HMP shunt and other sugars Flashcards

1
Q

What things is NADPH used for

A
  • Synthesis of fatty acids and cholesterol
  • Generation of oxygen free radicals
  • Protection of RBCs from oxygen free radicals
  • Cytochrome P450 enzymes
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2
Q

In patients with G6PD deficiency, ingestion of what substances can induce oxidative damage to RBCs?

A
  • “Spleen Purges Nasty Inclusions From Damaged Cells”
  • Sulfonamide
  • Primaquine
  • Nitrofurantoin
  • Isoniazid
  • Fava beans
  • Dapsone
  • Chloroquine
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3
Q

Describe Essential Fructosuria

A
  • Deficiency in FructoKINase (KIND disease)

- Fructose in urine but otherwise benign

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4
Q

Describe Fructose intolerance

A
  • Aldolase B deficiency (B for Bad)
  • Fructose-1-P buildup
  • Using alot of phosphates
  • Ends up inhibiting glycogenolysis and gluconeogenesis
  • Wont be able to correct fasting hypoglycemia
  • Hypoglycemina
  • Vomiting
  • Hepatosplenomegaly
  • Jaundice
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5
Q

Treatment of Fructose intolerance

A

-decrease intake of fructose and sucrose

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6
Q

Describe Galactokinase deficiency

A
  • increase in Galactitol

- Cataracts in infants

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7
Q

Describe Classic Galactosemia

A
  • Absence of Gal-1-P uridyltransferase
  • Same symptoms as Galactokinase deficiency but worse
  • Hepatosplenomegaly
  • Jaundice
  • Failure to Thrive
  • Intellectual Disability
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8
Q

Treatment for Classic Galactosemia

A
  • Exclude Galactose from diet

- Exclude Lactose also: it is a dimer of Glucose and galactose

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9
Q

Rate limiting step of pentose phosphate pathway

A

G6PD

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10
Q

What tissues of the body use the pentose phosphate pathway

A
  • RBCs
  • Liver
  • Adrenal Cortex
  • Mammary glands
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