METABOLISME ASAM AMINO
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Inadequate dietary protein is still a
major world problem
KWASHIORKOR - protein deficiency but adequate calories. Described in 1930s as “sickness of older child when new baby is born”, in language of Ga tribe of gold coast (now Ghana). Characteristic edema.
Two-year old child with kwashiorkor, before and two weeks after start of treatment with good protein.
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FAMINE EDEMA
Cause: inadequate synthesis of plasma proteins, especially albumin, so that osmotic pressure is not maintained and fluid escapes into tissues. Body water in extracellular space is increased relative to body weight. Extracellular water:
Normal ~23.5% Kwashiokor ~30%
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Protein-Energy Malnutrition
,Aka Marasmus, Protein-Calorie Deficiency,
starvation. Other nutrients (vitamins and
minerals) are also likely to be deficient. Starvation is usually the result of war, civil strife, drought, locusts. It especially affects infants and children; growth is slowed,
infections and other diseases are common.
Protein malnutrition,
continued
NY Times, 4/17/00 Ethiopian child
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Such extreme forms of malnutrition are rare in US, but protein deficiency can occur among:
• Pregnant and lactating women, unless they increase their protein intake. • Individuals with eating disorders (bulimia, anorexia).
• Elderly and chronically ill individuals who have lost interest in eating. • Chronic alcoholics and substance abusers.
• Hospital patients with major protein needs and limited capacity for intake
(e.g, post-surgery, severe burn victims).
• Patients with genetic disorders in amino acid absorption or metabolism.
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Dietary protein is the source of
essential amino acids
Dietary proteins provide the amino acids that humans cannot
synthesize - the “essential” amino acids. The “non-essential” amino acids can be synthesized endogenously from intermediates of
glycolysis or the TCA cycle.
Essential
Arginine (for children only) Histidine Isoleucine Leucine Lysine Methionine Phenylalanine Threonine Tryptophan Valine Non-essential Alanine Asparagine Aspartate Cysteine Glutamate Glutamine Glycine Proline Serine Tyrosine
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How much protein do we need?
• In contrast to fat and glucose, there is no significant storage pool for
amino acids; we must consume protein daily.
• Requirement for protein depends on age, sex, activity.
• Proteins differ in content of essential amino acids as well as
digestibility. Diets that rely on a single source of protein may be out of balance with our nutritional needs.
ALLOWANCE FOR PROTEIN
AGE g/kg g/day Infants (0-1) ~2.2 6.5-20 Children (1-10) 1.8 - 1.25 20- 38 Teens (11-18) 1.0 - 0.8 45-55 Adults (male) 0.8 56 (female) 0.8 44 Pregnant or lactating - 20 - 30% more Athletes 1.2 -1.7
REQUIREMENT OF PROTEIN FROM DIFFERENT SOURCES
(g/day for 70 kg human) Meat/fish/eggs/milk ~ 20-25 Non-vegetarian ~ 25-30
mixed diet
Mixed vegetables ~ 30-35 Single vegetable* up to 75
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PROTEIN AND AMINO ACID METABOLISM
Nitrogen excretion dietary protein amino acids endogenous proteins a-ketoacids, NH3 glucose, lipids energy other N compounds urea
Nitrogen balance
In N balance excretion = intake (healthy adult) Positive N balance excretion < intake (growth, pregnancy, tissue repair) Negative N balance excretion > intake (malnutrition, starvation illness, surgery, burns) digestion9
PROTEIN AND AMINO ACID METABOLISM
Dietary protein is first hydrolyzed to amino acids, then rebuilt into endogenous protein by translation. Nitrogen excretion dietary protein amino acids endogenous proteins a-ketoacids, NH3 glucose, lipids energy other N compounds urea DIGESTION TRANSLATION
10 • Mouth: chewing, degradation of starch by amylase make proteins more accessible.
• Stomach: acid pH denatures proteins; activates pepsinogen to cleave itself to pepsin, which initiates proteolysis.
• Duodenum: peptides from pepsin action stimulate release of cholecystekinin (pancreozymin). Cholecystekinin stimulates release of pancreatic
pro-enzymes and of enteropeptidase, a protease secreted by cells of the duodenum.
Digestion
• Pancreas (exocrine): secretion of trypsinogen, chymotrypsinogen, proelastase, procarboxypeptidase (inactive proenzymes)
11 • Duodenum: enteropeptidase activates trypsinogen to trypsin. Trypsin
activates the other proteases, each of which has different specificity. Dietary proteins converted to peptides and free amino acids.
Digestion
• Small intestine: larger peptides are degraded on the surface of intestinal epithelial cells, which absorb amino acids and small (di- and tri-) peptides. Cytoplasmic peptidases complete conversion of peptides to amino acids, which can enter the circulation.
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Protein and amino acid metabolism
Nitrogen excretion dietary protein amino acids endogenous proteins a-ketoacids, NH3 glucose, lipids energy other N compounds urea PROTEIN TURNOVER
Katabolisme Protein
Sumber
: diet, degradasi protein dalam tubuh
Protein
dicerna terlebih dahulu
sebelum
absorbsi
Proses cerna
: mulut, lambung, pankreas, dan
usus halus
Pencerna
: asam lambung dan berbagai
enzim protease
Hasil akhir
:
asam amino bebas
Transport
: berbagai cara; memerlukan energi
Pool Asam Amino
Siklus Urea Protein Diet Protein Tubuh
Asam Keto Sintesis Protein: Asam amino nonesensial Protein baru (struktural, enzim, hormon) Senyawa nitrogen lain: Heme, Purin, Pirimidin, dan Kreatin CO2 + H2O + ATP NH3 Urea Siklus Krebs
Metabolisme Asam Amino
Lokasi:
intraselular
Tahapan:
Pelepasan gugus α-amino (
transaminasi &
deaminasi oksidatif
)
Gugus amino
digunakan untuk
biosintesis asam
amino, nukleotida
, dll; atau disekresikan dalam
bentuk urea (
siklus urea
)
Asam
α-keto
(rangka karbon) dipecah menjadi
senyawa lain:
glukosa, CO2, asetil Ko-A,
atau
Katabolisme Asam Amino
Siklus
Urea
Glukosa
Keton
Asetil-KoA
CO2
UREA
Amino
Rangka karbon
Transaminasi:
transfer gugus
amino
ke asam
α-ketoglutarat
menghasilkan asam
glutamat
Deaminasi Oksidatif:
Pemecahan
Glutamat
menjadi
amonia
dan regenerasi
α-ketoglutarat
Membutuhkan enzim glutamat
dehidrogenase
α-ketoglutarat digunakan kembali
dalam
reaksi transaminasi
Amonia hasil dari pemecahan glutamat
digunakan untuk
sintesis asam amino baru,
sintesis nukleotida, atau senyawa amino lain
(porfirin, dll)
Amonia berlebih
diekskresikan dalam bentuk
urea
(pada primata) melalui
siklus urea
Reaksi siklus urea
1
:
Karbamoil fosfat sintase 1
kondensasi CO2 dengan amonia → karbamoil fosfat
2
:
Ornitin transkarbamoilase
kondensasi ornitin dengan karbamoil fosfat → sitrulin
3
:
Argininosuksinat sintetase
Kondensasi sitrulin dengan aspartat → argininosuksinat
4
:
Argininosuksinase
Pemecahan argininosuksinat → fumarat dan arginin
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: Arginase
Pemecahan arginin (dengan bantuan H
2O)→
urea
dan
ornitin
1
2
3
Katabolisme rangka karbon asam amino
Rangka karbon 20 asam amino mengalami metabolisme
lanjut yang berbeda
Terdiri dari 2 kelompok besar
Ketogenik
: didegradasi menjadi
senyawa antara
metabolisme asam lemak
; asetil-KoA atau
asetoasetat
Glukogenik
: didegradasi menjadi
senyawa antara
glikolisis atau SAS
; piruvat, α-ketoglutarat,
Suksinil-CoA, Fumarat, dan oxaloasetat
Alanin, Sistein, Glisin, Treonin, Triptofan, Serin Arginin, Glutamat, Glutamin, Histidin, Prolin Isoleusin, Metionin, Valin
Asparagin, Aspartat Leusin, Lisin,
Fenilalanin, Triptofan, Tirosin Asetoasetat Isoleusin, Leusin, Lisin, Treonin Aspartat, fenilalanin, Tirosin Glukosa
AA esensial
Degradasi menjadi
Keto Gluko
Arginin
α-ketoglutarat
√
Fenilalanin
Fumarat, asetoasetil-KoA
√
√
Histidin
α-ketoglutarat
√
Isoleusin
Suksinil-KoA, asetil-KoA
√
√
Leusin
Asetil-KoA, asetoasetil-KoA
√
Lisin
Asetoasetil-KoA
√
Metionin
Suksinil-KoA
√
Treonin
Suksinil-KoA, piruvat
√
Triptofan
Piruvat, asetil-KoA,
asetoasetil-KoA
√
√
AA
non-esensial
Degradasi menjadi
Keto Gluko
Alanin
Piruvat
√
Asparagin
Oksaloasetat
√
Aspartat
Oksaloasetat, fumarat
√
Glisin
Piruvat
√
Glutamat
α-ketoglutarat
√
Glutamin
α-ketoglutarat
√
Prolin
α-ketoglutarat
√
Serin
Piruvat
√
Sistein
Piruvat
√
Biosintesis Asam Amino
•
Semua asam amino disintesis dari
senyawa antara, kecuali
tirosin
disintesis dari asam amino
esensial fenilalanin
•
Asam amino esensial
: untuk
sintesis protein, tidak dapat
dibuat sendiri oleh tubuh,
terdapat pada makanan
•
Asam amino non esensial
:
dapat dibuat oleh tubuh
O2 H2O Fenilalanin hidroksilase Fenilalanin Tirosin
PKU (PhenylKetonUria) : Lack of Phenylalanine hidroxylase