Protein Flashcards

1
Q

What happens to dietary proteins in the stomach?

A

Proteins are denatured by hydrochloric acid and hydrolyzed by pepsin, breaking them into smaller polypeptides and free amino acids

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2
Q

Why do we need a dietary supply of proteins?

A

To maintain protein balance, replace obligatory losses through urine and feces, support growth, and synthesize non-protein substances

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3
Q

List the nine essential amino acids.

A

Histidine, isoleucine, lysine, threonine, leucine,methionine,phenylalanine, tryptophan, and valine

HILTLMPTV

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4
Q

What are conditionally essential amino acids? What types of reasons make an AA conditionally essential?

A

Amino acids that become essential under specific conditions, such as illness or stress

-insufficient synthesis
-increased requirement
-decreased synthesis
-defective synthesis

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5
Q

Why are cysteine and tyrosine considered semi-essential?

A

They require methionine and phenylalanine, respectively, as precursors and become essential if these precursors are limited

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6
Q

Which AA are conditionally essesntial?

A

Cysteine, glutamine, glycine, arginine and tyrosine

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7
Q

what AA becomes conditionally essential with stress, injuries and surgeries? why?

A

Glutamate
-important for immune function and is a precursor for glucose

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8
Q

what AA becomes conditionally essential during decreased synthesis? why?

A

Arginine
-important in DNA synthesis, urea cycle and regulation of blood flow (NO formation)

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9
Q

What condition affects tyrosine synthesis, and what are the consequences? what is the function of tyrosine?

A

Phenylketonuria (PKU) results from a lack of the enzyme phenylalanine hydroxylase, requiring dietary tyrosine supplementation

tyrosine synthesizes catecholamines, NT, melanin and thyroid hormones

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10
Q

Outline the major phases of protein digestion

A

Mechanical digestion in the mouth, gastric hydrolysis in the stomach, enzymatic breakdown by pancreatic proteases, and further digestion at the brush border.

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11
Q

What occurs in the mouth during protein digestion?

A

Mechanical digestion: chewing and crushing moisten food, preparing it for further breakdown

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12
Q

Describe the role of the stomach in protein digestion

A

The stomach uses hydrochloric acid to denature proteins and activates pepsinogen to pepsin, breaking proteins into smaller peptides

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13
Q

What triggers pancreatic enzyme secretion in the small intestine?

A

The presence of polypeptides and amino acids stimulates the release of cholecystokinin (CCK), prompting pancreatic enzyme secretion

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14
Q

How are pancreatic zymogens activated?

A

Enteropeptidase activates trypsinogen to trypsin, which in turn activates other zymogens like chymotrypsin and carboxypeptidase

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15
Q

where is CCK released from? where does it act on?

A

released from the SI in response to polypeptides and small AA and will stimulate bile acids and pancreatic enzymes from the pancreas

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16
Q

what is the role in CCK on pH?

A

release of CCK will stimulate the release of HCO3- to decrease acidity and make an optimal environment for enzyme activity in the intestine

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17
Q

what enzyme activates trypsinogen?

A

enteropeptidase

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18
Q

what do the enzymes in the SI break proteins down into?

A

di-,tri, and oligopeptides

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19
Q

What is the significance of brush border peptidases?

A

They complete the digestion of oligopeptides into free amino acids and di/tripeptides for absorption

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20
Q

what are incretins and where are they released from? provide a specific example

A

hormones released from the intestine that stimulate insulin secretion prior to blood glucose spikes to prepare the body for larger insulin repsonses

Glucagon-like peptide 1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP)

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21
Q

what is DPP-4? what is its effect on metabolism?

A

An inactivator of incretins which prevents the lowering of blood glucose

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22
Q

what are endogenous vs exogenous proteins?

A

endogenous proteins are produced within the body and often recycled, while exogenous proteins are consumed through diet

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23
Q

what are examples of endogenous proteins?

A

digestive secretions, sloughed-off epithelial cells and recycled proteins

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24
Q

What happens to amino acids after they are absorbed by enterocytes in the small intestine?

A

they are used for protein synthesis within the enterocyte, converted into other metabolites, or transported across the basolateral membrane into the bloodstream

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25
Q

What is the role of sodium in amino acid absorption? why is this important?

A

Sodium creates a gradient that helps drive the active transport of amino acids into enterocytes, this is needed because we need to be able to uptake proteins at all times wihtout relying on a [gradient] for absorption

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26
Q

Describe the transport of di- and tripeptides across the brush border, what occurs to the peptides after this?

A

Di- and tripeptides are absorbed via a proton-dependent transporter called PepT1, once inside the enterocyte, they are usually hydrolyzed into free amino acids by intracellular peptidases

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27
Q

explain the impact of having diffent types of amino acids that need to be transported

A

differing AA compete for transport which affects absorption

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28
Q

How is the sodium gradient maintained in enterocytes for amino acid transport?

A

The sodium gradient is maintained by the Na⁺/K⁺ ATPase pump on the basolateral membrane of enterocytes, which actively pumps sodium out of the cell and potassium in, creating a gradient

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29
Q

How does the sodium-dependent amino acid transporter work?

A

Sodium binds to the transporter first, inducing a conformational change that increases the transporter’s affinity for amino acids. Once the amino acid binds, the transporter moves both sodium and the amino acid into the cell

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30
Q

Are all amino acids absorbed via sodium-dependent transport mechanisms?

A

No, not all amino acids rely on sodium-dependent transport. Some amino acids are transported via other mechanisms, such as facilitated diffusion or proton-dependent transport systems.

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31
Q

What factors affect the rate of protein digestion and absorption?

A

Protein structure, the food matrix, peptide length, and the relative essentiality of amino acids

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32
Q

How does the small intestine adapt to changing protein absorption needs?

A

By increasing surface area through hyperplasia or altering transporter and enzyme expression in response to demand

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33
Q

Why aren’t intact proteins usually absorbed by adults?

A

Due to the action of brush border proteases and the lack of transporters for whole proteins

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34
Q

How do newborns absorb whole proteins from colostrum?

A

Through leaky junctions that allow immunoglobulins and growth factors to pass into the bloodstream, aiding immune development

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35
Q

What is celiac disease, and how does it affect protein digestion?

A

An autoimmune disorder where gliadin protein permeates tight junctions, leading to an immune response and intestinal damage

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36
Q

How does the small intestine utilize dietary amino acids?

A

Amino acids serve as a major fuel source, particularly for mucosal cells, affecting dietary protein utilization efficiency.

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37
Q

Why do some amino acids have lower portal concentrations? what are some proteins that you would not expect to be seen in portal circulation?

A

Because they are heavily used by enterocytes for energy and mucin synthesis before entering the bloodstream
-Glutamine, glutamate and aspartate

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38
Q

What is protein malabsorption, and what can cause it?

A

It refers to inadequate protein digestion/absorption, caused by pancreatic dysfunction, intestinal resection, or malnutrition

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39
Q

What is refeeding syndrome, and why is it dangerous?

A

A condition where malnourished individuals cannot properly digest and metabolize nutrients, leading to potentially fatal imbalances

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40
Q

how does the anount of dietary protein vs endogenous protein differ within the pool size?

A

there is slightly more dietary protein ~100g as compared to endogenous ~75

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41
Q

What are the major fates of amino acids in the body?

A

1) Protein synthesis
2) Precursors for non-protein nitrogenous molecules
3) Catabolism for energy with nitrogen excretion

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42
Q

what major roles does the liver play in AA metabolism?

A

1) synthesizes proteins
2) regulates gluconeogenesis using alanine
3) activates / deactivates AA metabolism based on hormonal signals.

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43
Q

What non-protein molecules will be impacted by a deficiency for each arginine and tyrosine?

A

arginine: nitric oxide
tyrosine: catecholamines

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44
Q

What is transamination? why is it important? what catalyzes this rxn?

A

The transfer of an amino group to an α-keto acid in order to make new amino acids
-forms non-essential

catalyzed by aminotransfereases (AST and ALT)

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45
Q

what enzyme is needed for aminotransferases to work?

A

PLP
-acts as a coenzyme

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46
Q

What is oxidative deamination, and where does it occur?

A

the process by which an amino group is removed from an amino acid as ammonia, with the remaining carbon skeleton converted to a keto acid. It primarily occurs in the liver and kidney

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47
Q

Why is oxidative deamination important in nitrogen metabolism?

A

it releases ammonia, which can be converted to urea in the liver for safe excretion. It also regenerates α-ketoglutarate, a key intermediate in the citric acid cycle

48
Q

What are the effects of insulin, glucagon, and cortisol on protein metabolism?

A

Insulin promotes synthesis, while glucagon and cortisol stimulate protein breakdown and energy production from AAs

49
Q

How is urea synthesis regulated?

A

Urea cycle activity increases with high protein intake and decreases during fasting, with regulation at the enzyme level

50
Q

what AA do not participate in transamination rxns?

A

Argininge, Tryptophan, Lysine, Threonine and Proline

LATT-Pull

51
Q

where is ALT found? what do high levels signal? what about in alcoholic hepatitis? why?

A

1)found in the liver (kidney, heart and muscle)
2)high levels signal damage
3)typically AST:ALT ratio is lower in most diseases as the liver deals with majoryity of the issues; but in alcohol related hepatitis AST:ALT is higher (>2) because serum ALT activity is decreased

52
Q

what is the major AA deaminated in the liver?

A

glutamate

53
Q

what makes ammonia toxic?

A

-it raises pH to damaging levels (inteferes with ETC)
-neurotoxicity

54
Q

what makes an AA gluconeogenic? what are examples?

A

Their C-skeleton gets converted to pyruvate or CAC intermediates

-Ala,Gly,Cys,Ser,Asp,Asn,Glu,Gln,Arg,Met,Val,His,
Pro

55
Q

What makes an AA ketogenic? what are examples?

A

Their C skeletons make acetyl coA or Acetoacetate
-Lys, Leu

56
Q

What is the glucose-alanine cycle? why is it important?

A

Muscles form alaline from pyruvate which is transferred to the liver where it is converted back to pyruvate to make glucose
-Alanine is converted to glucose and nitrogen is excreted as urea in order to remove excess nitrogen and provide glucose for energy or maintain [blood glucose]

57
Q

what AA is primarily used for transamination in the kidneys? what abt the liver?

A

Glutamine in the kidneys
Glutamate in the liver

58
Q

what can affect translational efficiency?

A

-mRNA structure
-Ribosomal availibility
-nutrient / enegry status
-stress conditions

59
Q

what are 3 common reasons for alterations in protein structure?

A

1) abnormal genes
2) abnormal processing
3) inability to degrade abnormal proteins

60
Q

how is sickle cell anemia caused?

A

substitution of glutamate for valine causing decreased O2 carrying capacity

61
Q

what is familial hypercholesterolemia?

A

abnormal synthesis of LDL receptors affects uptake of cholesterol from blood, increasing serum cholesterol and atherosclerosis risks

62
Q

what are connective tissue disorders that affect collagen? why is this an issue?

A

Alterations in collagen structure result in many diseases due to it being the most abundant protein in the body

63
Q

How does neonatal diabetes result? what does it impact?

A

alterations in the folding of insulin during synythesis interfere with other cellular processes in cells that make insulin

64
Q

what is the importance of protien degradation?

A

1) regulation of protein abundance
2) elimination of abnormal proteins

65
Q

what is the major pathway for protein degradation? how does it work? when does the activity of the UPS system increase?

A

Ubiquitin-proteasome systnem (UPS)
-proteins that need to be degraded are tagged multiple times to signal removal
-activity increases pathological conditions and starvation

66
Q

what us the affect of inflammation on the UPS system?

A

cytokines are involved with activation of the UPS system, meaning inflammation can upregulate this system

67
Q

what can cause abnormal UPS function? what are some examples that result from this?

A

abnormal protein accumulation
-neurodegenerative diseases (alzheimer’s)
-cardiovascular diseases (atherosclerosis)

68
Q

what is autophagy-lysosomal pathway (ALP)? what 3 steps are involved? where does it mostly occur? what increases activity of this pathway?

A

self-digestion of lysosomes
1) sequestration
2) fusion
3) acidification & digestion

occurs mainly in the liver and minimally in the muscle cells, increased by glucagon and decreased by insulin and AA

69
Q

How is Parkinson’s disease related to protein degradation systems?

A

Accumulation of unfolded proteins causes dysfunction of the UPS and ALP pathways resulting in protein aggregation and the death of dopamine neurons
*improper brain signaling

70
Q

What are the 4 pathways of protein degradation in the body?

A

1)Ubiquitin-Proteasome System (UPS): Responsible for 80-90% of protein degradation, targeting damaged or short-lived proteins

2)Autophagy-Lysosomal Pathway (ALP): Degrades large protein aggregates and organelles

3)ER-Associated Degradation (ERAD): Removes misfolded proteins from the endoplasmic reticulum

4)Calcium/Calpain-Dependent System: Degrades specific proteins in response to calcium signals

71
Q

What is protein turnover, and why is it important?

A

the continuous process of protein synthesis and degradation, necessary for maintaining homeostasis and adapting to changes in energy or nutrient availability

72
Q

What are the two components of nitrogen metabolism?

A

1) Protein turnover (synthesis and degradation) and 2) Nitrogen balance (nitrogen intake versus excretion)

73
Q

What is nitrogen balance, and what does it indicate?

A

the difference between nitrogen intake and loss. Positive balance indicates growth, while negative balance indicates muscle wasting or protein loss

74
Q

what is the energetic cost of protein turnover, how does this change during starvation?

A

Protein turnover uses 10-25% of basal metabolic rate energy. During starvation, the turnover rate decreases to conserve energy

75
Q

Where does most amino acid degradation occur, and what other tissues does this occur?

A

The liver is the primary site for amino acid degradation
-Muscles oxidize branched-chain AAs, and the small intestine handles glutamine, glutamate, and aspartate

76
Q

What happens to amino acids not used for protein synthesis?

A

They are partially oxidized, with carbon skeletons converted into glucose, glycogen, triglycerides, cholesterol, ketone bodies, or non-protein derivatives like creatine and heme

77
Q

How do skeletal muscles function in amino acid storage and metabolism?

A

Skeletal muscles act as a reserve of gluconeogenic precursors and regulate protein turnover to support protein synthesis and gluconeogenesis when needed

78
Q

when does uptake of AA by skeletal muscle occur?

A

occurs after ingesting protein

79
Q

What are the characteristics of amino acids with a low Km for degradation enzymes?

A

they have a high affinity for their enzymes, often undergo irreversible reactions, and include essential amino acids like branched-chain and sulfur-containing amino acids

80
Q

What types of reactions are associated with amino acids that have a medium Km (10-20 mM)?

A

Amino acids like Thr and Lys with a medium Km undergo irreversible reactions
-they cannot be easily regenerated

81
Q

With AA with a high Km, what would you expect in regards to their reactions and availability physiologically? what is a potential risk?

A

They have a low affinity for their enzymes and undergo reversible rxns
-more flexibility in utilization / replenishment
-they can be found in [high] and cross the blood brain barrier, leading to PKU

82
Q

What is the significance of the free amino acid pool, and why must it be regulated?

A

The free amino acid pool must be continually replenished. Excess amino acids can be toxic and interfere with processes like transport into the brain

83
Q

What are the main sources of the amino acid pool?

A

Dietary proteins, tissue protein breakdown, and de novo synthesis of non-essential amino acids

84
Q

what are catabolic signals for protein regulation?

A

thyroid hormones, glucagon, glucocorticoids, catecholamines, cytokines

85
Q

what are anabolic signals for protein metabolism?

A

insulin and amino acids

86
Q

what kind of proteins do you expect to have a rapid turnover? what are examples?

A

regulatory proteins
-Incretins, insulin

87
Q

what kind of proteins do you expect to have a slower (not slowest) turnover? what are examples?

A

non-regulatory proteins
-hemoglobin, albumin

88
Q

what kind of proteins do you expect to have the slowest turnover? what are examples?

A

structural proteins
-collagen

89
Q

what causes decreases in muscle mass with aging?

A

lower protein intake and little change in degradation leads to loss of lean body mass through decreased resistance activity

90
Q

how do hypermetabolic (catabolic) states affect muscle wasting? what are some causes of this and why?

A

it increases muscle watsing
-burns, malnutrition, cancer and sepsis increase BMR which may result in muscle wasting if the higher energy needs are not met

91
Q

how can bulding muscle be an issue in hypermetabolic states even when the proper amount of AA are consumed?

A

increases in catecholamines, and inflammatory cytokines will interfer with insulin signalling causing issues in building muscle even with proper AA intake

92
Q

what is the EAR for protein? what does this indicate?

A

0.66g/kg/day
-the amount of protein needed to maintain N balance

93
Q

where are majority of obligatory protein losses seen?

A

urine and feces

94
Q

How does age affect protein requirements?

A

Protein needs per weight decrease with age. For infants and children, requirements are higher to support growth and development

95
Q

Why is dietary energy important for protein utilization?

A

Insufficient energy intake leads to amino acids being used for energy rather than protein synthesis, reducing protein utilization efficiency

96
Q

What is the AMDR for protein intake?

A

10-35% of total energy intake

97
Q

what cells does acute protein deficiency have the greatest effect on?

A

cells with rapid turnover

98
Q

what 3 ways can protein status be evaluated by?

A

1) measuring plasma proteins in blood
2) assessment of rapidly growing tissues such as hair and skin (visual signs)
3) assessment of lean body mass (failure to grow in children)

99
Q

What is marasmus, and what are its symptoms?

A

Energy + protein deficiency
-muscle wasting, fat loss, and growth retardation in infants
(starvation)

100
Q

What characterizes kwashiorkor, and who is affected?

A

adequate energy + protein deficiency
-growth retardation, fatty liver
-associated with poverty , in developing countries, kids ages 1-5
-more serious than marasmus

101
Q

What are some concerns with high-protein diets?

A

High-protein diets can cause weight loss, calcium loss, and in extreme cases, ketoacidosis or “rabbit starvation” through displacement of other macros (protein > 45% of energy)

102
Q

What factors determine protein quality?

A

the amino acid pattern or score, digestibility, and the availability of amino acids

103
Q

What is true digestibility versus apparent digestibility?

A

True digestibility accounts for endogenous protein losses, while apparent digestibility only measures ingested and fecal nitrogen

104
Q

How can food processing affect amino acid availability?

A

High temperatures and acid can alter amino acids, making them less bioavailable or metabolically unusable

105
Q

Why do plant proteins generally have lower digestibility than animal proteins?

A

Plant proteins may be encapsulated in cell walls or contain trypsin inhibitors, reducing their digestibility

106
Q

What is the limiting amino acid concept?

A

The determinant of protien quality based on the most deficient essential amino acid in relation to the requirement is known as the limiting AA

107
Q

Which amino acids are commonly limiting in food sources?

A

Lysine, methionine, threonine, and tryptophan are common limiting amino acids in various foods, especially plant sources

108
Q

How is protein quality assessed using bioassays?

A

Bioassays like Protein Efficiency Ratio (PER) and Biological Value (BV) measure nitrogen utilization and weight gain per gram of protein
-useful for diets but not foods

109
Q

What is PDCAAS?

A

Protein Digestibility-Corrected Amino Acid Score (PDCAAS) evaluates protein quality by combining amino acid composition and digestibility
-more readily used

110
Q

How is protein content on food labels determined?

A

Food labels use PDCAAS to calculate the % Daily Value of protein, reflecting both quality and digestibilit

111
Q

when is %daily value needed on food lables

A

if making a high proteihn claim or if made for children < 4 years

112
Q

How can amino acid oxidation be used to assess protein requirements?

A

Excess amino acids are oxidized, indicating their availability relative to needs and guiding determination of dietary requirements

113
Q

All animal sources contain all essential amino acids except for what source? what AA does it lack?

A

Gelatin
-lacks Trp

114
Q

What are the benefits and challenges of vegetarian diets?

A

Benefits include lower risk of CHD and diabetes, but challenges involve meeting protein, iron, B12, and calcium needs

115
Q

What claims are allowed for protein on food labels?

A

“high protein” - protein rating 40+
“More protein / higher protein” - protein rating 20+
“High quality protein” / “source of AA”- not permitted