Lecture 7- Nitrogen Metabolism Part 3 Flashcards

1
Q

what is the main carrier of nitrogen from muscle to liver

A

alanine

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2
Q

why must ammonia levels stay low

A

it is toxic, especially for the brain

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3
Q

where is urea synthesised

A

in the liver

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4
Q

the liver will take up excess NH3 in the form of what

A

alanine and glutamine

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5
Q

how and where is urea transported to for excretion

A

transported in the blood to the kidneys for excretion

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6
Q

how does urea reduce the toxicity cause by ammonia

A

it maintains N in a soluble, non toxic form

(urea = non toxic, ammonia = toxic)

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7
Q

what are the two ways that nitrogen enters the urea cycle

A

carbamoyl phosphate and aspartate

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8
Q

what is carbamoyl phosphate is synthesised from

A

synthesised from bicarbonate and ammonia

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9
Q

what does ammonia come from

A

the deamination of glutamine and glutamate

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10
Q

what kind of reaction forms carbamoyl phosphate and what is it catalysed by

A

Energy requiring reaction catalysed by carbamoyl phosphate synthetase

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11
Q

what is aspartate generated by

A

transamination

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12
Q

where is oxaloacetate formed that is used to produce aspartate

A

in the citric acid cycle

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13
Q

where do the first two reactions of the urea cycle occur

A

in the mitochondria

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14
Q

where do the rest of the reactions apart from the first two of the urea cycle occur

A

in the cytosol

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15
Q

where is arginine made

A

in the urea cycle, it is the non essential and essential amino acid

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16
Q

what is the major point of regulation of the urea cycle

A

carbamoyl phosphate synthetase (CPS) activity

17
Q

when is carbamoyl phosphate synthetase (CPS) activity upregulated

A

under conditions of high protein diet or early stages of fasting / starvation

18
Q

when can urea cycle activity by reduced

A

liver disease e.g cirrhosis

19
Q

how is carbamoyl phosphate synthetase regulated and what does this mean

A

allosterically regulated

the activity of the enzyme is regulated by the binding of a molecule to the enzyme that is not the active site

20
Q

what is the allosteric regulator that binds to carbamoyl phosphate synthetase to activate it

A

N - acetylglutamate

21
Q

in what situations will N - acetylglutamate be made

A

situations of high glutamate and Acetyl-CoA

22
Q

what are the phenotypes of disorders to the urea cycle

A

Variety of phenotypes (mainly neurological - brain issues and all involve hyperammonemia)

23
Q

how to treat disorders of the urea cycle enzymes

A

by dietary modification i.e limit the protein in the presence of sufficient calories

With amino acid-binding compounds i.e. phenylbutyrate

24
Q

what does a defect to an enzyme in the urea cycle cause

A

build up of ammonia, which is very toxic

high levels of ammonia found in the blood leads to brain issues and lethargicness

25
can defects to the urea cycle enzymes be inherited
yes
26
what enzyme is the most common to have a defect in the urea cycle
OTC
27
what gender is a defect to OTC more likely in and why
more likely in males because it is on X chromosome
28
in the brain what may NH4+ inhibit
post synaptic potentials
29
what does depletion of citric acid cycle intermediates mean for the brain
decreased ATP for brain function
30
accumulation of glutamine in astrocytes causes what and why
increases osmotic pressure cerebral oedema as glutamine is osmotic type compound, water will follow it and can cause swelling in the brain)
31
how does phenylbutyrate assist the clearance of nitrogen waste
the drug is rapidly converted to phenylacetate, which combines with glutamine to form phenylacetylglutamine this contains two nitrogen atoms and is excreted so increases the clearance of nitrogen waste
32
how is NH4+ produced in the kidneys
by deamination of glutamine
33
in the process of ammonia being excreted into urine, ammonia is released in the epithelial cell in what form and what from
ammonia is released in the protonated form from glutamine and glutamate
34
before NH4+ is pumped from the epithelial cell into the lumen what happens to it
proton is split from NH4+ to form NH3
35
what allows NH3 to be pumped into the lumen and enter the urine
The sodium proton exchange allows protons to be pumped into the lumen
36
the kidney can utilise a-ketoglutarate to produce what
produce glucose