Folate Flashcards

0
Q

The addition of a methyl group to homocysteine to make methionine comes from what cofactor?

A

Methyl B12

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1
Q

Tetrahydrofolate is synthesized in our bodies by this enzyme

A

Dihydrofolate reductase

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2
Q

Where does the methyl group on Methyl B12 come from?

A

MTHF

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3
Q

What nucleic acid synthesis step requires THF?

A

dUMP -> dTMP

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4
Q

What is leucovorin?

A

A naturally occurring folate replacement that doesn’t need DHFR

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5
Q

What B12 subtype is given to treat cyanide poisoning and is bound to plasma proteins (longer time in serum)?

A

Hydroxocobalamin

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6
Q

Where is folate absorbed and where (and how long) is it stored?

A

Absorbed: Small intestine
Stored: Liver
How long: 4-6 months

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7
Q

The absorption of B12 from the intestine requires ______.

A

acidity and intrinsic factor

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8
Q

Where and how long is B12 stored?

A

Where: Liver

How Long: ~5 years

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9
Q

Decreased expression of this protein in cancer cells allows for rescue therapy of normal host cells by leucovorin when given high doses of methotrexate.

A

Reduced Folate Carrier

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10
Q

Mutations in this enzyme cause for an increased resistance to methotrexate therapy.

A

Reduced Folate Carrier

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11
Q

This enzyme transports folate»»>methotrexate, and makes certain cancers more susceptible to folate inhibitor therapy.

A

Folate receptor

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12
Q

What tissues have a higher expression of folate receptor?

A

Kidney, lungs, choroid plexus, placenta

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13
Q

Folate is better retained in cells and is a better substrate for certain enzymes when ______ is added to it by ______.

A

polyglutamate

folylpolyglutamate synthase

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14
Q

This medicine is a competitive inhibitor of DHFR.

A

Methotrexate

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15
Q

Methotrexate is used to “treat” four conditions. What are they?

A
  1. cancer
  2. immunosuppression
  3. antibiotic
  4. abortifacient
16
Q

What is the difference between methotrexate and trimethoprim?

A

Trimethoprim is also a DHFR comp inhibitor, but only works on bacterial DHFR

17
Q

What drug is given along with trimethoprim as an antibiotic?

A

sulfamethoxazole

18
Q

What are the four other antifolate drugs?

A

Premetrexed
Pralatrexate
Trimetrexate
Pyrimethamine

19
Q

Premetrexed and prelatrexate are better antagonists of _______ than of _______.

A

thymidylate synthase than of DHFR