7. 7
Protein turnover is the rate at which body proteins are
constantly being degraded and again resynthesized.
It is 150-300 gm/day in adult
i.e.
1-2% of total body protein in adult.
[Total body protein in 70kg adult male is 12-14 kg]
11. 11
Nitrogen balance is the difference between nitrogen
intake & nitrogen loss in an individual.
Three types:
i) Nitrogen Equilibrium: In normal adults
ii) Positive Nitrogen Balance : During growth,
pregnancy
iii) Negative Nitrogen Balance : DM, malignancy, TB,
Trauma, Surgery etc
If loss exceeds 30% of total protein: Fatal
13. What is Amino Acid Pool?
13
It is the free amino acid content distributed throughout
the extracellular fluid
Quantitatively, it is about 100 gm in an adult individual.
50% : Glutamate & Glutamine
10% : Essential Amino Acids
40% : Other Amino Acids
20. Site of transamination :
Cytoplasm of:
Liver
Kidney
Heart
Sk. Muscle
Brain.
Rate limiting enzyme:
Aminotransferase
Coenzyme needed:
Pyridoxal phosphate which acts as
an intermediate carrier of an NH2
group.
Nature: Amphibolic & reversible
Substrate: One amino acid & one
keto acid
Product: One keto acid & one amino
acid
.
21. What is Transamination?
21
It is the transfer of NH2 group from an amino acid to a
keto acid with simultaneous production of corresponding
keto acid & amino acid respectively.
Remember,
No free NH3 is produced here
Only transfer of NH2 group occurs
22. Amino acid participating
in transamination :
All Amino acids except:
Lys (Lysine)
Thr (Threonine)
Pro (Proline)
Keto acid participating in
transamination:
Three keto acids mostly
participates:
α- ketoglutarate (ketoacid
of glutamate)
Oxaloacetate (keto acid of
aspartate)
Pyruvate (ketoacid of
alanine)
24. Example of Aminotransferase / Transaminase
Alanine transaminase
Aspartate transaminase
Glutamate transaminase.
Clinical importance of these enzymes:
Role as hepatic marker / cardiac marker
26. Provides a link b/w
carbohydrate, protein &
fat metabolism
Biosynthesis of
NEAA
Importance of
Transamination
Funneling of NH2 group of different
amino acids ultimately to α-KG. α-KG
will form Glutamate
(The major amino acid that undergoes
oxidative deamination)
Formation of C
skeleton / keto acid of
an amino acid:
which can be
catabolized & oxidized to
generate energy
29. What is Oxidative Deamination?
29
Removal of –NH2 group from an amino acid in the form of
free NH3 with simultaneous formation of its corresponding
keto acid (C-skeleton)
Amino acid unique in the process of deamination: Glutamate
Because,
it is the only amino acid that undergoes rapid oxidative
deamination catalyzed by glutamate dehydrogenase
(an active dehydrogenase)
35. Sources of
Ammonia
Bacterial degradation of urea into NH3
(by bacterial urease in intestinal lumen)
Catabolism of amino acids
( via Transamination &
deamination)
Catabolism of purine &
pyrimidine nitrogenous
bases
Catabolism of Glutamine
(& Glutamate)
38. Disposal /
Metabolic fates
of Ammonia
Excretion of NH3 with urine as NH4+ salt
Formation of urea in urea
cycle & its excretion in
urine
Formation of Glutamate & Glutamine
in liver, kidney, muscle, brain
40. Toxicity which results
from hyperammonemia
(Normal level : 5-
50μmol/L
Brain tissue is mostly
affected & there is
depression in cerebral
activity
Ammonia
Intoxication
Causes of hyperammonemia:
Hepatic dysfunction (Cirrhosis of liver, hepatic failure)
Deficiency of enzyme of the urea cycle
41. Biochemical basis of ammonia intoxication / Hepatic
encephalopathy
41
When excessive amounts of ammonia enter the central
nervous system, the brain's defences are severely challenged
46. Site of Urea cycle :
Mitochondria & cytoplasm of liver
Rate limiting enzyme:
Carbamoylphosphate synthase I
Nature: Anabolic
Substrate: NH3
(Two NH3 participates , one directly
and another from aspartate)
Product: Urea (NH2 – CO – NH2)
.
50. Interaction with TCA
cycle
Disposal of NH3
& CO2
Functions /
Importance of urea
cycle
Conversion of toxic
ammonia into nontoxic
urea
Synthesis of NEAA:
Arginine
Proline From ornithine