Amino Acid Metabolism — MCQs
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Branched-chain ketoaciduria is due to a deficiency of which enzyme?
Which of the following is a symptom associated with metabolites of tryptophan?
Which of the following is a non-protein amino acid?
Which of the following amino acids is extracted predominantly by muscle, having been spared by the liver in the postprandial state?
Which of the following is derived from tyrosine?
Immediate precursor of creatine is:
Essential amino acids are named so because they:
Which condition is associated with the phenomenon of ochronosis, characterized by a bluish-black discoloration of connective tissues?
Enzyme defect in acute intermittent porphyria is
The urea cycle occurs in?
Amino Acid Metabolism Indian Medical PG Practice Questions and MCQs
Question 581: Branched-chain ketoaciduria is due to a deficiency of which enzyme?
- A. Branched-chain α-ketoacid dehydrogenase (Correct Answer)
- B. Methylmalonyl-CoA mutase
- C. Fumarylacetoacetate hydrolase
- D. α-ketoacid dehydrogenase
Explanation: ***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 582: Which of the following is a symptom associated with metabolites of tryptophan?
- A. Diarrhea
- B. Vasodilation
- C. All of these (Correct Answer)
- D. Flushing
Explanation: ***All of these*** - Tryptophan metabolites, particularly **serotonin**, are associated with all three symptoms listed, commonly seen in **carcinoid syndrome**. - **Diarrhea** occurs due to serotonin's effect on increasing **gut motility** and intestinal secretions. - **Vasodilation** results from serotonin acting as a powerful vasodilator when released from enterochromaffin cells. - **Flushing** is a clinical manifestation of the vasodilatory effects of serotonin, causing visible skin redness. - These symptoms collectively form the classic presentation of excess serotonin production from tryptophan metabolism. *Individual options (Diarrhea, Vasodilation, Flushing)* - While each of these is a valid symptom caused by tryptophan metabolites, selecting only one would be incomplete. - The question asks for symptoms (plural context implied), making "All of these" the most comprehensive answer. - All three symptoms are medically accurate manifestations of elevated serotonin levels.
Question 583: Which of the following is a non-protein amino acid?
- A. Histidine
- B. Ornithine (Correct Answer)
- C. Tyrosine
- D. Aspartate
Explanation: ***Ornithine*** - **Ornithine** is a non-protein amino acid that plays a crucial role in the **urea cycle**, helping to detoxify ammonia in the body - It is not incorporated into proteins during translation but is an important **metabolic intermediate** - Other examples of non-protein amino acids include **citrulline** (also in urea cycle), **homocysteine**, and **GABA** *Histidine* - **Histidine** is an **essential proteinogenic amino acid** that is directly incorporated into proteins during translation - It cannot be synthesized by the human body and must be obtained from the diet - It is a precursor to **histamine**, a crucial molecule involved in immune responses and gastric acid secretion *Tyrosine* - **Tyrosine** is a **proteinogenic amino acid** synthesized from phenylalanine, making it conditionally essential - It is incorporated into proteins and serves as a precursor for **thyroid hormones**, **catecholamines** (dopamine, norepinephrine, epinephrine), and **melanin** *Aspartate* - **Aspartate** is a standard **proteinogenic amino acid** that is directly incorporated into proteins during translation - It functions as a **neurotransmitter** and participates in metabolic pathways including the synthesis of purines and pyrimidines
Question 584: Which of the following amino acids is extracted predominantly by muscle, having been spared by the liver in the postprandial state?
- A. Valine (Correct Answer)
- B. Glutamine
- C. Glutamate
- D. Alanine
Explanation: ***Valine*** - **Valine** is a **branched-chain amino acid (BCAA)** that is primarily metabolized by muscle tissue rather than the liver. - In the **postprandial state**, the liver allows BCAAs to bypass its metabolism, making them readily available for uptake and utilization by muscles for protein synthesis. *Glutamine* - **Glutamine** is an amino acid primarily involved in **nitrogen transport**, ammonia detoxification, and as an energy source for rapidly dividing cells like immune cells and enterocytes. - While muscles can synthesize and release glutamine, it's not predominantly *extracted* by muscles from circulation in the same manner as BCAAs for protein synthesis. *Glutamate* - **Glutamate** is a non-essential amino acid involved in various metabolic pathways, including neurotransmission and protein synthesis. - The liver is highly efficient in metabolizing glutamate, and it is not typically spared for predominant extraction by muscle in the postprandial state. *Alanine* - **Alanine** is a product of muscle protein degradation and is transported to the liver in the **glucose-alanine cycle**. - In the liver, alanine is converted to glucose, making it a source of energy for other tissues, rather than being predominantly extracted by muscle from circulation.
Question 585: Which of the following is derived from tyrosine?
- A. Melatonin
- B. Serotonin
- C. Melanin (Correct Answer)
- D. Niacin
Explanation: ***Melanin*** - **Melanin** is synthesized from **tyrosine** through a process involving the enzyme **tyrosinase**. - It is a pigment responsible for skin, hair, and eye color, and plays a role in protecting against UV radiation. *Melatonin* - **Melatonin** is a hormone primarily produced in the pineal gland and is derived from **tryptophan**, not tyrosine. - It regulates sleep-wake cycles and has antioxidant properties. *Serotonin* - **Serotonin** (5-hydroxytryptamine) is a neurotransmitter derived from the amino acid **tryptophan**. - It plays a crucial role in mood regulation, sleep, appetite, and digestion. *Niacin* - **Niacin** (vitamin B3) can be synthesized from the amino acid **tryptophan**, not tyrosine. - It is essential for diverse metabolic functions, including energy production and DNA repair.
Question 586: Immediate precursor of creatine is:
- A. Carbamoyl phosphate
- B. Arginosuccinate
- C. Citrulline
- D. Guanidinoacetate (Correct Answer)
Explanation: ***Guanidinoacetate*** - **Guanidinoacetate** is directly methylated by **S-adenosylmethionine (SAM)** to form **creatine** in the second step of creatine biosynthesis. - This methylation reaction is catalyzed by the enzyme **guanidinoacetate methyltransferase (GAMT)**. *Carbamoyl phosphate* - **Carbamoyl phosphate** is a precursor in the **urea cycle** and pyrimidine synthesis, not directly for creatine. - It reacts with ornithine to form citrulline in the first step of the urea cycle. *Arginosuccinate* - **Arginosuccinate** is an intermediate in the **urea cycle**, formed from citrulline and aspartate. - It is cleaved to form fumarate and arginine, not directly leading to creatine. *Citrulline* - **Citrulline** is an intermediate in the **urea cycle**, formed from ornithine and carbamoyl phosphate. - It is a precursor to **arginine**, which can then contribute to the first step of creatine synthesis (arginine and glycine forming guanidinoacetate).
Question 587: Essential amino acids are named so because they:
- A. They are not important for life
- B. Not all food sources contain them
- C. Because they are not produced in the body (Correct Answer)
- D. Because they are required in large quantities
Explanation: ***Because they are not produced in the body*** - **Essential amino acids** are those that the body cannot synthesize on its own or cannot synthesize in sufficient quantities. - Therefore, they **must be obtained through diet** to meet the body's needs for protein synthesis and other metabolic functions. *They are not important for life* - This statement is incorrect; essential amino acids are **crucial for life** and various bodily functions. - They are the building blocks of **proteins**, which are vital for enzyme production, hormone synthesis, tissue repair, and many other biological processes. *Not all food sources contain them* - While it's true that not all food sources contain a complete profile of essential amino acids, this is **not the reason they are named "essential."** - Some plant-based foods may be lacking in one or more essential amino acids, requiring a varied diet to ensure adequate intake. *Because they are required in large quantities* - The quantity required is not the defining characteristic of an **essential amino acid**. - While some amino acids might be needed in larger amounts than others, their "essential" status refers to the **body's inability to synthesize them**, not their dietary quantity.
Question 588: Which condition is associated with the phenomenon of ochronosis, characterized by a bluish-black discoloration of connective tissues?
- A. Alkaptonuria (Correct Answer)
- B. Tyrosinemia
- C. Phenylketonuria
- D. Homocystinuria
Explanation: ***Alkaptonuria*** - **Ochronosis** is a hallmark feature of **alkaptonuria**, resulting from the accumulation of **homogentisic acid** in connective tissues. - The disease is caused by a deficiency of **homogentisate 1,2-dioxygenase**, an enzyme involved in phenylalanine and tyrosine metabolism. *Tyrosinemia* - Tyrosinemia involves various defects in the metabolism of **tyrosine**, leading to different clinical presentations (types I, II, and III). - While it involves tyrosine metabolism, it does not lead to the accumulation of homogentisic acid or the characteristic **bluish-black discoloration** seen in ochronosis. *Phenylketonuria* - **Phenylketonuria (PKU)** is characterized by a deficiency of **phenylalanine hydroxylase**, leading to a buildup of **phenylalanine**. - This condition primarily causes neurological problems and intellectual disability if untreated, but not **ochronosis**. *Homocystinuria* - **Homocystinuria** is a disorder of **methionine metabolism**, characterized by elevated levels of **homocysteine**. - It primarily affects the eyes (lens dislocation), skeletal system, central nervous system, and vascular system, but does not cause widespread connective tissue discoloration or **ochronosis**.
Question 589: Enzyme defect in acute intermittent porphyria is
- A. Hydroxymethylbilane synthase (Correct Answer)
- B. Aminolevulinic acid dehydratase
- C. Uroporphyrinogen decarboxylase
- D. Uroporphyrinogen III synthase
Explanation: ***Hydroxymethylbilane synthase*** - **Acute intermittent porphyria (AIP)** results from a deficiency of **hydroxymethylbilane synthase** (also known as porphobilinogen deaminase or PBG deaminase), which is the third enzyme in the heme synthesis pathway. - This enzyme defect leads to an accumulation of neurotoxic heme precursors, **aminolevulinic acid (ALA)** and **porphobilinogen (PBG)**. *Aminolevulinic acid dehydratase* - A deficiency in **aminolevulinic acid dehydratase (ALA dehydratase)** causes **ALA dehydratase deficiency porphyria (ADP)**, a very rare form of porphyria. - This is distinct from AIP, which involves a defect further down the pathway, leading to different precursor accumulation patterns. *Uroporphyrinogen III synthase* - A defect in **uroporphyrinogen III synthase** causes **congenital erythropoietic porphyria (CEP)**, also known as Günther's disease. - This condition is characterized by severe photosensitivity, hemolytic anemia, and red urine, which are not features of AIP. *Uroporphyrinogen decarboxylase* - A deficiency in **uroporphyrinogen decarboxylase (UROD)** is the cause of **porphyria cutanea tarda (PCT)**. - PCT is the most common porphyria and primarily presents with blistering skin lesions and increased iron levels, not acute neurovisceral attacks as seen in AIP.
Question 590: The urea cycle occurs in?
- A. Liver (Correct Answer)
- B. Gastrointestinal tract
- C. Spleen
- D. Kidney
Explanation: ***Liver*** - The **urea cycle** primarily takes place in the liver, involving both the **mitochondrial** and **cytosolic** compartments of hepatocytes. - This process is crucial for detoxifying **ammonia**, a toxic byproduct of amino acid metabolism, by converting it into urea for excretion. *Gastrointestinal tract* - The gastrointestinal tract is involved in the **absorption of amino acids** and can produce some ammonia through bacterial action, but it does not perform the complete urea cycle. - The primary role of the gut is digestion and absorption, not the synthesis of urea from ammonia. *Spleen* - The spleen is mainly involved in **immune responses** and the **filtration of blood**, including the breakdown of red blood cells. - It does not have a significant role in the urea cycle. *Kidney* - The kidneys are responsible for the **excretion of urea** from the body via urine. - While they regulate nitrogen balance, they do not perform the complete urea cycle to synthesize urea from ammonia.
Practice by Chapter
Protein Digestion and Absorption
Practice Questions
Transamination and Deamination
Practice Questions
Urea Cycle
Practice Questions
Disorders of Urea Cycle
Practice Questions
Metabolism of Individual Amino Acids
Practice Questions
Inborn Errors of Amino Acid Metabolism
Practice Questions
Phenylketonuria and Alkaptonuria
Practice Questions
Homocystinuria and Methionine Metabolism
Practice Questions
Synthesis of Biologically Important Compounds from Amino Acids
Practice Questions
Nitrogen Balance
Practice Questions
Ammonia Metabolism and Toxicity
Practice Questions
One-Carbon Transfer Reactions
Practice Questions
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