Important biochem pathways and associated disorders Flashcards
(6 cards)
Draw out pyrimidine and purine synthesis
Page 512
Orotic aciduria
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
Ornithine thranscarbamylase deficiency
High orotic acid and high ammonia
Draw out purine salvage pathway
Page 513
Lesch-Nyhan syndrome
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
Adenosine deaminase deficiency
Causes SCID