MR

Amino Acid Degradation/Urea Cycle - 30

Outline of Amino Acid Degradation and the Urea Cycle

  • Removal of nitrogen from amino acids

  • Processing of ammonium

  • Using carbons from amino acids

Proteins and Amino Acids

  • The body processes large quantities of amino acids daily due to:

    • Cellular protein turnover: This is significant as proteins are continuously being synthesized and degraded.

    • Sources of Amino Acids:

    • Ingested proteins

    • Recycled proteins

  • Metabolic Challenges:

    • Approx. 100 g of ingested protein daily

    • No storage form exists for amino acids, making balance crucial

    • Excess nitrogen is toxic, necessitating removal for safety

    • Diversity in side chains impacts metabolism pathways

Amino Acid Degradation: Removal of Nitrogen

  • Site of Degradation:

    • Primarily occurs in the liver (exception: branched-chain amino acids are utilized in muscle tissue).

  • Initial Step: Nitrogen removal to create α-keto acids:

    • Enzymes involved:

    • Aminotransferases (Transaminases): Most amino acids lose nitrogen through these enzymes.

      • Transfer NH3 to α-ketoglutarate to form glutamate.

    • Dehydrogenase for glutamate processing

    • Dehydratase for serine and threonine

Amino Acid Degradation: Transaminases

  • Functioning of Aminotransferases:

    • Transfers NH3 to α-ketoglutarate → forms glutamate.

    • Examples of Reactions:

    • Alanine aminotransferase:

      • Converts alanine to pyruvate:
        ext{alanine} + ext{α-ketoglutarate}
        ightarrow ext{pyruvate} + ext{glutamate}

    • Aspartate aminotransferase:

      • Converts aspartate to oxaloacetate:
        ext{aspartate} + ext{α-ketoglutarate}
        ightarrow ext{oxaloacetate} + ext{glutamate}

Amino Acid Degradation: Production of Ammonium

  • Conversion of excess nitrogen to ammonium (NH4+) occurs in mitochondria.

  • Contribution from deamination of amino acids results in glutamate production.

    • Release of nitrogen as ammonium mediated by glutamate dehydrogenase:
      ext{glutamate} + ext{NAD+}
      ightarrow ext{α-ketoglutarate} + ext{NH4+} + ext{NADH}

    • Notes on clinical relevance: High blood transaminases signal liver damage.

The Urea Cycle: Overview

  • Ureotelic organisms (e.g., most terrestrial vertebrates) excrete excess NH4+ as urea.

  • Urea is synthesized from:

    • Ammonium (NH4+)

    • Bicarbonate (HCO3-)

    • Aspartate (source of NH3)

  • Starting Point: Initiates in mitochondria, catalyzed by carbamoyl phosphate synthetase (CPS I) which combines NH4+ and bicarbonate.

Urea Cycle: Mitochondrial Reactions

  • CPS I** activity requires hydrolysis of two ATP (irreversible).

  • Activation occurs in mammals through N-acetylglutamate, indicating free amino acids:
    ext{NH4+} + ext{HCO3-} + 2 ext{ATP}
    ightarrow ext{carbamoyl phosphate} + 2 ext{ADP} + ext{Pi}

  • Carbamoyl phosphate converts to citrulline via a transfer to ornithine.

Urea Cycle: Cytoplasmic Reactions

  • Citrulline moves to cytoplasm where combined with aspartate by arginosuccinate synthetase:

    • ATP is cleaved driving the reaction:

    • Argininosuccinate is split into arginine and fumarate:
      ext{citrulline} + ext{aspartate} + ext{ATP}
      ightarrow ext{argininosuccinate}
      ightarrow ext{arginine} + ext{fumarate}

  • Arginine is cleaved to produce urea and ornithine.

Energetics of Nitrogen Removal

  • The incorporation of two NH4+ in urea costs four phosphate bonds:

    • Converting three ATP to two ADP and one AMP shows high energetic cost.

  • Fumarate entering the citric cycle has implications for gluconeogenesis and aspartate production:

    • Oxaloacetate can convert to glucose or transaminated to aspartate.

Clinical Insights

  • Urea Cycle Defects:

    • Any defect leads to hyperammonemia, often lethal, as no alternate urea formation pathway exists.

    • Occurrence rate: 1 in 15,000 births.

  • Excessive alcohol intake can also cause hyperammonemia due to increased NADH production leading to tissue damage.

Alternative Strategies for Nitrogen Disposal

  • Most terrestrial vertebrates excrete nitrogen as urea (ureotelic).

  • Aquatic animals are generally ammoniotelic, excreting nitrogen as ammonium due to rapid dilution.

  • Birds excrete nitrogen as uric acid (uricotelic), which is more energy-intensive but conserves water.

  • Example: Bears recycle urea during hibernation for amino acid production.

Processing of Amino Acid Carbon Skeletons

  • Carbon skeletons convert into metabolic intermediates:

    • Options include pyruvate, acetyl CoA, α-ketoglutarate, and more.

  • Pathways exhibit complexity due to structural diversity of amino acids and different degradation routes.

Specific Examples: Amino Acid Conversions

  • Amino Acids to Pyruvate:

    • Direction conversion through aminotransferases results in urgent metabolites.

  • Glutamate Conversion: Converted to α-ketoglutarate for citric acid cycle entry.

  • Branched-chain Amino Acids:

    • Degraded to acetyl CoA, acetoacetate, and succinyl CoA.

    • Leucine involves a series of transaminations and decarboxylations to achieve this shift.

Clinical Insight: Diseases from Amino Acid Degradation

  • Phenylketonuria: Caused by a defect in phenylalanine hydroxylase critical for tyrosine conversion, leading to cognitive disabilities without dietary management.

Key Points for Review

  • Understand role of enzymes like transaminases, dehydratases, and dehydrogenases in amino acid degradation.

  • Know pathways related to urea cycle and metabolic interconnections with gluconeogenesis.

  • Familiarize with the distinction between glucogenic and ketogenic amino acids and related pathways.

  • Be aware of clinical conditions like phenylketonuria and implications on diet and health.