2. Urea Cycle
• One nitrogen of the urea molecule is supplied by free ammonia, and the
other nitrogen by aspartate.
• Glutamate is the immediate precursor of both ammonia.
• The carbon and oxygen of urea are derived from CO2.
3.
4. • The first two reactions leading to the synthesis of urea occur in the
mitochondria, whereas the remaining cycle enzymes are located in
the cytosol.
1. Carbamoyl phosphate synthetase I (CPS-1)
2. Ornithine transcarbamoylase (OTC)
3. Argininosuccinate synthetase
4. Argininosuccinate synthetase
5. Arginase
12. Hyperammonemia
• Acquired hyperammonemia Liver disease is common cause of
hyperammonemia
• Congenital hyperammonemia Genetic deficiencies of each of the
five enzymes of the urea cycle.
• Ornithine transcarbamoylase deficiency, which is X-linked, is the most common
of these disorders.
• All of the other urea cycle disorders follow autosomal recessive inheritance
pattern.
14. Catabolism of the amino acids
1. Removal of a-amino groups
2. Breakdown of the resulting carbon skeletons
• Oxaloacetate.
• a-ketoglutarate
• Fumarate
• Succinyl CoA
• Pyruvate
• Acetyl CoA
• Acetoacetate
38. Fate of Homocysteine
• Homocysteine has two fates:-
1. Resynthesis of methionine: Homocysteine accepts methyl group from
N5-methyltetrahydrofolate (N5-methyl-THF) in reaction requiring
methylcobalamin, coenzyme derived from vitamin B12.
2. Synthesis of cysteine and production of succinyl CoA
39.
40.
41. Catabolism of the branched-chain amino acids
• The branched-chain amino acids, isoleucine, leucine, and valine, are
essential amino acids.
• They are metabolized primarily by the peripheral tissues (particularly
muscle), rather than by the liver.
42. 1. Transamination branched-chain amino acid aminotransferase.
2. Oxidative decarboxylation branched-chain a-keto acid
dehydrogenase complex
3. Dehydrogenation FAD-linked dehydrogenation
4. End products:
• The catabolism of isoleucine acetyl CoA and succinyl CoA, rendering it
both ketogenic and glucogenic.
• The catabolism of Valine succinyl CoA and is glucogenic.
• The catabolism of Leucine, acetoacetate and acetyl CoA and is ketogenic
43.
44. Amino acids that form acetyl CoA or acetoacetyl CoA
1. Leucine is exclusively ketogenic in its catabolism, forming acetyl CoA
and acetoacetate.
2. Isoleucine acetyl CoA + propionyl CoA.
3. Lysine: An exclusively ketogenic amino acid. Lysine is ultimately
converted to acetoacetyl CoA.
4. Tryptophan alanine + acetoacetyl CoA.
5. Phenylalanine acetoacetate + fumarate
6. Tyrosine acetoacetate + fumarate