Exam 1 Flashcards
(138 cards)
Heme pathway mnemonic
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Glycine + Succinyl CoA –> ALA
Enzyme and byproducts?
ALA Synthase, CoA-SH and CO2
ALA –> PBG
enzyme and byproducts?
ALA Dehydrase, 2H2O
PBG –> Bilane
enzyme
PBG Deaminase
Bilane –> Uro’gen III
Enzyme
Uro’gen III cosynthase
Uro’gen III –> Copro’gen III
Enzyme and byproducts?
Uro’gen III decarboxylase, 4CO2
Copro’gen III –> Proto’gen IX
Enzyme and byproducts?
Copro’gen III decarboxylase, 2CO2
Proto’gen IX –> Protoporphyrin IX
enzyme and byproducts?
Proto’gen IX dehydrogenase, 6H+
Protoporphyrin IX –> Heme
enzyme and byproducts?
Ferrocheletase, 2H+, adds Fe2+
From 1-8, which intermediates in the heme synthesis pathway are the most hydrophobic
1 - least hydrophobic
8 - most hydrophobic
4 ways of ALA synthase inhibition by heme
1) Heme binds to ALA synthase
2) Heme binds repressor in nucleus (inhibits transcription of ALA synthase)
3) Heme blocks translation of ALA synthase
4) Heme blocks ALA synthase import into mitochondria
Heme oxygenase pathway enzymes
1) Heme Oxygenase
2) Biliverdin reductase
What are the notable cofactors and byproducts in the heme oxygenase pathway and at what step are they used?
It uses O2 and produces CO in the production of Heme to Biliverdin IXa
3 acute porphyrias
AIP - Acute Intermittent Porphyria
HC - Hereditary Coproporphyria
VP - Variegate Porphyria
Chronic porphyria
Porphyria Cutanea Tarda
3 photosensitive porphyrias
HC, PCT, VP
What intermediates build up as a result of PCT?
Only Uro’gen III
PCT enzyme
Uro’gen III Decarboxylase
HC enzyme
Copro’gen III Decarboxylase
VP enzyme
Proto’gen IX Dehydrogenase
AIP enzyme
PBG Deaminase
Gilbert’s Syndrome
Inhibition of BRGT/UGT promoter, results in increased BR-Albumin
What is a stasis
Defect in liver secretion
Crigler-Najjar (two types)
Mutation in BRGT/UGT coding regions, results in increased BR-Albumin
Type I is homozygous = fatal
Type II is heterozygous