Proteins and Amino Acids Flashcards

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1
Q

Explain the role of proteins in the body

A
  1. Structural elements: fibrous & contractile proteins
  2. Building material: growth, continual repair and turnover
  3. Catalyze reactions: enzymes
  4. Communication: hormones, cytokines, catecholamines, receptors
  5. Immune function: immunoglobulins (antibodies)
  6. Transportation: albumin, transferrin, ceruloplasmin, lipoproteins
  7. Storage: ferritin
  8. Fluid balance: albumin
  9. Energy source: 4kcal/gram of protein
  10. Satiety
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2
Q

Define and list the essential and non-essential amino acids

A

Essential amino acids must be consumed within the diet because we cannot make them at a sufficient rate. There are 9 and include:
Phenylalanine, valine, threonine, tryptophan, isoleucine, methionine, histidine, lysine, leucine.

Non-essential amino acids can be made within the body. There are 11 and include:
Alanine, arginine, asparagine, cysteine, glutamine, glycine, proline, serine, tyrosine, aspartate, glutamate.

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3
Q

Explain Nitrogen Balance

A
Protein N(in) = N(out)
Protein is about 16% N

N balance = 0.16(g of protein ingested) - (urinary N + fecal N + skin N)

Urinary N = urea + urinary creatine + ammonia, uric acid
Fecal and skin N ~ 1g each/day

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4
Q

Explain when would see a positive N balance and a negative N balance

A

Positive N balance during times of growth, pregnancy and tissue repair.

Negative N balance burns, fevers, wasting disease and fasting

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5
Q

What effect does insulin and glucagon have on protein metabolism?

A

Insulin promotes protein synthesis and inhibits protein degradation.

Glucagon promotes protein degradation
and slows protein synthesis.

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6
Q

Give an overview of protein and amino acid metabolism.

Deamination, transamination, formation of ketone bodies

A

Deamination: removal of amino group. Carbon skeleton can be used to synthesize energy, glucose, ketone bodies, fatty acids or cholesterol. Amino group can be used to make another amino acid or excreted as urea by kidneys.

Transamination: transfer of an amino group from one amino acid to the carbon skeleton of another amino acid or alpha-keto group

Ketone body formation: accumulation of acetyl CoA, which is converted into ketone bodies in the liver which are then used as an energy source

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7
Q

Evaluate dietary protein quality

A

High quality or complete proteins contain all essential amino acids in the approximate amounts needed by humans and usually come from animal products (gelatin and soy also).

Low quality or incomplete proteins has a limiting essential amino acid:
Legumes low in methionine
Grains low in lysine
However grains are high in methionine and legumes are high in lysine so they are complementary proteins.

Protein quality is also based on protein digestibility - amount of amino acids absorbed following ingestion of a given protein
Meat - 95%
Dairy - 95%
Eggs - 97%
Tofu - 90%
Split peas - 70%
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8
Q

Describe protein-energy malnutrition

Marasmus & kwashiorkor

A

Marasmus:
Deficient in proteins and calories
Begins before age of 2
Develops slowly
Extreme emaciation –> muscle & adipose tissue wasting
Serum protein levels normal or only slightly low
Increased appetite
Digestive enzyme production decreased and GI lining deteriorates

Kwashiorkor:
Only deficient in proteins
Begins in children 1-3yrs, after weaning
May be due to infections
Rapid onset
Low serum protein levels
Enlarged fatty liver 
Ascites --> loss of appetite - feel full because of build up of fluid in abdomen
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9
Q

Discuss protein digestion in the stomach

A

Gastric juices (stimulated by gastrin - pH of 1-2):
HCL
- secreted by parietal cells
- denatures proteins
- converts pepsinogen (secreted by chief cells) to pepsin
Pepsin
- functions at pH >3.5
- hydrolyzes pelted bound
- left with large polypeptides and some free a.a.

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10
Q

Discuss protein digestion in the small intestine

A

Secretin and cholecystokinin

  • secreted from mucousal cells
  • stimulate pancreas cells to release gastric juices containing:
    • bicarbonate
    • electrolytes
    • water
    • digestive enzymes
  • mucous-rich secretions from Brunner’s glands
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