Pyruvate from alanine catabolism

Muscle protein catabolism generates amino acids some of which may be oxidized within the muscle. Alanine released from muscle protein or which has been synthesized from pyruvate via transamination, passes into the blood stream and is delivered to the liver. Transamination in the liver converts alanine back into pyruvate which is in turn used to synthesise glucose the glucose is exported to tissues via the blood. This is the glucose-alanine cycle (Figure 7.11). In effect, muscle protein is sacrificed in order to maintain blood adequate glucose concentrations to sustain metabolism of red cells and the central nervous system. 

Some catabolic reactions of amino acid carbon chains are easy transformations to and from TCA cycle intermediates—for example, the transamination of alanine to pyruvate. Reactions involving 1-carbon units, branched-chain, and aromatic amino acids are more complicated. This chapter starts with 1-carbon metabolism and then considers the catabolic and biosynthetic reactions of a few of the longer side chains. Amino acid metabolic pathways can present a bewildering amount of material to memorize. Perhaps fortunately, most of the more complicated pathways lie beyond the scope of an introductory course or a review such as this. Instead of a detailed listing of pathways, this chapter concentrates on general principles of amino acid metabolism, especially those that occur in more than one pathway. 

Reviews by Ruderman (19) and Adibi (20,21) indicate that the branched-chain amino acids, particularly leucine, have an important role along with alanine in gluconeogenesis. Leucine and the other two branched-chain amino acids are catabolized in skeletal muscle. The nitrogen that is removed from the branched-chain amino acids in skeletal muscle is combined with pyruvate and returned to the liver as alanine. In the liver the nitrogen is removed for urea production and the carbon chain is utilized as substrate for synthesis of glucose. Adibi et al. (22) reported that during the catabolic conditions of starvation, oxidation of leucine and fatty acids increases in skeletal muscles. While glucose oxidation is reduced, the capacity for oxidation of the fatty acid palmltate more than doubled, and leucine oxidation increased by a factor of six. 

Ammonia is produced by almost all cells in the body however, only the liver has the enzymatic machinery to convert it to urea. Therefore, extra-hepatic ammonia must be transported to the liver. However, anunonia in the blood is toxic to cells, and therefore the nitrogen from amino acid catabolism is transported in blood either as glutamine or alanine. Glutamine is synthesized from Glu and ammonia in an ATP-requiring reaction that is catalyzed by glutamine synthetase. Alanine is formed from pyruvate in a transamination reaction catalyzed by alanine transaminase (ALT). 

Inhibition of PK In liver, pyruvate kinase is inhibited by alanine and cyclic AMP (which is produced under the influence of glucagon). Glucagon is present during fasting, as is the gluconeogenic precursor alanine, which is derived from muscle protein (Chapter 44). Inhibition of PK restricts phosphoenolpyruvate catabolism and favours gluco-neogenesis (Fig. 46.2). 

In considering amino acid catabolism, one must distinguish the catabolism of the carbon chain from that of the nitrogen moiety. The breakdown of the carbon chain of the amino acids yields carbon units that can be used in carbohydrate metabolism, acetate metabolism, or the metabolism of single carbon units. The fate of the carbon units of the individual amino acids has been discussed in other sections of this book, and only a synopsis of the results will be presented here. The carbon skeletons of isoleucine, phenylalanine, threonine, tryptophan, valine, histidine, alanine, arginine, aspartic acid, glycine, proline, glutamic acid, and hydroxyproline are ultimately converted to pyruvic acid. 

The major pathway of serine catabolism probably is by way of its enzymatic dehydration and subsequent spontaneous deamination to yield pyruvic acid (see Fig. 2). An evidence for this is the observation of Lien and Greenberg that alanine is the major amino acid formed from serine-3-C by liver mitochondrial preparations. The alanine could be fomed from the pyruvic acid by transamination. 

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