Amino Acid Metabolism Practice Questions

Q: Which enzyme deficiency is responsible for Hyperammonemia type-1?

Carbamoyl phosphate synthetase I (CPS-1) deficiency. ***Carbamoyl phosphate synthetase I (CPS-1) deficiency*** - This enzyme deficiency is classified as **Hyperammonemia type-1**, or **CPS1 deficiency**, and results in the inability to initiate the urea cycle. - **CPS-1** catalyzes the first committed step of the urea cycle, combining ammonia and bicarbonate to form carbamoyl phosphate. *Arginase deficiency* - This deficiency causes **Hyperargininemia**, which is a disorder of the urea cycle distinct from Hyperammonemia type-1. - Arginase is involved in the final step of the urea cycle, converting arginine to urea and ornithine. *Arginosuccinate lyase deficiency* - This deficiency leads to **Argininosuccinic aciduria**, another urea cycle disorder. - **Arginosuccinate lyase** is responsible for breaking down argininosuccinate into arginine and fumarate. *Arginosuccinate synthase deficiency* - This deficiency causes **Citrullinemia type 1**, a metabolic disorder characterized by high levels of citrulline and ammonia. - **Arginosuccinate synthase** catalyzes the condensation of citrulline and aspartate to form argininosuccinate.

Q: Which of the following is a non-essential amino acid?

Tyrosine. ***Tyrosine*** - **Tyrosine** is considered a **non-essential amino acid** because the human body can synthesize it from the essential amino acid **phenylalanine**. - This synthesis occurs via the enzyme **phenylalanine hydroxylase**, making its dietary intake not strictly necessary if phenylalanine is available. *Phenylalanine* - **Phenylalanine** is an **essential amino acid**, meaning the human body **cannot synthesize it** and it must be obtained through the diet. - It serves as a precursor for various important molecules, including tyrosine, contributing to neurotransmitter synthesis. *Lysine* - **Lysine** is an **essential amino acid** that the human body **cannot synthesize** and must be acquired from dietary sources. - It plays a crucial role in **protein synthesis**, calcium absorption, and the production of hormones and enzymes. *Threonine* - **Threonine** is another example of an **essential amino acid** that the human body is **unable to produce** on its own. - It is important for the formation of **collagen** and elastin, and contributes to immune function.

Q: Which of the following enzymes is not involved in the urea cycle?

CPS-II. ***CPS-II*** - Carbamoyl phosphate synthetase II is involved in **pyrimidine synthesis**, not the urea cycle. - It uses **glutamine** as a nitrogen donor and is located in the **cytosol**. *CPS-I* - Carbamoyl phosphate synthetase I is the **rate-limiting enzyme** of the urea cycle. - It catalyzes the formation of **carbamoyl phosphate** from **ammonia**, CO2, and ATP in the mitochondria. *Arginase* - Arginase is the **final enzyme** in the urea cycle, converting **arginine** to **ornithine** and **urea**. - This reaction occurs in the cytosol and releases urea for excretion. *Argininosuccinate lyase* - Argininosuccinate lyase catalyzes the cleavage of **argininosuccinate** into **fumarate** and **arginine**. - This is a key step in regenerating arginine for the final step of the urea cycle.

Q: In starvation, nitrogen is primarily carried from muscle to liver and kidney by which amino acid?

Alanine. ***Alanine*** - During starvation, muscles break down proteins, and the amino groups from these proteins are transferred to **pyruvate** to form **alanine** via the **glucose-alanine cycle (Cahill cycle)**. - **Alanine** is then released into the bloodstream and transported primarily to the **liver**, where its carbon skeleton can be used for **gluconeogenesis** and the amino group enters the urea cycle. - Note: While alanine is the primary carrier to the liver, **glutamine** is the main nitrogen carrier to the kidney. However, among the given options, alanine is unequivocally the correct answer. *Aspartic acid* - While aspartate is involved in amino group transfer and is a crucial component of the **urea cycle**, it is not the primary carrier for inter-organ nitrogen transport from muscle to liver during starvation. - Its role is more localized within the liver for the urea cycle rather than as a transport amino acid. *Glycine* - Glycine plays roles in various metabolic pathways, including synthesis of heme, purines, and conjugation reactions, but it is not the primary amino acid for carrying nitrogen from muscle to liver during starvation. - Its small size and simple structure make it less suitable for efficient nitrogen transport compared to alanine. *Asparagine* - Asparagine has a minor role in nitrogen transport but is not the primary carrier during starvation. - It is synthesized from **aspartate** and ammonia and is typically involved in protein synthesis and nitrogen storage in some tissues.

Q: Which will activate carbamoyl phosphate synthase I?

N-acetyl glutamate. **N-acetyl glutamate** - **N-acetyl glutamate** is an **allosteric activator** of **carbamoyl phosphate synthase I (CPS I)**, which is the mitochondrial enzyme that catalyzes the first committed step of the **urea cycle**. - Its synthesis is stimulated by high levels of **arginine**, linking nitrogen load to urea production. *Acetyl-CoA* - Acetyl-CoA is a common **substrate** and **product** in various metabolic pathways, but it is not a direct activator of CPS I. - It is a precursor for the synthesis of **N-acetyl glutamate**, but does not activate CPS I directly. *Ornithine* - **Ornithine** is a key intermediate of the **urea cycle**, but it does not directly activate CPS I. - It combines with carbamoyl phosphate (the product of CPS I) in the second step of the urea cycle to form citrulline. *ATP* - **ATP** is a **substrate** used by CPS I to provide energy for the synthesis of carbamoyl phosphate. - While essential for the reaction, ATP itself does not act as an allosteric activator of the enzyme.

Q: Neonatal tyrosinemia is due to deficiency of which enzyme?

Hydroxyphenyl pyruvate hydroxylase. ***Hydroxyphenyl pyruvate hydroxylase*** - **Neonatal (transient) tyrosinemia** is caused by delayed maturation or deficiency of **hydroxyphenylpyruvate hydroxylase** (also called 4-hydroxyphenylpyruvate dioxygenase or HPPD). - This enzyme converts 4-hydroxyphenylpyruvate to homogentisic acid in tyrosine catabolism. - Common in **premature infants** and newborns, leading to elevated tyrosine levels in blood. - The condition is **benign and self-limiting**, usually resolving with **vitamin C supplementation** or as the enzyme matures. - Note: Severe hereditary deficiency of this enzyme causes **tyrosinemia type III**, a distinct and rare disorder. *Fumarylacetoacetate hydroxylase* - Deficiency of **fumarylacetoacetate hydroxylase (FAH)** causes **tyrosinemia type I** (hepatorenal tyrosinemia), NOT neonatal tyrosinemia. - This is a severe hereditary disorder with liver failure, renal tubular dysfunction, and accumulation of toxic metabolites like succinylacetone. - Distinct from the benign transient neonatal form. *Tyrosine transaminase* - Deficiency of **tyrosine transaminase** (tyrosine aminotransferase) causes **tyrosinemia type II** (Richner-Hanhart syndrome). - Presents with corneal ulcers, palmoplantar hyperkeratosis, and sometimes intellectual disability. *Tyrosinase* - Deficiency of **tyrosinase** causes **albinism**, characterized by lack of melanin pigment in skin, hair, and eyes. - Not involved in tyrosine catabolism but in melanin synthesis.

Q: Methionine can enter the TCA cycle at which level?

Succinyl-CoA. ***Succinyl - CoA*** - Methionine is a **glucogenic amino acid** that is catabolized to propionyl-CoA, which is then converted to **methylmalonyl-CoA** and finally to **succinyl-CoA**. - **Succinyl-CoA** is an intermediate of the **TCA cycle**, allowing methionine-derived carbons to enter the cycle. *Fumarate* - Fumarate is an intermediate of the TCA cycle, but methionine catabolism does not directly produce **fumarate**. - Amino acids like **phenylalanine** and **tyrosine** can be catabolized to fumarate. *Oxaloacetate* - **Oxaloacetate** is a TCA cycle intermediate and can be formed from **pyruvate** (via pyruvate carboxylase) or from certain amino acids like **aspartate** and **asparagine**. - Methionine does not directly convert to oxaloacetate. *Citrate* - **Citrate** is the first intermediate formed in the TCA cycle when **acetyl-CoA** combines with **oxaloacetate**. - Methionine catabolism does not lead to the direct formation of citrate.

Q: Carnitine is synthesised from -

Lysine. ***Lysine*** - **Carnitine** is synthesized in the liver and kidneys from the amino acids **lysine** and methionine. - **Lysine provides the essential carbon backbone** for carnitine synthesis (trimethyllysine is the actual precursor formed from protein-bound lysine residues). - Methionine contributes methyl groups via S-adenosylmethionine (SAM), but lysine is the primary structural precursor. *Arginine* - **Arginine** is a precursor for **nitric oxide**, urea, and creatine, but not a direct precursor for carnitine synthesis. - While arginine is an amino acid, its metabolic pathways are distinct from those involved in carnitine formation. *Histidine* - **Histidine** is a precursor for **histamine** and contributes to protein synthesis, but is not involved in carnitine biosynthesis. - Its metabolic fate differs significantly from the pathway leading to carnitine. *Choline* - **Choline** is a precursor for **acetylcholine** and phospholipids, but not directly for carnitine. - Although both choline and carnitine contain methyl groups, they have different biosynthetic origins.

Q: Where does oxidative deamination primarily occur in the human body?

Mitochondria of liver cells. ***Mitochondria of liver cells*** - **Oxidative deamination**, particularly of glutamate, is a central process in **amino acid catabolism** and occurs predominantly in the **mitochondria of liver cells**. - This process is crucial for removing the **amino group (NH3)** from amino acids, forming ammonia, which is then detoxified into urea. *Cytoplasm of all cells* - While cells have cytoplasmic metabolic pathways, the primary enzyme for oxidative deamination, **glutamate dehydrogenase**, is located in the mitochondria. - The cytoplasm primarily handles glycolysis and various synthetic pathways, but not the bulk of oxidative deamination. *Mitochondria of all cells* - Although mitochondria are the site of oxidative metabolism in most cells, the **liver** is the main organ responsible for processing exogenous amino acids and their subsequent comprehensive deamination. - Other cells perform some amino acid metabolism, but not the large-scale oxidative deamination seen in the liver. *Cytoplasm of liver cells* - The cytoplasm of liver cells is involved in various metabolic processes, including gluconeogenesis and fatty acid synthesis. - However, the key enzymes for oxidative deamination are specifically compartmentalized within the **mitochondria** of these cells, not the cytoplasm.

Q: Branched-chain ketoaciduria is due to a deficiency of which enzyme?

Branched-chain α-ketoacid dehydrogenase. ***Branched-chain α-ketoacid dehydrogenase*** - **Branched-chain ketoaciduria**, also known as **Maple Syrup Urine Disease (MSUD)**, is caused by a deficiency in the **branched-chain α-ketoacid dehydrogenase (BCKDH)** enzyme complex. - This enzyme complex is crucial for the oxidative decarboxylation of **branched-chain α-keto acids**, which are metabolites of the essential amino acids **leucine**, **isoleucine**, and **valine**. *α-ketoacid dehydrogenase* - This is a general term for enzymes that catalyze the oxidative decarboxylation of α-keto acids. - While **BCKDH** is a type of α-ketoacid dehydrogenase, stating **"α-ketoacid dehydrogenase"** alone is too broad and not specific enough to the metabolic pathway affected in MSUD. *Methylmalonyl-CoA mutase* - A deficiency in **methylmalonyl-CoA mutase** causes **methylmalonic acidemia**, a distinct inherited metabolic disorder. - This enzyme is involved in the metabolism of **valine**, **isoleucine**, **methionine**, and **threonine**, converting methylmalonyl-CoA to succinyl-CoA. *Fumarylacetoacetate hydrolase* - A deficiency in **fumarylacetoacetate hydrolase** is responsible for **tyrosinemia type 1 (hepatorenal tyrosinemia)**. - This enzyme is involved in the final step of **tyrosine degradation**, leading to the accumulation of toxic metabolites like fumarylacetoacetate and succinylacetone.

Question 1

Which enzyme deficiency is responsible for Hyperammonemia type-1?

Accepted Answer

Carbamoyl phosphate synthetase I (CPS-1) deficiency

Answer

Arginase deficiency

Answer

Arginosuccinate lyase deficiency

Answer

Arginosuccinate synthase deficiency

Question 2

Which of the following is a non-essential amino acid?

Accepted Answer

Tyrosine

Answer

Phenylalanine

Answer

Lysine

Answer

Threonine

Question 3

Which of the following enzymes is not involved in the urea cycle?

Accepted Answer

CPS-II

Answer

Arginase

Answer

Argininosuccinate lyase

Answer

CPS-I

Question 4

In starvation, nitrogen is primarily carried from muscle to liver and kidney by which amino acid?

Accepted Answer

Alanine

Answer

Glycine

Answer

Aspartic acid

Answer

Asparagine

Question 5

Which will activate carbamoyl phosphate synthase I?

Accepted Answer

N-acetyl glutamate

Answer

ATP

Answer

Acetyl-CoA

Answer

Ornithine

Question 6

Neonatal tyrosinemia is due to deficiency of which enzyme?

Accepted Answer

Hydroxyphenyl pyruvate hydroxylase

Answer

Tyrosine transaminase

Answer

Fumarylacetoacetate hydroxylase

Answer

Tyrosinase

Question 7

Methionine can enter the TCA cycle at which level?

Accepted Answer

Succinyl-CoA

Answer

Fumarate

Answer

Oxaloacetate

Answer

Citrate

Question 8

Carnitine is synthesised from -

Accepted Answer

Lysine

Answer

Histidine

Answer

Choline

Answer

Arginine

Question 9

Where does oxidative deamination primarily occur in the human body?

Accepted Answer

Mitochondria of liver cells

Answer

Cytoplasm of all cells

Answer

Mitochondria of all cells

Answer

Cytoplasm of liver cells

Question 10

Branched-chain ketoaciduria is due to a deficiency of which enzyme?

Accepted Answer

Branched-chain α-ketoacid dehydrogenase

Answer

Methylmalonyl-CoA mutase

Answer

Fumarylacetoacetate hydrolase

Answer

α-ketoacid dehydrogenase

Amino Acid Metabolism — MCQs

Amino Acid Metabolism — MCQs

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