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60 Cards in this Set

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