Lecture 14 - Purine Synthesis (salvage pathway) Flashcards

1
Q

How much free purine is produced from purine degradation per day?

A

5g, but only 0.5g is excreted as uric acid

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2
Q

What happens to the remaining free purine that isn’t excreted?

A

Is recycled back to IMP, AMP, and GMP using the salvage pathway

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3
Q

How much ATP is needed to make AMP?

A

8

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4
Q

How much ATP is needed to make GMP?

A

9

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5
Q

What is Lesh-Nyhon syndrome?

A

A complete absence in the hypoxanthine-guanine-phosphoribosyl transferase enzyme

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6
Q

Describe the basis of the salvage pathway

A

AMP -> adenosine -> inosine -> hypoxanthine -> xanthine -> uric acid

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7
Q

What enzyme converts adenosine to AMP?

A

Adenine phosphoribosyl transferase

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8
Q

What are the 2 pathways to convert inosine to hypoxanthine?

A
  • Directly, releasing ribose

- Inosine -> GMP -> guanosine -> guanine -> hypoxanthine

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9
Q

What is the enzyme and cofactor to convert guanine to GMP?

A
  • Hypoxanthine-guanine phosphoribosyl transferase

- PRPP -> PPi

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10
Q

What is the enzyme and cofactor to convert hypoxanthine to inosine?

A
  • Hypoxanthine-guanine phosphoribosyl transferase

- PRPP -> PPi

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11
Q

What is the enzyme and cofactor to convert hypoxanthine to xanthine?

A
  • Xanthine oxidase

- H2O + O2 -> H2O2

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12
Q

What is the enzyme and cofactor to convert xanthine to uric acid?

A
  • Xanthine oxidase

- H2O + O2 -> H2O2

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13
Q

What can IMP be converted to?

A

AMP and GMP

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14
Q

What is the predominant enzyme of the salvage pathway?

A

Hypoxanthine phosphoribosyl transferase

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15
Q

What is gout?

A

A partial PRTase deficiency, resulting in a buildup of PPRP and an overproduction of uric acid and sodium urate

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16
Q

What is harmful about sodium urate?

A

It is relatively insoluble in water and precipitates in cartilage and kidneys

17
Q

What is a treatment for gout and what does it do?

A
  • Allopurinol

- Competitive inhibitor for xanthine oxidase, which reduces the amount of uric acid produced

18
Q

What is a treatment for Lesch-Nyhan syndrome?

A

Allopurinol b/c gout symptoms are present in Lesch-Nyhan syndrome