val Leu Isoleu succinyl CoA, ACoA Muscle
28
what is maple syrup disease?
deficient branched chain alpha keto acid dehydrogenase. helped by thiamine (vitamin B1) which activates to become TPP, a cofactor of the enzyme.
29
Why do you have to be careful when you treat maple syrup disease with a modified diet?
because LIV (leu, iso, val) essential. Syrup: Essential to LIV
30
Name the intermediates of Phe-->fumarate/acetoacetate
Phe to Tyr (phe hydroxylase) PKU Tyr to homogentisate homogentisate to fumarate (homogentisate oxidase) alcaptonuria
31
What is alcaptonuria?
no homogentisate oxidase, homogentisate accumulation, dark urine,
32
Tyrosine to melanin defect or tyrosinase defect. This manifests as what disease?
Albinism.
33
What is the cofactor for phenylalanine hydroxylase?
Tetrahydrobiopterin. Dihydrobiopterin is reduced by dihydrobiopterin reductase and NADH to restore tetrahydrobiopterin after it has helped make Tyr.
34
What is classical PKU? Nonclassical?
phe hydroxylase deficiency | tetrahydrobiopterin deficiency
35
Instead of phe--> tyr, PKU patients make ______, _______ and _____, which may inhibit brain development.
phenylpyruvate, phenyllactate, phenylacetate.
36
What are the symptoms of PKU? Treatment?
Mental retard, seizure, no growth, neuro/behavioural development. Treatment: Phe less diet.
37
How is neonates assayed for PKU?
prick blood, plate bacteria on B2thienylalanine to inhibit growth. elevated phe overcomes inhibition, cultures grow. Now tandem mass spectrometry can screen for PKU and a shitload of other shit.
38
T or F. Phe restricted diet doesn't eliminate problems with BH4 deficiency.
True. BH4 needed to make some neurotransmitters, dopamine, and guanine nucleotide metabolic defects like Lesch Nylan