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Protein Metabolism Amino Acids: Building blocks of proteins A.As Structural Functional Hormones Etc. P.P.C. Excess C – Skeleton N NH+4 NH3 Energy Production Urea Routes of supply: Dietary Protein ~ 100g / day Amino Acid Pool: 2 Body 1 Protein ~ 400g / day A. A. Pool 100g I 300~400g / day Body Protein Glucose, glycogen Synthesis of non-essential a.as. 3 Routes of utilization: 30g / day Synthesis of N-compounds e.g. porphyrins III II K.B. F.As. steroids. CO2 + H2O + E (1/5 th of Energy is provided by dietary protein) 1 Notes: Definition of A.A. pool: The total amount of free A.As found in both the extra-/intra- cellular compartments. Over 50% of A.A. pool is found in skeletal muscle. Protein Turnover: Proteins (synthesis) proteins (degradation) Body proteins are maintained constant. (300 ~ 400g / day) Rate of turnover: e.g. digestive enzymes / plasma proteins: rapid (hrs/days). Structural proteins: slow (months / years) Proteins rich in sequences containing pro, glu, ser and thr are rapidly degraded. Chemically altered proteins (e.g. due to oxidation) are also preferentially degraded. 2 Role of Dietary Protein in P.M. 1˚ Dietary Protein 2˚ A.As. Synthesis of tissue proteins Energy (~ 1 th 5 ) Recommended daily allowance (RDA) of dietary protein: Excess A.As cannot be stored as storage protein. 30 – 50 g (protein) equiv. are lost per day due to: A.As. catabolism Must be compensated by diet (RDA: 0.8 x body weight) This is to prevent usage of body protein (- ve NBalance) Diet low in protein deficiency in essential A.As Wasting mobilization (Hydrolysis) of body protein Diet high in protein: excess a.as Urea deficiency in body protein synthesis NH3 glucose glycogen fat 3 Digestion of Dietary Proteins (D.P.): large - Dietary Protein M.W. small A.As. M.W Proteolytic (absorbable) enzymes (Stomach, pancreas, intestine) A. Gastric digestion: Gastric juice (HCl + pepsinogen) - HCl: stomach acid too dilute (PH 2-3) to hydrolyze D.P. (secreted by parietal cells) HCl: 1. P. Denaturation 2. Antiseptic - Pepsin: acid–stable endopeptidase (secreted as pepsinogen by serous cells). chief cells Pepsinogen (A.As.) HC1 Pepsin autocatalysis Pepsin has similar action to Renin in adult human 4 optimal PH 1.5-2.2 D.P. pepsin few A.As (Trp / phe / Tyr) + Leu-Glu Glu-Asn, Leu-Val Val-Cys B. Pancreatic digestion: Large p.p.c. Pancreatic enzymes Oligopeptides + A.As. pro- Zymogens including: (Trypsinogen) – (6A.A.) ⊕ ⊕ autoEnteropeptidase catalysis secretin cholecystokinin (secreted by I.M. cells found on brush border membrane) Produced by M.C. of jujenum Trypsin and lower duodenum pancreas Oligopeptides + Free AAs. cleaves c=o of peptide bonds of lys/Arg Inhibited by a low M.W. peptide (trypsin inhibitor) secreted in pancreatic juice. 5 C. Intestinal digestion: Luminal surface of intestine (Aminopeptidase) “exopeptidase” N-term. residue Smaller peptides + A.As. from oligopeptides Luminal Dipeptides Dipetidases free A.As. (I.mucosa) Absorption: I.M.C Free A.As. Dipeptides A.As. Hydrolysis A.As (Dipeptidase) Portal circulation A.As. Transport of A.As. into cells: Active transport / ATP Notes: Absorption much more complex (20 different A.As., compare with monosaccharides). Absorption of A.As. follow M-M kinetics. A.As. are absorbed at different rates (Gly is the fastest). 6 L-A.As. are absorbed much quicker than D-A.As. Absorption of A.As. into mucosal cells require Na+ dependent transport systems in which ATP is required as a source of energy. Competition of some A.As. for absorption: Five different systems for A.As. absorption may exist for: a) Neutral A.As. (e.g. Ala, val, phe). b) Basic A.As. (Lys, arg) and cys. c) Glycine and imino acids (pro, OH-pro) d) Acidic A.As. (Asp, Glu) e) Other A.As. (e.g. taurine) γ-glutamyl cycle mechanism, may exist for A.As. absorption similar to A.As. reabsorption from renal tubule. 7 Disorder of Digestion: Celiac disease: abnormal mucosa due to glutin sensitivity (N-glutamyl peptides are not digested because of absence of digestive enzyme, causing immune reaction of mucosa). Disorder of Absorption: Protein sensitivity, due to absorption of undigested protein by mucosa. Activation of pancreatic proteolytic enzymes Trypsinogen enterokinase Trypsin Pro-Carboxypeptidase A+B Carboxypeptidase A + B Proelastase Chymotrypsinogen elastase Chymo trypsin 8 Collagen collagenase Smaller P.P.C. + free A.As. Responsible for tissue necrosis in pancreatitis. Elastin Elastase + Other proteins Smaller P.P.C. + free A.As. Hormonal Control of A.A. Metabolism: Insulin and somatomedins promote active transport of A.As. across cell membranes. Insulin inhibits gluconeogenesis from A.As., and promotes protein synthesis. GH, somatomedins, androgens, and thyroid hormones promote positive nitrogen balance by stimulating protein synthesis. Glucocorticoids enhance gluconeogenesis from A.As. In high-dose chronic glucocorticoid therapy negative 9 nitrogen balance results causing thinning of skin and osteoporosis. During fast, glucocorticoids predominate, leading to increased break down of muscle proteins to provide glucose. 100g of dietary carbohydrate daily for adults prevents protein break down for gluconeogenesis. Catobolism of A.As: 1. Removal of α – amino group in A.As.: A. Transamination: is the funneling of NH2 to glu or the process by which the amino group of one A.A. is transferred to an α-keto acid (mainly αKG). All A.As. undergo transamination except: Lys / Pro / OH-Pro / Thr 10 A.A. α KG A.A. Aminotransferase Keto acid Glutamate Oxidative Deamination NH2 for Synthesis of non-essential a.as. donor Most important aminotransferases: ALT/AST NH2 Asp + α KG - Oxaloacetate + Glu AST used as “N” source in urea cycle All (ATs) require: Pyridoxal-p: (vit. B6 deriv.) Mechanism: see diagram Physiological importance of transamination 1. Synthesis of non-essential amino acids from amination of their keto acids, e.g. Ala from pyruvate, Asp from oxaloacetate, if they are in short supply from the diet. 2. Synthesis of glucose from glucogenic A.As. 11 3. The C-skeleton can be used as a source of energy. Clinical importance of aminotransferases Two important aminotransferases of diagnostic importance: AST/ALT. ALT (cytosolic), AST (cytosolic, mitochondrial). Plasma ALT and AST may be elevated in acute liver conditions and myocardial infarction. Note: Aminotransferase reactions do not always involve αKG; amino groups may be transferred directly to other keto acids. B. Oxidative deamination: results in the liberation of (NH2) group as (NH3) Stie: 1˚ liver / kidney (mitochondria) Glu Glu DH (rapid) α KG + NH3 + NADH+H NAD A.A. Glu Glu DH (NADPH) + Urea cycle TCA (Energy production) cycle 12 How (NH2) groups of a.as are released as (NH3)? Coenzyme of Glu – DH: NAD+ / NADP + Notes: Direction of reaction depends on: [Glu], [α KG], [NH3], NAD+ / NADH Allosteric regulators: ATP, GTP ⊖ ADP, GDP ⊕ NADH+H+ will be oxidized in the oxidative phosphorylation pathway. Hence the name oxidative deamination. αKG used in transamination reaction is generated by oxidative deamination. The Urea Cycle The major route for disposing of (NH2) of a.as H2N C = O Urea H2N 1 N (from NH2) 1 N (from Asp) Glu is the source of both “N” C = O : from CO2 Site: Liver 13 STEPS OF REACTIONS: In the mitochondria: 1. Formation of carbomyl phosphate: CO2 + NH+4 + 2ATP Carbomyl Carbomyl-℗ (high energy Phosphate Synthetase I phospate, from liver oxidative ΔG= -14.0 metabolism 2ADP + Kcal/mole) N-acetyl Pi + 3H+ 3H2O glu ⊕ Notes: CO2 incorporation into carbomyl-p contributes to acid reduction in tissue involved. Arginine in the urea cycle stimulates the activity of N-acetyl glutamate synthase, thus: CoA Acetyl CoA + glu N-acetyl-glu N-acetyl-glu synthase Arg ⊕ 2. Formation of L-Citrulline: (Energy in carbomyl-p drives the reaction in the forward direction) 14 Orn. TranscarboCarbomyl-℗ + L-Ornithine mylase L-Citrulline L-Citrulline leaves the mitochondria to the cytosol: ATP AMP + PPi 3. L-Citrulline + L-Asp Arginosuccinate 4. Arginosuccinate Arginosucc. Lyase L-Arginine Fumarate 5. L-Arginine Arginase Urea + L-Ornithine Fate of fumarate: 1. Fumarate fumarase Malate Malate (Hydration) (cytosol) mito. TCA cycle 2. Malate oxaloacetate PEP Asp urea cycle Glucose 15 Fate of urea: 1- Liver (urea) 2- Intestine Bacterial Urea Urease Blood Circulation (Urea) Kidney (urea) NH3 + CO2 feces In renal failure: Hyperammonemia is due to increased intestinal urea due to its increased concentration in the blood circulation. Hence, high NH3 will be formed in the intestine, which is a major source of blood ammonia. Overall “urea” reaction: Asp + NH3 + CO2 + 3ATP Urea + fumarate + 2ADP + 2Pi + AMP + PPi + 3H2O 4ATP – equiv. are used. 16 Regulation of the urea cycle: Rate-limiting step: carbomyl-p-synthetase I, activated by N-acetyl-glu (synthesized greatly after ingestion of a protein-rich meal: AcetylCoA + Glu N-Acetyl- glu). The role of urea cycle “arg” has been discussed. A high protein diet increases the rate of synthesis of arginase in liver. Therefore, up-regulates the urea cycle. Notes: About 80% of nitrogen in human is excreted as urea, small amounts of ammonia, A.As., urate, creatinine and other nitrogenous compounds. Normal adult plasma concentration: 3.3-6.6 mmol. The kidney produces some urea. 17 Many tissues possess all but one urea-cycle enzyme, arginase. Therefore, they use this pathway to synthesize arginine. In acidosis urea synthesis is decreased and glutamine synthesis is increased in the liver. Glutamine is then transported from liver to kidney where it is deaminated by glutaminase to release NH3+glu. NH3 binds to H+ in renal tubule and excreted as NH4+ in urine. Hyperammonemia High blood ammonia leads to “ammonia intoxication”: flapping tremor, slurring of speech, blurring of vision, and in severe cases coma and death. Types: A – Acquired: impaired liver function (major). Other causes: include urinary tract infections, leukemia. 18 B – Hereditary: Genetic defects in each of the five urea cycle enzymes have been reported. Rare, but fatal in infancy. The urea concentration is extremely low. Mechanism of ammonia intoxication Source of brain ammonia: A. Arterial blood supply. B. Catabolism of brain cell protein. C. Deamination of γ-aminobutyric acid (GABA) (inactivation) (Major source): GABA GABA deaminase Butyraldehyde Succinate NH3 Reactions of ammonia detoxication: (1) α KG + NH4+ GDH NADH+H+ or NADPH+H+ Glutamate NAD+ or NADP+ 19 (2) Glutamate + NH4+ Gln synthetase ATP Therefore, depletion Glutamine ADP+Pi of αKG due to increase concentration of ammonia, results in a decrease cellular oxidation and ATP production. The brain depends on TCA for its energy requirement. (A) Sources of Ammonia: *1- Transamination of a.as and oxidative deamination of Glu. *2- Glutamine: Gln Glutaminase Kidneys NH3 NH4+ (important in acid-base formed in renal tubule and trapped (Ion trapping) Intestine: Glu + NH3 balance) dietary or glutamine blood 20 *3- Intestinal urease: Urea/dietary protein urease CO2 + NH3 4- Amines: dietary or body monomine by the action of amine oxidase, NH3 is generated. 5- Purines/Pyrimidines: Catabolism of Pu./Py., NH2 attached to the rings is released as NH3. 6- Non-Oxidative deamination of A.As.: Asn, Cys, Gln, His, Ser and Thr. The reaction starts with removal of H2O (dehydration) by dehydrase or “H2S” (from Cys) followed by deamination. 7- Amino acid oxidases: oxidatively deaminate α – A.As., requiring FMN/FAD as cofactors. Liver and kidney rich in those oxidases removing NH2 from D-/L-A.As. A.A. + FMN + H2O Ketoacid + NH3 + FMNH2 FMNH2+O2 FMN+H2O2 H2O2 catalase H2O+½ O2 * : Major routes 21 The Transport of Ammonia: Liver Sk. Muscle NH3 is transported in blood as: Urea/Glutamine/ Brain Alanine Sk. Muscle Glu + NH Glu 3 - Glutamine Glnase Glu + NH3 (Kidney) Notes: During severe muscular exercise: AMP concentration increases in muscle: AMP IMP + NH3 or: During stravation muscle protein is degrades to A.As. The A.As. are transaminated: A.As. Ketoacid + NH3 The accumulated ammonia or NH4+ will react with α KG: α KG + NH3 Glutamate Aminotransferase 22 Glutamate can be further amidated to form glutamine: Glu + NH4 Gln ATP ADP+Pi Alternatively: NH2 of glutamate can be transferred to pyruvate: Pyruvate + Glu ALT Ala + α-KG Ala leaves the muscle to the liver: Ala + ketoacid ALT Pyruvate + A.A. Pyruvate serves as a substrate for gluconeogenesis Glucose leaves the liver to muscle for glycolysis forming pyruvte. This is know as the Alanine Cycle. 23 Metabolism of C-Skeleton: Products of C-skeleton catabolism: 2- α KG 3- Pyruvate 1- Oxaloacetate 4- Fumarate 6- aceltoacetylCoA 5- acetylCoA 7- Succinyl CoA Fate: 1- Synthesis of glucose/lipid, 2-Energy production. Site: TCA cycle. Catabolism of Certain A.As H2O - Gly: H2O2 Gly Gly-oxidase O2 TCA cycle Glyoxylate. NH3 Malate “Urine” CO2 + formaldehyde Oxalate Synthesis of Ser from Gly: 5 10 N , N – CH2 THF4 Ser Gly Ser-OH-CH3 transferase Thr Gly Acetaldehyde AcetylcoA? (makes24Thr a ketogenic ) Gly: is non-essential so is Ser. Ser: Ser Ser dehydrase [X] or deaminase Thr Thr dehydrase [X] or deaminase Pyruvate NH3 α-Ketobutyrate NH3 succinylCoA Ser can be also synthesised from: NAD+ NADH+H+ 3- Phosphoglycerate 3- phosphohydroxypyruvate Glu αKG Pi Ser Phospho-L-Ser αKG Glu HydroxyPyruvate 2 phosphoglycerate glycerate Pi 25 Arginine & Histidine essential for growing infants, non-essential for maintenance during adulthood life. Trans. Glu α KG Oxidase Ornithine Glu – Semialdehyde + A.A. + A.A. keto acid H2O Comes from urea cycle from Arg “cleavage” – pyrroline – 5 – carboxylate 1 2H Arg urea + Ornithine Proline Ornithine synthesised by Trans. Of Glu-semi aldehyde can be used to synthesise “Arg” sufficient for maintenance. Thus in extrahepatic tissues, ornithine condenses with carbomyl-p, until the formation of Arg. Arginase is lacking in these tissues. His: ATP + 5 – phosphoribosyl – PPi H2O L-Histidine NH3 PPi NAD+ H2O 26 L-Histidine This reaction is a slow-rate: Not adequate for growth. His Histadase Urocanic acid N-Formiminoglutamate THF Glu 5-formiminoTHF Deficiency of histidase leads to “histidinemia”. Biochemical changes: elevated levels of histidine in blood and urine. Mental retardation is common. 27 Methionine and Cysteine Met: essential A.A., diet usually deficient in meth. Met Mg ATP S-adenosylmethionine 2+ Pi + PPi (SAM) Methyl donor in many reactions e.g P-Choline synthesis, catechol, creatine S-adenosylhomocysteine adenosine *Cystathionine synthase H2O Pyruvate Homocysteine Ser pyridoxal-p H2O Cystathionine Succinyl CoA (extra CH2) Methylmalonyl CoA desulfuration Cysteine + α ketobutyrate + NH4+ propinyl CoA Notes: C-skeleton of cysteine is provided by ser, SH-group by met. When cysteine is absent from the diet, Methionine requirement icreases by 30%. * : deficiency leads to homocystinuria 28 **: deficiency leads to cystathioninuria Phenylalanine and Tyrosine Phe- phe hydroxylase deficiency Tyr Tyrosinosis p-hydroxyhpenyl-pyruvate tyr-amino transferase phe-aminotransferase p-OHPhelactate phenylpyruvate PhenylCO2 phenyllactate acetate + Gln (excreted in urnie) Phenylacetyl glutamine 2,5-di-oH phenylacetate (homogentisate) O2, Fe2+, Glutathione Fumarylacetoacetate acetoacetate Fumarate deficiency: Alcaptonuria Tyrosinemia: deficiency in p-OH-phe-pyruvate oxidase. Increase blood/urine p-OH-Phe-pyruvate & increase in blood: Tyr. Hepatic failure & death in the first 6 months of life. 29 Tyrosinosis: plasma tyr, excretion of large quantity of p-OH-phe-pyruvate in urine. Tryptophan: Trp Trp-dioxygenase (pyrrolase) Formylkynurenine 3-OH-Kynurenine Kynurenine Ala 3-OH-Anthranilic acid 3 steps 7 steps Nicotinic acid Acetoacetyl CoA NAD+ NADP+ 2 Acetyl CoA NH3 Trp CO2 Indolepyruvate O2 Indoxyl Indoleacetic acid CO2 O2 Indole skatoxyl skatol CO2 Indole and skaltol are responsible for characteristic odor of feces. Hartnup disease: deficiency of Trp dioxygenase or impaired intestinal absorption of Trp. 30 Clinical manifestation: pellagra, dermatitis with neurological degeneration. Pellarga may arise from a diet deficient in Trp as found in poor peasants who subsit on maize (niacin is in the bound form, unavailable for consumption). 60 mg Trp yields 1.0 mg nicotinamide. Gluconeogenic / Ketogenic Amino Acids Ala, Cys Gly, Ser Thr Pyruvate (Asn, Asp) Phe/Tyr Trp Acetyl CoA OX.A.A Malate Ala Leu, Lys Citrate “TCA” Cycle Isocitrate Fumarate Acetoacetate α KG Succinate Succinyl CoA K.B. F.A. Met Thr Val Arg, Gln Glu, His Pro 31 Ileu Leu / Lys – Pure ketogenic Ileu / Phe / Tyr / Trp – Ketogenic and Gluconeogenic Ala / Arg / Asn / Asp / Cys / Glu / Gln / Gly / His / Met / Pro / Ser / Thr / Val – Pure Gluconeogenic Essential Amino Acids: P V T T Phe Val Trp I M H A L L Thr Ileu Met His Arg Leu Lys Synthesis of non-essential amino acids 1. Tyr: BH4 + O2 BH2 + H2O Phe Tyr Phenylalanine hydroxylase 2. Synthesis by transamination: Ala, Asp, Glu - Pyruvate ALT Glu/A.A. - Oxaloacetate Ala Keto acid AST Asp 32 A.A./(Glu) Keto acid A.A. keto acid - α KG (ketoglutarate) Glu Amino-transferase Glu 3.Synthesis by amidation: Asn/Gln - Asp Asnsynthetase Gln +ATP - Glu Asn Asparaginase Asp + NH3 Glu+AMP +PPi+H+ GlutamineSynthetase ATP+NH3 Gln Pi+ADP+H INBORN ERRORS OF A.A. METABOLISM Mutant genes Abnormal Proteins/Enzymes Partial/total loss of enzymes activity Accumulation of metabolites which interfere with normal development mental retardation. Rare occurrence (1:50,000). More than 40 disorders have been described. Most Common: Alcaptonuria: deficiency: Homogentisate Oxidase (phecatabolism). 33 effect: accumulation of homogentisate polymers dark urine Maple Syrup Urine Disease: Deficiency: branded-chain ketoacid DH. NH3 Ox.Decarb- Val/Leu/Ileu keto acid B.c.a.aoxylation aminotransferase ( -Ketoacid DH) effect: accumulation of b.c.a.as and keto acids in plasma and urine. high mortality rate, and neurologic problems. Homocystinuria: deficieny: Cystathionine Synthetase effect: accumulation of homocysteine in urine. Met/its metabolites are increase in blood. Mental retardation, osteoporosis, dislocation of lens In some patients, administration of very large doses of pyridoxal-p alleviate the symptoms. Phenylketonuria (PKU): Most important (1:11,000) Deficiency: Phe-hydroxylase (multi-allels 6-10 mutation effect: Hyperphenylalaninemia (may be caused by 34 deficiency in BH2 reductase/ BH2 synthetase). in tissues, Plasma and Urine. Phe Phenyl pyruvate Phenyllactate Phenylacetate Mental retardation by the age of 1 year. (I.Q.< 50) Hypopigmentation (fair hair, light skin color, blue eyes). Detection: ferric cholride test/ Bacterial assay (Guthrie test). Usually 48 hrs after ingesting breast: milk / formula. Treatment: feeding synthetic A.As. preparation low in phe / natural food low in Phe. Early treatment prevents neurologic damage. Tyr must be supplemented. Synthesis of N-Containing Compounds: 1- Porphyrins: Site: liver/ bone marrow (stem cells). Gly + succinyl CoA protoporphyrin IX 35 Heme Fe2+ 2- Creatine phosphate: * Site: muscle high-energy compound donates its ~ to ADP ATP. CK Creatine ~ + ADP ATP+ creatine (maintenance of [ATP] during first few mins. of intense muscular contraction). Gly + Arg Creative 3- Histamine: produced by mast cells as allergic reaction/trauma. It is a potent vasodilator, and stimulates acid and pepsin from gastric mucosa (ranitidine inhibits its secretion). His CO2 Histamine Decarboxylase Antihistamines block the action of His-decarboxylase. 36 4- *Catecholamines: ( Dopamine, nor-epinephrine, epinephrine) biologically active amines. Dopamine/nor-ep: Neurotranmitters in brain/autsonomous. N.S. Nor-ep/ep.: also produced in adrenal medulla. Synthesis: Phe- - Phe Tyr hydroxylase Tyrosine hydroxylase 3,4 -dihydroxyphenylalanine Tyr (Dopa) BH4 BH2+H2O + O2 BH2reductase NADP+ NADPH+H+ NADP+-reductase CO2 Dopa Dopamine Dopadecarboxylase (pyridoxal-p) Dopamine Dopamine hydroxylase Nor-epinephrine 37 Ascorbate Dehydro-ascorbate + +H2 O2 Nor-eprinephrine Epinephrine N-methyl transferase SAM S-ad-homo-cys Inactivation of Catecholamines Epinephrine Nor-epinephrine NH3 Di-OH-Mandelic acid Metanephrine Normetanephrine NH3 NH3 3-mehoxy-4-hydroxy mandelic acid or Vanillyl mandelic acid (VMA) Dopamine NH3 Di-OH-phenylacetate 3-methoxytyramine NH3 Homovanillic 38 Acid Serotonin (Vasocontrictor): I.M. Cells (largest amount), platelets, CNS (smaller amount). Function: pain perception, behaviors regulation of temp, sleep, blood pressure. (pyridoxal-p) Trp Trp-hydroxylase 5-OH-trp decarboxylase Serotonin CO2 BH4 BH2 +O2 5-hydroxyindole acetic acid (5HIAA) 39