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PRINCIPLES OF BIOCHEMISTRY
Carnitine Deficiencies
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LEARNING DICUSSION
Define Carnitne and role of carnitine in human body
Defintion of Carnitine Deficiency
Dicussion on cause and effects of Carnitine Deficiency
Dicuss on Primary Carnitne deficiency and secondary
deficiency
What is effects of low carnitine
How people with the disorder metabolize muscle glycogen
aerobically?
Dicussion on the significance presence of lipid vacuole in
muscle biopsy
Explain Mitochondrial (beta) -Oxidation Reactions
Synthesis of Triglycerides
Case
Carnitine deficiency
A teenage boy was brought to a hospital as he complaints
that he always get too tired when asked to participate in
the any school activities. The doctor found muscle
weakness in the boys arms and legs. From the muscle
biopsy, the lab pathologist found greatly elevated
amount of triglycerides esterified with primary long
chain fatty acid. They also found significant presence
of lipid vacuoles in the muscle biopsy. What cause
these symptoms?
What is Carnitine?
Carnitine - substance found in
almost every cell in the body, it is
biosynthesized from - amino acids
lysine and methionine.
There are three different forms of
carnitine:
a)L-carnitine
b)acetyl-L-carnitine
c)propionyl-L-carnitine
Role of
Carnitine?
Carnitine -helps the body turn fat into
energy. Our body makes it in the liver
and kidneys and stores it in the skeletal
muscles, heart, brain, and sperm.
The compound plays role in energy
production, as it is responsible for
transporting fatty acids to the
mitochondria. arnitine transports longchain fatty acids into mitochondria
where they are burned (oxidized) to
produce energy.
Carnitine-transports waste and toxic
compounds out of the mitochondria,
preventing their buildup.
Carnitine Deficiency
Carnitine deficiency is one of a
group of metabolic muscle
diseases that interferes with the
processing of food (in this case,
fats) for energy production.
Inborn error of fatty acid transport
caused by a defect in the
transporter responsible for moving
carnitine across the plasma
membrane
When carnitine cannot be
transported into tissues, fatty acid
oxidation is impaired, leading to a
variety of symptoms
Fatty acid are activated on the outer mitochondrian membrane, whereas they are
oxidized in the mitochodrial matrix
A special transport mechanism is needed to carry the long chain acyl CoA
molecules across the inner mitochondrial membrane.
Activited long chain fatty acid are transported across the membrane by
conjugating them to carnitine, zwitterionic alcohol.
The acyl group is transfer from the sulfur atom of CoA to the hydroxyl group
of carnitine to form acyl carnitine.
This reaction is catalyzed by carnitine acyl transferase I ( also called carnitine
palmitoly transferase I) which is bound to the outer mitochodrial membrane .
Acyl carnitine is then shuttled across the inner mitochodrial membrane.
The acyl group is transferred back to CoA on the matrix side of the membrane.
The reaction, which is catayzed by carnitine acyl is transferase II (Carnitine
palmitoly transferase II) is simply the reverse of the reaction that takes place in
the cytosol
Finally, the translocase returns carnitine to the cytosodic side in exchange for an
incoming actyl carnitine
Synthesis of Triglycerides
Fatty acids are stored for future use as triacylglycerols (TAGs) in all
cells, but primarily in adipocytes of adipose tissue.
TAGs constitute molecules of glycerol to which three fatty acids have
been esterified.
The fatty acids present in TAGs are predominantly saturated.
The major building block for the synthesis of TAGs, in tissues other than
adipose tissue, is glycerol.
Adipocytes lack glycerol kinase, therefore, dihydroxyacetone phosphate
(DHAP), produced during glycolysis, is the precursor for TAG synthesis
in adipose tissue.
This means that adipocytes must have glucose to oxidize in order to store
fatty acids in the form of TAGs. DHAP can also serve as a backbone
precursor for TAG synthesis in tissues other than adipose, but does so to
a much lesser extent than glycerol.
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