Purine metabolism Flashcards
what cause gout
hyperuricemia - high uric acid
-casing ruin acid crystals
What is uric acids solubility in plasma
-poor
-lower the pH = less soluble this easily forms into crystals
-big joint most affected
uric acid comes from metabolism of which group of molecules
-purines
-adenine, guanine, hypoxanthine & xanthine
list the sources of purine
-diet
-breakdown of nucleotides form tissue
-synthesis within body
how do purines exit body
excretion via kidney (uric) and small breakdown in the gut
why are women less likely to get gout
high oestogten is protective by upping excretion of uric acid but becomes less effective in menopausal women
what converts purine to xanthine and xanthine to uric acid
both conversion by xanthine oxidase
what are some complication of high uric acid
-kidney stones made of uric acid
this damages kidneys
what enzyme promoted uric acid –> allantoin and why
Urate-oxidase enzyme
-allontoin is more soluble than uric acid and this is more easily excreted
what enzyme converts purines back to body nucleotides
hypoxanthine-guanine phosphoribosyl transferase (HPRT)