Nitrogen Metabolism II Flashcards

1
Q

Give an overview of the urea cycle

A

-approx. 90% of nitrogen in urine is in the form of urea

  • One nitrogen of urea derived from ammonia, the other from Aspartate
    • (Both nitrogens from glutamate, from oxidative deamination and transamination, respectively)
  • CO2 provides C and O of urea
  • Urea is produced in the liver and transported to kidney for excretion in urine
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2
Q

Describe the distribution of N-containing compounds in urine

A

Urea- 86%

Creatinine- 5%

NH4+ - 3%

Other- 6%

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3
Q

List the steps of the urea cycle

A
  1. Formation of carbamoyl phosphate
  2. Formation of citrus line
  3. Synthesis of Arg ink Succinate
  4. Cleavage of arginosuccinate
  5. Cleave of arginine to urea and ornithine
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4
Q

Describe the first step of the urea cycle

A

Formation of carbamoyl phosphate

  • catalyzed by mitochondrial carbamoyl phosphate synthetase I (CPS I)
  • rate limiting step
    • 2 ATPs needed to combine ammonia (from oxidative deamination) and CO2 to form carbamoyl phosphate
    • Requires N-Acetyl glutamate
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5
Q

Describe the second step of the urea cycle

A

Formation of citrulline

  • catalyzed by mitochondrial ornithine transcarbamoylase
  • combines ornithine and carbamoyl phosphate
  • release of high energy phosphate drives reaction
  • citrulline is transported to the cytoplasm
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6
Q

Describe the third step of the urea cycle: synthesis of arginisuccinate

A
  • catalyzed by arginosuccinate synthase
  • citrulline condenses with Aspartate to form arginosuccinate
  • source of second nitrogen atom in urea
  • requires ATP, the third and final ATP needed for urea synthesis
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7
Q

Describe the 4th step of the urea cycle: cleave of arginosuccinate

A
  • catalyzed by arginosuccinate lyase
  • form fumarate and arginine
  • fumarate can be used to make malate (and glucose), or Aspartate via oxaloacetate
  • arginine is the intermediate precursor of urea
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8
Q

Describe the final step of the urea cycle

A

Cleavage of arginine to urea and ornithinine

  • catalyzed by arginase
    • arginase only found in liver
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9
Q

Explain the fate of urea

A
  • urea is transported to the kidney where it is excreted in urine
  • small part of urea is converted to NH3 and CO2 in the intestine by bacterial urease β€”> NH3 excreted in feces
  • In kidney failure, this becomes a significant source of hyperammonia
  • treatment with neomycin decreases urease-producing bacteria
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10
Q

Give the overall stoichiometry of the urea cycle

A

Aspartate + NH3 + 3ATP β€”> urea+ 2Pi + 2ADP+ PPi + AMP

4 high energy P-bonds are consumed

πŸ”ΌG= big and neg β€”> irreversible

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11
Q

The urea cycle is linked to which cycle?

A

The TCA cycle

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12
Q

What kind of diet activates the urea cycle and why?

A

the urea cycle is activated by protein-rich diets, particularly glutamate and arginine

N-Acetylglutamate is an essential allosteric activator of CPS1

Formation of N-Acetylglutamate is dependent on:

  1. Glutamate
  2. Arginine
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13
Q

Explain the positive feedback of urea cycle

A
  1. Regulation of CPS1 by N-acetylglutamate
    • synthesis of N-acetylglutamate dependent on [GLU]
    • Synthesis of N-acetylglutamate is stimulated by ARG (produced by urea cycle)
  2. Regulation by substrate concentration (a.a.)
    • the rate of NH 4+ production
  3. Induction (synthesis) of the cycle enzymes with increase in protein metabolism
    • fasting and high protein diet
    • increased gene expression

Liver has a large capacity to dispose of NH4+

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14
Q

Give an overview of the metabolism of ammonia

A
  • NH3 is produced by all tissues during the metabolism of N-containing compounds
  • NH3 extremely toxic to CNS, can cause coma and death
  • Must have mechanism for removing NH3 from periphery to liver without increasing plasma NH3 levels
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15
Q

Explain the sources of ammonia amino acids and glutamine

A
  1. Amino acids
    • produced in many tissues from sequential action of transaminases and glutamate dehydrogenase
    • especially liver
    • skeletal muscle protein degradation during fasting and exercise
  2. Glutamine -via renal glutaminase
    • most ammonia excreted in urine as NH4+
    • important for acid-base balance
  3. Glutamine - via intestinal (mucousal cell) glutaminase
    • glutamine from blood or digestion
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16
Q

Explain intestinal bacteria, amines, purines and pyrimidines

A
  1. Intestinal bacteria
    • bacteria break down urea in the intestine to ammonia
    • goes to liver via portal vein and is converted to urea
  2. Amines
    • from amines in the diet of break down of neurotransmitters
    • catalyzed by amine oxidase, releases ammonia
  3. Purines and pyrimidines
    • Catabolism releases ammonia from amino groups
17
Q

How does alanine help in the transport of ammonia in circulation?

A

Alanine
-degradation of muscle proteins release ammonia and provide energy to muscle

- ammonia incorporated into glutamate by GDH enzyme 
- Transamination of Pyruvate by ALT in muscle     - In liver alanine transaminases to Pyruvate by ALT    - Pyruvate used in gluconeogenesis
18
Q

How does glutamine aid in transport of ammonia in circulation?

A
  • nom-toxic storage and transport of NH3
  • Catalyzed by glutamine synthetase
  • Mostly in muscle and liver, also very important in brain
  • Higher plasma concentration than other amino acids, removed by the kidney via glutaminase
19
Q

How does urea assist in ammonia transport ?

A

Urea
-quantitatively most important transport system for ammonia

-transported from liver to kidney in blood

20
Q

How is glutamate converted to glutamine?

A

Glutamine synthetase converts glutamate to glutamine

Using ATP, NH4+ and produces glutamine and ADP +Pi

Occurs in liver and peripheral tissues

21
Q

How is glutamine converted to glutamate?

A

Glutaminase uses water to convert glutamine to glutamate and NH4+

Occurs in the kidney

22
Q

Which 3 enzymes incorporate free NH4+binto organic molecules ?

A
  1. Glutamate dehydrogenase
  2. Glutamine synthetase
  3. Carbamoyl phosphate synthetase 1
23
Q

What are the symptoms of hyperammonemia?

A

Symptoms include tremors, slurring of speech, blurred vision, coma, may lead to death

24
Q

What can lead to Acquired hyperammonemia?

A
  1. Cirrhosis from alcoholism, hepatitis or biliary obstruction may cause collateral circulation around liver
  2. Reye’s syndrome
    - occurs primarily in children with chicken pox or influenza who are given salicylates
    - leads to mitochondrial damage and disruption of urea cycle
    - high levels of serum transaminase
25
Q

How often does hereditary hyperammonemia occur?

A

1/ 30, 000 births

26
Q

Describe hereditary hyperammonemia

A
  • genetic deficiencies I; any of the 6 urea cycle enzymes
  • results in mental retardation
  • hyperammonemia within first week of birth
27
Q

How can hyperammonemia be treated?

A
  • low-protein diet
  • lactulose
  • neomycin
28
Q

What is type 2 hyperammonemia?

A

Ornithine transcarbamoylase deficiency

Characteristics:
-Most commonly occurring UCD, only X-linked UCD,

  • ammonia and amino acids elevated in serum
  • increased serum orotic acid due to mitochondrial carbamoylphosohate entering cytosol and being incorporated into pyrimidine nucleotides which leads to excess production and consequently excess catabolic products
  • treat with high carbohydrate, low protein diet, ammonia detoxification with sodium phenylacetate or sodium benzoate
29
Q

What are the mechanisms of hyperammonemia?

A
  1. increased levels of ammonia

2. Increased levels of glutamine in the brain

30
Q

How does increased ammonia level function as a mechanism of hyperammonemia?

A
  • shifts the glutamate dehydrogenase reaction towards glutamate
  • results in depriving TCA of a-KG
  • this decreases cellular oxidation and ATP synthesis, particularly in the brain
31
Q

How does increased Levels of glutamine in the brain, function as a mechanism of hyperammonemia?

A

Increased levels of glutamine in the brain

  • osmotic increase in water in astrocytes = brain swelling
  • increased glutamine results in decreased glutamate and GABA