26.12.2014 Views

Clinical Biochemistry of Domestic Animals (Sixth Edition) - UMK ...

Clinical Biochemistry of Domestic Animals (Sixth Edition) - UMK ...

Clinical Biochemistry of Domestic Animals (Sixth Edition) - UMK ...

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

120<br />

Chapter | 5 Proteins, Proteomics, and the Dysproteinemias<br />

genetic code in nuclear DNA directs the primary sequence<br />

<strong>of</strong> amino acids during protein synthesis. Formation <strong>of</strong><br />

the peptide bonds between the amino acids <strong>of</strong> the protein<br />

is followed by folding <strong>of</strong> the protein into its natural conformation.<br />

With up to 20 different amino acids in protein<br />

chains <strong>of</strong> 100 residues or more, several million structural<br />

arrangements are feasible for any one protein. It is essential<br />

for protein function that they form the correct native<br />

conformation, and protein folding is an essential process<br />

following synthesis. Folding is the responsibility <strong>of</strong> chaperones,<br />

which guide the growing protein chain to produce<br />

the single structure that will ensure its full activity ( Walsh,<br />

2002 ).<br />

TABLE 5-2 Albumin Turnover in <strong>Animals</strong><br />

Species T 1/2 (days) Reference<br />

Mouse 1.9 (Allison, 1960)<br />

Rat 2.5 (Allison, 1960)<br />

Dog 8.2 (Dixon et al. , 1953)<br />

Sheep 14.3 (Campbell et al. , 1961)<br />

Cow 16.5 (Cornelius et al. , 1962)<br />

Human 19.0 (Putnam, 1975)<br />

Horse 19.4 (Mattheeuws et al. , 1966)<br />

C . Catabolism <strong>of</strong> Proteins<br />

1 . Turnover <strong>of</strong> Proteins<br />

Throughout an animal’s body, proteins are continually<br />

being synthesized and broken down, resulting in a continuous<br />

turnover <strong>of</strong> protein. In a healthy animal, the rates <strong>of</strong><br />

synthesis and degradation are in equilibrium, but during<br />

disease these can alter. Plasma proteins are subject to the<br />

same process, and a function <strong>of</strong> albumin, the most abundant<br />

plasma protein, is to provide amino acid for the natural<br />

turnover <strong>of</strong> protein in peripheral tissues. Albumin is<br />

taken up by pinocytosis into tissues where lysosomal proteases<br />

hydrolyze the protein, releasing the amino acids for<br />

utilization by the cells for synthesis <strong>of</strong> their own proteins<br />

( Evans, 2002 ). There is no storage capability in the body<br />

for protein. As a result, amino acid in excess <strong>of</strong> requirement<br />

for cellular protein synthesis is utilized for the central<br />

pathways <strong>of</strong> metabolism. The carbon skeleton <strong>of</strong> amino<br />

acids can be used for provision <strong>of</strong> energy via the tricarboxylic<br />

acid cycle and oxidative phosphorylation or may<br />

be converted to glucose or lipid and stored for later use.<br />

Carnivores derive as much as 40% to 50% <strong>of</strong> their energy<br />

from dietary protein, whereas omnivores and herbivores<br />

derive from 10% to about 20% from this source.<br />

The rate <strong>of</strong> degradation <strong>of</strong> the plasma proteins is<br />

expressed as their turnover, fractional clearance, or as their<br />

half-life, which is the time taken for their concentration to<br />

fall by 50%. Plasma half-lives were originally determined<br />

by measurement <strong>of</strong> the rate <strong>of</strong> disappearance <strong>of</strong> radioisotope<br />

labeled protein. More recently, proteins labeled with<br />

stable isotopes and measured by mass spectrometry have<br />

been used for this purpose ( Preston et al. , 1998 ; Prinsen<br />

and de Sain-van der Velden, 2004). Clearance half-lives<br />

for cellular proteins range from a few hours (enzymes) to<br />

as long as 160 days for hemoglobin in bovine red cells.<br />

The clearance half-life for plasma protein can be as long as<br />

3 weeks. Plasma albumin in humans has a normal half-life<br />

<strong>of</strong> 19 days, α 1 -acid glycoprotein has a half-life <strong>of</strong> 5.5 days<br />

( Putnam, 1975 ), and γ -globulins have a half-life <strong>of</strong> 7 days<br />

( Andersen et al. , 1963 ). The plasma half-life <strong>of</strong> albumin<br />

shows considerable variation between species ( Table 5-2 ).<br />

It is associated with the size <strong>of</strong> the species with murine<br />

albumin having a T 1/2 <strong>of</strong> 1.9 days, whereas equine albumin<br />

has a T 1/2 <strong>of</strong> 19.4 days.<br />

2 . Urea Cycle<br />

During digestion, protein is not only broken down to amino<br />

acid, but gut bacteria can degrade the amino acids releasing<br />

ammonia, which is absorbed along with the amino acids.<br />

This is an important consideration in the management <strong>of</strong><br />

liver disease, as sterilization <strong>of</strong> the gut by antibiotics can<br />

reduce the ammonia load on the liver. Once absorbed,<br />

amino acids, along with ammonia, are transported in the<br />

portal vein to the liver and then to other tissues where the<br />

amino acids are utilized for protein synthesis.<br />

The liver is the central processing organ for nitrogen<br />

metabolism, and approximately 75% <strong>of</strong> the amino acid<br />

(and ammonia) absorbed from the intestine is transported<br />

into the hepatocytes. Transaminase reactions facilitate the<br />

transfer <strong>of</strong> amino groups to appropriate α -ketoacids in the<br />

formation <strong>of</strong> the required balance <strong>of</strong> nonessential amino<br />

acids. If not required for protein synthesis, amino acids<br />

undergo deamidation by mitochondrial enzymes including<br />

glutamate dehydrogenase and glutaminase. Amino groups<br />

are also transferred to oxaloacetate, with the formation <strong>of</strong><br />

aspartate, which along with an ammonium ion and a carbonate<br />

group are the precursors <strong>of</strong> urea. In this way, amino<br />

groups from excess amino acids are transferred into urea<br />

for safe excretion.<br />

In the urea cycle ( Fig. 5-1 ), which takes place in hepatocytes,<br />

the initial step is the formation <strong>of</strong> carbamoyl<br />

phosphate in the mitochondria from an ammonium ion,<br />

a carbonate ion, and ATP. This step, which is under metabolic<br />

control and is activated by an increase in the cellular<br />

arginine concentration, occurs when there is an excess <strong>of</strong><br />

amino acids in the hepatocyte. The carbamoyl phosphate<br />

combines with ornithine to form citrulline. This metabolite

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!