Lecture 60 Flashcards

Nitrogen Metabolism and Disposal

1
Q

nitrogen metabolism

A

carbon skeleton can be completely broken down into CO2 and H2O

pg 1536

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2
Q

nitrogen metabolism: step 1

A
  • removal of the α-amino group
  • done through transamination and oxidative deamination
  • only the liver can convert ammonia to urea

pg 1538

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3
Q

transamination

A
  • amino acid reacts with α-keto acid using aminotransferase (requires PLP) and forms another AA and other α-keto acid
  • takes the amino from AA and gives to α-keto acid to form new AA, takes oxygen from α-keto acid and gives to AA to form new α-keto acid
  • aminotransferases, aka transaminases, are specific to particular AAs

pg 1539-1540

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4
Q

aminotransferase (transaminases)

A
  • transfer amino group from an AA to produce glutamate (in all but 1 case)
  • different enzymes for most of the AAs specific for one or a few amino group donors
  • localized in the cytosol and mitochondria of cells throughout the body
  • all of them require the coenzyme pyridoxal phosphate (PLP, a vitamin B6 derivative) that participates in the amino group exchange
  • reversible reactions with constant equilibrium near 1 which allow them to function in both…
  • AA degradation through removal of α-amino groups
  • AND
  • NEAA biosynthesis through addition of amino groups to the carbon skeletons of α-keto acids

pg 1541

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5
Q

aspartate aminotransferase (AST)

A
  • unique aminotransferase (does NOT form glutamate)
  • requires the coenzyme PLP that participates in the amino group exchange
  • reversible reaction
  • during AA catabolism, AST primarily transfers amino groups from glutamate to oxaloacetate, forming aspartate, which is used as a source of nitrogen in the urea cycle

pg 1542

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6
Q

hepatic diseases and aminotransferases

A
  • plasma AST and ALT are elevated
  • ALT very high in conditions that cause extensive cell necrosis (severe viral hepatitis, toxic injury, and prolonged circulatory collapse)
  • ALT is more specific than AST for liver disease
  • AST is more sensitive because liver contains larger amounts
  • serial measurements of AST and ALT (liver function tests) are often useful in determining the course of liver damage
  • ALT has a roughly 20x increase from normal values after ingestion of hepatic toxins

pg 1543

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7
Q

non-hepatic diseases and aminotransferases

A
  • aminotransferases may be elevated in nonhepatic diseases (damage to cardiac or skeletal muscle)
  • however, these disorders can usually be distinguished clinically from liver disease

pg 1543

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8
Q

glutamate dehydrogenase

A
  • expressed at high levels in liver and kidney
  • mitochondrial localization
  • can use either one as a coenzyme… NAD+ in oxidative deamination (loss/release of NH3 with simultaneous oxidation of the carbon skeleton) OR NADPH in reductive amination (gain/addition of NH3 with reduction of the carbon skeleton → production of NEAAs)
  • direction depends on relative concentrations of glutamate, α-ketoglutarate, and NH3 and the ratio of oxidized to reduced coenzymes
  • allosteric regulation: GTP → inhibits, GDP → activates

glutamate to α-ketoglutarate = oxidative deamination; reverse = reduction amination

pg 1544

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9
Q

role of glutamate

A
  • disposal of amino acids: oxidative deamination (uses NH2 of glutamate) releases NH3 or free ammonia which enters urea cycle
  • synthesis of amino acids: reductive amination uses free ammonia to form the NH2 of glutamate

pg 1545

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10
Q

role of glutamate in N2 disposal

A
  • glutamate is product of transamination of amino acids
  • glutamate then undergoes transamination to release aspartate
  • glutamate releases NH4+ using GDH
  • aspartate and NH4+ go through the urea cycle to produce urea which has 1 amino group from free ammonia and 1 from aspartate
  • urea is highly soluble and can be excreted from the body

pg 1546, 1548

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11
Q

other sources of ammonia

A
  • several amino acids release their nitrogen as NH4+: His (direct deamination), Ser and Thr (direct deamination requiring PLP), Gln and Asn (R-group amides released by deamidation), glutaminase reaction important in kidney for pH balance
  • in muscle and brain (NOT liver), purine nucleotide cycle allows NH4+ to be released from AAs and leave the tissues in the form of glutamine
  • significant amount of NH4+ is also produced by bacteria that live in the lumen of the intestinal tract

pg 1547

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12
Q

transport as glutamine

A
  • glutamine synthetase (uses ATP, energy-dependent)
  • free NH3 added to glutamate to make glutamine (AA safely transported from tissues to liver in bloodstream)
  • once in liver, glutaminase releases NH3+ and converts back to glutamate

pg 1549

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13
Q

transport as alanine

A
  • mostly done by SKM cells
  • alanine aminotransferase (ALT) converts pyruvate and glutamate to alanine and alpha-ketoglutarate
  • transamination of pyruvate
  • in the liver, Ala is converted to pyruvate, again by transamination → the “glucose-alanine cycle”

pg 1550

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14
Q

nitrogen metabolism: step 2

A

production of urea!

pg 1551

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