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sodium, depolarization
excitatory neurotransmitters open — channels and promote membrane — in another cell either a neuron or effector cell
chloride, inhibiting
inhibitory neurotransmitters open — channels and make the membrane potential in the postsynaptic cell more negative thereby — membrane depolarization
nitrogen, neuropeptides
neurotransmitters fall into 2 categories: small — containing molecules, and —
glutamate, glycine, dopamine, GABA, norepinephrine
major small nitrogen-containing neurotransmitters include: —, —, —, serotonin, —, Acetylcholine, —, histamine
glucose, ketone bodies
in the fasting state in the liver, carbons from degraded AAs are used to produce — and — —
glycogen, triacylglycerols
in the fed state in the liver, carbons from degraded AAs are used to produce — and —
liver
the — is the only tissue containing all the pathways of AA synthesis and degredation
serine, glycine, cysteine, alanine
What are the 4 AAs synthesized from glycolytic intermediates?
serine
glycine is synthesized from — in a reversible reaction
oxalate
about 40% of — formed in the liver is the result of glycine degradation
cystathione B synthase
serine + homocysteine → cystathione
methionine
the homocystine used in cystine synthesis comes from — an essential AA
cystathionase
cystathionine → cysteine and a-ketobutyrate
homocystinemia
A deficiency of cystathionine B synthase that is associated with cardiovascular disease
tyrosine hydroxylase
rate limiting step of catecholamine (NTs syn from L-tyrosine) synthase:
L-tyrosine → DOPA
dopa decarboxylase
catecholamine synthase: DOPA → dopamine
Dopamine β-hydroxylase
Catolamine synthesis: dopamine → norepinephrine
phenylethanolamine N-methyl-transferase
Catolamine synthesis: norepinephrine → epinephrine (typically occurs in the adrenal medulla)
Dopamine, norepinephrine, epinephrine
What NTs is tyrosine used to synthesize?
serotonin, melatonin
What NTs is tryptophan used to synthesize?
catecholamine
— is NTs formed by L-tyrosine
reuptake, diffusion
catecholamine action is terminated by — into the presynaptic neuron and — away from the synapse
COMT, MAO
What are the 2 enzymes involved in the degradation of catecholamines?
Vesicles
MAO inactivates any catolamines that are not in —
tryptophan hydroxylase, dopa decarboxylase
— — catalyzes the first step of serotonin synthesis and — — catalyzes the second
MOA-A
Serotonin is inactivated by —
choline acetyltransferase
Acetyl CoA + choline →acetylcholine
Acetylcholinesterase
Acetylcholine is inactivated in the synaptic cleft by —
Cholinergic
Unless acetylcholine is inactivated by acetylcholinesterase it will continue to activate the postsynaptic — receptors
Aging
The irreversible inhibition of Acetylcholinesterase by water binding
2-PAM, atropine
DuoDote treats a cholinergic crisis with — and —
Atropa Belladonna
Atropine comes from — — (Deadly nightshade)
Antagonist
Atropine is a competitive — of cholinergic receptors
Acetylcholinesterase
2-PAM binds to — changing the conformation of the enzyme and protecting it from aging by releasing the inhibitor from the enzyme preventing irreversible inhibition
GABA, glycine
What are the major inhibitory NTs?
α-ketoglutarate
Glutamate is typically synthesized by —
glutamic acid decarboxylase (GAD)
glutamate → GABA
GABA, Glutamine, glutamate
α-ketoglutarate is used to synthesize what 3 NTs?
glycine
— is the major inhibitory NT in the spinal cord
glutamine
— serves as the transporter of glutamate between cells in the CNS
cholinergic crisis
symptoms such as bradycardia, labored breathing, excessive salivation, and increased bowel sounds are the clinical signs of a — —
methionine, cystine
homocystinemia is treated by having a low protein diet and a diet high in — and —
phenylalanine hydroxylase
phenylketonuria is an autosomal recessive genetic disorder caused by a deficiency in — —
phenylalanine, tyrosine
phenylketonuria is treated by consuming a diet low in — and high in —
branched chain a-keto acid dehydrogenase
MSUD is a deficiency of — — — — — complex
valine, leucine, isoleucine
what are the 3 AAs that need to be avoided in a persons diet to treat MSUD?
Lysosomal protein, ubiquitin proteosome
What are the 2 systems involved in degrading proteins to free AAs? — — turnover system and the — — pathway
nitrogen balance
the changes in the relative amounts of free AA in the pool of circulating AA
greater
positive nitrogen balance indicates that the amount of protein ingested is — than the amount of protein degraded (excess AA can be oxidized in liver or degraded in the feces)
less
in a negative nitrogen balance the amount of ingested protein is — than the amount of proteins degraded by the cell in normal turnover → the amount of circulating AA will decrease over time
urea
in the liver, ammonia from the amine groups of AAs is converted to — and excreted in the urine
Kwashiorkor syndrome
A disease characterized by sufficient calorie intake but insufficient protein causing ascites (specifically caused by a decrease in Albumin)
cachexia
a disease of extreme oxidation of AA obtained from muscle proteins leading to muscle wasting often associated with diseases such as cancer
alanine
What AA transports amino groups from muscle cells to the liver?
glutamine
What AA transports amino groups from everywhere but muscle to the liver?
aminotransferase
in the liver the first step of processing of an amine group is:
amine group + a-ketoglutarate → glutamate
ALT (alanine aminotransferase)
— is found in many tissues and catalyzes the
transfer of an amine from alanine to α-ketoglutarate
to form pyruvate and glutamate