m I n o c d S M E T B O L * Branched chain AA Valine Leucine Isoleucine

Based on their product they are either glycogenic or ketogenic m I n o c d S M E T B O L Valine,leucine and isoleucine are branched chain essential amino acids. These three AA initially undergo a common pathway and then diverge to result in different end product. Based on their product they are either glycogenic or ketogenic Valine-------------glycogenic Leucine------------ketogenic Isoleucine-----------both glycogenic&ketogenic

2. Oxidative decarboxylation. 3. Dehydrogenation. m I n o c d S M E T B O L The first three metabolic reactions are common to the branched chain amino acids 1. Transamination. 2. Oxidative decarboxylation. 3. Dehydrogenation. Transamination: the 3AA undergo transamination to form their respective ketoacids.

A m I n o c d S M E T B O L Schematic presentation of metabolic pathways of Br. Chain Amino Acids

Valine--------propionyl CoA--------Glucose m I n o c d S M E T B O L End result Valine--------propionyl CoA--------Glucose Leucine-------Acetyl CoA+Acetoacetate Isoleucine------- Propionyl CoA + Acetyl CoA Valine--------Glycogenic Leucine------- Ketogenic Isoleucine------Both

Autosomal recessive disease. n o c d S M E T B O L Metabolic Disorders of Branched Chain A.A. Maple Syrup Urine Disease Autosomal recessive disease. Block in the metabolism of leucine, Isoleucine. The oxidative decarboxylation of αketoacids do not occur. Branched chain ketoacids accumulate in the urine. Occurs at the end of the Ist week of life. .

Smell of the urine is just like burned sugar c d S M E T B O L Intolerance to milk. Mental retardation. Smell of the urine is just like burned sugar Diagnosis by urine chromatography. Harmful untreatable disease. Extensive brain damage in those who survive. Death occurs at the end of Ist year.

A m I n o c d S M E T B O L Histidine: Usually metabolized through histidase which act on histidine to split off ammonia and form urocanate.

Histidinemia: due to defect histidase. High level of histidine. B O L Histidine on decarboxylation ,gives the histamine which regulate HCl secretion by gastric mucosa Histidinemia: due to defect histidase. High level of histidine. Mentally retarded with defect in speech Harmful untratable

Arginine is cleaved by arginase to give urea and produce ornithine m I n o c d S M E T B O L Arginine: Arginine is cleaved by arginase to give urea and produce ornithine Hyperargininemia is inborn error of metabolism of arginine due to the defect in the enzyme arginase. Nitric oxide(NO): arginine is the substrate for the production of nitric oxide(NO)by the enzyme nitric oxide synthase

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NO functions as a vasodilator and muscle relaxant. B O L Function of NO It acts as endothelial derived releasing factor (EDRF) and cause smooth muscle relaxation. (General) NO functions as a vasodilator and muscle relaxant. It is the key molecule in the regulation of blood flow and the blood pressure. NO acts as inhibitor of platelets aggregation and adhesion. It functions as a messenger molecule of the nervous system (neurotransmitter). NO mediate the bacterial action of macrophages.

Aminoaciduria Excessive excretion of A.A. in urine. 2Types: B O L Aminoaciduria Excessive excretion of A.A. in urine. 2Types: 1.Overflow Aminoaciduria. 2.Renal Aminoaciduria.

Defective in reabsorption of AA while the renal threshold is normal. Renal Aminoaciduria: Defective in reabsorption of AA while the renal threshold is normal.

A m I n o c d S M E T B O L Overflow A.A. presented to the glomerulous over the renal threshold( above the reabsorptive ability of the tubules) either due to overproduction or due to accumulation of A.A

Defective in reabsorption of AA while the renal threshold is normal. Renal Aminoaciduria: Defective in reabsorption of AA while the renal threshold is normal. Specific Overflow------------ Non specific Renal------------- Specific

A m I n o c d S M E T B O L Overflow Specific: inherited diseases of AA metabolism presented to the glomerulous in a large amounts above the renal threshold. Phenylketonuria Tyrosinemia Homocystinuria Maple syrup Disease

A m I n o c d S M E T B O L Overflow non specific: AA presented to the glomeruli are different AA not related to each other over the renal threshold excreted in large amount in urine . Chronic Hepatitis

Renal SpecificAA:defective reabsorption m I n o c d S M E T B O L Renal SpecificAA:defective reabsorption Group of AA related to each other share in their structures. Hartnup disease defective absorption of tryptophan in the intestine)& (defective reabsorption in the tubules) Cystinuria(group of related AA (cysteine glycine arginine

Phosphate, Glucose, Bicarbonate Loss) m I n o c d S M E T B O L Renal non specific: loss of more than one AA not related to each other due to defective reabsorption ability. Fanconi Syndrome Acquired condition due to defect in renal tubules usually multiple , (Generalized aminoaciduria). Phosphate, Glucose, Bicarbonate Loss) (Proximal renal tubular acidosis) It may be inherited or secondary to other conditions

In general(my be regarded as a role) c d S M E T B O L In general(my be regarded as a role) All AA that are specific due to inherited disorders while all AA that are non specific are acquired due to diseases process.

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