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METABOLISM: Urea Cycle

Alanine a -KG

Glutamate ALT
D.H. H2O •

HCO 3- + NH 3 + 2 ATP + Glutamate Pyruvate


a - ketogluterate Glutamate •

NADPH NADP+
.-1
Carbamoyl C.P.S NH3 (RA)
- Free radical rxns •

Phosphate Ammonia Astrocytes


Aspartate - Fatty acid synthesis

Malate H+
NH 4+ •

Glutamate
Ammonium H 2O •
-

NH 4+
Ornithine
+ H 2O •

Transcarbamylase • H 2O
H 2O Glutamine Glutamine
Ornithine Citrulline Aspartate H 2O
Synthetase

Arginase Argininosuccinate Synthetase •


+
+ NH 4+ NH 4+ Glycine
Cerebral
Urea Argininosuccinate Edema
Argninosuccinase •
(Less Toxic) • - ICP
+
Arginine - Comatose
Fumarate •

Glutamine

Glycine
• Benzoate



Phenylbutyrate

Kidneys


• Excrete
• Urine

Metabolism Urea Cycle•


f) I

¥-1

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