Protein Flashcards

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1
Q

Digestion

A

1- it starts in the stomach by the action of HCL that kills bacteria and activate pepsinogen into pepsin
2- pepsin digest protein into large polypeptides
3- entering small intestine , pancreatic proteases ( which are exopeptidases and endo ) eg : trypsin, chymotrypsin , elastases, collagenases
Digest the large polypeptides into oligopeptides and free a.a
4- there is also enzymes called amino peptidases which are exopeptidases that cleave the N terminal of oligopeptides to make it even smaller and release a.a
5- free a.a are absorbed to enterocytes through sodium dependant secondary active transport via carrier called SLC and tri and bipeptides are also absorbed by proton linked peptide transporter and then hydrolyzed to a.a and all are transported to portal circulation then

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2
Q

What is amino acid pool

A

It is amino acid plasma
1- it is not constant through 24h but it has a normal range between 4-8 mg/dl plasma
2- it contain a.a that is absorbed from diet , from hydrolysis of body protein , synthesised in body to form the pool finally

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3
Q

Fate of a.a

A

Anabolic fate
- formation of protein : hormones, enzymes
- formation of nitrogenous substances: purine , pyrimdine , glutathione

Catabolic fate
- cleavage of them into ammonia and carbon skeletons , ammonia is mostly converted to urea and excreted in urine , little ammonia is also excreted in urine, carbon skeletons are either glucogenic or ketogenic or both or maybe oxidized to co2 and water

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4
Q

Nitrogen group and a.a

A

The presence of a amino group keeps the acid away from being effected by oxiditive breakdown , the removal of the group make an obligatory step of oxidative breakdown

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5
Q

Transamination

A

1- The first step in the catabolism of
most amino acids is the transfer of
their a-amino group to a-
ketoglutarate, producing an a-keto
acid (derived from the original
amino acid and glutamate )

a-ketoglutarate accepts a amino groups and is converted to glutamate That can be oxidatively deaminated or used as amino group donor

This process is catalyzt by enzymes named transaminases or aminotransferases that uses PLP as co enzyme

There areTwo important transaminases reactions , one catalyzd by alanine aminotransferase ( ALT) and aspartate aminotransferase ( ACT)

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6
Q

Alanine aminotransferase
Aspartate aminotransferase

A

Their reactions are reversible however during catabolism direction of the reactions goes to glutamate synthesis ( alanine breakdown )

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7
Q

Oxidative deamination

A

Libration of a amino group from glutamate forming a ketoglutarate and ammonia which converts to urea and excreted and this process is done by glutamate dehydrogenase in liver and kidney mainly ,

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8
Q

Talk about glutamate dehydrogenase

A

1- unique as the glutamate is the only a.a to be oxidatively deaminated
2- it is mitochondrial enzyme

3- a keto glutarate ~> glutamate ( NADPH/ NADP)
Glutamate ~> a ketoglutarate ( NAD/ NADH)
4- Allostericly inhibited by guonseine triphosphate and activated by ADP ( low level of energy)

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9
Q

Fate of carbon skeletons

A

1- glucogenic
Their catabolism gives arise to intermediates of TCA cycle that can undergo gluconeogensis and give glucose

2- ketogenic
Their catabolism gives arise to acetoacetate or any precursor of ketogenisis ( acetyl coa or acetoacetyl coa) to give ketone bodies
There are two : leusine and lysine

3- both
Their carbon skeleton after deamination gives arise to glucose and ketone bodies , they are tyrosine , tryptophan, phenylalanine and isoleucine

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10
Q

Talk about glycine

A

1- glucogenic as it can convert to serine by serine hydroxymethyl transferase and then serine converts to pyruvaic acid by serine dehydratase
2- its non essential a.a

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11
Q

Metabolic functions and derivatives of glycine

A

1- serine synthesis
2- pyrine synthesis
Carbon no . 4,5 and nitrogen no .7 derivatives from glycine
3- creatine synthesis
As it consists if 3 a.a ( glycine, arginine, methionine)
4- heme formation
As glycine reacts with succinyl CoA giving aminoleuvlinc acid ( ALA) that later convert to heme
5- glycine betiane : methyl donor
6- bile salt formation : glycine is conjugated with bile acids to give bile salts that help in emulsification of fat
7- glutathione synthesis
That is formed from glycine, cysteine and glutamate

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12
Q

Talk about glutathione

A

There is two forms oxidized ( GS SG) and reduced ( GSH )

Cysteine and glutamate get together by cysteinyl glutamate synthatase and then glycine is added to form glutathione by glutathione synthatase

It has important roles as
1- a.a transporter through mucosal membrane ( glytamyl cycle )
2- antioxidant ( mentioned before)
3- GSH as cofactor in many processes like PGs
synthesis and Aconitase in TCA cycle
4- detoxification of arommatic compounds like bromobenzenes

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13
Q

Nitrogen metabolism

A

Nitrogen intake and output or can be protein anabolism and catabolism as most nitrogen intake are in protein and most of nitrogen output results from protein breakdown

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14
Q

What is + nitrogen balance and - nitrogen balance

A

Normally there is balance between nitrogen intake and output , it occurs in normal healthy adults

+ : intake > output and this happens during synthesis of new tissues as in growth and pregnancy and during musclar training
- : output > intake it can be due to
Loss of protein eg chronic haemorrhage
Increased protein Catabolism eg DM
little protein intake eg starvation

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15
Q

Synthesis of phenylalanine and tyrosine

A

• Phenylalanine is an essential
amino acid.
• Tyrosine is a non-essential amino
acid, as it is synthesized from
phenylalanine by hydroxylation.
This reaction is catalyzed by
phenylalanine hydroxylase and BH4 as coenzyme ( tetrahydrobiopterin) that is converted to BH2 ( dihydrobiopterin) in the end and is regenerated by dihydrobiopterin reductase that needs NADPH+H or NADH and any deficiency in these substances hencing phenylalaline to convert to tyrosine results in PKU

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16
Q

Catabolic fate of tyrosine

A

Tyrosine is a ketogenic and glucogenic .
The catabolic products are fumarate (glucogenic) and acetoacetate ( ketogenic)

17
Q

Metabolic derivatives of tyrosine

A

Catecholamine Synthesis:
Tyrosine is hydroxylated to
dihydroxyphenylalanine (DOPA)
DOPA is decarboxylated to dopamine that
undergoes hydroxylation to norepinephrine
(noradrenaline). Methylation of norepinephrine
results in formation of epinephrine (adrenaline).

Melanin synthesis
Melanin is a dark brown pigment present mainly
in skin, hair giving them their colors.
Melanins are synthesized to protect underlying
cells from the harmful effects of sunlight

Thyroid hormone synthesis

18
Q

Talk about PKU
- prevelance
-causes
- sign and symptoms
- neonatal screening and diagnosis
- treatment

A

Phenylketonuria (PKU), is one of the most common inborn errors
of amino acid metabolism (prevalence 1:15000)

• Causes
1. Most of the cases of PKU are due to the deficiency of phenylalanine hydroxylase (Classic PKU). Deficiency of PAH will
lead to the accumulation of phenylalanine.

2.1 - 2% of PKU cases are due to deficiency of tetrahydrobiopterin
(BH4)which is the coenzyme for phenylalanine

Signs and symptoms

Failure to walk and talk

Hyperactivity and tremors

Failure to grow

Increased blood phenylalanine : part of it is excreted in urine and part is converted to phenyl pyruvate and phenyl lactate that go to BBB and compete with other substances important for brain and entering as they have higher conc. leading to mental retardation

Neonatal screening and diagnosis of PKU
Early diagnosis of PKU is important because the disease is treatable . Because of the lack of
neonatal symptoms, laboratory testing for elevat-ed levels of phenylalanine is essential for the diagnosis. And its applied in many countries

Treatment
The treatment of classic PKU consists of dietary restriction of phenylalanine with tyrosine

It must continue for at least eight years. It’s better to be lifelong.

Treatment must begin during the first seven to ten days of life to prevent mental retardation.

19
Q

Synthesis and catabolic fate of tryptophan

A

SYNTHESIS
Tryptophan is an essential amino
acid.
CATABOLIC FATE
• Tryptophan is a mixed amino acid
(both glucogenic and ketogenic).
Glucogenic as it gives alanine that is transaminated to give pyruvate

Ketogenic as it gives acetoacetyl CoA

20
Q

Talk about Pyrodoxine ( PLP)

A

Pyridoxine is important to the
intermediary steps of tryptophan
catabolism. Its deficiency impairs
formation of nicotinic acid from
tryptophan, and a sec-ondary
metabolite (xanthurenic acid),
instead, is formed and excreted in urine

21
Q

Metabolic derivatives of tryptophan

A

Nicotinic acid: It is used for synthesis of NAD+ and NADP+.

  1. Formyl THE:

3-Serotonin: Serotonin is 5-hydroxytryptamine. Tryptophan undergoes hydroxylation and decarboxylation to form serotonin
4- melatonin

22
Q

Talk about serotonin

A

Serotonin is synthesized in the nervous tissue and in the intestine

It is an important chemical transmitter in the CNS

vasoconstrictor.

• CARCINOID TUMOR

This tumor presents with increased levels of serotonin and its metabolite: 5-
hydroxyindole-acetic acid (5-HIAA) in both blood and urine. 5-HIAA is formed
by oxidative deamination of serotonin by monoamine Oxidase (MAO).
Pellagra may develop in carcinoid tumor because tryptophan metabolism is
shunted towards synthesis of serotonin by the tumor cells and 5-
hydroxyindole-acetic acid

23
Q

Talk about melatonin

A

Serotonin is acetylated
to N-acetyl serotonin that is
methylated to melatonin

• Melatonin acts as antioxidant.
promoting sleeping to some extent.
It acts as an antidepressant.
Neurotransmitter

24
Q

Tryptophan or nicotinic acid deficiency

A

Pellagra like manifestations

25
Q

Synthesis of glutamate

A

Glutamic acid is a nonessential glucogenic amino acid.
• SYNTHESIS
The reversal of oxidative deamination by glutamate dehydrogenase.

Transamination reactions: alanine and aspartate aminotransferases (ALT & AST).

Catabolism of proline and arginine, and histadine

26
Q

Functions of glutamate

A

Removal of amino group of most amino acids
• in the form of ammonia by trans-deamination.

Glutathione synthesis

Glutamine synthesis
• Glutamine is synthesized by addition of ammonia to glutamate (glutamine
syn-thetase). It enters in protein structure. is uti-lized in very important synthetic processes like

Conversion of aspartate to asparagine.

Synthesis of purines.

Synthesis of pyrimidines.

Synthesis of amino sugars.

Neurotransmitter
Glutamate acts as excitatory neurotransmitter in all CNS

Gamma aminobutyric acid (GABA)
It is an inhibitory transmitter in brain and spinal cord. It is synthesized from L
glutamate by L-glutamate decarboxylase in the presence of PLP

Activation of some proteins
• These proteins include blood clotting which are activated by vitamin K dependent
glutamate carboxylation to form carboxyglutamate.
• Carboxylation of glutamate facilitates their binding with Ca2+, which is an
essential step to perform their biological functions. Also, y-carboxyglutamate
is important for calcium binding in osteocalcin of bone.

27
Q

Synthesis and catabolic fate of meithionine

A

Methionine is glucogenic, essential amino acid.

28
Q

Metabolic derivatives of meithionine

A

Synthesis of S-Adenosylmethionine (SAM)
SAM is the main methyl donor, used in many reactions like
Nor-epinephrine ~> Epinephrine
N-acetyl serotonin ~>Melatonin

Cysteine synthesis
Through formation of homocysteine, this reacts with serine to give cysteine.

Lipotropic factor
Methionine is one of lipotropic factors, which prevent fatty liver.

Spermidine and spermine

29
Q

Who are branched chain a.a and their synthesis

A

Isoleucine and leusine and valine
Essential

30
Q

What is maple syrup urine disease
(4)

A

MAPLE SYRUP URINE DISEASE
• It is an autosomal recessive disorder ,It is caused by mutations in branched chain
ketoacid dehydrogenase.

• In the classic form of the disease, infants are normal for the first few days of
life, after which they lose weight, and have
alternating episodes of hypertonia and hypotonia, and Ketosis, coma, and death if not
treated.

Treatment requires restricting dietary valine, leucine, and isoleucine

31
Q

امتي حصل methylation

A

Nor-epinephrine ~>Epinephrine
N-acetyl serotonin ~>Melatonin

32
Q

امتى استخدمت PLP

A
  • GABA
  • transamination
  • catabolism of tryptophan
33
Q

امتي استخدمت BH4

A

Tryptophan ~> serotonine

Tyrosine ~> dopa
phenylalanine ~> tyrosine