Unit III- Heme Synthesis Flashcards

1
Q

Structure of Heme

A
  • heme possesses a porphyrin ring, which is constructed from four pyrrole rings
  • all heme proteins contain a porphyrin ring structure with iron as the chelated metal
  • porphyrins from metal chelates with a variety of metal ions other then just iron- Mg++ (chlorophylls), Zn++ etc
  • protoporphrins contain eight side chains that are modified by three different groups: 4 methyl, 2 vinyl, 2 propionate groups
  • heme is protoporphyrin IX chelated with iron
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2
Q

Different species of heme

A
  • Heme a- contains a modification of the number 2 vinyl group
  • Heme b contains no modifications
  • Heme c covalently bound to cysteine residues of proteins through the two vinyl groups
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3
Q

Axial liganding

A
  • heme a and b have Histidine on the top and bottom, O2 is bound at the angle
  • heme c have Met on one side and His on the other
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4
Q

Function of heme

A
  • hemoglobin- carry O2 in blood
  • myoglobin- store O2 in tissue
  • cytochrome C- electron carrier
  • catalase- break H2O2
  • cytochrome P450- detoxify drugs etc
  • Ubiquinol-cytochrome c reductase- electron transport chain
  • Cytochrome c oxidase- electron transfer
  • Tryptophan pyrrolase- degrade Tryptophan
  • Neutrophil NADPH oxidase- makes superoxide to kill bacteria
  • NO synthase- makes NO
  • cystathionase- enzyme breakdown methyanine
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5
Q

Delta-aminolevulinate (ALA) synthesis

A
  • enzyme: delta- aminolevulinate synthase (ALAS)
  • cofactor: pyridoxal phosphate
  • location: mitochondria
  • glycine + succinyl CoA —>(lose CO2, CoASH) make delta-aminolevulinate
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6
Q

Porphobilinogen synthesis

A
  • enzyme: porphobilinogen synthase (ALA dehydrase)
  • inhibitor: Lead, contains a Zn cofactor that can be replaced by lead, lead poisoning
  • location cytosol
  • reaction: a pyrrole ring is synthesized from two molecules of ALA (looks like GABA- accumulation causes many problems of lead poisoning)
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7
Q

Uroporphyringoen synthesis

A
  • tetrapyrrole synthesized from four molecules of porphobilinogen
  • enzyme 1: uroporphyrinogen synthase (PBG deaminase) - catalyses the condensation of four substrate molecules and cyclization to form the tetrapyrolle ring, uroprophyringen I. releases 4 NH3
  • enzyme 2: uroporphyrinogen III cosynthase- catalazes isomerization to yield uroprophyrinogen III. The co-enzyme flips the D ring so that the side group orientation is correct
  • location- cytosol
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8
Q

Protoprophyrin IX synthesis

A
  • uroprphyrinogen decarboxylase- catalyzes the decarboxylation of four acetyl side chains of uroporphyrinogen III to methyl groups to form coproporphyrinogen III (located in cytosol)
  • coproporhyrinogen oxidase- catalyzes the decarboxylation of two propionyl side chains to vinyl groups to form protoporphyrinogen IX (located in mitochondiral matrix)
  • protoprophyrinogen oxidase- removes six hydrogen atoms to form protoporphyin IX (located in mitochondrial matrix)
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9
Q

Protoheme IX (heme) synthesis

A
  • formed fron protoporphyrin IX by insertion of iron (Fe2+)
  • enzyme: Ferrochelatase- also inhibited by lead- competes with iron for insertion
  • location: mitochondira
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10
Q

Lead inhibition in heme synthesis

A
  • blocks both the second and last steps in the pathway
  • ALA accumulates and can be found in the serum
  • Protoporphyrin IX accumulates, levels do not increase appreciably in the serum due to low solubility
  • instead the pathway backs up and increased lvels of coproporphyrinogen III
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11
Q

Heme Synthesis Regulation in Erythroid cells

A
  • two sites of heme biosynthesis are liver and erythroid cells (85%)
  • erythroid cells use heme for hemoglobin; an important function of heme in liver is as the prosthetic group for cytochrome P450 (cytochrome P450s are oxidative enzymes involved in detoxification)

-erythroid cells- synthesize heme at one time in their life and in vast quantities . Heme stimulates the synthesis of enzymes in the heme biosynthetic pathway

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12
Q

Heme Synthesis in Liver Cells

A
  • liver cells- heme is required in varying amounts throughout a liver cell’s lifetime. Synthesis is tightly controlled
  • main target of control in heme biosynthesis is ALA synthase, the enzyme that catalyses the first committed step in heme biosynthesis
  • this step is feedback-inhibted by heme through several different pathways
  • repression of mRNA synthesis
  • inhibition of translation of the ALA synthase mRNA
  • inhibition of import of the ALA synthase protein into mitochondria
  • direct inhibition of the enzyme

-heme synthesis is induced by toxins or substances that also induce cytochrome P450 synthesis, i.e. acetaminophen, alcohol

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13
Q

Porphyrias

A
  • genetic deficiencies in heme metabolism. Enzymes are usually partially defective, since a complete deficiency would be lethal. They can occur at every step in the pathway
  • Hepatic porphyria- specific for liver synthesis. Hepatic porphryrias come as attacks that are induced by something
  • Erythropoietic porphria- specific for erythrocyte heme synthesis. Chronic conditions
  • some porphyrias affect both compartments
  • most of the symptoms are caused by a build up of biosynthetic precursors
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14
Q

Congenital erythropoietic porphyria

A
  • deficiency in uroporphyrinogen III co-synthase, enzyme approximately one-third normal concentration, autosomal recessive trait
  • accumulation of uroporphyrinogen I and coproporphyrinogen I, anemia, skin is photosensitive such that it ulcerates and forms disfiguring scares, red urine, teeth turn a fluorescent reddish-brown, increased hair growth over entire body
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15
Q

Protoporphyria

A
  • erythroid cells and less severely in liver
  • partial deficiency in ferrochelatase, autosomal dominant
  • symptoms similar to, but milder than, congenital erythropoietic porphyria
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16
Q

Acute intermittent porphyria (liver)

A
  • most common porphyria, caused by a partial deficiency of porphobilinogen (PBG) deaminase, autosomal dominant or haploinsufficiency
  • accumulation of delta-aminolevulinate and porphobilinogen. Most individuals are asymptomatic, eruption of diseased state brought on by chemicals or other substances which influence the synthesis of ALA such as estrogens, barbiturates, diets low in carbohydrates, steroid therapy, alcohol
  • symptoms are obscure and include abdominal pains and/or vomiting and/or diarrhea, neurologic dysfunction, red urine during attacks
  • King George
17
Q

Porphyria cutanea tarda

A
  • deficiency in uroporphyrinogen decarboxylase, sporadic or autosomal dominant (may be multifactorial)
  • asymptomatic until liver disorder is imposed, photosensitivity
  • sporatic PCT is the commonest porphyria in North America, often precipitated by ethanol overindulgence or use contraceptive pill
  • depletion of the body’s iron stores often leads to remission of symptoms