Page 336 - Color Atlas of Biochemistry
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Kidney      327


                 A. Proton secretion

                 Blood plasma                                                                         Urine
                                                                                            From the
                                                                     Tubule cell            final urine
                         CO 2                              CO 2

                         H O                     H O                                            HCO 3
                                                  2
                           2
                                                                                CO 2
                 1  Carbonate dehydratase
                             2
                    4.2.1.1 [Zn       ]                     1

                 2  Na /K -exchanging ATPase
                     3.6.1.37
                                                                                  1

                                                                      H                         H
                                                                           Secondary active
                        HCO  3                       HCO  3                transport of H



                                            A
                                               PP
                                                  P

                            3Na                            3Na         Na                Na
                                       2
                            2K                             2K
                                            A
                                               PPP



                 B. Ammonia excretion

                    Glutamine                           Glutamine

                                                                   H O     Ala
                                                                     2
                                                                           Ser
                     Amino acid                                            Gly
                     with the highest                        3             Asp          Diffusion
                     plasma
                     concentration

                                                                            NH 3          NH 3

                    Glutamate                           Glutamate        H                        H

                                             N   A                 H O
                                                                     2
                                                                           NH 4           NH 4
                                                             4



                                             N   A
                                                       2-Oxoglutarate
                                                                                     Excretion of
                                                                                     30 – 50 mmol/day
                 3  Glutaminase 3.5.1.2
                                                       Tricarboxylic
                 4  Glutamat-                          acid cycle
                    Dehydrogenase 1.4.1.2






           Koolman, Color Atlas of Biochemistry, 2nd edition © 2005 Thieme
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