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338       Tissues and organs



             Muscle metabolism II                             B. Protein and amino acid metabolism
                                                              The skeletal muscle is the most important site
             A. Cori and alanine cycle                        for degradation of the branched-chain amino
                                                              acids (Val, Leu, Ile; see p. 414), but other amino
             Whitemusclefibers(see p. 336) mainlyob-
             tain ATP from anaerobic glycolysis—i. e., they   acids are also broken down in the muscles.
                                                              Alanine and glutamine are resynthesized
             convert glucose into lactate. The lactate aris-  from the components and released into the
             ing in muscle and, in smaller quantities, its    blood. They transport the nitrogen that arises
             precursor pyruvate are released into the         during amino acid breakdown to the liver
             blood and transported to the liver, where lac-
             tate and pyruvate are resynthesized into glu-    (alanine cycle; see above) and to the kidneys
                                                              (see p. 328).
             cose again via gluconeogenesis, with ATP being      During periods of hunger, muscle proteins
             consumed in the process (see p. 154). The        serve as an energy reserve for the body. They
             glucose newly formed by the liver returns        are broken down into amino acids, which are
             via the blood to the muscles, where it can be
             used as an energy source again. This circula-    transported to the liver. In the liver, the car-
                                                              bon skeletons of the amino acids are con-
             tion system is called the Cori cycle,after the
             researchers who first discovered it. There is    verted into intermediates in the tricarboxylic
             also a very similar cycle for erythrocytes,      acid cycle or into acetoacetyl-CoA (see p. 175).
                                                              These amphibolic metabolites are then avail-
             which do not have mitochondria and there-
             fore produce ATP by anaerobic glycolysis (see    able to the energy metabolism and for gluco-
                                                              neogenesis. After prolonged starvation, the
             p. 284).                                         brain switches to using ketone bodies in order
                The muscles themselves are not capable of     to save muscle protein (see p. 356).
             gluconeogenesis. Nor would this be useful, as       The synthesis and degradation of muscle
             gluconeogenesis requires much more ATP
             than is supplied by glycolysis. As O 2 deficien-  proteins are regulated by hormones. Cortisol
             cies do not arise in the liver even during in-   leads to muscle degradation, while testo-
             tensive musclework, thereis always suf -         sterone stimulates protein formation. Syn-
                                                              thetic anabolics with a testosterone-like ef-
             cient energy there available for gluconeogen-    fect have repeatedly been used for doping
             esis.
                There is also a corresponding circulation     purposes or for intensive muscle-building.
             system for the amino acid alanine. The alanine
             cycle in the liver not only provides alanine as  Further information
             a precursor for gluconeogenesis, but also
             transports to the liver the amino nitrogen       Smooth muscle differs from skeletal muscle in
             arising in muscles during protein degrada-       various ways. Smooth muscles—which are
             tion. In the liver, it is incorporated into urea  found, for example, in blood vessel walls
             for excretion.                                   and in the walls of the intestines—do not
                Most of the amino acids that arise in         contain any muscle fibers. In smooth-muscle
             muscle during proteolysis are converted into     cells, which are usually spindle-shaped, the
             glutamate and 2-oxo acids by transamination      contractile proteins are arranged in a less reg-
             (not shown; cf. p.180). Again by transamina-     ular patternthaninstriated muscle. Contrac-
             tion, glutamate andpyruvategiveriseto ala-       tion in this type of muscle is usually not
             nine, which after glutamine is the second im-    stimulated by nerve impulses, but occurs in
             portant form of transport for amino nitrogen     alargely spontaneousway. Ca   2+  (in the form
                                                                   2+
             in the blood. In the liver, alanine and 2-oxo-   of Ca -calmodulin; see p. 386) also activates
             glutarate are resynthesized into pyruvate and    contraction in smooth muscle; in this case,
             glutamate(seep. 178). Glutamatesupplies          however, it does not affect troponin, but acti-
             the urea cycle (see p. 182), while pyruvate is   vates a protein kinase that phosphorylates the
             available for gluconeogenesis.                   light chains in myosin and thereby increases
                                                              myosin’s ATPase activity. Hormones such as
                                                              epinephrine and angiotensin II (see p. 330)
                                                              are able to influence vascular tonicity in this
                                                              way, for example.


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