BIOQUÍMICA 3ER PARCIAL Aminoacidos 26 08 25 — Transcript
Full transcript
- 0:01Hello, can you hear me? Let me know if
- 0:05you can hear me, please. Yes, doctor.
- 0:11Yes, we can hear you.
- 0:12Oh, okay. Perfect. Let's continue. So,
- 0:17since no one was answering, I thought,
- 0:18maybe it's not coming through well. We
- 0:27are looking at the catabolism of amino
- 0:30acid carbon skeletons, and we had said
- 0:33that the first thing amino acids do is
- 0:36lose their nitrogenous group, which
- 0:39becomes urea, and the rest are carbon
- 0:42skeletons that incorporate into keto
- 0:45acids or turn into specialized
- 0:47compounds. So they can lose their group
- 0:53, becoming oxidized hydrocarbons,
- 0:55degrading into amphibolic intermediates
- 0:58through reactions very similar to
- 1:00branched lipids, and each amino acid
- 1:02forms an amphibolic intermediate,
- 1:05particularly in the Krebs cycle. Here
- 1:10we have different amino acids that are
- 1:12incorporated into the different members
- 1:14of the Krebs cycle. The most important
- 1:17one, and the one that is always asked
- 1:19about, is alpha-ketoglutarate.
- 1:22Glutamate, and through glutamate,
- 1:24arginine and others here, are converted
- 1:26into glutamate, and glutamate is
- 1:28converted into alpha-ketoglutarate and
- 1:30incorporated directly into the Krebs
- 1:33cycle, giving us the idea that amino
- 1:35acids will participate via oxaloacetate
- 1:37in what will...
- 1:40Yes. Uh, you're not sharing your screen
- 1:43.
- 1:46Is it not visible or what? Let's see.
- 1:49Uh, what you're presenting is not
- 1:52visible.
- 1:53Let me go back to the beginning. Now
- 2:00it's visible. Now it's visible.
- 2:08Mm. It still isn't appearing for me,
- 2:10doctor.
- 2:12Let's see. It's not visible there
- 2:18either. One moment, please wait for me.
- 3:57Uh, tell me now if it's being shared,
- 4:00please. Yes, it's visible, doctor.
- 4:05Okay, let's continue. So, we had said
- 4:09that the carbon skeletons of the amino
- 4:12acids would be converted into Krebs
- 4:14cycle products, particularly as keto
- 4:17acids, and others turn into specialized
- 4:20compounds that interest us quite a lot.
- 4:23This is where we left off. Tell me now
- 4:26if it's visible, please. Glutamate is
- 4:29converted into alpha-ketoglutarate.
- 4:33Phenylalanine and tyrosine are
- 4:34converted into fumarate. Are we there?
- 4:37It's visible. Tell me if it's visible,
- 4:45please. Hello?
- 4:52Yes, doctor, it is visible.
- 4:53Ah, okay. Fantastic. Right. Uh, amino
- 4:58acids have many functions; they are
- 5:00very versatile, and one of the most
- 5:02important functions is to join together
- 5:04to form proteins, peptides, and
- 5:06polypeptides. Another form is part of
- 5:11phospholipids; we have
- 5:12phosphatidylserine, which is the amino
- 5:15acid that will generate this
- 5:17phospholipid that will act as a signal
- 5:19precursor. Others contribute
- 5:24nitrogenous groups; others serve to
- 5:26transport nitrogen, as written; others,
- 5:29to become specialized products that do
- 5:31interest us, those not only in the role
- 5:34of forming protein, but forming heme,
- 5:37creatinine, purines, pyrimidines,
- 5:39polyamines, nitric oxide, etcetera,
- 5:42which are very, very specific compounds
- 5:44derived from amino acids. Let's see how
- 5:49amino acids are converted into
- 5:51specialized products. So, we have
- 5:54glycine. Glycine is one of the simplest
- 5:58amino acids that exist. Glycine has a
- 6:01hydrogen group as an R group, and
- 6:04glycine participates in the synthesis
- 6:07of heme. One must remember that heme is
- 6:11a porphyrin and heme will serve to form
- 6:14hemoproteins. Glycine, glycine together
- 6:19with succinyl-CoA forms heme, and heme
- 6:22is therefore implicit in everything
- 6:25that will be oxygen transport or
- 6:27electron movement, and it comes thanks
- 6:30to glycine. Glycine participates in
- 6:33purines, there is no doubt about it.
- 6:36The purines adenine and guanine need
- 6:39glycine in their composition as donors
- 6:41of carbon and nitrogen. Glycine is part
- 6:46of glutathione; if there is something
- 6:49to remember, it is glutathione, and
- 6:51glutathione is a tripeptide. It is a
- 6:55compound that is formed in many cells,
- 6:57but particularly in the liver. And
- 7:00glutathione serves to regenerate
- 7:03cysteine. And glutathione, through the
- 7:07enzyme glutathione peroxidase, gets rid
- 7:09of hydrogen peroxides. Therefore, it is
- 7:14a first-line antioxidant; when the
- 7:16liver is failing, in cases of renal
- 7:19insufficiency, or when its functions
- 7:21are very, very poor, as a doctor, one
- 7:24prescribes glutathione to the patient
- 7:27to be consumed as an extra supplement.
- 7:32Glutathione is essential to avoid
- 7:34greater damage to the liver caused by
- 7:37free radicals and also particularly for
- 7:39the erythrocyte. The erythrocyte, if it
- 7:44does not have glutathione, undergoes
- 7:47hemolysis, and hemolysis occurs
- 7:49constantly due to the absence of
- 7:51glutathione; glycine serves to
- 7:54conjugate particularly with bile acids.
- 7:58If it joins with cholic bile acid, it
- 8:00forms glycocholic acid. And if it joins
- 8:03with chenodeoxycholic bile acid, it
- 8:06forms glycochenodeoxycholic acid, which
- 8:10are primary bile acids. It will also
- 8:13form hippuric acid, which is not of
- 8:14much importance in our environment, but
- 8:16it serves for conjugation. Synthesis of
- 8:19creatinine. Glycine is also immersed in
- 8:21this. Glycine will participate in
- 8:24creatine. Creatine will later be
- 8:27converted into creatinine and will
- 8:29serve as a biological marker compound
- 8:32for renal function, created in the
- 8:34liver, kidney, and muscle. So, notice,
- 8:37glycine, such a simple amino acid, has
- 8:40many roles. The other thing not
- 8:43mentioned here, but worth noting and
- 8:46remembering, is that they are part of
- 8:48collagen. Every three amino acids in
- 8:52collagen—remember, there are 20 types
- 8:54of collagen. In almost all types of
- 8:57collagen, in fact, in all types of
- 8:59collagen, glycine participates. Of
- 9:02every three amino acids in collagen,
- 9:04one of them is glycine. Therefore,
- 9:08glycine is also involved in collagen
- 9:11synthesis. Alanine will form
- 9:14pantothenic acid. It must be remembered
- 9:17that we do not produce pantothenic acid
- 9:19ourselves. Pantothenic acid is a
- 9:22vitamin that gives rise to coenzyme A,
- 9:26but in nature, it is formed from
- 9:30alanine, and alanine also forms acetate
- 9:34and pyruvate. Remember that pyruvate is
- 9:38the final product of glucose catabolism
- 9:41, or glycolysis. So, alanine is also an
- 9:45important amino acid, and another of
- 9:47its features is that it is one of the
- 9:50fastest amino acids. That is, alanine
- 9:54can very quickly travel from the
- 9:56intestine to the liver after its
- 9:59absorption. It is one of the amino
- 10:02acids that reaches the liver the
- 10:04fastest. Well, we have serine. Serine,
- 10:10as we said, will be part of sphingosine
- 10:13. Sphingosine is an amino alcohol that
- 10:17will be a specific part of
- 10:18phospholipids, and sphingosine is found
- 10:21in large quantities in a component
- 10:23called sphingomyelin. Serine will also
- 10:27participate in the synthesis of purines
- 10:29and pyrimidines. So, we can see how
- 10:32versatile amino acids are and that they
- 10:35don't just serve to form proteins.
- 10:38Methionine is the methyl donor par
- 10:41excellence. Methionine owes its name
- 10:45precisely to methyls because in its
- 10:47composition its R group is a methyl,
- 10:50and methionine will be incorporated
- 10:52into many chemical compounds through
- 10:55methyl donation, a process called
- 10:57methylation. One of the compounds that
- 11:02needs to be methylated and demethylated
- 11:05to function properly is DNA, which,
- 11:07thanks to methionine and other methyl
- 11:09donors, is capable of being methylated
- 11:12or demethylated. But anyway, in this
- 11:15case, methionine is a methyl donor, and
- 11:17that is what interests us a lot.
- 11:20Cysteine is an amino acid that, as
- 11:22mentioned, will be part of glutathione.
- 11:27It will also participate in the
- 11:29formation of coenzyme A and urinary
- 11:31sulfate. Don't forget that cysteine
- 11:36provides us with sulfur, and the source
- 11:38of sulfur we have in our body is thanks
- 11:40to cysteine. Cysteine has two sulfur
- 11:44molecules and usually uses one of them
- 11:47to bind with another cysteine and form
- 11:49a disulfide bond. Histidine forms a
- 11:54biogenic amine that is extraordinarily
- 11:57important in allergic reactions, which
- 12:00is called histamine. It is formed
- 12:03thanks to a single enzyme. Histidine is
- 12:05easily converted by histidine
- 12:07decarboxylase. Histamine is stored in
- 12:12mast cells and also in basophils. And
- 12:17at the moment an allergic reaction
- 12:19occurs, it is released from storage
- 12:20granules. It also gives rise to other
- 12:23compounds such as carnosine. Aspartic
- 12:27acid, or aspartate, will participate in
- 12:29the formation of pyrimidines. We must
- 12:33remember that pyrimidines are, like
- 12:35purines, important compounds for the
- 12:37synthesis of nucleic acids. And there
- 12:41we have cytosine, thymine, and uracil,
- 12:43which need aspartate or aspartic acid
- 12:46for their formation. Valine will form
- 12:51part of pantothenic acid. Notice the
- 12:54importance of pantothenic acid. A
- 12:55molecule that gives rise to coenzyme A,
- 12:58it has many amino acids that converge
- 13:00within it. Penicillin, which is a
- 13:04fungus that will later serve to treat
- 13:07microbes, is an antibiotic. It also has
- 13:11valine in its composition. Lysine will
- 13:13be found in other compounds, cadaverine
- 13:16and anabasine. Tryptophan is another
- 13:19important amino acid. Tryptophan is the
- 13:22largest amino acid we have and it is of
- 13:24great interest because it forms
- 13:26serotonin. Serotonin is also a biogenic
- 13:29amine. And serotonin will act as a
- 13:33neurotransmitter that will be involved,
- 13:36particularly in depression, mood,
- 13:39wakefulness, sleep, depression, and so
- 13:43on. When there are cells, particularly
- 13:46intestinal cells, that produce a lot of
- 13:49serotonin, the disease is called
- 13:52carcinoid disease. It is not cancer, it
- 13:55has nothing to do with cancer, but the
- 13:58word "carcinoid" was imposed due to a
- 14:00relationship and a misidentification
- 14:02over a century ago, and it remained as
- 14:04carcinoid disease, but it has nothing
- 14:06to do with cancer. Serotonin in the
- 14:10intestine, I repeat, gives rise to a
- 14:12disease that, due to excess serotonin,
- 14:15is called carcinoid disease, which
- 14:17particularly occurs in the appendix or
- 14:19other parts of the intestine. It can
- 14:22also be found in the bronchi, but it is
- 14:24primarily at the intestinal level.
- 14:27Tryptophan gives rise to nicotinic acid
- 14:29or NAD. NAD, do not forget, is a
- 14:34coenzyme derived from this vitamin,
- 14:36which is niacin or nicotinic acid, and
- 14:39NAD will act as a coenzyme that will
- 14:42transport reducing equivalents or
- 14:44hydrogens to the respiratory chain for
- 14:47energy generation. Tryptophan will form
- 14:52melatonin. Melatonin has been heavily
- 14:56hyped over the last 10 or more years as
- 14:59a specific sleep hormone, a happiness
- 15:01hormone, and so on. And it was believed
- 15:05that melatonin was produced exclusively
- 15:07in the pineal gland. Today it is known
- 15:11that wherever there is tryptophan,
- 15:13melatonin is produced, and there is
- 15:14tryptophan in all cells, I repeat,
- 15:16particularly at the level of intestinal
- 15:18, bronchial, and other cells.
- 15:21Indoleacetic acid has very little, uh,
- 15:24reference, rather it is a precursor of
- 15:27compounds that are formed from
- 15:30tryptophan. Tyrosine, tyrosine is
- 15:33another of the important amino acids.
- 15:37Tyrosine will form the skin pigment
- 15:40that is called melanin. People who have
- 15:44the disease of albinism lack an enzyme
- 15:47that converts tyrosine into melanin. It
- 15:51is a congenital disease that is seen,
- 15:53uh, relatively commonly in some parts
- 15:55of the world, it is not particularly
- 15:57everywhere. Where it is seen most
- 16:00curiously is in Africa. Africa has a
- 16:03black population per se, but from time
- 16:06to time albinos are born and it is a
- 16:08congenital deficiency of tyrosine, of
- 16:11tyrosinase, which is what it's called,
- 16:13and the pigment melanin is not produced
- 16:16. The pigments as such are not there,
- 16:21even though the melanin granules are
- 16:23present and even though the
- 16:24melanocyte-stimulating hormone is
- 16:26present, this pigment is not formed and
- 16:29the person acquires a white color,
- 16:31including the irises, which cease to
- 16:33have color. Tyrosine will form
- 16:37catecholamines and that matters a lot
- 16:39to us because without catecholamines we
- 16:41cannot live. The catecholamines are
- 16:45dopamine, noradrenaline, and adrenaline
- 16:48in our body. Obviously, they have a
- 16:51precursor which is dopa, but they are
- 16:53formed and the catecholamines regulate
- 16:55many functions, particularly those of
- 16:57the autonomic nervous system. And so we
- 17:01have that their origin is given by
- 17:03tyrosine. Tyrosine is an amino acid
- 17:06that we have said is within the three
- 17:08essential ones. It means that it is an
- 17:11amino acid that the body does not form.
- 17:15Tyrosine must enter through
- 17:17phenylalanine. Phenylalanine is
- 17:20converted into tyrosine and it is the
- 17:22tyrosine that will act. Phenylalanine,
- 17:25one must remember, is an essential type
- 17:28of amino acid that needs to be
- 17:30incorporated into the diet normally. It
- 17:34will also form other compounds, but
- 17:36those that do not interest us much,
- 17:39such as morphine, codeine, papaverine,
- 17:41mescaline, etc., which are opioid
- 17:44derivatives, particularly from opium,
- 17:46that are immersed or have tyrosine in
- 17:49their composition. Well, arginine will
- 17:53participate in the synthesis of
- 17:56creatinine and creatinine interests us
- 17:59a lot. Creatinine has two sites where
- 18:02it is formed, as I had told you, or
- 18:04three sites where it is formed: the
- 18:06kidney, the liver, and the muscle. And
- 18:09the creatinine that enters the blood is
- 18:12the muscle creatinine. But for it to
- 18:15reach the blood, it has to go through
- 18:17several processes. In the kidney,
- 18:20creatinine is formed starting from
- 18:22arginine. In the kidney, arginine
- 18:26combines with glycine. These are two
- 18:29amino acids that will form a compound
- 18:31called guanidinoacetic acid. And in
- 18:34that process, ornithine is also
- 18:36generated as a waste product. So,
- 18:39arginine plus glycine forms
- 18:41guanidinoacetate or guanidinoacetic
- 18:44acid. And this acid, this compound,
- 18:48will travel to the liver, and in the
- 18:50liver, it will meet another amino acid.
- 18:54So, we now have three amino acids
- 18:56participating: arginine, glycine, and
- 18:58methionine. We must remember that 90%of
- 19:02the time, methionine is adenylated and
- 19:04is called S-adenosylmethionine. So,
- 19:08S-adenosylmethionine donates the methyl
- 19:10group and exits as homocysteine. Do not
- 19:14forget that homocysteine will later
- 19:16serve as a marker, and the origin of
- 19:19homocysteine is particularly in
- 19:21methionine. So, the guanidinoacetic
- 19:24acid in the liver asks methionine to
- 19:26donate a methyl group. Methionine
- 19:30leaves as homocysteine, and creatine is
- 19:32formed, not creatinine, creatine.
- 19:36Creatine will be phosphorylated and
- 19:40will generate, will form, a compound
- 19:44called creatine phosphate. Creatine
- 19:48phosphate is formed thanks to the
- 19:50enzyme creatine phosphokinase. This
- 19:53creatine phosphate is rich in
- 19:55high-energy phosphates and is
- 19:58considered the reserve of high-energy
- 20:01phosphates in cells for when ADP needs
- 20:05to be reconverted into ATP. Do not
- 20:09forget that the ATP-ADP cycle exists,
- 20:12and the high-energy phosphates return
- 20:15to ADP to form ATP. A source of
- 20:19high-energy phosphates is therefore
- 20:22constituted by creatine phosphates,
- 20:24which are found in many cells, not just
- 20:27muscle cells. Now, returning to the
- 20:30subject, creatinine begins its
- 20:32synthesis with arginine and glycine in
- 20:35the kidney. Then in the liver, it joins
- 20:38with methionine, forming creatine.
- 20:41Creatine is phosphorylated and stored
- 20:43as creatine phosphate deposits. And
- 20:47once the body needs phosphates, it
- 20:49immediately releases the phosphates,
- 20:51and creatine phosphate turns into
- 20:52creatinine. And there we have the
- 20:57chemical compound creatinine, which is
- 20:59a cyclic compound, if you notice, that
- 21:01enters the blood, giving us blood
- 21:03creatinine levels. That creatinine in
- 21:08the blood is called creatinemia, and
- 21:10creatinemia must disappear very quickly
- 21:13via the kidneys because it lasts a very
- 21:15short time in circulation. It is then
- 21:19immediately filtered by the glomerulus
- 21:21and removed into the urine. The faster
- 21:25creatinine is cleared from the blood,
- 21:28the better renal function is. The less
- 21:33creatinine there is in the blood, the
- 21:35better renal function is. So,
- 21:38creatinine today is established as one
- 21:41of the most important tests to
- 21:43determine whether a person is entering
- 21:45renal failure or not. The normal
- 21:49creatinine value is 1.0, but some
- 21:51laboratories may consider up to 1.3.
- 21:56You must always look at the
- 21:58laboratory's reference, the method they
- 22:00use, and the normal range value they
- 22:02are using. So, the creatinine that has
- 22:06been formed in the muscle leaves the
- 22:08muscle and immediately goes into the
- 22:10blood, is filtered by the kidney, and
- 22:12ends up in the urine. We can determine
- 22:16creatinine in plasma or we can
- 22:18determine creatinine in urine if we are
- 22:20performing kidney function studies.
- 22:26Nitric oxide is another important
- 22:29compound. Nitric oxide is a gas, and
- 22:33nitric oxide is also formed from
- 22:35arginine. So, look at the very
- 22:38important role of arginine, not just in
- 22:41forming creatine or creatinine, but
- 22:44also in forming nitric oxide. For
- 22:48nitric oxide to be formed, there are
- 22:50many, many processes and there are
- 22:53activators of an enzyme called nitric
- 22:55oxide synthase, abbreviated as NOS.
- 23:01Nitric oxide synthase exists in an
- 23:03inactive form, and when it is
- 23:04phosphorylated, it turns into an active
- 23:07form. And there are different subtypes
- 23:11of nitric oxide synthase, because in
- 23:14different tissues there is neuronal
- 23:16nitric oxide synthase, endothelial
- 23:18nitric oxide synthase, and nitric oxide
- 23:21synthase from other tissues. So we have
- 23:24several nitric oxide synthases there
- 23:26that will participate, and for that,
- 23:28they have to be active. Nitric oxide
- 23:32synthase is the enzyme that converts
- 23:34arginine into nitric oxide, abbreviated
- 23:37as NO, and as a remnant, it forms
- 23:39citrulline. Very similar to what the
- 23:44formation of urea was. Remember that in
- 23:47the urea cycle, citrulline is also
- 23:49generated, as well as ornithine. Well,
- 23:53then we have arginine, thanks to active
- 23:56nitric oxide synthase, forming nitric
- 23:58oxide. This nitric oxide from the
- 24:03endothelial cells migrates, escaping as
- 24:05a gas into the smooth muscle that is in
- 24:08the vessels, the smooth muscle of the
- 24:11vessels. And in the smooth muscles of
- 24:14the vessels, it activates an enzyme
- 24:17called guanylate cyclase. We know
- 24:19guanylate cyclase perfectly well
- 24:22because, along with adenylate cyclase,
- 24:24they generate second messengers. In
- 24:27this case, guanylate cyclase is also
- 24:31activated and uses GTP as a substrate
- 24:34to form cyclic GMP. Cyclic GMP acts as
- 24:39a relaxant in the vascular smooth
- 24:42muscle. It is a relaxant of vascular
- 24:45smooth muscle. Therefore, nitric oxide
- 24:49produces a relaxation of the smooth
- 24:51muscle that leads to vasodilation; the
- 24:54muscle relaxes, allowing more blood
- 24:56flow, it relaxes further, vasodilates
- 24:59more, and is transporting more blood.
- 25:03Therefore, nitric oxide is an
- 25:05extraordinary vasodilator. It acts as a
- 25:08gas formed in neighboring cells, not
- 25:11directly in smooth muscle cells, but it
- 25:13crosses over and activates guanylate
- 25:16cyclase, which will have the effect of
- 25:19increasing the proportion of cyclic GMP
- 25:22that will act as a smooth muscle
- 25:24relaxing compound. Now, nitric oxide is
- 25:28activated by some compounds and not by
- 25:31others. There are nitric oxides that
- 25:35are activated by acetylcholine,
- 25:37bradykinin, substance P, and
- 25:38particularly calcium. But there are
- 25:42other nitric oxide synthase enzymes
- 25:44that are not activated directly by
- 25:46these compounds. Therefore, not all of
- 25:49them depend on bradykinin,
- 25:51acetylcholine, and calcium to be
- 25:53activated. They can be activated by
- 25:56other mechanisms, particularly stress,
- 25:59not necessarily biochemical substances
- 26:01that activate nitric oxide synthase
- 26:03that was inactive and turn it into
- 26:06active nitric oxide synthase. But what
- 26:10has been observed most, particularly
- 26:12attached to endothelial cells, is that
- 26:15calcium is the most important activator
- 26:18of nitric oxide synthase so that it can
- 26:20relax vascular smooth muscle. Nitric
- 26:25oxide is very important because, I
- 26:28repeat, its extreme ability to dilate
- 26:32vessels allows blood to enter many
- 26:35sites. Nitric oxide synthase is used
- 26:40today to produce nitric oxide in some
- 26:43pathologies, particularly in pulmonary
- 26:45hypertension. It is used in newborns
- 26:49and is utilized as chemical products.
- 26:55This is the case of sildenafil, which
- 26:57is also used for erectile dysfunction
- 27:00and serves to increase circulation
- 27:03capacity in the event of pulmonary
- 27:05hypertension or pulmonary atresia; this
- 27:08medication is used. Sildenafil is based
- 27:13on producing nitric oxide and
- 27:15activating cyclic GMP. Cyclic GMP, I
- 27:19repeat, produces relaxation. The
- 27:22relaxation of the vascular tone and
- 27:24muscle allows for greater blood intake,
- 27:27and in the case of erectile dysfunction
- 27:30, the intake of more blood ensures
- 27:32perhaps better sexual function. Well,
- 27:37ornithine; ornithine was a byproduct
- 27:40that was being formed by arginine, and
- 27:43ornithine forms polyamines. In the past
- 27:48, the role played by ornithine and the
- 27:50polyamines derived from ornithine was
- 27:53not known. Today, it is known that
- 27:56these compounds act as growth factors
- 27:59and stabilize DNA, therefore, they are
- 28:01not negligible. Ornithine will form
- 28:05putrescine, putrescine will form
- 28:07spermidine, spermidine will form
- 28:09spermine, and so on and so forth. And
- 28:13their origins are in the sites where
- 28:15their greatest activity was found. But
- 28:19I repeat, ornithine derived from urea
- 28:22synthesis and as a byproduct of
- 28:25arginine serves to form polyamines that
- 28:28act as growth factors. And all growth
- 28:32factors are those molecules that
- 28:34promote cell division or mitosis. And
- 28:37there we have putrescine, spermine, and
- 28:39spermidine. Well, glutamic acid is
- 28:42another extraordinarily important amino
- 28:46acid, and it is important because it
- 28:48acts as a neurotransmitter; excess
- 28:51glutamic acid can be deadly. Great
- 28:55amounts of glutamic acid should not be
- 28:58produced because its excitatory action
- 29:01can lead to seizures and can even be, I
- 29:04repeat, lethal. Glutamic acid,
- 29:08glutamate, is an acidic amino acid.
- 29:12This glutamate is going to be formed
- 29:15starting from alpha-ketoglutarate. And
- 29:20alpha-ketoglutarate is an intermediate
- 29:22of the Krebs cycle. So it will form
- 29:25glutamic acid. Glutamic acid will also
- 29:28form glutathione. Remember that
- 29:31glutathione is the tripeptide we
- 29:32mentioned, with antioxidant action and
- 29:35the ability to prevent erythrocyte
- 29:37hemolysis. It will also form glutamine.
- 29:41Glutamine is an amino acid that
- 29:43requires glutamate as a source of
- 29:45nitrogen to form its structure. And
- 29:48perhaps one of the most important
- 29:50things about glutamate is that it will
- 29:52generate an inhibitory neurotransmitter
- 29:54. We have two neurotransmitters. So,
- 29:57glutamate or glutamic acid as an
- 29:59excitatory one, and GABA as an
- 30:01inhibitory one. In cells where
- 30:05glutamate is formed, GABA is also
- 30:07formed, so they go hand in hand. And
- 30:10these cells, particularly, are cells of
- 30:13the basal nuclei of the brain where
- 30:15these compounds are formed. They are
- 30:18also formed in other cells, there is no
- 30:20doubt, but especially at the brain
- 30:21level. The cells that form glutamate
- 30:25are called glutamatergic. And the cells
- 30:28that are involved in the formation of
- 30:30GABA, which are the same or very close
- 30:32neighbors, are called GABAergic. So, if
- 30:36we look at a glutamatergic cell, there
- 30:39is a presynaptic terminal, and the
- 30:41Krebs cycle is there in the
- 30:43mitochondria forming
- 30:44alpha-ketoglutarate.
- 30:47Alpha-ketoglutarate forms glutamate.
- 30:51Glutamate can also come from glutamine,
- 30:53thanks to glutaminase, which removes a
- 30:56nitrogenous group. Glutamine has two
- 30:58nitrogenous groups, and through
- 31:00glutaminase, an amino or nitrogenous
- 31:03group is lost, and it turns into
- 31:05glutamate. Be that as it may,
- 31:07alpha-ketoglutarate or glutamine form
- 31:09glutamate. Glutamate is found in these
- 31:14glutamatergic cells and is immediately
- 31:17stored in small vesicles; glutamate
- 31:20needs to exit the cell and usually does
- 31:24so through a calcium-induced exocytosis
- 31:27mechanism, and when glutamate enters
- 31:30the synaptic cleft, it goes to find its
- 31:34receptors. Glutamate receptors are
- 31:38different receptors, each one of them.
- 31:42Some glutamate receptors are associated
- 31:45with G-proteins, meaning they are
- 31:48G-protein-coupled, and others are
- 31:50coupled or are ion channels. Therefore,
- 31:55glutamate receptors, which are AMPA,
- 31:58NMDA, and others, such as kainate and
- 32:01quisqualate, will act as modulators,
- 32:04whether for ions or G-proteins. The
- 32:09interesting thing about glutamate is
- 32:11that a large proportion of it,
- 32:14approximately 75-80%, returns to the
- 32:17cell of origin, and this is called
- 32:19reuptake. Reuptake, just like with
- 32:24serotonin and noradrenaline, is a
- 32:26normal physiological process of the
- 32:28molecule re-entering the cell that gave
- 32:30rise to it. In the case of serotonin,
- 32:35if you recall, serotonin is also taken
- 32:37back up and returns to its origin. And
- 32:40what is done for people suffering from
- 32:43depression is to prevent the reuptake
- 32:46of serotonin. I am referring to
- 32:50serotonin, not glutamate, and that
- 32:53avoidance or blocking of reuptake
- 32:56causes serotonin to accumulate in the
- 32:59synaptic cleft and seek its 5-HT1, HT2,
- 33:03HT3, etc., receptors, and modulate mood
- 33:06, libido, wakefulness, and so on;
- 33:09because serotonin is related to many
- 33:12functions, particularly mood. And
- 33:17selective serotonin reuptake inhibitors
- 33:20are used as antidepressant medications.
- 33:24Well, returning to glutamate, glutamate
- 33:27then experiences the same thing: it
- 33:29reaches the postsynaptic cells, seeks
- 33:32its receptors, and once it acts with
- 33:34the receptor, it functions as a ligand
- 33:36for that receptor. It returns to the
- 33:40cell of origin and glutamate circulates
- 33:43again, is converted into glutamine by
- 33:45glutamine synthetase, the glutamine
- 33:47enters, and through glutaminase, it is
- 33:49converted back into glutamate; and it
- 33:51is an endless cycle. Glutamate is an
- 33:55excitatory neurotransmitter that must
- 33:57always be present in basal cells. An
- 34:01excess of glutamate, as I had told you,
- 34:04due to its action on receptors and the
- 34:06ionic movement it produces, could at
- 34:09some point damage the cell, cause cell
- 34:11death, and be lethal to the human
- 34:14person. Well, here we have glutathione,
- 34:19derived from glutamate. We had said
- 34:22that glutamate is a neurotransmitter,
- 34:25an acidic amino acid that joins with
- 34:27cysteine to form the compound
- 34:29glutamylcysteine. This joins with
- 34:32glycine and forms glutathione. I never
- 34:36tire of saying that glutathione is one
- 34:39of the most important compounds and is
- 34:41a lifesaver in the event of liver
- 34:43failure. Glutathione should be used
- 34:47without any fear; it is a source of
- 34:50cysteines, and glutathione, together
- 34:52with N-acetylcysteine and sulfates,
- 34:54along with glutathione peroxidase,
- 34:57frees us from free radicals called
- 34:59hydrogen peroxides that cause a lot of
- 35:01damage to cellular structures. Well,
- 35:06GABA was formed from glutamate. Here we
- 35:12have glutamate, which forms GABA, and
- 35:15GABA is formed thanks to a single
- 35:17enzyme called glutamic acid
- 35:19decarboxylase. Notice that there are
- 35:23many decarboxylases, as a single enzyme
- 35:26, to form biogenic amines. And that
- 35:29decarboxylation, or loss of carbons,
- 35:31generates important compounds. In this
- 35:35case, glutamate, through a
- 35:36decarboxylase named glutamic acid
- 35:39decarboxylase, forms GABA. And GABA has
- 35:42its name, which is gamma-aminobutyric
- 35:45acid. GABA is a compound that will be
- 35:49formed, I repeat, together with
- 35:50glutamate; glutaminergic cells and the
- 35:53cells that will experience an
- 35:55accumulation of GABA will be called
- 35:57GABAergic cells. This GABA will
- 36:02accumulate in vesicles, and those
- 36:05vesicles will have a large amount of
- 36:08GABA inside until the moment when
- 36:11calcium enters, the membrane polarity
- 36:13is altered, and the moment the membrane
- 36:17polarity is altered, GABA begins to
- 36:19exit into the synaptic cleft, and GABA,
- 36:22upon leaving its GABAergic cells, goes
- 36:25into the synaptic cleft. And it will
- 36:30search for its receptors. The receptors
- 36:33for GABA are inhibitory receptors and
- 36:36excitatory receptors. There are two
- 36:39types of receptors that GABA has. The
- 36:43receptor that is most used, and which
- 36:45GABA uses most as a neurotransmitter,
- 36:48is the type A receptor, GABA A. And the
- 36:51GABA A receptor modulates the entry of
- 36:53chloride into the cells. So, the
- 36:58activation of the GABA receptor by GABA
- 37:02causes this compound to start
- 37:05introducing chloride into the cell,
- 37:08depolarizing the membrane and ending
- 37:12the excitatory nerve impulse that was
- 37:15occurring. GABA is a compound, an
- 37:19inhibitory neurotransmitter that
- 37:21decreases excitation through the excess
- 37:23entry of chloride through the GABA
- 37:25receptor. GABA and its receptor have
- 37:29several subunits. It is a compound of
- 37:32four or five subunits that forms a
- 37:35channel for chlorine, and the chlorine
- 37:37begins to enter. Chloride and sodium
- 37:41also enter the cells and will produce
- 37:44both an inhibitory and an excitatory
- 37:47action. If exclusively chloride enters,
- 37:51it is an absolutely inhibitory reaction
- 37:54, and if sodium enters, it will be an
- 37:57excitatory reaction. Be that as it may,
- 38:0280 to 90%of GABA receptors are GABA A.
- 38:04And the GABA A is therefore related to
- 38:07the reduction of the nerve impulse and
- 38:10the termination of the excitatory
- 38:12process. Albinism, as we have said, is
- 38:18due to a lack of an enzyme, and
- 38:20albinism is a set of inherited
- 38:23congenital conditions that affect
- 38:26humans and are characterized by a
- 38:28decrease in the pigment called melanin.
- 38:33in the skin, eyes, and hair. If you
- 38:37look here at the photograph, we have an
- 38:40African tribe or ethnic group, and the
- 38:43last children have albinism. They all
- 38:47have Negroid characteristics, with very
- 38:50dark skin, but the last children have
- 38:52very white skin, and their hair is even
- 38:55almost transparent. The same thing here
- 39:00: the parents are of Negroid origin and
- 39:02the children, despite their Negroid
- 39:05features, are white in color. So skin
- 39:09color doesn't mean anything. We humans
- 39:12are absolutely equal, and more melanin
- 39:14or less melanin is of no greater
- 39:16importance. Albinism presents with
- 39:19various genetic defects in the body,
- 39:22and it is unable to produce melanin. it
- 39:25does not produce melanin, which is the
- 39:27substance that gives rise to the color
- 39:28of the irises, the skin, the hair,
- 39:30etcetera. Albinism is hereditary, and
- 39:34it is seen that there is an alteration
- 39:36in chromosome 11q, the short arm of
- 39:39chromosome 11, and it is transmitted in
- 39:41an autosomal recessive manner. There
- 39:45are several types of albinism, and many
- 39:47people have dedicated themselves to
- 39:49studying albinism, type one or type two
- 39:50albinism. In type one albinism, the
- 39:55production of the melanin pigment is
- 39:57affected, and in type two, there is an
- 40:00effect or a defect in the P gene, which
- 40:03is the specific gene that is altered so
- 40:05that no melanin is produced at all.
- 40:10Both cases of albinism are similar;
- 40:12there is no melanin pigment, but as I
- 40:15said, it is characterized by type one
- 40:17or type two, where there is a defect in
- 40:20the P gene, which is apparently the
- 40:23gene responsible for the greater
- 40:25production of this pigment on
- 40:27chromosome 11. In non-albino
- 40:30individuals, melanocytes transform the
- 40:33amino acid tyrosine into the substance
- 40:35known as melanin. If we consider that
- 40:39melanin is a derivative of tyrosine, it
- 40:41could be considered a biogenic amine;
- 40:44it is also a substance that provides
- 40:46color, but it has no function other
- 40:49than to produce a pigment; it does not
- 40:51have other types of implicit activities
- 40:54. Melanin is synthesized after a series
- 40:58of reactions driven by the enzyme
- 41:00tyrosinase. If you notice, tyrosinase
- 41:04sounds very similar to the term
- 41:07tyrosine kinase, and tyrosine kinase is
- 41:10an enzyme found in all signaling
- 41:13processes of type three receptors. When
- 41:18the receptor has dimerized and been
- 41:20endocytosed, the tyrosine kinase is
- 41:22activated, which phosphorylates the
- 41:23tyrosine. But in this case, the enzyme
- 41:28is simply called tyrosinase, and
- 41:30tyrosinase deficiency is what causes
- 41:33albinism. On the other hand, the other,
- 41:37tyrosine kinase, alters the
- 41:38intracellular signal or the signals
- 41:40implied with the type three receptor.
- 41:45Noradrenaline and adrenaline are
- 41:47compounds that are formed from tyrosine
- 41:50. Tyrosine is hydroxylated,
- 41:53incorporates an OH group, and becomes
- 41:56dopa. Dopa, its name stands for
- 42:00dihydroxyphenylalanine. That is its
- 42:03name, dihydroxy because it has two
- 42:05hydroxyl groups on the phenylalanine.
- 42:07Tyrosine comes from phenylalanine.
- 42:10Tyrosine has been formed thanks to the
- 42:12hydroxylation of phenylalanine, which
- 42:14has been incorporated at this site, and
- 42:16the tyrosine in turn is hydroxylated
- 42:18again and becomes dopa. Dopa is
- 42:21decarboxylated thanks to the enzyme
- 42:24dopa decarboxylase, loses this COOH
- 42:26group, and becomes dopamine. There is
- 42:30now a free nitrogen group down there,
- 42:32and that is dopamine. Dopamine will be
- 42:36converted into another compound which
- 42:38will be called noradrenaline, and
- 42:40noradrenaline will be converted into
- 42:42adrenaline. Noradrenaline is the
- 42:46precursor compound for adrenaline, and
- 42:48here the introduction of a methyl group
- 42:51will occur. Thanks to methyltransferase
- 42:55, a methyl group is introduced, and
- 42:57noradrenaline is formed. So, we have
- 43:00that the synthesis of noradrenaline and
- 43:02adrenaline occurs in a sequence.
- 43:05Tyrosine, dopa, dopamine, noradrenaline
- 43:07, and adrenaline. Well, here we have
- 43:11the same thing. We see tyrosine.
- 43:13Tyrosine, thanks to tyrosine
- 43:15hydroxylase, becomes dopa. Dopa,
- 43:17through dopa decarboxylase, becomes
- 43:20dopamine. Dopamine, through dopamine
- 43:23beta-hydroxylase, becomes noradrenaline
- 43:26. Do not forget that noradrenaline in
- 43:29Anglo countries, in the United States
- 43:31and England, is called norepinephrine.
- 43:34And noradrenaline becomes adrenaline or
- 43:37epinephrine, also called that by the
- 43:39Americans. And here, thanks to a
- 43:41phenylethanolamine N-methyltransferase.
- 43:44What you have to remember from this are
- 43:47the enzymes: tyrosine hydroxylase, dopa
- 43:49decarboxylase, dopamine
- 43:51beta-hydroxylase, and the
- 43:52methyltransferase that will form the
- 43:54catecholamines in that sequence. Anyone
- 43:58who asks how catecholamines are
- 44:00synthesized must state the sequence.
- 44:02Tyrosine, dopa, dopamine, noradrenaline
- 44:05, and adrenaline. Here we have tyrosine
- 44:08. It has entered, has formed dopa, and
- 44:10the dopa has formed dopamine. Dopamine
- 44:14is stored in vesicles along with ATP,
- 44:16it is always mixed with ATP, and the
- 44:19moment dopamine is released,
- 44:21noradrenaline is also released,
- 44:24particularly norepinephrine, which
- 44:26seeks out receptors in the synaptic
- 44:29cleft. Its receptors are the alpha and
- 44:33beta adrenergic receptors, and the
- 44:35enzyme that degrades it is COMT.
- 44:38Catechol-O-methyltransferase and MAO
- 44:40are the two enzymes that cause the
- 44:43catabolism of both noradrenaline and
- 44:45adrenaline at the same time. Alright.
- 44:50We'll stop here, guys. We'll see the
- 44:54continuation in the next class. Notice
- 44:56how interesting the topic is, and we'll
- 44:59see you on Thursday. Have a good
- 45:02morning. See you later. Goodbye.
- 45:06See you later, doctor.
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