Nitrogen metabolism Flashcards

1
Q

What is the rate-limiting step of nitrogen metabolism?

A

NH4+ => carbamoyl phosphate via carbamoyl phosphate sythetase (CPS) I

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2
Q

What amino acid is taken from the muscle converted to glutamate? Via what chemical transformation?

A

Alanine => glutamate via transamination

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3
Q

Transporters for what are defective in Hartnup’s disease?

A

Nonpolar amino acids

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4
Q

Transporters for what are defective in Cystinuria?

A

Dibasic amino acids

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5
Q

Where in the nephron does amino acid and glucose reabsorption occur?

A

proximal convoluted tubule

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6
Q

What 4 things is tryptophan a precursor for?

A

serotonin, melatonin, niacin, NAD

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7
Q

What disease is associated with tryptophan deficiency and what are other associated sxs?

A

Hartnup’s

failure to thrive, nystagmus, ataxis, tremor, pellegra-like dermatitis, photosensitivity

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8
Q

Hartnup treatment

A

Niacin supplementation

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9
Q

What is deficient in secondary/non-classical PKU?

A

THB (coenzyme for Tyr synthesis)

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10
Q

What is deficiency is primary/classical PKU?

A

phenylalanine hydroxylase (enzyme for Phe=>Tyr)

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11
Q

In PKU, what is Phe converted to?

A

phenylpyruvate
phenyllactate
phenylacetate

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12
Q

What results from PKU and why?

A

irreversible neurological damage resulting from phenylalanine toxicity

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13
Q

What enzyme is deficient in hereditary infantile tyrosinemia AKA tyrosinemia type I?

A

fumarylacetoacetate hydrolase - final step in conversion of Tyr => fumarate

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14
Q

What enzyme is deficient in Tyrosinemia type II

A

tyrosine aminotransferase

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15
Q

What enzyme is deficient is tyrosinemia type III

A

p-hydroxyphenyl-pyruvate oxidase

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16
Q

What is alkoptonuria?

A

buildup of homogentisate => auto-oxidizes => produces black pigment which deposits in urine and CT

17
Q

What is gout a result of and how can it be avoided?

A

defect in purine metabolism => buildup of uric acid

avoid purines, take allopurinol

18
Q

What disease is associated with defects of the urea cycle?

A

hyperammonemia