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60 Cards in this Set
- Front
- Back
positive nitrogen balance
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input>output
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negative nitrogen balance
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output>input
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essential amino acids
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PVT TIM HALL- phe, val, trp, thr, iso, met, his, arg, lys, leu
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tyrosine is made from
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phenylalanine
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cysteine synthesis requires
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methionine's sulphur
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although essential for growth, _______ is also generated in the urea cycle.
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arginine
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Urea cycle activity is highest when
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you've just eaten protein or you've been fasting and AA's are being used for GNG
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Breakdown of AA's generates ammonia because
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The N component can't be used and must be excreted as urea, ammonium, creatinine, and uric acid
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Hypercatabolic State
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increased fuel usage due to injury, trauma, infection; negative N balance
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Alanine, Aspartate and Glutamate can be transaminated from
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Pyruvate, Oxaloacetate, and alpha-Ketogluterate respectively
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protein digestion starts in the
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stomach
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AAs can't be further catabolized until
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the amino group is removed through transanimation or deanimation
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Transanimation Rxn:
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amino acid + α-KG → α-keto acid + glutamate; the nitrogen is now on glutamate.
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Aspartate's α-keto acid is:
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Oxaloacetate; likewise, alanine's α-keto acid is pyruvate, and glutmate's α-keto acid is α-ketogluterate
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transanimation is catalyzed by
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aminotransferases... what do they do? Transfer amino groups to another AA!
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AST
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aspartate aminotransferase... aspartate↔OAA
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ALT
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alanine aminotransferase... alanine↔pyruvate
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T/F: transanimase reactions are reversible
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true; direction is concentration dependent
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Pyridoxal Phosphate (PLP)
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aminotransferase cofactor; used to transfer amino group in aminotransferase Rxns; synthesized in the liver from B6 (pyridoxal); aminotransferase and transanimase are used interchangeably
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Glucogenic AAs
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Ultimately degraded to Pyruvate or TCA intermediates (a-ketogluterate or after)
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Ketogenic AAs
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Ultimately degraded to acetyl CoA or acetoacetate
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Insulin effect on AA metabolism
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Promotes AA uptake and protein synthesis
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Glucagon effect on AA metab
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Stimulates AA uptake in the liver
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Glucocorticoid (Cortisol) effect on AA metab
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Induces Ubiquitin synthesis; Stimulates GNG, so liver uptake of AAs for precursors stimulated
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Skeletal m. has lots of _____ AAs
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branched chain
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Branched Chain AAs
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val, leu, ile
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Fasted Skeletal m. AA metab
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branched chain AAs released from protein are oxidized in muscle for energy or export (as a-keto acid) to other tissues for energy use
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glutaminase
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glutamine→glutamate + NH4; occurs in the liver
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Glutamate Dehydrogenase
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Deaminates Glutamate to α-KG; ammonia and NAD(P)H released in forward direction; nitrogen goes to urea cycle
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T/F: Glutamate DH is a reversible enzyme
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true: occurs primarily in liver and kidney; can also occur in skeletal muscle if you need to regenerate a-ketogluterate.
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glutamate DH
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glutamate+NH4→α-KG+NH4
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Transanimation Rxns: The amino acid gives its amine group to _____, thus producing _____. The original amino acid has been converted to its corresponding _____.
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α-KG, glutamate, α-keto acid
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In muscle and other tissues: glutamate+ NH4→_____. What enzyme catalyzed this rxn?
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glutamine; catalyzed by glutamine synthase; glutamine can then carry 2 ammonia molecules to the liver
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Deamination of glutamate by ____ in the liver releases nitrogen which can go into the urea cycle
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glutamate dehydrogenase; glutamate→α-KG+NH4
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Deanimation by Glutamate DH in muscle regenerates:
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a-KG, which is great 'cuz you can break down more branched chain AAs, but bad 'cuz you end up with free ammonia in muscle cells.
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Name 3 processes producing free ammonia
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purine metab, bacterial metab in gut, serine and threonine metab
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Only the _____ can get rid of free ammonia.
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liver
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Glutamine can carry ___ ammonia molecules to the liver.
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2
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Name 3 AAs that can transport ammonia to the Liver:
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Glutamate, Glutamine, Alanine
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Lots of _____ is available in muscles and can be transaminated to alanine.
In the liver, alanine gives the amino group back to _____ This process regenerates pyruvate in the liver. |
pyruvate, glutamate, pyruvate
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Urea cycle occurs in the______
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liver; disposable form of ammonia transported in blood for excretion
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CPS1
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HCO3- + NH4+ → Carbamoyl Phosphate; 1st step of urea cycle; mitochondrial
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OTC
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Carbamoyl Phosphate + Ornithine → Citruline; 2nd step of urea cycle; mitochondrial
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CPS1 & OTC occur w/in _____.
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mitochondria
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What intermediate immediately preceeds Urea?
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Arginine
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What is the product of OTC and what happens to it?
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citrulline; crosses mitochondrial into the cytosol for urea cycle processing.
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All steps following CPS1 and OTC occur in the:
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cytosol
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Where does the OTC substrate ornithine come from?
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leftover as urea is cleaved from arginine; ornithine crosses into the mitochondria to be made into citrulline, which leaves the mitochondria to continue the urea cycle.
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Does the urea cycle require energy? Is it reversible?
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yes, no
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Urea Cycle rate limiting step?
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CPS1
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The first N in the urea cycle comes from______, the second comes from ________.
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ammonia, aspartate
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Can urea cross membranes?
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yes; it has to in order to diffuse into the blood for transport to kidneys.
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bacterial urease
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intestinal bacteria that cleave urea→ammonium
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BUN
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blood urea nitrogen; measure of [urea] in blood; reflects kidney and liver function as well as diet and nutritional status
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Kidney failure increases or decreases BUN?
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increase due to reduced excretion
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High protein diet increases or decreases BUN?
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increase due to more urea being produced
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Liver failure increases or decreases BUN?
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decreases due to less urea being produced
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Does overhydration increase or decrease BUN?
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decrease due to dilution of blood
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Malnutrition/starvation increases or decreases BUN?
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decrease; more urea due to muscle breakdown, but low BUN due to low dietary protein.
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NAG
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n-acetylglutamate: allosterically activates CPS1; synthesized from acetyl CoA + Glutamate
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