Nitrogen Metabolism Flashcards
1
Q
What are proteases?
A
They cleave specific sites on peptides:
- internal cleavage
- cleavage at termini (amino and carboxypeptidase)
2
Q
What does pepsin digest
A
Proteins to form large polypeptides
3
Q
Where is pepsin synthesised and where does it act
A
Stomach chief cells; stomach
4
Q
What do trypsin, chymotrypsin, carboxypeptidase and elastase digest?
A
Large polypeptides to form small polypeptides
5
Q
Where are trypsin, chymotrypsin, carboxypeptidase and elastase synthesised?
A
Pancreas
6
Q
Where do trypsin, chymotrypsin, carboxypeptidase and elastase act?
A
Small intestine
7
Q
What does aminopeptidase digest?
A
small polypeptides to form amino acids
8
Q
Where is aminopeptidase synthesised?
A
Brush border cells of small intestine
9
Q
Where does aminopeptidase act?
A
small intestine
10
Q
What is a proenzyme
A
A larger inactive enzyme precursor, requires proteolytic cleavage to be activated
11
Q
Why is pepsinogen formed/ why is pepsin not synthesized in active form?
A
It will degrade intercellular protein
12
Q
Where is pepsin activated?
A
stomach
13
Q
How is pepsinogen activated to form pepsin?
A
Catalytic site of pepsinogen blocked by inhibitory domain.
At low pH in stomach, inhibitory domain unfolds, catalytic site activated and cleaves its own inhibitory domain (autolytic activation)-> forms pepsin
Pepsin activates another pepsinogen via cleavage of inhibitory domain (catalytic activation)
Positive feedback activation mechanism
14
Q
What pH is optimal for pancreatic enzymes
A
pH 9, bicarbonate of pancreaic juic neutralises stomach acid from 2.5 to 9
15
Q
What cleaves and activates trypsinogen to form trypsin?
A
Enteropeptidase
16
Q
Which enzymes do trypsin cleave and activate
A
Proelastase-> elastase
Chymotrypsinogen=> chymotrypsin
Procarboxypeptidase-> carboxypeptidase
17
Q
What are the sources for amino acids?
A
Biosynthesis, breakdown of dietary and body’s proteins
18
Q
What can amino acids be used for?
A
metabolism for energy, protein synthesis, non-protein body constituents, small loss in urine and sweat
19
Q
What is nitrogen balance?
A
Dietary N intake vs urinary N output as urea.
Positive nitrogen balance, intake> output
(growth, pregnancy, refeeding, muscle building)
Negative balance (starvation, amino acid/protein deficiency)
20
Q
What is transamination?
A
The transfer of amino group to keto acid to form a non-essential amino acid
21
Q
name 2 transaminases
A
Aspartate aminotransferase (AST) Alanine aminotransferase (ALT)
22
Q
Describe the action of ALT
A
transfers amino group from alanine to alpha kg to form glutamate (nonessential amino acid) and pyruvate which can enter TCA cycle
23
Q
What are pyruvate, OAA and alpha-kg
A
ketoacids
24
Q
Describe the action of AST
A
Transfers amino group from aspartate to alpha kg to form glutamate (non-essential amino acid) and oxaloacetate which can enter TCA cycle
25
What is oxidative deamination?
Carried out by Glutamate dehydrogenase (GDH). GDH accepts wither NAD+ or NADP+ as redox coenzyme.
26
What is the forward reaction for oxidative deamination with GDH?
Ammonia liberated when glutamate is reacted to form alpha kg. Ammonia used to synthesise other amino acids or excreted in urea
27
What is the reverse reaction for oxidation deamination with GDH?
Generation of glutamate collects free NH4+ from amino acid degradation and NH4+ produced by bacteria metabolism in gut
28
What is non-oxidative deamination?
When amino acid catabolism produces free NH4+
29
What is the action of glutaminase
Carries our non-oxidative deamination of glutamine to form glutamate, which can be converted to alpha kg to enter TCA
30
What is the action of asparaginase
Carries out non-oxidative deamination of asparagine to form aspartate with can be converted to OAA to enter TCA
31
What is the function of the glucose-alanine cycle
transport glucose generated by gluconeogenesis from the liver to the muscles, glucose undergoes glycolysis, forms pyruvate, converted into alanine, transported back to liver.
32
how does glutamine serve as a nitrogen carrier
alphakg and NH4+ converted to glutamate by GDH.
Glu and NH4+ converted to Gln by glutamine synthetase
Both NH4+ transported as Gln through circulation to liver.
Gln converted to Glu by gltaminase
Glu converted to alphakg by GDH
2 NH4+ released
NH4+ converted to urea in liver
33
How is NH4+ excreted in urine
Glutamine deaminated to form NH4+ in renal tubule cell
NH4+ dissociates into NH3 and H+
NH3 diffuses into tubular fluid
H+ actively pumped into tubular fluid via Na+/H+ exchanger
NH3 combines with H+, form NH4+, NH3 equilibrium shift, more NH3 diffuses out, more NH4+ formed.
NH4+ cannot go back into renal tubule cell (ion-trapping mechanism)
34
Rank the relative contribution of the four nitrogenous waste products
```
highest
Urea
creatinine
NH4+
Uric acid
Lowest
```
35
What is the immediate precursor of urea?
Arginine
36
What contributes the 2 N atoms in urea?
Aspartate and free NH4+ ions
37
What contributes the carbon atom in urea?
CO2
38
Where does the urea cycle take place?
Partly in mitochondria, partly in cytosol
39
What is the primary function of the urea cycle?
Remove toxic NH4+ from the blood as urea
40
How is carbamoyl phosphate formed?
CO2+H2)-> HCO3-
HCO3-+NH4+---Carbamoyl Phosphate synthetase I (CPSI)---> Carbamoyl Phosphate
2 ATP is used to form 2ADP+Pi
41
Which enzyme converts ornithine to citrulline
Ornithine transcarbamoylase
42
Which enzyme converts citrulline and aspartate into argininosuccinate
Argininosuccinate synthetase
43
Which enzyme converts argininosuccinate into arginine and fumarate
Argininosuccinate lyase
44
Which enzyme converts arginine into urea and ornithine?
arginase
45
Which reactions occur in the mitochondria
Ornithine+carbamoyl phosphate---> citrulline
HCO3-+NH4+---> carbamoyl phosphate
46
How is the urea cycle connected to the TCA cycle?
Fumarate exits urea cycle to enter TCA cycle
Aspartate can be formed by transamination of OAA from the TCA cycle, and it enters the urea cycle to form argininosuccinate
47
What is the benefit of fumarate entering TCA cycle?
Helps to generate NADH in TCA cycle to compensate for loss of ATP in Urea cycle.
Fumarate recycled to form Asp via TCA cycle to assist in transferring more N to urea
48
How can urea cycle be regulated by substrate availability
NH4+ increase, arginine increase, urea increase
49
How does N-acetylglutamate synthetase (NAGS) regulate urea cycle
Arginine is a positive allosteric activator of NAGS, NAG is synthesised, and is a positive allosteric activator of Carbamoyl Phosphate Synthetase I (CPS I)
50
How can urea cycle be induced by glucagon and glucocorticoids?
During prolonged fasting, glucagon and glucocorticoids are secreted.
At the same time, increased proteolysis also results in increased NH4+ produced.
Glucagon and glucocorticoids result in increased flux of the urea cycle to excrete NH4+
51
How does a high protein elevate urea production?
Increased protein digestion and absorption, increased amino acid catabolism, increased NH4+, higher rate of urea cycle due to substrate availability, more arginine, more NAGS activated, more NAG, more CPSI activated, higher rate of urea cycle, more urea
52
How does starvation elevate urea production?
Increase in glucocorticoid secretion, increase in proteolysis, more amino acids catabolised, more NH4+ produced, Ala and glutamine synthesis in skeletal muscle increased and released into circulation as N carriers
Amino acid carbon converted to glucose, N converted to urea, increase in urea production
53
What does ornithinine transcarbamoylase enzyme defect result in?
Low citrulline and elevated urinary orotic acid
54
What does argininosuccinate synthetase enzyme deficiency result in?
High citrulline and low argininosuccinate
Aspartate accumulation results in lesser conversion of glutamate to aspartate (via transamination). less NH4+ and alphakg converted to glutamate. NH4+ accumulates.
55
What does argininosuccinate lyase enzyme deficiency result in?
High citrulline and high argininosuccinate.
Arginine not produced, NAGS not activated, NAG not produced, CPSI not activated
56
What does arginase enzyme deficiency result in?
High citrulline, high argininosuccinate. Ornithine not regenerated, citrulline cannot be exported by antiport.
57
How does a low protein diet help manage urea cycle disorder.
minimal protein consumed, equilibrium nitrogen balance, less amino acid degradation, less free NH4+, supplement diet with only essential amino acids
58
Which urea cycle disorders is a low protein diet effective for?
All
59
Why is arginine replenishment a favourable treatment method of urea cycle disorder?
High arginine intake ensures regeneration of ornithine by arginase.
Ornithine replenishment would result in no Arg, NAGS not activated, no NAG, no CPSI activation.
60
Which urea cycle disorder is arginine replenishment not effective.
Arginase deficiency
61
In Argininosuccinate Lyase deficiency, how is N excreted?
In the form of argininosuccinate (2 NH4+ incorporated)
62
In Argininosuccinate synthetase deficiency, how is N excreted?
In the form of citrulline (1 NH4+ incorporated)
63
How does phenylbutyrate act to treat urea cycle disorder?
Phenylbutyrate undergoes beta oxidation to form phenylacetate, which reacts with glutamine (N carrier) to form phenylacetylglutamine which can be excreted
64
What is one possible explanation of hyperammonemia resulting in neurotoxicity?
Conversion of NH4+ and alpha-kg into glutamate, and then NH4+ and glutamate into glutamine, glutamine associated with cerebral edema
65
What is an essential amino acid?
An amino acid that a human cannot synthesise and must be obtained via diet
66
Name the essential amino acids
(only those we need to remember) Leucine, isoleucine, valine, phenyalanine
67
Which amino acid is semi-essential?
arginine, because some preterm infants cannot synthesise it
68
Name the non-essential amino acids
Alanine (can be generated by ALT with pyruvate)
Asparagine
Aspartate
(asparagine and aspartate can generate each other via non-oxidative deamination/asparagine synthetase)
Glutamine
Glutamate
(Glutaminase non-oxidative deamination/ glutamine synthetase)
Tyrosine
69
What is a non-essential amino acid?
An amino acid that a human can synthesise in adequate amount from common intermediates
70
What is a glucogenic amino acid?
Degradation of amino acid yields glucogenic precursor
71
What is a ketogenic amino acid?
Degradation of amino acid yields compounds that can be converted to KB or FA
72
Which amino acids are strictly ketogenic?
Lysine and leucine`
73
Why are lysine and leucine strictly ketogenic?
Catabolism of their carbon skeleton does not produce any intermediates that can result in the net synthesis of glucose. Lysine and leucine enter TCA cycle as acetyl CoA
74
What enzyme is key in the reaction of Branched Chain Amino Acids (BCAA) to Branched Chain Keto Acids (BCKA)?
BCAA transaminase.
| alpha ketoglutarate converted to glutamate.
75
What is the key enzyme that reacts with BCKA to form ketogenic and glucogenic substrates?
BCKA dehydrogenase to form succinyl CoA, Acetyl CoA and acetoacetate
76
Describe the basis for maple-syrup urine disease
Defective BCKA d/h, cannot decarboxylate BCKA, BCAA and BCKA accumulate in blood.
Presence of BCAA and BCKA in urine gives maple-syrup odour.
77
What is an effect of maple-syrup urine disease?
Accumulation of BCKA results in neurological damage, coma and seizures
78
What are the possible treatment options for maple-syrup disease?
Diet low in BCAA (leucine, isoleucine and valine) and close monitoring of blood amino acids
Manmade infant formula with low BCAA levels
79
How is phenylalanine catabolised?
Phenylalanine---phenylalanine hydroxylase---> tyrosine---> fumarate or acetoacetate
80
What is the coenzyme for conversion of phenylalanine to tyrosine?
tetrahydrobiopterin (BH4)---> dihydrobiopterin (BH2)
BH2 regenerated to BH4 by dihydrobiopterin reductase
81
What is phenylketouria (PKU)?
Impaired ability to convert phenylalanine to tyrosine, inherited disorder
82
What is classical PKU?
Deficiency in phenylalanine hydroxylase
83
What is non-classical PKU?
Deficiency in BH4 or dihydrobiopterin reductase, impair pheylalanine hydroxylase activity
84
What happens when phenylalanine cannot be converted to tyrosine?
Phenylalanine converted to phenylacetate and phenyllactate.
Phenylalanine buildup can impair the central nervous system and cause brain damage
85
What are possible explanations for phenylalanine neurotoxicity?
Phenylalanine---> phenylpyruvate results in the depletion of alphakg to form glutamate. This disrupts the TCA cycle.
Phenylpyruvate---> phenylacetate results in phenylacetate forming phenylacetylglutamine to be excreted
Glutamate is required to form glutamine.
Glutamate (neurotransmitter) depleted
Depletion of glutamine which is a source of glutamate
86
How does PKU cause hypopigmentation?
Albinism occurs when tyrosine is not produced and thus melanin production is impaired.
Phenylalanine and L-tyrosine are also very similar in structure, andthe high concentration of phenylalanine in PKU will compete with tyrosine for tyrosinase as a competitive inhibitor
87
What is dopamine?
Neurotransmitter
88
What is norepinephrine?
A hormone and neurotransmitter
89
What is epinephrine?
A hormone
90
How is conversion of tyrosine to DOPA catalysed in melanocytes?
tyrosinase
91
How is conversion of tyrosine to DOPA catalysed in neurons and adrenal medulla?
tyrosine hydroxylase with BH4 as a coenzyme
92
Describe the production of epinephrine from tyrosine
tyrosine---> DOPA---> dopamine--->norepinephrine--->epinephrine
93
What is a cofactor for aromatic acid hydroxylase?
Coenzyme BH4 converted to BH2 , regenerated by dihydrobiopterin reductase.
Hydroxylation adds -OH
e. g.
1. Phe->Tyr
2. Tyr->DOPA
3. Trp-> 5-hydroxyTrp
94
What is serotonin?
It is a neurotransmitter that regulates emotions, perception of pain, body temperature and basic activities
95
What does low serotonin result in?
Depression, anxiety, schizophrenia and increased appetite
96
What is melatonin?
It is synthesised in response to light-dark environment, increased secretion in dark environment.
Regulates sleep-wake cycle and seasonal rhythms
97
What is histamine?
Stimulates dilation of capillaries and increases blood flow. Allows immune cells to infiltrate site of infection, mediator of inflammatory response in allergies
98
Which reactions are pyridoxal phosphate (PLP) dependent?
Tr---> Serotonin
Histidine--->histamine
DOPA--->dopamine
Decarboxylation reations where CO2 leaves
99
What is PLP?
key cofactor of amino acid metabolism, covalently binds to amino acid substrate
Synthesised from Vit B6
100
What does Vit B6 deficiency result in?
PLP synthesis inhibition, drop in serotonin and dopamine synthesis , symptoms of depression
101
What is a precursor of melatonin?
serotonin
102
Which organs participate in the synthesis of creatine?
begins in kidney and completed in liver, synthesised from Gly Arg and Met
Transported to brain, heart and skeletal muscles
103
What is the role of creatine?
High ATP inhibits glycolysis, so energy is stored in creatine.
Creatine phosphate formed via creatine kinase.
Allows glycolysis to continue as ATP levels are lowered.
ATP released from creatine phosphate when needed
104
How is creatinine formed?
Spontaneous cyclisation of creatine and creatine phosphate.
105
What happens when creatinine is formed??
Excreted in urine.
If creatinine is formed by creatine phosphate, energy stored is lost
106
What is a nucleoside?
It is a base (pyrimidine or purine) and ribose/deoxyribose sugar
107
What is a nucleotide?
Nucleoside+phosphate
108
When the base is a purine what does the nucleoside name end with?
-osine
adenosine and guanosine
2 ring structure
109
When the base is a pyrimidine what does the nucleoside name end with?
-idine
cytidine, thymidine and uridine
1 ring structure
110
Which amino acids are involved in the de novo synthesis of purine and pyrimidine rings?
glutamine, aspartate and glycine (only purine)
111
Why is de novo synthesis of purine and pyrimidine bases important?
Dietary nucleotides degraded by intestinal bacteria. Too little nucleotides assimilated to meet need for purine and pyrimidine
112
What is 5-phosphoribosyl-pyrophosphate (PRPP)?
A critical enzyme at biosynthetic crossroad, a precursor which is required for both purine and pyrimidine nucleotide synthesis
113
What is used to form PRPP?
Ribose-5-phosphate from the PPP.
R5P---PRPPsynthetase---> PRPP
ATP is consumed!!
114
Which amino acid contributes nitrogen to purine synthesis?
Aspartate. Carbon skeleton leaves pathway as fumarate.
Similar to reaction catalysed by ASS and ASL in urea cycle
115
What is the branch point for AMP and GMP synthesis?
IMP
116
How is ATP formed from AMP?
AMP is phosphorylated to ADP, and further phosphorylated to ATP.
ATP converted to ADP can be reverted back via glycolysis and oxidative phosphorylation.
117
How doe slow rate of glycolysis/oxidative phosphorylation affect cell division?
Low ATP levels, lower DNA synthesis, less cell division
118
How is purine nucleotide synthesis regulated?
BY negative feedback mechanisms.
119
How is ATP and GTP synthesis balanced?
high ATP concentration results in accumulation of ADP and thus AMP, which inhibits adenylosuccinate synthetase. IMP is not converted to adenylosuccinate and IMP is accumulated. More IMP converted to XMP, resulting in higher GTP.
High GTP results in accumulation in GDP and thus GMP, which inhibits IMP dehydrogenase. IMP accumulates and more IMP converted to adenylosuccinate, resulting in higher ATP.
ATP encourages XMP---> GMP
GTP encourages IMP---> adenylosuccinate
120
What is the purine nucleotide cycle?
AMP--- AMP deaminase--->IMP---adenylosuccinate synthetase--->adenylosuccinate---adenylosuccinate lyase--->AMP
Produces fumarate from aspartate to enter TCA cycle for skeletal muscle energy production
121
What is the effect of AMP deaminase deficiency?
Exercise intolerance
122
Why does AMP deaminase deficiency result in exercise intolerance
During exercise, more energy demanded, need higher rate of TCA
AMP deaminase deficiency= less fumarate produced, less fumarate enters TCA cycle to be converted to OAA, to accept glucose/FA-derived acetyl-CoA and produce more energy
123
What is a common manifestation of gout?
Painful athritic joint inflammation and kidney stones
124
What is the biochemical basis of gout?
Purine catabolism produces urate (uric acid). Abnormal elevation of uric acid in blood results in abnormal deposits of sodium urate crystals around joint cartilage.
125
How can you treat gout?
Allopurinol which is a competitive inhibitor of xanthine oxidase.
Allopurinol has a very similar structure to xanthine and hypoxanthine
126
Why is the salvage of purine and pyrimidine bases important?
De novo synthesis requires large amounts of nutrients and energy. Conserve nutrients and energy when salvage pathways convert free purines and pyrimidines to corresponding nucleotides
127
What is Lesch-Nyhan syndrome?
Severe HGPRT (hypoxanthine-guanine phosphoribosyltransferase). Hypoxanthine and guanine not converted back to IMP and GMP. Both hypoxanthine and guanine converted to xanthine and then uric acid. Excessive urate, gout-like symptoms. Allopurinol can only ameliorate gout symptoms, not neurological abnormalities
128
What are the differences between CPS I and CPS II function?
CPS I in urea cycle, CPS II in pyrimidine synthesis
129
What are the differences between CPS I and CPS II location?
CPS I in mitochondria, CPS II in cytoplasm
130
What are the differences between CPS I and CPS II source of nitrogen?
CPS I NH4+, CPS II Glutamine amide N
131
What are the differences between CPS I and CPS II activators?
CPS I NAG, CPS II ATP and PRPP
132
What are the differences between CPS I and CPS II function?
CPS I no inhibitor, CPS II UTP, end-product feedback inhibition
133
How is orotate converted to UMP
Orotate---UMP synthase---> OMP---UMP synthase--->UMP
134
What is orotic aciduria?
Deficiency in UMP synthase. Accumulation of orotate, increased orotic acid in urine
135
How do you treate orotic aciduria?
Supplement uridine for cellular function, UTP formed, inhibits CPS II to decrease orotate production
136
How is CTP formed?
UMP---> UTP--->CTP
137
What is used for nucleic acid synthesis (RNA)?
ATP, GTP, UTP, CTP
138
How are deoxynucleotides synthesised? (dATP, dTTP, dGTP, dCTP)
Reduction of ribose moeity. 2'OH replaced by 2'H.
NDP---ribose reductase--->dNDP
dNDP phosphorylated to form dNTP
EXCEPT dUDP dephosphorylated into dUMP and converted to dTMP---> dTDP---> dTTP
139
What is the difference between pyrimidine and purine catabolic end products?
pyrimidine catabolic end products can be further metabolised and enter TCA cycle to contribute to energy production, but purine catabolic end products cannot
