P1 BIOCHEM HEME SYNTHESIS Flashcards

1
Q

incase of decreased iron levels Pt will develop

A

anemia

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2
Q

incase of increased iron levels Pt will develop

A

iron overload diseases

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3
Q

blood picture in iron Def. anemia

A

hypochromic microcytic

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4
Q

causes of iron def. anemia

A
  • nutritional
  • increased demand
  • inflammation
  • reduced absorption
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5
Q

normal serum ferritin range

A

50-200

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6
Q

iron overload without tissue damage

A

hemosiderosis

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7
Q

iron overload with tissue damage

A

Hemochromatosis

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8
Q

hemochromatosis is due to

A

Ingested iron is not eliminated

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9
Q

mention a condition that is associated with iron overload

A

Alcoholic liver disease

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10
Q

more soluble form of iron

A

Ferrous / Fever 2+

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11
Q

iron form less soluble at neutral / alkaline PH

A

ferric / Fe3+

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12
Q

ferric form is less soluble due to

A

they form large complex anions / peroxides

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13
Q

type of iron in meat , fish . Poultry

A

Heme iron

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14
Q

type of of iron found in meat , fish , cereals , pulses

A

nonheme iron

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15
Q

site of absorption of iron

A

Proximal duodenum & upper jejunum

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16
Q

molecule that absorbs heme iron in proximal intestines

17
Q

reduction from ferric form to ferrous form is done by

A

Duodenal cytochrome B

18
Q

transporter protein of iron through the intestinal lumen

A

divalent metal transporter1 / DMT1

19
Q

major storage site for iron

20
Q

major utilization site of iron

A

bone marrow

21
Q

MOA of hepcidin

A

Antagonising action of ferroportin

22
Q

site of heme synthesis

A

Erythroid cells of bone Marrow
hepatocytes

23
Q

site of synthesis of delta aminolevulinic acid

A

Mitochondria

24
Q

enzyme responsible for rate limiting step in heme synthesis

A

d-Aminolevulinate Synthase

25
site of formation of porphobilinogen
cytoplasm
26
formation of porphobilinogen is done by
porphobilinogen synthase /ALA Dehydrase
27
element that can cause toxicity binding to ALA dehydrase
lead
28
Process that is catalyzed by PBG deaminase
Formation of hydroxymethylbilane
29
Protoporphyrinogen IX is converted in to protoporphyrin IX by
protoporphyrinogen IX oxidase.
30
final reaction of heme synthesis is catalyzed by
ferrochelatase (heme synthase)
31
RBCs are degraded by
Mononuclear phagocyte system/ reticuloendothelial system
32
site of RBCs degradation
liver & spleen
33
RBCs are degraded into
heme & globin
34
heme conversion into biliverdin is done by
heme oxygenase
35
biliverdin is converted to bilirubin is done by
biliverdin reductase
36
disorder of heme synthesis
Porphyria
37
Porphyria that results from lead / heavy metals / drugs
Acquired porphyria
38
enzymes inhibited in acquired porphyria
- ferrochelatase - aminolevulinate dehydrase - uroporphyrinogen synthase