Biochemistry
10 questionsConcentration of which is inversely related to the risk of coronary heart disease?
Apolipoprotein E is rich in
Which enzyme catalyzes oxidative deamination?
Transamination of Aspartate forms which compound?
Which type of bond is primarily responsible for the primary structure of a protein?
Which of the following lipoproteins is most strongly associated with an increased risk of cardiovascular diseases and is commonly referred to as "bad cholesterol"?
Sweaty feet odor in urine is seen in which condition?
What does salvage purine synthesis refer to?
Krabbe's disease is due to deficiency of ?
Which of the following statements about LDL is false?
NEET-PG 2013 - Biochemistry NEET-PG Practice Questions and MCQs
Question 301: Concentration of which is inversely related to the risk of coronary heart disease?
- A. VLDL
- B. LDL
- C. HDL (Correct Answer)
- D. None of the options
Explanation: ***HDL*** - **High-density lipoprotein (HDL)** is known as "good cholesterol" because it helps remove excess cholesterol from the arteries and transport it back to the liver for excretion. - Higher levels of HDL are generally associated with a **lower risk of coronary heart disease (CHD)**, hence the inverse relationship. *VLDL* - **Very low-density lipoprotein (VLDL)** carries triglycerides and cholesterol and is considered an independent risk factor for CHD when present in high concentrations. - High VLDL levels are associated with an **increased risk of CHD**, not an inverse relationship. *LDL* - **Low-density lipoprotein (LDL)** is often referred to as "bad cholesterol" because it contributes to plaque buildup in arteries (**atherosclerosis**). - High levels of LDL are strongly associated with an **increased risk of CHD**, indicating a direct, not inverse, relationship. *None of the options* - This option is incorrect because HDL clearly demonstrates an **inverse relationship** with the risk of coronary heart disease.
Question 302: Apolipoprotein E is rich in
- A. Methionine
- B. Lysine
- C. Histidine
- D. Arginine (Correct Answer)
Explanation: ***Arginine*** - **Apolipoprotein E (apoE)** is notably rich in **basic amino acids**, with **arginine** being particularly abundant. - The high content of **positively charged arginine residues** is critical for apoE's ability to bind to negatively charged lipid surfaces and interact with receptors such as the **LDL receptor** and **LDL receptor-related protein (LRP)**. - This arginine-rich composition is a defining characteristic of apoE and is essential for its role in **lipid metabolism** and **receptor-mediated lipoprotein uptake**. *Lysine* - While apoE does contain **lysine** (another basic amino acid), it is **arginine** that is particularly abundant and functionally emphasized. - Both lysine and arginine contribute positive charges, but **arginine residues** are specifically highlighted in apoE's **receptor binding domains** and are more characteristic of this apolipoprotein. *Histidine* - **Histidine** is also a **basic amino acid**, but it is not present in the same high proportions as **arginine** in apoE. - Its pKa (~6.0) is closer to physiological pH, meaning its charge state can vary, making it less consistently positive than arginine or lysine in biological contexts. - Histidine is not a defining feature of apoE's amino acid composition. *Methionine* - **Methionine** is a **sulfur-containing, nonpolar amino acid**, not a basic amino acid. - It does not contribute to the positive charge characteristic of apoE. - Its role in proteins is typically structural or as the initiator of protein synthesis (as the first amino acid), but it is not relevant to apoE's receptor-binding properties.
Question 303: Which enzyme catalyzes oxidative deamination?
- A. Glutaminase
- B. Glutamine synthase
- C. Glutamate dehydrogenase (Correct Answer)
- D. None of the options
Explanation: ***Glutamate dehydrogenase*** - This enzyme catalyzes the conversion of **glutamate** to **α-ketoglutarate** and ammonia (NH₃), which is an oxidative deamination reaction. - It utilizes **NAD⁺ or NADP⁺** as a coenzyme to remove hydrogen atoms during the oxidation process. - Plays a crucial role in both **amino acid catabolism** and anabolism. *Glutaminase* - This enzyme hydrolyzes **glutamine** to glutamate and ammonia, which is a **hydrolytic deamidation** reaction, not an oxidative deamination. - It does not involve the oxidation of the substrate or require NAD⁺/NADP⁺ as cofactors. *Glutamine synthase* - This enzyme synthesizes **glutamine** from glutamate and ammonia, using ATP, which is a **biosynthetic** reaction, not a catabolic deamination. - It is involved in **ammonia detoxification** and amino acid synthesis, functioning in the opposite direction of deamination. *None of the options* - This option is incorrect because **glutamate dehydrogenase** is a valid correct answer. - Glutamate dehydrogenase is the primary enzyme responsible for oxidative deamination in human metabolism.
Question 304: Transamination of Aspartate forms which compound?
- A. Pyruvate
- B. Acetyl-CoA
- C. Oxaloacetate (Correct Answer)
- D. Alanine
Explanation: ***Oxaloacetate*** - **Aspartate** is transaminated by **aspartate aminotransferase (AST)**, transferring its alpha-amino group to **alpha-ketoglutarate**. - This reaction converts aspartate into its corresponding alpha-keto acid, which is **oxaloacetate**. *Pyruvate* - **Pyruvate** is the alpha-keto acid corresponding to the amino acid **alanine**. - Transamination of **alanine** yields **pyruvate**, not aspartate. *Acetyl-CoA* - **Acetyl-CoA** is not a direct product of amino acid transamination; it is formed from **pyruvate** or fatty acid oxidation. - It functions as a key metabolic intermediate in energy production and biosynthesis. *Alanine* - **Alanine** is an amino acid, and therefore a reactant in transamination reactions to form pyruvate, rather than a product of aspartate transamination. - While it can be formed from pyruvate via transamination, it is not formed from aspartate.
Question 305: Which type of bond is primarily responsible for the primary structure of a protein?
- A. Hydrogen bond
- B. Disulfide bond
- C. Peptide bond (Correct Answer)
- D. Electrostatic bond
Explanation: ***Peptide bond*** - The **primary structure** of a protein is defined by the unique linear sequence of **amino acids** linked together by **peptide bonds**. - These are **amide bonds** formed between the carboxyl group of one amino acid and the amino group of another, with the elimination of water. *Hydrogen bond* - **Hydrogen bonds** are crucial for the **secondary structure** (e.g., alpha-helices and beta-sheets) and **tertiary/quaternary structures** of proteins, stabilizing their 3D folds. - They involve interactions between polar atoms, not the direct linkage of amino acids in the primary sequence. *Disulfide bond* - **Disulfide bonds** are **covalent bonds** formed between the sulfur atoms of two **cysteine residues**, contributing to the **tertiary** and sometimes **quaternary structure** stability. - They are not involved in forming the linear sequence of amino acids, which is the primary structure. *Electrostatic bond* - **Electrostatic bonds**, or **ionic bonds**, occur between oppositely charged amino acid side chains and are important for **tertiary** and **quaternary structure** stability. - They do not form the backbone of the protein's primary sequence.
Question 306: Which of the following lipoproteins is most strongly associated with an increased risk of cardiovascular diseases and is commonly referred to as "bad cholesterol"?
- A. VLDL
- B. Chylomicron
- C. Lp (a)
- D. LDL (Correct Answer)
Explanation: ***LDL*** - **Low-density lipoprotein (LDL)** is commonly referred to as "bad" cholesterol because elevated levels are the **primary driver** of atherosclerotic plaque buildup in arterial walls. - LDL particles transport cholesterol from the liver to peripheral tissues; when present in excess, they infiltrate the arterial intima and undergo oxidative modification, triggering inflammatory responses that lead to atherosclerosis. - **Clinical significance:** LDL cholesterol is the primary target of lipid-lowering therapy in cardiovascular disease prevention. *VLDL* - **Very low-density lipoprotein (VLDL)** primarily transports endogenously synthesized **triglycerides** from the liver to peripheral tissues. - While elevated VLDL levels do contribute to cardiovascular risk (particularly through conversion to small, dense LDL particles), it is not the primary lipoprotein targeted in cardiovascular risk assessment. *Chylomicron* - **Chylomicrons** transport **dietary lipids** (triglycerides and cholesterol) from the intestines to tissues after meals. - They are rapidly cleared from circulation (half-life of 5-10 minutes) and are typically not present during fasting, making their contribution to chronic atherosclerotic plaque formation minimal. *Lp(a)* - **Lipoprotein(a) [Lp(a)]** is structurally similar to LDL but contains an additional apolipoprotein(a) molecule, which has homology to plasminogen and may interfere with fibrinolysis. - While Lp(a) is an independent cardiovascular risk factor, it is less commonly measured in routine clinical practice, and **LDL remains the cornerstone lipoprotein** for cardiovascular risk stratification and management.
Question 307: Sweaty feet odor in urine is seen in which condition?
- A. Phenylketonuria
- B. Isovaleric acidemia (Correct Answer)
- C. Alkaptonuria
- D. Maple syrup urine disease
Explanation: ***Isovaleric acidemia*** - This condition is characterized by a distinctive "sweaty feet" odor in body fluids, including urine, due to the accumulation of **isovaleric acid**. - It results from a deficiency in the enzyme **isovaleryl-CoA dehydrogenase**, which is crucial for leucine metabolism. *Phenylketonuria* - Patients with **phenylketonuria (PKU)** typically have a "mousy" or "musty" odor in their urine, not a sweaty feet smell. - This is due to the accumulation of **phenylalanine** and its metabolites. *Maple syrup urine disease* - This metabolic disorder is named for the characteristic sweet, maple syrup-like odor of the urine, which is distinctly different from a sweaty feet odor. - It is caused by a defect in the metabolism of **branched-chain amino acids (leucine, isoleucine, and valine)**. *Alkaptonuria* - This condition is known for urine that turns **dark brown or black** upon standing or when exposed to air, due to the oxidation of **homogentisic acid**. - It does not produce a sweaty feet odor.
Question 308: What does salvage purine synthesis refer to?
- A. Synthesis of purine nucleotides from purine bases (Correct Answer)
- B. Synthesis of purine nucleotides from ribose-5-phosphate
- C. Synthesis of purine nucleotides from simple precursors (de novo synthesis)
- D. Synthesis of purine nucleotides from degraded RNA
Explanation: ***Synthesis of purine nucleotides from purine bases*** - **Salvage pathways** recycle pre-existing purine or pyrimidine bases (from nucleic acid degradation) by re-attaching them to a **ribose phosphate** to form a new nucleotide. - This process is energy-efficient as it bypasses several steps of the de novo synthesis pathway, utilizing enzymes like **adenine phosphoribosyltransferase (APRT)** and **hypoxanthine-guanine phosphoribosyltransferase (HGPRT)**. *Synthesis of purine nucleotides from ribose-5-phosphate.* - While **ribose-5-phosphate** is a precursor, the complete synthesis from this molecule is part of the **de novo pathway**, which starts with PRPP (phosphoribosyl pyrophosphate) formation from ribose-5-phosphate. - This option does not specify the direct reuse of a pre-formed purine base, which is the hallmark of salvage. *Synthesis of purine nucleotides from simple precursors (de novo synthesis).* - **De novo synthesis** is the creation of nucleotides from scratch using simple metabolic precursors like amino acids (glycine, aspartate, glutamine), CO2, and THF derivatives. - This contrasts with salvage pathways, which recycle existing bases. *Synthesis of purine nucleotides from degraded RNA.* - Degraded RNA breaks down into **nucleotides**, which can then be further broken down into **purine bases** and ribose phosphates. - The direct synthesis of purine nucleotides from *degraded RNA* involves recovering the individual bases or nucleosides, then converting them to nucleotides via salvage, not directly using the entire degraded RNA.
Question 309: Krabbe's disease is due to deficiency of ?
- A. Sphingomyelinase
- B. Beta galactocerebrosidase (Correct Answer)
- C. Hexosaminidase
- D. Arylsulfatase
Explanation: ***Beta galactocerebrosidase*** - Krabbe's disease is specifically caused by a deficiency of **beta-galactocerebrosidase**, leading to the accumulation of toxic substances in the brain [1]. - This disease predominantly affects the **myelin sheath**, resulting in severe neurological deterioration [1]. *Arylsulfatase* - Deficiency of **arylsulfatase** is associated with **metachromatic leukodystrophy**, not Krabbe's disease. - Symptoms and pathology differ significantly, primarily affecting **sulfatides** rather than galactocerebrosides. *Sphingomyelinase* - A deficiency of **sphingomyelinase** is linked to **Niemann-Pick disease**, characterized by splenomegaly and liver involvement. - This condition does not involve the same neurological deterioration seen in Krabbe's disease. *Hexosaminidase* - Hexosaminidase deficiency is associated with **Tay-Sachs disease**, primarily affecting the **GM2 gangliosides** [2]. - This results in different clinical manifestations, such as **cherry-red spots** and progressive neurodegeneration, rather than the symptoms of Krabbe's disease [2]. **References:** [1] Kumar V, Abbas AK, et al.. Robbins and Cotran Pathologic Basis of Disease. 9th ed. The Central Nervous System, pp. 1304-1305. [2] Kumar V, Abbas AK, et al.. Robbins and Cotran Pathologic Basis of Disease. 9th ed. Genetic Disorders, p. 161.
Question 310: Which of the following statements about LDL is false?
- A. More dense than chylomicron
- B. Transports maximum amount of lipid (Correct Answer)
- C. Contains maximum cholesterol
- D. Smaller than VLDL
Explanation: ***Transports maximum amount of lipid*** - This statement is false because **chylomicrons**, not LDL, are primarily responsible for transporting the **maximum amount of dietary lipids** (triglycerides) from the intestines to various tissues. - While LDL does transport lipids, its primary role is to deliver **cholesterol** to cells, and it contains a lower proportion of triglyceride compared to chylomicrons and VLDL. *More dense than chylomicron* - This statement is true; **LDL is denser than chylomicrons** because it has a higher protein-to-lipid ratio. - **Chylomicrons** are the least dense lipoproteins due to their very high triglyceride content. *Smaller than VLDL* - This statement is true; **LDL is smaller than VLDL** (Very Low-Density Lipoprotein). - VLDL particles are larger and contain more triglycerides, which are gradually removed, leading to the formation of smaller LDL particles. *Contains maximum cholesterol* - This statement is true; **LDL contains the highest proportion of cholesterol** (specifically, **cholesterol esters**) among the lipoproteins. - This characteristic makes LDL the primary carrier for delivering cholesterol to peripheral tissues.