What are the end products of Leucine metabolism?
Acetoacetate and Acetyl CoA.
What type of amino acid is Tryptophan?
Aromatic, both glucogenic and ketogenic, essential amino acid.
1/165
p.2
Metabolism of Valine, Leucine, and Isoleucine

What are the end products of Leucine metabolism?

Acetoacetate and Acetyl CoA.

p.15
Aromatic Amino Acids

What type of amino acid is Tryptophan?

Aromatic, both glucogenic and ketogenic, essential amino acid.

p.26
Tryptophan Metabolism and Derivatives

What are the roles of tryptophan?

Precursor for serotonin and niacin (vitamin B3).

p.21
Alkaptonuria

What enzyme is deficient in alkaptonuria?

Homogentisate oxidase.

p.29
Phenylketonuria (PKU)

What enzyme is deficient in Phenylketonuria?

Phenylalanine hydroxylase.

p.8
Isovaleric Aciduria (IVA)

What happens due to disruption in leucine metabolism in IVA?

Accumulation of isovaleric acid.

p.18
Aromatic Amino Acids

What is proline converted into?

Glutamate.

p.2
Branched Chain Amino Acids (BCAAs)

What role does Leucine serve during starvation?

It serves as an alternate source of fuel for the brain.

p.14
Aromatic Amino Acids

What is one of the primary functions of epinephrine?

To stabilize blood pressure.

p.4
Inborn Errors of Metabolism

What is decarboxylation?

The removal of a carboxyl group from a molecule, releasing carbon dioxide.

p.31
Aromatic Amino Acids

What is the precursor amino acid for Melatonin?

Tryptophan.

p.26
Branched Chain Amino Acids (BCAAs)

What are the branched-chain amino acids (BCAAs)?

Leucine, isoleucine, and valine.

p.18
Aromatic Amino Acids

How does glutamate enter the citric acid cycle?

For complete oxidation.

p.2
Metabolism of Valine, Leucine, and Isoleucine

What is the first step in the metabolism of Leucine?

Transamination to form Alpha keto isocaprioc acid.

p.30
Branched Chain Amino Acids (BCAAs)

What are branched chain amino acids (BCAAs)?

They are essential amino acids with branched side chains, including leucine, isoleucine, and valine.

p.26
Alkaptonuria

What are the symptoms of Alkaptonuria?

Dark urine and joint problems.

p.11
Aromatic Amino Acids

What does phenylacetate conjugate with to form phenylacetylglutamine?

Glutamine.

p.17
Aromatic Amino Acids

What hormone regulates sleep-wake cycles?

Melatonin.

p.2
Branched Chain Amino Acids (BCAAs)

What type of amino acid is Leucine?

A branched chain, major ketogenic acid, and essential amino acid.

p.31
Aromatic Amino Acids

What is the precursor amino acid for Dopamine?

Tyrosine.

p.20
Phenylketonuria (PKU)

What enzyme is deficient or absent in PKU?

Phenylalanine hydroxylase.

p.16
Aromatic Amino Acids

What is the rate limiting step in serotonin synthesis?

The hydroxylation of tryptophan to 5-hydroxytryptophan (5-HT) by tryptophan hydroxylase.

p.23
Inborn Errors of Metabolism

What is Oculocutaneous Tyrosinemia also known as?

Richner-Hanhart syndrome.

p.30
Branched Chain Amino Acids (BCAAs)

What is the significance of R-groups in amino acids?

R-groups determine the unique characteristics and functions of each amino acid.

p.3
Metabolism of Valine, Leucine, and Isoleucine

What occurs during the dehydrogenation of Isoleucine?

Formation of Tiglyl CoA with FAD.

p.23
Inborn Errors of Metabolism

What is the primary cause of Neonatal Tyrosinemia?

Deficiency of the enzyme fumarylacetoacetate hydrolase (FAH).

p.22
Inborn Errors of Metabolism

What are the ocular symptoms associated with Albinism?

Grey or red iris, photophobia, nystagmus, and decreased visual acuity.

p.15
Metabolism of Valine, Leucine, and Isoleucine

What pathways can Tryptophan enter after catabolism?

The glucogenic pathway (as alanine) and the ketogenic pathway (as acetoacetate).

p.1
Metabolism of Valine, Leucine, and Isoleucine

What is the result of dehydrogenation of Valine?

Methyl acrylyl CoA.

p.4
Inborn Errors of Metabolism

What is transamination?

A process where an amino group is transferred from one amino acid to a keto acid.

p.10
Aromatic Amino Acids

What cofactors are involved in the conversion of phenylalanine to tyrosine?

NADPH, NADH, and tetrahydrobiopterin.

p.18
Aromatic Amino Acids

What type of amino acid is proline?

Non-essential, glucogenic, imino acid.

p.19
Aromatic Amino Acids

What condition is associated with Vitamin C deficiency?

Scurvy, which manifests as impaired wound healing, bleeding gums, and skin rashes.

p.20
Phenylketonuria (PKU)

What gene is mutated in Phenylketonuria (PKU)?

The PAH gene.

p.26
Aromatic Amino Acids

What does phenylalanine convert to?

Tyrosine.

p.3
Branched Chain Amino Acids (BCAAs)

What type of amino acid is Isoleucine?

Branched chain, both glucogenic and ketogenic, essential amino acid.

p.14
Aromatic Amino Acids

In what situations is epinephrine released?

In response to fight, fright, and flight situations.

p.11
Aromatic Amino Acids

What is formed from the transamination of phenylalanine?

Phenylpyruvate, which eventually converts into phenylacetate.

p.14
Aromatic Amino Acids

What is epinephrine?

A methylated form of norepinephrine.

p.8
Isovaleric Aciduria (IVA)

Why is accumulated isovaleric acid harmful?

It is toxic, particularly to the nervous system.

p.17
Aromatic Amino Acids

What molecule is involved in the methylation process during melatonin synthesis?

S-adenosyl-methionine (SAM).

p.18
Aromatic Amino Acids

What are the co-factors required for the conversion of glutamate back to proline?

ATP and NADPH.

p.13
Aromatic Amino Acids

What is norepinephrine?

The hydroxylated form of dopamine.

p.26
Phenylketonuria (PKU)

What is Phenylketonuria (PKU)?

Inability to metabolize phenylalanine, causing accumulation and neurological damage.

p.6
Maple Syrup Urine Disease (MSUD)

What type of genetic disorder is Maple Syrup Urine Disease (MSUD)?

A rare autosomal recessive metabolic disorder.

p.25
Inborn Errors of Metabolism

What enzyme is deficient in Hawkinsinuria?

4-hydroxy-2-oxoglutarate aldolase (HOGA).

p.30
Metabolism of Valine, Leucine, and Isoleucine

What is the difference between glucogenic and ketogenic amino acids?

Glucogenic amino acids can be converted into glucose, while ketogenic amino acids can be converted into ketone bodies.

p.1
Metabolism of Valine, Leucine, and Isoleucine

What is produced from the decarboxylation of Valine?

Isobutyryl CoA.

p.12
Aromatic Amino Acids

What type of amino acid is Tyrosine?

Aromatic, both glucogenic and ketogenic, essential amino acid.

p.28
Branched Chain Amino Acids (BCAAs)

What are the three metabolic reactions involved in the catabolism of branched chain amino acids?

Transamination, oxidative decarboxylation, and further degradation.

p.31
Aromatic Amino Acids

What is the precursor amino acid for Melanin?

Tyrosine.

p.20
Phenylketonuria (PKU)

What is Phenylketonuria (PKU)?

An autosomal recessive genetic disorder affecting the metabolism of phenylalanine.

p.8
Isovaleric Aciduria (IVA)

What are some symptoms of Isovaleric Aciduria?

Vomiting, poor feeding, a distinctive sweaty feet-like odor, seizures, and developmental delays.

p.17
Aromatic Amino Acids

What role does melatonin play in the body?

Acts as a regulator molecule involved in various physiological processes.

p.20
Phenylketonuria (PKU)

What are some clinical manifestations of PKU?

Mental retardation, agitation, convulsion, hypopigmentation, and mousy body odor.

p.30
Aromatic Amino Acids

What are the characteristics of aromatic amino acids?

They contain an aromatic ring in their structure and include phenylalanine, tyrosine, and tryptophan.

p.23
Inborn Errors of Metabolism

What are some symptoms of Oculocutaneous Tyrosinemia?

Mental retardation, keratosis of the palmar surface, painful corneal lesions, and photophobia.

p.6
Branched Chain Amino Acids (BCAAs)

Which branched-chain amino acids (BCAAs) are affected by MSUD?

Leucine, isoleucine, and valine.

p.21
Alkaptonuria

What is ochronosis?

Deposition of alkapton bodies in tissues, leading to symptoms like arthritis.

p.25
Inborn Errors of Metabolism

What gene is mutated in Hartnup's Disease?

SLC6A19.

p.12
Aromatic Amino Acids

What is formed when Tyrosine undergoes transamination with alpha ketoglutarate?

Hydroxy phenyl pyruvate.

p.22
Inborn Errors of Metabolism

When do symptoms of Hepatorenal Tyrosinemia typically manifest?

Within the first 6 months of life.

p.29
Aromatic Amino Acids

What enzyme is deficient in Albinism?

Tyrosinase.

p.8
Isovaleric Aciduria (IVA)

What is Isovaleric Aciduria (IVA)?

A rare metabolic disorder affecting leucine breakdown.

p.19
Aromatic Amino Acids

What deficiency leads to reduced hydroxyproline synthesis?

Vitamin C deficiency.

p.13
Aromatic Amino Acids

What is the rate limiting step in the formation of catecholamines?

The formation of L-DOPA via tyrosine hydroxylase.

p.26
Metabolism of Valine, Leucine, and Isoleucine

Where are BCAAs primarily catabolized?

In the muscle.

p.2
Metabolism of Valine, Leucine, and Isoleucine

What is produced from the decarboxylation of Leucine?

Isovaleryl CoA.

p.30
Branched Chain Amino Acids (BCAAs)

What distinguishes essential amino acids from non-essential amino acids?

Essential amino acids cannot be synthesized by the body and must be obtained from the diet.

p.13
Aromatic Amino Acids

What is the primary use of norepinephrine?

To increase blood pressure, especially in cardiogenic shocks.

p.15
Aromatic Amino Acids

What substances are produced from Tryptophan?

Alanine, acetoacetylCoA, formyl group, niacin, NAD+, serotonin, melatonin, hydroxy indole acetic acid, and indican.

p.21
Alkaptonuria

What causes the black color in the urine of alkaptonuria patients?

Oxidation of homogentisic acid to benzoquinone acetate, forming black alkapton bodies.

p.6
Clinical Implications of Amino Acid Disorders

What are some neurological symptoms associated with MSUD?

Intellectual disability, seizures, and developmental delays.

p.6
Maple Syrup Urine Disease (MSUD)

What distinctive feature is associated with the urine of individuals with MSUD?

A sweet, maple syrup-like odor due to ketoacid accumulation.

p.12
Aromatic Amino Acids

What does hydroxy phenyl pyruvate hydrolyze into?

Homogentisic acid.

p.4
Inborn Errors of Metabolism

What is dehydrogenation?

The removal of hydrogen from a molecule, often involved in oxidation reactions.

p.19
Aromatic Amino Acids

What is proline hydroxylated to?

Hydroxyproline, through prolyl hydroxylase.

p.27
Metabolism of Valine, Leucine, and Isoleucine

What are the end products of Valine?

Succinyl CoA (B).

p.31
Aromatic Amino Acids

What is the precursor amino acid for Serotonin?

Tryptophan.

p.14
Aromatic Amino Acids

In what form is epinephrine stored?

In chromaffin granules.

p.13
Aromatic Amino Acids

What are the consequences of low dopamine levels?

They may manifest as parkinsonism.

p.2
Metabolism of Valine, Leucine, and Isoleucine

What is the product of dehydrogenation of Leucine with FAD?

B-methyl crotonyl CoA.

p.21
Alkaptonuria

What is alkaptonuria?

An autosomal recessive genetic disorder due to the deficiency of homogentisate oxidase.

p.16
Aromatic Amino Acids

What deficiency may be seen in carcinoid syndrome due to tryptophan being used for serotonin synthesis?

Niacin deficiency.

p.22
Inborn Errors of Metabolism

What is Albinism?

An autosomal recessive disease due to the complete absence of the enzyme tyrosinase, leading to hypopigmentation.

p.3
Metabolism of Valine, Leucine, and Isoleucine

What are the end products of Isoleucine metabolism?

Acetyl CoA and Propionyl CoA.

p.15
Metabolism of Valine, Leucine, and Isoleucine

What is the role of kynureninase in Tryptophan metabolism?

It is pyridoxal phosphate dependent and involved in the catabolism of Tryptophan.

p.23
Inborn Errors of Metabolism

What symptoms may neonates with tyrosinemia present?

Failure to thrive, poor weight gain, vomiting, and enlarged liver.

p.22
Inborn Errors of Metabolism

What are the symptoms of Hepatorenal Tyrosinemia?

Cabbage-like odor, hypoglycemia, liver failure, and mild mental retardation.

p.12
Aromatic Amino Acids

What are the two main products formed from the metabolism of Tyrosine?

Fumarate (glucogenic pathway) and acetoacetate (ketogenic pathway).

p.10
Aromatic Amino Acids

What enzyme converts phenylalanine to tyrosine?

Phenylalanine hydroxylase.

p.29
Alkaptonuria

What enzyme is deficient in Alkaptonuria?

Homogentisic acid oxidase.

p.14
Aromatic Amino Acids

Where is epinephrine mainly produced?

In the adrenal medulla.

p.13
Aromatic Amino Acids

What role does dopamine play in the body?

It is an inhibitor of prolactin secretion and an important neurotransmitter.

p.16
Aromatic Amino Acids

What additional roles does serotonin play in the body?

Vasoconstriction, blood clotting, regulation of bowel movement, appetite, and sense of fullness.

p.14
Aromatic Amino Acids

What is the nature of epinephrine in relation to insulin?

It is anti-insulin in nature.

p.20
Phenylketonuria (PKU)

Why might individuals with PKU require tyrosine supplementation?

To ensure adequate levels for normal physiological processes.

p.3
Metabolism of Valine, Leucine, and Isoleucine

What is produced during the decarboxylation of Isoleucine?

Alpha methylbutyryl CoA.

p.15
Inborn Errors of Metabolism

What can a vitamin B deficiency affect in Tryptophan metabolism?

It can block the pathway for niacin formation and NAD, leading to manifestations of pellagra.

p.6
Metabolism of Valine, Leucine, and Isoleucine

What causes the impaired breakdown of BCAAs in MSUD?

Defective branched-chain alpha-ketoacid dehydrogenase (BCKD) complex.

p.21
Alkaptonuria

What dietary modifications are advised for patients with alkaptonuria?

A diet with less tyrosine content.

p.21
Alkaptonuria

Is there a cure for alkaptonuria?

No, management focuses on symptom relief and supportive care.

p.24
Alkaptonuria

What are the symptoms of Alkaptonuria?

Symptoms include dark urine, arthritis, and heart problems.

p.10
Aromatic Amino Acids

What type of amino acid is phenylalanine?

Aromatic, both glucogenic and ketogenic, essential amino acid.

p.28
Maple Syrup Urine Disease (MSUD)

What are the three amino acids involved in Maple Syrup Urine Disease?

Leucine, isoleucine, and valine.

p.31
Aromatic Amino Acids

What is the precursor amino acid for Epinephrine?

Tyrosine.

p.11
Aromatic Amino Acids

What is phenylacetylglutamine a biomarker for?

Patients with high plasma and urinary levels of ammonia, such as in hyperammonemia and inborn errors of urea synthesis.

p.27
Metabolism of Valine, Leucine, and Isoleucine

What are the end products of Isoleucine?

Acetyl CoA and Propionyl CoA (A & C).

p.29
Maple Syrup Urine Disease (MSUD)

What enzyme is associated with Maple Syrup Disease?

BCKD (Branched-Chain Keto Acid Dehydrogenase).

p.19
Aromatic Amino Acids

What role do proline and hydroxyproline play in proteins?

They confer strength to fibrous proteins like collagen, elastin, and keratin.

p.8
Isovaleric Aciduria (IVA)

What enzyme is lacking in Isovaleric Aciduria?

Isovaleryl-CoA dehydrogenase.

p.17
Aromatic Amino Acids

Where does the biosynthesis of melatonin primarily occur?

In the pineal gland.

p.27
Metabolism of Valine, Leucine, and Isoleucine

What are the end products of Leucine?

Acetoacetate and Acetyl CoA (F).

p.26
Aromatic Amino Acids

What are the aromatic amino acids?

Phenylalanine, tyrosine, and tryptophan.

p.17
Aromatic Amino Acids

What amino acid is involved in the metabolism that leads to melatonin formation?

Tryptophan.

p.16
Aromatic Amino Acids

What is serotonin known for?

Its role in regulating mood and emotional well-being.

p.16
Aromatic Amino Acids

What conditions may imbalances in serotonin contribute to?

Depression and anxiety.

p.18
Aromatic Amino Acids

What processes can reverse glutamate back to proline?

Phosphorylation and reduction.

p.31
Aromatic Amino Acids

What is the precursor amino acid for Niacin?

Tryptophan.

p.14
Aromatic Amino Acids

How does epinephrine affect bronchial smooth muscles?

It relaxes them, making it useful in asthma.

p.20
Phenylketonuria (PKU)

What is the consequence of the enzyme deficiency in PKU?

Prevention of the conversion of phenylalanine to tyrosine.

p.13
Aromatic Amino Acids

Why is L-DOPA used as a drug for parkinsonism?

Because dopamine cannot enter the blood-brain barrier.

p.26
Maple Syrup Urine Disease (MSUD)

What is Maple Syrup Urine Disease (MSUD)?

Affects BCAA metabolism, leading to toxic byproducts and intellectual disability.

p.16
Aromatic Amino Acids

What cofactor is involved in the synthesis of serotonin?

Tetrahydrobiopterin, which is regenerated using NADPH.

p.3
Branched Chain Amino Acids (BCAAs)

What role does Isoleucine serve during starvation?

It serves as an alternate source of fuel for the brain.

p.16
Aromatic Amino Acids

In carcinoid syndrome, what percentage of tryptophan is channeled to serotonin synthesis?

60%.

p.3
Metabolism of Valine, Leucine, and Isoleucine

What is the first step in the metabolism of Isoleucine?

Transamination to Alpha keto beta methylvaleric acid.

p.23
Inborn Errors of Metabolism

What enzyme deficiency causes Oculocutaneous Tyrosinemia?

Tyrosine amino transferase.

p.21
Alkaptonuria

What substance accumulates in the urine of patients with alkaptonuria?

Homogentisic acid.

p.30
Metabolism of Valine, Leucine, and Isoleucine

How are branched chain amino acids metabolized?

They are catabolized primarily in muscle tissue and are involved in energy production.

p.24
Inborn Errors of Metabolism

What are inborn errors of metabolism related to aromatic amino acids?

Genetic disorders that affect the metabolism of aromatic amino acids like phenylalanine, tyrosine, and tryptophan.

p.22
Inborn Errors of Metabolism

What enzyme is absent in Albinism?

Tyrosinase.

p.15
Metabolism of Valine, Leucine, and Isoleucine

What is the major metabolic fate of Tryptophan?

To be oxidized by tryptophan pyrollase.

p.1
Branched Chain Amino Acids (BCAAs)

What type of amino acid is Valine?

Branched chain, glucogenic, essential amino acid.

p.24
Phenylketonuria (PKU)

What is Phenylketonuria (PKU)?

A genetic disorder caused by the deficiency of the enzyme phenylalanine hydroxylase, leading to the accumulation of phenylalanine.

p.24
Phenylketonuria (PKU)

What can untreated PKU lead to?

Severe intellectual disability and other neurological issues.

p.24
Inborn Errors of Metabolism

What is Tyrosinemia?

A disorder caused by the inability to break down tyrosine, leading to its accumulation in the body.

p.25
Inborn Errors of Metabolism

What amino acid absorption is impaired in Hartnup's Disease?

Tryptophan.

p.24
Alkaptonuria

What is Alkaptonuria?

A metabolic disorder characterized by the accumulation of homogentisic acid due to a deficiency in the enzyme homogentisate oxidase.

p.22
Inborn Errors of Metabolism

Why must tyrosine and phenylalanine be restricted in the diet for patients with Hepatorenal Tyrosinemia?

Because the body cannot metabolize these amino acids.

p.26
Alkaptonuria

What causes Alkaptonuria?

Disruption in the catabolism of tyrosine, leading to accumulation of homogentisic acid.

p.23
Inborn Errors of Metabolism

What is advised for patients with Oculocutaneous Tyrosinemia?

A low protein diet.

p.6
Inborn Errors of Metabolism

What leads to the accumulation of BCAAs in blood and tissues in MSUD?

Mutations in genes encoding BCKD complex components.

p.23
Inborn Errors of Metabolism

What does neonatal screening for tyrosinemia include?

Testing for tyrosinemia for early diagnosis.

p.6
Clinical Implications of Amino Acid Disorders

What is the management strategy for MSUD?

A low-protein diet to restrict BCAA intake and specialized formulas for nutrition.

p.30
Clinical Implications of Amino Acid Disorders

What roles do branched chain and aromatic amino acids play in metabolism?

They are involved in protein synthesis, energy production, and serve as precursors for other metabolites.

p.25
Inborn Errors of Metabolism

How is Hawkinsinuria typically identified?

Incidentally through metabolic screening.

p.22
Inborn Errors of Metabolism

What enzyme is deficient in Hepatorenal Tyrosinemia?

Fumaryl acetoacetate hydrolase.

p.25
Inborn Errors of Metabolism

What is a common treatment approach for Hartnup's Disease?

Managing symptoms and ensuring adequate intake of tryptophan and other essential nutrients.

p.1
Branched Chain Amino Acids (BCAAs)

What role does Valine serve during starvation?

It serves as an alternate source of fuel for the brain.

p.1
Metabolism of Valine, Leucine, and Isoleucine

What is the first step in the metabolism of Valine?

Transamination to form Alpha keto isovaleric acid.

p.1
Metabolism of Valine, Leucine, and Isoleucine

What are the end products of Valine metabolism?

SuccinylCoA.

p.24
Tryptophan Metabolism and Derivatives

What is the role of tryptophan in metabolism?

Tryptophan is a precursor for serotonin and melatonin, affecting mood and sleep.

p.15
Clinical Implications of Amino Acid Disorders

What does the accumulation of kynurenine lead to?

Excretion of xanthurenic acid in the urine.

p.21
Alkaptonuria

When do symptoms of ochronosis typically develop in alkaptonuria patients?

During the 3rd and 4th decade of life.

p.22
Inborn Errors of Metabolism

What is Hepatorenal Tyrosinemia also known as?

Tyrosinemia Type I or tyrosinosis.

p.24
Inborn Errors of Metabolism

What are the symptoms of Tyrosinemia?

Symptoms can include liver dysfunction, kidney problems, and neurological issues.

p.12
Aromatic Amino Acids

What cofactor aids in the transamination of Tyrosine?

Pyridoxal phosphate.

p.23
Inborn Errors of Metabolism

What toxic metabolites accumulate due to the enzyme deficiency in Neonatal Tyrosinemia?

Fumarylacetoacetate and maleylacetoacetate.

p.23
Inborn Errors of Metabolism

What type of diet is advised for patients with Neonatal Tyrosinemia?

A low protein diet, restricted in tyrosine and phenylalanine.

p.12
Aromatic Amino Acids

Which vitamin aids in the hydrolysis of hydroxy phenyl pyruvate?

Ascorbic acid.

p.25
Inborn Errors of Metabolism

What symptoms can result from tryptophan deficiency in Hartnup's Disease?

Pellagra-like symptoms and neurological issues.

p.25
Inborn Errors of Metabolism

Why might individuals with Hartnup's Disease need protective measures against sunlight?

Due to increased sensitivity associated with the condition.

p.21
Alkaptonuria

What are some symptoms of arthritis related to alkaptonuria?

Symptoms arise from the deposition of alkapton bodies in joints and cartilage.

p.12
Aromatic Amino Acids

What specialized products are derived from Tyrosine?

Melanin, catecholamines, and thyroxine.

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