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Nitrogen, NH3, NH4+
Metabolic targets from urea cycle
Liver
Urea is made in the…
Hyperammonemia, urea, neurological
__ (condition) is a defect in the __ cycle due to excess ammonia will cross blood brain barrier and lead to __ sx
Nitrogen, ammonia, urea, urine
Urea Cycle
Most of the __ in converted to urea in the liver
Toxic nitrogenous waste products such as __ (very toxic) is converted to __ (non-toxic, soluble)
Excreted in the __
Glutamine and alanine
2 AA groups carrying NH3 and NH4+ to liver for synthesis of new proteins
Transamination
An amino group from one amino acid becomes the amino group of a second amino acid; remove nitrogen
Glutamate dehydrogenase, alpha-ketoglutarate
Glutamate is oxidatively deaminated by reaction catalyzed by __ __ (enzyme), producing ammonium ion and __- __
Transaminases/aminotransferases
Enzymes for transamination are…(2 names)
Tissues, muscle
Glutamate is in the __ (blood/tissues) of the body
Alanine is primarily exported by the __
Glucose–alanine cycle
Cycle of moving carbons and nitrogen between muscle and liver
Ammonium, tissues, nitrogen, liver, nitrogen, ammonium, urea
Glutamate captures __ ion in all the __ (tissues/blood)
During increase amino acid degradation, formed glutamate accepts another __ molecule to form glutamine
Glutamine goes in the __
Glutamine then removes a __ and __ ion out in liver
Now is able to enter __ cycle
Carbamoyl phosphate synthetase I (CSPI)
First urea cycle enzyme making carbamoyl phosphate
Severe hyperammonemia
Absence of CSPI enzyme leads to…
Ornithine transcarbamoylase (OTC)
Carbamoyl phosphate reacts with ornithine to form citrulline by this enzyme
Carbamoyl phosphate synthetase II (CSPII)
Carbamoyl phosphate in the cytoplasm is metabolized to form uracil, orotic acid, or uric acid
→ Leads to gout and elevated ammonia if missing
OTC deficiency
Leads to hyperammonemia and gout/orotic acid
Arginosuccinate synthetase
Enzyme condenses citrulline with aspartate to form arginosuccinate in cytosol
Arginosuccinate synthetase deficiency
Leads to hyperammonemia and high cirtrulline
Arginosuccinate lyase
Enzyme splits argininosuccinate into arginine and fumarate in cytosol
Arginosuccinate lyase deficiency
Leads to slight hyperammonemia and high arginosuccinate
Arginase
Cleaves arginine into one molecule of urea and ornithine in the cytosol
Arginase deficiency
Leads to slight hyperammonemia and high arginine
Ammonia, glutamate
Ammonia toxicity occurs by osmotic imbalance leading to increased __ and __ in the astrocytes of brain
Urease
Enzyme that catalyzes the hydrolysis of urea, forming ammonia and carbon dioxide
CPS I deficiency Sx
high ammonia levels, brain damage, coma, death
X-linked
OTC deficiency with neurological sequelae and gout is … (genetic inheritance)