urea cycle: averting NH3 toxicity Flashcards

1
Q

excess nitrogen is constantly…

A

excreted from animals in a variety of metabolic forms

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2
Q

fish are…

A

ammonotelic (ie NH3-excreting)

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3
Q

birds are…

A

uricotelic(ie uric acid excreting)

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4
Q

mammals are…

A

ureotelic (ie urea-excreting); primarily make urea but some creatinine and uric acid; amount excreted varies; some of us make too much uric acid (gout)

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5
Q

where do the first two reactions of the urea cycle occur?

A

within the mitochondrial matrix

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6
Q

where do the last three steps of the cycle occur?

A

cytosol, which is the cell’s aq phase

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7
Q

what is transported back to the mitochondrial matrix?

A

ornithine

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8
Q

_____ is exported from the liver, entering circulation for uptake and excretion by the kidney

A

urea

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9
Q

Urea Transporters A and B

A

UT-A- exports urea from liver
UT-B- imports urea into kidney

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10
Q

what enzyme reactions in the urea cycle do you need to know? (draw them)

A

ornithine transcarbamoylase (mitochondria), argininosuccinate synthase (cytoplasm), argininosuccinate lyase (cytoplasm), and arginase (cytoplasm)

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11
Q

what do you absolutely need to know and draw out?

A

THE UREA CYCLE

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12
Q

what induces synthesis of urea cycle enzymes?

A

high protein diet

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13
Q

glucagon

A

pancreatic a-cell hormone that stimulates glucose synthesis as well as biosynthesis of urea cycle enzymes; certain AAs stimulate glucagon release and casein (main milk protein) is rich in those AAs; by reducing NH3, glucagon increases levels of a-keto-acids needed for glucose synthesis

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14
Q

indirect activation of urea cycle by glutamate and arginine

A

digestion of protein foodstuffs increases liver AA content, and transamination to a-KG increases liver glutamate levels; bc arginine undergoes little/no transamination, digestion of protein foodstuffs greatly increases liver arginine concentration; consequently, high levels of Gly & Arg trigger the synthesis of N-acetyl-glutamate, an essential activator of CPS-I, meaning that CPS-I is totally inactive in absence of N-acetyl-glutamate

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15
Q

N-acetyl-glutamate synthase

A

Glutamate+ Acetyl-CoA ->< N-Acetyl-Glutamate +CoA

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16
Q

NAG Synthase makes what?

A

N-acetylglutamate (NAG)= needed to jump-start Urea cycle

17
Q

Glu and Arg are indicators of …

A

high AA intake/turnover; Glu is substrate for NAG synthase and Arg activates NAGS allosterically

18
Q

NAG Synthase deficiency results in…

A

hyperammonemia
primary- NAGS gene deletion
secondary- any mitochondrial change that interferes with NAGS function
carbamoylglutamate activates CPS-I to start urea cycle pathway

19
Q

endothelial lining within the liver is fenestrated, meaning…

A

full of openings, exposing hepatocytes to blood ( permits rapid metabolite exchange between liver and blood)

20
Q

for all practical purpose, the hepatocytes are in direct contant with…

A

blood components

21
Q

liver acinus prevents…

A

ammonia re-entry into circulation through differential utilization of ammonia

22
Q

first segment of the liver acinus contains…

A

very little Glutamine Synthetase, but has lots of Glutaminase and high concentrations of urea cycle enzymes

23
Q

CPS-I has ___________ for NH3, but urea removes any NH3 produced by Glutamate Dehydrogenase

A

low affinity

24
Q

Peri-venous segment of the liver acinus

A

scavenger cells have 20x more glutamate transporters that capture bulk of excess glutamate; these cells also import any plasma NH3 that eluded the first segment

25
Q

with 40x higher affinity than NH3 than CPS-I, __________________ has little trouble mopping up any NH3 that escapes the first segment; newly synthesized glutamine is exported to organs that invariably need it

A

glutamine synthetase