Biochem Flashcards
Fabry’s disease
lysosomal storage disease
a-galactosidase A def->ceramide trihexoside
peripheral neuropathy, cardiovascular/renal disease
angiokeratomas on butt
Gaucher’s disease
lysosomal storage glucocerebrosidase def->glucocerebroside most common hepatosplenomegally, aseptic necrosis, anemia, thrombocytopenia Gaucher's cells (macrophages)
Niemann-Pick disease
lysosomal storage
phingomyelinase->sphingomyelin
progressive neurodegeneration, cherry red spot on macular foam cells
thrombocytopenia and worsening cognitive decline
Tay-Sachs
lysosomal
hexosaminidase A->GM2 ganglioside
progressice neurodegeneration, cheey red spot on macula, lysosomes with onion skin,
no hepatosplenomegaly
Krabbe’s disease
lysosomal
galactocerebrosidase->galactocerebroside
peripheral neuropathy, optic atrophy
affects myelin sheaths and occurs in very young
Metachromatic leukodystrophy
lysosomal
arylsulfatase A->cerebroside sulfate
central and peripheral demyelination with ataxia and dementia
Hurler’s syndrome
lysosomal
a-L-iduronidase->heparin sulfate, dermatan sulfate
gargoylism, corneal clouding
resembles dwarfism
Hunter’s syndrome
lysosomal
iduronate sulfatase->heparan sulfate, dermatan sulfate
mild Hurler’s and aggressive behavior, no corneal clouding
Von Gierkes (type I)
glycogen storage
glucose-6-phosphatase
severe fasting hypoglycemia, increased glycogen in liver and increased blood lactate
Pompe’s (type II)
glycogen
lysosomal a-1,4-glucosidase
cardiomegaly (Pompe’s trashes the pump)
Cori’s (type III)
glycogen debranching enzyme (a-1,6-glucosidase) milder form of type I with normal blood lactate
McArdle’s (type IV)
glycogen
skeletal muscle glycogen phosphorylase
increased glycogen in muscle, painful muscle cramps
5 substances needed to make a purine
glycine, aspartate, glutamine (GAG AAs)
tetrahydrofolate, CO2
purines are Pure As Gold (A, G)
4 substances needed to make a pyrimidine
aspartate, glutamate, CO2 and ATP (last 3 from carbamoyl phosphate)
CUT the PY
what is the rate limiting step in purine synthesis
carbamoyl phophate synthetase II
what is the rate limiting step in pyrimidine synthesis
glutamine PRPP amidotransferase
what are the carbon sources in purine and pyrimidine synthesis
purine: glycine, tetrahydrofolate, CO2
pyrimidine: aspartate and CO2
inhibits ribonucleotide reductase in purine synthesis
hydroxyurea
inhibits dihydrofolate reductase in purine synthesis
methotrexate and trimethoprim
inhibits thymidylate synthase in purine synthesis
5-fluorouracil
inhibits inosine monophosphate dehydrogenase in pyrimidine syntheses if guanine
mycophenolate
inhibits PRPP amidotransferase in pyrimidine synthesis
6-mercaptopurine
characteristic findings in orotic aciduria
inability to convert orotic acid to UMP
increase orotic acid in urine
no increase in ammonia (no hyperammonemia)
failure to thrive
megaloblastic anemia that cannot be corrected with B12 or folate
Tx: oral uridine administration
a boy with self mutilating behavior, intellectual disability and gout
Lesch-Nyhan syndrome
deficiency in HGPRT that increases uric acid
TX: allopurinol
orotic acid in the urine plus elevations in serum ammonia
OTC deficiency
megaloblastic anemia does not improve with B12 or folate
orotic aciduria
deficiency causes SCID
adenosine deaminase
silent mutation in DNA
tRNA wobble, same amino acid
missense DNA mutation
changed AA but similar protein structure
nonsense DNA mutation
early stop codon
DNA polymerase III reads and proofreads
reads: 5’-3’
proofreads 3’-5’ exonuclease
nucleotide excision repair
endonucleases repairs damaged bases due to UV light (pyrimidine dimers)
mutated in xeroderma pigmentosum
base excision repair
glycosylases recognize and remove damaged bases, then endonucleases remove sugar, polymerase adds new base, ligase joins
mismatch repair
corrects mismatch in newly synthesized strands
defect causes hereditary nonpolyposis colorectal cancer (HNPCC)
bloom syndrome
mutation of helicase
ataxia telangiectasia
dsDNA repair defect
stop codons
UGA
UAA
UAG
polyadenylation signal
AAUAAA
what amino acid frequently has more coding sequences in mRNA than are represented in final peptide
methionine (start codon normally spliced out)
lac operon regulation
CAP: binds when glucose is absent and promotes B-galactosidase transcription
lac operon: bound unless lactose is present. prevents transcription
where does aminoacyl-tRNA synthetase bind tRNA
the CCA at 3’ end
hypophosphatemic rickets
formerly vit D resistant rickets. x-linked dominant disorder where proximal tubule cannot reabsorb phosphate, so you get a rickets like presentation
myopathy and CNS disease with muscle biopsy that shows ragged red fibers. Seen in the maternal family line
mitochondrial myopathies
blotting procedures
Down South: southern is DNA with DNA probe
rude yankees: northern is RNA with DNA probe
western cattle: protein with Ab probe
ELISA
direct: known Ab to identify Ag
indirect: known Ag to identify Ab
target present = color change
promoter region
- 25 TATA box (Hogness)
- 75 CAAT box
Kluver-Bucy syndrome
bilateral amygdala lesion that leads to hyperorality, hypersexuality, and disinhibited behavior. hyperdocility and curiosity also seen
enzyme that catalyzes peptide bond formation in ribosome
peptidyl trasnferase
ATP yield
32 ATP if malate-aspartate shuttle is used (heart and liver)
30 ATP if glycerol-3-phosphate shuttle is used (muscle and brain)
clinical consequence of glycolytic enzyme deficiency
hemolytic anemia (RBC swelling and lysing)
enzymes responsible for increasing and decreasing intracellular levels of fructose-2,6-bisphosphotase
phosphofructokinase-2 (increases F-2,6-BP)
induced by insulin
fructose bisphosphotase (decreases F-2,6-BP)
induced by glucagon
regulators of pyruvate kinase
ATP and alanine are negative
F-1,6-BP is positive
RLS glycolysis
phosphofructokinase-1 (PFK-1)
+ AMP and F-2,6-BP
- ATP and citrate
RLS gluconeogenesis
F-1,6-BP
+ATP
- AMP and F-2,6-BP
RLS TCA cycle
isocitrate dehydrogenase
+ ADP
- ATP and NADH
RLS glycogen synthesis
glycogen synthase
+ glucose, insulin
- epinephrine, glucagon
RLS glycogenolysis
glycogen phosphorylase
+ AMP, epinephrine, glucagon
- insulin, ATP
RLS HMP shunt
G-6-PD
+ NADP+
- NADPH
RLS de novo pyrimidine synthesis
carbamoyl phosphate synthetase II
RLS de novo purine synthesis
glutamine-PRPP amidotransferase
- AMP, IMP, GMP
RLS urea cycle
carbamoyl phosphate synthetase I (mitochondria)
+ N-acetylglutamate
RLS fatty acid synthesis
acetyl-CoA carboxylase (ACC)
+ insulin, citrate
- glucagon, palmitoyl-CoA
RLS fatty acid oxidation
carnitine acyltransferase I (carnitine palmitoyl transferase-I)
- malonyl-CoA
RLS ketogenesis
HMG-CoA synthase
RLS cholesterol synthesis
HMG-CoA reductase
+ insulin, thyroxine
- glucagon, cholesterol
irreversible enzymes in gluconeogenesis
pyruvate carboxylase
PEP carboxykinase
F-1,6-BP (RLS)
glucose-6-phophatase