Learning objectives: Nitrogen, amino acid derivatives Flashcards

1
Q

Define the concept of nitrogen balance

A
  • you want “amount of nitrogen coming in = amount of nitrogen going out”
  • if positive nitrogen balance (more nitrogen coming in), maybe you’re a kid developing or a body builder (b/c nitrogen needed to make proteins)
  • if negative nitrogen balance, you might be starving
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2
Q

Explain the role of protein degradation in normal nutrition and disease state

A
  • in normal state, degrade some protein, but you’re still healthy
  • in Marasmus (general starvation) or Kwashiorkor (just protein starvation), degrade way too much protein –> leads to ascites, edema, fatigue, loss of muscle/hair/teeth/skin pigment
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3
Q

Describe the metabolism of nitrogen - specifically the role of amino transferases

A
  • aminotransferases move amino groups, usually need PLP (Vitamin B6 derivative)
  • ALT (alanine transaminase) catalyzes the transfer of an amino group from alanine to alpha-ketoglutarate
  • AST (aspartate transaminase) catalyzes the transfer of an amino group from aspartate to alpha-ketoglutarate
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4
Q

Describe the metabolism of nitrogen - specifically the role of ALT

A
  • ALT (alanine transaminase) mostly in liver, used in alanine cycle, so nitrogen can be transported out
  • catalyzes the transfer of an amino group from alanine to alpha-ketoglutarate
  • rxn: alanine + alpha-ketoglutarate –> pyruvate + glutamate
  • “TRANSaminase transfer amino group, the “mate/buddy” (glutamate) ends up with the nitrogen”
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5
Q

Describe the metabolism of nitrogen - specifically the role of AST

A
  • AST (aspartate transaminase) used mostly in urea cycle
  • catalyzes the transfer of an amino group from aspartate to alpha-ketoglutarate
  • rxn: aspartate + alpha-ketoglutarate –> oxaloacetate + glutamate
  • “TRANSaminase transfer amino group, the “mate/buddy” (glutamate) ends up with the nitrogen”
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6
Q

Describe the metabolism of nitrogen - specifically the role of glutamine synthetase

A
  • catalyzes the condensation of glutamate and ammonia to form glutamine
  • takes energy
  • rxn: glutamate + ATP + NH3 –> glutamine + ADP + phosphate
  • “synthesizes glutamine. glutamate is a buddy and gives up its nitrogen, glutaMINE is greedy and ends up w/ 2 nitrogens”
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7
Q

Describe the metabolism of nitrogen - specifically the role of glutaminase

A
  • generates glutamate from glutamine
  • doesn’t use ATP
  • generates NH3 (ammonia) for urea synthesis
  • rxn: glutamine + H2O –> Glutamate + NH3
  • “glutaminase acts on glutamine, like an “ax” and takes away one of its nitrogens”
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8
Q

Describe the metabolism of nitrogen - specifically the role of glutamate dehydrogenase

A
  • converts glutamate to alpha-ketoglutarate
  • rxn: glutamate –> alpha-ketoglutarate + NH4+
  • “dehydrogens glutamate, takes away NH2 from glutamate”
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9
Q

Discuss the diagnostic significance of aspartate aminotransferase and alanine amino transferase

A
  • these enzymes are generally in the liver, to transfer amino groups from aspartate and alanine (respectively) and make glutamate
  • this makes liver able to export nitrogen
  • if these enzymes aren’t in the liver, there’s something wrong w/ liver, and you might have something like fatty liver disease
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10
Q

Describe the significance of the urea cycle in removing nitrogen

A
  • urea cycle = how we get nitrogen out of the body
  • 2 main enzymes in matrix: Carbamoyl phosphate synthetase I (CPS1), Ornithine Transcarbomylase (OTC)
  • CPS1 starts w/ CO2, NH4+, ATP –> makes carbomyl phophate
  • OTC brings carbomyl phophate + ornithine together –> makes citruline
  • citruline can leave matrix, go to cytosol, eventually make urea
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11
Q

Describe the significance of the urea cycle in the presentation of hyperammonemia, with defects in urea cycle enzymes

A
  • hyperammonemia = too much nitrogen
  • likely due to defects in urea cycle enzymes, b/c then you can’t get enough urea out of your body
  • ex: if you block the 2 main enzymes in urea cycle (CPS1 & OTC)
  • can get compromised neurological function (tremors, slurred speech, drowsiness)
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12
Q

Describe the biosynthetic origin and basic function of histamine

A

made from histidine

function: stimulates mucus secretion, increases vascular permeability, allows white blood cells to go out and attack invaders, promotes gastric acid secretion
* if too much, can lead to asthma, allergic reaction

“hisssstamine, allergic rxn to a snake bite”

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13
Q

Describe the biosynthetic origin and basic function of gamma-aminobutryic acid (GABA)

A

made from glutamate (an excitatory neurotransmitter). need vitamin B6 to make GABA. GABA itself is an INHIBITORY neurotransmitter

function: inhibitory, so keeps things under control. if not enough GABA, get epileptic seizures

“if you don’t have GABA, you’ll go GAGA”

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14
Q

Describe the biosynthetic origin and basic function of nitric oxide (NO)

A

made from arginine

function: muscle relaxant (signals for cGMP –> decrease [Ca2+] –> muscle relaxes)

“nitric ooooxide, makes you go ooooooh and relax, for nooooo more stress. previously you’re like “arghhhh” cause you’re stressed, so you start w/ arginine”

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15
Q

Describe the biosynthetic origin and basic function of serotonin

A

made from tryptophan, using Vitamin B6 derivative (PLP)

neurotransmitter

changes in serotonin levels can lead to mood alteration

“sarahhhhh is needed to tone the mood down”

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16
Q

5 main molecules derived from tyrosine

A

thyroid hormone

melanin

catecholamines (dopamine, norepinephrine, epinephrine)

17
Q

Describe the biosynthetic origin and basic function of thyroid hormone

A

made in thyroid from tyrosine

increases metabolic rate, growth & maturation, has organ-specific effects

“thighs are on ROIDS and grow bigger –> thyroid hormone related to growth”

18
Q

Describe the biosynthetic origin and basic function of melanin

A

made from tyrosine using enzyme tyrosinase

proportion determines color of skin & hair

19
Q

Describe the biosynthetic origin and basic function of catecholamines (dopamine, norepinephrine, epinephrine)

A

tyrosine –(catalyzed by tyrosine hydroxylase)–> Dopa –> dopamine –> norepinephrine –> epinephrine

too much dopamine –> schizophrenia

too little dopamine –> parkinson’s

20
Q

Discuss the enzymatic defects in phenylketonuria (PKU)

A

phenylalinine –> tyrosine blocked

usually a defect in phenylalanine hydroxylase

21
Q

Discuss the enzymatic defects in homocystinuria

A

cystathione synthase is blocked

can’t make cysteine

results in high levels of homocysteine–> homocysteine replaces cysteine in protein formation

disulfide bonds unable to form –> results in structural changes

22
Q

Discuss the clinical consequences of phenylketonuria (PKU)

A

phenylalanine –> tyrosine blocked

results in tyrosine deficiency

can’t make as much melanin (light skin && hair), mental retardation - “think: puke (PKU) makes you pale”

23
Q

Discuss the clinical consequences of homocystinuria

A

newborns seem healthy at first, but since disulfide bonds can’t form in proteins, later see structural deformities, vascular complications