Heme Flashcards

1
Q

does protoporphyrin III have iron?

A

No

iron is incorporated via ferrochelotase, resulting in HEME

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2
Q

cofacctor of ALA synthase

A

pyridoxine

glycine + succinyl coa

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3
Q

inhibited by lead

A

ALA dehydratase

ferrochelatase

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4
Q

lead poisoning:

lead deposits in

A

epiphyses

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5
Q

other name for uroporphyrinogen I synthase

A

PBG deaminase
HMB synthase
(hydroxymethylbilane; linear)

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6
Q

remarks on uroporphyrinogn III synthase

A

cyclization
AP-AP-AP-PA
only one with AR mutation

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7
Q

werewolves

A

4 congenital erythropoietic porphyria

only AR
uroporphyrinogen III synthase

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8
Q

defect in porphyria cutanea tarda

A
#5: uroporphyrinogen decarboxylase
inc urinary uroporphyrin I
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9
Q

most common symptom of AIP causing admission

A

abdominal pain

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10
Q

examples of acute porphyria

A

3,6,7,2

6: Coprophyrinogn oxidase
7: protophorphyrinogen oxidase

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11
Q

examples of cutaneous porphyria

A

5,8,4

8: ferrochelatase
“protoporphyria”
“erythropoietic protoporphyria”

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12
Q

most common in children

A

8 eruthropoietic protoporphyria

ferrochelatase
3rd m/c in aadults

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13
Q

erythropoietic disorders (not hepatic)

A

1,4,8

1: ala synthase
4: uroporphyrinogen III synthasae
8: ferro chelatase

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14
Q

mutation in ala synthase leads to

A

X-linked sideroblastic anemia

not a porphyria

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15
Q

variegate porphyria

A

7: protopophyrinogen oxidase

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16
Q

hereditary coproporphyria

A

6: coproporphyrinogen oxidase

17
Q

enzyme defect in alkaptonuria

A

homogentisate 1,2-dioxygenase

increased levels of homogentisic acid, a product of tyrosine and phenylalanine metabolism

presentation: asymptomatic besides the blackening of urine after several hours

18
Q

uroproporphyrinogen decarboxylase yields

A

5

MP-MP-MP-PM

19
Q

coproporphyrinogen oxidase yeilds

A
#6
MV-MV-MP-PM
20
Q

ferrochelatse yields

A

MV-MV-MP-PM-Fe2+