Biochem Pathways Flashcards

(27 cards)

1
Q

Folate deficiency manifests itself as macrocyclic anemia. What is the biomarker for folate deficiency

A

Elevated homocysteine

Folate needs for THF synthesis and other synthetic pathways such as methionine synthesis. If no THF, homocysteine accumulates.

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2
Q

How can you tell if macrocytic anemia is caused by folate deficiency vs. B12 (methylcobalamin deficiency)?

A

Macrocytic anemia caused by lack of B12 will have elevated homocysteine AND elevated methylmalonic acid levels

Macrocytic anemia caused by lack of folate causes only elevated homocysteine. Methylmalonic acid levels are NORMAL

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3
Q

What are the carbon carriers in one carbon metabolism?

A

SAM & THF

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4
Q

What metabolic pathways involve one carbon metabolism? (5)

A
DNA methylation
Nucleotide synthesis
AA synthesis
NT synthesis
Epinephrine synthesis
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5
Q

That can tetrahydrofolate (THF carry)? (4)

A

Methylene
Methyl
Formyl
Methenyl

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6
Q

What can S-adenocylmethionine (SAM) carry? (1)

A

ONLY Methyl groups

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7
Q

What enzyme is used for the following?

Folate —->dihyrdofolate —-> THF

A

Dihydrofolate reductase

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8
Q

Which nucleosides are purines?

A

Adenine & Guanine

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9
Q

Which substances are involved in PRPP synthesis?

A

ATP

Ribose-5-P ——->5-phosphoribosyl-1-pyrophosphate
Enzyme: PRPP synthetase

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10
Q

What is the significance of glutamine hydrolysis in purine formation?

A

Gln hydrolysis makes ammonia which adds N9 in in de novo purine synthesis

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11
Q

Which 2 components are needed for adenosine monophosphate (AMP) synthesis?

A

Aspartate (using GTP)

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12
Q

Nucleotide vs nucleoside

A
NuceloSide = base + sugar
NuceloTide = base + sugar + Pi

*remember S comes before T so it has less stuff

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13
Q

Which enzyme catalysis the formation of PRPP? And what else is required?

Ribose 5P ——-> PRPP

A

Enzyme: PRPP synthetase

ATP is also required

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14
Q

What is sequence of GMP formation?

A

IMP —> XMP (xanthylate) —> GMP
1st rxn requires: NAD+ —> NADH
2nd rxn requires: ATP —-> ADP & the addition of NH3

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15
Q

What is the sequence of AMP formation?

A

IMP —> Adenylosuccinate —> AMP

1st rxn needs: GTP—> GDP & Aspartate

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16
Q

Which organ manages ammonia and is key for purine synthesis?

17
Q

What is needed to form carbamoyl phosphate?

A

2 ATP
Bicarbonate (HCO3-)
Ammonia (NH3)
CPS 2 (carbamoyl phosphate synthetase II)

18
Q

Which nucleic acids are pyrimidines?

A

Cytosine
Thymine
Uracil

pyrimidines are smaller molecules even tho the name is longer

19
Q

How is carbamoyl phosphate converted to ororotate?

A

Carbamoyl phosphate + aspartate - Pi = carbamoyl aspartate

Carbamoyl aspartate cyclizes —> dihydroorotate

Dihydroorotate oxidizes —> orotate

20
Q

How is OMP converted to UMP?

A

OMP has to be decarboxylated

Enzyme: orotidylate decarboxylase

21
Q

4 steps in pyrimidines synthesis

A
  1. Carbamoyl phosphate formation
  2. Carbamoyl phosphate —> orotate
  3. Orotate + PRPP —> OMP
  4. Base formation of UMP, TMP, CMP
22
Q

Ribonucelotide reductase

A

Catalyze replacement of 2’ OH group with Hydrogen

UMP—>dUMP

Also:
ADP —> dADP, GDP —> dGDP, CDP —>dCDP, UDP—>dUDP

23
Q

What disease is caused by adenosine deaminase deficiency?
Result?
Tx?

A

SCID: Severe combined immunodeficiency disorder

Results in: recurrent infections d/t loss of t-cells
Tx: gene therapy

24
Q

Gout is secondary to which condition?

A

HypEruricemia

25
Cause(s) of gout?
High levels of irate | Urate’s Na+ salt crystallizes and cause painful accumulation in joints
26
Outline sequence of purine catabolism for adenine
Adenine —> adenylate (AMP)—>adenosine—>inosine—>hypoxanthine—>uric acid
27
Disease d/t HGPRT deficiency Result? Treatment?
Lesch-Nyhan Syndrome See: high levels of urate Probs: cognitive dysfxn & self-mutilation Tx: Allipurinol