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Nitrogen Excretion
EVMS Nitrogen Excretion Biochem
54
Biochemistry
Graduate
04/16/2011

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Term
50uM
Definition
Ammonia is highly toxic to the CNS at concentrations above
Term
Liver
Definition
Urea synthesis occurs in
Term
1. Transaminase
2. glutamate dehydrogenase
Definition
permits a-ketoglutarate to collect nitrogen from other amino acids and then release amoonia for urea synthesis
Term
1. Transamination and Glutamate dehydrogenase
2. Serine/threonine dehydratase
3. Amino acid oxidases(minor)
4. indirect deamination - the purine nucleotide cycle
Definition
4 Pathways for amino acid deamination
Term
glutamine and asparagine
Definition
removal of the amide nitrogen groups ivolves deamidation rather than deamination
Term
AMP deaminase
Definition
in the Purine Nucleotide Cycle, this removes NH4 from AMP to make IMP
Term
Aspartate
Definition
provides the amino group for IMP to be converted back to AMP
Term
Glutaminase
Definition
irreversible, there is a separate glutamine synthetase
Term
1.Glutamate dehydrogenase
2.Serine/Threonine dehydratase and histidine deaminase
3. the purine nucleotide cycle
4. deamidation
5. bacterial nitrogen
Definition
5 sources of NH4 for the urea cycle
Term
alanine and glutamine
Definition
Amino groups are transported to the liver from other tissues primarily as
Term
glutamate
Definition
also provides nitrogen for aspartate synthesis
Term
Ornithine
Definition
Urea is synthesized on amino acid intermediates starting with
Term
ornithine
Definition
cleavage of urea from arginine regenerates
Term
mitochondria
Definition
first two reactions of the urea cycle are located in the
Term
cytosol
Definition
last three reactions of the Urea cycle are in the
Term
mitochondria
Definition
first two reactions of the urea cycle are located in the
Term
arginase
Definition
hydrolysis of arginine that makes urea and ornitine
Term
Ornithine
Definition
an a-amino acid that is not used for protein synthesis
Term
CPS1 (carbamoyl phosphate synthase I)
Definition
initial step in urea cycle, CO2 + NH4 + 2ATP --> carbamoyl phosphate, mitochondrial
Term
CPSII
Definition
is cytosolic and generates carbamoyl phosphate for pyrimidine biosynthesis
Term
Ornithine transcarbamoylase (OTC)
Definition
catalyzes the transfer of the carbamyl group from carbamyl phosphate to ornitine
Term
citrulline
Definition
Product of ornitine transcarbamoylase
Term
OTC
Definition
gene is located on the X chromosome, thus are X linked
Term
arginosuccinate synthase
Definition
3rd reaction of urea cycle that utilizes citrulline and aspartate and ATP (utilizes 2 P bonds) to produce argininosuccinate
Term
arginosuccinate lyase
Definition
cleaves arginosuccinate to produce fumarate and arginine
Term
arginase
Definition
splits off urea and regenerates ornitine
Term
antiport in mitochondrial membrane orn-in cit-out
Definition
transport of citrulline and ornithine
Term
fumarate
Definition
can enter the TCA cycle to form oxaloacetate
Term
malate dehydrogenase
Definition
The TCA enzyme that produces OAA from malate
Term
transamination to aspartate
Definition
OAA can undergo gluconeogenesis or undergo... and can re-enter the the urea cycle
Term
in cytosol and mitochondria
Definition
fumarase, malate dehydrogenase, and aspartate are located
Term
1. feed foward - substrate availibilty
2. allosteric regulation of carbamoyl phosphate synthesis
3. increase transcription of urea cycle enzymes
Definition
three types of regulation on the Urea cycle
Term
N-Acetylglutamate
Definition
activates CPS1, has a regulatory role but is not a normal metabolic intermediate, synthesis is stimulated by arginine
Term
N-Acetylglutamate synthase
Definition
Uses Acetyl-CoA and Gutamate to produce N-Acetylglutamate
Term
impaired liver function
Definition
causes hyperammonemia in adults
Term
immature liver function and/or hepatic blood flow
Definition
causes hyperammonemia in neonates
Term
Urea cycle enzymes or ornitine translocase deficiency
Definition
genetic causes of hyperammonemia
Term
shifting a-ketoglutarate to glutamate
Definition
High NH3 can deplete the TCA cycle by
Term
glutamine
Definition
hyperammonemia is usually accompanied by increased plasma
Term
hemodialysis and peritoneal dialysis
Definition
ways to remove excess ammonia
Term
restrict dietary protein, antibiotics to decrease gut bacterial NH4 synthesis
Definition
ways to decrease ammonia synthesis
Term
benzoate and phenylbutyrate
Definition
drugs that provide alternate pathways for nitrogen excretion
Term
Phenylbutyrate
Definition
an odorless precursor of phenylacetate
Term
Ornithine Transcarbamoylase deficiency
Definition
most common genetic defect of urea cycle, hyperammonemia and metabolic alkalosis, low BUN, hypergluataminemia, orotic aciduria
Term
Orotic aciduria
Definition
symptom unique to OTC deficiency
Term
Arginine
Definition
becomes an essential amino acid in individuals with urea cycle deficiencies
Term
OTC deficiency
Definition
causes an increased accumulation of mitochondrial carbamoyl phosphate that can spill out into the cytosol
Term
orotic acid
Definition
the spilling out of carbamoyl phosphate bypasses the first regulated step of pyrimidine synthesis and results in and increased synthesis of
Term
CPS II
Definition
Nucleotide synthesis, Source of N is glutamine, is located in the cytosol, activated by PRPP and inhibited by UTP
Term
PPRP
Definition
a key intermediated in purine and pyrimidine biosynthesis
Term
Protein intolerance
Definition
adults with partial defects in urea synthesis
Term
Lysinuric protein intolerance
Definition
rare, defective transporter for dibasic amino acids, lysine, ornithine, and arginine in urine, lack of ornithine for OTC activity, treat with oral citrulline
Term
elevated BUN
Definition
indicative of impaired renal function, poor renal perfusion or severe dehydration
Term
increased excretion of ammonium ions
Definition
accompanies excreation of organic acids, starvation, poorly regulated type I diabetes, many inborn errors of metabolism
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