AA metabolism (14) Flashcards

(44 cards)

1
Q

What are two pathological conditions that can cause ammonia toxicity?

A
  1. liver failure

2. metabolic diseases

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2
Q

What are the symptoms of ammonia toxicity?

A

irritability, vomiting, lethargy and confusion, respiratory distress, migraines

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3
Q

What does ketogenic mean?

A

amino acids are degraded to either acetyl coenzyme A or acetoacetyl coA

-these give rise to ketone bodies

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4
Q

Which amino acids are ketogenic?

A

leucine and lysine

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5
Q

What does glucogenic mean?

A

Amino acids that are degraded to pyruvate or CAC intermediates

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6
Q

How are the levels of glutamate, GABA, serotonin affected in ammonia toxicity

A

GABA and glutamate - decreased

Tryptophan - increased

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7
Q

What three amino acids are converted directly to pyruvate?

A
  1. Alanine
  2. serine
  3. cysteine
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8
Q

What enzyme converts alanine to pyruvate and what is the reaction type?

A

alanine transaminase - ALT
transamination of alpha-ketoglutarate

-important for liver function tests!

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9
Q

What is glycine converted into? What enzymes?

A

serine –> pyruvate
-serine hydroxymethyltransferase

or

into CO2 and free ammonia
-glycine cleavage enzyme

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10
Q

What cofactor does serine hydroxymethyltransferase use? What happens to the cofactor during the breakdown of glycine?

A

THF —> 5,10 methylene-THF

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11
Q

Why is the glycine –> serine –> pyruvate conversion reaction so important?

A

major source of one carbon groups in the body

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12
Q

What is threonine converted into?

A

to glycine –> serine –> pyruvate

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13
Q

Is the threonine breakdown reaction reversible or irreversible?

A

irreversible - duhh its an essential AA

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14
Q

What AAs are broken down into OAA?

A

Aspartate and aspargine

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15
Q

What enzyme breaks down aspartate ?

A

aspartate transaminase - AST

another marker for liver damage

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16
Q

Which AAs are converted to glutamate? how many carbons do these AAs have?

A

5 carbon AAs:

  1. arginine
  2. histidine
  3. proline
  4. glutamine
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17
Q

Which of these amino acids uses THF as a cofactor in it’s breakdown reaction: histidine, arginine, proline, glutamine?

A

histidine

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18
Q

Which amino acid is only essential during growth?

A

arginine

- need extra since the liver is constantly breaking it down to orthinine and urea

19
Q

What amino acids are considered branched chain amino acids? what enzyme do these use for breakdown?

A
  1. valine
  2. leucine
  3. isoleucine

branched chain AA transaminase

20
Q

What happens in mice that have branched chain AA trasaminase deficiency ?

A
  • inc insulin sensitivity
  • inc protein turnover
  • inc serum leucine levels
  • dec fat and body weight
  • inc E expenditure
  • looking into it as a weight loss product
21
Q

BCATs breakdown branched chain AAs into what?

A

alpha-keto acids

22
Q

What enzyme breaks down alpha-keto acids by oxidative decarboxylation? What are it’s cofactors?

A

brached chain ketoacid dehydrogenase

-TPP, Lipoamide, FAD, NAD

23
Q

What is deficient in maple syrup urine disease? What happens as a result?

A

branched chain ketoacid dehydrogenase

-branched chain ketoaciduria

24
Q

What are the treatments for maple syrup urine disease?

A

dietary restriction of branched chain AAs
- some will respond to thiamine!!

(branched chain ketoacid dehydrogenase uses thiamine as a cofactor)

25
Which amino acids are broken down to form succinyl coA?
1. methionine 2. isoleucine 3. valine
26
Which amino acids are broken down to form fumarate?
1. asparate 2. tyrosine 3. phenylalanine
27
What is formed by the hydroxylation of phenylalanine? What enzyme?
tyrosine -phenylalanine hydroxylase
28
What is the cofactor of phenylalanine hydroxylase?
tetrahydrobiopterin (BH4) -->dihydrobiopterin (BH2)
29
Which amino acids are both glucogenic and ketogenic?
1. phenylalanine 2. isoleucine 3. tryptophan 4. tyrosine 5. threonine
30
What is deficient in PKU? What happens as a result?
phenylalanine hydroxylase -accumulation of toxic derivatives - phenylpyruvate
31
Are infants tested at birth for PKU?
yes one of the oldest genetic tests
32
What is the treatment of PKU?
phenyalanine restricted diet until at least 16 y/o
33
What is atypical PKU?
defect in dihydrobiopterin reductase - cant regenerate cofactor - no treatment
34
What is alkaptonuria?
homgentisate oxidase is deficient -homogentisate is secreted in the urine-dark urine deposited in bones and cartilage leading to arthritis -diagnosed by looking in ear lobes with light
35
What disease can result if a patient is deficient in tryptophan?
pellagra
36
What is tryptophan the precursor of?
serotonin
37
What is arginine formed from?
during the urea cycle from ornithine | ornithine is made from glutamate
38
What is serine formed from? Why is this important?
3-phosphoglycerate - intermediate in glycolysis *major source of 1C groups
39
Is cysteine an essential amino acid?
only if methionine is not provided in the diet
40
What is homocyteinuria?
cystathione synthase deficiency -homocysteine spills over into urine -risk factor for atherosclerosis and mental disabilities
41
What is cysteinthionuria?
cystathionase deficiency | -cystathione builds up
42
When is tyrosine an essential amino acid?
in patients with PKU | -don't have phenylalanine in their diet
43
What do herbicides do?
block the biosynthesis of essential AAs
44
Which amino acids are glucogenic?
1. alanine 2. arginine 3. aspartic acid 4. asparagine 5. cysteine 6. glutamic acid 7. glutamine 8. glycine 9. histidine 10. methionine 11. proline 12. serine 13. valine