Heme Biosynthesis & Disorders Flashcards

1
Q

two precursors of heme

A

succinyl CoA & glycine

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2
Q

daily synthesis amount of heme in humans

A

5-8mmol/kg body weight

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3
Q

rate limiting step of heme synthesis

A

Amino Levulinic Acid production. (ALAS)

*enzyme - ALAS synthase

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4
Q

deficiency of Uroporhyrinogen 1 synthase results in what type of porphyria ?

A

Acute Intermittent Porphyria

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5
Q

deficiency of Uroporphyrinogen 111 synthase causes what type of porphyria ?

A

Congenital Erythropoietic Porphyria

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6
Q

Porphyria Cutanea Tarde is caused by deficiency of what enzyme ?

A

Uroporphyrinogen decarboxylase

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7
Q

final enzyme in heme synthesis is

& it’s deficiency causes ?

A

ferrochelatase

*erythropoietic protoporhyria

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8
Q

what are the 8 types of porphyrias?

A

1) ALA Dehydratase Deficiency Porphyria (ADP)
2) Acute Intermittent Porphyria (AIP)
3) Porphyria Cutanea Tarda (PCT)
4) Hereditary Corpoporhyria (HCP)
5) Congenital Erythropoietic Porphyria (CEP)
6) Erythropoietic Protoporhyria (EPP)
7) Variegate porphyria (VP)
8) Hereditary Erythropoietic Porphyria (HEP)

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9
Q

list the acute porphyrias

A

1) AIP
2) ADP
3) VP
4) HCP

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10
Q

which acute porphyria is Autosomal recessive ?

A

ADP

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11
Q

Non acute/Cutaneaous porphyrias include

A

1) CEP
2) PCT
3) EPP

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12
Q

Hepatic porphyrias include

A

1) AIP
2) PCT
3) VP
4) HCP

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13
Q

Erythropoietic porphyrias

A

1) CEP
2) EPP

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14
Q

CEP is autosomal __ while PCT Is autosomal __

A

recessive , dominant

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15
Q

Uroporphyrin has 8 carboxyl groups and is extremely soluble in water

T/F

A

True

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16
Q

_ is the least soluble porphyrin

A

protoporhyrin (2 carboxyl groups)

*excreted in feaces

17
Q

corpoporhyrin contains _ carboxyl groups and is relatively soluble

A

4 carboxyl groups

18
Q

Copro & Proto levels in VP vs HPC

A

VP - both raised
HPC - only Copro is raised

19
Q

free erythrocyte prophyrin is high in which porphyrias ?

A

EPP & CEP

20
Q

what are the 3 cutaneous porphyrias?

A

1) PCT
2) CEP
3) PP

21
Q

red urine appears in which porphyria?

A

CEP

22
Q

color of urine in acute porphyrias

A

red brown

23
Q

PBG is analyzed with what reagent ?

A

Ehrlich’s.