Heme Metabolism Flashcards

(30 cards)

1
Q

Heme is produced majorly in the ……….

A

Bone marrow
Liver

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2
Q

The heme synthesis is an how many step process

A

8 step process

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3
Q

Iron exist in hemoglobin in the ……… state

A

Ferrous ( reduced)

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4
Q

The types of heme are

A

Heme A in cytochrome A
Heme B in myoglobin ,hemoglobin and cyclooxygenase
Heme C in cytochrome C links via cysteine
Heme O.in bacterial oxidase

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5
Q

The most abundantly Heme is

A

Heme B

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6
Q

Where does tge last three steps of heme synthesis occur

A

Mitochondria

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7
Q

Where does tge last three steps of heme synthesis occur

A

Mitochondria

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8
Q

Heme synthesis is largely dependent on the availability of which iron

A

Fe2+

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9
Q

Deficiency of ALAS 2 in the synthesis of heme results in ……….

A

X-linked sideroblastic anaemia

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10
Q

The enzyme Aminolevulinic acid dehydratase is sensitive to ……….

A

pH and Mg 2+

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11
Q

Aminolevulinic acid is inhibited by heavy metals e.g

A

Lead

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12
Q

Deficiency of Aminolevulinic acid dehydratase leads to …………

A

Aminolevulinic acidic dehydratase deficiency porphyria

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13
Q

The linear tetra pyrrole formed during heme synthesis is ………

A

Hydroxymethylbilane

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14
Q

Enzyme involved in the synthesis of HMB is ………….

A

HMB synthase
PBG deaminase

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15
Q

Deficiency of PBG deaminase leads to

A

Intermittent porphyria

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16
Q

HMB is linked by ………… ring

17
Q

HMB is converted to …….. by UROS

A

UPGIII synthase

18
Q

The deficiency of UROS leads to…….

A

Congenital erythropoietic porphyria ( Autosomal recessive)

19
Q

UPG III is converted to CPG III by what process

A

Decarboxylation of UPG III to CPG III
Acetate to methyl
And release of 4CO2 molecules

20
Q

UROD deficiency leads to ……. porphyria

A

Familial porphyria cutanea tarda and
Hepatoerythropoietic porphyria

21
Q

The enzyme responsible for conversion of CPG III to phorphobilinogen IX is

A

CPG III Oxidase

22
Q

In the conversion of CPG III to Protoporphyrin IX what changes occur to the side chain

A

Decarboxylation of propionyl to vinyl

23
Q

Reduced amount of CPG III oxidase leads to

A

Hereditary coproporphyria

24
Q

PPGIX is converted to PPIX by ………. processs

25
PPGIX is converted to PPIX by .......... processs
Oxidation
26
In the conversion of PPG IX to PPIX the bridges are converted from ............. to .............
Methylene to methenyl
27
Mutation in PPGoxidase causes.......
Variegate porphyria
28
Another name for ferrochelatase
Heme synthase
29
The major that regulate heme synthesis include
Expression of ALAS gene (ALAS 2)- major Iron availability (decreased iron decrease ALAS 2 translation) Globin
30
Porphyria are classified based on
Bone marrow( hemoglobin synthesis) Liver( cytochrome synthesis) Erythropoietic mainly affects the skin Hepatic : mainly affects the nervous system