1/ Another in my biology series of How it Works. This time... How Does You Body Get Rid of Excess Nitrogen? #Protein

The short answer is that it transforms the nitogenous group (amino group) into urea, and it gets peed out. But let's dig in a bit...
2/ The first step is to get the Nitrogen-containing amino group off of the donor amino acid. This is done by a "transamination reaction" in which transaminase enzymes effectively shuffle the amino group, transfering it from one donor amino acid to an acceptor alpha keto acid...
3/ Again, just a simple shuffling. In the example shown Alanine is the donor amino acid, and it's amino group is transfered to alpha-ketoglutarate to make their respective alpha keto acid and amino acid pairs: Pyruvate & Glutamate...
4/ Two quick things to note. First, alanine is basically "pyruvate in disguise!" That's not important to this thread but bank that information as it's actually relevant to the hypoglycaemic effect of ketone bodies! Stay tuned for a new paper by .@Ad_SotoMota, which we will cover
5/ Second, alpha ketoglutarate is usually the alpha keto acid acceptor, generating glutamate. This is importnat because only glutamate can undergo "oxidative decarboxylation" a reaction that liberates the nitrogen group making ammonia! Then...
6/ Then we have the urea cycle. The ammonia is pulled of the glutamate, regenerative alpha-KG, and then combined with carbon dioxide in the mitochondria. The product leaves the mito, goes through a series of intermediates, and urea and produced...

Then you pee it out!

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More from @nicknorwitz

24 Jul
1/ Why does LDLc go up more if you're leaner and have higher energy demands, one explaination by @DaveKeto (and hopefully I recount it corrently):

In a low-carb state, dependence on fat metabolism is increased. Thus, ur fat cells r shrinking& growing in a more dynamic fashion...
2/ In order to expand, the fat cell (and other cells) needs material that can be provided by circulating lipoproteins.

Now let's pause and remeber that leanness & metabolic health are characterized by small fat cells (even if there are more). This is healthy but...
3/ If you fat cell is small its going to have a higher surface area to volume ratio than large fat cells. Thus, to grow and the same amount in terms of volume (as the TG pool is turned over more quickly) small fat cells will require more membrane components provided by LDL...
Read 4 tweets
24 Jul
1/ What does Lipid Trafficking and VLDL have to do with type II #diabetes?

Check out my new video on the "Twin Cycle Hypothesis"

In 9 min, you'll be smarter than you were before!
🤓🤓🤓👇👇👇
#LEM #Lipids #Insulin
2/ After you watch the video, can you answer the following "quiz" questions?

(i) How does the contribution of de novo lipogenesis to Triglyceries in VLDL change as liver fat accumulates?
...
3/ T/F and why?
(ii) Palmitic acid is transported by VLDL1 to the pancreas, harming beta cells in the pancreas. Palmitic acid is a major saturated fat (16:0) found in animal foods. So, you should eat less red meat and dairy and substitue in healthy whole grains & fruit, like 🍌?
Read 4 tweets
14 Jul
1/ New Human study supports twin-cycle hypothesis of #diabetes … thread incoming!
#metabolism #insulinresistance

sciencedirect.com/science/articl…
2/ The twin cycle hypothesis postulates that accumulation of liver fat can drive diabetes in the following way: more liver fat promotes hepatic insulin resistance which increases gluconeogenesis and thus increases insulin to promote more de novo lipogenesis. Basically…
3/ Basically, more liver fat more insulin resistance more liver fat and so on. New human data provide support for the model. One of the key findings of the paper is that more liver fat = more de novo lipogenesis, creating specifically the saturated fat palmitic acid (PA)…
Read 14 tweets
12 Jul
Circulating levels of Lipoprotein Lipase inhibiting factor ANGPTL8 are associated with increased all-cause mortality and CVD risk .@DaveKeto Thoughts?
#metabolism #cvd #LEM
P.S. (ANGPTL8 aka "betatrophin" in the literature)
nature.com/articles/s4159…
cell.com/trends/endocri…
2/ Also, it's all very mechanistic, with ANGPTL4 vs. 3/8 being oppositely regualted by feeding and fasting in a tissue specific manner such that fasting decreases fat storage in adopicytes and feeding promotes it.

And, perhaps, unsuprislingly, the lipid metabolism is...
3/ w.r.t ANGPTLs (and specifically 4, which controls local LPL activity) is linked with glucose homeostasis...
Read 5 tweets
6 Jul
The #ketone body, acetoacetate (AcAc) regulates lipid metabolism through receptor GPR43
pnas.org/content/116/47…

Cool study .@DaveKeto and I were discussing...

AcAc binds to the GPR43/FFAR2 receptor to promote Lipoprotein Lipase activity and help burn fat.

Some more details...
2/ Short-chain fatty acids (SCFAs) in the gut r known to modulate energy homeostatis. Butyrate, acetate, proprionate all have recptors. The acetate receptor is GPR43.

The ketone BhB is all well studied as a signaling molecule, and binds HCAR2 etc., but AcAc is less well studied.
3/ This paper provides good evidence that, during fasting and ketogenic conditions, its AcAc that helps promote fat burning (lypolysis) throughout the body (except in the gut, more on that in a bit). Again, AcAc binds GPR43 and promotes Lipoprotein lipase (LPL activity)...
Read 10 tweets
1 Jul
New paper tries to claim high inter-individual variability as an excuse for backing the notion that #saturated fat is unhealthy. Things that I thought as I read…

1/ Abstract depicts sat fat as a burger with fries. Sigh...

atherosclerosis-journal.com/article/S0021-…
2/ calls out isocaloric replacement studies 4replacing SAT w carbs rather than PUFA. Fair point, but what practical options r available to people in this world. How r ppl going to read this article? Trade butter for raw tahini, or soybean oil margarine, or go for low-fat cookie?
3/ Cite whole foods complex matrix as a confounding variable. Maybe just say eat whole food and not processed junk? most of American’s sat fat comes from sweets and pasteries, not whole foods. let's just agree the ice cream isn't saving your heart health, don't lump in the steak
Read 6 tweets

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