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Questions and Answers
Which amino acid is primarily responsible for transporting amino groups from muscle to the liver?
Which amino acid is primarily responsible for transporting amino groups from muscle to the liver?
What is the primary purpose of the Urea Cycle?
What is the primary purpose of the Urea Cycle?
Which enzyme is responsible for converting glutamine back into glutamate in the liver?
Which enzyme is responsible for converting glutamine back into glutamate in the liver?
What can potentially cause hereditary hyperammonaemia?
What can potentially cause hereditary hyperammonaemia?
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When ammonia levels exceed the Urea Cycle capacity, what condition is likely to occur?
When ammonia levels exceed the Urea Cycle capacity, what condition is likely to occur?
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Which process does alanine predominantly participate in during amino acid metabolism?
Which process does alanine predominantly participate in during amino acid metabolism?
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What is the primary outcome of oxidative deamination of glutamate?
What is the primary outcome of oxidative deamination of glutamate?
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Which of the following is NOT a treatment for managing hyperammonaemia?
Which of the following is NOT a treatment for managing hyperammonaemia?
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Which of the following amino acids can be classified as both glucogenic and ketogenic?
Which of the following amino acids can be classified as both glucogenic and ketogenic?
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What is the primary fate of glucogenic amino acids during the fasting state?
What is the primary fate of glucogenic amino acids during the fasting state?
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Which intermediate is NOT directly generated from pyruvate metabolism?
Which intermediate is NOT directly generated from pyruvate metabolism?
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Which of the following statements regarding the glucose-alanine cycle is accurate?
Which of the following statements regarding the glucose-alanine cycle is accurate?
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Which of these amino acids can be converted into α-ketoglutarate?
Which of these amino acids can be converted into α-ketoglutarate?
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In which physiological state are amino acids predominantly used to generate energy through the TCA cycle?
In which physiological state are amino acids predominantly used to generate energy through the TCA cycle?
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Which intermediate from the TCA cycle is specifically linked to the synthesis of non-essential amino acids like aspartate and asparagine?
Which intermediate from the TCA cycle is specifically linked to the synthesis of non-essential amino acids like aspartate and asparagine?
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Which of the following is true about the degradation of amino acids classified as ketogenic?
Which of the following is true about the degradation of amino acids classified as ketogenic?
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What defines glucogenic amino acids?
What defines glucogenic amino acids?
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Which process primarily occurs in the liver for converting alanine back to glucose?
Which process primarily occurs in the liver for converting alanine back to glucose?
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During which physiological state do glucogenic amino acids predominantly enter the TCA cycle?
During which physiological state do glucogenic amino acids predominantly enter the TCA cycle?
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Which statement about ketogenic amino acids is correct?
Which statement about ketogenic amino acids is correct?
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What role do amino acids play in maintaining plasma glucose levels?
What role do amino acids play in maintaining plasma glucose levels?
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What is the primary role of the glucose/alanine cycle?
What is the primary role of the glucose/alanine cycle?
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Which enzyme is responsible for the transamination process to form alanine from glutamate?
Which enzyme is responsible for the transamination process to form alanine from glutamate?
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Which of the following describes the fate of α-keto acids resulting from amino acid degradation?
Which of the following describes the fate of α-keto acids resulting from amino acid degradation?
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What is the main toxic byproduct of amino acid metabolism that requires elimination?
What is the main toxic byproduct of amino acid metabolism that requires elimination?
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Which amino acids can be classified as both glucogenic and ketogenic?
Which amino acids can be classified as both glucogenic and ketogenic?
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What role do amino acids play in the synthesis of nucleic acids?
What role do amino acids play in the synthesis of nucleic acids?
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Which process is primarily responsible for the degradation of rapidly degraded proteins?
Which process is primarily responsible for the degradation of rapidly degraded proteins?
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In which physiological state are amino acids predominantly utilized for energy production?
In which physiological state are amino acids predominantly utilized for energy production?
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What is the primary function of transaminase enzymes in amino acid metabolism?
What is the primary function of transaminase enzymes in amino acid metabolism?
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What characterizes conditionally essential amino acids?
What characterizes conditionally essential amino acids?
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What is the main pathway for the elimination of amino nitrogen from the body?
What is the main pathway for the elimination of amino nitrogen from the body?
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Which of the following statements about the protein turnover process is true?
Which of the following statements about the protein turnover process is true?
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What is a common characteristic of proteins with the 'PEST' amino-acid sequence?
What is a common characteristic of proteins with the 'PEST' amino-acid sequence?
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What is the primary function of the enzyme glutamate dehydrogenase in amino acid metabolism?
What is the primary function of the enzyme glutamate dehydrogenase in amino acid metabolism?
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How does ornithine transcarbamylase deficiency primarily affect ammonia levels in the blood?
How does ornithine transcarbamylase deficiency primarily affect ammonia levels in the blood?
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Which statement accurately describes the amino acids involved in transporting ammonia to the liver?
Which statement accurately describes the amino acids involved in transporting ammonia to the liver?
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What is the primary symptom of hyperammonaemia due to liver dysfunction?
What is the primary symptom of hyperammonaemia due to liver dysfunction?
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During which process are two molecules of ammonia combined with CO2 to form urea?
During which process are two molecules of ammonia combined with CO2 to form urea?
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Which treatment approach is NOT typically used in managing hyperammonaemia?
Which treatment approach is NOT typically used in managing hyperammonaemia?
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How does the liver deal with hyperammonaemia during acute liver failure?
How does the liver deal with hyperammonaemia during acute liver failure?
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What is the function of glutamine synthase in amino acid metabolism?
What is the function of glutamine synthase in amino acid metabolism?
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What is the primary function of transaminases in amino acid metabolism?
What is the primary function of transaminases in amino acid metabolism?
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Which of the following amino acids cannot undergo the transamination process?
Which of the following amino acids cannot undergo the transamination process?
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During the fasting state, what is the primary fate of glucogenic amino acids?
During the fasting state, what is the primary fate of glucogenic amino acids?
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What is the role of a-ketoglutarate in amino acid transamination?
What is the role of a-ketoglutarate in amino acid transamination?
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Which enzyme is critically involved in the deamination of glutamate?
Which enzyme is critically involved in the deamination of glutamate?
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What distinguishes ketogenic amino acids from glucogenic amino acids?
What distinguishes ketogenic amino acids from glucogenic amino acids?
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Which pathway is primarily involved in transferring amino acids from muscle to liver for gluconeogenesis?
Which pathway is primarily involved in transferring amino acids from muscle to liver for gluconeogenesis?
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What occurs to excess ammonia generated during amino acid metabolism?
What occurs to excess ammonia generated during amino acid metabolism?
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In which physiological state are amino acids primarily converted into glycogen?
In which physiological state are amino acids primarily converted into glycogen?
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Which of the following compounds can serve as an intermediate for the synthesis of non-essential amino acids?
Which of the following compounds can serve as an intermediate for the synthesis of non-essential amino acids?
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What is the primary role of the TCA cycle in relation to amino acids?
What is the primary role of the TCA cycle in relation to amino acids?
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Which amino acid is formed from pyruvate during amino acid metabolism?
Which amino acid is formed from pyruvate during amino acid metabolism?
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What is the significance of ALT and AST enzyme levels in clinical diagnostics?
What is the significance of ALT and AST enzyme levels in clinical diagnostics?
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What primarily determines the fate of amino acids in the body?
What primarily determines the fate of amino acids in the body?
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Which of the following is NOT a primary function of amino acids in the body? A) Protein synthesis B) Source of energy C) Serving as precursors for neurotransmitters D) Storage of genetic information
Which of the following is NOT a primary function of amino acids in the body? A) Protein synthesis B) Source of energy C) Serving as precursors for neurotransmitters D) Storage of genetic information
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Which of the following amino acids can be classified as both glucogenic and ketogenic?
Which of the following amino acids can be classified as both glucogenic and ketogenic?
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During fasting or intense exercise, which of the following amino acids primarily transports nitrogen to the liver for gluconeogenesis?
During fasting or intense exercise, which of the following amino acids primarily transports nitrogen to the liver for gluconeogenesis?
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Which enzyme catalyzes the first step in the urea cycle, converting ammonia and bicarbonate into carbamoyl phosphate?
Which enzyme catalyzes the first step in the urea cycle, converting ammonia and bicarbonate into carbamoyl phosphate?
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Where in the cell does the initial step of the urea cycle, involving carbamoyl phosphate synthetase I, occur?
Where in the cell does the initial step of the urea cycle, involving carbamoyl phosphate synthetase I, occur?
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Ornithine transcarbamylase (OTC) deficiency is characterized by an accumulation of which metabolite?
Ornithine transcarbamylase (OTC) deficiency is characterized by an accumulation of which metabolite?
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Which of the following is a clinical feature of Ornithine Transcarbamylase (OTC) deficiency?
Which of the following is a clinical feature of Ornithine Transcarbamylase (OTC) deficiency?
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Which of the following processes is responsible for the degradation of extracellular proteins?
Which of the following processes is responsible for the degradation of extracellular proteins?
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Proteins that are destined for degradation by the ubiquitin-proteasome system are marked by which of the following?
Proteins that are destined for degradation by the ubiquitin-proteasome system are marked by which of the following?
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Proteins that are destined for degradation by the ubiquitin-proteasome system are marked by which of the following?
Proteins that are destined for degradation by the ubiquitin-proteasome system are marked by which of the following?
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Which of the following proteins has a short half-life (T½) of approximately 3 minutes?
Which of the following proteins has a short half-life (T½) of approximately 3 minutes?
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The half-life of proteins can be influenced by their N-terminal residues. Which N-terminal amino acid is associated with a long half-life (>20 hours)?
The half-life of proteins can be influenced by their N-terminal residues. Which N-terminal amino acid is associated with a long half-life (>20 hours)?
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Proteins containing the 'PEST' sequence (Proline, Glutamate, Serine, Threonine) are generally:
Proteins containing the 'PEST' sequence (Proline, Glutamate, Serine, Threonine) are generally:
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Which of the following enzymes catalyzes the oxidative deamination of glutamate to release NH₃ and regenerate α-ketoglutarate?
Which of the following enzymes catalyzes the oxidative deamination of glutamate to release NH₃ and regenerate α-ketoglutarate?
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Transaminases (aminotransferases) are involved in which of the following reactions?
Transaminases (aminotransferases) are involved in which of the following reactions?
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Which of the following enzymes is responsible for catalyzing the formation of carbamoyl phosphate in the urea cycle?
Which of the following enzymes is responsible for catalyzing the formation of carbamoyl phosphate in the urea cycle?
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A deficiency in ornithine transcarbamylase (OTC) would lead to an accumulation of which of the following in the blood?
A) Ammonia
B) Urea
C) Alanine
D) Oxaloacetate
A deficiency in ornithine transcarbamylase (OTC) would lead to an accumulation of which of the following in the blood?
A) Ammonia B) Urea C) Alanine D) Oxaloacetate
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Which of the following correctly describes the difference between lysosomal degradation and the ubiquitin-proteasome system?
Which of the following correctly describes the difference between lysosomal degradation and the ubiquitin-proteasome system?
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Which of the following vitamins is required as a co-factor for transaminase activity?
Which of the following vitamins is required as a co-factor for transaminase activity?
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Which of the following transaminases is more specific for liver disease due to its higher expression in liver tissues compared to other organs?
Which of the following transaminases is more specific for liver disease due to its higher expression in liver tissues compared to other organs?
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Alanine transaminase (ALT) catalyzes the transfer of the amino group from alanine to which of the following compounds?
Alanine transaminase (ALT) catalyzes the transfer of the amino group from alanine to which of the following compounds?
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Which of the following intermediates of the TCA cycle can be used for amino acid biosynthesis? A) α-ketoglutarate B) Citrate C) Malate D) Succinate
Which of the following intermediates of the TCA cycle can be used for amino acid biosynthesis? A) α-ketoglutarate B) Citrate C) Malate D) Succinate
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Which glycolytic intermediate is used for the synthesis of serine?
Which glycolytic intermediate is used for the synthesis of serine?
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Which of the following amino acids is synthesized directly from pyruvate?
Which of the following amino acids is synthesized directly from pyruvate?
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In which state do amino acids enter the TCA cycle to be metabolized into keto acids or acetyl-CoA for energy production?
In which state do amino acids enter the TCA cycle to be metabolized into keto acids or acetyl-CoA for energy production?
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In the fed state, amino acids can be converted to which of the following for energy storage?
A) Glucose and ketone bodies
B) Pyruvate and lactate
C) Acetyl-CoA and oxaloacetate
D) Urea and ammonia
In the fed state, amino acids can be converted to which of the following for energy storage?
A) Glucose and ketone bodies B) Pyruvate and lactate C) Acetyl-CoA and oxaloacetate D) Urea and ammonia
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Oxaloacetate can be converted into which of the following amino acids?
Oxaloacetate can be converted into which of the following amino acids?
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During amino acid degradation, what happens to the carbon skeletons when they are not required for biosynthesis?
A) They are stored directly as proteins
B) They are converted into glucose or ketones
C) They are used to form fatty acids
D) They are excreted as urea
During amino acid degradation, what happens to the carbon skeletons when they are not required for biosynthesis?
A) They are stored directly as proteins B) They are converted into glucose or ketones C) They are used to form fatty acids D) They are excreted as urea
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Which of the following processes involves the tagging of proteins with ubiquitin for degradation?
Which of the following processes involves the tagging of proteins with ubiquitin for degradation?
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The presence of PEST sequences in proteins signals them for degradation by which of the following?
The presence of PEST sequences in proteins signals them for degradation by which of the following?
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In the urea cycle, which enzyme catalyzes the combination of ornithine and carbamoyl phosphate to form citrulline?
In the urea cycle, which enzyme catalyzes the combination of ornithine and carbamoyl phosphate to form citrulline?
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In the process of transamination, glutamate serves as:
In the process of transamination, glutamate serves as:
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Which of the following amino acids is directly involved in the cycle to shuttle nitrogen from muscle to the liver?
Which of the following amino acids is directly involved in the cycle to shuttle nitrogen from muscle to the liver?
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Which of the following intermediates is directly involved in the synthesis of aspartate?
Which of the following intermediates is directly involved in the synthesis of aspartate?
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Amino acids that are ketogenic can be converted into which of the following molecules for energy?
Amino acids that are ketogenic can be converted into which of the following molecules for energy?
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What is the primary function of glutamate dehydrogenase in amino acid metabolism?
What is the primary function of glutamate dehydrogenase in amino acid metabolism?
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AST (Aspartate Aminotransferase) catalyzes the transfer of an amino group from aspartate to which of the following molecules?
AST (Aspartate Aminotransferase) catalyzes the transfer of an amino group from aspartate to which of the following molecules?
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During fasting, glucogenic amino acids are primarily used for which of the following processes?
A) Ketogenesis
B) Glycogen synthesis
C) Gluconeogenesis
D) Protein synthesis
During fasting, glucogenic amino acids are primarily used for which of the following processes?
A) Ketogenesis B) Glycogen synthesis C) Gluconeogenesis D) Protein synthesis
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In the fed state, glucogenic amino acids can be converted into which molecule for storage?
In the fed state, glucogenic amino acids can be converted into which molecule for storage?
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Which of the following statements best describes glucogenic amino acids?
A) They can be converted into ketone bodies.
B) They yield pyruvate or TCA cycle intermediates.
C) They are metabolized exclusively to acetyl-CoA.
D) They directly enter the electron transport chain.
Which of the following statements best describes glucogenic amino acids?
A) They can be converted into ketone bodies. B) They yield pyruvate or TCA cycle intermediates. C) They are metabolized exclusively to acetyl-CoA. D) They directly enter the electron transport chain.
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Amino acids are classified as glucogenic, ketogenic, or both based on their ability to produce which of the following intermediates?
Amino acids are classified as glucogenic, ketogenic, or both based on their ability to produce which of the following intermediates?
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Ketogenic amino acids can be converted into which of the following molecules through ketogenesis?
A) Oxaloacetate
B) Acetoacetate
C) Glucose
D) Fumarate
Ketogenic amino acids can be converted into which of the following molecules through ketogenesis?
A) Oxaloacetate B) Acetoacetate C) Glucose D) Fumarate
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In the fasting state, amino acids are used to produce energy through which cycle?
In the fasting state, amino acids are used to produce energy through which cycle?
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Which of the following intermediates is commonly produced by glucogenic amino acids during gluconeogenesis?
Which of the following intermediates is commonly produced by glucogenic amino acids during gluconeogenesis?
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Which process is activated in the fed state to store the energy derived from amino acids as glycogen?
Which process is activated in the fed state to store the energy derived from amino acids as glycogen?
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Which two principal organs are involved in maintaining plasma glucose levels using amino acids?
A) Brain and liver
B) Muscle and liver
C) Kidneys and liver
D) Pancreas and muscle
Which two principal organs are involved in maintaining plasma glucose levels using amino acids?
A) Brain and liver B) Muscle and liver C) Kidneys and liver D) Pancreas and muscle
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What enzyme catalyzes the transamination of glutamate and pyruvate to form alanine in the glucose/alanine cycle?
What enzyme catalyzes the transamination of glutamate and pyruvate to form alanine in the glucose/alanine cycle?
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During fasting or intense exercise, muscle proteins are broken down into amino acids, which undergo deamination. What happens to the keto acids produced in this process?
During fasting or intense exercise, muscle proteins are broken down into amino acids, which undergo deamination. What happens to the keto acids produced in this process?
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Which of the following symptoms is primarily associated with hyperammonemia?
Which of the following symptoms is primarily associated with hyperammonemia?
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Where does the urea synthesis primarily occur in the body?
Where does the urea synthesis primarily occur in the body?
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Which of the following treatments is commonly used to limit ammonia levels in hyperammonemia?
Which of the following treatments is commonly used to limit ammonia levels in hyperammonemia?
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Which amino acids are important in transferring ammonia to the liver?
Which amino acids are important in transferring ammonia to the liver?
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What is the second step of the Urea Cycle? (Select one option)
What is the second step of the Urea Cycle? (Select one option)
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Which product of the Urea Cycle leaves the mitochondria to continue the cycle in the cytosol?
Which product of the Urea Cycle leaves the mitochondria to continue the cycle in the cytosol?
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L-arginine is broken down into which two products during the Urea Cycle?
L-arginine is broken down into which two products during the Urea Cycle?
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In tissues, glutamine is formed from glutamate by which enzyme?
In tissues, glutamine is formed from glutamate by which enzyme?
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In the liver, glutamine is reconverted to glutamate by which enzyme?
In the liver, glutamine is reconverted to glutamate by which enzyme?
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Which amino acid is the main carrier of amino groups from muscle to the liver in the glucose/alanine cycle?
Which amino acid is the main carrier of amino groups from muscle to the liver in the glucose/alanine cycle?
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In the glucose/alanyl cycle, ALT transfers an amino group from alanine to which molecule to form glutamate?
In the glucose/alanyl cycle, ALT transfers an amino group from alanine to which molecule to form glutamate?
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Study Notes
Glucogenic and Ketogenic Amino Acids
- Glucogenic amino acids can be converted into glucose through gluconeogenesis.
- These amino acids yield pyruvate or TCA cycle intermediates during their metabolism.
- Ketogenic amino acids can be converted into ketone bodies via ketogenesis.
- Their catabolism produces either acetoacetate or its precursors, acetyl CoA or acetoacetyl CoA.
- Some amino acids exhibit both glucogenic and ketogenic properties.
Energy Degradation of Glucogenic Amino Acids
- In the fasting state, glucogenic amino acids enter the TCA cycle for energy production.
- NADH and FADH2 produced during metabolism contribute to ATP generation via oxidative phosphorylation and the electron transport chain.
Storage of Amino Acids as Glycogen
- In the fed state, glucogenic amino acids are converted into glucose and stored as glycogen.
- This process involves glycolysis and gluconeogenesis, with glycogen synthase playing a key role.
Maintenance of Plasma Glucose Levels
- Amino acids are pivotal in maintaining plasma glucose levels by undergoing gluconeogenesis.
- Major organs involved include the muscle (generating over 50% of circulating amino acids) and the liver (utilizing amino acids for gluconeogenesis).
- The Glucose/Alanine Cycle facilitates the transfer of amino acids from muscle to liver, especially during fasting or intense exercise.
Glucose/Alanine Cycle
- Muscle proteins break down into amino acids during fasting or strenuous activity.
- Amino acids undergo deamination; keto acids can be used for energy while NH4+ (ammonium) is converted into glutamate.
- Glutamate undergoes transamination with pyruvate to form alanine, facilitated by alanine transaminase (ALT).
- The liver converts alanine’s carbon skeleton to glucose through gluconeogenesis.
Degradation of Ketogenic Amino Acids
- Ketogenic amino acids are metabolized into ketone bodies.
- This can occur via direct conversion to acetoacetate or to its precursors.
- Ketone bodies are transported to various tissues, primarily the brain, for energy through ketolysis.
Summary of Amino Acid Metabolism
- Circulating amino acids synthesize proteins and other biomolecules or generate energy.
- They are categorized as either glucogenic or ketogenic.
- Transamination, particularly by transaminases (e.g., ALT, AST), creates carbon skeletons and releases NH4+ (ammonium).
- The fate of α-keto acids varies with metabolic states, including conversion to non-essential amino acids, energy production, or storage as glucose.
Ammonia Handling
- Glutamine forms in tissues from glutamate via glutamine synthase and is reconverted in the liver by glutaminase, releasing NH4+.
- Alanine serves as a primary carrier of amino groups to the liver, transferring amino groups and leading to NH4+ release.
Urea Cycle and Ammonia Excretion
- The Urea Cycle converts toxic NH3 to urea for safe excretion.
- Urea synthesis occurs in the liver and involves five enzymes across cytosolic and mitochondrial reactions.
- The cycle combines two molecules of ammonia (from glutamate and aspartate) with CO2 to form urea.
Hyperammonaemia
- Normal ammonia levels in blood serum range from 5 – 50 μmol/L.
- Hyperammonaemia occurs when levels exceed the Urea Cycle's capacity (> 1,000 μmol/L).
- Causes include hereditary defects in Urea Cycle enzymes or acquired conditions such as liver failure (e.g., hepatitis, cirrhosis).
- Symptoms stem from CNS toxicity and include tremors, slurred speech, vomiting, and potentially coma or death.
- Treatments involve limiting ammonia intake, enhancing ammonia excretion, and in severe cases, haemodialysis.
Ornithine Transcarbamylase Deficiency
- This is the most common urea cycle disorder.
- OTC catalyzes the conversion of carbamoyl phosphate and ornithine to citrulline.
- Vitamin B6 functions as a co-factor in this reaction.
Importance of Transaminases
- ALT and AST catalyze amino group transfers, serving as diagnostic markers for liver health.
- ALT activities are predominantly liver-specific, with increased levels indicating liver disease.
α-Keto Acids
- Intermediates of the TCA cycle, α-keto acids can yield ATP or contribute to gluconeogenesis.
- They also facilitate amino acid synthesis, allowing for interconversion as needed by the body.
Biosynthesis of Non-Essential Amino Acids
- Non-essential amino acids are synthesized from glycolytic and TCA cycle intermediates.
- Key transformations include conversion of:
- 3-phosphoglycerate to serine, which further yields glycine or cysteine.
- α-ketoglutarate to glutamate, aspartate, arginine (via urea cycle), glutamine, and proline.
- Pyruvate to alanine and oxaloacetate to aspartate (which can convert to asparagine).
Energy Generation from Amino Acids
- Amino acids are utilized for energy generation or storage if not needed for biosynthesis.
- They must be metabolized to glucose or ketone bodies as they cannot be directly stored.
- The fate of their carbon skeletons varies with fasting or fed physiological states, influencing entry into the TCA cycle or conversion to glycogen.
Functions of Amino Acids
- Serve as building blocks of proteins and precursors for biologically active compounds.
- Contribute to energy production, biosynthesis of nucleic acids, hormones, and neurotransmitters.
Sources of Amino Acids
- Derived from dietary intake and protein turnover.
- Approximately 300g of body proteins are recycled daily, primarily from muscle proteins.
Protein Turnover and Degradation
- Half-life of most proteins is 2-3 days, while some enzymes may last only 30 minutes.
- N-terminal residues and specific sequences (PEST) dictate protein stability and degradation rates.
- Proteins degrade into amino acids via lysosomal digestion or the ubiquitin-proteasome system.
Amino Acid Metabolism
- First step is deamination, mainly through transamination.
- Transaminases utilize vitamin B6 as a cofactor; utilizes α-ketoglutarate as a common amino group acceptor.
- Glutamate undergoes oxidative deamination to release ammonia and produce α-ketoglutarate.
Non-Essential Amino Acid Synthesis
- Non-essential amino acids are generated from intermediates of glycolysis and the TCA cycle.
- Key examples include:
- Serine from 3-phosphoglycerate
- Glutamate, aspartate, and arginine from α-ketoglutarate.
Energy Metabolism
- Amino acids are not directly stored; metabolized into glucose or ketones.
- Fasting: amino acids feed into the TCA cycle for energy.
- Fed state: amino acids convert to glucose, stored as glycogen.
Classification of Amino Acids
- Glucogenic: can become glucose via gluconeogenesis.
- Ketogenic: can convert into ketone bodies for energy.
- Some amino acids are both glucogenic and ketogenic.
Glucose/Alanine Cycle
- Involves transamination to convert glutamate and pyruvate into alanine, which travels to the liver.
- Liver converts alanine back into glucose via gluconeogenesis.
Urea Cycle
- Converts toxic ammonia (NH3) to urea for safe excretion.
- Urea synthesis occurs in the liver, involving five specific enzymes.
Hyperammonaemia
- Elevated ammonia levels (>1,000 μmol/L) indicate impaired urea cycle function.
- Symptoms include CNS toxicity, tremors, confusion, and potentially coma or death.
- Treatment options: dietary modifications, ammonia excretion agents, or liver transplant.
Urea Cycle Disorders
- Ornithine Transcarbamylase (OTC) deficiency is the most prevalent urea cycle disorder.
- OTC defect leads to hyperammonaemia with severe neurological symptoms.
- Treatment strategies include low protein diets and nitrogen-scavenging agents.
Summary of Amino Acid Catabolism
- Amino acids are not stored but are recycled for proteins and metabolites.
- Important metabolic processes include transamination, oxidative deamination, and urea formation.
- Different amino acids serve specific roles based on the metabolic state of the body.
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Description
This quiz explores the classification of amino acids based on their metabolic pathways. It distinguishes between glucogenic amino acids that can be converted into glucose and ketogenic amino acids that yield ketone bodies. Understand the implications of these pathways in energy metabolism during fasting states.