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T/F: There are storage forms of amino acids/proteins.
False
The carbons of excess amino acids from dietary protein are converted to what?
Fat, carbohydrate, or CO2
The carbons of excess amino acids are used; the ________ is waste.
Nitrogen
What is another name for amino acid metabolism?
Nitrogen metabolism
What is positive vs. negative nitrogen balance?
Positive: N intake > N excretion (gaining body protein); Negative: N excretion > N intake (losing body protein)
Examples of positive nitrogen balance
Growth, pregnancy, recovery
Examples of negative nitrogen balance
Starvation, low or incomplete dietary protein, illness
A patient recovering from surgery excretes less nitrogen than she takes in. What is her state?
Positive nitrogen balance
What percentage of protein is nitrogen?
About 16%
Where is the amino acid pool maintained?
Blood
What supplies amino acids to tissues?
The amino acid pool of the blood
Inputs to the amino acid pool
Dietary protein (70-100 g/day)
digestive enzymes (70-100 g/day)
body protein breakdown
synthesis of non-essential amino acids
Outputs from the amino acid pool
Protein synthesis, synthesis of N-containing compounds, degradation for energy or glucose, feces (~10 g/day)
About how much amino acid turnover occurs per day?
About 300 g/day, far more than you eat
The amount of urea in urine is proportional to what?
Dietary protein
Under constant weight (nitrogen balance), only the ____ level changes with changed protein intake.
Urea
Total N excreted on a 100 g vs. 50 g protein diet
100 g diet: 16.0 g N/day (urea 14.7); 50 g diet: 8.0 g N/day (urea 6.8)
ammonia, uric acid, and creatinine stay about the same
Where are acid and pepsinogen secreted?
Glands of the stomach
What does stomach acid do to proteins?
Denatures them
Pepsin in the stomach is active at what pH?
1.5
Which enzyme functions best at low pH (around 1.5)?
Pepsin
What does pepsin produce?
Peptides
What does the pancreas secrete?
Bicarbonate and zymogens (secretion stimulated by CCK and secretin)
Activated enzymes in the first part of the small intestine digest ________.
Peptides
What are the enzymes in the duodenum?
Trypsin, chymotrypsin, elastase, carboxypeptidase
Where are trypsin, chymotrypsin, and elastase located?
Lumen of the small intestine
What enzymes act at the villi/brush border?
Aminopeptidase, dipeptidase
What do carboxypeptidase and aminopeptidases produce?
Amino acids
What is the final stage of dietary protein digestion?
Enzymes of the intestinal lumen and villi produce mostly free amino acids for absorption
Where does intracellular (body) protein degradation occur?
The 26S proteasome (the cell's mini stomach)
Intracellular proteins are tagged by _________ and degraded by what?
Ubiquitin; the proteasome
What enzymes add ubiquitin to target proteins?
E3 ubiquitin ligases
Poly-ubiquitinated proteins are ________.
Degraded (by the proteasome)
When is ubiquitin-proteasome degradation upregulated?
When the body needs energy
Aminopeptidases inside most cells degrade short peptides to what?
Amino acids
Essential amino acids are obtained from what?
The diet or degradation of body protein
Body protein is degraded with insufficient or incomplete _______ _______.
Dietary protein (causing negative nitrogen balance)
Essential amino acids mnemonic
PVT TIM HaLL: Phe, Val, Thr, Trp, Ile, Met, His, Leu, Lys (Arg conditionally essential)
A person on a leucine-deficient diet loses muscle mass because leucine is…
An essential amino acid
Average protein intake vs. requirement
About 100 g/day eaten vs. about 50 g/day required, so extra nitrogen must be disposed of
Nitrogen is removed in 3 steps:
1) Transfer to a common carrier (transamination); 2) Ammonia is regenerated in the liver (glutamate dehydrogenase); 3) Ammonia is incorporated into urea (urea cycle)
What is the essential first step in amino acid catabolism?
Amino acids transfer their nitrogen to a common carrier via transamination
Feed the excess nitrogen into which amino acid?
Glutamate
All ____________ use alpha-ketoglutarate as the amino group acceptor or glutamate as the donor.
Transaminases
What cofactor do transaminases require?
PLP (vitamin B6)
What does aspartate aminotransferase (AST) do?
Aspartate + alpha-ketoglutarate
What does alanine aminotransferase (ALT) do?
Alanine + alpha-ketoglutarate
What TCA cycle intermediate is transaminated to form glutamate?
Alpha-ketoglutarate
Removal of nitrogen occurs via ______.
Ammonia (ammonium ion, NH4+)
What catalyzes the release of ammonia from glutamate?
Glutamate dehydrogenase
Where does glutamate dehydrogenase work, and what does it regenerate?
Liver mitochondria; regenerates alpha-ketoglutarate
What does glutaminase do?
Converts glutamine to glutamate, releasing ammonia
What is the sum of the reactions catalyzed by transaminases and glutamate dehydrogenase?
Amino acid + NAD(P)+ + H2O -> alpha-keto acid + NH4+ + NAD(P)H
Where is NH4+ made?
Mitochondria of liver cells
The ammonia is excreted in the form of ____ through the ____ cycle.
Urea; urea
Where is urea synthesized?
Liver
Where does the urea cycle take place within the cell?
Starts in mitochondria, finishes in cytosol
Two atoms of ________ are needed to make one molecule of urea.
Nitrogen
Where does nitrogen enter the urea cycle?
At two points: carbamoyl phosphate (from free ammonia) and the amino group of aspartate
The two nitrogens of urea come directly from:
Carbamoyl phosphate and aspartate
Aspartate for the urea cycle is regenerated by transamination of which TCA intermediate?
Oxaloacetate
How much energy does the urea cycle cost?
4 high-energy phosphate bonds per urea
Urea cycle mnemonic
Ordinarily Careless Crappers Are Also Frivolous About Urination: Ornithine, Carbamoyl phosphate, Citrulline, Aspartate, Argininosuccinate, Fumarate, Arginine, Urea
Urea cycle step 1 (location, reaction, enzyme)
Mitochondria; NH4+ + CO2 -> carbamoyl phosphate; CPS I (rate-limiting)
Which precursors does mitochondrial carbamoyl phosphate synthetase use?
NH4+, ATP, and CO2
Where is NH4+ incorporated?
Into carbamoyl phosphate (and eventually urea)
Urea cycle step 2 (location, reaction, enzyme)
Mitochondria; ornithine + carbamoyl phosphate -> citrulline; ornithine transcarbamoylase (OTC)
What combines with carbamoyl phosphate in the mitochondria?
Ornithine
What catalyzes ornithine + carbamoyl phosphate?
Ornithine transcarbamoylase (OTC)
Ornithine + carbamoyl phosphate exits the mitochondria as?
Citrulline
An OTC-deficient patient will have low urea and low levels of what other compound?
Citrulline
Urea cycle step 3 (location, reaction, enzyme)
Cytosol; citrulline + aspartate -> argininosuccinate (2nd N enters); argininosuccinate synthetase
Urea cycle step 4 (location, reaction, enzyme)
Cytosol; argininosuccinate -> arginine + fumarate (fumarate goes to TCA); argininosuccinate lyase
Urea cycle step 5 (location, reaction, enzyme)
Cytosol; arginine -> urea + ornithine; arginase
What does arginine produce?
Urea + ornithine
What catalyzes arginine to urea?
Arginase
What is the key regulatory step of the urea cycle?
The first irreversible reaction, catalyzed by CPS I
What primarily controls CPS I (the first regulatory step)?
The allosteric activator N-acetylglutamate (NAG)
Production of carbamoyl phosphate is controlled by ___.
NAG
Where is NAG formed?
Only in mitochondria
What is NAG synthesized from?
Acetyl-CoA and glutamate
What stimulates NAG synthesis?
Arginine
Regulatory logic of the urea cycle
More amino acids -> more glutamate and arginine -> more NAG -> faster urea cycle
What are the two fates of amino acid carbon skeletons?
Glucogenic or ketogenic
What does glucogenic mean?
The skeleton becomes pyruvate or a TCA intermediate that can reach oxaloacetate -> PEP -> glucose
What does ketogenic mean?
The skeleton becomes acetyl-CoA or acetoacetyl-CoA, which cannot make net glucose
When amino acids are broken down, their carbons form either ________ or ___ _____ intermediates.
Pyruvate or TCA cycle intermediates
If these intermediates can form OAA, you can make _______.
Glucose
T/F: In mitochondria, almost all amino acids are degraded into TCA cycle compounds.
True
T/F: You can get blood glucose from lysine and leucine.
False; they are purely ketogenic
Which amino acid pair can never raise blood glucose?
Leucine and lysine
Amino acids that are both glucogenic and ketogenic
Phe, Tyr, Trp, Ile, Thr
Amino acids entering at pyruvate
Alanine (also Ser, Gly, Cys, Thr, Trp)
Oxaloacetate is the TCA entry point for which amino acids?
Asparagine and aspartate
Amino acids entering at alpha-ketoglutarate
Glutamate, glutamine (also His, Pro, Arg)
Amino acids entering at succinyl-CoA
Val, Ile, Met, Thr
Amino acids entering at fumarate
Phe, Tyr
Amino acids entering at acetyl-CoA/acetoacetyl-CoA
Leucine and lysine (purely ketogenic); also Phe, Tyr, Trp, Ile, Thr
What are the branched-chain amino acids?
Leucine, isoleucine, valine
What do branched-chain amino acids form?
Branched-chain alpha-keto acids (by transamination)