Urea Carbamyl phosphate synthetase

Production of urea by cestodes suggests the existence of the urea (Krebs-Henseleit) cycle, which is shown in Fig. 6.11. One of the key enzymes, arginase, has been widely reported in cestodes (796, 185-187). However, some of the other enzymes, notably carbamyl phosphate synthetase and ornithine transcarbamyl, are either absent or present in only low amounts (39) and it is doubtful if a complete cycle operates in cestodes. It is likely that the urea excreted by tapeworms comes from the activity of arginase alone. The uric acid produced and excreted by cestodes probably arises from the breakdown of purines (39). 

Propionyl CoA inhibits A(-acetylglutamate synthetase competitively with respect to acetyl CoA, forming A(-propionylglutamate and reducing the synthesis of A(-acetylglutamate. This is an obligatory activator of carbamyl phosphate synthetase, the first enzyme of urea synthesis. Vitamin B12 deficiency may result in some degree of protein intolerance and hyperammonemia. 

The role of ATP in the carboxylation of biotin is unclear. It is possible that biotin is O-phosphorylated during the carboxylation reaction. However, evidence suggests that the immediate reactive species that carboxylates biotin is carboxyphosphate, as in the (biotin-independent) reaction of carbamyl phosphate synthetase in urea and pyrimidine synthesis. 

Citrulline is an endogenous amino acid involved in the urea cycle. Clinically, it can be used as an arginine substitute in the treatment of inborn errors of urea synthesis, including carbamyl phosphate synthetase and ornithine transcarbamylase. It is also a diuretic. 

Figure 24-2 The urea cycle pathway. CPS I, Carbamyl phosphate synthetase I N-acetyigiutamate as positive allosteric effector OTC, ornithine transcarbamyiase MS, argininosuccinate synthetase Ai, argininosuccinate iyase AR, arginase ADP, adenosine diphosphate, ATf adenosine triphosphate, P, inorganic phosphate.

Defects of the enzymes mediating all four reactions of the urea cycle proper have now been established, and there is some evidence of the existence of a fifth enzyme defect, involving carbamyl phosphate synthetase, mediating the initial reaction of the pathway. As the first report of a metabolic disorder involving the urea cycle was only in 1958, it is not surprising that there have been very few reviews of this topic, that of Efron (El) being the most complete to date. 

The first step in the formation of urea from ammonia is its combination with bicarbonate to form carbamyl phosphate (Fig. 1). This contributes only one nitrogen atom to urea, the other being donated by aspartic acid in the third step of the pathway. A -Acetylglutamate is required as cofactor, and the presence of Mg is essential, ATP being converted to ADP in the process. The reaction is catalyzed by carbamyl phosphate synthetase (carbamate kinase EC 2.7.2.2). It has been shown that there are probably two forms of this enzyme, at least in rat liver. One is ammonia dependent, is primarily associated with mitochondria, and may be the enzyme responsible for the formation of carbamyl phosphate in the synthesis of urea. The other, which is glutamine dependent, is probably mainly extramitochondrial and may supply the carbamyl phosphate used... 

Fig. 5. Diagrammatio representation of intracellular localization of urea cycle pathway showing diffusion pattern. CPS, carbamyl phosphate synthetase ASL, argininosuccinate lyase ASA, argininosucoinate.

It must be noted that only few results have been obtained on fresh biopsy specimens most have been from specimens which have been stored in the frozen state for some time or from specimens of liver which have been removed at necropsy at varying unstated periods after death and kept deep frozen at —15°C for various periods of time before analysis. There is some evidence from our results that at least two, carbamyl phosphate synthetase and ornithine transcarbamylase, of the urea cycle enzyme activities fall off on storage at — 15°C for even 1 day, and this decrease continues over longer periods. Thus carbamyl phosphate synthetase activity in fresh mouse liver is in our experience appreciably higher than in liver kept frozen for some days or weeks. This is borne out by a comparison of the enzyme activities found in human liver obtained by biopsy, measured immediately, after storage at —15°C, and finally in liver obtained at necropsy (Fig. 6). Ornithine transcarbamylase activity in a human biopsy specimen of liver is greater when assayed immediately than when it is kept frozen even a short time or... 

The substances assayed in the reaction mixture are citrulline, in determining carbamyl phosphate synthetase and ornithine transcarbamylase, and urea in determining argininosuccinate synthetase, argininosuccinate lyase, and arginase. 

None of these cases can be considered as established examples of an isolated carbamyl phosphate synthetase deficiency. Although in the first the clinical history and the presence of severe hyperammonemia support the diagnosis of a defect of urea synthesis, the normal finding of levels of plasma amino acids, apart from glycine, is against it. No actual numerical data on the level of activity of the urea cycle enzymes are given. 

The Ornithine Urea Cycle Biosynthesis and Regulation of Carbamyl Phosphate Synthetase I and Ornithine Transcar-... 

In addition to the requirement for pyrimidine nucleotide synthesis, carbamyl phosphate is required for synthesis of arginine and urea. Carbamyl phosphate synthesis is a prominent activity in ureotelic liver and is aimed primarily at the formation of urea the process of urea synthesis is served by a special carbamyl phosphate synthetase which is quite distinct from the enzymes responsible for carbamyl phosphate synthesis in extrahepatic tissues and in the livers of uricotelic animals. A third mechanism for synthesis of carbamyl phosphate is found in bacteria. 

The cycle starts with carbamyl phosphate formation (this reaction was discussed in the section on pyrimidine biosynthesis). Carbamyl phosphate synthetase catalyzes the condensation of active CO2 with NH4 to yield carbamyl phosphate, a precursor of pyrimidines and urea. 

Certain species of tadpoles excrete ammonia during the premetamorphic phase and urea after the onset of metamorphosis. In those animals, two of the urea cycle enzymes are present in small amounts during the premetamorphic phase—carbamyl phosphate synthetase and arginine synthetase. Metamorphosis can be induced by the administration of thyroxine, and... 

The precursor for ornithine synthesis is N-acetylglutamate, which is also an obligatory activator of carbamyl phosphate synthetase. This provides a regulatory mechanism — if N-acetylglutamate is not available for ornithine synthesis (and hence there would be impaired activity of the urea synthesis cycle), then ammonium is not incorporated into carbamyl phosphate. This can be a cause of hyperammonaemia in a variety of metabolic disturbances that lead to either a lack of acetyl CoA for N-acetyl glutamate synthesis or an accumulation of propionyl CoA, which is a poor substrate for, and hence an inhibitor of, N-acetylglutamate synthetase. 

The enzymes discussed in the previous sections (carbamyl phosphate synthetase, ornithine transcarbamylase, argininosuccinate synthetase, cleavage enzyme, and arginase) constitute the known enzymic steps in the sequence of reactions leading to the biosynthesis of urea in ureotelic animals in accordance with the cycle originally proposed by Krebs and Hen-seleit (458). A summary scheme showing the steps in this cycle and the relationship of some of the intermediates to other systems is shown in Fig. 2. 

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