1040 Bichemistry

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Questions and Answers

Which of the following statements correctly describes the function of enzymes in biochemical reactions?

  • Enzymes decrease the activation energy of a reaction. (correct)
  • Enzymes determine the rate of reaction by altering the temperature of the system.
  • Enzymes are unaffected by changes in reactant concentrations.
  • Enzymes increase the rate of reaction by being consumed in the process.

Which of the following is an accurate comparison between catabolism and anabolism?

  • Catabolism is a convergent pathway that releases energy, while anabolism is a divergent pathway that absorbs energy. (correct)
  • Anabolism is a convergent process that releases energy, while catabolism is a divergent process that requires energy.
  • Catabolism absorbs energy during the synthesis of simple molecules, while anabolism releases energy through degradation.
  • Anabolism synthesizes complex molecules through degradation, storing energy in the process.

How does feedback inhibition regulate metabolic pathways?

  • By having molecules bind non-covalently to an enzyme, thereby affecting enzyme activity. (correct)
  • By using extracellular signals to degrade enzymes.
  • By having products bind covalently to the active site of enzymes.
  • By increasing enzyme production through mRNA translation.

Which of the following best describes how the regulation of catabolism and anabolism is achieved?

<p>By employing different enzymes in the pathways. (D)</p> Signup and view all the answers

In inherited deficiencies of disaccharide enzymes, which of the following physiological consequences is most likely to occur?

<p>Disaccharide intolerance, leading to osmotic diarrhea. (C)</p> Signup and view all the answers

How does inhibiting SGLT2 impact glucose levels for individuals with diabetes?

<p>It decreases blood glucose levels by increasing glucose excretion. (C)</p> Signup and view all the answers

In Type I Diabetes Mellitus, what is the direct consequence of impaired insulin secretion on adipose tissue and ketone body production?

<p>Access to adipose tissue, leading to increased ketone body production. (A)</p> Signup and view all the answers

How does metformin improve glucose metabolism in patients with Type II Diabetes Mellitus?

<p>By inhibiting complex 1 and altering the NADH/NAD+ ratio, which subsequently inhibits gluconeogenesis. (C)</p> Signup and view all the answers

How does increased anaerobic metabolism in cancer cells promote their growth and proliferation?

<p>By increasing the expression of hexokinase and GLUT transporters, thus supporting rapid energy production. (D)</p> Signup and view all the answers

What is the role of p53 Tumor Suppressor in regulating aerobic respiration in cancer cells?

<p>Inhibiting aerobic respiration. (B)</p> Signup and view all the answers

What effect do mutations in mitochondrial DNA (mtDNA) have on ATP synthesis and lactic acid levels?

<p>Decreased ATP synthesis, increased lactic acid. (C)</p> Signup and view all the answers

What is the result of inactivating mutations in succinate dehydrogenase and fumarate dehydrogenase, regarding activation of HIF and anaerobic glycolysis?

<p>Increased HIF activation and increased anaerobic glycolysis. (D)</p> Signup and view all the answers

How does dinitrophenol (DNP) uncouple oxidative phosphorylation?

<p>By allowing H+ to pass through the mitochondrial membrane, dissipating the proton gradient. (C)</p> Signup and view all the answers

What is the primary role of NADPH in erythrocytes (RBCs)?

<p>To protect against oxidative stress by countering oxygen radicals. (B)</p> Signup and view all the answers

Which of the following is directly associated with a deficiency in the rate-limiting enzyme of the pentose phosphate pathway?

<p>Hemolysis due to oxidative stress. (C)</p> Signup and view all the answers

Under what conditions would glucagon stimulate the breakdown of glycogen?

<p>When serum glucose levels are low. (B)</p> Signup and view all the answers

In the first step of amino acid degradation, what is the primary role of aminotransferases?

<p>To separate the alpha-amino group from the carbon skeleton, which is then shunted to metabolic pathways. (C)</p> Signup and view all the answers

What is the metabolic consequence of the glucose-alanine cycle in skeletal muscle during vigorous exercise?

<p>Conversion of pyruvate to alanine, which is then transported to the liver for gluconeogenesis. (A)</p> Signup and view all the answers

Which statement accurately describes the purpose and products of the urea cycle?

<p>It processes nitrogenous waste from amino acid degradation, producing urea for excretion. (A)</p> Signup and view all the answers

How does a deficiency in N-acetylglutamate synthase affect the urea cycle and ammonia levels?

<p>It decreases the rate of urea production, increasing ammonia levels. (B)</p> Signup and view all the answers

What is the metabolic fate of carbon skeletons from amino acids during starvation?

<p>They are oxidized to CO2 and H2O to produce energy. (A)</p> Signup and view all the answers

Which cofactors are essential for the transfer of one-carbon units in the catabolism of carbon skeletons of amino acids?

<p>Tetrahydrofolate and biotin transfer a 1C during the synthesis of purine, pyramiding and amino acids. (A)</p> Signup and view all the answers

How does a defect in phenylalanine hydroxylase lead to phenylketonuria (PKU)?

<p>It prevents the conversion of phenylalanine to tyrosine, leading to an accumulation of phenylalanine. (C)</p> Signup and view all the answers

How is the degradation of glycine affected in nonketotic hyperglycinemia?

<p>Glycine degradation is deficient, leading to accumulation. (A)</p> Signup and view all the answers

How does an accumulation of fumarylacetoacetate in Tyrosinemia Type I affect tyrosine levels?

<p>It increases tyrosine levels by inhibiting its further metabolism. (C)</p> Signup and view all the answers

What is the primary metabolic function of glutathione?

<p>To act as a REDOX buffer, reducing oxidative stress. (C)</p> Signup and view all the answers

What is the role of ornithine decarboxylase (ODC) in cell growth, and under what condition is it most active?

<p>ODC regulates cell growth and is dependent of PLP and is a major target for therapies against cancer and infections. (A)</p> Signup and view all the answers

What role do bile acids and salts play in lipid digestion and absorption?

<p>They emulsify dietary lipids, increasing their solubility and accessibility to digestive enzymes. (C)</p> Signup and view all the answers

What is the role of pancreatic lipase in lipid digestion, and how is its activity regulated?

<p>Pancreatic lipase breaks down complex lipids, and its regulated by hormones and pancreatic colipase. (D)</p> Signup and view all the answers

Which of the following best describes the function of lipoproteins?

<p>To transport lipids in the bloodstream. (B)</p> Signup and view all the answers

What is the role of apolipoproteins in lipoprotein metabolism?

<p>All of the above. (D)</p> Signup and view all the answers

What happens when intracellular cholesterol levels increase regarding LDL receptors and HMG-CoA activity?

<p>LDL receptors decrease and HMG-CoA activity decreases. (D)</p> Signup and view all the answers

How do statins lower cholesterol levels?

<p>By inhibiting HMG-CoA reductase, a key enzyme in cholesterol synthesis. (B)</p> Signup and view all the answers

Which enzyme in the liver is critical for regulating bile acid synthesis, and how does impaired function of this enzyme affect cholesterol levels?

<p>Cholesterol 7-a-hydroxylase decreases cholesterol levels. (C)</p> Signup and view all the answers

How does the body utilize vitamin A for vision?

<p>Vitamin A is a component of rhodosin in the red cells of the retina. (A)</p> Signup and view all the answers

What is the key function of vitamin D in maintaining bone?

<p>Help mobilize calcium and phosphorus. (C)</p> Signup and view all the answers

How does metabolic adaptation to hypoxic tumor conditions increase ATP?

<p>Primarily increasing ATP. (C)</p> Signup and view all the answers

Flashcards

Metabolism

Sum of all chemical and molecular reactions in organs and cells; extracts energy, stores fuel, synthesizes and eliminates waste.

Metabolic pathway

Series of related reactions, highly conserved in evolution, and interconnected.

Catabolism

Releases energy via degradation of molecules; a convergent process.

Anabolism

Absorbs energy via synthesis of simple molecules or polymerization; divergent.

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Glycogen hydrolases

Enzymes that catalyze the breaking of glycosidic bonds.

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Glycogen

Branched polymer of glucose.

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SGLT Transporters

Transporters requiring energy that co-transport glucose with Na+.

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GLUT4

Glucose transporters, insulin sensitive.

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Glycosuria

Excess glucose in urine, indicator of diabetes.

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Inhibited SGLT2

Glucose to be excreted in urine with SGLT2 inhibition.

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Impaired insulin secretion

Glucose not taken up into cells, accesses adipose tissue.

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Gluconeogenesis

Glucose production

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Type I Diabetes Cause

Autoimmune destruction of pancreatic β-cells.

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Metformin

Inhibits Complex 1, Alters ATP/ADP ratio in Type 2 diabetes

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Warburg effect

Cancer cells increased anaerobic metabolism, increased glycolysis.

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TCA Cycle

Common pathway of metabolism for all fuels.

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Mitochondrial DNA

Strictly maternal inheritance; contains ETC, 2rRNA, tRNAs

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MOMP

Mitochondrial outer membrane permeabilization

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Enzymes

Enzyme which reduces rate of reaction w/o being consumed; lowers activation energy

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ALT/AST

High serum levels indicate damage to cells rich in these enzymes.

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Proteases

Dietary protein is broken down into Free AAs

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Tryptophan

Needed to make serotonin, melatonin, nicotinamide

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Hartnup Disease

red-scaly skin rash on exposure to sunlight, diarrhea

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Pancreatic Autodigestion

Increased pancreatic amylase in serum, autodigestion

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Cystinuria

Kidney stones from unabsorbed AAs, affects basic AAs

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PEST Sequences

Sequences promote protein degradation; ATP dependent and independent

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Protein Degradation

Enzyme is taken up into organelle, degradation

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AA Degradation

enzyme separated from carbon skeleton, shunted to AA metabolic pathway

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Collect as Glutamate

In the liver and act as general collection points

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Glutamine synthesis

Ammonia added to glutamate, primary regulation, liver mitochondria

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Glucose-Alanine Cycle

occurs in skeletal muscle releases alanine to liver to gluconeogenesis

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The Urea Cycle

nitrogen and urea is produced, kidneys → urine

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Carbamoyl Phosphate Synthetase I

Inability to produce the the above is classified as Type 1 and treated by

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OTC Deficiency

Associated Disorders Carbamoyl Phosphate Arginine and Arginase

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AA Carbon Skeletons

3rd possible fate oxidation to CO2 + H2O (energy production)

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Cofactors

Needed for 1-C transfers to intermediates of AA synthesis.

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3-Pathways

In what stages is Glycine Catabolized by

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Black Urine Disease

What can Alkaptonuria Cause

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Maple Syrup Urine Disease

deficiency of BCKD complex; keto acids accumulate in blood/urine

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Study Notes

Topic 1: Metabolism in General

  • Metabolism involves movement of electrons directly or via electron carriers (coenzymes) undergoing reversible REDOX reactions such as NAD, NADP, FAD, and FMN.

  • The coenzyme Biocytin uses Biotin as a precursor and transfers CO2

  • Coenzyme A uses Pantholenic acid as a precursor and transfers Acyl groups

  • FAD uses Riboflavin as a precursor and transfers Electrons

  • Co-B12 uses Vitamin B12 as a precursor and transfers H+, alkyl groups

  • Lipolate uses None as a precursor and transfers Electrons, acyl groups

  • NAD uses Niacin as a precursor and transfers Hydride ions

  • Tetrahydrofolate uses Folic acid as a precursor and transfers 1-carbon groups

  • PLP uses Vitamin B6 as a precursor and transfers Amino groups

  • TPP (Thiamine pyrophosphate) uses Vitamin B1 as a precursor and transfers Aldehydes

  • Enzymes increase the rate of reaction without being consumed, decreasing activation energy.

  • The rate of reaction is determined by reactant concentration, catalyst presence, effectors (allosteric, competitive, ions/pH), and temperature.

  • ΔG signifies the energy available to perform work

  • ΔG is additive in a pathway

  • A negative ΔG indicates an exergonic reaction, while a positive ΔG indicates an endergonic reaction.

  • Metabolism is the sum of chemical/molecular reactions in all organs and cells, extracting energy, storing fuels, synthesizing building blocks, and eliminating waste.

  • Metabolic pathways consist of related reactions, are highly conserved, and interconnected.

  • Catabolism is a convergent process releasing energy through molecule degradation, such as glucose oxidation.

  • Anabolism is a divergent process absorbing energy to synthesize simple molecules.

Regulation of Catabolism/Anabolism

  • Pathways differ by at least one enzyme
  • Pathways are differentiated through compartmentalization
  • Compartmentalization means the separation of cofactors, enzymes, coenzymes and substrate availability
  • Irreversible reactions that are thermodynamically unfavourable also create differentiation points
  • Feedback inhibition involves allosteric regulation where molecules bind non-covalently to a site other than the active site.
  • Feedback inhibition acts to regulate the enzyme positively or negatively
  • Regulation of enzyme production involves extracellular signals, gene transcription, mRNA degradation, and mRNA translation
  • Protein degradation means that enzymes are taken into organelles, bind to substrates/ligands, become phosphorylated/dephosphorylated, or combine with regulatory proteins

Appetite and Hunger

  • Leptin causes satiety and decreases fat storage, released by adipocytes and enterocytes

  • Ghrelin increases hunger/appetite, food intake, and fat storage

Topic 2: Carbohydrates

  • Glycosidic bonds are broken down by glycogen hydrolases (glucosidases)

  • α-amylase breaks non-specific α(1-4) bonds

  • Specific bond hydrolases:

  • Isomaltase: α(1-6) bonds

  • Maltase: α(1-4) bonds

  • Sucrase: α(1-2) bonds

  • Trehalase: α(1-1) bonds

  • Lactase: β(1-4) bonds

  • Glycogen is a branched polymer of glucose, while cellulose is an unbranched polymer with β(1-4) bonds.

  • Inherited deficiencies in disaccharide enzymes lead to disaccharide intolerance, causing malnutrition, malabsorption, osmotic diarrhea, boating, and abdominal pain

  • Lactose intolerance is an example that can be mitigated by consuming live yogurt/cheese with lactic acid bacteria (LAB) strains or taking lactase pills.

  • Sodium-dependent glucose transporters (SGLT) require energy and cotransport with Na+

  • SGLT1/SGLT2 are found in the intestine, heart, and kidney

  • SGLT3 is located in the intestine, spleen, liver, kidney, and muscle

  • SGLT4/SGLT6 are multivitamin transporters

  • SGLT5 transports thyroid iodide

  • GLUT1 is present in erythrocytes and the blood-brain barrier.

  • GLUT2 is found in the liver, kidneys, and pancreatic β-cells (regulating glucose release and uptake).

  • GLUT3 is located in neurons.

  • GLUT4 is present in muscles and adipose tissue and is insulin sensitive.

  • GLUT5 is a fructose transporter in the intestine and testes.

  • Glycosuria indicates diabetes

  • In healthy individuals, 98% of glucose is reabsorbed into the blood via SGLT2; inhibiting this is a target for lowering blood glucose levels

Diabetes Mellitus

  • Type I shows Impaired insulin secretion: glucose is not taken up into cells, accessing adipose tissue and causing fatty acids production, ketogenesis, and an increase in glucose

  • Impaired insulin secretion results in ketoacidosis, potentially leading to diabetic coma

  • Can also trigger gluconeogenesis, resulting in hyperglycemia

  • This can lead to lactic acidosis

  • Insulin administration is required for treatment

  • Autoimmune destruction of pancreatic β-cells

  • GLUT4 is not brought to the membrane efficiently without insulin

  • Glycosuria is a common symptom because of hyperglycemia

Type II Diabetes Mellitus

  • Overactivation of receptors, resulting in malfunction
  • Usually manifesting later in life due to diet; is associated with Hyperinsulinemia
  • Therapy involves drastic lifestyle changes with reduced caloric intake

Metformin and Diabetes

  • Metformin inhibits complex 1 affecting NADH/NAD+ ratio
  • Metformin inhibits mitochondrial glycerophosphate dehydrogenase
  • This alters DHAP levels
  • Metformin targets glucagon by inhibiting gluconeogenesis
  • Finally Metformin inhibits SGLT2 which promotes glucose excretion in urine

Glucose Fates

  • Glucose can play a key role in creating structural matrix, produce glycogen, or create extracellular matrix
  • Glycolysis is a path for energy intermediates
  • The pentose phosphate shunt can also provide energy

Fates of Pyruvate

  • Alanine is created from Pyruvate via Alanine transaminase
  • Oxaloacetate is created from Pyruvate via Pyruvate carboxylase
  • This created Citrate by way of Citrate Synthase
  • Acetyl-CoA produced from oxidation of Pyruvate via Pyruvate dehydrogenase
  • This created Citrate through way of Citrate Synthase
  • Lactate production from Pyruvate via Lactate Dehydrogenase

Regulation of Glycolysis

  • Extrahepatic
  • Glucose to G-6-P via hexokinase, G-6-P to Fructose-1,6-bisphosphate via phosphofructokinase-1, and lastly PEP to Pyruvate via Pyruvate Kinase
  • P-i is an activator while G-60P acts as an inhibitor with respect to Hexokinase
  • AMP and ADP are activators while ATP and Citrate acts as inhibitors with respect to Phosphofructokinase-1
  • ADP is an activator while ATP and NADH acts as inhibitors with respect to Pyruvate kinase

Hepatic Regulation and Glycolysis

  • Liver hepatocytes control glycolysis with a regulating protein

  • Glucose upregulates glycolysis, stimulating the release of GK from GKPR in the nucleus/cytosol

  • Binds Glucokinase competitively

  • Fructose-6-P downregulates glycolysis through increased GK-GKPR binding

  • Therefore, glucose-6-P will indirectly inhibits glycolysis

Hormonal Effects on Regulation of Glycolysis

  • Insulin activates Glucokinase, phosphofructokinase-1, and Pyruvate Kinase

  • Glucagon inhibits glucose metabolism

Glycogen Storage Disease

  • Enzymes and deficiency symptoms due to their loss

Glucose Homeostasis

  • Ideal: Glucose concentration (↑) = Beta-cells release insulin to have the Glucose absorbed = ↓ Glucose
  • Ideal: Glucose concentration (↓) = Beta-cells release Glucagon to have it release = ↑ Glucose
  • Insulin increases glucose uptake in the liver and in the body
  • Glucagon stimulates breakdown of glycogen

Cancers and anaerobic metabolism

  • Warburg effect causes increased anaerobic metabolism
  • Increased hexokinase is the target to reducing cancer cell growth
  • Increased GLUT1 and GLUT3 are created under induced hypoxia by HIF-a
  • p53 mutations inhibit aerobic respiration

Impaired mitochondrial DNA and cancer

  • Decreased ATP synthesis: leading to lactic acidosis and reactive oxygen species production
  • tRNA defects:
  • Leucine defects lead to lactic acidosis
  • Lysine defects can affect Cytochrome C activity
  • Leber hereditary neuropathy: blindness via mutation in NAD 1,4 and 6
  • MOMP
  • Enzymes here may act as tumor suppressors
  • Mutations may cause build up in succinate of fumarate -> pseudo hypoxia
    • This can lead to more cancerous tumors

The Cori Cycle explained

  • Lactate is transported from muscle to liver to regenerate glucose
  • Alanine in muscle comes from pyruvate accepting Ammonia from Glutamate
  • Alanine is converted back to pyruvate in Liver

The Folate Cycle

  • 7,8 - dihydrofolate is converted into 5,6,7,8- Tetrahydrofolic acid
  • The donor in this process is NADPH while dyhydrofolate reductase (DHFR) is the enzyme
  • FH4 to 5,10 methylene FH4 the donor is Serine and enzyme is Serine hydromethytransferase
  • There is feedback inhibition from Thymidylate synthase
  • THF is converted to Carbon Dioxide and releases methyl groups
  • Vitamin B12 deficiency can stall reaction

Topic on Glycolysis and Anaerobic Metabolism

  • All cells need energy at a constant rate
  • This needs Glucose constantly regardless of Oxygen availability
  • Exercise removes ATP faster than Oxidative Phosphorylation provides
  • There is a need for ATP regardless of blood supply
  • There is a tradeoff in speed vs efficiency for cellular respiration
  • Aerobic oxidation produces high energy for low speed
  • Anaerobic does it at a constant rate

###Topic 3: Amino Acid Metabolism

  • Amino acids are linked to the common COO- with H+3N, a Carbon and R structure

Glucogenic & Ketogenic

  • Ketogenic Aas are converted to ketones

    • This uses Isoleucine, Leucine, Tryptophan and Threonine
  • Glucogenic is converted to Glycolysis

    • This uses Alanine, Cysteine, Glycine, Serine, Threonine and Tryptophan
  • Ketogenic can feed to ketones while the rest enter Glycolysis

Dietary intake

  • There is a 1 to 2G loss of Nitrogen through feces
  • AA are proteins that become di and tri peptides
  • No net is lost unless there is starvation = Muscle proteins are broken down

AA Catabolism

- AA gets oxidized to go to ATP
- Surpluses = oxidized to go to ATP
- Or there is uncontrolled glucose/carbohdyrate loss = oxidation

Process

  • Proteases are used for AA absorption
  • proenzymes/zymogens are inactive
  • Pepsinogen in the Stomach can be released for cutting proteins inpeptides
  • The Pancreas controls the process and uses Cholecystokinin + secretin to release products
    • Trypsin/chymotrypsin come in and cut into pieces
    • Ends are marked by exopeptidases in A/B

Diet and uptake system

  • endo, amino + di peptidase comes in
  • Brush is borderned for duodenal entry
  • A/B is used for pancreatic breakdown- uptake is moved to the muscle
  • To do so, this needs an AC or the gradient

Conditions/Diseases involving Dietary Protein

  • Hartnup disease
    • recesive disorder with improper gut AA balance
    • Tryptophan isn't used with Nicotinammide and NAD+ needs it most
      • Red scale with sun exposire
    • Check by measuring high levels
  • Gluten intollerance: gluten cant be degraded
    • the PQ is toxic to mucosa causing immune response
  • Cystinuria comes from a small intake of AC
    • stones appear if its not uptaken

Sorting and protien breakdown

  • MRNA goes through the reticulum
  • PEST is a promoter of break down
  • Enzymes and AA degradation are not free
  • Two patheways for breakdown
    • ATP Independent
    • ATP Dependent
  • ATP needs: membrane, EC AA and long 1/2 life AA
    • this needs 4 digesive processes mediated by enzymes
    • endo/pino/phogo/au tophases

ATP dependent

  • defective and short lives must be tagged
  • they then covelently bind to Lysine
  • must be mono and mulit ply ubuntianited
  • min requires 4 for the enzyme to recognize

AA Defects

  • Liddles can cause too much Na+ and sever hypertension
  • HPV is the use of p53 with E3

AA degradation

  • first sepoerates the AA by a-skeleton
    • the carbon gets shjunted and turns to amonia
    • the transfers happen as a group within the liver

Glutmate in liver

  • Collects after diet
  • Collects to amone in tissue
  • are converted to TCA intermediates

Enzymes for AA metabolism

  • Aspartate comes in and uses low serum
  • these are all damaged by the enzymes

P-L-P

  • they all bind
  • either reversibly or non reversivly
  • with schiff bases
  • one substate will bind while others leave

Deamination

  • AA oxidase
  • uses a-keto acids with amonia
  • Glutmate does it

Urea and Liver Process

  • for serine + ethionine u can dehyde
  • the Ammonia gets added to create the Urea
  • this happens though G synth
  • its found in the liver
  • controlled through feed back from glyc and alanine intake

Skeletal System

  • under anarobic respiration glucose is needed and must be removed to allow pyruvate
  • glutatamete and alanin transfferease needs to add these
  • all gets transferred to the liver but away from the muscle

90% of all AA

  • Most waste excretion uses Amonia, O2 and CO2
  • Transpoerting it goes through blood and the kidnes before going
  • It will then feed back to the cycle

Key Enzymes

  • Synthase controls the cycel
  • this must contain a Arginine in high amounts
  • The synthatse also must use argenic concentrations
  • Cycilcioc is another to

Cycle

  • to do this must be 4 atp and other bases

Transports into Cycle

  • These will allow an increaes in CO 2 and CO2
  • there will also be a change in lysene

Treatments

  • to keep it moving you can try
  • Organ implants
  • Blood transfer
  • Stem cell implants

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