Urea cycle

The urea cycle (also known as the 'ornithine cycle') is a cycle of biochemical reactions that produces urea ((NH2)2CO) from ammonia (NH3). This cycle occurs in ureotelic organisms. The urea cycle converts highly toxic ammonia to urea for excretion.[1] This cycle was the first metabolic cycle to be discovered (Hans Krebs and Kurt Henseleit, 1932), five years before the discovery of the TCA cycle. The urea cycle takes place primarily in the liver and, to a lesser extent, in the kidneys.

Function

Amino acid catabolism results in waste amino groups. All animals need a way to excrete this product. Most aquatic organisms, or ammonotelic organisms, excrete ammonia without converting it.[1] Ammonia is toxic but upon excretion from aquatic species is diluted from water. Organisms that cannot easily and safely remove nitrogen as ammonia convert it to a less toxic substance: urea or uric acid. The urea cycle mainly occurs in the liver. The urea is then released into the bloodstream where it travels to the kidneys and is ultimately excreted in urine.

Reactions

The entire process converts two amino groups, one from NH4+ and one from Asp, and a carbon atom from HCO3−, to the relatively nontoxic excretion product urea at the cost of four "high-energy" phosphate bonds (3 ATP hydrolyzed to 2 ADP and one AMP). The conversion from ammonia to urea happens in five main steps. The first is needed for ammonia to enter the cycle and the following four are all a part of the cycle itself. To enter the cycle, ammonia is converted to carbomyl phosphate. The urea cycle consists of four enzymatic reactions: one mitochondrial and three cytosolic.[1]

Reactions of the urea cycle
Step Reactants Products Catalyzed by Location
1 NH3 + HCO3− + 2ATP carbamoyl phosphate + 2ADP + Pi CPS1 mitochondria
2 carbamoyl phosphate + ornithine citrulline + Pi OTC mitochondria
3 citrulline + aspartate + ATP argininosuccinate + AMP + PPi ASS cytosol
4 argininosuccinate Arg + fumarate ASL cytosol
5 Arg + H2O ornithine + urea ARG1 cytosol
The reactions of the urea cycle

1 L-ornithine
2 carbamoyl phosphate
3 L-citrulline
4 argininosuccinate
5 fumarate
6 L-arginine
7 urea
L-Asp L-aspartate
CPS-1 carbamoyl phosphate synthetase I
OTC Ornithine transcarbamoylase
ASS argininosuccinate synthetase
ASL argininosuccinate lyase
ARG1 arginase 1

First Reaction: Entering the Urea Cycle

Before the urea cycle begins ammonia is converted to carbomyl phosphate. The reaction is catalyzed by carbamoyl phosphate synthetase I and requires the use of an ATP molecule.[1] The carbomyl phosphate then enters the urea cycle.

4 Steps of the Urea Cycle

1) Carbomyl phosphate is converted to citrulline. With catalysis by ornithine transcarbamoylase, the carbomyl phosphate group is donated to ornithine and releases a phosphate group.[1]

2) A condensation reaction occurs between the amino group of aspartate and the carbonyl group of citrulline to form arginosuccinate. This reaction is ATP dependent and is catalyzed by arginosuccinate synthetase.[1]

3) Arginosuccinate undergoes cleavage by arginosuccinase to form arginine and fumarate.[1]

4) Arginine is cleaved by arginase to form urea and ornithine. The ornithine is then transported back to the mitochondria to begin the urea cycle again.[1]

Overall Reaction Equation

In the first reaction, NH4+ + HCO3− is equivalent to NH3 + CO2 + H2O.

Thus, the overall equation of the urea cycle is:

Since fumarate is obtained by removing NH3 from aspartate (by means of reactions 3 and 4), and PPi + H2O → 2 Pi, the equation can be simplified as follows:

Note that reactions related to the urea cycle also cause the production of 2 NADH, so the overall reaction releases slightly more energy than it consumes. The NADH is produced in two ways:

We can summarize this by combining the reactions:

The two NADH produced can provide energy for the formation of 5 ATP (cytosolic NADH provides 2.5 ATP with the malate-aspartate shuttle in human liver cell), a net production of two high-energy phosphate bond for the urea cycle. However, if gluconeogenesis is underway in the cytosol, the latter reducing equivalent is used to drive the reversal of the GAPDH step instead of generating ATP.

The fate of oxaloacetate is either to produce aspartate via transamination or to be converted to phosphoenolpyruvate, which is a substrate for gluconeogenesis.

Regulation

N-Acetylglutamic acid

The synthesis of carbamoyl phosphate and the urea cycle are dependent on the presence of NAcGlu, which allosterically activates CPS1. NAcGlu is an obligate activator of carbamoyl phosphate synthetase.[2] Synthesis of NAcGlu by NAGS is stimulated by both Arg, allosteric stimulator of NAGS, and Glu, a product in the transamination reactions and one of NAGS's substrates, both of which elevated when free amino acids are elevated. So Glu not only is a substrate for NAGS but also serves as an activator for the urea cycle.

Substrate concentrations

The remaining enzymes of the cycle are controlled by the concentrations of their substrates. Thus, inherited deficiencies in cycle enzymes other than ARG1 do not result in significant decreases in urea production (if any cycle enzyme is entirely missing, death occurs shortly after birth). Rather, the deficient enzyme's substrate builds up, increasing the rate of the deficient reaction to normal.

The anomalous substrate buildup is not without cost, however. The substrate concentrations become elevated all the way back up the cycle to NH4+, resulting in hyperammonemia (elevated [NH4+]P).

Although the root cause of NH4+ toxicity is not completely understood, a high [NH4+] puts an enormous strain on the NH4+-clearing system, especially in the brain (symptoms of urea cycle enzyme deficiencies include intellectual disability and lethargy). This clearing system involves GLUD1 and GLUL, which decrease the 2-oxoglutarate (2OG) and Glu pools. The brain is most sensitive to the depletion of these pools. Depletion of 2OG decreases the rate of TCAC, whereas Glu is both a neurotransmitter and a precursor to GABA, another neurotransmitter. (p.734)

Linkage with the Citric Acid Cycle

The urea cycle and the citric acid cycle are independent cycles but are linked. One of the nitrogens in the urea cycle is obtained from the transamination of oxaloacetate to aspartate.[3] The fumarate that is produced in step three is also an intermediate in the citric acid cycle and is returned to that cycle.[3]

Urea Cycle Disorders

Genetic defects in the enzymes involved in the cycle can occur. Mutations lead to deficiencies of the various enzymes and transporters involved in the urea cycle and cause urea cycle disorders.[1] If individuals with a defect in any of the enzymes used in the cycle ingest amino acids beyond what is necessary for the minimum daily requirements the ammonia that is produced will not be able to be converted to urea. These individuals can experience hyperammonemia or the buildup of a cycle intermediate.

Types of Urea Cycle Disorders

Most urea cycle disorders are associated with hyperammonemia, however argininemia and some forms of argininosuccinic aciduria do not present with elevated ammonia.

Additional images

References

  1. 1 2 3 4 5 6 7 8 9 M., Cox, Michael (2013-01-01). Lehninger principles of biochemistry. Freeman. ISBN 9781429234146. OCLC 901647690.
  2. ↑ Kaplan Medical USMLE Step 1 Biochemistry and Medical Genetics Lecture Notes 2010, page 261
  3. 1 2 Shambaugh, G. E. (1977-12-01). "Urea biosynthesis I. The urea cycle and relationships to the citric acid cycle". The American Journal of Clinical Nutrition. 30 (12): 2083–2087. ISSN 0002-9165. PMID 337792.
L-citrulline Carbamoyl
phosphate		 L-ornithine
Pi
L-aspartate Urea
+ ATP
PPi + AMP H2O
L-argininosuccinate Fumarate L-arginine
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