Nitrogen Metabolism Flashcards

1
Q

what is the final step to nitrogen removal?

A

oxidative deamination (glutamate dehydrogenase will oxidatively deaminate glutamate to form ammonia

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2
Q

how are amino acids converted to glutamate?

A

via transamination reactions

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3
Q

what do transamination reactions require?

A

PLP

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4
Q

what is the role of CPSaseI?

A

it uses the free ammonium to form carbamoyl phosphate which then feeds into the urea cycle

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5
Q

Hartnup disease affects membrane transport of what amino acids?

A

neutral amino acids

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6
Q

Cystinuria affects the membrane transport of what amino acids?

A

dibasic amino acids

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7
Q

as filtrate passes through the PCT, transport proteins from what gene superfamily mediate the reuptake of amino acids and glucose?

A

from the SLC (solute carrier) gene superfamily

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8
Q

what specific amino acid is not reabsorbed in Hartnup’s disease?

A

tryptophan

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9
Q

what specific amino acids are not absorbed in Cystinuria?

A

COAL (cystine, ornithine, arginine, and lysine

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10
Q

what is tryptophan a precursor of?

A

serotonin, melatonin, and niacin

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11
Q

what is niacin a really important precursor for?

A

formation of NAD

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12
Q

what is the inheritance like of cystinuria?

A

it is autosomal recessive- males

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13
Q

what does cystinuria result in?

A

the formation of cystine renal calculi

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14
Q

What causes PKU?

A

a defect in the reaction that converts Phe–> Tyr (defect in phenylalanine hydroxylase

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15
Q

what is secondary (non-classical PKU)?

A

a dihydrobiopterin reductase deficiency

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16
Q

what are the toxic substances associated with PKU?

A

phenyllactate and phenylacetate

17
Q

what causes the musty odor associated with PKU?

A

phenyllactate

18
Q

what is the essential cofactor of phenylalanine hydroxylase?

A

tetrahydrobiopterin

19
Q

what is used in treatment of secondary PKU?

A

synthetic THB

20
Q

what causes transient tyrosinemias in newborns?

A

delayed expression of 4-HPPD

21
Q

what causes tyrosinemia type 1?

A

defect in fumarylacetoacetate hydrolase

22
Q

what is the go to treatment for tyrosinemia type 1?

A

nitisinone

23
Q

what is tyrosinemia type 2 caused by?

A

defective tyrosine aminotransferase

24
Q

clinical signs of tyrosemia type 2?

A

occular manifestations including excessive tearing, redness, pain, and photophobia

25
Q

what causes tyrosinemia type 3?

A

defective 4-HPPD

26
Q

what causes alkaptonuria?

A

defective homogentisate oxidase

27
Q

what accumulates in alkaptonuria?

A

homogentisic acid

28
Q

what is the characteristic triad of alkaptonuria?

A

homogentisic aciduria, dark sclera, and arthritis

29
Q

what enzyme is responsible for converting glutamate into alpha ketoglutarate?

A

glutamate dehydrogenase

30
Q

what enzyme is responsible for converting amino acids into alpha keto aicd?

A

amino transferases

31
Q

what enzyme is responsible for converting glutamate into glutamine?

A

glutamine synthase

32
Q

what enzyme is responsible for converting glutamine into glutamate?

A

glutaminase