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Urea Cycle
Dr. Amro Yousef Al-Amleh
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.
• 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
Overall reaction
Regulation of Urea cycle
Fate of Urea
Sources of ammonia
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.
Catabolism of Amino Acids
Breakdown of the carbon skeletons
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
Amino acids that form oxaloacetate
1. Aspartae
2. Asparagine
Amino acids that form a-ketoglutarate
1. Glutamate
2. Glutamine
3. Arginine
4. Proline
5. Histidine
Glutamate
Glutamine
Proline
Arginine
Histidine
Amino acids that form pyruvate
1. Alanine
2. Cysteine
3. Serine
4. Threonine
5. Glycine
6. Tryptophan
Alanine
Cysteine
Serine
Tryptophan
Amino acids that form fumarate
1. Tyrosine
2. phenylalanine
Amino acids that form succinyl CoA
1. Methionine
2. Valine
3. Threonine
4. Isoleucine
Methionine
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
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.
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
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
Oxaloacetate Alpha-KGlu Pyruvate Fumarate Succinyl CoA
Acetyl CoA or acetoacetate

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Urea cycle

  • 1. Urea Cycle Dr. Amro Yousef Al-Amleh
  • 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
  • 5.
  • 6.
  • 7.
  • 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.
  • 13. Catabolism of Amino Acids Breakdown of the carbon skeletons
  • 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
  • 15.
  • 16. Amino acids that form oxaloacetate 1. Aspartae 2. Asparagine
  • 17. Amino acids that form a-ketoglutarate 1. Glutamate 2. Glutamine 3. Arginine 4. Proline 5. Histidine
  • 23.
  • 24. Amino acids that form pyruvate 1. Alanine 2. Cysteine 3. Serine 4. Threonine 5. Glycine 6. Tryptophan
  • 28.
  • 29.
  • 31. Amino acids that form fumarate 1. Tyrosine 2. phenylalanine
  • 32.
  • 33.
  • 34. Amino acids that form succinyl CoA 1. Methionine 2. Valine 3. Threonine 4. Isoleucine
  • 35.
  • 37.
  • 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
  • 45. Oxaloacetate Alpha-KGlu Pyruvate Fumarate Succinyl CoA Acetyl CoA or acetoacetate