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Protein and amino acid metabolism • • • • • • • • • • • • • Protein Digestion and Amino Acid Absorption I. Protein Digestion A. Digestion in the Stomach B. Digestion by Enzymes From the Pancreas C. Digestion by Enzymes From Intestinal Cells Synthesis and Degradation of Amino Acids IV. Amino Acid Degradation I1. Fate Of Amino Acid Nitrogen A. Transamination Reactions B. Removal of Amino Acid Nitrogen as Ammonia C. Role of Glutamate in the Metabolism of Amino Acid Nitrogen D. Ammonia Toxicity Reference :Marks' Medical Biochemistry: A Clinical Approach. • Protein Digestion and Amino Acid Absorption • I. Protein Digestion • Digestion of proteins begins in the stomach and is completed in the intestine (Fig. 30.1). • A. Digestion in the Stomach • 1-Pepsinogen is secreted by the chief cells of the stomach. • 2-The gastric cells secrete hydrochloric acid (HCl). The acid in the stomach lumen alters the conformation of pepsinogen so producing the active protease pepsin. 3-Dietary proteins are denatured by the acid in the stomach. . However, at the low pH of the stomach, pepsin is not denatured; it acts as an endopeptidase, cleaving peptide bonds at various points within the protein chain. Smaller peptides and some free amino acids are produced. Anatomy of an amino acid Chemistry of peptide bond formation • B. Digestion by Enzymes From the Pancreas • 1-As the gastric contents empty into the intestine, they exposed to the secretions from the exocrine pancreas. • 2- One of these secretions is bicarbonate, which, in addition to neutralizing the stomach acid, raises the pH. • 3- pancreatic proteases, which are also present in pancreatic secretions, can be active. cleavage of trypsinogen to the active enzyme trypsin, • which then cleaves the other pancreatic zymogens, producing their active forms (see Fig. 30.2). 4-The smaller peptides formed by the action of trypsin, chymotrypsin, and elastase ,and they are cleave one amino acid at a time from the end of the chain. • C. Digestion by Enzymes From Intestinal Cells • 1- Exopeptidases produced by intestinal epithelial cells act within the brush border and also within the cell. • 2- Aminopeptidases, located on the brush border, cleave one amino acid at a time from the amino end of peptides. Intracellular peptidases act on small peptides that are absorbed by the cells.Finally a.a absorbed from small intestine. Protein half life Body proteins have life times. Life time of a protein is expressed in terms of half-life. It is defined as time required for initial amount of protein to be reduced to half. Half life of proteins ranges from minutes to years. Protein turn over In all forms of life, proteins once formed may not remain forever, proteins are synthesized and degraded. Hence, body protein is in dynamic state. Continuous synthesis and degradation of protein is called as protein turnover. The rates of protein synthesis and degradation vary according to physiological needs. The rate of protein synthesis is high during growth lactation and post operative recovery. In starvation, cancer, fever and during rate of degradation of protein is more. • Source of plasma amino acids Amino acids in the plasma are mainly derived from endogenous protein breakdown and dietary protein breakdown. Intracellular synthesis may contribute to plasma amino acid pool to some level. Synthesis and Degradation of Amino Acids 1-Humans can synthesize only 11 of the 20 amino acids required for protein synthesis; the other 9 are considered essential amino acids for the diet. 2- The nonessential amino acids can be synthesized from glycolytic intermediates (serine, glycine, cysteine and alanin), tricarboxylic acid cycle intermediates (aspartate, asparagine, glutamate, glutamine, proline, arginine, and ornithine), or from existing amino acids (tyrosine from phenylalanine). 3- When amino acids are degraded, the nitrogen is converted to urea, and the carbon skeletons are classified as either glucogenic (a precursor of glucose) or ketogenic (a precursor of ketone bodies). • Amino acid catabolism Amino acid catabolism occurs in two main stages. • First stage is the removal of amino group of amino acids as ammonia. Ammonia is converted to urea and excreted in urine. • In the second stage carbon skeletons of amino acids are converted into intermediates of TCA cycle and acetyl-CoA. Then they are either oxidized in TCA cycle for generation of energy or used for glucose synthesis or ketone body formation. Deamination of amino acids Since the removal of α-amino group is the first stage of amino acid degradation we shall see now how it occurs. There are several ways for the removal of α-amino group of amino acids. They are (1) Transamination followed by oxidative deamination (2) (2) Oxidative deamination (3) Non-oxidative deamination. (1)A/ Transamination Removal of amino group of amino acids by transamination is the first step in the catabolism of most of the amino acids. The enzymes involved in this process are known as transaminases. They transfer α-amino group to an acceptor mostly to α-keto glutarate. (B) Oxidative deamination Amino groups that are collected by glutamate are removed as ammonia by enzyme glutamate dehydrogenase in presence of NAD or NADP+. Glutamate dehydrogenase catalyzes oxidative deamination of glutamate to yield α-ketoglutarate and ammonia (Fig. before). Thus, the combined action of transaminases and glutamate dehydrogenase results in the net removal of amino groups of most amino acids as ammonia. (2) Oxidative deamination by a.a oxidase Amino acids undergo NAD+ independent oxidative deamination also. Amino acid oxidases are the enzymes which catalyzes this type of oxidative deamination. They are of two types and dependent on FMN or FAD. They are D-amino acid oxidase and L-amino acid oxidase. Since the activity of L-amino acid oxidase is low its contribution to ammonia production is less. D-amino acid oxidase It is present in liver and kidney. It cannot deaminate many amino acids. It uses FAD as cofactor. It can deaminate glycine. L-amino acid oxidase It is also present in liver and kidney. It cannot deaminate glycine and dicarboxylic acids. It is dependent on FMN. The reaction mechanism of these oxidases involves 1- first oxidation of amino acid to iminoacid. FMN (FAD) are reduced. 2-Next imino acid undergo hydrolytic loss of ammonia to produce α-keto acid (Fig. bellow). 3-Non-oxidative deamination Non-oxidative deamination of amino acids is catalyzed by specific enzymes. Some of them are given below (Fig. below). (Transport of ammonia) Since free ammonia is toxic even in trace it is transported in the form of glutamine and alanine. • Transport of ammonia as glutamine From the brain and other peripheral organs except muscle ammonia released from amino acids is transported to liver and kidney as amide nitrogen of glutamine. • Formation of glutamine A widely distributed glutamine synthetase catalyzes the formation of glutamine from glutamate and ammonia in ATP dependent reaction (Fig. bellow). Glutamine so formed enters circulation. (Ammonia toxicity) Since ammonia is toxic to central nervous system cells, blood ammonia level must be within normal range. If blood ammonia level raises due to any reason , symptoms of ammonia intoxication appears. They are slurred speech, blurred vision and tremors. Coma and death can occur in severe cases. Mechanism of ammonia toxicity Ammonia can cause brain toxicity by three ways. 1. The entry of ammonia into brain leads to formation of glutamate by the reversal of glutamate dehydrogenase reaction. This depletes available α-keto glutarate in the brain. As a result citric acid cycle operation is impaired and ATP production diminishes. This leads to brain cell dysfunction. 2. Since the brain is rich in glutamine synthetase the ammonia which enters brain is used for glutamine synthesis. This leads to depletion of cellular ATP and cell dysfunction. 3. Since glutamate is considered as neurotransmitter the toxic effect of ammonia may be due to over stimulation of nerve cells by glutamate formed from ammonia and α-keto glutarate by the action of glutamate dehydrogenase. Causes for ammonia toxicity 1. If hepatic function is impaired plasma ammonia rises to toxic level. Liver function can impair in cases of poisoning due to carbon tetra chloride, heavy metals and viral infections. 2. Liver cirrhosis 3. Consumption of protein rich diet after gastrointestinal haemorrhage can cause ammonia toxicity. Metabolic fates of carbon skeletons of Amino acids Initial deamination of aminoacids produces carbon skeletons of amino acids. The carbon skeletons of twenty aminoacids are converted to seven compounds. These seven compounds are ultimately used for the formation of carbohydrates or fat like substances (Fig. 12.8). Depending on the cell needs they may be used for energy production. Hence, amino acids are classified based on the metabolic fate of their carbon skeletons also. They are 1. Glucogenic amino acids 2. Ketogenic amino acids 3. Glucogenic and ketogenic amino acids 1. Glucogenic amino acids The carbon skeletons of these aminoacids are converted to either glucose or intermediates of TCA cycle. The products may be pyruvate, oxaloacetate, α-ketoglutarate, succinate and fumarate. Glycine, alanine, valine, serine, threonine, cysteine, methionine, aspartate (aspargine), glutamate (glutamine), histidine, arginine and proline are glucogenic amino acids. Note that all non-essential amino acids are glucogenic. 2. Ketogenic amino acids The carbon skeletons of these aminoacids gives rise to fat like substances or intermediates of fatty acid catabolism. The products may be aceto acetyl-CoA and acetyl-CoA. Leucine is the only ketogenic aminoacid. Isoleucine, phenylalanine, tyrosine, tryptophan and lysine are also ketogenic amino acids. 3. Glucogenic and ketogenic amino acids The carbon skeletons of these amino acids are converted to glucose or intermediates of TCA cycle and fat like substance. The products may be pyruvate,succinate, fumarate and acetyl- CoA. Isoleucine, phenylalanine, tyrosine, tryptophan and lysine are glucogenic and ketogenic amino acids.