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Dental Biochemistry 1- (3)




Protein metabolism and
       Urea cycle
Digestion of proteins
• The dietary proteins are denatured on cooking
  and therefore more easily to digested by a
  digestive enzymes.
• All these enzymes are hydrolases in nature.
• Proteolytic enzymes are secreted as inactive
  zymogens which are converted to their active
  form in the intestinal lumen.
• This would prevent autodigestion of the
  secretory acini.
The proteolytic enzymes include:

• Endopeptidases:
They act on peptide bonds inside the protein molecule, so
  that the protein becomes successively smaller and smaller
  units. This group includes pepsin, trypsin, chymotrypsin,
  and elastase.

• Exopeptidases:
This group acts at the peptide bond only at the end region of
  the chain. This includes carboxypeptidase acting on the
  peptide only at the carboxyl terminal end on the chain and
  aminopeptidase, which acts on the peptide bond only at
  the amino terminal end of the chain.
A. Gastric digestion of proteins:
•   In the stomach, hydrochloric acid is
  secreted. It makes the pH optimum for the
  action of pepsin and also activates pepsin.
• The acid also denatures the proteins. But
  hydrochloric acid at body temperature
  could not break the peptide bonds.
• Thus in the stomach, HCl alone will not
  able to digest proteins; it needs enzymes.
1) Rennin:
• Rennin otherwise called chymosin, is active
  in infants and is involved in the curdling of
  milk. It is absent in adults.

• Milk protein, casein is converted to
  paracasein by the action of rennin.

• The denatured protein is easily digested
  further by pepsin.
2) Pepsin:
•   It is secreted by the chief cells of stomach as
    inactive pepsinogen.

•   The conversion of pepsinogen to pepsin is
    brought about by the hydrochloric acid.

•   The optimum pH for activity of pepsin is around
    2. Pepsin is an endopeptidase.

•   By the action of pepsin, proteins are broken into
    proteoses.
B. Pancreatic digestion of proteins:
•   The optimum pH for the activity of pancreatic
    enzyme (pH 8) is provided by the alkaline bile
    and pancreatic juice.

•   The secretion of pancreatic juice is stimulated by
    the peptide hormones, cholecystokinin and
    pancreozymin.

•   Pancreatic juice contains the important
    endopeptidases, namely trypsin, chymotrypsin,
    elastase and carboxypeptidase
1) Trypsin:
•   Trypsinogen is activated by enterokinase present
    on the intestinal microvillus membranes. Once
    activated, the trypsin activates other enzyme
    molecules.
•   Trypsin catalyzes hydrolysis of the bonds formed
    by carboxyl groups of Arg and Lys.
•   Acute pancreatitis: Premature activation of
    trypsinogen inside the pancreas itself will result in
    the autodigestion of pancreatic cells. The result is
    acute pancreatitis. It is a life-threatening condition
2) Chymotrypsin:
•   Trypsin will act on chymotrypsinogen, so that the
    active site is formed. Thus, selective proteolysis
    produces the catalytic site.


3) Carboxypeptidases:
•   Trypsin and chymotrypsin degrade the proteins
    into small peptides; these are further hydrolyzed
    into dipeptides and tripeptides by
    carboxypeptidases present in the pancreatic juice.
    They are metallo-enzymes requiring zinc.
C. Intestinal digestion of proteins:

•   Complete digestion of the small peptides to the
    level of amino acids is brought about by enzymes
    present in intestinal juice (succus entericus).

•   The luminal surface of intestinal epithelial cells
    contains Amino- peptidases, which release the N-
    terminal amino acids successively.
Absorption of amino acids

• The absorption of amino acids occurs mainly in the
  small intestine. It is an energy requiring process.
  These transport systems are carrier mediated
  systems.
• These are five different carriers for different amino
  acids.
• Moreover,
glutathione (gamma glutamylcysteinylglycine) also
  plays an important role in the absorption of amino
  acids.
Clinical applications:

• The allergy to certain food proteins (milk, fish)
  is believed to result from absorption of
  partially digested proteins.

• Partial gastrectomy, pancreatitis, carcinoma of
  pancreas and cystic fibrosis may affect the
  digestion of proteins and absorption of amino
  acids.
General metabolism of amino acids:

• Anabolic pathway

• Catabolic pathway




                                      13
General metabolism of amino acids:
• Dietary proteins and body proteins are broken
  down to amino acids. This is called catabolic
  reactions.
• In transamination reaction, amino group of amino
  acid is removed to produce the carbon skeleton
  (keto acid). The amino group is excreted as urea.
• The carbon skeleton is used for synthesis of non-
  essential amino acids.
• It is also used for gluconeogenesis or for complete
  oxidation.
• Amino acids are used for synthesis of body proteins;
  this is anabolic reaction.
Formation of Ammonia
• The first step in the catabolism of amino
  acids is to remove the amino group as
  ammonia.
• Ammonia is highly toxic especially to the
  nervous system.
• Detoxification of ammonia is by
  conversion to urea and excretion through
  urine.
                                          15
A. Transamination
• Transamination is the exchange of amino
  group between amino acid and another keto
  acid, forming a new alpha amino acid.
• The enzyme catalyzing the reaction as a group
  known as transaminases (amino
  transferases).
• These enzymes have pyridoxal phosphate as
  prosthetic group.
• The reaction is readily reversible.
                                              16
17
Biological significance of transamination
1. First step of catabolism:
Ammonia is removed, and rest of the amino acid is
entering into catabolic pathway.
2. Synthesis of non-essential amino acids:
By means of transamination, all non-essential
amino acids could be synthesized by the body from
keto acids available for other sources


                                               18
Clinical significance of
          transamination

• Aspartate aminotransferase (AST) is
  increased in myocardial infarction
  and alanine amino transferase (ALT)
  in liver diseases



                                        19
B. Trans-deamination
• It means transamination followed by oxidative
  deamination.
• All amino acids are first transaminated to
  glutamate, which is then finally deaminated.
• Glutamate dehydrogenase reaction is the final
  reaction which removes the amino group of all
  amino acids.
• Thus, the two components of the reaction are
  physically far away, but physiologically they are
  coupled. Hence, the term trans-deamination
                                                      20
21
Disposal/Detoxification of Ammonia
1. First line of defense (Trapping of ammonia):
• Even very minute quantity of ammonia may
  produce toxicity in central nervous system.
• The intracellular ammonia is immediately trapped
  by glutamic acid to form glutamine, especially in
  brain cells.
• The glutamine is then transported to liver, where
  the reaction is reversed by the enzyme
  glutaminase.
• The ammonia thus generated is immediately
  detoxified into urea.                         22
2. Final disposal:
• The ammonia from all over the body thus
  reaches liver.
• It is then detoxified to urea by liver cells.
• Then excreted through kidneys.
• Urea is the end product of protein
  metabolism


                                              23
Urea Cycle
• The cycle is known as Krebs-Henseleit urea
  cycle.
• As ornithine is the first member of the
  reaction sequences, it is called as Ornithine
  cycle.
• The two nitrogen atoms of urea are derived
  from two different sources, one from
  ammonia and the other directly from
  aspartic acid.                            24
Urea molecule




                25
Steps of Urea Cycle
1.   Formation of Carbamoyl Phosphate.
2.   Formation of Citrulline.
3.   Formation of Argininosuccinate.
4.   Formation of Arginine.
5.   Formation of Urea.



                                         26
Steps of Urea Cycle
                                  1
            2 ATP +   HCO3- + NH3     Carbamoyl phosphate + 2 ADP + Pi
                                                 Pi
Mitochondrion

.                     Ornithine           2      Citrulline


                                                          Citrulline
           Ornithine
                         Urea cycle               ATP
                                                        3      Aspartate
    Urea         5                            AMP + PPi
                             Cytosol
     H 2O                                         Arginino-
                 Arginine                         succinate
                                      4

                            Fumarate


                             Malate                   Oxaloacetate         27
28
Regulation of the urea cycle
• During starvation, the activity of urea cycle
  enzymes is elevated to meet the increased
  rate of protein catabolism.
• The major regulatory steps is catalyzed by
  CPS-I (Carbamoyl phosphate synthetase-I)
  where the positive effectror is N-acetyl
  glutamate (NAG).


                                                  29
Disorderers of urea cycle
• Deficiency of any of the urea cycle enzymes
  would result in hyperammonemia.
• If block occur in one of the earlier steps, the
  condition is more severe, since ammonia itself
  accumulates.
• If deficiency occur in later enzymes, this result
  in accumulation of other intermediates which
  are less toxic and hence symptoms are less.


                                                  30
• The accumulation of ammonia in blood
  (normally less than 50 mg/dl) and body
  fluids results in toxic symptoms.
• Brain is very sensitive to ammonia.
• Child may be put on a low protein diet and
  frequent small feeds are given.
• Since Citrulline is present in significant
  quantities in milk, breast milk is to be
  avoided in Citrullinemia.

                                           31
Urea level in blood and urine
• In clinical practice, blood urea level is taken as an
  indicator of renal function.
• The normal urea level in plasma is from 20 to 40
  mg/dl.
• Blood urea level is increased where renal function
  is inadequate.
• Urinary excretion of urea is 15 to 30 g/day (6-15
  g nitrogen/day).
• Urea constitutes 80% of urinary organic solids.

                                                    32

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Lec 3 level 3-de(protein metabolism &urea cycle)

  • 1. Dental Biochemistry 1- (3) Protein metabolism and Urea cycle
  • 2. Digestion of proteins • The dietary proteins are denatured on cooking and therefore more easily to digested by a digestive enzymes. • All these enzymes are hydrolases in nature. • Proteolytic enzymes are secreted as inactive zymogens which are converted to their active form in the intestinal lumen. • This would prevent autodigestion of the secretory acini.
  • 3. The proteolytic enzymes include: • Endopeptidases: They act on peptide bonds inside the protein molecule, so that the protein becomes successively smaller and smaller units. This group includes pepsin, trypsin, chymotrypsin, and elastase. • Exopeptidases: This group acts at the peptide bond only at the end region of the chain. This includes carboxypeptidase acting on the peptide only at the carboxyl terminal end on the chain and aminopeptidase, which acts on the peptide bond only at the amino terminal end of the chain.
  • 4. A. Gastric digestion of proteins: • In the stomach, hydrochloric acid is secreted. It makes the pH optimum for the action of pepsin and also activates pepsin. • The acid also denatures the proteins. But hydrochloric acid at body temperature could not break the peptide bonds. • Thus in the stomach, HCl alone will not able to digest proteins; it needs enzymes.
  • 5. 1) Rennin: • Rennin otherwise called chymosin, is active in infants and is involved in the curdling of milk. It is absent in adults. • Milk protein, casein is converted to paracasein by the action of rennin. • The denatured protein is easily digested further by pepsin.
  • 6. 2) Pepsin: • It is secreted by the chief cells of stomach as inactive pepsinogen. • The conversion of pepsinogen to pepsin is brought about by the hydrochloric acid. • The optimum pH for activity of pepsin is around 2. Pepsin is an endopeptidase. • By the action of pepsin, proteins are broken into proteoses.
  • 7. B. Pancreatic digestion of proteins: • The optimum pH for the activity of pancreatic enzyme (pH 8) is provided by the alkaline bile and pancreatic juice. • The secretion of pancreatic juice is stimulated by the peptide hormones, cholecystokinin and pancreozymin. • Pancreatic juice contains the important endopeptidases, namely trypsin, chymotrypsin, elastase and carboxypeptidase
  • 8. 1) Trypsin: • Trypsinogen is activated by enterokinase present on the intestinal microvillus membranes. Once activated, the trypsin activates other enzyme molecules. • Trypsin catalyzes hydrolysis of the bonds formed by carboxyl groups of Arg and Lys. • Acute pancreatitis: Premature activation of trypsinogen inside the pancreas itself will result in the autodigestion of pancreatic cells. The result is acute pancreatitis. It is a life-threatening condition
  • 9. 2) Chymotrypsin: • Trypsin will act on chymotrypsinogen, so that the active site is formed. Thus, selective proteolysis produces the catalytic site. 3) Carboxypeptidases: • Trypsin and chymotrypsin degrade the proteins into small peptides; these are further hydrolyzed into dipeptides and tripeptides by carboxypeptidases present in the pancreatic juice. They are metallo-enzymes requiring zinc.
  • 10. C. Intestinal digestion of proteins: • Complete digestion of the small peptides to the level of amino acids is brought about by enzymes present in intestinal juice (succus entericus). • The luminal surface of intestinal epithelial cells contains Amino- peptidases, which release the N- terminal amino acids successively.
  • 11. Absorption of amino acids • The absorption of amino acids occurs mainly in the small intestine. It is an energy requiring process. These transport systems are carrier mediated systems. • These are five different carriers for different amino acids. • Moreover, glutathione (gamma glutamylcysteinylglycine) also plays an important role in the absorption of amino acids.
  • 12. Clinical applications: • The allergy to certain food proteins (milk, fish) is believed to result from absorption of partially digested proteins. • Partial gastrectomy, pancreatitis, carcinoma of pancreas and cystic fibrosis may affect the digestion of proteins and absorption of amino acids.
  • 13. General metabolism of amino acids: • Anabolic pathway • Catabolic pathway 13
  • 14. General metabolism of amino acids: • Dietary proteins and body proteins are broken down to amino acids. This is called catabolic reactions. • In transamination reaction, amino group of amino acid is removed to produce the carbon skeleton (keto acid). The amino group is excreted as urea. • The carbon skeleton is used for synthesis of non- essential amino acids. • It is also used for gluconeogenesis or for complete oxidation. • Amino acids are used for synthesis of body proteins; this is anabolic reaction.
  • 15. Formation of Ammonia • The first step in the catabolism of amino acids is to remove the amino group as ammonia. • Ammonia is highly toxic especially to the nervous system. • Detoxification of ammonia is by conversion to urea and excretion through urine. 15
  • 16. A. Transamination • Transamination is the exchange of amino group between amino acid and another keto acid, forming a new alpha amino acid. • The enzyme catalyzing the reaction as a group known as transaminases (amino transferases). • These enzymes have pyridoxal phosphate as prosthetic group. • The reaction is readily reversible. 16
  • 17. 17
  • 18. Biological significance of transamination 1. First step of catabolism: Ammonia is removed, and rest of the amino acid is entering into catabolic pathway. 2. Synthesis of non-essential amino acids: By means of transamination, all non-essential amino acids could be synthesized by the body from keto acids available for other sources 18
  • 19. Clinical significance of transamination • Aspartate aminotransferase (AST) is increased in myocardial infarction and alanine amino transferase (ALT) in liver diseases 19
  • 20. B. Trans-deamination • It means transamination followed by oxidative deamination. • All amino acids are first transaminated to glutamate, which is then finally deaminated. • Glutamate dehydrogenase reaction is the final reaction which removes the amino group of all amino acids. • Thus, the two components of the reaction are physically far away, but physiologically they are coupled. Hence, the term trans-deamination 20
  • 21. 21
  • 22. Disposal/Detoxification of Ammonia 1. First line of defense (Trapping of ammonia): • Even very minute quantity of ammonia may produce toxicity in central nervous system. • The intracellular ammonia is immediately trapped by glutamic acid to form glutamine, especially in brain cells. • The glutamine is then transported to liver, where the reaction is reversed by the enzyme glutaminase. • The ammonia thus generated is immediately detoxified into urea. 22
  • 23. 2. Final disposal: • The ammonia from all over the body thus reaches liver. • It is then detoxified to urea by liver cells. • Then excreted through kidneys. • Urea is the end product of protein metabolism 23
  • 24. Urea Cycle • The cycle is known as Krebs-Henseleit urea cycle. • As ornithine is the first member of the reaction sequences, it is called as Ornithine cycle. • The two nitrogen atoms of urea are derived from two different sources, one from ammonia and the other directly from aspartic acid. 24
  • 26. Steps of Urea Cycle 1. Formation of Carbamoyl Phosphate. 2. Formation of Citrulline. 3. Formation of Argininosuccinate. 4. Formation of Arginine. 5. Formation of Urea. 26
  • 27. Steps of Urea Cycle 1 2 ATP + HCO3- + NH3 Carbamoyl phosphate + 2 ADP + Pi Pi Mitochondrion . Ornithine 2 Citrulline Citrulline Ornithine Urea cycle ATP 3 Aspartate Urea 5 AMP + PPi Cytosol H 2O Arginino- Arginine succinate 4 Fumarate Malate Oxaloacetate 27
  • 28. 28
  • 29. Regulation of the urea cycle • During starvation, the activity of urea cycle enzymes is elevated to meet the increased rate of protein catabolism. • The major regulatory steps is catalyzed by CPS-I (Carbamoyl phosphate synthetase-I) where the positive effectror is N-acetyl glutamate (NAG). 29
  • 30. Disorderers of urea cycle • Deficiency of any of the urea cycle enzymes would result in hyperammonemia. • If block occur in one of the earlier steps, the condition is more severe, since ammonia itself accumulates. • If deficiency occur in later enzymes, this result in accumulation of other intermediates which are less toxic and hence symptoms are less. 30
  • 31. • The accumulation of ammonia in blood (normally less than 50 mg/dl) and body fluids results in toxic symptoms. • Brain is very sensitive to ammonia. • Child may be put on a low protein diet and frequent small feeds are given. • Since Citrulline is present in significant quantities in milk, breast milk is to be avoided in Citrullinemia. 31
  • 32. Urea level in blood and urine • In clinical practice, blood urea level is taken as an indicator of renal function. • The normal urea level in plasma is from 20 to 40 mg/dl. • Blood urea level is increased where renal function is inadequate. • Urinary excretion of urea is 15 to 30 g/day (6-15 g nitrogen/day). • Urea constitutes 80% of urinary organic solids. 32