Urea Cycle (Ornithine Cycle) Process
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Questions and Answers

What is the role of the urea cycle in the body?

  • To synthesize amino acids as an energy source
  • To rid the body of toxic NH4+ and permit the use of amino acids as an energy source (correct)
  • To increase the level of ammonia in the blood
  • To decrease the level of uric acid in the blood
  • What is the normal value of blood urea?

  • 3.3 – 7.5 mmole/l (correct)
  • 5.5 – 9.5 mmole/l
  • 1.3 – 3.5 mmole/l
  • 10 – 15 mmole/l
  • What is the rate-limiting enzyme of the urea cycle?

  • Aspartate transaminase
  • Ornithine transcarbamylase
  • Arginase
  • Carbamoyl phosphate synthetase (correct)
  • What is the result of negative nitrogen balance?

    <p>More nitrogen is excreted than ingested</p> Signup and view all the answers

    What is the function of allopurinol in the context of gout?

    <p>To inhibit the enzyme that produces uric acid</p> Signup and view all the answers

    What is the site of urea synthesis?

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

    What is the result of diseases that affect liver mitochondria?

    <p>Increased level of ammonia in the blood</p> Signup and view all the answers

    What is the normal value of serum uric acid?

    <p>180 – 420 mmole/l</p> Signup and view all the answers

    What is the primary function of the urea cycle in many animals?

    <p>To produce urea from ammonia</p> Signup and view all the answers

    What is the toxic range of ammonia in the plasma?

    <p>Greater than 500 μM</p> Signup and view all the answers

    What is the primary route by which ammonia travels to the liver?

    <p>Through the bloodstream as glutamine and alanine</p> Signup and view all the answers

    What is the purpose of excreting NH4+ in the kidneys?

    <p>To maintain acid-base balance</p> Signup and view all the answers

    What is the normal percentage of urea in urine?

    <p>86.0%</p> Signup and view all the answers

    What is the result of elevated uric acid concentration in kidney diseases and leukemia?

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

    What is measured in the blood to assess kidney function?

    <p>Blood urea nitrogen (BUN)</p> Signup and view all the answers

    What is the consequence of congestive heart failure on kidney function?

    <p>Reduced filtration rates through the kidneys</p> Signup and view all the answers

    Study Notes

    Urea Cycle Overview

    • The urea cycle, also known as the ornithine cycle, is a biochemical reaction that produces urea from ammonia in many animals.
    • The liver converts nitrogen from amino acids into urea, and the carbon skeletons are converted into glucose (in fasting state) or fatty acid (in fed state).

    Ammonia Toxicity

    • Ammonia is toxic, with normal levels ranging from 15-40 μM and a maximum of 70 μM.
    • Hyperammonemia (> 500 μM) is related to inborn errors of metabolism and liver failure.

    Urea Cycle Function

    • The urea cycle's primary function is to rid the body of toxic ammonia, allowing amino acids to be used as an energy source.
    • The liver is the major site of urea synthesis, with the small intestine also involved.

    Urea Cycle Enzymes

    • Carbamoyl phosphate synthetase is the rate-limiting enzyme of the urea cycle.
    • Synthesis of one mole of carbamoyl phosphate requires 2 moles of ATP.

    Urea and Ammonia Measurement

    • Blood urea nitrogen (BUN) is measured in the blood, and elevated levels may indicate kidney failure or urinary tract obstruction.
    • Normal blood urea levels range from 3.3-7.5 mmol/L.

    Nitrogen Balance

    • The normal nitrogen balance is a state where the amount of nitrogen ingested is balanced by the amount excreted, resulting in no net change in body nitrogen.
    • Negative nitrogen balance occurs when more nitrogen is excreted than ingested, often due to starvation, disease, or injury.

    Uric Acid

    • Uric acid is synthesized from adenine and guanine in nucleotides, not from ammonia.
    • Elevated levels of uric acid may occur in kidney diseases and leukemia, and can cause gout.

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    Description

    Learn about the urea cycle, also known as the ornithine cycle, which involves biochemical reactions that produce urea from ammonia in many animals.

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