1-C Metabolism Flashcards

1
Q

What are 2 key 1-C donors?

A

1) THF (tetrahydrofolate - de novo purine synthesis; thymidylate synthesis)
2) SAM (S-adenosylmethionine: epinephrine synthesis; DNA methylation)

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2
Q

What is the process in which the 1-C donors are involved?

A
DNA methylation
nucleotide synth
epi synth
AA synth
complex lipid synth
secondary metabolites
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3
Q

How is THF synthesized in humans? bacteria?

A

Humans: Folate –> DHF –> THF
Enzyme: DHFR

Bacteria (additional step): PABA –> Folate –> DHF –> THF
Additional enzyme: DHPS

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4
Q

What is the mech of action of methotrexate?

A

competitively binds to DHFR, blocking THF production –> no THF –> no purines/thiamines –> cell death

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5
Q

What is the mech of action of aminopterin?

A

inhibit DHFR in bacteria

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6
Q

What is the mech of action of trimethoprim?

A

inhibit DHFR in humans

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7
Q

What is the mech of action of sulfonamides?

A

inhibit DHPS in bacteria

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8
Q

How is N10-formyl-THF synthesized?

A

Formate + THF

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9
Q

What is the role of N10-formyl-THF in purine nucleotide synthesis?

A

x

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10
Q

How is N5.N10-Methylene-THF synthesized?

A

Glycine or Serine or Formaldehyde + THF

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11
Q

What is the role of N5.N10-Methylene-THF in thymidylate synthesis?

A

substrate for thymidylate synthase, which also requires conversion of dUMP to dTMP

this conversion won’t happen with folate deficiency –> megablastic anemia

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12
Q

How is SAM synthesized?

A

L-methoninie + ATP –> SAM + Pi

Enzyme: SAM Synthetase

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13
Q

What is SAM’s role in epinephrine metabolism?

A

substrate in production

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14
Q

How is SAM metabolized?

A

x

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15
Q

What is the folate trap?

A

x

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16
Q

What is the basic pathophysiology of B12 deficiency?

A

x

17
Q

What is the basic pathophysiology of folate deficiency?

A

x

18
Q

How can you differentiate between B12 and folate deficiencies?

A

FOLATE deficiency has:
no neuro disease and
normal methylmalonic acid levels

Otherwise: Folate deficiency is identical to B12 deficiency except: