Protein Metabolism and Nitrogen Balance Flashcards

(32 cards)

1
Q

How are proteins absorbed

A
  • absorbed in ileum as amino acids via secondary active transport
  • digestion is slow ( hours )
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2
Q

Describe protein concentration in tissues and what happens to excess

A
  • high turnover between tissues = rapid distribution

- will be expelled in urine if there is too much and proximal tube can’t reabsorb

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3
Q

Describe the metabolism of proteins

A
  • broken into amino acids which are used for energy
  • Amino acids undergo deamination which breaks it into glucose, fatty acids and ketone and Ammonia
  • ammonia is expelled in urea
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4
Q

How are amino acids stored? what happens when protein is needed?

A
  • free amino acids can’t be stored so they combine to form peptides and intracellular proteins
  • when protein is needed intracellular proteins are degraded into amino acids and the transported in blood
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5
Q

Where are proteins stored

A
  • liver stores most proteins along with kidneys and intestinal mucosa
  • can’t be stored by cells unless AA convert to fat/glycogen
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6
Q

What influences the storage of amino acids

A
  • hormone and insulin increases protein synthesis

- glucocorticoid mobilize amino acids for energy

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7
Q

What are the 4 plasma proteins and their function

A
  • Albumin : generates osmotic pressure
  • Globulins : innate and acquired immunity
  • Transferrin : carry ferrous ions
  • Fibrinogen: mediates clot formation and repairs leaks in Circulation
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8
Q

What produces plasma protein and what can affect the rate of production

A
  • plasma is formed by the liver
  • in stress conditions production increases
  • in liver disease it decreases and thus causes oedema
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9
Q

List the 4 stages of protein metabolism in liver

A

1- Transamination
2- Deamination
3- Oxidation
4- Excretion

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10
Q

Describe Transamination & the main substrate used

A
  • amino group transferred from amino acid to alpha keto acid by aminotransferase
  • glutamine amino is usually used
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11
Q

What is the effect of aminotransferase on protein synthesis

A

aminotransferase used vitamin B6 which decreases protein synthesis

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12
Q

Describe Deamination

A
  • amino group is removed from amino acids

- amino acid is converted to ammonia which is excreted in urea

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13
Q

Describe role of alpha ketoglutarate

A
  • amino acid and alpha ketoglutarate through aminotransferase will make glutamate and alpha keto acid.
  • glutamate will make ammonia
  • alpha ketoglutarate can also enter TCA cycle (gluconeogenesis )
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14
Q

Explain Gluconeogenesis and amino acids

A
  • alpha ketoglutarate will enter TCA cycle which contains amino acids
  • amino acids can also generate pyruvate
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15
Q

Explain Ketogenesis and amino acids

A
  • amino acids can create Acetyl CoA

- synthesise ketones and lipids

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16
Q

What are the 5 classes of amino acids

A
1- Essential 
2- Non-essential 
3- Glucogenic 
4- Ketogenic 
5- Glucogenic and Ketogenic
17
Q

How is Urea formed

A
  • Ammonia released from deamination is ionized with carbon dioxide to create ammonium ( NH4)
  • one amino from ammonium makes citrulline that combines with amino from aspartate to make arginine that with water becomes urea
18
Q

What does Urea contain

A
Ornithine 
Carbamoyl phosphate ( reactor )
Citrulline 
Aspartate ( reactor ) 
Arginiosuccinate 
fumarate 
arginine 
= urea
19
Q

What is the purpose of Urea

A

prevents toxic build up of ammonium

20
Q

how is Protein used as a source of energy and when

A
  • used for gluconeogenesis

- only used if all carb and fat stores are used

21
Q

What happens with liver phosphorylase deficiency

A
  • will not be able to mobilize glycogen from liver and thus gluconeogenesis and ketogenesis will be used for fuel
22
Q

Growth hormone effect protein metabolism

A
  • promotes synthesis of cellular protein
  • increase amino acid membrane transport
  • increase RNA transcription
23
Q

Insulin effect on protein metabolism

A
  • promotes cellular uptake of AA
  • inhibits protein catabolism
  • increase RNA transcription
  • decrease gluconeogenesis
24
Q

What hormones are needed for protein synthesis

A
  • growth hormone and insulin

- needed TOGETHER

25
Testosterone and Oestrogen effect on protein metabolism
- T: transient muscle growth | - O: minor muscle growth relative to testosterone
26
Thyroxine effect on protein metabolism
- increases cell metabolism which activates catabolic protein pathways - will increase protein synthesis if high carbs and fats and degradation if low
27
Glucocorticoids effect on protein metabolism
- increase protein break down and circulating AA and plasma proteins
28
Explain Citrullinemia
deficiency in arginosuccinate synthase results in accumulation of ammonia in blood
29
Explain Tyrosinemia
defective liver tyrosine aminotransferase will result in liver disease, osteoarthritis and mental retardation
30
Explain Phenylketonouria
mutation in PAH gene result in lack of phenylalanine hydroxyls which damages CNS
31
What is nitrogen balance and its purpose
- nitrogen is fundamental part of AA - balance is determined by amount consumed and excreted - nitrogen will indicate protein metabolism , if intake is greater than loss then no demand of stored protein breakdown
32
Effects of negative nitrogen balance
- Cachexia : loss of body mass | - hyper metabolic state : constant protein break down which can lead to sepsis