Important biochem pathways and associated disorders Flashcards

1
Q

Draw out pyrimidine and purine synthesis

A

Page 512

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2
Q

Orotic aciduria

A

AR
Increased orotic acid in urine
Does not cause hyperammonemia

Megaloblastic anemia – not corrected by giving B12 or folic acid

Tx: uridine supplement

High orotic acid, normal ammonia

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3
Q

Ornithine thranscarbamylase deficiency

A

High orotic acid and high ammonia

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4
Q

Draw out purine salvage pathway

A

Page 513

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5
Q

Lesch-Nyhan syndrome

A

Deficient HGPRT (hypoxanthine, guanine phosphoribosal transferase)

All purines to uric acid
-> gout

CNS: intellectual disability, aggressive behavior, lip biting (self mutilate), movement disorders

X linked

Tx: allopurinol or febuxostate to block uric acid formation
-tx sx of gout

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6
Q

Adenosine deaminase deficiency

A

Causes SCID

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