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.

A

glycine

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
Q

Histidine can become a ketoglutarate. What are the intermediates?

A

urocanic acid(by histidase), Figlu, glutamate (needs THF cofactor to make glutamate)

25
Q

A folate deficiency can cause accumulation of what His–>aketoglutarate intermediate?

A

FiGlu.

26
Q

Which amino acids can become glutamate and then alphaketoglutarate?

A

PHAG. Pro, His, Arg, Gln

27
Q

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?

A

Val Leu Isoleu
succinyl CoA, ACoA
Muscle

28
Q

what is maple syrup disease?

A

deficient branched chain alpha keto acid dehydrogenase. helped by thiamine (vitamin B1) which activates to become TPP, a cofactor of the enzyme.

29
Q

Why do you have to be careful when you treat maple syrup disease with a modified diet?

A

because LIV (leu, iso, val) essential. Syrup: Essential to LIV

30
Q

Name the intermediates of Phe–>fumarate/acetoacetate

A

Phe to Tyr (phe hydroxylase) PKU
Tyr to homogentisate
homogentisate to fumarate (homogentisate oxidase) alcaptonuria

31
Q

What is alcaptonuria?

A

no homogentisate oxidase, homogentisate accumulation, dark urine,

32
Q

Tyrosine to melanin defect or tyrosinase defect. This manifests as what disease?

A

Albinism.

33
Q

What is the cofactor for phenylalanine hydroxylase?

A

Tetrahydrobiopterin.
Dihydrobiopterin is reduced by dihydrobiopterin reductase and NADH to restore tetrahydrobiopterin after it has helped make Tyr.

34
Q

What is classical PKU? Nonclassical?

A

phe hydroxylase deficiency

tetrahydrobiopterin deficiency

35
Q

Instead of phe–> tyr, PKU patients make ______, _______ and _____, which may inhibit brain development.

A

phenylpyruvate, phenyllactate, phenylacetate.

36
Q

What are the symptoms of PKU? Treatment?

A

Mental retard, seizure, no growth, neuro/behavioural development.
Treatment: Phe less diet.

37
Q

How is neonates assayed for PKU?

A

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
Q

T or F. Phe restricted diet doesn’t eliminate problems with BH4 deficiency.

A

True. BH4 needed to make some neurotransmitters, dopamine, and guanine nucleotide metabolic defects like Lesch Nylan