Gout, with a section on ocular disease in the goutyLlewellyn, Llewellyn J. (Llewellyn Jones)
Science
Gout, with a section on ocular disease in the gouty
Llewellyn, Llewellyn J. (Llewellyn Jones)
Eye -- Diseases; Gout
In the gastro-intestinal tract the complex food proteins, under the
hydrolytic action of enzymes, break down into a variety of substances,
all of which belong to the group of a-amino-acids. These same absorbed
from thence into the blood are transported to the various organs and
tissues. Arrived thither the amino-acids are subjected to a process of
sifting. Thus some are invoked for the reconstruction of broken down
proteins, _i.e._, are re-synthesised into the body’s own characteristic
tissues.
The surplus amino-acids, viz., those not required for purposes of cell
repair, undergo deaminisation. Two residues then result, one represented
by ammonia, and the other by the remaining relics of the amino-acid
molecule. The former is excreted as _urea_ and the latter is oxidised to
produce energy.
But there is yet another source of amino-acids, viz., the disintegration
of tissue protein. To this end almost all bodily tissues possess
intracellular enzymes capable of converting their proteins into the same
simple products from which they took origin.
Comparably with those of exogenous origin, these amino-acids of
_endogenous_ formation undergo a like deaminisation; in other words, the
bulk of their carbon, oxygen, and hydrogen is oxidised to form CO₂ and
water, the residue combining with nitrogen to form _urea_, etc.
The main end-product, then, of protein metabolism is _urea_, with traces
of its forerunner _ammonia_. But there are also other waste nitrogenous
metabolites. Thus, of the various amino-acids that become built up into
tissue protein, some subsequently break down into products not belonging
to the amino-acid category, viz., _creatine_ and _creatinine_. Some of
the amino-acids, too, are excreted unchanged in the urine. Lastly, to
these must be added those closely related substances, the _purin_ bodies,
the end-products of _nuclein_ as opposed to general protein metabolism,
of which latter _urea_ is the terminal product. To sum up, in a man on
ordinary diet about 90 per cent. of his total nitrogen is excreted as
urea, about 3 per cent. as ammonia, the residue of the nitrogen appearing
in the form of other nitrogenous metabolites.
SEAT OF FORMATION OF UREA
The _liver_, it is generally held, is the main centre wherein urea is
produced from the amino-acids; but not exclusively so, for it has been
definitely established that, _even after removal of the entire liver in
animals_, its production may not cease.
Public-domain text, read in full here on John Shaqi.
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