**Core Concept:** The citric acid cycle, also known as the Krebs cycle or TCA cycle (Tricarboxylic Acid cycle), is a crucial process in cellular respiration where energy is released from nutrients like glucose and oxygen. The intermediate molecules involved in this cycle play a role in various physiological processes, including detoxification of ammonia in the brain.
**Why the Correct Answer is Right:** The correct answer is **GABA (gamma-aminobutyric acid)**, an intermediate of the citric acid cycle. In the brain, specifically in astrocytes, the urea cycle is involved in detoxifying ammonia, a toxic byproduct of protein catabolism. GABA is a key intermediate in the urea cycle, which helps eliminate ammonia from the brain. The urea cycle converts ammonia into urea, which can then be transported out of the brain via blood.
**Why Each Wrong Option is Incorrect:**
A. **Glutamate (GLU)** is an excitatory neurotransmitter in the brain, not related to ammonia detoxification.
B. **Alanine (ALA)** is a neutral amino acid involved in protein synthesis and not directly related to ammonia detoxification.
C. **Citrulline (Cit)** is an intermediate in the urea cycle, but not the specific intermediate used for ammonia detoxification in the brain.
D. **Urea (Urea)** is the final product of the urea cycle, not an intermediate involved in ammonia detoxification.
**Clinical Pearl:** Understanding the role of GABA in ammonia detoxification is essential for clinicians as it helps explain the pathophysiology behind hyperammonemia (elevated ammonia levels in the blood) in conditions such as ornithine transcarbamylase deficiency, which impairs the urea cycle. This can lead to neurological complications due to ammonia buildup in the brain.
Free Medical MCQs Β· NEET PG Β· USMLE Β· AIIMS
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