Week 4 Amino Acid/Nitrogen Metabolism Flashcards

1
Q

What are the main precursors of glucose that the carbon skeleton of glucogenic amino acids can be converted into?

A

pyruvate, oxaloacetate, other intermediates of the TAC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

In the fed state, when protein is digested and broken down into amino acids by the small intestine, they are delivered to the _________ where they can be used directly for ___________ synthesis, converted to __________ OR ______ _______, or delivered to other tissues most notably the __________.

A

When protein is digested and broken down into amino acids by the small intestine, they are delivered to the LIVER where they can be used directly for PROTEIN synthesis, converted to GLUCOSE OR FATTY ACIDS, or delivered to other tissues most notably the MUSCLES.

Note:
-When converted to glucose or fatty acids, those are stored as glycogen and triacylglycerides. This occurs when AA are in excess.

-When delivered to muscles AA’s are used for protein synthesis.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the main precursors of fatty acids that carbon skeletons of ketogenic amino acids can be converted to?

A

acetyl -COA and acetoacetyl CoA.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

In the fasted state, most ___________ amino acids will contribute to the production of _______ via the process of ____________ while others will form ATP by going into the _________ cycle.

A

In the fasted state, most GLUCOGENIC amino acids will contribute to the production of GLUCOSE via the process of GLUCONEOGENESIS while others will form ATP by going into the KREBS cycle.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

When in starvation, does the body use ketogenic amino acids?

A

It certainly can. However, first, it will oxidize fatty acids released from adipose tissue for energy. The whole point of ketogenesis is to preserve proteins so they don’t have to break down.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

The transamination step is when an _______ group is transferred to another molecule for eventual excretion so it can free the _-_____ _____ to contribute to metabolic pathways.

A

The transamination step is when an AMINE group is transferred to another molecule for eventual excretion so it can free the ALPHA-KETO ACID (carbon backbone) to contribute to metabolic pathways.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

T/F: In times of starvation, fatty acids and amino acids are used in gluconeogenesis.

A

False, only amino acids.

AAs can be converted to pyruvate, oxaloacetate (the first bypass step) in gluconeogenesis, as well as PEP (after converted to OAA). **AA can also be turned into acetyl CoA but those will not contribute to gluconeogenesis.

FA: acetyl CoA can never be converted to pyruvate because 1) the reaction of pyruvate to acetyl-coA is irreversible and 2) Acetyl-CoA only provides 2 carbons for the TAC that are eventually lost before becoming OAA.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What happens to excess protein?

A

It’s excreted, there is no longterm storage for AAs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the major sources of ammonia/ammonium?

A

gut bacteria, transamination, deamination, purine/pyrimidine degradation…

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the 3 major fates of amino acids?

A

1) Synthesis of tissue proteins
2) Synthesis of other important constituents (nucleotides, neurotransmitters, heme, etc.)
3) Catabolism and excretion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Describe the two main systems for degrading proteins within the cell.

A
  • Ubiquitin-protease system (UPS) (ATP-dependent) involves tagging protein with ubiquitin and degrading in the proteosome
  • Proteases in lysosomes also degrade proteins (ATP-independent)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How can you use amino acids for energy?

A

Direct carbon skeletons into TCA cycle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

In animals, why can fatty acids not be used for glucose production?

A

2-C Acetyl CoA product of FA oxidation enters TCA cycle, but 2 CO2 come out, so OAA is regenerated but there is no net gain of OAA, which is also used in gluconeogenesis
Pyruvate dehydrogenase catalyzing pyruvate-> acetyl CoA is irreversible, so 2C acetyl CoA not used to regenerate 3C pyruvate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Why do patients with a protein calorie deficiency present with edema and ascites?

A

In Kwashiorkor, hypoproteinemia, hypoalbuminemia lead to ascites (colloid osmotic pressure reduced, fluid goes to tissue & see edema)
Hepatomegaly from enlarged fatty liver from carbohydrate diet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What role do bacteria play in contributing to hyperammonemia?

A

Bacterial urease causes NH4+ release in the gut, which can increase its levels in the blood.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

In viral hepatitis, why do you see an increase in serum aminotransferases and jaundice?

A

Increased liver damage causes increased enzymes in serum
Hepatic damage may result in decreased bilirubin conjugation so less is excreted, resulting in jaundice; this is last hepatocyte function to be lost

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Why might alcoholism lead to hyperammonemia?

A

Liver damage can lead to compromised urea cycle and thus the buildup of NH4+.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is a biochemical and physiological consequence of a genetic defect causing a deficiency in a urea cycle enzyme?

A

Hyperammonemia; defect in earlier enzymes in cycle may cause more severe form; arginase deficiency (argininemia may be asymptomatic. Ornithine transcarbamylase (OTC) deficiency is most common urea cycle disorder.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is ornithine transcarbamoylase?

A

OTC is a urea cycle enzyme that catalyzes the reaction between ornithine and carbamoyl phosphate and thus allows a nitrogen to enter the cycle.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What does a deficiency in OTC do?

A

A deficiency in OTC causes urea cycle deficiency. Increasing serum ammonia levels result. As an early enzyme in the urea cycle, OTC deficiency may cause a more severe hyperammonemia than other urea cycle enzyme deficiencies.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What macromolecule is used first for energy in starvation?

A

Glycogen broken down to glucose, released from liver to blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

When the above glycogen is depleted, what molecules would next be used for fuel in starvation?

A

Amino acids from proteins, then acetyl CoA from FA oxidation

23
Q

What metabolites accumulate after about 3 days of starvation?

A

Beta-hydroxybutyric acid and acetoacetic acid
Acetoacetate is normally a source of energy for brain, kidneys, cardiac muscle (not liver). In starvation: it is the principal energy source for brain

24
Q

What acid-base metabolic disorder can develop after 3 days of starvation?

A

Metabolic acidosis from above acids, and dehydration-related decrease in tissue perfusion (lactic acid increase)

25
Q

What method can be used to conserve glucose for the brain in starvation?

A

FA breakdown-> increase in Acetyl CoA which inhibits pyruvate dehydrogenase so less glucose converted to pyruvate destined for TCA cycle
Less Acetyl CoA goes into TCA cycle because OAA is depleted via gluconeogenesis, so Acetyl Co A is used in ketone body production

26
Q

The glucose-alanine cycle produces ________ and _______

A

Glucose and urea

27
Q

What is glycogenolysis, what does it do in starvation and how long does it last?

A

Break down of glycogen, supplies CNS with glucose for one day.

28
Q

What is the role of amino acids in gluconeogenesis in starvation?

A

Proteins are degraded into amino acids that are used for gluconeogenesis to supply brain and red blod cells with glucose. Nitrogen excreted via urea cycle.

Muscle prtoein loss is minimized to maintain ability to move.

29
Q

By about 3 days of starvation, gluconeogenesis has depleted _________ required for acetyl CoA to enter TCA cycle. Acetyl CoA from fatty acids is directed toward making _________ in the “protein sparing” phase.

At this time, Acetyl CoA inhibits conversion of pyruvate to Acetyl CoA by allosterically inhibiting ______ ________. This inhibits glucose depletion to save it for the brain.

A

By about 3 days of starvation, gluconeogenesis has depleted OXALOACETATE required for acetyl CoA to enter TCA cycle. Acetyl CoA from fatty acids is directed toward making KETONES in the “protein sparing” phase.

At this time, Acetyl CoA inhibits conversion of pyruvate to Acetyl CoA by allosterically inhibiting PYRUVATE DEHYDROGENASE. This inhibits glucose depletion to save it for the brain.

*about 1/3 of brains energy on 3d day comes from ketone bodies

30
Q

What is the terminal phase of starvation?

A

protein degradation increases, weakened diaphragm muscles and compromised immune system. *Survival time is a function of amount of stored triacylglycerols

31
Q

What are the 3 important compounds in amino group transfer?

A

1) Alpha ketoglutarate, glutamate, glutamine.

32
Q

_____________ (AA) is a major acceptor of amino group and becomes ___________ a major donor of amino groups in biosynthesis.

A

Alpha-ketoglutarate is a major acceptor of amino group and becomes GLUTAMATE a major donor of amino groups in biosynthesis.

33
Q

The amino acid _________ is a major safe transporter of nitrogen (and ammonia) throughout the blood stream

A

GLUTAMINE

34
Q

What is PLP? What does it do? What is it made from?

A

PLP is a cofactor (pyridoxal phosphate) involved in transamination. It is a coenzyme in AA metabolism, heme synthesis, neurotransmitter synthesis, amino acid decarboxylations and other metabolic reactions.

It is made from vitamin B6.

35
Q

Transamination is the process in which an _____ _____ _____ of an alpha-amino acid is transferred to the alpha carbon of ____ ____ ____ and is catalyzed by ________ and PLP.

A

Transamination is the process in which an ALPHA-AMINO GROUP of an alpha-amino acid is transferred to the alpha carbon of ALPHA KETO ACID and is catalyzed by AMINOTRANSFERASE and PLP.

36
Q

What would happen if you had a vitamin B6 deficiency?

A

No PLP, no transamination. Decreased synthesis of alpha ketoglutarate in the TAC cycle from amino acids, so less energy. PLP used in (i) catecholamine pathway, (ii) serotonin biosynthesis; and (iii) GABA synthesis from glutamate

37
Q

Describe the structural differences among creatine, creatine phosphate, and creatinine.

A

Creatine phosphate is the phosphorylated form of creatine, made from glycine and arginine. Creatinine is made via a spontaneous reaction from creatine.

38
Q

What is the importance of creatine phosphate in muscle?

A

Storage form of the high energy phosphate bond. CP is used to generate ATP quickly when needed.
CP + ADP –> Creatine + ATP Catalyzed by creatine kinase (CK)

39
Q

What are the main functions of glutathione in the cell?

A

Maintains a reducing environment in cell.
Reduces superoxide radical and other ROS to protect against oxidative damage.
Some enzymes will not function properly if the sulfhydryl group of cysteine is not reduced (if enzyme forms inappropriate disulfide bonds, could create dysfunctional protein structure).

40
Q

Why does NADPH deficiency cause glutathione deficiency?

A

Need NADPH to reduce oxidized glutathione (GSSG) to 2 GSH (reduced glutathione) and restore oxygen radical scavenging ability to cell.

41
Q

What is the metabolic deficit in acetaminophen toxicity?

A

Intracellular GSH is depleted when used in detoxification of a catabolite of acetaminophen in Tylenol overdose.

42
Q

How would you treat acetaminophen overdose?

A

Charcoal administration if caught early (e.g. first 30 min).
Give chemicals to promote synthesis of GSH, e.g. cysteine.
Only perform gastric lavage if absolutely necessary because of the risk of the procedure.

43
Q

Distinguish between porphyria and hyperbilirubinemia.

A

Porphyria results from a defect in heme biosynthetic pathway; hyperbilirubinemia results from an excess of bilirubin derived from heme catabolism
Many causes for hyperbilirubinema - intrahepatic and extrahepatic.

44
Q

How can histamines cause increased vascular permeability leading to a runny nose associated with an allergic reaction, as well as affect gastric function?

A

Histamine binds to different histamine receptors (H1-H4) and has many different functions in the body in addition to being released during an allergic response.
Histamine binds the parietal cell histamine H2 receptor and stimulates secretion of protons transported by the H+/K+ ATPase to the gastric lumen (protons used in HCl).
Gastric acid secretion is inhibited by a histamine H2 receptor antagonist like cimetidine, ranitidine (OTC drugs).

45
Q

Describe the role of nitric oxide in relieving angina.

A

NO binds to and activates soluble guanylate cyclase which causes cGMP synthesis, causing a reduced amount of Ca2+ available for vascular smooth muscle contraction.
Result is
Systemic vasodilation reduces myocardial wall stress and thus decreases myocardial oxygen demand;
Coronary vasodilation improves oxygen delivery to cardiac muscle

46
Q

Why are nitroglycerin patches used in patients with angina?

A

NO is delivered by gradual breakdown of nitroglycerin to NO. Patches deliver nitroglycerin over time.

47
Q

Speculate why co-administration of an SSRI and OTC tryptophan or an MAOI may be contraindicated in treatment of depression.

A

“Serotonin syndrome” may be triggered by taking an SSRI and OTC tryptophan (to help with sleep) or a prescribed MAOI that will inhibit serotonin breakdown, as well as degradation of other neurotransmitters. Additive serotonin effects in a bipolar disorder may cause patient to experience a dangerous rapid cycling between mania and depression.

48
Q

Which neurotransmitter catabolic pathways are inhibited by MAOIs?

A

Breakdown of Dopamine, NE, E, and serotonin inhibited by MAOIs

49
Q

Outline the biochemical pathway for the synthesis of catecholamines.
Tyr —->______ —-> _________—> NE —> E

A

Catecholamines: Tyr–> DOPA–> dopamine—> NE—> E

50
Q

Why might a drug inhibiting thyroid peroxidase (TPO) be given to a patient with hyperthyroidism?

A

TPO inhibitor inhibits oxidation of iodide to iodine and inhibits organification step (attachment of Io to Tyr side chains in thyroglobin.)

51
Q

What are the consequences of impaired melanin biosynthesis?

A

May be more susceptible to skin cancer (role of melanin in photoprotection is still controversial)
Dark hair has mostly eumelanin; red hair comes from production of pheomelanin with very little eumelanin production; blond hair comes from a small amount of eumelanin production, so impaired melanin synthesis would cause light colored hair and skin

52
Q

What color hair would you expect in a patient that has a genetic defect in the pathway for tyrosine biosynthesis?

A

E.g. Phenylketonuria (PKU)- blond hair- very light color

53
Q

What are some of the reasons that a bruise is colored?

A

Bruise has several pigments: Hemoglobin (red-blue), catabolites of heme: biliverdin and bilirubin (yellow).
See darker color if capillaries closer to surface.
Older patients bruise more easily with thinner skin or if on an anti-coagulant like aspirin.