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This Concept Map, created with IHMC CmapTools, has information related to: Urea, Unresponsive infant has decreased Insulin/Glucagon Ratio, NH3 to form Carbamoyl Phosphate, Oxaloacetate transaminated by AST, Insulin/Glucagon Ratio leading to muscle protein breakdown, Glutamine levels (1500 umol/L) elevations in NH4 and glutamine lead to Respiratory Alkalosis, Carbamoyl phosphate synthetase 1 leading to diagnosis of urea cycle disorder (UCD), Amino Acids for Gluconeogenesis, ATP to form Carbamoyl Phosphate, muscle protein breakdown to Amino Acids, essential AA which helps prevent AA catabolism (exogenous and endogenous nitrogen), NH3 accumulation due to AA catabolism (exogenous and endogenous nitrogen), Carbamoyl phosphate synthetase 1 leading to no formation of Urea, Carbamoyl phosphate synthetase 1 stopping production of Citrulline levels, AA catabolism (exogenous and endogenous nitrogen) which acts to decrease the Plasma ammonium (1250 umol/L), fed state characterized by increased insulin/glucagon ratio, Glutamine Synthetase leading to increased Glutamine levels (1500 umol/L), AA catabolism (exogenous and endogenous nitrogen) which acts to decrease the Glutamine levels (1500 umol/L), Plasma ammonium (1250 umol/L) elevations in NH4 and glutamine lead to Respiratory Alkalosis, NH3 which at physiological pH is NH4+, AA mobilization from the periphery (for use of their C-skeletons for energy) which decreases NH3 accumulation