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51 Cards in this Set

  • Front
  • Back
What is the generalized structure of an amino acid?
NH2-C(R)-COOH
What supplies the body's amino acid pool? What is this pool used for?
Supplied by absorption from diet (~100g/day)
Normal protein degradation (~400g/day)
Synthesis of non-essential AA from precursors

Pool used for:
Protein synthesis (~400g/day)
Synthesis of other products (e.g., epinephrine)--~30g/day
Metabolism for energy production
What is the role of pancreatic enzymes in the digestion of amino acids?
Break polypeptides into amino acids, dipeptides and tripeptides, which are then transported into the cell
How does the body know when to secrete and activate proteases? Provide examples of these proteases.
When food present, duodenum secretes CCK (in response to fats/prots) and secretin (in response to stomach acid)

CCK and secretin signal for release of pancreatic zymogens

Zymogens are inactive precursors secreted into duodenum

Ex: Trypsinogen-->Trypsin
Chymotrypsinogen-->Chymotrypsin
Proelastase-->Elastase
Procarboxypeptidase A/B-->Carboxypeptidase
How are pancreatic zymogens activated?
In response to food, duodenum release ENTEROPEPTIDASE which cleaves trypsinogen to trypsin (active)

Trypsin then activates all pancreatic zymogens (including more trypsinogen)
What intestinal cells to amino acids enter? What forces exist that effect movement into these cells?

What becomes of most di- and tripeptides that are absorbed by these cells? And of free AA's?
Enterocytes

Concentration gradient of Na+ for single AA
Concentration gradient of H+ for di- and tripeptides

Enterocyte peptidases within cytosol degrade them into AA's

Free AA's go to hepatic portal circulation
What is cystinuria? Symptom's?
diminished ability to transport dibasic AA's (in gut and kidney)

Leads to excess cystine in urine, resulting in KIDNEY STONES
What is Hartnup's Disease? Symptoms?
Defect in uptake of tryptophan, neutral AA's

Tryptophan converted to Niacin, so resembles Pellagra (3D's: Dermatitis, Diarrhea, Dementia)
In protein turnover, how does the body know which proteins are old/misfolded and need to be degraded?
Old/misfolded proteins tagged by UBIQUITIN (ATP-dependent)

Ubiquitin tagged molecules then are transported into proteasome where they are cleaved into AA's
What becomes of excess amino acids?
Excess AA's are deaminated (nitrogen removed) and carbon skeletons used for energy in gluconeogenesis or ketogenesis
What intestinal cells to amino acids enter? What forces exist that effect movement into these cells?

What becomes of most di- and tripeptides that are absorbed by these cells? And of free AA's?
Enterocytes

Concentration gradient of Na+ for single AA
Concentration gradient of H+ for di- and tripeptides

Enterocyte peptidases within cytosol degrade them into AA's

Free AA's go to hepatic portal circulation
What is cystinuria? Symptom's?
diminished ability to transport dibasic AA's (in gut and kidney)

Leads to excess cystine in urine, resulting in KIDNEY STONES
What is Hartnup's Disease? Symptoms?
Defect in uptake of tryptophan, neutral AA's

Tryptophan converted to Niacin, so resembles Pellagra (3D's: Dermatitis, Diarrhea, Dementia)
In protein turnover, how does the body know which proteins are old/misfolded and need to be degraded?
Old/misfolded proteins tagged by UBIQUITIN (ATP-dependent)

Ubiquitin tagged molecules then are transported into proteasome where they are cleaved into AA's
What becomes of excess amino acids?
Excess AA's are deaminated (nitrogen removed) and carbon skeletons used for energy in gluconeogenesis or ketogenesis
What is the general formula for transamination in the biosynthesis of a non-essential amino acid?

Which amino acids make use of this method? What are their precursors?
AA1 + alpha-keto acid 2<-->alpha-keto acid 1 + AA2

via Aminotransferase (needs Vit B6)

Pyruvate-->Alanine
OAA-->Aspartate
a-ketoglutarate-->Glutamate
How is cysteine formed?
Derived from homocysteine, which is product of methionine metabolism, and serine

Serine comes from intermediate of glycolysis
How is tyrosine formed?
From Phenylalanine
Briefly describe the metabolism of phenylalanine.
Phenylalanine-->Tyrosine
via Phenylalanine DH

-->Thyroid hormones, Pigmentation, Proteins, TCA, NT's
What is PKU? How is it diagnosed? Symptoms? Treatment?
Phenylketonuria: defective phenylalanine hydroxylase; can no longer convert to tyrosine

Overflow of phenylalanine leads to phenylketones (detected in urine)

Symptoms: elevated phenylalanine in blood, phenylketones in urine,
TYROSINE IS NOW ESSENTIAL, hypopigmentation, mental retardation

Tx: Lifelong restriction of phenylalanine, tyrosine supplementation
What enzyme is defective in complete albinism? What does this result in?

What's another cause of albinism?
Tyrosinase is defective

Tyrosine--->-->-->Melanin
via Tyrosinase

No pigmentation of skin, hair, eyes; visual defects (photophobia), increased skin cancer risk

Other cause: defect in phenylalanine metabolism (e.g., defect in phenylalanine hydroxylase)
How does alkaptonuria arise? Symptoms? Treatment?
Defective Homogentisic Acid Oxidase:

F-->Y-->Homogentisic Acid-->-->Fumarate + AcAc-->TCA
Enzyme catalyzes step after formation of homogentisic acid

Causes accumulation of homogentisis acid; results in pigmentation of sclera, large joint arthritis, homogentisic aciduria (urine turns dark), black onchronotic pigmentation of cartilage and collagenous tissue

Tx: Low protein diet; diet low in F/Y
How does alkaptonuria arise? Symptoms? Treatment?
Defective Homogentisic Acid Oxidase:

F-->Y-->Homogentisic Acid-->-->Fumarate + AcAc-->TCA
Enzyme catalyzes step after formation of homogentisic acid

Causes accumulation of homogentisis acid; results in pigmentation of sclera, large joint arthritis, homogentisic aciduria (urine turns dark), black onchronotic pigmentation of cartilage and collagenous tissue

Tx: Low protein diet; diet low in F/Y
Is methionine essential or non-essential? What does is help synthesize?
Essential
SAM (s-adenosylmethionine) for add'n of carbons to biol substrates

Cysteine (via homocysteine)
What are high levels of homocysteine associated with? What could possibly cause an increase in homocysteine levels? Treatment?
CVD

Deficiency in B12, Folate, Serine, Cystathionine synthase, or B6 could lead to high levels of cystathionine

Tx: Restrict methionine intake, supplement B6, B12, folate
Using methionine metabolism, explain the impacts of a B12 deficiency.
Decreased B12 (no longer can convert homocysteine to methionine) results in high homocysteine

No longer can convert CH3-THF to THF (THF needed for synthesis of dTMP from dUMP)

Manifests itself as PERNICIOUS ANEMIA (causes nerological probs)
What purpose does SAM serve? How is it synthesized?
SAM donates high energy carbon to biological substrates (ex: Norepi-->Epi)

Methionine + ATP-->S-Adenosyl-methionine + Pi + PPi

(SAM = S-adenosyl-methionine)
Briefly outline normal methionine metabolism.
How is histamine formed? Synthesized from what aa? Effects of histamine?
AA Breakdown product (decarboxylation with pyridoxal phosphate)

Vasodilator by degranulating mast cells; mediates allergic and inflammatory rxns

Synthesized from HISTIDINE
Where is serotonin found? Functions? Synthesized from what aa?
Intestines, brain, platelets

Pain, sleep, body temp, BP

Synthesized from tryptophan
How is creatine formed? Purpose? What is creatine kinase a marker of?
Arginine & Glycine with methyl from SAM

Provides rapidly mobilized store of energy for muscle undergoing intense contraction

Creatine Kinase is a marker of MI
What are high levels of serum creatinine indicative of?
Falling kidney function (should have been removed by kidneys; shouldn't be allowed to accumulate)
How is histamine formed? Synthesized from what aa? Effects of histamine?
AA Breakdown product (decarboxylation with pyridoxal phosphate)

Vasodilator by degranulating mast cells; mediates ellergic and inflammatory rxns

Synthesized from HISTIDINE
Where is serotonin found? Functions? Synthesized from what aa?
Intestines, brain, platelets

Pain, sleep, body temp, BP

Synthesized from tryptophan
How is creatine formed? Purpose? What is creatine kinase a marker of?
Arginine & Glycine with methyl from SAM

Provides rapidly mobilized store of energy for muscle undergoing intense contraction

Creatine Kinase is a marker of MI
What are high levels of serum creatinine indicative of?
Falling kidney function (should have been removed by kidneys; shouldn't be allowed to accumulate)
How is histamine formed? Synthesized from what aa? Effects of histamine?
AA Breakdown product (decarboxylation with pyridoxal phosphate)

Vasodilator by degranulating mast cells; mediates ellergic and inflammatory rxns

Synthesized from HISTIDINE
Where is serotonin found? Functions? Synthesized from what aa?
Intestines, brain, platelets

Pain, sleep, body temp, BP

Synthesized from tryptophan
How is creatine formed? Purpose? What is creatine kinase a marker of?
Arginine & Glycine with methyl from SAM

Provides rapidly mobilized store of energy for muscle undergoing intense contraction

Creatine Kinase is a marker of MI
What are high levels of serum creatinine indicative of?
Falling kidney function (should have been removed by kidneys; shouldn't be allowed to accumulate)
What categories can amino acids be broken up into (based on where their carbon skeletons go)?
Glucogenic
Ketogenic
Glucogenic and Ketogenic
Where are most amino acids broken down? What about branched amino acids? Which amino acids are branched?
Most aa's broken down in liver

Branched Chain AA's degraded primarily in muscle

BCAA = isoleucine, leucine, valine
What causes Maple Syrup Urine Disease? Symptoms? Treatment?
Deficiency in Branched-Chain Ketoacid DH (helps break down BCAA's) results in accumulation of BCAA and their corresponding alpha-keto acids

Interferes with brain function

Symptoms: Dehydration, feeding probs, maple syrup odor to urine

Tx: Diet low in BCAA
If free amino groups are toxic to the CNS, what must occur after breakdown of amino acids? Describe all events.
Nitrogen must be transported to the liver!

Transamination generates carrier molecule
Peripheral tissues use glutamine as carrier
Muscles use alanine

Liver converts glutamine to glutamate
Liver converts alanine to pyruvate
How does glutamate donate its nitrogen for urea synthesis?
Deamination (release NH3 directly into mitochondria)

Transfer of amino group to OAA to form aspartate in cytoplasm
How does alanine aminostransferase function differ in the muscle and liver?
TRANSAMINATION
Muscle: Pyruvate-->Alanine
Liver: Alanine-->Pyruvate

(High levels of Alanine Transferase indicate liver damage)
What reaction does aspartate aminotransferase catalyze?
TRANSAMINATION
Glutamate-->Aspartate

High levels of AST serum damage to liver cells
How does glutamate dehydrogenase function differ in the muscle and liver?
DEAMINATION: Removes amino group from glutamate:
1) as ammonia in kidney (NH3)
2) as urea in liver
What benefit does coupling transamination with deamination have?
Removes nitrogen from excess AA's
What is the purpose of the urea cycle? Briefly outline its steps.
dispose of toxic ammonia.

Nitrogen enters as GLUTAMATE in mitochondria and as ASPARTATE in cytoplasm

NH4 (mito) + ATP + CO2--> CARBAMOYL PHOSPHATE (RATE LIMITING!) combines with Ornithine to become Citrulline, exits to cytosol, combines with Aspartate

-->-->Arginine-->UREA (and Ornithine)
Last step via ARGINASE
Why would alpha-ketoglutarate levels decrease in response to elevated levels of free ammonia? What affect does this have on metabolism?
Free ammonia is toxic to the CNS

a-ketoglutarate can be used as nitrogen acceptor even if it means removing a TCA cycle intermediate and reducing ATP