Podcast
Questions and Answers
What is the primary role of CH3 in the context of active methionine?
What is the primary role of CH3 in the context of active methionine?
- To enhance protein synthesis rates
- To act as a cofactor in enzyme reactions
- To signify the high group transfer potential (correct)
- To facilitate amino acid deamination
Which amino acids share a similar catabolic pathway with fatty acids?
Which amino acids share a similar catabolic pathway with fatty acids?
- Methionine and Cysteine
- Leucine and Valine (correct)
- Isoleucine and Tryptophan
- Phenylalanine and Tyrosine
Which of the following best describes Maple Syrup Urine Disease?
Which of the following best describes Maple Syrup Urine Disease?
- A disorder linked to increased methionine levels
- Impaired function of components of the α-ketoacid decarboxylase complex (correct)
- A metabolic syndrome affecting protein digestion
- A condition caused by excess valine only
Which component is NOT part of the α-Ketoacid Decarboxylase Complex?
Which component is NOT part of the α-Ketoacid Decarboxylase Complex?
What is the end product of l-leucine catabolism?
What is the end product of l-leucine catabolism?
Which analogy is made between amino acid and fatty acid catabolism?
Which analogy is made between amino acid and fatty acid catabolism?
Which of these branched-chain amino acids is associated with type I maple syrup urine disease?
Which of these branched-chain amino acids is associated with type I maple syrup urine disease?
Which enzyme class is NOT involved in the catabolism of branched-chain amino acids?
Which enzyme class is NOT involved in the catabolism of branched-chain amino acids?
What could result from mutations affecting enzyme activity during amino acid catabolism?
What could result from mutations affecting enzyme activity during amino acid catabolism?
Which of the following processes is NOT a consequence of mutations in amino acid metabolism?
Which of the following processes is NOT a consequence of mutations in amino acid metabolism?
How can prenatal diagnosis facilitate the management of metabolic disorders related to amino acids?
How can prenatal diagnosis facilitate the management of metabolic disorders related to amino acids?
Which statement best describes the role of allosteric regulators in amino acid metabolism?
Which statement best describes the role of allosteric regulators in amino acid metabolism?
What characteristic of metabolic disorders associated with amino acid catabolism may lead to similar symptoms despite different mutations?
What characteristic of metabolic disorders associated with amino acid catabolism may lead to similar symptoms despite different mutations?
What is the primary catabolite produced from the breakdown of proline?
What is the primary catabolite produced from the breakdown of proline?
Which coenzyme is critical for aminotransferase reactions?
Which coenzyme is critical for aminotransferase reactions?
In which metabolic disorder is there an accumulation of branched-chain amino acids?
In which metabolic disorder is there an accumulation of branched-chain amino acids?
Which process is responsible for the removal of α-amino nitrogen from lysine aside from transamination?
Which process is responsible for the removal of α-amino nitrogen from lysine aside from transamination?
Which of the following represents an analogy between the catabolism of amino acids and fatty acids?
Which of the following represents an analogy between the catabolism of amino acids and fatty acids?
What is a consequence of impaired intestinal absorption of tryptophan?
What is a consequence of impaired intestinal absorption of tryptophan?
Which condition is characterized by a defect in the metabolism of methylmalonic acid?
Which condition is characterized by a defect in the metabolism of methylmalonic acid?
Which enzyme's defect leads to hypervalinemia?
Which enzyme's defect leads to hypervalinemia?
What role does S-adenosylmethionine play in amino acid metabolism?
What role does S-adenosylmethionine play in amino acid metabolism?
Which type of screening tests are most reliable for detecting metabolic defects in amino acids?
Which type of screening tests are most reliable for detecting metabolic defects in amino acids?
What is formed when methionine reacts with ATP?
What is formed when methionine reacts with ATP?
Which compound is a product of kynureninase activity?
Which compound is a product of kynureninase activity?
What best describes the role of branched-chain alpha-ketoacid dehydrogenase complex?
What best describes the role of branched-chain alpha-ketoacid dehydrogenase complex?
Which characteristic is common between the metabolic pathways of branched-chain amino acids and fatty acids?
Which characteristic is common between the metabolic pathways of branched-chain amino acids and fatty acids?
Hartnup disease primarily affects the transport of which type of amino acids?
Hartnup disease primarily affects the transport of which type of amino acids?
What is a major diagnostic indicator of vitamin B6 deficiency?
What is a major diagnostic indicator of vitamin B6 deficiency?
Which component is involved in the branched-chain alpha-ketoacid dehydrogenase complex?
Which component is involved in the branched-chain alpha-ketoacid dehydrogenase complex?
Which of the following best explains the catabolic fate of propionyl-CoA?
Which of the following best explains the catabolic fate of propionyl-CoA?
What is the enzyme classification of kynurenine formylase?
What is the enzyme classification of kynurenine formylase?
What is the main consequence of impaired intestinal transport of tryptophan?
What is the main consequence of impaired intestinal transport of tryptophan?
Which of the following metabolic defects is associated with type-II hyperprolinemia?
Which of the following metabolic defects is associated with type-II hyperprolinemia?
What is the primary product of the glycine cleavage system in liver mitochondria?
What is the primary product of the glycine cleavage system in liver mitochondria?
What role does tetrahydrofolate play in the metabolism of amino acids?
What role does tetrahydrofolate play in the metabolism of amino acids?
Which disorder is related to impaired histidine metabolism?
Which disorder is related to impaired histidine metabolism?
How does the glycine cleavage complex contribute to amino acid catabolism?
How does the glycine cleavage complex contribute to amino acid catabolism?
What is the significance of the red bars and circles in the metabolic pathway diagram?
What is the significance of the red bars and circles in the metabolic pathway diagram?
Which of the following reactions is part of the subsequent metabolic steps following glycine cleavage?
Which of the following reactions is part of the subsequent metabolic steps following glycine cleavage?
What metabolic process is shared between amino acids and fatty acids?
What metabolic process is shared between amino acids and fatty acids?
What byproduct is produced from the incomplete metabolism of histidine?
What byproduct is produced from the incomplete metabolism of histidine?
Which amino acid catabolism step involves oxidation to form an intermediate critical for nitrogen metabolism?
Which amino acid catabolism step involves oxidation to form an intermediate critical for nitrogen metabolism?
What are the consequences of untreated metabolic disorders related to amino acid metabolism?
What are the consequences of untreated metabolic disorders related to amino acid metabolism?
Which of the following best describes the role of mutations in enzyme efficiency within metabolic disorders?
Which of the following best describes the role of mutations in enzyme efficiency within metabolic disorders?
What type of diagnostic procedure can help identify metabolic disorders in prenatal stages?
What type of diagnostic procedure can help identify metabolic disorders in prenatal stages?
What is the primary pathogenic effect observed in molecular diseases due to different mutations affecting metabolic pathways?
What is the primary pathogenic effect observed in molecular diseases due to different mutations affecting metabolic pathways?
What critical aspect of enzyme activity can be impaired due to specific mutations affecting regulatory sites?
What critical aspect of enzyme activity can be impaired due to specific mutations affecting regulatory sites?
What is a common characteristic of metabolic disorders associated with amino acid metabolism?
What is a common characteristic of metabolic disorders associated with amino acid metabolism?
Which of the following best describes the impact of low catalytic efficiency in mutant enzymes?
Which of the following best describes the impact of low catalytic efficiency in mutant enzymes?
Which amino acids are primarily involved in the formation of oxaloacetate?
Which amino acids are primarily involved in the formation of oxaloacetate?
What is suggested as a potential permanent solution for metabolic disorders related to amino acid metabolism?
What is suggested as a potential permanent solution for metabolic disorders related to amino acid metabolism?
What did studies conducted between 1920 to 1940 primarily confirm about amino acids?
What did studies conducted between 1920 to 1940 primarily confirm about amino acids?
Which amino acids are classified as ketogenic?
Which amino acids are classified as ketogenic?
Which enzymatic reaction is responsible for the conversion of asparagine into oxaloacetate?
Which enzymatic reaction is responsible for the conversion of asparagine into oxaloacetate?
What major conclusion did isotopic studies reveal about metabolic pathways involving amino acids?
What major conclusion did isotopic studies reveal about metabolic pathways involving amino acids?
Which amino acid's carbon skeleton is significant for both lipid and carbohydrate biosynthesis?
Which amino acid's carbon skeleton is significant for both lipid and carbohydrate biosynthesis?
Which carbon-containing compounds do the studies suggest that specific amino acids can be converted into?
Which carbon-containing compounds do the studies suggest that specific amino acids can be converted into?
What type of dietary intervention is typically employed for metabolic disorders related to impaired amino acid metabolism?
What type of dietary intervention is typically employed for metabolic disorders related to impaired amino acid metabolism?
What is the primary consequence of early diagnosis in metabolic disorders related to amino acids?
What is the primary consequence of early diagnosis in metabolic disorders related to amino acids?
Which enzyme defect is directly associated with isovaleric acidemia?
Which enzyme defect is directly associated with isovaleric acidemia?
Which statement best describes the molecular genetics of Maple Syrup Urine Disease (MSUD)?
Which statement best describes the molecular genetics of Maple Syrup Urine Disease (MSUD)?
Which of the following substances is primarily elevated due to the metabolic defect in isovaleric acidemia?
Which of the following substances is primarily elevated due to the metabolic defect in isovaleric acidemia?
What is the role of dietary protein in the context of avoiding early mortality in metabolic disorders?
What is the role of dietary protein in the context of avoiding early mortality in metabolic disorders?
Which amino acids do not participate in transamination?
Which amino acids do not participate in transamination?
What is produced from the reaction of glutamine and water?
What is produced from the reaction of glutamine and water?
Which metabolic defect is associated with a specific enzyme in type I hyperprolinemia?
Which metabolic defect is associated with a specific enzyme in type I hyperprolinemia?
What happens to the remaining carbon skeleton after transamination?
What happens to the remaining carbon skeleton after transamination?
Which of the following amino acids can provide α-ketoglutarate through transamination?
Which of the following amino acids can provide α-ketoglutarate through transamination?
Which metabolites are formed from the breakdown of asparagine and glutamine?
Which metabolites are formed from the breakdown of asparagine and glutamine?
What distinguishes the catabolism of proline from other amino acids?
What distinguishes the catabolism of proline from other amino acids?
Which enzyme class is directly involved in the transamination reactions associated with amino acid catabolism?
Which enzyme class is directly involved in the transamination reactions associated with amino acid catabolism?
Which of the following reactions accurately represents a step in the metabolism of glutamate?
Which of the following reactions accurately represents a step in the metabolism of glutamate?
What defines the amphibolic intermediates produced during amino acid catabolism?
What defines the amphibolic intermediates produced during amino acid catabolism?
What is the primary defect observed in nonketotic hyperglycinemia?
What is the primary defect observed in nonketotic hyperglycinemia?
Which condition is primarily caused by the failure to metabolize glyoxylic acid?
Which condition is primarily caused by the failure to metabolize glyoxylic acid?
Which enzyme is critical in the catabolism of glycine following its conversion from serine?
Which enzyme is critical in the catabolism of glycine following its conversion from serine?
What is one of the major consequences of glycinuria?
What is one of the major consequences of glycinuria?
What primary process leads to the formation of oxalate from glyoxylic acid?
What primary process leads to the formation of oxalate from glyoxylic acid?
Which of the following describes the role of the glycine cleavage complex?
Which of the following describes the role of the glycine cleavage complex?
What is a potential outcome of renal failure caused by the accumulation of oxalate?
What is a potential outcome of renal failure caused by the accumulation of oxalate?
In the context of serine metabolism, what role does glycine hydroxymethyltransferase serve?
In the context of serine metabolism, what role does glycine hydroxymethyltransferase serve?
What is the implication of inherited defects in the glycine cleavage system?
What is the implication of inherited defects in the glycine cleavage system?
Match the following amino acids with their associated metabolic pathways:
Match the following amino acids with their associated metabolic pathways:
Match the following metabolic disorders with their corresponding enzyme deficiencies:
Match the following metabolic disorders with their corresponding enzyme deficiencies:
Match the following compounds with their respective roles in amino acid metabolism:
Match the following compounds with their respective roles in amino acid metabolism:
Match the following enzymes with the amino acid they primarily metabolize:
Match the following enzymes with the amino acid they primarily metabolize:
Match the following metabolic intermediates with their sources:
Match the following metabolic intermediates with their sources:
Match the following amino acids with their primary metabolic pathways or functions:
Match the following amino acids with their primary metabolic pathways or functions:
Match the following enzymes with their related metabolic processes:
Match the following enzymes with their related metabolic processes:
Match the following conditions with their characteristics:
Match the following conditions with their characteristics:
Match the following products with their source amino acids:
Match the following products with their source amino acids:
Match the following metabolic features with their specific amino acid:
Match the following metabolic features with their specific amino acid:
Flashcards
Methionine Catabolism
Methionine Catabolism
The breakdown of methionine into propionyl-CoA.
Leucine, Valine, Isoleucine Catabolism
Leucine, Valine, Isoleucine Catabolism
The breakdown of branched-chain amino acids into smaller molecules, analogous to fatty acid catabolism.
β-methylcrotonyl-CoA
β-methylcrotonyl-CoA
An intermediate molecule formed during leucine catabolism.
Tiglyl-CoA
Tiglyl-CoA
An intermediate molecule formed during isoleucine catabolism.
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Methacrylyl-CoA
Methacrylyl-CoA
An intermediate molecule formed during valine catabolism.
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Maple Syrup Urine Disease
Maple Syrup Urine Disease
A genetic disorder impacting the alpha-ketoacid decarboxylase complex, causing a build-up of branched-chain amino acids.
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Alpha-Ketoacid Decarboxylase Complex
Alpha-Ketoacid Decarboxylase Complex
A complex of enzymes crucial for breaking down branched-chain amino acids.
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Amino Acid Catabolism
Amino Acid Catabolism
The breakdown of amino acids (building blocks of proteins) to be used for energy or to synthesize other molecules.
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Branched-chain amino acid catabolism
Branched-chain amino acid catabolism
The breakdown of leucine, isoleucine, and valine into smaller molecules. This process is similar to breaking down fatty acids.
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Hyperprolinemia types
Hyperprolinemia types
Inherited metabolic disorders where the breakdown of proline is impaired, leading to elevated levels of proline in the blood.
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Hyperargininemia
Hyperargininemia
Inherited metabolic disorder affecting arginine metabolism, leading to elevated arginine levels.
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Alpha-ketoacid dehydrogenase complex
Alpha-ketoacid dehydrogenase complex
A multi-enzyme complex that breaks down the molecule created from branched-chain amino acids after transamination step.
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Metabolic Fates of Catabolism
Metabolic Fates of Catabolism
The different ways the products of amino acid breakdown are used by the body (e.g., energy production, synthesis of other molecules).
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Aminotransferase Reaction
Aminotransferase Reaction
A reaction that transfers an amino group from an amino acid to a keto acid, forming a new amino acid and a new keto acid.
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Glycine cleavage system
Glycine cleavage system
A multi-enzyme complex in mitochondria that breaks down glycine into CO2, NH4+, and N5,N10-methylenetetrahydrofolate.
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Kynurenine
Kynurenine
A product of tryptophan breakdown.
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Phenylalanine Catabolism
Phenylalanine Catabolism
The breakdown of phenylalanine, a pathway that's largely similar across the breakdown of several branched-chain amino acids.
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Folate deficiency
Folate deficiency
A condition where the body lacks folate (a B vitamin), which impairs the transfer of the formimino group in amino acid metabolism.
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Coenzyme in Transamination
Coenzyme in Transamination
A molecule, often vitamin B derived, that helps aminotransferases catalyze reactions.
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Vitamin B6 deficiency
Vitamin B6 deficiency
Deficiency of vitamin B6
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Branched-Chain Amino Acids
Branched-Chain Amino Acids
Amino acids with branched carbon chains (e.g., leucine, isoleucine, valine).
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Hisitine metabolism disorders
Hisitine metabolism disorders
Inherited problems in the processing of histidine, which can lead to histidinemia or urocanic aciduria.
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Hartnup disease
Hartnup disease
A condition affecting intestinal and renal transport of tryptophan and other neutral amino acids, leading to their excretion.
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Figlu excretion
Figlu excretion
Elevated excretion of formiminoglutamate(FIGLU) following a histidine load is a diagnostic indicator of folate deficiency.
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Aminoacidurias
Aminoacidurias
Disorders related to abnormal amino acid metabolism and excretion in urine.
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Metabolic Defects
Metabolic Defects
Genetic disorders affecting specific enzymes in the catabolic pathways of amino acids, leading to specific clinical issues.
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S-adenosylmethionine
S-adenosylmethionine
An active form of methionine, produced via a reaction with ATP, which is instrumental in certain biochemical reactions.
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Propionyl-CoA
Propionyl-CoA
A molecule formed during the breakdown of methionine, which proceeds through reactions 2, 3, and 4 of Figure 19-2.
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Clinical Signs/Symptoms
Clinical Signs/Symptoms
Observable effects of the build-up of different metabolites caused by faulty enzymes in a metabolic pathway.
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Tandem Mass Spectrometry
Tandem Mass Spectrometry
A screening tool to detect metabolic defects in newborns by analyzing the breakdown products in a blood sample.
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Amino Acid Catabolism
Amino Acid Catabolism
The breakdown of amino acids into molecules that can be used for energy or to build other molecules.
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Metabolic Defects
Metabolic Defects
Genetic disorders that impair specific enzymes involved in amino acid breakdown, causing buildup of harmful metabolites.
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Clinical Signs/Symptoms
Clinical Signs/Symptoms
Observable effects, such as brain damage, caused by the buildup of harmful metabolites due to faulty enzymes.
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Prenatal Diagnosis
Prenatal Diagnosis
Diagnosis of a condition or disorder before birth.
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Enzyme Mutations
Enzyme Mutations
Changes in DNA affecting enzyme production or function, often leading to metabolic diseases.
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Metabolic Fates
Metabolic Fates
Ways the products of amino acid breakdown are utilized, such as energy production or synthesis of other molecules.
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Metabolite Buildup
Metabolite Buildup
Accumulation of substances that result from a disrupted metabolic pathway.
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Enzyme Activity
Enzyme Activity
The ability of an enzyme to catalyze a biochemical reaction.
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Enzyme Structure
Enzyme Structure
The three-dimensional arrangement of an enzyme's components, influencing its function.
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Metabolic Diseases
Metabolic Diseases
Disorders arising from defects in metabolic pathways, often concerning amino acid breakdown, resulting in specific clinical issues.
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Low Enzyme Efficiency
Low Enzyme Efficiency
Reduced catalytic activity of a mutated enzyme, which impairs the speed at which it completes chemical tasks.
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Amino Acid Catabolism
Amino Acid Catabolism
The breakdown of amino acids for energy or synthesis of other molecules
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Metabolic Defects
Metabolic Defects
Genetic disorders impairing amino acid breakdown, resulting in harmful metabolites.
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Clinical Signs/Symptoms
Clinical Signs/Symptoms
Observable effects of a buildup of harmful metabolites.
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Enzyme Mutations
Enzyme Mutations
Changes in DNA affecting enzyme production or function.
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Prenatal Diagnosis
Prenatal Diagnosis
Diagnosis of a condition or disorder before birth.
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Metabolic Fates
Metabolic Fates
How products of amino acid breakdown are used.
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Metabolite Buildup
Metabolite Buildup
Accumulation of substances due to disrupted metabolic pathways
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Enzyme Activity
Enzyme Activity
Enzyme's ability to catalyze biochemical reactions.
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Enzyme Structure
Enzyme Structure
An enzyme's 3D arrangement of components; crucial for function.
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Metabolic Diseases
Metabolic Diseases
Disorders stemming from defects in metabolic pathways, esp. amino acid breakdown.
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Low Enzyme Efficiency
Low Enzyme Efficiency
Reduced catalytic activity of mutated enzyme, slowing process.
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Transamination
Transamination
The initial catabolic reaction for most amino acids; involves transferring an amino group to an alpha-keto acid to produce another amino acid and a new keto acid.
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Amino Acid Catabolism
Amino Acid Catabolism
The breakdown of amino acids, often for energy or to synthesize other molecules.
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Transaminase
Transaminase
An enzyme catalyzing transamination reactions.
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Alpha-Ketoglutarate
Alpha-Ketoglutarate
A common acceptor of amino groups in transamination reactions.
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Proline Catabolism
Proline Catabolism
The breakdown pathway for proline, occurring in the mitochondria.
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Hyperprolinemia
Hyperprolinemia
Inherited disorders affecting proline breakdown, leading to elevated proline levels.
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amphibolic intermediate
amphibolic intermediate
A molecule that can be used in both catabolic and anabolic pathways.
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Nonketotic hyperglycinemia
Nonketotic hyperglycinemia
A rare genetic disorder where glycine accumulates in body tissues, including the nervous system, due to an impaired glycine degradation pathway.
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Primary hyperoxaluria
Primary hyperoxaluria
A genetic defect preventing the breakdown of glyoxylate, leading to oxalates buildup, causing kidney stones (urolithiasis), kidney damage (nephrocalcinosis), and early death.
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Glycinuria
Glycinuria
A condition where glycine is not reabsorbed by the kidneys, leading to its excretion in urine.
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Glycine degradation
Glycine degradation
The process of breaking down glycine into simpler molecules.
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Glycine Hydroxymethyltransferase
Glycine Hydroxymethyltransferase
An enzyme that converts serine into glycine.
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Amino Acid Catabolism
Amino Acid Catabolism
The breakdown of amino acids for energy or to build other molecules.
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Metabolic Fates
Metabolic Fates
How the products of amino acid breakdown are used (energy, molecule building).
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Metabolic Defects
Metabolic Defects
Genetic problems in amino acid breakdown enzymes.
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Clinical Signs/Symptoms
Clinical Signs/Symptoms
Observable effects of buildup of harmful breakdown products.
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Remediation of Metabolic Disorders
Remediation of Metabolic Disorders
Treatment, often dietary, for impaired amino acid metabolism.
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Gene Therapy
Gene Therapy
Techniques to permanently fix a metabolic defect.
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Amino Acid Interconvertibility
Amino Acid Interconvertibility
Conversion of amino acids to carbs, fats, or both.
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Carbohydrate and Lipid Biosynthesis
Carbohydrate and Lipid Biosynthesis
Amino acid breakdown intermediates create carbohydrates and lipids.
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Ketogenic Amino Acids
Ketogenic Amino Acids
Amino acids that can be converted to fats.
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Glycogenic Amino Acids
Glycogenic Amino Acids
Amino acids that can be converted to carbohydrates.
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Asparagine & Aspartate
Asparagine & Aspartate
Amino acids that can form oxaloacetate.
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Early Diagnosis of MSUD
Early Diagnosis of MSUD
Essential for preventing brain damage and early mortality in Maple Syrup Urine Disease (MSUD) by correcting dietary protein with an amino acid mixture.
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MSUD Genetic Heterogeneity
MSUD Genetic Heterogeneity
Mutations in genes encoding E1α, E1β, E2, and E3 enzymes lead to different MSUD subtypes.
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Type IA MSUD
Type IA MSUD
MSUD subtype caused by mutations in the E1α gene.
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Type IB MSUD
Type IB MSUD
MSUD subtype caused by mutations in the E1β gene.
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Type II MSUD
Type II MSUD
MSUD subtype caused by mutations in the E2 gene.
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Type III MSUD
Type III MSUD
MSUD subtype caused by mutations in the E3 gene.
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Branched-chain ketonuria
Branched-chain ketonuria
MSUD subtype where the α-ketoacid decarboxylase retains some activity, resulting in later-onset symptoms.
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Isovaleric acidemia
Isovaleric acidemia
Metabolic disorder with elevated isovalerate due to impaired isovaleryl-CoA dehydrogenase enzyme activity.
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Protein-rich foods
Protein-rich foods
Foods containing high levels of proteins, that cause a buildup of metabolites when processing amino acids in affected individuals.
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Tyrosine Catabolism
Tyrosine Catabolism
The breakdown of tyrosine into simpler molecules, ultimately to acetyl-CoA
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Type I Tyrosinemia
Type I Tyrosinemia
A metabolic disorder caused by a defect in fumarylacetoacetate hydrolase, leading to tyrosine accumulation and potential liver failure.
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Phenylketonuria (PKU) Screening
Phenylketonuria (PKU) Screening
A test to detect elevated phenylalanine levels in newborns; increasingly done with tandem mass spectrometry.
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Fumarylacetoacetate Hydrolase
Fumarylacetoacetate Hydrolase
An enzyme catalyzing the final step in the tyrosine catabolic pathway; its deficiency causes Type I tyrosinemia.
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Tandem Mass Spectrometry
Tandem Mass Spectrometry
A powerful analytical technique used to screen for multiple metabolic disorders in newborns, including PKU.
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Metabolic Defects
Metabolic Defects
Genetic disorders impairing specific enzymes in amino acid catabolic pathways.
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Clinical Signs/Symptoms
Clinical Signs/Symptoms
Observable effects of the buildup of harmful metabolites due to enzyme deficiencies in metabolic pathways.
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Phenylalanine Management
Phenylalanine Management
Restricting dietary phenylalanine intake to prevent mental retardation, without causing malnutrition, in patients with PKU.
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Phenylketonuria (PKU)
Phenylketonuria (PKU)
A genetic disorder causing a deficiency in the enzyme phenylalanine hydroxylase, leading to phenylalanine buildup in the body.
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Tryptophan Breakdown
Tryptophan Breakdown
Tryptophan is broken down via the kynurenine-anthranilate pathway, involving tryptophan oxygenase, an iron-porphyrin protein.
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Phenylalanine Hydroxylase
Phenylalanine Hydroxylase
The enzyme responsible for converting phenylalanine to tyrosine. Defects in this enzyme cause PKU.
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Dietary Restriction (PKU)
Dietary Restriction (PKU)
A diet low in phenylalanine is crucial for preventing mental retardation in individuals with PKU.
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Prenatal Diagnosis
Prenatal Diagnosis
Diagnostic testing for metabolic defects like PKU before birth using DNA.
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Catabolism of Amino Acid Carbon Skeletons
- Amino acid catabolism involves the breakdown of amino acid carbon skeletons into metabolic intermediates
- The nitrogen atoms are removed typically through transamination
- Key catabolites include oxaloacetate, a-ketoglutarate, pyruvate, and acetyl-CoA
- Many metabolic disorders are related to defects in specific enzymes during amino acid catabolism
- These defects often lead to similar clinical symptoms
Biomedical Importance
- Amino acid catabolism disorders are relatively rare but can lead to severe brain damage and early mortality without treatment
- Early detection and intervention are crucial, and newborn screening programs are implemented to identify such disorders early on
- Tandem mass spectrometry is a reliable screening method used to detect metabolic defects
- Feeding diets low in the affected amino acid is an often used remediation method
- Genetic engineering may eventually offer treatment options for these severe metabolic disorders
Amino Acid Catabolism to Carbohydrates and Lipids
- The carbon atoms of amino acids can be converted into carbohydrate and fat
- Table 29-1 details the fate of amino acid carbon skeletons
Transamination Initiates Amino Acid Catabolism
- Transamination reactions, catalyzed by transaminases, are the initial steps for most amino acid catabolism
- Proline, hydroxyproline, threonine, and lysine are notable exceptions, as their a-amino groups do not participate in transamination reactions
Proline Breakdown
- Proline is broken down in mitochondria
- Proline dehydrogenase converts proline to A¹-pyrroline-5-carboxylate
- A¹-pyrroline-5-carboxylate dehydrogenase converts A¹-pyrroline-5-carboxylate to glutamate
Arginine and Ornithine Breakdown
- Arginine is converted to ornithine and then to glutamate-y-semialdehyde
- Mutations in ornithine transaminase lead to hyperornithinemia-hyperammonemia syndrome, a condition that affects the transport of ornithine into mitochondria.
Histidine Breakdown
- Histidine catabolism proceeds via urocanate, 4-imidazolone-5-propionate, and N-formiminoglutamate
- Folic acid deficiency can lead to Figlu excretion in the urine
Glycine, Serine, Alanine, Cysteine, Threonine Breakdown
- Glycine catabolism converts glycine to CO2, NH3 and N5,N10-methylene tetrahydrofolate
- Serine catabolism merges with glycine catabolism after conversion to glycine
- Alanine catabolism results in pyruvate
- Cysteine catabolism proceeds via two pathways forming pyruvate, sulfate
- Threonine catabolism forms glycine and acetaldehyde, then acetyl-CoA and acetate
4-Hydroxyproline Breakdown
- 4-hydroxyproline catabolism produces multiple intermediates ending with glyoxylate and pyruvate
Tyrosine Breakdown
- Tyrosine catabolism forms intermediates like p-hydroxyphenylpyruvate, homogentisate
- Defects in specific enzymes within tyrosine catabolism lead to various medical conditions such as tyrosinemia or alkaptonuria
Phenylalanine Breakdown
- Phenylalanine is converted to tyrosine
- Defects in phenylalanine hydroxylase lead to phenylketonuria
Lysine Breakdown
- Lysine's ε-nitrogen is removed via saccharopine formation, releasing α-nitrogen and ultimately generating crotonyl-CoA
Tryptophan Breakdown
- Tryptophan is broken down via the kynurenine-anthranilate pathway
- The pathway involves tryptophan 2,3-dioxygenase, and produces N-formylkynurenine
Branched-Chain Amino Acid Catabolism
- Branched-chain amino acids (BCAAs) follow similar initial steps, resulting in a-keto acid equivalents
- An a-ketoacid decarboxylase complex is crucial
- Deficiencies in this complex or associated enzymes like isovaleryl-CoA dehydrogenase can lead to various conditions like maple syrup urine disease, isovaleric acidemia, and methylmalonic aciduria
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