Tagged: Glutamate

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Case study- Hyperammonemia

Question of the day -Hyperammonemia A new-born becomes progressively lethargic after feeding. His respiratory rate increases and he becomes virtually comatose, responding only to painful stimuli, and exhibits mild respiratory alkalosis. Suspicion of a urea cycle disorder is aroused and evaluation of serum amino acid levels is initiated. In the presence of hyperammonemia, production of which of the following amino acids is always increased? A. Glycine B. Arginine C. Proline D. Histidine E. Glutamine Answer- The correct answer is Glutamine. Urea cycle disorder results in reduced ammonia disposal and hence the patients present with symptoms of hyperammonemia. Ammonia is detoxified by...

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A common intermediate of Urea and TCA cycle

Question of the day Which one of the following can be converted to an intermediate of either the citric acid cycle or urea cycle? A. Tyrosine B. Lysine C. Leucine D. Tryptophan E. Aspartate Answer- The correct answer is- E -Aspartate. 1) Role of Aspartate in urea cycle Aspartate participates in urea cycle for condensation with citrulline to form Argino succinic acid. The reaction is catalyzed by Argino succinic acid synthetase (Aspartate provides one out of the two nitrogens of urea, the other nitrogen is contributed by Glutamate). In the subsequent reaction, Argino succinic acid undergoes a lytic reaction to...

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Which amino acid is both glucogenic as well as ketogenic ?

A 54-year-old male who was diagnosed with HIV (human immuno deficiency virus) infection 2 years back, is currently in the terminal stage. He is now cachectic and having a difficult time obtaining any caloric intake yet he refuses to take a naso gastric or gastric feeding tube. Since his muscle and organs are metabolically active, which of the following amino acids will produce both glucose and ketone bodies as an energy source? A. Alanine B. Tyrosine C. Proline D. Glycine E. Leucine The correct answer is B- Tyrosine. Amino acids can be classified based on their metabolic fate- I) Purely...

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Case study- Starvation

Case details A 25 –year-old woman living alone became severely depressed after the termination of her engagement. Two months later, she was brought to the emergency room by a friend because of weakness and lethargy. She appeared thin and pale. Questioning revealed that she had not eaten for several weeks. Analysis of a plasma sample indicated elevated levels of acetoacetate, β hydroxybutyrate, and blood urea nitrogen (BUN). However her plasma glucose concentration was within normal limits. She was hospitalized, given intravenous feeding and antidepressant medications and subsequently shifted to an 1800 Cal (7500 kJ) diet. Her recovery was uneventful. During...

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Answer- Case study- Oral contraceptives induced vitamin deficiencies

Case Details Oral contraceptives are known to lower blood levels of folate and vitamin B6. Which of the following conversion processes might be directly affected? A. Ornithine to Citrulline B. Histidine to histamine C. Glutamate to Glutamine D. Propionyl co A to Methyl malonyl co A E. Phenyl alanine to Tyrosine Answer- B- The correct answer is conversion of Histidine to histamine. The reaction is catalyzed by decarboxylase that requires B6-P as a cofactor (Figure-1) that gets deficient in women upon long-term oral contraceptive usage. Folic acid is not required in this reaction. Figure-1- Decarboxylation of Histidine is carried out...

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Case- Oral contraceptive induced Vitamin deficiencies

Question of the day Oral contraceptives are known to lower blood levels of folate and vitamin B6. Figure- Oral contraceptives Which of the following conversion processes might be directly affected ? A. Ornithine to Citrulline B. Histidine to histamine C. Glutamate to Glutamine D. Propionyl co A to Methyl malonyl co A E. Phenyl alanine to Tyrosine For answer follow the link http://usmle.biochemistryformedics.com/answer-case-study-oral-contraceptives-induced-vitamin-deficiencies/ Please help Biochemistry for Medics by “CLICKING ON THE ADVERTISEMENTS” every time you visit us. Thank you!

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