A deficiency in folic acid results in megloblastic anemia, a
condition in which erythrocytes in the blood are replaced by
fewer abnormally large erythrocytes known as macrocytes.
This occurs as a consequence of the lack of N
5
,N
10
-methyl-
ene-THF,which is required for the synthesis of the DNA pre-
cursor deoxythymidine monophosphate from deoxyuridine
monophosphate (Section 28-3Bb). Pernicious anemia (vita-
min B
12
deficiency; Section 25-2Ee) has similar anemic
symptoms. This is because the irreversibility of the reaction
forming N
5
-methyl-THF and the now inactive coenzyme
B
12
–dependent methionine synthase (top of Fig. 26-49), the
only mammalian enzyme that utilizes N
5
-methyl-THF, result
in folates becoming trapped in their N
5
-methyl-THF form.
Consequently, the anemic symptoms of pernicious anemia
may be alleviated by the administration of folic acid but this
does not relieve its neurological symptoms.
Sulfonamides (sulfa drugs) such as sulfanilamide are an-
tibiotics that are structural analogs of the p-aminobenzoic
acid constituent of THF:
They competitively inhibit bacterial synthesis of THF at
the p-aminobenzoic acid incorporation step, thereby block-
ing the above THF-requiring reactions. The inability of
mammals to synthesize folic acid leaves them unaffected
by sulfonamides, which accounts for the medical utility of
these widely used antibacterial agents.
5 AMINO ACID BIOSYNTHESIS
Many amino acids are synthesized by pathways that are
present only in plants and microorganisms. Since mammals
must obtain these amino acids in their diets, these sub-
stances are known as essential amino acids. The other
amino acids, which can be synthesized by mammals from
common intermediates, are termed nonessential amino
NH
O
RS
Sulfonamides
(R = H, sulfanilamide)
H
2
N
O
OH
O
C
-Aminobenzoic acid
H
2
N
p
acids. Their ␣-keto acid carbon skeletons are converted to
amino acids by transamination reactions (Section 26-1A)
utilizing the preformed ␣-amino nitrogen of another amino
acid, usually glutamate.Yet, although it was originally pre-
sumed that glutamate can be synthesized from ammonia
and ␣-ketoglutarate by glutamate dehydrogenase acting in
reverse, it now appears that the predominant physiological
direction of this enzyme is glutamate breakdown (Section
26-1B). Consequently, preformed ␣-amino nitrogen should
also be considered to be an essential nutrient. In this con-
text, it is interesting to note that, in addition to the four
well-known taste receptors, those for sweet, sour, salty, and
bitter tastes, a fifth taste receptor has been characterized,
that for the meaty taste of monosodium glutamate (MSG),
which is known as umami (Japanese: flavor).
The essential and nonessential amino acids for humans
are listed in Table 26-2. Arginine is classified as essential,
even though it is synthesized by the urea cycle (Section
26-2D), because it is required in greater amounts than can
be produced by this route during the normal growth and
development of children (but not adults). The essential
amino acids occur in animal and vegetable proteins. Dif-
ferent proteins, however,contain different proportions of the
essential amino acids. Milk proteins, for example, contain
them all in the proportions required for proper human nutri-
tion. Bean protein, on the other hand, contains an abundance
of lysine but is deficient in methionine, whereas wheat is
deficient in lysine but contains ample methionine.A balanced
protein diet therefore must contain a variety of different
protein sources that complement each other to supply the
proper proportions of all the essential amino acids.
In this section we study the pathways involved in the
formation of the nonessential amino acids. We also briefly
consider such pathways for the essential amino acids as
they occur in plants and microorganisms. You should note,
however, that although we discuss some of the most com-
mon pathways for amino acid biosynthesis, there is consid-
erable variation in these pathways among different species.
In contrast, as we have seen, the basic pathways of carbo-
hydrate and lipid metabolism are all but universal.
A. Biosynthesis of the Nonessential Amino Acids
All the nonessential amino acids except tyrosine are synthe-
sized by simple pathways leading from one of four common
metabolic intermediates: pyruvate, oxaloacetate, ␣-ketoglu-
tarate, and 3-phosphoglycerate. Tyrosine, which is really
misclassified as nonessential, is synthesized by the one-step
hydroxylation of the essential amino acid phenylalanine
(Section 26-3H). Indeed, the dietary requirement for
phenylalanine reflects the need for tyrosine as well. The
presence of dietary tyrosine therefore decreases the need
for phenylalanine. Since preformed ␣-amino nitrogen in the
form of glutamate is an essential nutrient for nonessential
1064 Chapter 26. Amino Acid Metabolism
Figure 26-50 The biosynthetic fates of the C
1
units in the THF
pool.
N
5
-Methyl-THF methionine SAM
epinephrine
phosphatidylcholine
2
histidinepurines
formylmethionyl-tRNA
5
,N
10
-Methylene-THF
N
5
,N
10
-Methenyl-THF
thymidylate (dTMP)
1
3
N
10
-Formyl-THF
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