Module 8 Flashcards
• A state where the amount of nitrogen ingested each day is balanced by the amount excreted, resulting in no net change in the amount of body nitrogen
Nitrogen Balance
Nitrogen intake should equal nitrogen excretion
Nitrogen Metabolism
- Intake > Excretion
* Net accumulation of proteins as in growth and pregnancy
Positive Nitrogen Balance
• Intake
Negative Nitrogen Balance
– refers to Protein synthesis and degradation
–300-400 g per day
– Amount of protein degraded and resynthesized from Amino Acid
Protein Turnover
–Sum of all free amino acids in cells and ECF
–Three possible sources:
•Degradation and turnover of body protein
•Dietary intake
•Synthesis of nonessential amino acids
Amino Acid Pool
Remember that proteins have __, so this is the logic behind high protein diets»_space; protein comprise the calories in the diet, but are degraded eventually
no storage form
MARKING: __ binds to endogenous protein (proteins that are created intracellularly) that needs to be degraded by proteosome pathway ( GRABAGE disposal) energy dependent manner) – alpha carboxyl of glycine of ubiquitin to lysine amino group of protein substrate
Ubiquitin-proteosome mechanism (energy dependent)
> > degraded in the lysosomes (non-energy dependent manner)
Exogenous (extracellular)
Digestion of protein begins in the stomach with __
HCl and Pepsin
Digestion by pancreatic enzymes that are initially secreted as zymogens. __ is the common activator.
Trypsin
__ in the brush border liberate amino acids and dipeptides
Aminopeptidase
Free amino acids are absorbed by __
secondary active transport
Can you name other substances absorbed by secondary active transport in the small intestine?
glucose and galactose
After absorbing the products of protein digestion, which of the following products can you see inside enterocytes?
Dipeptides and tripeptides are also absorbed into the GIT, not just amino acids.
- The presence of an alpha-amino group keeps amino acids safely locked away from oxidative breakdown
- Removing the alpha amino group»_space; OBLIGATORY step in the catabolism of all Amino Acid
Amino Acid Catabolism
Remember that the presence of an alpha amino group keeps the AA safe from breakdown»_space; therefore its removal is an OBLIGATORY step in the catabolism of AA
- 1st phase: throw away amino group sa urea cycle
* 2nd phase: recycle whats left of aa
First Phase of Amino Acid Catabolism
Removal of the α-amino group (a process called deamination) forming ammonia and a corresponding α-ketoacid
(First Phase of Amino Acid Catabolism)
What happens to ammonia?
- Maybe excreted as free ammonia in urine and stool
- Majority is converted to urea before being excreted in urine (urea is the major disposal form of nitrogen)
Second Phase of Amino Acid Catabolism
Carbon skeletons of α-ketoacids are converted to common intermediates of energy-producing metabolic pathways
- Glycolysis
- Krebs Cycle
(Excretion of Excess Nitrogen)
–seen in telostean fish, which excrete highly toxic ammonia
Ammonotelic
(Excretion of Excess Nitrogen)
–seen in land animals, including humans, who excrete non-toxic, water-soluble urea
Ureotelic
(Excretion of Excess Nitrogen)
–seen in birds, which excrete uric acid as semisolid guano
Uricotelic
__ is relatively move toxic than uric acid, that’s why is has to be diluted in urine in the body. Uric acid is not very toxic, and may be concentrated to a semi-solid paste without causing toxic effects.
Urea
Phase 1: Removal of Nitrogen
•2 main steps in removing nitrogen from Amino Acids
–Transamination
–Oxidative Deamination
–Occurs in all cells of body
–All amino acids must transfer their amino groups to α-ketoglutarate to form glutamate
Transamination
These amino acids perform direct deamination
Lysine and Threonine
(Transamination) Enzymes: \_\_ • Found in the cytosol of cells throughout the body (liver, kidney, intestine) •Alanine aminotransferase (ALT) •Aspartate aminotransferase (AST)
Aminotransferases (formerly transaminases)
Co-enzyme of all transamination
Pyridoxal phosphate (Vitamin B6)
Remember the pairings:
glutamate = α-ketoglutarate alanine = pyruvate aspartate = oxaloacetate
- is also known as SGPT (serum glutamate:pyruvate transferase)
Pyruvate and alanine interconvert with transamination
ALT
- is also known as SGOT (serum glutamate:Oxaloacetate transferase)
- Aspartate and oxaloacetate interconvert with transamination
AST
How are they useful as markers of liver disease?
Plasma AST and ALT are elevated in nearly all liver diseases»_space; located intracellularly (never seen in plasma)
–Occurs in the liver and kidney only
–Only for glutamate
–Glutamate is oxidized and deaminated to yield free ammonia (NH3) which is used to make urea
Oxidative Deamination
Enzyme for Oxidative Deamination
glutamate dehydrogenase
Removal of Nitrogen from Amino Acids
- Liberates the amino group as free ammonia and also alpha-keto acids»_space; pathway for metabolism
- Vitamin B6 cofactor
Transamination and Oxidative Deamination
Transamination only exchanges amino groups. NO FREE AMMONIA.»_space; Oxidative deamination actually LIBERATES AMMONIA.»_space; Ammonia enters the UREA CYCLE to become urea.
(Removal of Nitrogen)
• Excess nitrogen from the peripheral tissues can also reach the liver through __
glutamine
Glutamate + Ammonia»_space; Glutamine (Enzyme: __)
Glutamine Synthetase
What about the muscle?
- Excess nitrogen from the peripheral tissues can also reach the liver through alanine, especially in muscle
*Pyruvate + Glutamate»_space; Alanine + α-ketoglutarate
Enzyme: alanine aminotransferase (ALT or SGPT)
- Deaminates glutamine to produce ammonium ion (NH4+), which is excreted from the body
- Present in two tissues: kidneys and small intestines
Glutaminase
What do you call the metabolic pathway whereby lactate produced during anaerobic respiration in muscles is reconverted to glucose in the liver?
Cori Cycle
Where can you find Glutaminase?
- Kidneys - eliminates ammonium in urine
- Small Intestine - ammonium ion sent to the liver via the portal circulation for the urea cycle
- Liver
Where can you find Glutamate?
- Liver
- Muscle
- CNS
Glutamine Synthetase vs Glutaminase
Glutamine Synthetase - for transporting ammonia
Glutaminase - for getting rid of ammonium ions
- Urea is the major disposal form of amino groups (accounts for 90% of N-containing compounds in the urine)
- Pathway for removal of nitrogenous waste products in the body
- Present only in the liver
- Urea is formed in the liver»_space; enters the blood»_space; excreted in urine
Urea Cycle
__ is the immediate precursor of ammonia and aspartate nitrogen
Glutamate
Urea Cycle
- NH3 from free ammonia
- NH3 from aspartate
- Carbon from CO2
(Urea Cycle)
1st 2 reactions (leading to synthesis of urea) occur in the mitochondria and the rest are in the __
cytosol
(Urea Cycle)
1. CO2 + NH2»_space;> __ (enzyme: Carbamoyl Phosphate Synthethase I)
Carbamoyl phosphate
(Urea Cycle)
2. Ornithine + Carbamoyl Phosphate = __ (enxyme: Ornithine Transcarbamoylase)
Citrulline
(Urea Cycle)
Citrulline + Aspartate = __ (enzyme: Arganinosuccinate Synthetase_
Argininosuccinate
(Urea Cycle)
Argininosuccinate = __ (enzyme: Argininosuccinase)
Fumarate + Arginine
(Urea Cycle)
Arginine = __ (enzyme: Arginase)
Urea + Ornithine
Urea Cycle: Substrates/Raw Materials
–NH3, aspartate, and CO2
Urea Cycle: Rate Limiting Step
–Reaction: CO2 + NH3»_space; carbamoyl phosphate
–Enzyme: Carbamoyl Phosphate Synthetase I (CPS-I)
Urea Cycle: Energy Requirement
4 moles of ATP
Urea Cycle: Co-Factors
- N-acetylglutamate – the allosteric activator of CPS-I
2. Biotin – for carboxylation reaction
What will happen if there is an increase amounts of N-acetylglutamate?
More urea because it activates the rate-limiting step
Fate of Urea
- Diffuses from the liver and is transported in the blood to the kidneys, where it is filtered and excreted in the urine
- A portion of urea diffuses from the blood into the intestine, and is cleaved to CO2 and NH3 by bacterial urease
Hereditary Hyperammonemia: Enzyme defect in the urea cycle
- Type 1: carbamoyl phosphate synthetase I
* Type 2: ornithine transcarbamoylase
– Causes hyperammonemia, elevated blood glutamine, decreased BUN
– Presents with lethargy, vomiting, hyperventilation, convulsions, cerebral edema, coma, death
– Treat with low protein diet, administration of sodium benzoate or phenylpyruvate to capture and excrete excess nitrogen
Hereditary Hyperammonemia
– Compromised liver function
– Presents with tremors, slurring of speech, somnolence, vomiting, cerebral edema and blurring of vision
Acquired Hyperammonemia
Ketogenic
- Leucine
- Lysine
Ketogenic and Glucogenic
FYI, Double You = FYIW F - Phenylalanine Y - Tyrosine I - Isoleucine W - Tryptophan
Amino Acids whose catabolism yields pyruvate or intermediates of the Krebs Cycle:
- glucose (via gluconeogenesis)
- glycogen in muscle or liver
Glucogenic