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Chemistry

Amino acids: classification, properties, and clinical significance

WhiteCoat Pro Editorial BoardApril 11, 20263 min read
Table of contents · 7 sections
  1. General structure of amino acids
  2. Classification by R-group properties
  3. Essential amino acids
  4. Glucogenic and ketogenic amino acids
  5. Post-translational modifications
  6. Clinical correlations
  7. Frequently asked questions

Amino acids are the building blocks of proteins, determining their properties and functions. The human body has 20 proteinogenic amino acids, 8 of which are essential. Knowing the classification, properties, and metabolism of amino acids is the foundation of biochemistry and clinical medicine. This article provides a comprehensive systematization with clinical correlations.

General structure of amino acids

All proteinogenic amino acids are α-amino acids with the general formula:

  • α-Carbon (chiral, except for glycine) — bonded to 4 groups:
  • Amino group (−NH₂)
  • Carboxyl group (−COOH)
  • Hydrogen atom (−H)
  • Side chain (R-group) — determines the properties of the amino acid

At a physiological pH of 7.4, amino acids exist as zwitterions (−NH₃⁺ and −COO⁻). All proteinogenic amino acids are L-isomers.

Classification by R-group properties

GroupAmino acidsCharacteristic
Non-polar (hydrophobic)Gly, Ala, Val, Leu, Ile, Pro, Met, Phe, TrpLocated in the interior of globular proteins, stabilizing their structure
Polar unchargedSer, Thr, Cys, Tyr, Asn, GlnForm hydrogen bonds, participate in catalysis
Positively charged (basic)Lys, Arg, HisCarry a (+) charge at pH 7.4. His is the only one with a pKa ~6, acting as a buffer at physiological pH
Negatively charged (acidic)Asp, GluCarry a (−) charge at pH 7.4. Glutamate is the main excitatory neurotransmitter

Essential amino acids

8 amino acids are not synthesized in the human body and must be obtained from the diet:

Mnemonic: «PVT TIM HALL» (Phe, Val, Trp, Thr, Ile, Met, His*, Arg*, Leu, Lys)

Amino acidOne-letter codeFunction / deficiency
Phenylalanine (Phe)FPrecursor of tyrosine → dopamine, norepinephrine. Defect: phenylketonuria (PKU)
Valine (Val)VBCAA (branched-chain amino acid) — metabolized in muscles
Tryptophan (Trp)WPrecursor of serotonin and melatonin, NAD⁺ (niacin). Deficiency → pellagra
Threonine (Thr)TProtein glycosylation, synthesis of mucins
Isoleucine (Ile)IBCAA, both ketogenic and glucogenic
Methionine (Met)MMethyl group donor (via SAM), initiating amino acid in translation
Leucine (Leu)LBCAA, purely ketogenic (along with lysine). mTOR activator
Lysine (Lys)KPurely ketogenic, hydroxylation → component of collagen

*His and Arg are conditionally essential (essential in children).

Glucogenic and ketogenic amino acids

  • Glucogenic — metabolized to pyruvate or TCA cycle intermediates → can yield glucose (gluconeogenesis). Most amino acids
  • Ketogenic — metabolized to acetyl-CoA or acetoacetate → ketone bodies. Only Leu and Lys are purely ketogenic
  • Mixed (both gluco- and ketogenic): Ile, Phe, Thr, Trp, Tyr

Mnemonic for ketogenic: «Only Leucine and Lysine are purely Ketogenic» → LL.

Post-translational modifications

  • Hydroxylation of proline and lysine (vitamin C!) → collagen. Vitamin C deficiency → scurvy (weak collagen)
  • Phosphorylation of serine, threonine, tyrosine → enzyme regulation (kinases/phosphatases)
  • Carboxylation of glutamate (vitamin K!) → clotting factors (II, VII, IX, X)
  • Methylation of lysine and arginine in histones → regulation of gene expression
  • Disulfide bonds between cysteines → stabilization of tertiary structure (immunoglobulins, insulin)

Clinical correlations

DiseaseDefectAmino acid
Phenylketonuria (PKU)Phenylalanine hydroxylase deficiency↑ Phe, ↓ Tyr
Maple syrup urine diseaseBranched-chain α-keto acid dehydrogenase deficiency↑ Val, Leu, Ile
HomocystinuriaCystathionine-β-synthase deficiency↑ homocysteine, ↓ cysteine
AlkaptonuriaHomogentisate oxidase deficiency↑ homogentisic acid (from Tyr)
ScurvyVitamin C deficiency → impaired hydroxylationPro, Lys in collagen

Frequently asked questions

Why are leucine and lysine strictly ketogenic?

Their catabolism yields only acetyl-CoA and/or acetoacetate. Acetyl-CoA cannot be converted to pyruvate or OAA (humans lack the glyoxylate cycle) → cannot yield glucose. All other amino acids are at least partially glucogenic.

Why is newborn screening for PKU necessary?

Phenylketonuria (1:10,000) — without treatment, phenylalanine accumulation causes severe intellectual disability. Early diagnosis (Guthrie test on days 4–5 of life) and a phenylalanine-free diet prevent brain damage. This is one of the most successful examples of neonatal screening.

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