Digestion of proteins, absorption of amino acids, synthesis of amino acids, catabolism of amino acids and synthesis of specialised non-protein compounds from amino acids for undergraduates
Digestion of proteins, absorption of amino acids, synthesis of amino acids, catabolism of amino acids and synthesis of specialised non-protein compounds from amino acids for undergraduates
Protein metabolism denotes the various biochemical processes responsible for the synthesis of proteins and amino acids (anabolism), and the breakdown of proteins by catabolism. ... In humans, non-essential amino acids are synthesized from intermediates in major metabolic pathways such as the Citric Acid Cycle.
Introcution to Proteins, Amino Acids and PolypeptidesDHANANJAY PATIL
A comprehensive introduction to the proteins, amino acids and polypeptides. This will give readers a overall view of this topic. All types of queries and suggestions are most welcome
Metabolism of amino acids (general metabolism)Ashok Katta
Metabolism of amino acids (general metabolism).
Part - I of amino acid metabolism.
This presentation covers Transamination, deamination, formation and Transport of Ammoniaand etc.
Fate of Glucogenic and Ketogenic amino acid
Amino acid are the currency of of nitrogen and protein economy of the host, hence they are used in many pathways beyond protein synthesis, including energy production and neurotransmitter synthesis.
All amino acid are comprised of an amino group and a carbon skeleton. During metabolism these two parts are separated as they have different ‘fates’
Of the liberated amino acid approximately 75% are utilized while remainder serve as precursors for important biological compound and those not utilized are degraded to amphibolic intermediates
The pathway of amino acid catabolism is quite similar in most organism
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Protein metabolism denotes the various biochemical processes responsible for the synthesis of proteins and amino acids (anabolism), and the breakdown of proteins by catabolism. ... In humans, non-essential amino acids are synthesized from intermediates in major metabolic pathways such as the Citric Acid Cycle.
Introcution to Proteins, Amino Acids and PolypeptidesDHANANJAY PATIL
A comprehensive introduction to the proteins, amino acids and polypeptides. This will give readers a overall view of this topic. All types of queries and suggestions are most welcome
Metabolism of amino acids (general metabolism)Ashok Katta
Metabolism of amino acids (general metabolism).
Part - I of amino acid metabolism.
This presentation covers Transamination, deamination, formation and Transport of Ammoniaand etc.
Fate of Glucogenic and Ketogenic amino acid
Amino acid are the currency of of nitrogen and protein economy of the host, hence they are used in many pathways beyond protein synthesis, including energy production and neurotransmitter synthesis.
All amino acid are comprised of an amino group and a carbon skeleton. During metabolism these two parts are separated as they have different ‘fates’
Of the liberated amino acid approximately 75% are utilized while remainder serve as precursors for important biological compound and those not utilized are degraded to amphibolic intermediates
The pathway of amino acid catabolism is quite similar in most organism
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
3. Amino acids
Group of organic compounds containing amino and
carboxylic acid groups
Carboxylic acid – acidic
Amino - alkaline
4. General Structure of Amino Acids
α-amino acids – both amino and carboxylic acid
groups attached to same carbon atom
α-carbon atom binds to a side chain – R
R is different for each amino acids
5. Standard Amino Acids
300 amino acids occur in nature
Only 20 are found repeatedly in protein structure – standard amino acids
Due to universal nature of the genetic code available for incorporation of
only 20 amino acids during protein synthesis
In turn controlled by DNA
6. Classification of amino acids based on
structure (composition)
Amino acids with aliphatic side
chain
Monoamino monocarboxylic acids
Leu, Ile and Val contain branched
aliphatic side chains
Referred as branched chain amino
acids
7. Hydroxyl group containing amino
acids
Tyrosine – aromatic in nature
Usually considered under aromatic
amino acids
8. Acidic amino acids
Dicarboxylic monoamino acids
Aspargine and glutamine are
amides
18. Peptides
Molecules with less than 10 amino acids
Display wide variety of biological functions
Glutathione
Tripeptide
Widely distributed in nature and exists in reduced / oxidized states
19. Functions of glutathione
Serves as coenzyme – prostaglandin PGE2 synthase
Prevents oxidation of sulfhydryl groups of proteins. Essential for protein function
Along with glutathione reductase participates in correct disulfide bond formation
Maintains RBC membrane structure and integrity
Protects Hb from oxidative damage
Involved in amino acid transport in intestine and kidney via meister cycle
Involved in detoxification process
Scavenges toxic amounts of peroxides and free radicals through glutathione
peroxidase
20. Other peptides
Peptides Description Biological function
Thyrotropin releasing hormone Tripeptide secreted by hypothalamus Stimulates pituitary to release TSH
Vasopressin Nonapeptide produced by post. pituitary Stimulates kidneys to retain water and
increase BP
Oxytocin Nonapeptide secreted by post. pituitary Causes contraction of uterus
Angiotensins Angiotensin I – decapeptide
Angiotensin II – octapeptide
Stimulates release of aldosterone
form adrenal glands
Methionine enkephalin Pentapeptide found in brain Inhibits sense of pain
Bradykinin & kallidin Nona and decapeptides Powerful vasodilators
Peptide antibiotics Gramicidin, bacitracin, tyrocidine &
actinomycin
Aspartame Dipeptide – aspartic acid and
phenylalanine
200 x sweeter than sucrose. Used as
artificial sweetener
GI hormones Gastrin, secretin etc.
21. Proteins
Most abundant organic molecules in the living organism
Polymers made up of amino acids
24. Classification of proteins based on
shape
Into 2 groups
Globular Proteins Fibrous Proteins
• Spherical/oval in shape
• Soluble in water / solvents
• Digestible
• E.g.
• Serum albumin
• Serum globulin
• Thymus histones
• Elongated and fibre like shape
• Insoluble in water
• Resistant to digestion
• E.g.
• Collagen
• Elastin
• keratin
25. Classification based on composition
Can be broadly classified into three sub groups
Simple proteins – composed of only amino acid residues
Conjugated proteins – along with amino acid these contain a non-protein moiety (prosthetic
group)
Derived proteins – denatured/degraded products of simple / conjugated proteins
26. Simple proteins
Sl.n Sub class Description Examples
1 Albumins Soluble. Coagulated by heat Serum albumin, lactalbumin
2 Globulins Neutral/dil. solutions Serum globulin, vitelline
3 Glutelins Dil. acids/alkalies Glutelin, oryzenin
4 Prolamines 70% alcohol Gliadin, zein
5 Histones Strongly basic proteins Thymus histones
6 Globins Considered along with histones
7 Protamines Resembles histones, smaller in size Sperm proteins
8 Lectins Carb binding proteins Agglutinin
9 Collagens Connective tissue proteins
10 Elastins Found in tendons and arteries
11 Keratins Hair and nail
27. Conjugated proteins
Along with amino acid residues also contains non-protein moiety known
as prosthetic group / conjugating group
Nucleoproteins – Nucleic acid is the prosthetic group. E.g. histones,
nucleoprotamines
Glycoproteins – prosthetic group is carbohydrates. E.g mucin, ovomucoid
Lipoproteins – in combination with lipids. E.g. serum lipoproteins
Phosphoproteins – phosphoric acid. E.g. casein, vitelline
Chromoproteins – prosthetic group coloured in nature. E.g. Hb,
cytochromes
Metalloproteins – metal ions. E.g. ceruloplasmin, carbonic anhydrase
28. Derived proteins
Denatured or degraded products of simple & conjugated proteins
They are of 2 types
Primary derived proteins Secondary derived
proteins
29. Classification of proteins based on nutrition
Nutritive value is determined by composition of essential amino acids
31. Introduction
Amino acids undergo transamination followed by deamination to release
ammonia
Amino group is utilized to produce urea. Which is the end product of
protein metabolism
32. Transamination
Transfer of amino group from amino acids to ketoacid
Process involves interconversion of pair of amino acids & keto
acids
Reaction is catalysed by transaminases
33. Salient features of transamination
1. All transaminases require pyridoxal phosphate (PLP)
2. Specific transaminases exists for each pair. Only aspartate transaminase and alanine
transaminase make significant contribution
3. Free ammonia is not liberated. Only transfer of amino group
4. Transamination is reversible
5. Very imp for redistribution of amino groups & production of non-essential amino acids
6. Diverts excess amino acids towards energy generation
7. Transamination concentrates ammonia into glutamate. Glutamate undergoes deamination
8. All amino acids except lysine, proline, threonine and hydroxyproline undergoes transamination
9. Not restricted to only α-amino acids
10. serum transaminases important for diagnostic purposes
34. Mechanism of transamination
Occurs in 2 stages
a) Transfer of amino group to PLP to form
pyridoxamine phosphate
b) The amino group then transferred to a
keto acid to from a new amino acid
35. Deamination
Removal of amino group from amino acid as ammonia
Results in liberation of ammonia for urea synthesis
May be oxidative or non-oxidative
Transamination and deamination occur simultaneously – transdeamination
36. Oxidative deamination
Deamination coupled with oxidation
In liver and kidneys
To provide ammonia for urea synthesis and α-keto acids for variety of reactions
Glutamate produced during transamination serves as collection centre of
amino groups
Glutamate undergoes rapid oxidative deamination to liberate ammonia.
Catalysed by glutamate dehydrogenase
Conversion of glutamate to α-ketoglutarate occurs through an intermediate
α-iminogluterate
37. Non-oxidative deamination
Some amino acids can be deaminated to liberate ammonia without oxidation
Amino acid dehydrases
Serine, threonine and homoserine are OH-amino acids
Undergo non-oxidative deamination catalysed by PLP-dependent dehdrases
Serine
Threonine
homoserine
Dehydratase
NH3
Respective α-keto acids
38. Deamination of histidine
Histidase acts on histidine to liberate ammonia
Histidine
Histidase
NH3
Urocanate
Amino acid desulfhydrases
Cysteine & homocysteine coupled with desulfhydration to form keto acids
Cysteine
Desulfhydrases
NH3+H2S
Pyruvate
39. Fate of ammonia
Ammonia exists as ammonium (NH4
+) ion
Formation of ammonia
Transport and storage of ammonia
Occurs mainly b/w tissues and liver in the form of glutamine or alanine
Glutamine can be deaminated by glutaminase
Functions of ammonia
Involved in synthesis of many products like – non-essential amino acids, purines &
pyrimidines, amino sugars, aspargine etc.
Very imp to maintain acid base balance
40. Disposal of ammonia
Converted to non-toxic urea and excreted
Toxicity of ammonia
Harmful to the brain
Slurring of speech and blurring of vision
Tremors
May lead to coma and finally, death
41. Objectives
Describe urea cycle
Explain the reactions of urea cycle
Describe the regulation of urea cycle
Describe the energetics of urea cycle
Describe disorders of urea cycle
42. Urea cycle
Urea is end product of protein metabolism
Synthesized in liver
Transported to kidneys for excretion in urine
Also called as Krebs-Henseleit cycle
Urea has 2 amino groups
First two steps occur in mitochondria
Rest in cytosol
43. Reactions of urea cycle
CO2 + NH+
4
Carbamyl phosphate
Citrulline
Aspartate
Argininosuccinate
Arginine
Fumerate
Ornithine
Urea
H2O
Carbamyl phosphate synthase I
Ornithine transcarbamylase
Argininosuccinate synthase
argininosuccinase
Arginase
MITOCHONDRIA
CYTOSOL
2 ATP
2 ADP+Pi
NAG
ATP
AMP+PPi
44. Regulation of urea cycle
Carbamoyl phosphate synthase I is rate limiting step
Allosterically activated by N-acetylglutamate and acetyl coA
45. Energetics of urea cycle
Irreversible and consumes 4 ATPs
2 ATP is utilized for synthesis of carbamoyl phosphate
One is converted to AMP to produce arginiosuccinate which is equal to 2
ATPs.
Hence 4 ATPs are consumed
46. Metabolic disorders of urea cycle
All disorders invariably lead to build up of blood ammonemia
(hyperammonemia)
Leading to toxicity
Disorder Enzyme involved
Hyperammonemia type I CPS I
Hyperammonemia type II Ornithine transcarbamoylase
Citrullinemia Argininosuccinate synthase
Argininosuccinic aciduria Arginosuccinase
Hyperargininemia Arginase