PP Clues - Biochemistry Flashcards
Most common intracellular buffer
Protein
Most common extracellular buffer
Bicarbonate
Best AA buffer in the body
Histidine
RLE Glycolysis
PFK-1
RLE Gluconeogenesis
Pyruvate Carboxylase
RLE HMP Shunt
G6PD
RLE Glycogenesis
Glycogen Sythase
RLE Glycogenolysis
Glycogen Phosphorylase
RLE FA Synthesis
Acetyl CoA Carboxylase
RLE Beta-Oxidation
CAT-1
RLE Cholesterol Synthesis
HMG CoA Reductase
RLE Ketogenesis
HMG CoA Synthase
RLE Purine Synthesis
PRPP Synthase
RLE Pyrimidine Synthesis
ASP Transcarbamoylase
RLE TCA Cycle
Isocitrate Dehydrogenase
RLE Urea Cycle
CPS-1
RLE Heme Synthesis
Delta-ala Synthase
Isomerase
Same chemical make up but different structure
Glucose –> Fructose
Epimerase
Differs around 1 chiral carbon
Glucose –> Galactose
Mutase
Intrachain movement of sidechain from 1 C to another
Transferase
Extrachain movement of sidechain from 1 substrate to another
Kinase
Phosphorylates using ATP
Phosphorylase
Phosphorylates using Pi
Carboxylase
Forms C-C bond using ATP and Biotin
Synthase
Consumes 2 substrates
Synthetase
Consumes 2 substrates using ATP
Phosphatase
Breaks P bond
Lyase
Cuts C-C bonds using ATP
Dehydrogenase
Removes H with cofactor
Thio
Breaks S bond
Zero Order Kinetics
Constant drug amount metabolized over time
Independent of concentration
First Order Kinetics
Constant drug percentage metabolized over time
Dependent on concentration
What is efficacy and what affects it?
Max effect regardless of dose
Vmax
What is potency and what affects it?
Amount of drug needed to produce effect
Km
Kd
Concentration of drug that binds 50% of receptors
EC 50
Concentration of drug that produces 50% of maximal response
Competitive Inhibition
Binds at active site, potency decreases, Km increases
Noncompetitive Inhibition
Binds at regulatory site, efficacy decreases, Vmax decreases, Km no change
Endothermic reaction
Consumes heat
Exothermic reaction
Gives off heat
Peak level
4 hours after dose (if too high, decrease dose)
Trough level
2 hours before dose (if too high, give less often)
Half Life (t1/2)
Time it takes for the body to use half of the drug ingested
Von Gierke’s
Glucose-6-phosphatase deficiency
Hypoglycemia
Hepatosplenomegaly
Pompe’s
Alpha-1,4-glucosidase deficiency
Cardiac
Cori’s
Debranching enzyme deficiency
Short branches of glycogen
Anderson’s
Branching enzyme deficiency
Long chains of glycogen
McArdle’s
Muscle phosphorylase deficiency
Muscle cramps with exercise
Essential Fructosuria
Fructokinase deficiency Excrete fructose (still have hexokinase)
Fructosemia
Aldolase B deficiency
Fructose intolertance
Liver damage
Galactosuria
Galactokinase deficiency
Cataracts
Galactosemia
Galactose-1-uridyl-transferase deficiency
Cataracts
MR
Liver damage
Citrate Shuttle
FA transport out of mitochondria
Carnitine Shuttle
FA transport into mitochondria
Lysosomal diseases with cherry red spot
Tay Sachs
Niemann Pick
Lysosomal diseases with gargoyle face
Gaucher’s
Hurler’s
Tay Sachs
Hexosaminidase A deficiency Blindness Incoordination Dementia NO organomegaly
Sandhoff’s
Hexosaminidase A/B deficiency
Worse