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BIOQUÍMICA 3ER PARCIAL Aminoacidos 26 08 25 — Transcript

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  1. 0:01Hello, can you hear me? Let me know if
  2. 0:05you can hear me, please. Yes, doctor.
  3. 0:11Yes, we can hear you.
  4. 0:12Oh, okay. Perfect. Let's continue. So,
  5. 0:17since no one was answering, I thought,
  6. 0:18maybe it's not coming through well. We
  7. 0:27are looking at the catabolism of amino
  8. 0:30acid carbon skeletons, and we had said
  9. 0:33that the first thing amino acids do is
  10. 0:36lose their nitrogenous group, which
  11. 0:39becomes urea, and the rest are carbon
  12. 0:42skeletons that incorporate into keto
  13. 0:45acids or turn into specialized
  14. 0:47compounds. So they can lose their group
  15. 0:53, becoming oxidized hydrocarbons,
  16. 0:55degrading into amphibolic intermediates
  17. 0:58through reactions very similar to
  18. 1:00branched lipids, and each amino acid
  19. 1:02forms an amphibolic intermediate,
  20. 1:05particularly in the Krebs cycle. Here
  21. 1:10we have different amino acids that are
  22. 1:12incorporated into the different members
  23. 1:14of the Krebs cycle. The most important
  24. 1:17one, and the one that is always asked
  25. 1:19about, is alpha-ketoglutarate.
  26. 1:22Glutamate, and through glutamate,
  27. 1:24arginine and others here, are converted
  28. 1:26into glutamate, and glutamate is
  29. 1:28converted into alpha-ketoglutarate and
  30. 1:30incorporated directly into the Krebs
  31. 1:33cycle, giving us the idea that amino
  32. 1:35acids will participate via oxaloacetate
  33. 1:37in what will...
  34. 1:40Yes. Uh, you're not sharing your screen
  35. 1:43.
  36. 1:46Is it not visible or what? Let's see.
  37. 1:49Uh, what you're presenting is not
  38. 1:52visible.
  39. 1:53Let me go back to the beginning. Now
  40. 2:00it's visible. Now it's visible.
  41. 2:08Mm. It still isn't appearing for me,
  42. 2:10doctor.
  43. 2:12Let's see. It's not visible there
  44. 2:18either. One moment, please wait for me.
  45. 3:57Uh, tell me now if it's being shared,
  46. 4:00please. Yes, it's visible, doctor.
  47. 4:05Okay, let's continue. So, we had said
  48. 4:09that the carbon skeletons of the amino
  49. 4:12acids would be converted into Krebs
  50. 4:14cycle products, particularly as keto
  51. 4:17acids, and others turn into specialized
  52. 4:20compounds that interest us quite a lot.
  53. 4:23This is where we left off. Tell me now
  54. 4:26if it's visible, please. Glutamate is
  55. 4:29converted into alpha-ketoglutarate.
  56. 4:33Phenylalanine and tyrosine are
  57. 4:34converted into fumarate. Are we there?
  58. 4:37It's visible. Tell me if it's visible,
  59. 4:45please. Hello?
  60. 4:52Yes, doctor, it is visible.
  61. 4:53Ah, okay. Fantastic. Right. Uh, amino
  62. 4:58acids have many functions; they are
  63. 5:00very versatile, and one of the most
  64. 5:02important functions is to join together
  65. 5:04to form proteins, peptides, and
  66. 5:06polypeptides. Another form is part of
  67. 5:11phospholipids; we have
  68. 5:12phosphatidylserine, which is the amino
  69. 5:15acid that will generate this
  70. 5:17phospholipid that will act as a signal
  71. 5:19precursor. Others contribute
  72. 5:24nitrogenous groups; others serve to
  73. 5:26transport nitrogen, as written; others,
  74. 5:29to become specialized products that do
  75. 5:31interest us, those not only in the role
  76. 5:34of forming protein, but forming heme,
  77. 5:37creatinine, purines, pyrimidines,
  78. 5:39polyamines, nitric oxide, etcetera,
  79. 5:42which are very, very specific compounds
  80. 5:44derived from amino acids. Let's see how
  81. 5:49amino acids are converted into
  82. 5:51specialized products. So, we have
  83. 5:54glycine. Glycine is one of the simplest
  84. 5:58amino acids that exist. Glycine has a
  85. 6:01hydrogen group as an R group, and
  86. 6:04glycine participates in the synthesis
  87. 6:07of heme. One must remember that heme is
  88. 6:11a porphyrin and heme will serve to form
  89. 6:14hemoproteins. Glycine, glycine together
  90. 6:19with succinyl-CoA forms heme, and heme
  91. 6:22is therefore implicit in everything
  92. 6:25that will be oxygen transport or
  93. 6:27electron movement, and it comes thanks
  94. 6:30to glycine. Glycine participates in
  95. 6:33purines, there is no doubt about it.
  96. 6:36The purines adenine and guanine need
  97. 6:39glycine in their composition as donors
  98. 6:41of carbon and nitrogen. Glycine is part
  99. 6:46of glutathione; if there is something
  100. 6:49to remember, it is glutathione, and
  101. 6:51glutathione is a tripeptide. It is a
  102. 6:55compound that is formed in many cells,
  103. 6:57but particularly in the liver. And
  104. 7:00glutathione serves to regenerate
  105. 7:03cysteine. And glutathione, through the
  106. 7:07enzyme glutathione peroxidase, gets rid
  107. 7:09of hydrogen peroxides. Therefore, it is
  108. 7:14a first-line antioxidant; when the
  109. 7:16liver is failing, in cases of renal
  110. 7:19insufficiency, or when its functions
  111. 7:21are very, very poor, as a doctor, one
  112. 7:24prescribes glutathione to the patient
  113. 7:27to be consumed as an extra supplement.
  114. 7:32Glutathione is essential to avoid
  115. 7:34greater damage to the liver caused by
  116. 7:37free radicals and also particularly for
  117. 7:39the erythrocyte. The erythrocyte, if it
  118. 7:44does not have glutathione, undergoes
  119. 7:47hemolysis, and hemolysis occurs
  120. 7:49constantly due to the absence of
  121. 7:51glutathione; glycine serves to
  122. 7:54conjugate particularly with bile acids.
  123. 7:58If it joins with cholic bile acid, it
  124. 8:00forms glycocholic acid. And if it joins
  125. 8:03with chenodeoxycholic bile acid, it
  126. 8:06forms glycochenodeoxycholic acid, which
  127. 8:10are primary bile acids. It will also
  128. 8:13form hippuric acid, which is not of
  129. 8:14much importance in our environment, but
  130. 8:16it serves for conjugation. Synthesis of
  131. 8:19creatinine. Glycine is also immersed in
  132. 8:21this. Glycine will participate in
  133. 8:24creatine. Creatine will later be
  134. 8:27converted into creatinine and will
  135. 8:29serve as a biological marker compound
  136. 8:32for renal function, created in the
  137. 8:34liver, kidney, and muscle. So, notice,
  138. 8:37glycine, such a simple amino acid, has
  139. 8:40many roles. The other thing not
  140. 8:43mentioned here, but worth noting and
  141. 8:46remembering, is that they are part of
  142. 8:48collagen. Every three amino acids in
  143. 8:52collagen—remember, there are 20 types
  144. 8:54of collagen. In almost all types of
  145. 8:57collagen, in fact, in all types of
  146. 8:59collagen, glycine participates. Of
  147. 9:02every three amino acids in collagen,
  148. 9:04one of them is glycine. Therefore,
  149. 9:08glycine is also involved in collagen
  150. 9:11synthesis. Alanine will form
  151. 9:14pantothenic acid. It must be remembered
  152. 9:17that we do not produce pantothenic acid
  153. 9:19ourselves. Pantothenic acid is a
  154. 9:22vitamin that gives rise to coenzyme A,
  155. 9:26but in nature, it is formed from
  156. 9:30alanine, and alanine also forms acetate
  157. 9:34and pyruvate. Remember that pyruvate is
  158. 9:38the final product of glucose catabolism
  159. 9:41, or glycolysis. So, alanine is also an
  160. 9:45important amino acid, and another of
  161. 9:47its features is that it is one of the
  162. 9:50fastest amino acids. That is, alanine
  163. 9:54can very quickly travel from the
  164. 9:56intestine to the liver after its
  165. 9:59absorption. It is one of the amino
  166. 10:02acids that reaches the liver the
  167. 10:04fastest. Well, we have serine. Serine,
  168. 10:10as we said, will be part of sphingosine
  169. 10:13. Sphingosine is an amino alcohol that
  170. 10:17will be a specific part of
  171. 10:18phospholipids, and sphingosine is found
  172. 10:21in large quantities in a component
  173. 10:23called sphingomyelin. Serine will also
  174. 10:27participate in the synthesis of purines
  175. 10:29and pyrimidines. So, we can see how
  176. 10:32versatile amino acids are and that they
  177. 10:35don't just serve to form proteins.
  178. 10:38Methionine is the methyl donor par
  179. 10:41excellence. Methionine owes its name
  180. 10:45precisely to methyls because in its
  181. 10:47composition its R group is a methyl,
  182. 10:50and methionine will be incorporated
  183. 10:52into many chemical compounds through
  184. 10:55methyl donation, a process called
  185. 10:57methylation. One of the compounds that
  186. 11:02needs to be methylated and demethylated
  187. 11:05to function properly is DNA, which,
  188. 11:07thanks to methionine and other methyl
  189. 11:09donors, is capable of being methylated
  190. 11:12or demethylated. But anyway, in this
  191. 11:15case, methionine is a methyl donor, and
  192. 11:17that is what interests us a lot.
  193. 11:20Cysteine is an amino acid that, as
  194. 11:22mentioned, will be part of glutathione.
  195. 11:27It will also participate in the
  196. 11:29formation of coenzyme A and urinary
  197. 11:31sulfate. Don't forget that cysteine
  198. 11:36provides us with sulfur, and the source
  199. 11:38of sulfur we have in our body is thanks
  200. 11:40to cysteine. Cysteine has two sulfur
  201. 11:44molecules and usually uses one of them
  202. 11:47to bind with another cysteine and form
  203. 11:49a disulfide bond. Histidine forms a
  204. 11:54biogenic amine that is extraordinarily
  205. 11:57important in allergic reactions, which
  206. 12:00is called histamine. It is formed
  207. 12:03thanks to a single enzyme. Histidine is
  208. 12:05easily converted by histidine
  209. 12:07decarboxylase. Histamine is stored in
  210. 12:12mast cells and also in basophils. And
  211. 12:17at the moment an allergic reaction
  212. 12:19occurs, it is released from storage
  213. 12:20granules. It also gives rise to other
  214. 12:23compounds such as carnosine. Aspartic
  215. 12:27acid, or aspartate, will participate in
  216. 12:29the formation of pyrimidines. We must
  217. 12:33remember that pyrimidines are, like
  218. 12:35purines, important compounds for the
  219. 12:37synthesis of nucleic acids. And there
  220. 12:41we have cytosine, thymine, and uracil,
  221. 12:43which need aspartate or aspartic acid
  222. 12:46for their formation. Valine will form
  223. 12:51part of pantothenic acid. Notice the
  224. 12:54importance of pantothenic acid. A
  225. 12:55molecule that gives rise to coenzyme A,
  226. 12:58it has many amino acids that converge
  227. 13:00within it. Penicillin, which is a
  228. 13:04fungus that will later serve to treat
  229. 13:07microbes, is an antibiotic. It also has
  230. 13:11valine in its composition. Lysine will
  231. 13:13be found in other compounds, cadaverine
  232. 13:16and anabasine. Tryptophan is another
  233. 13:19important amino acid. Tryptophan is the
  234. 13:22largest amino acid we have and it is of
  235. 13:24great interest because it forms
  236. 13:26serotonin. Serotonin is also a biogenic
  237. 13:29amine. And serotonin will act as a
  238. 13:33neurotransmitter that will be involved,
  239. 13:36particularly in depression, mood,
  240. 13:39wakefulness, sleep, depression, and so
  241. 13:43on. When there are cells, particularly
  242. 13:46intestinal cells, that produce a lot of
  243. 13:49serotonin, the disease is called
  244. 13:52carcinoid disease. It is not cancer, it
  245. 13:55has nothing to do with cancer, but the
  246. 13:58word "carcinoid" was imposed due to a
  247. 14:00relationship and a misidentification
  248. 14:02over a century ago, and it remained as
  249. 14:04carcinoid disease, but it has nothing
  250. 14:06to do with cancer. Serotonin in the
  251. 14:10intestine, I repeat, gives rise to a
  252. 14:12disease that, due to excess serotonin,
  253. 14:15is called carcinoid disease, which
  254. 14:17particularly occurs in the appendix or
  255. 14:19other parts of the intestine. It can
  256. 14:22also be found in the bronchi, but it is
  257. 14:24primarily at the intestinal level.
  258. 14:27Tryptophan gives rise to nicotinic acid
  259. 14:29or NAD. NAD, do not forget, is a
  260. 14:34coenzyme derived from this vitamin,
  261. 14:36which is niacin or nicotinic acid, and
  262. 14:39NAD will act as a coenzyme that will
  263. 14:42transport reducing equivalents or
  264. 14:44hydrogens to the respiratory chain for
  265. 14:47energy generation. Tryptophan will form
  266. 14:52melatonin. Melatonin has been heavily
  267. 14:56hyped over the last 10 or more years as
  268. 14:59a specific sleep hormone, a happiness
  269. 15:01hormone, and so on. And it was believed
  270. 15:05that melatonin was produced exclusively
  271. 15:07in the pineal gland. Today it is known
  272. 15:11that wherever there is tryptophan,
  273. 15:13melatonin is produced, and there is
  274. 15:14tryptophan in all cells, I repeat,
  275. 15:16particularly at the level of intestinal
  276. 15:18, bronchial, and other cells.
  277. 15:21Indoleacetic acid has very little, uh,
  278. 15:24reference, rather it is a precursor of
  279. 15:27compounds that are formed from
  280. 15:30tryptophan. Tyrosine, tyrosine is
  281. 15:33another of the important amino acids.
  282. 15:37Tyrosine will form the skin pigment
  283. 15:40that is called melanin. People who have
  284. 15:44the disease of albinism lack an enzyme
  285. 15:47that converts tyrosine into melanin. It
  286. 15:51is a congenital disease that is seen,
  287. 15:53uh, relatively commonly in some parts
  288. 15:55of the world, it is not particularly
  289. 15:57everywhere. Where it is seen most
  290. 16:00curiously is in Africa. Africa has a
  291. 16:03black population per se, but from time
  292. 16:06to time albinos are born and it is a
  293. 16:08congenital deficiency of tyrosine, of
  294. 16:11tyrosinase, which is what it's called,
  295. 16:13and the pigment melanin is not produced
  296. 16:16. The pigments as such are not there,
  297. 16:21even though the melanin granules are
  298. 16:23present and even though the
  299. 16:24melanocyte-stimulating hormone is
  300. 16:26present, this pigment is not formed and
  301. 16:29the person acquires a white color,
  302. 16:31including the irises, which cease to
  303. 16:33have color. Tyrosine will form
  304. 16:37catecholamines and that matters a lot
  305. 16:39to us because without catecholamines we
  306. 16:41cannot live. The catecholamines are
  307. 16:45dopamine, noradrenaline, and adrenaline
  308. 16:48in our body. Obviously, they have a
  309. 16:51precursor which is dopa, but they are
  310. 16:53formed and the catecholamines regulate
  311. 16:55many functions, particularly those of
  312. 16:57the autonomic nervous system. And so we
  313. 17:01have that their origin is given by
  314. 17:03tyrosine. Tyrosine is an amino acid
  315. 17:06that we have said is within the three
  316. 17:08essential ones. It means that it is an
  317. 17:11amino acid that the body does not form.
  318. 17:15Tyrosine must enter through
  319. 17:17phenylalanine. Phenylalanine is
  320. 17:20converted into tyrosine and it is the
  321. 17:22tyrosine that will act. Phenylalanine,
  322. 17:25one must remember, is an essential type
  323. 17:28of amino acid that needs to be
  324. 17:30incorporated into the diet normally. It
  325. 17:34will also form other compounds, but
  326. 17:36those that do not interest us much,
  327. 17:39such as morphine, codeine, papaverine,
  328. 17:41mescaline, etc., which are opioid
  329. 17:44derivatives, particularly from opium,
  330. 17:46that are immersed or have tyrosine in
  331. 17:49their composition. Well, arginine will
  332. 17:53participate in the synthesis of
  333. 17:56creatinine and creatinine interests us
  334. 17:59a lot. Creatinine has two sites where
  335. 18:02it is formed, as I had told you, or
  336. 18:04three sites where it is formed: the
  337. 18:06kidney, the liver, and the muscle. And
  338. 18:09the creatinine that enters the blood is
  339. 18:12the muscle creatinine. But for it to
  340. 18:15reach the blood, it has to go through
  341. 18:17several processes. In the kidney,
  342. 18:20creatinine is formed starting from
  343. 18:22arginine. In the kidney, arginine
  344. 18:26combines with glycine. These are two
  345. 18:29amino acids that will form a compound
  346. 18:31called guanidinoacetic acid. And in
  347. 18:34that process, ornithine is also
  348. 18:36generated as a waste product. So,
  349. 18:39arginine plus glycine forms
  350. 18:41guanidinoacetate or guanidinoacetic
  351. 18:44acid. And this acid, this compound,
  352. 18:48will travel to the liver, and in the
  353. 18:50liver, it will meet another amino acid.
  354. 18:54So, we now have three amino acids
  355. 18:56participating: arginine, glycine, and
  356. 18:58methionine. We must remember that 90%of
  357. 19:02the time, methionine is adenylated and
  358. 19:04is called S-adenosylmethionine. So,
  359. 19:08S-adenosylmethionine donates the methyl
  360. 19:10group and exits as homocysteine. Do not
  361. 19:14forget that homocysteine will later
  362. 19:16serve as a marker, and the origin of
  363. 19:19homocysteine is particularly in
  364. 19:21methionine. So, the guanidinoacetic
  365. 19:24acid in the liver asks methionine to
  366. 19:26donate a methyl group. Methionine
  367. 19:30leaves as homocysteine, and creatine is
  368. 19:32formed, not creatinine, creatine.
  369. 19:36Creatine will be phosphorylated and
  370. 19:40will generate, will form, a compound
  371. 19:44called creatine phosphate. Creatine
  372. 19:48phosphate is formed thanks to the
  373. 19:50enzyme creatine phosphokinase. This
  374. 19:53creatine phosphate is rich in
  375. 19:55high-energy phosphates and is
  376. 19:58considered the reserve of high-energy
  377. 20:01phosphates in cells for when ADP needs
  378. 20:05to be reconverted into ATP. Do not
  379. 20:09forget that the ATP-ADP cycle exists,
  380. 20:12and the high-energy phosphates return
  381. 20:15to ADP to form ATP. A source of
  382. 20:19high-energy phosphates is therefore
  383. 20:22constituted by creatine phosphates,
  384. 20:24which are found in many cells, not just
  385. 20:27muscle cells. Now, returning to the
  386. 20:30subject, creatinine begins its
  387. 20:32synthesis with arginine and glycine in
  388. 20:35the kidney. Then in the liver, it joins
  389. 20:38with methionine, forming creatine.
  390. 20:41Creatine is phosphorylated and stored
  391. 20:43as creatine phosphate deposits. And
  392. 20:47once the body needs phosphates, it
  393. 20:49immediately releases the phosphates,
  394. 20:51and creatine phosphate turns into
  395. 20:52creatinine. And there we have the
  396. 20:57chemical compound creatinine, which is
  397. 20:59a cyclic compound, if you notice, that
  398. 21:01enters the blood, giving us blood
  399. 21:03creatinine levels. That creatinine in
  400. 21:08the blood is called creatinemia, and
  401. 21:10creatinemia must disappear very quickly
  402. 21:13via the kidneys because it lasts a very
  403. 21:15short time in circulation. It is then
  404. 21:19immediately filtered by the glomerulus
  405. 21:21and removed into the urine. The faster
  406. 21:25creatinine is cleared from the blood,
  407. 21:28the better renal function is. The less
  408. 21:33creatinine there is in the blood, the
  409. 21:35better renal function is. So,
  410. 21:38creatinine today is established as one
  411. 21:41of the most important tests to
  412. 21:43determine whether a person is entering
  413. 21:45renal failure or not. The normal
  414. 21:49creatinine value is 1.0, but some
  415. 21:51laboratories may consider up to 1.3.
  416. 21:56You must always look at the
  417. 21:58laboratory's reference, the method they
  418. 22:00use, and the normal range value they
  419. 22:02are using. So, the creatinine that has
  420. 22:06been formed in the muscle leaves the
  421. 22:08muscle and immediately goes into the
  422. 22:10blood, is filtered by the kidney, and
  423. 22:12ends up in the urine. We can determine
  424. 22:16creatinine in plasma or we can
  425. 22:18determine creatinine in urine if we are
  426. 22:20performing kidney function studies.
  427. 22:26Nitric oxide is another important
  428. 22:29compound. Nitric oxide is a gas, and
  429. 22:33nitric oxide is also formed from
  430. 22:35arginine. So, look at the very
  431. 22:38important role of arginine, not just in
  432. 22:41forming creatine or creatinine, but
  433. 22:44also in forming nitric oxide. For
  434. 22:48nitric oxide to be formed, there are
  435. 22:50many, many processes and there are
  436. 22:53activators of an enzyme called nitric
  437. 22:55oxide synthase, abbreviated as NOS.
  438. 23:01Nitric oxide synthase exists in an
  439. 23:03inactive form, and when it is
  440. 23:04phosphorylated, it turns into an active
  441. 23:07form. And there are different subtypes
  442. 23:11of nitric oxide synthase, because in
  443. 23:14different tissues there is neuronal
  444. 23:16nitric oxide synthase, endothelial
  445. 23:18nitric oxide synthase, and nitric oxide
  446. 23:21synthase from other tissues. So we have
  447. 23:24several nitric oxide synthases there
  448. 23:26that will participate, and for that,
  449. 23:28they have to be active. Nitric oxide
  450. 23:32synthase is the enzyme that converts
  451. 23:34arginine into nitric oxide, abbreviated
  452. 23:37as NO, and as a remnant, it forms
  453. 23:39citrulline. Very similar to what the
  454. 23:44formation of urea was. Remember that in
  455. 23:47the urea cycle, citrulline is also
  456. 23:49generated, as well as ornithine. Well,
  457. 23:53then we have arginine, thanks to active
  458. 23:56nitric oxide synthase, forming nitric
  459. 23:58oxide. This nitric oxide from the
  460. 24:03endothelial cells migrates, escaping as
  461. 24:05a gas into the smooth muscle that is in
  462. 24:08the vessels, the smooth muscle of the
  463. 24:11vessels. And in the smooth muscles of
  464. 24:14the vessels, it activates an enzyme
  465. 24:17called guanylate cyclase. We know
  466. 24:19guanylate cyclase perfectly well
  467. 24:22because, along with adenylate cyclase,
  468. 24:24they generate second messengers. In
  469. 24:27this case, guanylate cyclase is also
  470. 24:31activated and uses GTP as a substrate
  471. 24:34to form cyclic GMP. Cyclic GMP acts as
  472. 24:39a relaxant in the vascular smooth
  473. 24:42muscle. It is a relaxant of vascular
  474. 24:45smooth muscle. Therefore, nitric oxide
  475. 24:49produces a relaxation of the smooth
  476. 24:51muscle that leads to vasodilation; the
  477. 24:54muscle relaxes, allowing more blood
  478. 24:56flow, it relaxes further, vasodilates
  479. 24:59more, and is transporting more blood.
  480. 25:03Therefore, nitric oxide is an
  481. 25:05extraordinary vasodilator. It acts as a
  482. 25:08gas formed in neighboring cells, not
  483. 25:11directly in smooth muscle cells, but it
  484. 25:13crosses over and activates guanylate
  485. 25:16cyclase, which will have the effect of
  486. 25:19increasing the proportion of cyclic GMP
  487. 25:22that will act as a smooth muscle
  488. 25:24relaxing compound. Now, nitric oxide is
  489. 25:28activated by some compounds and not by
  490. 25:31others. There are nitric oxides that
  491. 25:35are activated by acetylcholine,
  492. 25:37bradykinin, substance P, and
  493. 25:38particularly calcium. But there are
  494. 25:42other nitric oxide synthase enzymes
  495. 25:44that are not activated directly by
  496. 25:46these compounds. Therefore, not all of
  497. 25:49them depend on bradykinin,
  498. 25:51acetylcholine, and calcium to be
  499. 25:53activated. They can be activated by
  500. 25:56other mechanisms, particularly stress,
  501. 25:59not necessarily biochemical substances
  502. 26:01that activate nitric oxide synthase
  503. 26:03that was inactive and turn it into
  504. 26:06active nitric oxide synthase. But what
  505. 26:10has been observed most, particularly
  506. 26:12attached to endothelial cells, is that
  507. 26:15calcium is the most important activator
  508. 26:18of nitric oxide synthase so that it can
  509. 26:20relax vascular smooth muscle. Nitric
  510. 26:25oxide is very important because, I
  511. 26:28repeat, its extreme ability to dilate
  512. 26:32vessels allows blood to enter many
  513. 26:35sites. Nitric oxide synthase is used
  514. 26:40today to produce nitric oxide in some
  515. 26:43pathologies, particularly in pulmonary
  516. 26:45hypertension. It is used in newborns
  517. 26:49and is utilized as chemical products.
  518. 26:55This is the case of sildenafil, which
  519. 26:57is also used for erectile dysfunction
  520. 27:00and serves to increase circulation
  521. 27:03capacity in the event of pulmonary
  522. 27:05hypertension or pulmonary atresia; this
  523. 27:08medication is used. Sildenafil is based
  524. 27:13on producing nitric oxide and
  525. 27:15activating cyclic GMP. Cyclic GMP, I
  526. 27:19repeat, produces relaxation. The
  527. 27:22relaxation of the vascular tone and
  528. 27:24muscle allows for greater blood intake,
  529. 27:27and in the case of erectile dysfunction
  530. 27:30, the intake of more blood ensures
  531. 27:32perhaps better sexual function. Well,
  532. 27:37ornithine; ornithine was a byproduct
  533. 27:40that was being formed by arginine, and
  534. 27:43ornithine forms polyamines. In the past
  535. 27:48, the role played by ornithine and the
  536. 27:50polyamines derived from ornithine was
  537. 27:53not known. Today, it is known that
  538. 27:56these compounds act as growth factors
  539. 27:59and stabilize DNA, therefore, they are
  540. 28:01not negligible. Ornithine will form
  541. 28:05putrescine, putrescine will form
  542. 28:07spermidine, spermidine will form
  543. 28:09spermine, and so on and so forth. And
  544. 28:13their origins are in the sites where
  545. 28:15their greatest activity was found. But
  546. 28:19I repeat, ornithine derived from urea
  547. 28:22synthesis and as a byproduct of
  548. 28:25arginine serves to form polyamines that
  549. 28:28act as growth factors. And all growth
  550. 28:32factors are those molecules that
  551. 28:34promote cell division or mitosis. And
  552. 28:37there we have putrescine, spermine, and
  553. 28:39spermidine. Well, glutamic acid is
  554. 28:42another extraordinarily important amino
  555. 28:46acid, and it is important because it
  556. 28:48acts as a neurotransmitter; excess
  557. 28:51glutamic acid can be deadly. Great
  558. 28:55amounts of glutamic acid should not be
  559. 28:58produced because its excitatory action
  560. 29:01can lead to seizures and can even be, I
  561. 29:04repeat, lethal. Glutamic acid,
  562. 29:08glutamate, is an acidic amino acid.
  563. 29:12This glutamate is going to be formed
  564. 29:15starting from alpha-ketoglutarate. And
  565. 29:20alpha-ketoglutarate is an intermediate
  566. 29:22of the Krebs cycle. So it will form
  567. 29:25glutamic acid. Glutamic acid will also
  568. 29:28form glutathione. Remember that
  569. 29:31glutathione is the tripeptide we
  570. 29:32mentioned, with antioxidant action and
  571. 29:35the ability to prevent erythrocyte
  572. 29:37hemolysis. It will also form glutamine.
  573. 29:41Glutamine is an amino acid that
  574. 29:43requires glutamate as a source of
  575. 29:45nitrogen to form its structure. And
  576. 29:48perhaps one of the most important
  577. 29:50things about glutamate is that it will
  578. 29:52generate an inhibitory neurotransmitter
  579. 29:54. We have two neurotransmitters. So,
  580. 29:57glutamate or glutamic acid as an
  581. 29:59excitatory one, and GABA as an
  582. 30:01inhibitory one. In cells where
  583. 30:05glutamate is formed, GABA is also
  584. 30:07formed, so they go hand in hand. And
  585. 30:10these cells, particularly, are cells of
  586. 30:13the basal nuclei of the brain where
  587. 30:15these compounds are formed. They are
  588. 30:18also formed in other cells, there is no
  589. 30:20doubt, but especially at the brain
  590. 30:21level. The cells that form glutamate
  591. 30:25are called glutamatergic. And the cells
  592. 30:28that are involved in the formation of
  593. 30:30GABA, which are the same or very close
  594. 30:32neighbors, are called GABAergic. So, if
  595. 30:36we look at a glutamatergic cell, there
  596. 30:39is a presynaptic terminal, and the
  597. 30:41Krebs cycle is there in the
  598. 30:43mitochondria forming
  599. 30:44alpha-ketoglutarate.
  600. 30:47Alpha-ketoglutarate forms glutamate.
  601. 30:51Glutamate can also come from glutamine,
  602. 30:53thanks to glutaminase, which removes a
  603. 30:56nitrogenous group. Glutamine has two
  604. 30:58nitrogenous groups, and through
  605. 31:00glutaminase, an amino or nitrogenous
  606. 31:03group is lost, and it turns into
  607. 31:05glutamate. Be that as it may,
  608. 31:07alpha-ketoglutarate or glutamine form
  609. 31:09glutamate. Glutamate is found in these
  610. 31:14glutamatergic cells and is immediately
  611. 31:17stored in small vesicles; glutamate
  612. 31:20needs to exit the cell and usually does
  613. 31:24so through a calcium-induced exocytosis
  614. 31:27mechanism, and when glutamate enters
  615. 31:30the synaptic cleft, it goes to find its
  616. 31:34receptors. Glutamate receptors are
  617. 31:38different receptors, each one of them.
  618. 31:42Some glutamate receptors are associated
  619. 31:45with G-proteins, meaning they are
  620. 31:48G-protein-coupled, and others are
  621. 31:50coupled or are ion channels. Therefore,
  622. 31:55glutamate receptors, which are AMPA,
  623. 31:58NMDA, and others, such as kainate and
  624. 32:01quisqualate, will act as modulators,
  625. 32:04whether for ions or G-proteins. The
  626. 32:09interesting thing about glutamate is
  627. 32:11that a large proportion of it,
  628. 32:14approximately 75-80%, returns to the
  629. 32:17cell of origin, and this is called
  630. 32:19reuptake. Reuptake, just like with
  631. 32:24serotonin and noradrenaline, is a
  632. 32:26normal physiological process of the
  633. 32:28molecule re-entering the cell that gave
  634. 32:30rise to it. In the case of serotonin,
  635. 32:35if you recall, serotonin is also taken
  636. 32:37back up and returns to its origin. And
  637. 32:40what is done for people suffering from
  638. 32:43depression is to prevent the reuptake
  639. 32:46of serotonin. I am referring to
  640. 32:50serotonin, not glutamate, and that
  641. 32:53avoidance or blocking of reuptake
  642. 32:56causes serotonin to accumulate in the
  643. 32:59synaptic cleft and seek its 5-HT1, HT2,
  644. 33:03HT3, etc., receptors, and modulate mood
  645. 33:06, libido, wakefulness, and so on;
  646. 33:09because serotonin is related to many
  647. 33:12functions, particularly mood. And
  648. 33:17selective serotonin reuptake inhibitors
  649. 33:20are used as antidepressant medications.
  650. 33:24Well, returning to glutamate, glutamate
  651. 33:27then experiences the same thing: it
  652. 33:29reaches the postsynaptic cells, seeks
  653. 33:32its receptors, and once it acts with
  654. 33:34the receptor, it functions as a ligand
  655. 33:36for that receptor. It returns to the
  656. 33:40cell of origin and glutamate circulates
  657. 33:43again, is converted into glutamine by
  658. 33:45glutamine synthetase, the glutamine
  659. 33:47enters, and through glutaminase, it is
  660. 33:49converted back into glutamate; and it
  661. 33:51is an endless cycle. Glutamate is an
  662. 33:55excitatory neurotransmitter that must
  663. 33:57always be present in basal cells. An
  664. 34:01excess of glutamate, as I had told you,
  665. 34:04due to its action on receptors and the
  666. 34:06ionic movement it produces, could at
  667. 34:09some point damage the cell, cause cell
  668. 34:11death, and be lethal to the human
  669. 34:14person. Well, here we have glutathione,
  670. 34:19derived from glutamate. We had said
  671. 34:22that glutamate is a neurotransmitter,
  672. 34:25an acidic amino acid that joins with
  673. 34:27cysteine to form the compound
  674. 34:29glutamylcysteine. This joins with
  675. 34:32glycine and forms glutathione. I never
  676. 34:36tire of saying that glutathione is one
  677. 34:39of the most important compounds and is
  678. 34:41a lifesaver in the event of liver
  679. 34:43failure. Glutathione should be used
  680. 34:47without any fear; it is a source of
  681. 34:50cysteines, and glutathione, together
  682. 34:52with N-acetylcysteine and sulfates,
  683. 34:54along with glutathione peroxidase,
  684. 34:57frees us from free radicals called
  685. 34:59hydrogen peroxides that cause a lot of
  686. 35:01damage to cellular structures. Well,
  687. 35:06GABA was formed from glutamate. Here we
  688. 35:12have glutamate, which forms GABA, and
  689. 35:15GABA is formed thanks to a single
  690. 35:17enzyme called glutamic acid
  691. 35:19decarboxylase. Notice that there are
  692. 35:23many decarboxylases, as a single enzyme
  693. 35:26, to form biogenic amines. And that
  694. 35:29decarboxylation, or loss of carbons,
  695. 35:31generates important compounds. In this
  696. 35:35case, glutamate, through a
  697. 35:36decarboxylase named glutamic acid
  698. 35:39decarboxylase, forms GABA. And GABA has
  699. 35:42its name, which is gamma-aminobutyric
  700. 35:45acid. GABA is a compound that will be
  701. 35:49formed, I repeat, together with
  702. 35:50glutamate; glutaminergic cells and the
  703. 35:53cells that will experience an
  704. 35:55accumulation of GABA will be called
  705. 35:57GABAergic cells. This GABA will
  706. 36:02accumulate in vesicles, and those
  707. 36:05vesicles will have a large amount of
  708. 36:08GABA inside until the moment when
  709. 36:11calcium enters, the membrane polarity
  710. 36:13is altered, and the moment the membrane
  711. 36:17polarity is altered, GABA begins to
  712. 36:19exit into the synaptic cleft, and GABA,
  713. 36:22upon leaving its GABAergic cells, goes
  714. 36:25into the synaptic cleft. And it will
  715. 36:30search for its receptors. The receptors
  716. 36:33for GABA are inhibitory receptors and
  717. 36:36excitatory receptors. There are two
  718. 36:39types of receptors that GABA has. The
  719. 36:43receptor that is most used, and which
  720. 36:45GABA uses most as a neurotransmitter,
  721. 36:48is the type A receptor, GABA A. And the
  722. 36:51GABA A receptor modulates the entry of
  723. 36:53chloride into the cells. So, the
  724. 36:58activation of the GABA receptor by GABA
  725. 37:02causes this compound to start
  726. 37:05introducing chloride into the cell,
  727. 37:08depolarizing the membrane and ending
  728. 37:12the excitatory nerve impulse that was
  729. 37:15occurring. GABA is a compound, an
  730. 37:19inhibitory neurotransmitter that
  731. 37:21decreases excitation through the excess
  732. 37:23entry of chloride through the GABA
  733. 37:25receptor. GABA and its receptor have
  734. 37:29several subunits. It is a compound of
  735. 37:32four or five subunits that forms a
  736. 37:35channel for chlorine, and the chlorine
  737. 37:37begins to enter. Chloride and sodium
  738. 37:41also enter the cells and will produce
  739. 37:44both an inhibitory and an excitatory
  740. 37:47action. If exclusively chloride enters,
  741. 37:51it is an absolutely inhibitory reaction
  742. 37:54, and if sodium enters, it will be an
  743. 37:57excitatory reaction. Be that as it may,
  744. 38:0280 to 90%of GABA receptors are GABA A.
  745. 38:04And the GABA A is therefore related to
  746. 38:07the reduction of the nerve impulse and
  747. 38:10the termination of the excitatory
  748. 38:12process. Albinism, as we have said, is
  749. 38:18due to a lack of an enzyme, and
  750. 38:20albinism is a set of inherited
  751. 38:23congenital conditions that affect
  752. 38:26humans and are characterized by a
  753. 38:28decrease in the pigment called melanin.
  754. 38:33in the skin, eyes, and hair. If you
  755. 38:37look here at the photograph, we have an
  756. 38:40African tribe or ethnic group, and the
  757. 38:43last children have albinism. They all
  758. 38:47have Negroid characteristics, with very
  759. 38:50dark skin, but the last children have
  760. 38:52very white skin, and their hair is even
  761. 38:55almost transparent. The same thing here
  762. 39:00: the parents are of Negroid origin and
  763. 39:02the children, despite their Negroid
  764. 39:05features, are white in color. So skin
  765. 39:09color doesn't mean anything. We humans
  766. 39:12are absolutely equal, and more melanin
  767. 39:14or less melanin is of no greater
  768. 39:16importance. Albinism presents with
  769. 39:19various genetic defects in the body,
  770. 39:22and it is unable to produce melanin. it
  771. 39:25does not produce melanin, which is the
  772. 39:27substance that gives rise to the color
  773. 39:28of the irises, the skin, the hair,
  774. 39:30etcetera. Albinism is hereditary, and
  775. 39:34it is seen that there is an alteration
  776. 39:36in chromosome 11q, the short arm of
  777. 39:39chromosome 11, and it is transmitted in
  778. 39:41an autosomal recessive manner. There
  779. 39:45are several types of albinism, and many
  780. 39:47people have dedicated themselves to
  781. 39:49studying albinism, type one or type two
  782. 39:50albinism. In type one albinism, the
  783. 39:55production of the melanin pigment is
  784. 39:57affected, and in type two, there is an
  785. 40:00effect or a defect in the P gene, which
  786. 40:03is the specific gene that is altered so
  787. 40:05that no melanin is produced at all.
  788. 40:10Both cases of albinism are similar;
  789. 40:12there is no melanin pigment, but as I
  790. 40:15said, it is characterized by type one
  791. 40:17or type two, where there is a defect in
  792. 40:20the P gene, which is apparently the
  793. 40:23gene responsible for the greater
  794. 40:25production of this pigment on
  795. 40:27chromosome 11. In non-albino
  796. 40:30individuals, melanocytes transform the
  797. 40:33amino acid tyrosine into the substance
  798. 40:35known as melanin. If we consider that
  799. 40:39melanin is a derivative of tyrosine, it
  800. 40:41could be considered a biogenic amine;
  801. 40:44it is also a substance that provides
  802. 40:46color, but it has no function other
  803. 40:49than to produce a pigment; it does not
  804. 40:51have other types of implicit activities
  805. 40:54. Melanin is synthesized after a series
  806. 40:58of reactions driven by the enzyme
  807. 41:00tyrosinase. If you notice, tyrosinase
  808. 41:04sounds very similar to the term
  809. 41:07tyrosine kinase, and tyrosine kinase is
  810. 41:10an enzyme found in all signaling
  811. 41:13processes of type three receptors. When
  812. 41:18the receptor has dimerized and been
  813. 41:20endocytosed, the tyrosine kinase is
  814. 41:22activated, which phosphorylates the
  815. 41:23tyrosine. But in this case, the enzyme
  816. 41:28is simply called tyrosinase, and
  817. 41:30tyrosinase deficiency is what causes
  818. 41:33albinism. On the other hand, the other,
  819. 41:37tyrosine kinase, alters the
  820. 41:38intracellular signal or the signals
  821. 41:40implied with the type three receptor.
  822. 41:45Noradrenaline and adrenaline are
  823. 41:47compounds that are formed from tyrosine
  824. 41:50. Tyrosine is hydroxylated,
  825. 41:53incorporates an OH group, and becomes
  826. 41:56dopa. Dopa, its name stands for
  827. 42:00dihydroxyphenylalanine. That is its
  828. 42:03name, dihydroxy because it has two
  829. 42:05hydroxyl groups on the phenylalanine.
  830. 42:07Tyrosine comes from phenylalanine.
  831. 42:10Tyrosine has been formed thanks to the
  832. 42:12hydroxylation of phenylalanine, which
  833. 42:14has been incorporated at this site, and
  834. 42:16the tyrosine in turn is hydroxylated
  835. 42:18again and becomes dopa. Dopa is
  836. 42:21decarboxylated thanks to the enzyme
  837. 42:24dopa decarboxylase, loses this COOH
  838. 42:26group, and becomes dopamine. There is
  839. 42:30now a free nitrogen group down there,
  840. 42:32and that is dopamine. Dopamine will be
  841. 42:36converted into another compound which
  842. 42:38will be called noradrenaline, and
  843. 42:40noradrenaline will be converted into
  844. 42:42adrenaline. Noradrenaline is the
  845. 42:46precursor compound for adrenaline, and
  846. 42:48here the introduction of a methyl group
  847. 42:51will occur. Thanks to methyltransferase
  848. 42:55, a methyl group is introduced, and
  849. 42:57noradrenaline is formed. So, we have
  850. 43:00that the synthesis of noradrenaline and
  851. 43:02adrenaline occurs in a sequence.
  852. 43:05Tyrosine, dopa, dopamine, noradrenaline
  853. 43:07, and adrenaline. Well, here we have
  854. 43:11the same thing. We see tyrosine.
  855. 43:13Tyrosine, thanks to tyrosine
  856. 43:15hydroxylase, becomes dopa. Dopa,
  857. 43:17through dopa decarboxylase, becomes
  858. 43:20dopamine. Dopamine, through dopamine
  859. 43:23beta-hydroxylase, becomes noradrenaline
  860. 43:26. Do not forget that noradrenaline in
  861. 43:29Anglo countries, in the United States
  862. 43:31and England, is called norepinephrine.
  863. 43:34And noradrenaline becomes adrenaline or
  864. 43:37epinephrine, also called that by the
  865. 43:39Americans. And here, thanks to a
  866. 43:41phenylethanolamine N-methyltransferase.
  867. 43:44What you have to remember from this are
  868. 43:47the enzymes: tyrosine hydroxylase, dopa
  869. 43:49decarboxylase, dopamine
  870. 43:51beta-hydroxylase, and the
  871. 43:52methyltransferase that will form the
  872. 43:54catecholamines in that sequence. Anyone
  873. 43:58who asks how catecholamines are
  874. 44:00synthesized must state the sequence.
  875. 44:02Tyrosine, dopa, dopamine, noradrenaline
  876. 44:05, and adrenaline. Here we have tyrosine
  877. 44:08. It has entered, has formed dopa, and
  878. 44:10the dopa has formed dopamine. Dopamine
  879. 44:14is stored in vesicles along with ATP,
  880. 44:16it is always mixed with ATP, and the
  881. 44:19moment dopamine is released,
  882. 44:21noradrenaline is also released,
  883. 44:24particularly norepinephrine, which
  884. 44:26seeks out receptors in the synaptic
  885. 44:29cleft. Its receptors are the alpha and
  886. 44:33beta adrenergic receptors, and the
  887. 44:35enzyme that degrades it is COMT.
  888. 44:38Catechol-O-methyltransferase and MAO
  889. 44:40are the two enzymes that cause the
  890. 44:43catabolism of both noradrenaline and
  891. 44:45adrenaline at the same time. Alright.
  892. 44:50We'll stop here, guys. We'll see the
  893. 44:54continuation in the next class. Notice
  894. 44:56how interesting the topic is, and we'll
  895. 44:59see you on Thursday. Have a good
  896. 45:02morning. See you later. Goodbye.
  897. 45:06See you later, doctor.

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