Sulphur Containing Amino Acids Overview
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Questions and Answers

Which amino acid is primarily associated with the condition classic homocysteinuria?

  • Arginine
  • Cysteine (correct)
  • Methionine
  • Ornithine
  • Cystinosis is characterized by a defect in the dibasic amino acid transporter in the kidney.

    False (B)

    Name a specialized product derived from cysteine.

    Co-A or Taurine

    Which amino acid is essential and must be obtained through diet?

    <p>Methionine (D)</p> Signup and view all the answers

    Cysteine is a non-polar amino acid.

    <p>False (B)</p> Signup and view all the answers

    The methyl donor involved in the conversion of homocysteine to methionine is __________.

    <p>Trimethyl glycine</p> Signup and view all the answers

    Match the following defects with their associated conditions:

    <p>CBS = Classic homocysteinuria B6, B12 MTHFR = Non-classic homocysteinuria Dibasic amino acid transporter = Cystinuria CTNS gene = Cystinosis</p> Signup and view all the answers

    What is the primary risk factor associated with homocysteine levels?

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

    Cysteine can be synthesized from __________.

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

    Match the following conditions with their associated descriptions:

    <p>Thromboembolism = Risk factor for atherosclerosis Ectopia lentis = Dislocation of lens Cyanide nitroprusside test = Magenta color indicated positive test Methionine restriction = Treatment for certain amino acid disorders</p> Signup and view all the answers

    Which amino acids make up glutathione?

    <p>Glutamic acid, Cysteine, Glycine (C)</p> Signup and view all the answers

    Cysteine supplementation is a treatment for classical homocysteinuria.

    <p>True (A)</p> Signup and view all the answers

    What is the clinical feature characterized by elongated fingers in classical homocysteinuria?

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

    The biochemical defect in classical homocysteinuria results in an increase of __________ in the blood.

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

    Match the following terms with their descriptions:

    <p>Cystinuria = An accumulation of cystine due to defective reabsorption. Arachnodactyly = Elongated fingers associated with classical homocysteinuria. Ectopia lentis = Displacement of the lens, common in certain syndromes. HMP shunt = Pathway that generates NADPH and ribose 5-phosphate.</p> Signup and view all the answers

    Which of the following roles does glutathione NOT perform?

    <p>Energy production (D)</p> Signup and view all the answers

    Homocysteine levels decrease with deficiency of B vitamins such as B6, folic acid, and B12.

    <p>False (B)</p> Signup and view all the answers

    What enzyme-related test is used for the lab diagnosis of classical homocysteinuria?

    <p>Cyanide nitroprusside test</p> Signup and view all the answers

    Flashcards

    Cysteine & Methionine

    Sulfur-containing amino acids, with cysteine being a polar amino acid and methionine being a non-polar one.

    Homocysteine

    A sulfur-containing amino acid derivative, a crucial intermediate in the conversion of methionine to cysteine and vice versa.

    SAM (S-adenosyl methionine)

    A molecule that transfers methyl groups in biochemical reactions. Crucial in converting homocysteine into methionine.

    Cysteine supplementation

    A therapy that involves providing supplemental cysteine, often for maintaining or improving health.

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    Methionine restriction

    A dietary approach that limits the intake of methionine, often used to treat certain conditions.

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    Homocysteine's role in methylation

    Homocysteine is a crucial intermediary in the conversion of methionine to S-adenosylmethionine (SAM), the primary methyl donor in many biochemical processes.

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    S-Adenosylmethionine (SAM)

    The primary methyl donor in the body, essential for various metabolic reactions including DNA/RNA methylation, neurotransmitter synthesis, and lipid metabolism.

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    Classic vs. Non-classic Homocystinuria

    These are different types of hereditary disorders causing high homocysteine levels, leading to various health problems. Classic involves a defect in Cystathionine synthase, while non-classic may involve different enzyme deficiencies related to B vitamins.

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    Cystinuria Cause

    A defect in a kidney transporter responsible for reabsorbing certain dibasic amino acids, resulting in their excretion in urine. These amino acids are Cystine, Ornithine, Lysine, and Arginine.

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    Cystinosis Defect

    A lysosomal storage disorder caused by a malfunction in a lysosomal cystine transporter. This defect causes the accumulation of cystine inside the lysosomes leading to tissue damage.

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    Glutathione function (Amino acid transport)

    Glutathione is involved in moving amino acids, using the Meister's cycle, primarily within the intestine, brain, and kidneys, requiring ATP.

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    Glutathione function (Free radical scavenging)

    Glutathione neutralizes harmful free radicals like H₂O₂ by reacting within a system that involves the HMP shunt.

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    Glutathione function (Conjugation/Phase II)

    Glutathione helps process foreign substances (xenobiotics) in the body, playing a crucial role in detoxification.

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    Classical Homocysteinuria (Biochemical defect)

    This condition is characterized by abnormally high levels of homocysteine in the blood and urine, leading to a decrease in cysteine synthesis.

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    Classical Homocysteinuria (Clinical Features)

    Initially often asymptomatic; can cause skeletal deformities (like arachnodactyly, genu varum), developmental delays , and mental retardation, tall stature, high arched palate and others.

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    Homocysteine-related deficiencies

    Deficiencies in Vitamins B6, Folate, or B12 can lead to elevated homocysteine levels, raising the risk of cardiovascular issues (CAD/CVA).

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    Folate Trap

    Folate (THFA) can become trapped in a form non-usable for metabolism, leading to functional folate deficiency.

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    Coenzyme role of Glutathione

    Glutathione participates in biochemical reactions by serving as a coenzyme to catalyze reactions such as the isomerization of fumaroyl acetoacetate to malyl acetoacetate.

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    Study Notes

    Sulphur Containing Amino Acids

    • Co-A: Pantothenic acid, involved in the conjugation of bile acids.

    • Glutathione: A tripeptide (gamma-glutamyl cysteinyl glycine, GSH), comprising three amino acids: glutamic acid, cysteine, and glycine.

    Functions of Glutathione

    • Amino Acid Transport: Utilizes the Meister's cycle/gamma-glutamyl cycle; crucial in the intestine, brain, and kidneys, utilizing ATP.

    • Free Radical Scavenging: Reduced glutathione protects against free radicals, reacting with harmful compounds to convert to an oxidized form. This process involves NADP+ and NADPH+H+. The conversion and subsequent recycling depends on two enzymes: Glutathione peroxidase and Glutathione reductase, part of the pentose phosphate pathway (HMP shunt).

    • Conjugation/Phase II Reactions: Involved in the conjugation of xenobiotics (preservatives, drugs) to aid excretion.

    • Coenzyme Role: Glutathione acts as a coenzyme, supporting cis-trans isomerase role in the conversion of maleyl acetoacetate to fumaryl acetoacetate.

    Additional Information (cont.)

    • Cystinuria: A defect in the dibasic amino acid transporter in the kidney, affecting the reabsorption of cystine.
    • Classical homocysteinuria: A defect related to the metabolic pathway of methionine, leading to an accumulation of homocysteine in the blood, urine, and causing synthesis of cysteine and elevated homocysteine levels.
    • Clinical features of classical homocysteinuria: Asymptomatic initially and is characterized by skeletal deformities.
    • Cystinosis: A lysosomal storage disorder, characterized by a defect in the H+-driven lysosomal cystine transporter (CTNS gene).
    • Disorders of methionine and cysteine metabolism: Issues with transport and synthesis of methionine and cysteine.
    • Folic acid deficiency: A deficiency that leads to the depletion of THFA, leading to homocysteine accumulation and impacting other metabolic processes.

    Other Key Concepts

    • S-adenosylmethionine (SAM): A key methyl donor in various metabolic processes, involving a methyl group transfer from methionine.
    • Methionine to Homocysteine: The metabolic pathway involves enzymes like methyl transferase to convert methionine to homocysteine.
    • Other Disorders: Include oast house syndrome/Smith–Lemli–Opitz syndrome and primary hypermethioninemia, identified by certain symptoms like a boiled cabbage smell due to a buildup of methionine.
    • Products of cysteine: Includes compounds like betamercaptoethanolamine, crucial to Coenzyme-A synthesis, Co-A, Pantothenic acid, and Taurine, involved in conjugation with bile acids.

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    Description

    Explore the functions and importance of sulphur-containing amino acids, with a specific focus on glutathione. This quiz delves into its role in amino acid transport, free radical scavenging, and conjugation reactions. Understand how these processes support bodily functions and detoxification.

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