Review: Simmons Flashcards

(27 cards)

1
Q

What are amino acids broken into?

A
  1. Nitrogen - becomes urea
  2. Carbon skeletons - glucogenic and ketogenic
  3. Purines & Pyrimidines
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2
Q

What are the ketogenic carbon skeletons?

A
  1. AcCoA

2. Acetoacetate

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3
Q

What are the glucogenic carbon skeletons?

A
  • Pyruvate
  • alpha ketoglutarate
  • Succinyl Co A
  • Fumarate
  • AOA
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4
Q

What are the source atoms for purine ring?

A

“TAGG”

  1. THF
  2. Asparpate
  3. Glycine
  4. Glutamine
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5
Q

Sources of atoms in pyrimidine ring?

A

“CAG”

  1. CO2
  2. Asparate
  3. Glutamine
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6
Q

Entry point to purine synthesis?

A

Ribose5P from pentose pathway

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7
Q

What is active form of ribose 5 phosphate?

A

PRPP

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8
Q

What is branch point for purine synthesis?

A

IMP - will become AMP or GMP

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9
Q

What is 6 mercaptopurine?

A

Anti tumor agent that blocks purine bionsynthesis

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10
Q

What is 5floro uracil?

A
  • Anti tumor agent that targets Thymadilate synthase

- Blocks DNA synthesis specifically

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11
Q

What does methyl trexate do?

A
  • Inhibits dihydroflourate reductase
  • Preventing formation of THF
  • Creates folate deficiency
  • DHF levels rise which are toxic
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12
Q

What does dihydroflorate reductase do?

A

Enzyme that makes deoxy ribose

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13
Q

How are purines salavaged?

A

Hypoxanthine and guanine combined with PRPP to create creat nuclueotides: IMP & GMP

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14
Q

What is Lesch Nyhan syndrom?

A
  • HGRTPase

- Self mutilation disease

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15
Q

What happens to purines that are not salvaged?

A
  • Guanine and hypoxanthine are converted to xanthine

- Xanthine converted to uric acid

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16
Q

What causes gout?

A

Buildup up of Na urate cyrstale from purine degradation

17
Q

What can excess uric acid cause?

A

Gout or kidney stones

18
Q

How do you treat gout?

A

Alopurinol - blocks xanthine oxidase preventing formation of uric acid

19
Q

What is heme made from ?

A

Succinyl CoA from CAC

Glycine

20
Q

Control of heme pathway?

A
  • Heme provides negative feedback

- As such if there is deficiency there will be no way for negative feedback increasing built up intermediates

21
Q

First enzyme in heme pathway?

22
Q

What should you avoid with heme diseases?

23
Q

What is globine degraded to?

24
Q

What is heme degraded to?

25
How does bilirubin travel?
Albumin
26
What does hepatocyte do to bilirubin?
Conjugates it with glucuronic groups
27
What causes dark color of feces?
Bilirubin