Important biochem pathways and associated disorders Flashcards
Draw out pyrimidine and purine synthesis
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Orotic aciduria
AR
Increased orotic acid in urine
Does not cause hyperammonemia
Megaloblastic anemia – not corrected by giving B12 or folic acid
Tx: uridine supplement
High orotic acid, normal ammonia
Ornithine thranscarbamylase deficiency
High orotic acid and high ammonia
Draw out purine salvage pathway
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Lesch-Nyhan syndrome
Deficient HGPRT (hypoxanthine, guanine phosphoribosal transferase)
All purines to uric acid
-> gout
CNS: intellectual disability, aggressive behavior, lip biting (self mutilate), movement disorders
X linked
Tx: allopurinol or febuxostate to block uric acid formation
-tx sx of gout
Adenosine deaminase deficiency
Causes SCID