Inborn Errors Of Urea Cycle Flashcards

0
Q

Urea cycle also called

A

Ornithine cycle

Kreb’s henseleit cycle

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1
Q

Urea

A

Carbamide

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2
Q

Urea cycle consists of five reactions

A

2 mitochondria

3 cytosolic

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3
Q

CO2 + H2O ( bicarbonate and ammonia) to carbamoyl phosphate

A

Carbamoyl phosphate synthetase 1

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4
Q

Carbamoyl phosphate + ornithine

A

Citrulline

Enzyme: ornithine transcarbamoylase

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5
Q

How many ATo used in first reaction of urea cycle?

A

2 ATP

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6
Q

Citrulline to arginosuccinate

A

Arginisuccinate synthase

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7
Q

How many ATP used un 3rd reaction of urea cycle?

A

1ATP

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8
Q

Citrulline reacts with_______ then convert to arginosuccinate with the enzyme ________

A

Aspartic acid

Arginosuccinate synthetase

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9
Q

Fumarate form of urea goes to

A

Krebs cycle

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10
Q

Must be transported back to mitochondria to continue the urea cycle

A

Ornithine

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11
Q

Citrulline reacts to ______ and ysed arginosuccinate synthase

A

Aspartate

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12
Q

Arginosuccinate become ________ and ________ by the used of enzyme __________

A

Arginine and fumarate

Arginosuccinate lyase

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13
Q

Arginine to ornithine

A

Arginase

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14
Q

As by product in 3rd reaction in cytosol produce

A

Urea

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15
Q

AA that nitrogen travels in the blood

A

Alanine

Glutamine

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16
Q

CPS1

A

Urea cycle
Mitochondria
Ammonia
Activate by N-AGA ( N-AcetylGlutamicAcid)

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17
Q

CPS2

A

Pyrimidine
Cytosol
Glutamine
No activator

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18
Q

Deficient enzyme in hyperammonemia type 1

A

Carbamoyl phosphate

19
Q

All disorder in UREA cylce is autosomal except to

A

Hyperammonemia type2

20
Q

Chromosome that affected in CPS deficiency?

A

Chromosome 2q35

21
Q

Urinary orotic acid is usually low or absent

A

Hyperammonemia type 1

22
Q

Deficient enzyme in hyperammonemia type 2

A

Ornithine trans carbomylase

23
Q

Most common form of the urea cycle disorder

24
Walang elevation of glutamine and alanine sa
HT2
25
Deficient enzyme in citrullinemia
Arginosuccinate synthetase
26
Laboratory finding are similar to those in type2 but increase plasma citrulline mas mataas din ang orotic acid.
Citrullinemia
27
Loaction of citrullinemia
Chromosome 9q34
28
Enzyme deficient in arginosuccinate aciduria
Arginosuccinase
29
Lacation of arginosuccinate aciduria
Chromosome 7
30
Enzyme defect in hyoerarginemia
Arginase
31
Location of hyperarginemia
Chromosome 6q23
32
Increase glutamine and alanine but decrease citrulline
Hyperammonemia type 1
33
Increase glutamine and alanine
Hyperammonemia type 2
34
Increase citrulline
Citrullinemia
35
Increase gluatamine, alanine, citrulline and arginosuccinic acid
Arginosuccinate acidosis
36
Increase arginine, normal or increase lysine, cysteine and ornithine
Arginemia
37
Decrease or absent of orothic acid
Hyperammonemia type 1
38
Increase orothic acid | With gravel stone
Hyper ammonemia type 2
39
Increase orothic acid
Citrullinemia | Argenemia
40
Carbamoyl phosphate + aspartate
Orotic acid
41
No conversion of NH4 to urea
HYperammonemia
42
Glutamic acid + ammonia
Glutamine | Leads to hyperglutaminemia
43
Ammonia react with alpha ketoglutarate to form
Glutamate
44
3 fold basis of therapy
Limit protein intake Lactulose/levulose- prevent absorption of ammonia Replace depleted/ missing enzyme
45
DOC
Neomycin
46
Benzoic acid binds with glycine
Phenylacetateglutamine