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790 CHAPTER 26 Metabolismof NitrogenCompounds transaminase(GOT),which catalyzesthe formation of oxaloacetate,one of the intermediates of the citric acid cycle, from aspartic acid. o o HO-C-CH2CH-C-OH cor + a-Ketoglutaricacid -- o ll oo ll ll HO-C-CH2C-C-OH I + Glutamic acid NHz Asparticacid Oxaloaceticacid Damagedheart cells die and split open, but some of the GOT moleculesthat spill into the blood are still active. The levels of serum GOT (SGOT)activity are a measureof the extent of damageto heart muscle causedby a heart attack. All knornmtransaminases require pyridoxal phosphate, a derivative of pyridoxol (vitamin 86), as the cofactor. HO \// c o o-P-o-cH, I o Pyridoxal phosphate OH CH. Pyridoxamine phosphate The aldehyde carbon of pyridoxal phosphate is the acceptor of the amino group of amino acids in the first stageof reactions catalyzedby transaminases. An u-ketoacid and pyridoxamine phosphate are the products of the reaction. Amino acid + Pyridoxalphosphate--* ct-Ketoacid + Pyridoxaminephosphate The second stage of transamination consists of the transfer of the amino group of the pyridoxamine phosphate to a-ketoglutarate with regeneration of the pyridoxal phosphate. a-Ketoglutaricacid + Pyridoxaminephosphate------Glutamicacid + Py'ridoxal phosphate PRACTICE EXERCISE 26.2 Write an equation for the transamination tarate as the acceptor. of tyrosine with o-ketoglu- PRACTICE EXERCISE 26.5 How does an amino acid lose its amino group in transamination? 26.4 Theureo cyde Focus Ammonia produced from the oxidation of glutamic acid is excreted as urea. AIMS: To exploin the net resultsof the ureo cycleon o moleculorand o physiologic scole.To list two causesof o negotivenitrogen bolonce. Glutamic acid serves as the depot for receiving amino groups removed from amino acids by transamination reactions. Since there is a limited quantity of a-ketoglutarate in cells, it must be regenerated so that transamination reactions and the citric acid cycle can continue. The o- 26.4 The UreaCycle 791 ketoglutarate is regenerated from glutamic acid by an oxidation reaction catalyzed.by glutamate dehydrogenase. This en4rme uses NAD+ as the coenzyrne. The remoual of the amino group by oxidation is calledoxidative deamination. Ho o o + H2o:#ry Ho-A-cH,cH,J-A-oH I NHt Glutamic NAD* + Ho-A-cu,cH,A-A-ou NHn* NADH Ammonium ion acid oo a-Ketoglutarate With the regeneration of a-ketoglutarate, the goal of the cell has been met-the cellular concentration of a-ketoglutarate is restored. Oxidative deamination also has produced ammonia, however. And ammonia, even in low concentrations, is especially toxic to brain cells and can result in coma and death. A Closer Look Hyperammonemia examines some reasons for this toxicity. It is important that ammonia be removed from the body-This is accomplished by the reactions of the urea cycle,shovvnin Figure 26.3. Theureacycle ls a metabolic pathway by whirh land-dwelling animals prepare wasteammonia and ammonium ionsfor excretion.Theexcretion of nitrogen as urea helps to conserve bodywater and prevent dehydration. If ammonia were excreted directly in the urine, the ammonia would have to be kept very dilute. The resulting loss of large volumes of body water would make dehydration an ever-presentdanger.IJrea, on the other hand, is very soluble in water and is nontoxic except at high concentrations. Urea formation permits land-dwellers to eliminate large quantities of nitrogen while losing relatively little water as urine. Other animals, primarily the fishes, CO2+NH4++HrO@ T t ffi1n t \a-l - \\ \ \ \ ffi re{ Figure26.5 Theureacycle. \ 792 CHAPTER 26 Metabolismof NitrogenCompounds excreteammonia as a waste product. Becausethey live in a water environment, fishesare not in dangerof dehydration. PRACTICE EXERCISE 26.4 \A/hattoxic substanceis produced when s-ketoglutarateis regenerated from glutamic acid?How is this substanceremovedfrom the body? Steps of the urea cycle Let'sexaminethe chemicalreactionsof the urea cyclein more detail.Before ammonia can enter the urea cycle,it is convertedto a more energeticform: the compound carbamoyl phosphate.The formation of carbamoyl phos- : Hyperammonemia Hyperammonemia is an increasein ammonia in the blood to higher concentrations than the normal30 to 60 mM. This condition is usually caused by the inability of patients to form urea fast enough to keep ammonia in the blood at normal levels. Severalconditions can lead to hlperammonemia. Some newborns exhibit a delay in the development of urea cycle enzymes.The hyperammonemia in these infants clears up when the enzymes begin to function. In adults, causesof hlperammonemia include hereditary defects in the enzymesof the urea cycle and blockageof the blood flow through the liver, as might occur in cirrhosis(seefigure). Coma {an unconscious state) may occur in casesof hyperammonemiathat are causedby liver (hepatic) disease.The reason for hepatic coma is uncertain, but it may be due to the depletion of AIP in the brain. To help us understand how ammonia may contribute to ATP depletion, let's review some aspectsof metabolism.You may recall that the citric acid cycle is an important sourceof reducingpower in the form of NADH and FADH2 for oxidative phosphorylation and that oxidative phosphorylation is responsiblefor the production of most of the AIP needed to provide the energy to keep cells alive and healthy. In hyperammonemia, ammonia may cross the blood-brain barrier and enter brain cells. In the brain cells, the excessammonia could drive the reaction between glutamate and u-ketoglutarate in the direction of the formation of glutamate. The shift to glutamate would reduce the amount of a-ketoglutarate available for the citric acid cycle. As a result, the concentrations of NADH and FADH2 also would decrease,less ATP would be formed in oxidative phosphorylation, and hepatic coma could resulifrom the depletion of AIP. Some cases of hyperammonemia can be treated by the addition of c-ketoacids to the diet of the hyperammonemic patient. This diverts some of the excessammonia into amino acids through transamination of the s-ketoacids. The amino acids are used by liody cells to make proteins instead of having the ammonia contribute to the patient'shlperammonemia. Cirrhosisof the liver impairsthe urea cycleand can causehyperammonemia. ' ' : : : : 26.4 The Urea Cycle 79, phate requires, in addition to ammonia, one bicarbonate ion and the expenditure of two molecules ofAIP oo ilil NH3 + HCO3 + 2ATP -------HzN-C-O-|-O- + 2ADP + Pi o- ;tr"'.ffi:Jj With the formation of carbamoyl phosphate, ammonia has been energetically primed for entry into the urea cycle. The cycle can be summarized in four steps: Step 7: Carbamoyl phosphate reacts with ornithine (seeSec.23.7). Ornithine, an amino acid not found in proteins, is already present in the cell. The product of this reaction is citrulline. H,N C:O NH, HN I tt ?"' cH, I I CH, NH, CH, *^ (D-O tt- /c:o- CH, l- H2N-CH H2N-CH I I C o/ + P, CH, C \ou o/ Ornithine Carbamoyl phosphate \oa Citrulline Step 2: Citrulline reacts with aspartic acid to give a complex molecule called arginosuccinic acid. This reaction requires the expenditure of two more high-energy phosphate bonds of AIP You need not memorize such complex molecular structures, but you should be aware of the path that nitrogen follows through the cycle. OH \./ q H H,N* -\ | | c_N_c_H ,/l HN CH" ll H,N C:O I HN I CHr tCH, tCHr I H2N-CH I C ooH \./ C --z---- + Hr\-CH ! C H-, |t - . , /\ o' C oH 9H' | c}j, I AMP + PPI H,Ol .)p. c //\ o' oH CHr I H2N-C-H I C ,/\ ooH CitruIline ATP o/ Aspartic acid \ou Arginosuccinic acid 794 CHAPTER 26 Metabolismof Nitrogen Compounds Keep in mind that both the ngw nitrogens that have been added to ornithine can originate as amino groups of amino acids: The first nitrogen can come from ammonia produced by the deamination of an amino acid and used to form carbamoyl phosphate; the second comes from succinic acid. Step 3: An enzyme now cleaves arginosuccinic acid into arginine and fumaric acid. Fumaric acid is one of the intermediates of the citric acid cvcle. H,N* -\ \., OH tI | I c_N_c_H tl "T CH, fn t- ?'' C o/ to, H,N* -\./ C €9H'+ o II HN I C C t- HO-C CH, t-, tl o I H2N-C-H . /'c-oH ll t' CH, CH, H2N-C-H H I C C \ott o/ NH, \ou o/ Arginosuccinic acid Arginine Fumaric acid We have followed the qmthesis of the nonessential amino acid arginine. Step 4: The production of urea occurs when arginine is hydrolyzed to ornithine and urea. H,N-\./ NH, C H I HN I l* I CH, I- H-N-H CH, tCH, tCHr t- H2N-C-H C o/ \o Arginine + H,O _- CHr t- o ll + NH2-C-NH2 CHr I H2N-C-H I C { OH Ornithine (as its ammoniumion) Urea The ornithine reenters the urea cycle by reacting with another molecule of carbamoyl phosphate, After entering the bloodstream, urea is flltered by i the kidneys and disposed of in the urine. 26.5 Catabolismof Amino Acids Nitrogen 795 balance Normal adults generally maintain a nitrogen balance-the quantity of nitrogen excreteddaily equals the intake. About B0% of the nitrogen excretedin the urine is in the form of urea, and almost all the body'swaste nitrogen of metabolism is excretedin the urine; the nitrogen compounds in the feces come mainly from indigestible materials. Children have a positive nitrogen balance-fhe excretion of less nitrogen than is consumed.The nitrogen balanceis positive becausechildren are growing and their cells are making new proteins and other nitrogen compounds. Several conditions result in a negative nitrogen balance-the excretion of more nitrogen than is consumed.During starvation and certain diseases, the carbon skeleton of amino acids derived from the breakdown of muscle proteins must be catabolized as an energy source. Since no new protein is available to eat, starving people excretemore nitrogen than they consume.The lack of even one essentialamino acid in the diet resultsin a negative nitrogen balance. With an essential amino acid missing, the other amino acids cannot be used to make complete proteins.Theseother amino acids are deaminated, and the nitrogen is excretedas urea. 26,5 Catobolismof smino ocids AIMS: To distinguish betweenglucogenicond ketogenicomino ocids.To discusshow omino ocids con be usedfor energy production,gluconeogenesis, ond the synthesisof fats. Focus The carbon skeletons of amino acids are converted to intermediates of glucose metabolism and fatty acid metabolism. Once a,-ketoacidshave been formed from amino acid by transamination reactions, their carbon skeletons are subjected to further chemical changes.One set of amino acids is converted to pyruvate, oxaloacetate,or a-ketoglutarate (Fig. 26.4).Amino acids that are conuertedto theseintermediates are called glucogenic, since thesecompounds are also important to glucosemetabolism. Pyruvate,formed at the end of glycolysis,and oxaloacetate are intermediates of the citric acid cycle.The remainder of the amino acids are converted to acetyl CoA, which is also a product of fatty acid metabolism. The amino acids that are conuerted to acetyl CoA are called ketogenic. The conversion of all the amino acids to intermediates of glucose or fatty acid metabolism demonstrates the highly organized character of metabolism and the economy of nature. By using a single, central pathway for the metabolism of sugars, fats, and amino acids, the cell greatly decreasesthe number of en4,rnes and chemical steps that otherwise might be required to accomplish the same task. Cells have priorities for the utilization of amino acids present in the amino acid pool. In a normal individual, well nourished with carbohydrates,fats, and proteins, the synthesisof nonessentialamino acids,proteins, and other nitrogen-containing compounds is at the top of the prior-