USMLE Flashcards
Purines
Pure AG
A
G
Pyrimidines
CUT the PY
C
U
T
Amino acid requirement for purine synthesis
GAG
Glycine
Aspartate
Glutamine
Amino acid requirement for both purine and pyrimidine synthesis
Aspartate
MOA of
MTX
TMP (trimethoprim)
Pyrimethamine
Inhibit dihydrofolate reductase
MTX - humans
TMP - bacteria
Pyrimethamine - protozoans
(pyrimidine synthesis)
MOA of 5-FU
Inhibits thymidylate synthase
pyrimidine synthesis
MOA of
6-MP and azathioprine
Inhibit de novo purine synthesis
MOA of hydroxyurea
Inhibits ribonucleotide reductase
purine and pyrimidine synthesis
Lesch-Nyhan syndrome absent enzyme
HGPRT
leads to: Hyperuricemia Gout Pissed off (aggression and self-mutilation) Retardation T (dysTonia)
Unambiguous genetic code features
Each codon specifies only 1 amino acid
Degenerate or redundant genetic code features
Most AA are coded by multiple codons
EXCEPT:
Methionine - AUG (MET tayo in AUG)
Tryptophan - UGG
Transition mutation
Purine to purine
Pyrimidine to pyrimidine
Transversion mutation
Purine to pyrimidine
Pyrimidine to purine
Most severe mutation
Frameshift
Frameshift > nonsense > missense»_space; silent
Missense mutation
Changed AA
Sickle cell dse (glutamate to valine)
Sick GV