Amino Acid Metabolism Flashcards

1
Q

What is creatinine?

A

A breakdown product of creatine and creatine phosphate.

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2
Q

What conditions lead to mobilisation of protein reseveres?

A

Occurs during extreme stress, such as starvation and is under hormonal control.

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3
Q

What affect does insulin have on protein metabolism?

A

Decreases protein degradation and increases protein synthesis.

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4
Q

What effects to glucocorticoids have on protein metabolism?

A

Increase degradation and decrease synthesis.

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5
Q

What are the two classes of amino acids?

A

Glucogeneic amino acids (used for gluconeogenesis) and ketogeneic amino acids (used for the production of ketone bodies)

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6
Q

Name a glucogeneic amino acid.

A

Alanine, glycine

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7
Q

Name a ketogenenic amino acids.

A

Lysine, leucine

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8
Q

What are the two processes by which nitrogen is removed by amino acids ?

A

Transamination and deamination.

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9
Q

What does the process of tramsamimation consist of?

A

Amino acid 1 + keto acid 2↔️amino acid 2+ keto acid 1

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10
Q

What are the most common enzymes involved in transanimation?

A

Amino transferase enzymes, which produce glutamate from a- ketoglutrate. As aspartate amino transferase. Which produces aspartate from oxaolactetate

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11
Q

What are the tow clinically significant amino transferase enzymes and why are they clinically significant?

A

Alanine aminotransferase )ALT) and aspartate amino transferase (AST) , which are used as a measure of liver function.

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12
Q

What are so,e key features of the urea cycle?

A

5 enzymes involved, a high protein diet induces enzyme levels and a low protein diet suppresses enzyme levels.

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13
Q

What is refeeding syndrome?

A

A condition caused by suppressed enzymes in malnourished patient causing an increase in ammonia levels due to a reduced function of the urea cycle

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14
Q

What are the key enzymes involved in deamination?

A

Amino acid oxidases, glutaminase, glutamate dehyrogenase

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15
Q

How is ammonia transported in the blood?

A

With alanine, (amine group is combined with pyruvate) and as part of glutamine (amino group is combined with glutamate)

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16
Q

How are defects in the urea cycle often inherited?

A

Autosomal recessive genetic disorders.

17
Q

What are two clinical problems of amino acid metabolism?

A

Homocysteniuria and phenylketonuria.

18
Q

What is phenylketonuria?

A

A deficiency of phenylalanine hydroxylase which leads to an acclulmation of phenylalanine, and is autosomal recessive with the affected gene on chromosome 7.

19
Q

What is homocystinuorias?

A

Co,,only a defect in the cystathoine B-synthase enzyme, which leads to issues breaking down methadone in the body and causes an acclamation of homocysteine in the tissues….

20
Q

What is a positive nitrogen balance and when is it evident?

A

When protein intake>output, and occurs during growth, pregnancy, and recovery from malnutrition .