Protein Flashcards

(45 cards)

1
Q

What is Protein?

A
  • Linear chains of amino acids – polypeptides
  • Protein = proteos meaning “primary” or “taking first place”
  • Not a single entity but a complex mix of many different proteins –
    each with its own amino acid composition & sequence
  • A single protein can have from 50 to 1000 amino acids
  • The particular sequence of amino acids confers varying roles &
    functions for different amino acids
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2
Q

Essential (indispensible) aa

A

not synthesized by mammals and are therefore dietarily essential or indispensable nutrients
1. Isoleucine
2. Leucine
3. Valine
4. Lysine
5. Methionine
6. Phenylalanine
7. Threonine
8. Tryptophan
9. Histidine

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3
Q

Amino Acids can be grouped on the basis of:

A
  • Side chain structure
     E.g. Aromatic, acid, basic, sulfur containing etc.
  • Net electrical charge
     Neutral, positively charged, negatively charged
  • Polarity
     Polar (interact with water) and non-polar
  • Essentiality
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4
Q

conditionally essential (indispensible) aa

A

usually not essential, except in times of illness and stress
1. Arginine
2. Cysteine
3. Glutamine
4. Proline
5. Tyrosine

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5
Q

Non-essential (dispensible) aa

A
  1. Alanine
  2. Aspartic acid*
  3. Asparagine
  4. Glutamic
    Acid†
  5. Glycine
  6. Serine
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6
Q

Protein Digestion occurs where?

A

stomach
* HCL denatures proteins
* HCL converts pepsinogen to pepsin
* Pepsin acts on protein→ large polypeptides

small intestine
Pancreas
- Secretes zymogens (proenzymes) which are activated in the SI to
* Trypsin
* Chymotrypsin
* Carboxypeptidases A & B
Enterocytes
- Secrete
* Aminopeptidases
* Dipeptidyl amino peptidases
* Tripeptidases

Attack specific bonds → smaller polypeptides →
amino acids, dipeptides, tripeptides

no digestion in oral cavity

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7
Q

Protein Absorption
- where?
- uses?
- dependent on?
- absorbed through?
- also needs a ______ system

A
  • Occurs in the Small Intestine, especially duodenum
    and upper jejunum
  • Uses energy
  • Specific transport systems, mainly Na dependent
  • Absorbed through brush border into enterocyte
  • Then absorbed through basolateral membrane of
    enterocyte by transport systems and taken into
    circulation for distribution around the body
  • Absorption in the body systems also needs a carrier
    system
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8
Q

Protein Absorption
- capacity
- peptides have their own _______
- which aa are absorbed more easily?
- supplements with high amounts of one aa may?

A
  • Capacity for absorption is much greater than dietary intake as the body
    secretes protein into the bowel ~ 70 – 300g/day
  • Peptides have their own transporters and are absorbed more quickly than
    amino acids
  • Essential amino acids are absorbed more quickly than non-essential amino
    acids
  • Supplements with high amounts of one amino acid may impair absorption
    of others with the same carrier
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9
Q

Protein Synthesis
- increases in tissues following _______?
- fast proteins
- slow proteins
- All AAs needed to synthesise a particular ___?
- Synthesis of a particular protein in the body involves transcription of a ____ into _____ followed by its ________-

A
  • Increases in tissues following food intake
  • Amino acid use in the body influenced by the type of dietary proteins
  • Fast proteins – whey, soy, amino acid mixtures, protein hydrolysates
  • Slow proteins - casein
  • Slow – lower and prolonged blood amino acid [ ] and better retention than fast, used more for skeletal muscle
  • All AAs needed to synthesise a particular P must be available at point of synthesis
  • Synthesis of a particular protein in the body involves transcription of a gene into mRNA followed by its translation
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10
Q

Hormones with a role in protein synthesis

A
  • Protein degradation predominates over synthesis
  • Epinephrine
  • Cortisol
  • Higher glucagon:insulin
    e.g. Overnight, fasting, infection, injury, trauma
  • Protein synthesis predominates over degradation
  • Higher insulin:glucagon
  • Growth hormone
    e.g. after eating, greatest if CHO & protein eaten together
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11
Q

Protein (P) Content in the Body
- Protein content per 60-70 kg adult
- aa pool
- only a small ______ protein store or buffer (_% total body protein) with no energy storage form of protein

A

Protein content per 60-70 kg adult:
* 10-11kg P i.e. ~16% body weight
* muscle ~43%
* Organs ~25%
* skin ~15%
* blood ~16%
* amino acid (AA) pool
* small pool of free AAs in all tissues
* supplies AAs for P formation
* receives AAs from P degradation
* only a small ‘labile’ protein store or buffer (1% total body
protein) with no energy storage form of protein

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12
Q

Structural role of protein

A
  • Contractile proteins – actin + myosin
  • Cardiac, skeletal and smooth muscle
  • Fibrous proteins
  • Collagen, elastin and keratin
  • Bone, teeth, skin, hair, tendons, cartilage, blood vessels, hair and
    nails
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13
Q

buffering role of protein

A
  • Proteins contribute to acid base balance by accepting/releasing H+ ions
  • Works with the phosphate system (in cells) and bicarbonate system (in
    blood) to maintain pH
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14
Q

fluid balance role of protein

A
  • Attract and keep water in a particular location by contributing to osmotic pressure
  • Imbalance contributes to oedema or ascites
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15
Q

catalyst role of protein

A
  • Enzymes
  • Bind with substrate to generate a product
  • Often require a cofactor or coenzyme
  • Multiple physiological processes depend
    on enzymes
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16
Q

messenger role of protein

A
  • Hormones – chemical messengers in the body
  • Synthesized and secreted by endocrine organs
  • Transported in blood to other locations where
    they bind with protein receptors
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17
Q

immunoprotection role of protein

A
  • Immunoproteins – immunoglobulin (Ig) or antibodies (Ab)
  • Produced by plasma cells from B-lymphocytes
  • Bind and inactivate antigens
  • Immunoprotein-antigen complex destroyed by
    complement proteins or cytokines
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18
Q

transport role of protein

A
  • Transport various substances in
    the blood, into, out of or within
    cells
  • Cell Membranes
  • Uniporters, symporters and
    antiporters
  • Blood
  • 100s
  • Lipoproteins
  • Albumin
  • Transthyretin/ Prealbumin
  • Retinol binding protein
  • Globulins
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19
Q

acute phase responder role of protein

A
  • Synthesised in the liver in
    response to a sudden critical
    illness – infection, injury or
    inflammation
  • E.g. C-reactive protein
    This Photo by Unknown Author is licensed under CC BY-SA
20
Q

N-Containing Nonprotein Compounds

A
  • Glutathione
  • Antioxidant
  • Transports amino acids in some tissues
  • Participates in synthesis of leukotrienes
  • Carnitine
  • Transports fatty acids across the inner
    mitochondrial membrane for oxidation
  • Role in ketone catabolism for energy
  • Creatine
  • Component of creatine phosphate
    (phosphocreatine)
  • Source of energy for the muscle
  • Purine and Pyrimidine Bases
  • Components of DNA and RNA
21
Q

Protein turnover

A

All body proteins are in ‘dynamic state’ i.e. constant synthesis & degradation
* absolute rates vary in different tissues (minutes, months)
enzymes, skin or mucosa, structural proteins (bone, muscle)
* relative rates are determined by N balance experiments
in adults: synthesis = degradation → N balance
* synthesis: ~4 g P/ kg body weight/ day
in children: synth > degradation → +ve N balance
* ~12 g P/ kg bw /d in newborn
* ~6 g P/kg bw /d by 1 year

22
Q

Nitrogen balance is a measure of the _____ ________ status of a person - _____ vs _______
- it refers to overall relationship between _ intake (diet) & _____
- N is mainly derived from _____ __ (NH2 group) but also other compounds e.g. _____ ____, _______ from meat, ________
- N balance reflects _______ not absolute rates of protein synthesis
versus degradation

A
  • protein nutritional and anabolic
    vs catabolic
  • N and excretion
  • protein N and nucleic acids, creatine from meat, vitamins
  • relative
23
Q

Factors affecting N balance:
Positive balance

A

Physiological state
* Growth
* Pregnancy
* Muscle building
* Intense physical activity
* Convalescence
Nutritional state
* incr. in E intake with weight gain
* switch from low to high P intake

24
Q

Factors affecting N balance:
Negative balance

A

Physiological state
* injury, surgery
* burns
* bleeding
* proteinuria
* diarrhoea
Nutritional state:
* not enough E
* not enough P
* switch from high to low P diet

25
To synthesize an AA requires ability to make its _________ _______ from endogenous sources * E.g. Pyruvate, α-ketoglutarate & oxaloacetate (all derived from the citric acid cycle)
carbon skeleton
26
* Transamination is the transfer of amino group from one AA to an _____ ______ ____ * Forms _________ AAs as required eg to match dietary AA with body needs for protein synthesis * Requires vitamin __ as coenzyme * AAs able to be formed in this way are _______, _______ acid and _______ acid * Most transamination reactions are catalysed by ___________ * Reversible
alpha keto acid different B6 alanine, glutamic acid and aspartic acid aminotransferases
27
Protein Degradation
i. Deamination to ammonia: * removal of amino gp (mainly from glutamate) * to form alpha-keto acid ‘C skeleton’ with release of NH4+ ii. Oxidation to energy * C skeleton can enter TCA cycle So, the C skeleton of AAs can be: → glucose (overnight fast) → ketones (long term fasting, or diabetes) → fat biosynthesis? (xs P intake)
28
Protein Detoxification
NH3 is the toxic end product of P metabolism * transported to liver for urea synthesis via incorporation into glutamine (most tissues) or alanine (muscle) * safely excreted via kidneys (2/3rds) or GIT (1/3rd): N excretion as urea varies according to P requirement: * urea can be reabsorbed from kidney tubules, or * degraded by bacteria in colon to reform -NH2 which can be reabsorbed back to liver i.e. urea N is salvaged
29
Factors that increase protein requirements
Increased breakdown of muscle (stress response) * injury, surgery, burns * cancer cachexia Increased losses of protein * bleeding, diarrhoea Increased retention of protein * growth, pregnancy * muscle building plus exercise
30
How do we maintain N balance with low P intake?
1. ↓ N retained in labile P pool 2. ↓ P turnover in tissues i.e. synthesis + degradation. 3. ↓ P oxidation: * C skeleton → ATP, glucose * NH2 group → urea synthesis urea excretion 4. ↑ salvage of urea N
31
How do we maintain N balance with high P intake
1. ↑ N retained in labile P pool 2. ↑ P turnover in tissues i.e. synthesis + degradation 3. ↑ P oxidation: * C skeleton → ATP, glucose * removal of NH2 gp → urea synthesis & excretion 4. Conversion to fat? 5. ↓ Salvage of urea N
32
Is a high protein diet harmful?
1. increase urea excretion: * obligatory H2O loss may → dehydration * risk groups * infants * elderly * athletes 2. increase Ca excretion * ? may contribute to osteoporosis 3. ‘Rabbit’ starvation’ * inadequate fat & carbohydrate. in early pioneers
33
Consequences of Inadequate Protein 1
Marasmus – a severe deficiency of energy * Frail, emaciated appearance, impaired growth, weakness, apathy, thin, dry hair, low body temperature & BP, prone to dehydration & infections
34
Consequences of Inadequate Protein 2
* Kwashiorkor * Historically considered a severe deficiency of protein. This has been challenged. * Oedema in the legs, feet, and stomach, diminished muscle tone and strength, rashes, lesions, brittle hair, prone to infection, sadness, apathy, excess fluid in the lungs, septicaemia, pneumonia, water & electrolyte imbalance, death
35
Consequences of Inadequate Protein 3
Protein-energy malnutrition (PEM) – a lack of sufficient dietary protein &/or energy * In Australia most malnutrition is disease related Multiple health problems including GI tract breakdown Impaired immune function Muscle loss & reduced strength Fluid imbalance Reduced mental function and QOL
36
Assessment of Protein Status - Anthropometry
- Mid-upper arm muscle area * Estimate of changes in skeletal muscle - In vivo neutron activation analysis (research) * Allows direct estimation of the amount of N in the body - Bioelectrical impedance analysis, Computerized tomography, magnetic resonance imaging or dual energy X-ray absorptiometry * Estimate skeletal muscle mass
37
Assessment of Protein Status – Biochemistry – Serum Proteins
Total serum protein * Insensitive as a nutrition marker. Only depleted when clinical signs of malnutrition apparent. Influenced by many factors besides nutrition Serum albumin * Half-life of 14-20d so not sensitive to short-term changes. Influenced by many other factors e.g. inflammation, disease Not a useful indicator of protein status or malnutrition in most circumstances Serum transferrin * Transports iron. Half-life 8-19d so responds more rapidly to change. Influenced by many factors e.g. Inflammation, disease, Fe status. Not a useful indicator of protein status or malnutrition in most circumstances Serum retinol-binding protein (RBP) * Carrier for retinol. Half life 12 hours so changes rapidly in response to dietary intake. However influenced by multiple other factors e.g. Liver disease, catabolic states, vitamin A status. Not a useful indicator of protein status or malnutrition in most circumstances Serum transthyretin (also called prealbumin or thyroxin binding prealbumin) * Transports thyroxine, carrier for RBP. Half life 2d. More sensitive indicator of protein energy malnutrition than albumin. Responds rapidly to short-term effects of nutrition therapy. Influenced by many diseases, although not as quickly as other serum proteins. Not used in most malnutrition screening/assessment tools. Useful as part of assessment in some circumstances alongside other data e.g. Clinical and dietary.
38
Assessment of Protein Status – Biochemistry (selected other)
* Urinary creatinine excretion * Derived from breakdown of creatine phosphate in muscle. If creatine in muscle is constant urinary creatine indicates muscle mass * Requires at least 3d plus low creatine diet. Not practical in the clinical setting * Nitrogen Balance
39
Assessment of Protein Status – Functional Tests – Selected
- Handgrip strength * Uses a handgrip dynanometer * Subjects perform a maximal contraction for a few seconds * Results compared to interpretative criteria * Have been found to be signficant predictors of malnutrition/malnutrition related complications - Immunological tests * Changes have been observed in protein-energy malnutrition * Influenced by many other factors besides nutrition * Markers include lymphocyte count, thymus-dependent lymphocytes, delayed cutaneous hyper-sensitivity, cytokines
40
Assessment of protein status – malnutrition assessment tools
* Tools available for screening and assessment * Multiple tools available worldwide. * Malnutrition Screening Tool, Subjective Global Assessment (SGA) and Patient Generated SGA (PG-SGA) are commonly used tools in Australia * Assess multiple types of data including weight change, dietary intake, nutrition impact symptoms, functional status, disease and physical assessment of muscle and fat mass and wasting
41
Assessment of Protein Status – Other methods
* Dietary intake – usual limitations apply * Clinical – used in the interpretation of other data
42
high protein foods (10-30g)
gelatine (84g) meat, fish, cheese, egg wheat germ, yeast soybean, nuts
43
moderate protein foods (3-10g)
breakfast cereals, milk bread, lentils & beans rice, pasta
44
low protein foods (less than 3g)
beverages, fats & oils potatoes & other veg's fruit, juices
45