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Kaplan Qbank USMLE



Author9 Posts
  #1

the fasting body can make glucose from all the following except

1. arginine
2. methionine
3. propionyacid
4. leucine
5. malate


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  #2

? Arginine

  #3

lysine and leucine -> the only two KETOgenic amino acids.
-> ans4

  #4

nod leucine is not a glucogenic amino acid. same as lysine. the only 2 aa's that are not glucogenic.

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  #5

Nice Q nod

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  #6

well detailed and tedious but really relaible answernod

from Lehninger Principle of Biochemistry chapter 20 table 20-3:
Glucogenic Amino Acid, Grouped by Site of Entry
PYRUVATE:
Alanine,
Cysteine
Glycine
Serine
Tryptophane(also Ketogenic)

alpha-Ketoglutatate=
Alanine
Glutamate
Glutamine
Histidine
Proline
SUCCINYL-COA
Isoleucine(also ketogenic)
Methionine
Threonine
Valine

FUMARATE:
PHenylalanine(also ketogenic)
Tyrosine(also ketogenic)

OXALOACETATE:
Asparagine
Aspartate
\\\\\\\\\
malate is an intermediate from pyruvate to phosphoenolpyruvate (PEP) pathway and
accually PEP finally via a lot reactions became Glucose-6-phosphate and glucose,
so malate also belongs to glucogenesis pathway ,its difference to ,for example, alanine is that it is some steps further

so the only that remains Propionyacidewink

  #7

Hi Danieel,

Propionyl Coa is an intermediate of lipid metabolic pathway that can be used for gluconeogenesis.

I saw a q asking about this.


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  #8

yes, odd chain fatty acid can be used for gluconeog thro propionyl coa while even number FA are not gluconeogenic. the propionyl coa is converted to suc co a in 2 steps: prop coa to methylmalonic acid (enz prop coa carboxylase), mma to suc coa (enz meth mal coa mutase). then fumarate, malate then gluconeog pathway. pretty cumbersome. so this is not a preferred route!!

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  #9

good Q nod. and vgood explainations

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