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Aminotransferases: Substrate Specificity and Clinical Importance

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30 Questions

What is the characteristic of each aminotransferase?

Specific for one or a few amino group donors

What is the product of the reaction catalyzed by alanine aminotransferase (ALT)?

Glutamate and pyruvate

What is the role of aspartate aminotransferase (AST) in the urea cycle?

Source of nitrogen in the urea cycle

What is the coenzyme required for the activity of aminotransferases?

Pyridoxal phosphate

What is the mechanism of action of aminotransferases?

Transfer of amino group to the pyridoxal part of the coenzyme

What is the site of attachment of pyridoxal phosphate to the enzyme?

Specific lysine residue

What is the result of the oxidative deamination of glutamate?

Formation of corresponding keto acids and ammonia

What is the role of NAD+ in the oxidative deamination of glutamate?

To act as a co-enzyme

What is the direction of the reaction catalyzed by glutamate dehydrogenase dependent on?

The relative concentrations of glutamate, α-ketoglutarate, and ammonia

What is the reaction catalyzed by glutamate dehydrogenase in the presence of NADPH?

Reductive amination

What is the significance of elevated levels of aminotransferases in the plasma?

Indication of cell damage or death

Where does the oxidative deamination of glutamate occur?

Liver and kidney

What happens to glutamate levels in the liver after ingesting a meal containing protein?

Nigh elevated

Why is reductive amination necessary in the body?

To reduce ammonia levels

What is the role of GTP and ATP in glutamate dehydrogenase regulation?

Inhibitors

What is the primary disposal route of ammonia in the body?

Formation of urea in the liver

How does glutamine synthetase react with glutamate and ammonia?

Glutamate + ammonia = glutamine

What happens to glutamine in the liver?

It is cleaved by glutaminase

Which enzyme catalyzes the formation of citrulline?

Ornithine transcarbamylase

What is the primary function of the glucose-alanine cycle?

To allow muscles to use glucose from the liver

What is the rate-limiting step in the synthesis of urea?

Formation of carbamoyl phosphate

Where does the formation of citrulline take place?

Mitochondria

What is the source of the second amino group in urea?

Aspartate

How many ATP molecules are consumed in the first step of urea synthesis?

2

What is the total number of ATP molecules consumed in the formation of urea?

3

Which enzyme is responsible for cleaving argininosuccinate to yield arginine and fumarate?

Argininosuccinate lyase

What is the product of the reaction catalyzed by arginase?

Urea and ornithine

Where is the enzyme arginase mostly found?

Liver

What is the rate-limiting enzyme in the urea cycle?

Carbamoyl phosphate synthetase (CPS-I)

What is the activator of carbamoyl phosphate synthetase (CPS-I)?

N-Acetylglutamate (NAG)

Learn about the substrate specificity of aminotransferases, including their naming conventions and clinical importance, with a focus on alanine aminotransferase (ALT) and aspartate aminotransferase (AST).

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