Glucogenic and Ketogenic Amino Acids Overview
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Questions and Answers

Which amino acid is primarily responsible for transporting amino groups from muscle to the liver?

  • Alanine (correct)
  • Glutamine
  • Aspartate
  • Glutamate
  • What is the primary purpose of the Urea Cycle?

  • To convert glucose to energy
  • To excrete non-toxic nitrogen waste as urea (correct)
  • To oxidize fatty acids for energy production
  • To synthesize amino acids from fatty acids
  • Which enzyme is responsible for converting glutamine back into glutamate in the liver?

  • Glutaminase (correct)
  • Citrulline synthase
  • Ornithine transcarbamylase
  • Alanine transaminase
  • What can potentially cause hereditary hyperammonaemia?

    <p>Ornithine transcarbamylase deficiency</p> Signup and view all the answers

    When ammonia levels exceed the Urea Cycle capacity, what condition is likely to occur?

    <p>Hyperammonaemia</p> Signup and view all the answers

    Which process does alanine predominantly participate in during amino acid metabolism?

    <p>Gluconeogenesis</p> Signup and view all the answers

    What is the primary outcome of oxidative deamination of glutamate?

    <p>Production of a-ketoglutarate and release of ammonia</p> Signup and view all the answers

    Which of the following is NOT a treatment for managing hyperammonaemia?

    <p>High protein diet</p> Signup and view all the answers

    Which of the following amino acids can be classified as both glucogenic and ketogenic?

    <p>Phenylalanine</p> Signup and view all the answers

    What is the primary fate of glucogenic amino acids during the fasting state?

    <p>They enter the TCA cycle as keto acids.</p> Signup and view all the answers

    Which intermediate is NOT directly generated from pyruvate metabolism?

    <p>Glutamate</p> Signup and view all the answers

    Which of the following statements regarding the glucose-alanine cycle is accurate?

    <p>Glucose is produced from alanine in liver tissue.</p> Signup and view all the answers

    Which of these amino acids can be converted into α-ketoglutarate?

    <p>Glutamine</p> Signup and view all the answers

    In which physiological state are amino acids predominantly used to generate energy through the TCA cycle?

    <p>Fasting state</p> Signup and view all the answers

    Which intermediate from the TCA cycle is specifically linked to the synthesis of non-essential amino acids like aspartate and asparagine?

    <p>Oxaloacetate</p> Signup and view all the answers

    Which of the following is true about the degradation of amino acids classified as ketogenic?

    <p>They generate acetyl CoA or acetoacetate.</p> Signup and view all the answers

    What defines glucogenic amino acids?

    <p>Amino acids that yield pyruvate or TCA cycle intermediates.</p> Signup and view all the answers

    Which process primarily occurs in the liver for converting alanine back to glucose?

    <p>Gluconeogenesis</p> Signup and view all the answers

    During which physiological state do glucogenic amino acids predominantly enter the TCA cycle?

    <p>Fasting state</p> Signup and view all the answers

    Which statement about ketogenic amino acids is correct?

    <p>They can be transformed into acetoacetate or its precursors.</p> Signup and view all the answers

    What role do amino acids play in maintaining plasma glucose levels?

    <p>They participate in gluconeogenesis to generate glucose.</p> Signup and view all the answers

    What is the primary role of the glucose/alanine cycle?

    <p>To transfer amino acids from muscle to liver for gluconeogenesis.</p> Signup and view all the answers

    Which enzyme is responsible for the transamination process to form alanine from glutamate?

    <p>Alanine transaminase (ALT)</p> Signup and view all the answers

    Which of the following describes the fate of α-keto acids resulting from amino acid degradation?

    <p>They can enter the glycolysis pathway or TCA cycle.</p> Signup and view all the answers

    What is the main toxic byproduct of amino acid metabolism that requires elimination?

    <p>Urea</p> Signup and view all the answers

    Which amino acids can be classified as both glucogenic and ketogenic?

    <p>Tyrosine and Tryptophan</p> Signup and view all the answers

    What role do amino acids play in the synthesis of nucleic acids?

    <p>They serve as precursors of purines and pyrimidines.</p> Signup and view all the answers

    Which process is primarily responsible for the degradation of rapidly degraded proteins?

    <p>Ubiquitin-Proteasome system</p> Signup and view all the answers

    In which physiological state are amino acids predominantly utilized for energy production?

    <p>During fasting or starvation</p> Signup and view all the answers

    What is the primary function of transaminase enzymes in amino acid metabolism?

    <p>To transfer amino groups between amino acids and α-keto acids.</p> Signup and view all the answers

    What characterizes conditionally essential amino acids?

    <p>They must be obtained through external sources during times of stress or illness.</p> Signup and view all the answers

    What is the main pathway for the elimination of amino nitrogen from the body?

    <p>Formation of urea in the liver and excretion through urine.</p> Signup and view all the answers

    Which of the following statements about the protein turnover process is true?

    <p>The average daily turnover involves approximately 300 grams of proteins.</p> Signup and view all the answers

    What is a common characteristic of proteins with the 'PEST' amino-acid sequence?

    <p>They are designated for degradation by lysosomal peptidases.</p> Signup and view all the answers

    What is the primary function of the enzyme glutamate dehydrogenase in amino acid metabolism?

    <p>Convert glutamate to ammonia and alpha-ketoglutarate</p> Signup and view all the answers

    How does ornithine transcarbamylase deficiency primarily affect ammonia levels in the blood?

    <p>Decreases the production of urea and causes hyperammonemia</p> Signup and view all the answers

    Which statement accurately describes the amino acids involved in transporting ammonia to the liver?

    <p>Glutamate and alanine both serve the same function in ammonia transport.</p> Signup and view all the answers

    What is the primary symptom of hyperammonaemia due to liver dysfunction?

    <p>CNS toxicity leading to confusion and coma</p> Signup and view all the answers

    During which process are two molecules of ammonia combined with CO2 to form urea?

    <p>Urea cycle</p> Signup and view all the answers

    Which treatment approach is NOT typically used in managing hyperammonaemia?

    <p>High-dose corticosteroids</p> Signup and view all the answers

    How does the liver deal with hyperammonaemia during acute liver failure?

    <p>By utilizing alternative nitrogen excretion pathways</p> Signup and view all the answers

    What is the function of glutamine synthase in amino acid metabolism?

    <p>Converts glutamate to glutamine</p> Signup and view all the answers

    What is the primary function of transaminases in amino acid metabolism?

    <p>To catalyze transamination reactions</p> Signup and view all the answers

    Which of the following amino acids cannot undergo the transamination process?

    <p>Threonine</p> Signup and view all the answers

    During the fasting state, what is the primary fate of glucogenic amino acids?

    <p>Metabolized to glucose or TCA cycle intermediates</p> Signup and view all the answers

    What is the role of a-ketoglutarate in amino acid transamination?

    <p>It is the most common acceptor of amino groups</p> Signup and view all the answers

    Which enzyme is critically involved in the deamination of glutamate?

    <p>Glutamate dehydrogenase</p> Signup and view all the answers

    What distinguishes ketogenic amino acids from glucogenic amino acids?

    <p>They yield acetoacetate or acetyl CoA upon catabolism</p> Signup and view all the answers

    Which pathway is primarily involved in transferring amino acids from muscle to liver for gluconeogenesis?

    <p>Glucose/Alanine Cycle</p> Signup and view all the answers

    What occurs to excess ammonia generated during amino acid metabolism?

    <p>It is eliminated as urea</p> Signup and view all the answers

    In which physiological state are amino acids primarily converted into glycogen?

    <p>Fed state</p> Signup and view all the answers

    Which of the following compounds can serve as an intermediate for the synthesis of non-essential amino acids?

    <p>3-phosphoglycerate</p> Signup and view all the answers

    What is the primary role of the TCA cycle in relation to amino acids?

    <p>It serves as a site for amino acid degradation and energy production</p> Signup and view all the answers

    Which amino acid is formed from pyruvate during amino acid metabolism?

    <p>Alanine</p> Signup and view all the answers

    What is the significance of ALT and AST enzyme levels in clinical diagnostics?

    <p>They can detect liver dysfunction</p> Signup and view all the answers

    What primarily determines the fate of amino acids in the body?

    <p>Physiological state of the individual</p> Signup and view all the answers

    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

    <p>Storage of genetic information</p> Signup and view all the answers

    Which of the following amino acids can be classified as both glucogenic and ketogenic?

    <p>Isoleucine</p> Signup and view all the answers

    During fasting or intense exercise, which of the following amino acids primarily transports nitrogen to the liver for gluconeogenesis?

    <p>Alanine</p> Signup and view all the answers

    Which enzyme catalyzes the first step in the urea cycle, converting ammonia and bicarbonate into carbamoyl phosphate?

    <p>Carbamoyl phosphate synthetase I</p> Signup and view all the answers

    Where in the cell does the initial step of the urea cycle, involving carbamoyl phosphate synthetase I, occur?

    <p>Mitochondria</p> Signup and view all the answers

    Ornithine transcarbamylase (OTC) deficiency is characterized by an accumulation of which metabolite?

    <p>Ammonia</p> Signup and view all the answers

    Which of the following is a clinical feature of Ornithine Transcarbamylase (OTC) deficiency?

    <p>Hyperammonemia</p> Signup and view all the answers

    Which of the following processes is responsible for the degradation of extracellular proteins?

    <p>Lysosomal Degradation</p> Signup and view all the answers

    Proteins that are destined for degradation by the ubiquitin-proteasome system are marked by which of the following?

    <p>Ubiquitination</p> Signup and view all the answers

    Proteins that are destined for degradation by the ubiquitin-proteasome system are marked by which of the following?

    <p>Ubiquitination</p> Signup and view all the answers

    Which of the following proteins has a short half-life (T½) of approximately 3 minutes?

    <p>HMG-CoA Reductase</p> Signup and view all the answers

    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)?

    <p>Serine</p> Signup and view all the answers

    Proteins containing the 'PEST' sequence (Proline, Glutamate, Serine, Threonine) are generally:

    <p>Quickly degraded</p> Signup and view all the answers

    Which of the following enzymes catalyzes the oxidative deamination of glutamate to release NH₃ and regenerate α-ketoglutarate?

    <p>Glutamate dehydrogenase</p> Signup and view all the answers

    Transaminases (aminotransferases) are involved in which of the following reactions?

    <p>Conversion of an amino acid to a keto acid</p> Signup and view all the answers

    Which of the following enzymes is responsible for catalyzing the formation of carbamoyl phosphate in the urea cycle?

    <p>Carbamoyl phosphate synthetase I</p> Signup and view all the answers

    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

    <p>Ammonia</p> Signup and view all the answers

    Which of the following correctly describes the difference between lysosomal degradation and the ubiquitin-proteasome system?

    <p>Lysosomal degradation is primarily involved in the degradation of extracellular proteins, while the ubiquitin-proteasome system handles intracellular protein degradation.</p> Signup and view all the answers

    Which of the following vitamins is required as a co-factor for transaminase activity?

    <p>Vitamin B6</p> Signup and view all the answers

    Which of the following transaminases is more specific for liver disease due to its higher expression in liver tissues compared to other organs?

    <p>Alanine transaminase (ALT)</p> Signup and view all the answers

    Alanine transaminase (ALT) catalyzes the transfer of the amino group from alanine to which of the following compounds?

    <p>α-ketoglutarate</p> Signup and view all the answers

    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

    <p>α-ketoglutarate</p> Signup and view all the answers

    Which glycolytic intermediate is used for the synthesis of serine?

    <p>3-phosphoglycerate</p> Signup and view all the answers

    Which of the following amino acids is synthesized directly from pyruvate?

    <p>Alanine</p> Signup and view all the answers

    In which state do amino acids enter the TCA cycle to be metabolized into keto acids or acetyl-CoA for energy production?

    <p>Fasting state</p> Signup and view all the answers

    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

    <p>Glucose and ketone bodies</p> Signup and view all the answers

    Oxaloacetate can be converted into which of the following amino acids?

    <p>Aspartate</p> Signup and view all the answers

    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

    <p>They are converted into glucose or ketones</p> Signup and view all the answers

    Which of the following processes involves the tagging of proteins with ubiquitin for degradation?

    <p>Proteasome system</p> Signup and view all the answers

    The presence of PEST sequences in proteins signals them for degradation by which of the following?

    <p>Proteasomes</p> Signup and view all the answers

    In the urea cycle, which enzyme catalyzes the combination of ornithine and carbamoyl phosphate to form citrulline?

    <p>Ornithine transcarbamylase (OTC)</p> Signup and view all the answers

    In the process of transamination, glutamate serves as:

    <p>A carrier of ammonia</p> Signup and view all the answers

    Which of the following amino acids is directly involved in the cycle to shuttle nitrogen from muscle to the liver?

    <p>Alanine</p> Signup and view all the answers

    Which of the following intermediates is directly involved in the synthesis of aspartate?

    <p>Oxaloacetate</p> Signup and view all the answers

    Amino acids that are ketogenic can be converted into which of the following molecules for energy?

    <p>Acetyl-CoA</p> Signup and view all the answers

    What is the primary function of glutamate dehydrogenase in amino acid metabolism?

    <p>Oxidative deamination of glutamate</p> Signup and view all the answers

    AST (Aspartate Aminotransferase) catalyzes the transfer of an amino group from aspartate to which of the following molecules?

    <p>α-Ketoglutarate</p> Signup and view all the answers

    During fasting, glucogenic amino acids are primarily used for which of the following processes?

    A) Ketogenesis B) Glycogen synthesis C) Gluconeogenesis D) Protein synthesis

    <p>Gluconeogenesis</p> Signup and view all the answers

    In the fed state, glucogenic amino acids can be converted into which molecule for storage?

    <p>Glycogen</p> Signup and view all the answers

    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.

    <p>They yield pyruvate or TCA cycle intermediates.</p> Signup and view all the answers

    Amino acids are classified as glucogenic, ketogenic, or both based on their ability to produce which of the following intermediates?

    <p>Pyruvate or acetyl-CoA</p> Signup and view all the answers

    Ketogenic amino acids can be converted into which of the following molecules through ketogenesis?

    A) Oxaloacetate B) Acetoacetate C) Glucose D) Fumarate

    <p>Acetoacetate</p> Signup and view all the answers

    In the fasting state, amino acids are used to produce energy through which cycle?

    <p>TCA cycle</p> Signup and view all the answers

    Which of the following intermediates is commonly produced by glucogenic amino acids during gluconeogenesis?

    <p>Pyruvate</p> Signup and view all the answers

    Which process is activated in the fed state to store the energy derived from amino acids as glycogen?

    <p>Glycogen synthesis</p> Signup and view all the answers

    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

    <p>Muscle and liver</p> Signup and view all the answers

    What enzyme catalyzes the transamination of glutamate and pyruvate to form alanine in the glucose/alanine cycle?

    <p>Alanine aminotransferase (ALT)</p> Signup and view all the answers

    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?

    <p>Used for gluconeogenesis</p> Signup and view all the answers

    Which of the following symptoms is primarily associated with hyperammonemia?

    <p>Tremors and encephalopathy</p> Signup and view all the answers

    Where does the urea synthesis primarily occur in the body?

    <p>Liver</p> Signup and view all the answers

    Which of the following treatments is commonly used to limit ammonia levels in hyperammonemia?

    <p>Sodium benzoate</p> Signup and view all the answers

    Which amino acids are important in transferring ammonia to the liver?

    <p>Glutamine, Glutamate, Alanine</p> Signup and view all the answers

    What is the second step of the Urea Cycle? (Select one option)

    <p>Formation of citrulline</p> Signup and view all the answers

    Which product of the Urea Cycle leaves the mitochondria to continue the cycle in the cytosol?

    <p>Citrulline</p> Signup and view all the answers

    L-arginine is broken down into which two products during the Urea Cycle?

    <p>Urea and ornithine</p> Signup and view all the answers

    In tissues, glutamine is formed from glutamate by which enzyme?

    <p>Glutamine synthase</p> Signup and view all the answers

    In the liver, glutamine is reconverted to glutamate by which enzyme?

    <p>Glutaminase</p> Signup and view all the answers

    Which amino acid is the main carrier of amino groups from muscle to the liver in the glucose/alanine cycle?

    <p>Alanine</p> Signup and view all the answers

    In the glucose/alanyl cycle, ALT transfers an amino group from alanine to which molecule to form glutamate?

    <p>α-Ketoglutarate</p> Signup and view all the answers

    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.

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