Biochemistry of Blood and Heme Synthesis Quiz

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20 Questions

Which enzyme is the rate-limiting step in heme synthesis?

ALAS

Which cofactor is required by ALAS for heme synthesis?

Vitamin B6

Which isozyme of ALAS is expressed in erythroid cells?

ALAS2

Which enzyme condenses two molecules of ALA to form porphobilinogen (PBG)?

PBGD

Which enzyme converts protoporphyrinogen IX to protoporphyrin IX?

CPOX

Which enzyme directs the stereochemistry of the reaction to form uroporphyrinogen III?

UROS

Which porphyria is the most common?

Porphyria Cutanea Tarda

Which type of porphyria is characterized by increased synthesis of intermediates prior to the genetic block?

Hepatic porphyrias

Which type of porphyria is associated with photosensitivity?

Erythroid porphyrias

Which enzyme is inhibited by lead and can cause features similar to porphyrias?

ALA dehydratase

Which organelle is responsible for the synthesis of heme?

Mitochondria

What is the primary function of heme in the body?

Transport of oxygen

Which metal is chelated with the protoporphyrin IX ring to form heme?

Iron (Fe)

What is the main product of heme degradation?

Bilirubin

Which of the following is NOT a porphyria resulting from enzyme deficiencies in heme synthesis?

Hemochromatosis

What can heme rapidly autooxidize to?

Hemin (Fe3+)

Which step in heme synthesis is catalyzed by 5-aminolevulinic acid (δALA) synthase (ALAS)?

First step

How does lead poisoning affect heme biosynthesis?

Inhibits heme production

Which of the following is NOT a primary site of heme synthesis and catabolism?

Kidney

What can accumulating upstream intermediates in porphyrias be cytotoxic in the presence of?

Light and molecular oxygen

Test your knowledge on the biochemistry of blood and heme synthesis. Learn about the regulation of the rate-limiting step, connections to the TCA cycle and amino acid metabolism, and the role of iron. Discover how lead poisoning can impact heme biosynthesis and resemble porphyria.

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