Dietary Protein & Nitrogen Balance Flashcards

1
Q

By what pathways are proteins degraded in cells? How do the pathways differ?

A

Autophagy-Lysosome Pathway - Degrades free proteins and proteins in sub-organelles, utilizes lysosomes, less selective

Ubiquitin-Proteasome Pathway - Degrades only free proteins, utilizes ubiquitination, proteasomes, and is more specific

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2
Q

Describe the process of protein degradation by the Autophagy-Lysosome Pathway.

A

This pathway degrades both free proteins and proteins in sub-organelles. An isolation membrane forms and expands to create an autophagosome around the protein/sub-organelle. The autophagosome fuses with a lysosome for degradation.

The pathway is less selective, enhanced by starvation, and inhibited by insulin and amino acids.

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3
Q

Describe the process of protein degradation by the Ubiquitin-Proteasome Pathway.

A

Free proteins are polyubiquitinated by three different enzymes. Ubiquitinated proteins are degraded by proteins and the ubiquitin is recycled.

This pathway only targets free proteins and is more specific and regulated.

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4
Q

In healthy adults, nitrogen loss = nitrogen intake. When may there be a positive nitrogen balance, more intake than loss?

A

Growth in young children, pregnancy, recovery from trauma

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5
Q

During negative nitrogen balance, less intake than loss, what are amino acids used for?

A

Amino acids are only used to make proteins and not for fuel.

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6
Q

What are the essential amino acids?

A

Phenylalanine, Valine, Threonine, Tryptophan, Isoleucine, Methionine, Histidine, Arginine (children), Leucine, Lysine

Pvt. Tim Hall

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7
Q

Where does protein degradation begin? How does this differ from carbohydrate and fat degradation?

A

Protein degradation begins in the stomach. Carbohydrate and fat degradation begins in the mouth

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8
Q

Describe the process of protein digestion, beginning with ingestion.

A

Proteins are ingested and moved to the stomach, where digestion begins.

Gastrin is released by G-cells in the stomach, stimulating the release of HCl from parietal cells. The acid environment denatures proteins and activates pepsinogen to pepsin to further break down proteins.

As the peptides move into the intestine, the intestine releases Cholecystokinin (CCK) to slow digestion and increase bile release, zymogen release, and feelings of satiety. Secretin is also released, targeting the pancreas to release HCO3- to neutralize the acidic environment.

The pancreas releases inactive zymogens that enter the gut. Enteropeptidase within the intestinal wall activates trypsinogen to trypsin, which creates a chain reaction activating other zymogens.

Zymogens breakdown peptides into amino acids, which can be absorbed into intestinal cells.

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9
Q

What hormones are involved in protein digestion? Where are they released and what are their function?

A

Gastrin - Released by G-cells, targetting parietal cells to release HCl

Cholecystokinin (CKK) - Released by the small intestine to decrease gastric mobility and increase bile and zymogen release

Secretin - Released by the small intestine, targeting the pancreas to secrete HCO3-

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10
Q

How are zymogens activated in the intestine?

A

Zymogens are stored in an inactive state. When they are released by the pancreas into the intestine, enteropeptidases in the intestinal wall activate trypsinogen to trypsin, which in turn activates other zymogens.

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11
Q

How can the body prevent the digestion of self-proteins?

A

Zymogens are stored in an inactive state because of the pancreatic trypsin inhibitor. Protein degradation also involved many enzymes so even if one were activated, minimal digestion would occur.

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12
Q

What is the function of Alpha-1-Antitrypsin?

A

An anti-inflammatory that inhibits elastase released by neutrophils. Deficiency leads to liver and lung disease.

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13
Q

How are proteins absorbed into the blood following digestion to amino acids?

A

Amino acids are co-transported into intestinal cells by a symporter than brings Na+ down its concentration gradient. Once inside intestinal cells, amino acids are released into the portal vein by a facilitated transporter.

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14
Q

True/False. All amino acids have their own symporter for absorption into intestinal cells.

A

False. Neutral amino acids, which makeup a majority of plasma amino acids, share the same symporter.

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15
Q

Both Hartnup Disorder and Kwashiorkor are the results of protein deficiency. How do these disorders differ?

A

Hartnup is caused by a lack of transport of neutral amino acids. Kwashiorkor is caused by insufficient protein intake in the diet.

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16
Q

What enzyme is responsible for the absorption of amino acids into cells from the blood?

A

y-glutamyl peptidase transporter

17
Q

What is Cystinuria?

A

Cystinuria is a disorder causing poor reabsorption of cysteine and basic amino acids in the kidney. Cistene accumulates and causes kidney stones.

18
Q

What enzyme is responsible for removing the nitrogen group from branched-chain amino acids?

A

BCAA transaminase

19
Q

True/False. The liver utilizes exclusively branched-chain amino acids for energy.

A

False. The liver lacks enzymes necessary to remove the nitrogen group from branched-chain amino acids and does not utilize these amino acids for energy.

20
Q

What enzyme is responsible for breaking down branched-chain alpha-ketoacids (deaminated amino acids)?

A

Branched-chain a-ketoacid dehydrogenase (BCKD)

21
Q

What three enzymes require 5 cofactors -NAD, FAD, CoA, TPP, Lipoic Acid - for their reaction?

A

Pyruvate Dehydrogenase

a-Ketogulatarate Dehydrogenase

Branched Chain a-Ketoacid Dehydrogenase

22
Q

What is Maple Syrup Urine Disease?

A

Deficiency in branched-chain a-ketoacid dehydrogenase leads to BCAAs in the urine giving a maple syrup odor. Other symptoms include lethargy and seizures.

23
Q

How is Phenylalanine converted to Tyrosine?

A

Phenylalanine is converted to Tyrosine by the Phenylalanine Hydroxylase, using BH4 as a cofactor. Deficiencies in the enzyme lead to Phenylketonuria (PKU) and make Tyrosine an essential amino acid.

24
Q

Phenylketonuria (PKU) is caused by an accumulation of Phenylalanine. How does PKU-I differ from PKU-II?

A

PKU-I - Deficiency if the Phenylalanine Hydroxylase

PKU-II Deficiency of the Dihydrobiopterin Reductase of Synthase that related to BH4. Will also decrease the synthesis of catecholamine and serotonin

25
Q

What enzyme synthesizes S-Adenosylmethionine (SAM) from Methionine?

A

Methionine Adeonsyltransferase

26
Q

What vitamin is necessary for the decarboxylation of histidine to histamine by mast cells?

A

Vitamin B6 (PLP)

27
Q

What is homocystinuria?

A

A buildup of Homocysteine due to deficiencies in the methionine synthase or cystathionine synthase or low Vitamin B12 or B6.

28
Q

What is the function of creatine phosphate? What molecules are involved in the production of creatine, the precursor for creatine phosphate?

A

Creatine phosphate contains a high-energy bond that can phosphorylate ADP to ATP.

Glycine, SAM, and Arginine are involved in creatine synthesis

29
Q

From what amino acid is carnitine derived?

A

Lysine

30
Q

What is the function of carnitine?

A

Transporting long-chain FAs into the mitochondria for beta-oxidation