Urea Cycle Flashcards

1
Q

Alanine and glutamine are used to carry nitrogen to the liver. What are the differences between these two transport molecules?

A

Alaine can only carry one nitrogen and is primarily used by muscle tissues. Glutamine can carry two nitrogen and is used by most tissues.

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2
Q

What enzyme removes nitrogen from glutamine in the liver?

A

Glutaminase

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3
Q

Three enzymes play a role in the transport of nitrogen via glutamine. What is the only reversible enzyme in this pathway?

A

Glutamate Dehydrogenase (GDH) - alpha-KG <–> glutamate

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4
Q

What is the role of glutamate in the transport of nitrogen via alanine?

A

Glutamate donates an amino group to pyruvate to synthesize alanine, becoming alpha-KG. Alpha-KG accepts an amino group from another amino acid to reproduce glutamate.

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5
Q

What vitamin serves as a cofactor for aminotransferase?

A

Vitamin B6 - PLP

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6
Q

What is the rate-limiting enzyme of the Urea Cycle?

A

Carbamoyl Phosphate Synthase I

CO2 + NH4+ + acetyl glutamate –> ornithine

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7
Q

Where does the Urea Cycle take place?

A

Mitochondria (first two steps) & Cytosol of the Liver

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8
Q

What enzymes of the Urea Cycle are located in the mitochondria?

A

Carbamoyl Phosphate Synthase I & Ornithine Transcarbamoylase

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9
Q

What molecules connect the Urea Cycle & TCA?

A

Aspartate & Fumarate

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10
Q

What molecule is a direct precursor of urea? What enzyme is responsible for synthesizing urea?

A

Arginine - Arginase I

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11
Q

What enzyme catalyzes the reaction between citrulline and aspartate to form argininosuccinate?

A

Agrinosuccinate Synthetase

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12
Q

What reaction in the Urea Cycle is catalyzed by Arginosuccinase?

A

Argininosuccinate –> Fumarate + Arginine

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13
Q

High levels of what three molecules are needed to push the Urea Cycle forward?

A

Glutamate, arginine, ammonium

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14
Q

What is the most severe Urea Cycle disorder? What symptoms are associated with the disorder?

A

Deficiency of Carbamoyl Phosphate Synthase I lethargy, seizures, increased NH4+, hyperventilation, and coma within days after birth

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15
Q

What is the most commonly occurring Urea Cycle disorder?

A

Ornithine Transcarbamoylase (OTC) Deficiency

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16
Q

What symptoms are associated with Ornithine Transcarbamoylase (OTC) Deficiency?

A

Increased NH4+ & orotic acid

17
Q

How is a deficiency of Carbamoyl Phosphate Synthase I treated?

A

Treatment with arginine to activate the NAG synthetase

18
Q

What is HHH syndrome?

A

Hyperornithinemia, hyperammonemia,
homocitrullinuria - deficiency of ornithine-citrulline co-transporter