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1
In the name of Allah, the
most beneficent, The most
Gracious and the most
merciful!
Prepared by:
M.Shayan Adnan
shayanadnan00@yahoo.com
2
• Proteins are the most abundant organic compounds &
constitute a major part of the body dry weight (10-12kgin
adults).
• Perform a wide variety of structural and dynamic (enzymes,
hormones, clotting factors, receptors) functions.
• Proteins are nitrogen containing macromolecules consistingof L-α
- amino acids as the repeating units.
3
• 20 amino acids found in proteins, half can be synthesized by
the body andhalf are supplied through diet.
• Theproteins on degradation release individual amino acids.
• Eachamino acid undergoes itsown metabolism performs
specificfunctions.
4
• Some amino acidsserve as precursors for the synthesis of many
biologically important compounds.
• Certain amino acids may directly act as neurotransmitters
(e.g glycine, aspartate, glutamate)
5
• About 100g of free amino acids which represent the amino acid
pool of the body.
• Glutamate and glutamine together constitute about 5
0 an
d essential
amino acids about 10%of the body pool (100g).
• Theconcentration of intracellular amino acids is always higher
than the extracellular amino acids.
• Enter the cells against a concentration gradient.
6
• Turnover of body intake of dietary protein and the synthesis of
non-essential amino acids contribute to the body amino acid
pool.
• Protein turnover:
• Theproteins in the body isin a dynamic state.
• About 300-400g of protein per day isconstantly degraded and
synthesized which represents body protein turnover.
7
• Theturnover of the protein isinfluenced by many
factors.
• A small polypeptide called ubiquitin (8,500) tags with the
protein andfacilitatesdegradation.
• Certain proteins with amino acid sequence proline,
glutamine, serine andthreonineare
rapidly degraded.
Control of protein turnover:
8
• There isa regular lossof nitrogen from the body due to
degradation of amino acids.
• About 30-50gof protein islost every day.
• Thisamount of protein issupplied through diet to maintain
nitrogen balance.
• There isno storage form of amino acids in the
body.
• Excessintake of amino acids isoxidized to provide energy.
Dietary protein
9
• Proteins function as enzymes, hormones, immunoproteins,
contractile proteins etc.
• Many important nitrogenous compounds (porphyrins,
purines, pyrimidines, etc) are produced from the amino
acids.
• About 10-15%of body energy requirements are met from the
amino acids.
• Theamino acids are converted into carbohydrates andfats.
Utilization of amino acids from body pool
10
➢ Transamination
➢ Oxidative Deamination
➢ Ammonia Transport
➢ Urea Cycle
Catabolism of amino acids occur in 4 stages
11
• Thetransfer of an amino (-NH2) group from an amino acid to a
ketoacid, with the formation of a new amino acid anda new
ketoacid.
• Catalysed by a group of enzymescalled transaminases
(aminotransferases)
• Pyridoxalphosphate (PLP)– Co-factor.
• liver, kidney, heart, brain - adequate amount of these enzymes.
Transamination
12
13
• All transaminases require PLP
.
• No free NH3 liberated, only the transfer of amino group.
• Transamination is reversible.
• There are multiple transaminase enzymes which vary in
substrate specificity.
• AST andAL
Tmake a significant contribution for
transamination.
Silent features of Transamination
14
• Transamination isimportant for redistribution of amino
groups andproduction of non-essential amino acids.
• It diverts excess amino acids towards the energy
generation.
• Amino acids undergo transamination to finally
concentrate nitrogen in glutamate.
15
• Glutamate undergoes oxidative deamination to liberate
free NH3 for urea synthesis.
• All amino acids except, lysine, threonine, proline and
hydroxyproline participate in transamination.
• It involves both anabolism andcatabolism, since–
reversible.
16
AA1+ α- KG
KETOACID1 +
GLUTAMATE
Alanine + α- KG
Aspartate + α- KG
Pyruvate + Glutamate
Oxaloacetetae +Glutamate
17
18
19
• Step:1
➢ Transfer of amino group from AA1to the coenzyme PLPto form
pyridoxamine phosphate.
➢ Amino acid1isconverted to Keto acid2.
• Step:2
➢ Amino group of pyridoxamine phosphate is then transferred to a keto
acid1to produce a new AA 2&enzyme with PLPis regenerated.
20
• The amino group of most of the amino acids is released by a
coupled reaction, trans- deamination.
• Transamination followed by oxidative deamination.
• Transamination takes place in the cytoplasm.
21
Trans-deamination
22
• Theremoval of amino group from the amino acids as NH3 is
deamination.
• Deamination results in the liberation of ammonia for
urea synthesis.
• Thecarbon skeleton of amino acidsis converted to
keto acids.
• Deamination may be either oxidative or non-
oxidative
Deamination
23
• Only liver mitochondria contain glutamate dehydrogenase
(GDH) which deaminates glutamate to α-ketoglutarate
and ammonia.
• It needs NAD+ asco-enzyme.
• It isan allosteric enzyme.
• It isactivated by ADP&inhibited by GTP.
24
• Oxidative deamination isthe liberation offree ammonia from
the amino group of amino acids coupled with oxidation.
• Site: Mostly in liver andkidney.
• Oxidative deamination isto provide NH3 for urea synthesis
andα-keto acids for a variety of reactions, including energy
generation.
Oxidative deamination
25
• Glutamate isa 'collection centre' for amino groups.
• Glutamate rapidly undergoes oxidative deamination.
• Catalysed by GDH to liberate ammonia.
• It can utilize either NAD+ orNADP+.
• Thisconversion occursthrough the formation of
an α-iminoglutarate
Role of glutamate dehydrogenase
26
COO-
I
CH2
I
CH2
I
3
H -C-NH +
I
COO-
COO-
I
CH2
I
CH2
I
C=NH
I
COO-
COO-
I
CH2
I
CH2
I
I
C=O
I
COO-
NAD(P)+
GDH H2O
GDH
4
CH2 + NH +
L-Glutamate α- Iminoglutarate α- ketoglutarate
NAD(P)H+H+
Oxidation of glutamate by GDH
27
➢ Reversible Reaction
➢ BothAnabolic & Catabolic.
➢ Regulation of GDH activity:
➢ Zinccontaining mitochondrial, allosteric enzyme.
➢ Consistsof 6identical subunits.
➢ Molecular weight is56,000
Metabolic significance
28
• L-amino acid oxidase andD-Amino acid oxidase.
• Flavoproteins and Cofactors are FMN &FAD.
• Acton corresponding amino acids to produce α-keto acids and
NH3
• Site: Liver, kidney, Peroxisomes.
• Activity of L-Amino acid oxidase is low.
• Plays a minor role inAmino acid catabolism.
Amino acid oxidases
29
L-amino acid
L-AMINOACID OXIDASE
Α- KETO ACID +
NH3
FMN FMNH2
H2O2 ½ O2
Catalase
H2O
Oxidative deamination of amino acids
30
• L-Amino acid Oxidase actson all Amino acids,except
glycine and dicarboxylic acids.
• Activity of D-Amino oxidase ishigh than that of L-Amino acid
oxidase
• D-Amino oxidase degrades D-Amino acids in bacterial cell
wall.
31
• D-amino acids are found in plants and
microorganisms.
• They are not present in mammalian proteins.
• D-amino acids are taken in the diet/bacterial cell wall,
absorbed from gut - D-Amino acid oxidase converts them to
respective α-keto acids.
Fate of D-amino acids
32
• The α-ketoacids undergo transamination to be converted to
L-amino acids which participate in various metabolic
pathways.
• Keto acids may be oxidized to generate energy or serve as
precursors for glucose and fat synthesis.
33
• Direct deamination, without oxidation.
• Amino acid Dehydratases:
• Serine, threonine &homoserine are the hydroxy
amino acids.
• They undergo non-oxidative deamination catalyzed by
PLP-dependent dehydratases
Non oxidative deamination
34
Serine
Threonine
Homoserine
Respective Ketoacid
Dehydratase
NH3
PLP
Non oxidative deamination
35
CYSTEINE &HOMOCYSTEINE UNDERGO
DEAMINATION COUPLED WITH DESULFHYDRATION
TO GIVE KETO ACIDS.
Cysteine
Desulfhydrases
Pyruvate
NH3 +H2S
Uroconate
• Deamination of histidine:
Histidase
Histidine
NH3
Amino acids Desulfhydrases
36
UREA CYCLE
• the UREA CYCLE IS THE FIRST METABOLIC PATHWAY TO BE
ELUCIDATED.
• THE CYCLE IS KNOWN AS KREBS–HENSEL UREA CYCLE.
• ORNITHINE IS THE FIRST MEMBER OF THE REACTION, IT IS
ALSO CALLED AS ORNITHINE CYCLE.
• UREA IS SYNTHESIZED IN LIVER & TRANSPORTED TO KIDNEYS
FOR EXCRETION IN URINE.
37
• the two nitrogen atoms of urea are derived from two
different sources, one from ammonia and the other directly
from the a- amino group of aspartic acid.
• carbon atom is supplied by co2
• urea is the end product of protein metabolism (amino acid
metabolism).
38
• Urea accountsfor 80-90%of the nitrogen containing
substancesexcreted in urine.
• Urea synthesis isa five-step cyclicprocess, with five distinct
enzymes.
• Thefirst two enzymes are present in mitochondria while
the rest are localized in cytosol.
39
40
.
• .
41
Step:1 Formation of carbonyl phosphate
• Carbamoyl phosphate synthase I (CPS I) of
mitochondria catalyzes the condensation of NH4+
ions with CO2 to form carbamoyl phosphate.
• This step consumes two ATP and is irreversible.
• It is a rate-limiting.
42
• CPS I requires N-acetyl glutamate for its activity.
• Carbamoyl phosphate synthase II (CPS II) - involved
in pyrimidine synthesis & it is present in cytosol.
• It accepts amino group from glutamine and does not
require N-acetyl glutamate for its activity.
43
Step2: Formulation of citrulline
• The second reaction is also mitochondrial.
• Citrulline is synthesized from carbamoyl phosphate
and ornithine by ornithine trans carbamoyl.
• Ornithine is regenerated and used in urea cycle.
44
• Ornithine and citrulline are basic amino acids.
(Never found in protein structure due to lack of
codons).
• Citrulline is transported to cytosol by a transporter
system.
• Citrulline is neither present in tissue proteins nor in
blood; but it is present in milk.
45
Step 3: Formation of arginosuccinate
• Citrulline condenses with aspartate to form
arginosuccinate by the enzyme Arginosuccinate
synthetase.
• Second amino group of urea is incorporated.
• It requires ATP, it is cleaved to AMP & PPi
• 2 High energy bonds are required.
• Immediately broken down to inorganic phosphate
(Pi).
46
Step:4 Formation of Arginine or cleavage of
Arginosuccinate
• The enzyme Arginosuccinate or arginosuccinate lyase cleaves
arginosuccinate to arginine and fumarate (an intermediate in TCA
cycle)
• Fumarate provides connecting link with TCA cycle or
gluconeogenesis.
47
• The fumarate is converted to oxaloacetate via
fumarase and MDH and transaminase to aspartate.
• Aspartate is regenerated in this reaction
48
Step:5 Formation of Urea
• Arginase is the 5th and final enzyme that cleaves
arginine to yield urea and ornithine.
• Ornithine is regenerated, enters mitochondria for its
reuse in the urea cycle.
• Arginase is activated by Co2+ & Mn2+
• Ornithine and lysine compete with arginine
(competitive inhibition).
49
• Arginase is mostly found in the liver, while the rest
of the enzymes (four) of urea cycle are also present
in other tissues.
• Arginine synthesis may occur to varying degrees in
many tissues.
• But only the liver can ultimately produce urea.
50
.
• .
51
Significance of Urea cycle
• Toxic ammonia is converted into non-toxic urea.
• Synthesis of semi-essential amino acid-arginine.
• Ornithine is precursor of Proline, Polyamines.
• Polyamines include putrescine, spermidine,
spermine.
• Polyamines have diverse roles in cell growth &
proliferation.
52
Disorders or Urea cycle
• The main function of Urea cycle is to remove toxic
ammonia from blood as urea.
• Defects in the metabolism of conversion of ammonia
to urea, Urea cycle leads to Hyperammonemia or
NH3 intoxication.
53
Hyperammonemia
• Inherited disorders of urea cycle enzymes- familial
hyperammonemia.
• Acquired disorders- Liver Disease, severe Renal
disease - Acquired hyperammonemia.
54
Ammonia toxicity
• Increased levels of ammonia crosses BBB, formation of
glutamate.
• More utilization of α-ketoglutarate.
• Decreased levels of α- Ketoglutarate in Brain.
• α-KG is a key intermediate in TCA cycle.
• Decreased levels impairs TCA cycle.
• Decreased ATP production
55
Hepatic coma (acquired hyperammonemia)
• In diseases of the liver, hepatic failure can finally
lead to hepatic coma and death.
• Hyperammonemia is the characteristic feature of
liver failure.
• The condition is also known as portal systemic
encephalopathy.
56
• Normally the ammonia and other toxic compounds
produced by intestinal bacterial metabolism are
transported to liver by portal circulation & detoxified
by the liver.
• But when there is portal systemic shunting of blood,
the toxins bypass the liver and their concentration in
systemic circulation rises.
57
Signs/Symptoms and treatment
• CNS dysfunction or manifestations of failure of liver
function (ascites, jaundice, hepatomegaly, edema,
hemorrhage).
• The management of the condition is difficult.
• A low protein diet & intestinal disinfection (bowel
clearing and antibiotics), withholding hepatotoxic
drugs and maintenance of electrolyte & acid-base
balance.
• Textbook of biochemistry-u Satyanarayana
• Textbook of Biochemistry-DM Vasudevan
58
59

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Metabolism of amino acid

  • 1. 1 In the name of Allah, the most beneficent, The most Gracious and the most merciful!
  • 3. • Proteins are the most abundant organic compounds & constitute a major part of the body dry weight (10-12kgin adults). • Perform a wide variety of structural and dynamic (enzymes, hormones, clotting factors, receptors) functions. • Proteins are nitrogen containing macromolecules consistingof L-α - amino acids as the repeating units. 3
  • 4. • 20 amino acids found in proteins, half can be synthesized by the body andhalf are supplied through diet. • Theproteins on degradation release individual amino acids. • Eachamino acid undergoes itsown metabolism performs specificfunctions. 4
  • 5. • Some amino acidsserve as precursors for the synthesis of many biologically important compounds. • Certain amino acids may directly act as neurotransmitters (e.g glycine, aspartate, glutamate) 5
  • 6. • About 100g of free amino acids which represent the amino acid pool of the body. • Glutamate and glutamine together constitute about 5 0 an d essential amino acids about 10%of the body pool (100g). • Theconcentration of intracellular amino acids is always higher than the extracellular amino acids. • Enter the cells against a concentration gradient. 6
  • 7. • Turnover of body intake of dietary protein and the synthesis of non-essential amino acids contribute to the body amino acid pool. • Protein turnover: • Theproteins in the body isin a dynamic state. • About 300-400g of protein per day isconstantly degraded and synthesized which represents body protein turnover. 7
  • 8. • Theturnover of the protein isinfluenced by many factors. • A small polypeptide called ubiquitin (8,500) tags with the protein andfacilitatesdegradation. • Certain proteins with amino acid sequence proline, glutamine, serine andthreonineare rapidly degraded. Control of protein turnover: 8
  • 9. • There isa regular lossof nitrogen from the body due to degradation of amino acids. • About 30-50gof protein islost every day. • Thisamount of protein issupplied through diet to maintain nitrogen balance. • There isno storage form of amino acids in the body. • Excessintake of amino acids isoxidized to provide energy. Dietary protein 9
  • 10. • Proteins function as enzymes, hormones, immunoproteins, contractile proteins etc. • Many important nitrogenous compounds (porphyrins, purines, pyrimidines, etc) are produced from the amino acids. • About 10-15%of body energy requirements are met from the amino acids. • Theamino acids are converted into carbohydrates andfats. Utilization of amino acids from body pool 10
  • 11. ➢ Transamination ➢ Oxidative Deamination ➢ Ammonia Transport ➢ Urea Cycle Catabolism of amino acids occur in 4 stages 11
  • 12. • Thetransfer of an amino (-NH2) group from an amino acid to a ketoacid, with the formation of a new amino acid anda new ketoacid. • Catalysed by a group of enzymescalled transaminases (aminotransferases) • Pyridoxalphosphate (PLP)– Co-factor. • liver, kidney, heart, brain - adequate amount of these enzymes. Transamination 12
  • 13. 13
  • 14. • All transaminases require PLP . • No free NH3 liberated, only the transfer of amino group. • Transamination is reversible. • There are multiple transaminase enzymes which vary in substrate specificity. • AST andAL Tmake a significant contribution for transamination. Silent features of Transamination 14
  • 15. • Transamination isimportant for redistribution of amino groups andproduction of non-essential amino acids. • It diverts excess amino acids towards the energy generation. • Amino acids undergo transamination to finally concentrate nitrogen in glutamate. 15
  • 16. • Glutamate undergoes oxidative deamination to liberate free NH3 for urea synthesis. • All amino acids except, lysine, threonine, proline and hydroxyproline participate in transamination. • It involves both anabolism andcatabolism, since– reversible. 16
  • 17. AA1+ α- KG KETOACID1 + GLUTAMATE Alanine + α- KG Aspartate + α- KG Pyruvate + Glutamate Oxaloacetetae +Glutamate 17
  • 18. 18
  • 19. 19
  • 20. • Step:1 ➢ Transfer of amino group from AA1to the coenzyme PLPto form pyridoxamine phosphate. ➢ Amino acid1isconverted to Keto acid2. • Step:2 ➢ Amino group of pyridoxamine phosphate is then transferred to a keto acid1to produce a new AA 2&enzyme with PLPis regenerated. 20
  • 21. • The amino group of most of the amino acids is released by a coupled reaction, trans- deamination. • Transamination followed by oxidative deamination. • Transamination takes place in the cytoplasm. 21 Trans-deamination
  • 22. 22
  • 23. • Theremoval of amino group from the amino acids as NH3 is deamination. • Deamination results in the liberation of ammonia for urea synthesis. • Thecarbon skeleton of amino acidsis converted to keto acids. • Deamination may be either oxidative or non- oxidative Deamination 23
  • 24. • Only liver mitochondria contain glutamate dehydrogenase (GDH) which deaminates glutamate to α-ketoglutarate and ammonia. • It needs NAD+ asco-enzyme. • It isan allosteric enzyme. • It isactivated by ADP&inhibited by GTP. 24
  • 25. • Oxidative deamination isthe liberation offree ammonia from the amino group of amino acids coupled with oxidation. • Site: Mostly in liver andkidney. • Oxidative deamination isto provide NH3 for urea synthesis andα-keto acids for a variety of reactions, including energy generation. Oxidative deamination 25
  • 26. • Glutamate isa 'collection centre' for amino groups. • Glutamate rapidly undergoes oxidative deamination. • Catalysed by GDH to liberate ammonia. • It can utilize either NAD+ orNADP+. • Thisconversion occursthrough the formation of an α-iminoglutarate Role of glutamate dehydrogenase 26
  • 27. COO- I CH2 I CH2 I 3 H -C-NH + I COO- COO- I CH2 I CH2 I C=NH I COO- COO- I CH2 I CH2 I I C=O I COO- NAD(P)+ GDH H2O GDH 4 CH2 + NH + L-Glutamate α- Iminoglutarate α- ketoglutarate NAD(P)H+H+ Oxidation of glutamate by GDH 27
  • 28. ➢ Reversible Reaction ➢ BothAnabolic & Catabolic. ➢ Regulation of GDH activity: ➢ Zinccontaining mitochondrial, allosteric enzyme. ➢ Consistsof 6identical subunits. ➢ Molecular weight is56,000 Metabolic significance 28
  • 29. • L-amino acid oxidase andD-Amino acid oxidase. • Flavoproteins and Cofactors are FMN &FAD. • Acton corresponding amino acids to produce α-keto acids and NH3 • Site: Liver, kidney, Peroxisomes. • Activity of L-Amino acid oxidase is low. • Plays a minor role inAmino acid catabolism. Amino acid oxidases 29
  • 30. L-amino acid L-AMINOACID OXIDASE Α- KETO ACID + NH3 FMN FMNH2 H2O2 ½ O2 Catalase H2O Oxidative deamination of amino acids 30
  • 31. • L-Amino acid Oxidase actson all Amino acids,except glycine and dicarboxylic acids. • Activity of D-Amino oxidase ishigh than that of L-Amino acid oxidase • D-Amino oxidase degrades D-Amino acids in bacterial cell wall. 31
  • 32. • D-amino acids are found in plants and microorganisms. • They are not present in mammalian proteins. • D-amino acids are taken in the diet/bacterial cell wall, absorbed from gut - D-Amino acid oxidase converts them to respective α-keto acids. Fate of D-amino acids 32
  • 33. • The α-ketoacids undergo transamination to be converted to L-amino acids which participate in various metabolic pathways. • Keto acids may be oxidized to generate energy or serve as precursors for glucose and fat synthesis. 33
  • 34. • Direct deamination, without oxidation. • Amino acid Dehydratases: • Serine, threonine &homoserine are the hydroxy amino acids. • They undergo non-oxidative deamination catalyzed by PLP-dependent dehydratases Non oxidative deamination 34
  • 36. CYSTEINE &HOMOCYSTEINE UNDERGO DEAMINATION COUPLED WITH DESULFHYDRATION TO GIVE KETO ACIDS. Cysteine Desulfhydrases Pyruvate NH3 +H2S Uroconate • Deamination of histidine: Histidase Histidine NH3 Amino acids Desulfhydrases 36
  • 37. UREA CYCLE • the UREA CYCLE IS THE FIRST METABOLIC PATHWAY TO BE ELUCIDATED. • THE CYCLE IS KNOWN AS KREBS–HENSEL UREA CYCLE. • ORNITHINE IS THE FIRST MEMBER OF THE REACTION, IT IS ALSO CALLED AS ORNITHINE CYCLE. • UREA IS SYNTHESIZED IN LIVER & TRANSPORTED TO KIDNEYS FOR EXCRETION IN URINE. 37
  • 38. • the two nitrogen atoms of urea are derived from two different sources, one from ammonia and the other directly from the a- amino group of aspartic acid. • carbon atom is supplied by co2 • urea is the end product of protein metabolism (amino acid metabolism). 38
  • 39. • Urea accountsfor 80-90%of the nitrogen containing substancesexcreted in urine. • Urea synthesis isa five-step cyclicprocess, with five distinct enzymes. • Thefirst two enzymes are present in mitochondria while the rest are localized in cytosol. 39
  • 41. 41 Step:1 Formation of carbonyl phosphate • Carbamoyl phosphate synthase I (CPS I) of mitochondria catalyzes the condensation of NH4+ ions with CO2 to form carbamoyl phosphate. • This step consumes two ATP and is irreversible. • It is a rate-limiting.
  • 42. 42 • CPS I requires N-acetyl glutamate for its activity. • Carbamoyl phosphate synthase II (CPS II) - involved in pyrimidine synthesis & it is present in cytosol. • It accepts amino group from glutamine and does not require N-acetyl glutamate for its activity.
  • 43. 43 Step2: Formulation of citrulline • The second reaction is also mitochondrial. • Citrulline is synthesized from carbamoyl phosphate and ornithine by ornithine trans carbamoyl. • Ornithine is regenerated and used in urea cycle.
  • 44. 44 • Ornithine and citrulline are basic amino acids. (Never found in protein structure due to lack of codons). • Citrulline is transported to cytosol by a transporter system. • Citrulline is neither present in tissue proteins nor in blood; but it is present in milk.
  • 45. 45 Step 3: Formation of arginosuccinate • Citrulline condenses with aspartate to form arginosuccinate by the enzyme Arginosuccinate synthetase. • Second amino group of urea is incorporated. • It requires ATP, it is cleaved to AMP & PPi • 2 High energy bonds are required. • Immediately broken down to inorganic phosphate (Pi).
  • 46. 46 Step:4 Formation of Arginine or cleavage of Arginosuccinate • The enzyme Arginosuccinate or arginosuccinate lyase cleaves arginosuccinate to arginine and fumarate (an intermediate in TCA cycle) • Fumarate provides connecting link with TCA cycle or gluconeogenesis.
  • 47. 47 • The fumarate is converted to oxaloacetate via fumarase and MDH and transaminase to aspartate. • Aspartate is regenerated in this reaction
  • 48. 48 Step:5 Formation of Urea • Arginase is the 5th and final enzyme that cleaves arginine to yield urea and ornithine. • Ornithine is regenerated, enters mitochondria for its reuse in the urea cycle. • Arginase is activated by Co2+ & Mn2+ • Ornithine and lysine compete with arginine (competitive inhibition).
  • 49. 49 • Arginase is mostly found in the liver, while the rest of the enzymes (four) of urea cycle are also present in other tissues. • Arginine synthesis may occur to varying degrees in many tissues. • But only the liver can ultimately produce urea.
  • 51. 51 Significance of Urea cycle • Toxic ammonia is converted into non-toxic urea. • Synthesis of semi-essential amino acid-arginine. • Ornithine is precursor of Proline, Polyamines. • Polyamines include putrescine, spermidine, spermine. • Polyamines have diverse roles in cell growth & proliferation.
  • 52. 52 Disorders or Urea cycle • The main function of Urea cycle is to remove toxic ammonia from blood as urea. • Defects in the metabolism of conversion of ammonia to urea, Urea cycle leads to Hyperammonemia or NH3 intoxication.
  • 53. 53 Hyperammonemia • Inherited disorders of urea cycle enzymes- familial hyperammonemia. • Acquired disorders- Liver Disease, severe Renal disease - Acquired hyperammonemia.
  • 54. 54 Ammonia toxicity • Increased levels of ammonia crosses BBB, formation of glutamate. • More utilization of α-ketoglutarate. • Decreased levels of α- Ketoglutarate in Brain. • α-KG is a key intermediate in TCA cycle. • Decreased levels impairs TCA cycle. • Decreased ATP production
  • 55. 55 Hepatic coma (acquired hyperammonemia) • In diseases of the liver, hepatic failure can finally lead to hepatic coma and death. • Hyperammonemia is the characteristic feature of liver failure. • The condition is also known as portal systemic encephalopathy.
  • 56. 56 • Normally the ammonia and other toxic compounds produced by intestinal bacterial metabolism are transported to liver by portal circulation & detoxified by the liver. • But when there is portal systemic shunting of blood, the toxins bypass the liver and their concentration in systemic circulation rises.
  • 57. 57 Signs/Symptoms and treatment • CNS dysfunction or manifestations of failure of liver function (ascites, jaundice, hepatomegaly, edema, hemorrhage). • The management of the condition is difficult. • A low protein diet & intestinal disinfection (bowel clearing and antibiotics), withholding hepatotoxic drugs and maintenance of electrolyte & acid-base balance.
  • 58. • Textbook of biochemistry-u Satyanarayana • Textbook of Biochemistry-DM Vasudevan 58
  • 59. 59