L39 Protien as Macronutrient Flashcards

1
Q

Difference between essential, non essential and conditionally essential AA

A

Essential: Not synthesized by humans, MUST be consumed

Non essential AA: can be synthesized in sufficient quantities, to satisfy normal requirements assuming adequate source of nitrogen available

conditionally essential: cannot be syth at required rate under some circ

  • glutamine met, accelerated during stress
  • argenine exceeds rate of synthesis during infance due to high demand in growth
  • DEF of AA precursor can lead to new cond essential

(PKU) phynylalanine must be kept low, but its a precursor to tyrosine: cond essential

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2
Q

Protien quality considerations; complete vs incomplete and complimentary

A
Complete: all the essential AA in correct amounts
-typically 
animal: meat fish eggs (not gelatin)
Dairy: milk yogurt whey
plant: quinoa, buckwheat....

incompleteL one or more of the essentials

  • nuts and seeds, legumes, grains, veg
  • most plants
  • SOY an exception
  • cannot be SOLE source of prot

complimentary: paired to make complete:
grains; high methionine, low lysine
legumes: high in lysine, low in methionine

not EVERY meal this balanced…just throughout day

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3
Q

Eval of Dietary protein PER, nitrogen balance

A

Protein efficiency ratio:
not used anymore, set for animals, VERY different
-weight of growing animals and protein source: 10% protein for 10 days

Nitrogen Balance:
-asses protein quality
-nitrogen into body, excreted as urea, ammonia and other. 
-can show dietary protein reqs
nitrogen intake-nitrogen loss

can be NEG nitrogen status or POS nitrogen status

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4
Q

protein turnover

A

short lived: minutes to hours
N’ aspartate, N PEST proline glutamate seriene and threonine

longl ivedL n serine: half life of one day

structural protein months to years

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5
Q

Amino Acid pool and nitrogen balance

A

AA pool stays in constant balance

sources: degradation of body protiens
- digestion of dietary protein
- synthesis of NEAA

Three depletion events

  • sunthesis of body protein
  • syn of nitrogen containing molecules
  • conversion of AA to glucose, glycogen, FA, ketone…ec
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6
Q

Two methods for protein degradation

A

Ubiquition: degradation of endogenous proteins and ATP dependent and in cytoplasm

  1. covalent attachment of ub to protein , chain of polyuB
  2. proteasome recognizes tag, unfolds and cuts into peptide fragments (ub recycled)`
  3. fragsdegrated into AA pool
    - Where is the ATP??

lysosomal proteolysis system

  • acidic organelles, single membrane NOT in RBC
  • more than 50 enzymes,
  • acid stable proteases
  • mostly for EXTRA CELLULAR PROTEINS, endo cytosed then autophagy
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7
Q

biological value for protein quality

A

USE NITROGEN

how much N is retained in teh body following a protien diet

-diet witout known amount of N is fed and uring and fecal collections are assesed

BV= nitrogen returned/absorbed x100
-inherent value in certain foods

BV100: all protiens absorbed

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8
Q

PDCAAS

A

Protien Digestibility Corrected AA score

gold standard by WHO

uses N balance and essential AA requirement

complete protien has PDCAAS # greater than or equal to 1
peanuts : 0.52

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9
Q

Leucine content

A

protien quality (studies show)
leucine rich protien sources much better at stimulating muscle growth.
-activation of mTOR pathway- increase muscle synthesis
-whey has more leucine than soy

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10
Q

protein synthesis for athletes (and AA sup)

A

MAY benefit from increased protien intake
-normal RDA: 0.8 athlete 1.2-2.4

AA supplements as well

  • leucine: stim protein synthesis via mTOR path
  • BCAA: E source, prevent muscle fatigue
  • Arg/citruline: increased NO for increased Blood flow
  • glutamine, beta alanine, creatine
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11
Q

Risk of increased protien diet

A

greater than 2 g/kg daily

  • hydration- increased urinary output to expel nitrogen
  • kidney disease: elderly or sick cannot handle increased phosphorous as a result
  • bone health: protein diet leads to increased ca loss in urine
  • fatty protien sources lead to increased CV risk
  • lack of carbs/fiber/vitamins
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12
Q

Digestion of protien

A
ingestion
digestion (gastric)
digestion (pancreatic)
digestion by si enzymes
absorbtion of AA and peptides
transport of AA into cells
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13
Q

action of digestive enzymes in general: exo and endo peptidases

A

peptidases: hydrolyze peptide bonds
endo: middle/inside (smaller frags)
exo: cleaves only peptide bond that links the C or N term amino acid (one free AA and chain)

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14
Q

protien digestion in stomach

A

HCl and pepsinogen

HCL

  • stomach acid too dilute to hydrolyze protiens
  • from parietal cells
  • kills some bacteria
  • denatures protiens to prep them for proteases

Pepsin

  • acid stable
  • ENDO peptidase
  • secreted by cheif cells as pepsinogen (hcl activates)
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15
Q

release and activation of Panc enzymes

A

Release controlled by CCK and Secretin
-zymogen activation-
enteropeptidase/kinase: enzyme synthesized and presend on luminal surface of intestinal mucosa BB
-makes trypsinogen into trypsin, then trypsin will continue to cleave other trypsinogen molecueles as well as activate chymotrypsin, elastase and carboxypeptidase

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16
Q

Four main enzymes and all details

A

Trypsin (panc)

  • serine endopeptidase (serine at its active site)
  • cleaves pepetide chain at CARBOXY side of AA
  • only at Lysine or Argenine (EXCEPT WHEN FOLLOED BY A PROLINE)

Chymotrypsin (panc)

  • serine endopeptidase
  • trypsin cleaves it into two fragments
  • larger fragment cleaves inself into 2 parts
  • all linked together to form active enzyme
  • cleaves peptide amids bonds at CARBOXY side or large hydrophobic AA (Ty, Tryp, Phen)
  • can do others too but slowly

Elsastase (panc)

  • serine endopeptidase
  • cleaves peptide amide bonds at CARBOXY side
  • small hydrophobic AA (ala, gly, Ser)
  • has additional fxns in body (break down elastin)

Carboxypeptidase A&B
-proteases that hydrolize a peptide bond at the CARBOXY end C’ EXOPEPTIDASE
-either serine OR cystein proteaes
A-cleaves pep aminde bond at AMINE side of - ala, iso, leu, val
B-cleaves peptide amide bond at amine side of arg, lys

17
Q

peptide digestion and absorbtion in SI

A

enterocytes have aminoexopetidases (repeat cleave at amino end)

  • Na+ transforters for Free AA on luminal surface
  • several AA transporters exist
  • also di and tri peptide transporters also Na linked
  • more peptidases inside enterocyte

-cleaved to free AA, exit cell basally (on carriers) or some free, then to portal vein

18
Q

Celiac Disease

A

immune mediated intestical inflammation 1/120-300

  • damage to microvilli of si
  • unable to absorb nutrients
  • due to respone to gluten (wheat, barley, rye)
  • transglutaminase crosslinked gluten initiates immune response
  • diarrhea, vomit, no nutrition
  • irona nd folate deficiency lead to anemia

-G free diet

19
Q

Cysteinuria

A

most common genetic AA transporter disease

  • defective transport of dibasic AA (Cystein Ornothine Argenine Lysine)
  • transporter located on apical membrane of Si and renal proximal tubule
  • excessive urinary secretion of cystein and dibasic amino acids
  • cystein stones and kidney, ureter and bladder
  • lots of fluids and plant based protiens proscribed (decreased cystein content)
20
Q

Hartnup Disease

A

autosomal recessive

defect in intestinal renal AA carrer for large neutral AA (trp, tyr, val, leu, ile)

  • def in ESS especially tryp is noticed
  • niacin (vit B fam) deficiency also occurs leading to dermatitis and diarrhea (pellagra like)
  • tryptophan is a precursor to niacin and seritonin

must take niacin supplements and seritonin (CNS defects)

Bacterial fermentation of unabsorbed tryp makes indols with foul smelling stool

besign amino aciduria-kindey unable to reabsorb the fil Large AA

asymptomatic of high protein diet
-by di and tri AA absorbed and hydrolized within the enterocyes will yeild random assortment of AA including the large neutral AAs