Nucleic Acid Metabolism Quiz

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Questions and Answers

What are the two main aspects of nucleic acid metabolism?

  • Replication and mutation
  • Transcription and translation
  • Synthesis and repair
  • Biosynthesis and degradation (correct)

Purine metabolism is one aspect of nucleic acid metabolism.

True (A)

What processes are involved in the central dogma of molecular biology?

Replication, transcription, and translation

Nucleoside analogs are used to treat __________ infections.

<p>viral</p> Signup and view all the answers

Match the following terms to their descriptions:

<p>Replication = Making identical copies of DNA Transcription = Carrying genetic messages from nucleus to ribosomes Translation = Decoding genetic messages to synthesize proteins Biosynthesis = Anabolism of nucleic acids</p> Signup and view all the answers

Which enzyme is negatively feedback inhibited by GDP?

<p>PRPP synthetase (C)</p> Signup and view all the answers

Adenylosuccinate synthetase is inhibited by GMP.

<p>False (B)</p> Signup and view all the answers

What is the final product of GMP catabolism after its breakdown by nucleotidase?

<p>Guanosine (D)</p> Signup and view all the answers

What is the primary role of Glutamine phosphoribosyl amidotransferase?

<p>It catalyzes the conversion of PRPP to phosphoribosylamine.</p> Signup and view all the answers

Uric acid is excreted in the urine by all species without exception.

<p>False (B)</p> Signup and view all the answers

IMP dehydrogenase converts IMP into __________.

<p>xanthylate</p> Signup and view all the answers

What enzyme deaminates Guanine to form xanthine?

<p>Guanase</p> Signup and view all the answers

Which of the following enzymes is activated by PRPP?

<p>Glutamine phosphoribosyl amidotransferase (C)</p> Signup and view all the answers

The salvage pathway of purine synthesis is mainly important in __________ and __________ tissues.

<p>erythrocytes, brain</p> Signup and view all the answers

The enzyme _____ catalyzes the breakdown of xanthine to uric acid.

<p>Xanthine Oxidase</p> Signup and view all the answers

Match the following organisms with their uric acid processing:

<p>Primates = Excrete uric acid Mollusks = Convert to allantoin Bony fishes = Hydrolyze to allantoic acid Cartilaginous fish = Stop at glyoxylic acid and urea</p> Signup and view all the answers

Which of the following is a common feedback inhibitor for Glutamine phosphoribosyl amidotransferase?

<p>AMP (B)</p> Signup and view all the answers

Which of the following is a step in the de novo synthesis of pyrimidines?

<p>Formation of carbamoyl phosphate (D)</p> Signup and view all the answers

Match the following enzymes with their corresponding feedback regulators:

<p>PRPP synthetase = GDP and ADP Glutamine phosphoribosyl amidotransferase = AMP, GMP, IMP Adenylosuccinate synthetase = AMP IMP dehydrogenase = GMP</p> Signup and view all the answers

Marine invertebrates can break down uric acid all the way to ammonia.

<p>True (A)</p> Signup and view all the answers

The pyrimidine bases include cytosine, thymine, and _____.

<p>uracil</p> Signup and view all the answers

What does Adenine phosphoribosyl transferase (APRT) catalyze the formation of?

<p>Adenosine Monophosphate (AMP) from Adenine (D)</p> Signup and view all the answers

A deficiency of HGPRT leads to the accumulation of PRPP and activation of Amido phosphoribosyltransferase.

<p>True (A)</p> Signup and view all the answers

What syndrome is characterized by gout, kidney stones, and severe self-mutilation due to HGPRT deficiency?

<p>Lesch-Nyhan syndrome</p> Signup and view all the answers

The end product of purine metabolism in humans is _____ acid.

<p>uric</p> Signup and view all the answers

What enzyme catalyzes the conversion of AMP to IMP?

<p>AMP deaminase (D)</p> Signup and view all the answers

Match the following compounds with their corresponding enzymes:

<p>AMP = AMP deaminase Adensine = Adenosine deaminase Inosine = Purine nucleoside phosphorylase Hypoxanthine = Xanthine oxidase</p> Signup and view all the answers

Inosine is converted to hypoxanthine & ribose-1-phosphate by _____ phosphorylase.

<p>purine nucleoside</p> Signup and view all the answers

Most bases in purine metabolism are reused to form nucleotides rather than degraded to uric acid.

<p>False (B)</p> Signup and view all the answers

What is a primary cause of gout?

<p>Increased formation of uric acid (C)</p> Signup and view all the answers

Allopurinol is an enzyme that degrades purines to uric acid.

<p>False (B)</p> Signup and view all the answers

What condition is characterized by cognitive deficits, aggressive behavior, and self-mutilation in males?

<p>Lesch-Nyhan syndrome</p> Signup and view all the answers

Purine-rich foods such as __________ and __________ may exacerbate gout.

<p>shellfish, eggs</p> Signup and view all the answers

Which of the following treatments for gout inhibits the enzyme xanthine oxidase?

<p>Allopurinol (B)</p> Signup and view all the answers

Hypoxanthine and xanthine can accumulate to harmful concentrations in the body when allopurinol is used.

<p>False (B)</p> Signup and view all the answers

Match the following treatments with their respective effects on gout:

<p>Allopurinol = Inhibits xanthine oxidase Colchicine = Reduces inflammation Uricosuric drugs = Increases uric acid excretion Hypoxanthine = Salvaged to reduce PRPP levels</p> Signup and view all the answers

What is the name of the genetic disorder caused by a deficiency of HGPRT?

<p>Lesch-Nyhan syndrome</p> Signup and view all the answers

What is the role of Carbamoyl phosphate in pyrimidine biosynthesis?

<p>It reacts with Aspartate to form N-carbamoyl aspartate. (C)</p> Signup and view all the answers

Dihydroorotate is formed by the removal of water from N-carbamoyl aspartate.

<p>True (A)</p> Signup and view all the answers

What is the enzyme that catalyzes the conversion of dihydroorotate to orotate?

<p>dihydroorotate dehydrogenase</p> Signup and view all the answers

The reaction between orotate and PRPP produces __________.

<p>orotidylate</p> Signup and view all the answers

Match the enzymes with their corresponding reactions in pyrimidine biosynthesis:

<p>Aspartate Transcarbamoylase = Carbamoyl phosphate + Aspartate -&gt; N-carbamoyl aspartate Dihydroorotase = N-carbamoyl aspartate -&gt; Dihydroorotate Orotate Phosphoribosyl Transferase = Orotate + PRPP -&gt; Orotidylate Orotidylate Decarboxylase = Orotidylate -&gt; Uridylate + CO2</p> Signup and view all the answers

Which of the following is a target for novel antimalarial drug development?

<p>Dihydroorotate dehydrogenase (D)</p> Signup and view all the answers

The first three enzymes in pyrimidine biosynthesis operate independently in mammals.

<p>False (B)</p> Signup and view all the answers

What are the two final products formed from orotidylate during pyrimidine biosynthesis?

<p>uridylate and carbon dioxide</p> Signup and view all the answers

Flashcards

Nucleic Acid Anabolism

The process of building up nucleic acids from smaller molecules. It's like constructing a house from bricks.

Nucleic Acid Catabolism

The process of breaking down nucleic acids into smaller molecules. It's like dismantling a house into its individual bricks.

Central Dogma

The central dogma explains how genetic information flows from DNA to RNA and finally to proteins. Like a chain reaction, DNA directs RNA, which then directs protein synthesis.

Replication

The process of copying DNA to create an identical copy. It's like making a photocopy of a document.

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Transcription

The process of reading the genetic code in DNA and creating a messenger RNA (mRNA) molecule. Think of it as translating DNA's language into mRNA's language.

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PRPP Synthetase

A key enzyme in purine biosynthesis that converts Ribose-5-phosphate into PRPP.

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PRPP Synthetase Regulation

PRPP synthetase is negatively feedback inhibited by GDP and ADP, and also regulated by other metabolites.

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Glutamine Phosphoribosyl Amidotransferase

An enzyme that converts glutamine and PRPP into 5-phosphoribosylamine, a key intermediate in purine synthesis.

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Regulation of Glutamine Phosphoribosyl Amidotransferase

Glutamine Phosphoribosyl Amidotransferase is activated by PRPP and inhibited by AMP, GMP, and IMP. AMP, GMP, and IMP also convert the active monomeric form into an inactive dimer.

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Adenylosuccinate Synthetase

An enzyme that converts IMP into adenylosuccinate, an immediate precursor of AMP.

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Regulation of Adenylosuccinate Synthetase

Adenylosuccinate Synthetase is competitively inhibited by AMP. This doesn't affect GMP synthesis.

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IMP Dehydrogenase

An enzyme that converts IMP into XMP, a key intermediate in GMP synthesis.

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Regulation of IMP Dehydrogenase

IMP Dehydrogenase is competitively inhibited by GMP. This doesn't affect AMP biosynthesis.

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Adenine phosphoribosyl transferase (APRT)

An enzyme that catalyzes the formation of adenosine monophosphate (AMP) from adenine and phosphoribosyl pyrophosphate (PRPP).

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Hypoxanthine-guanine phosphoribosyl transferase (HGPRT)

An enzyme involved in the formation of inosine monophosphate (IMP) from hypoxanthine and PRPP. It can also create guanosine monophosphate (GMP) from guanine and PRPP.

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Lesch-Nyhan syndrome

A rare genetic disorder caused by a deficiency in HGPRT.

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Salvage pathway

A metabolic pathway that recycles purine bases (like adenine, guanine, and hypoxanthine) back into nucleotides.

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AMP deaminase

The enzyme that breaks down AMP to IMP. It plays a role in purine degradation.

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Adenosine deaminase

The enzyme that removes an amino group from adenosine, converting it to inosine. It is crucial for purine degradation.

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Xanthine oxidase

The enzyme that oxidizes hypoxanthine to xanthine, and then xanthine to uric acid. It is a key player in purine degradation.

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Uric acid

The end product of purine metabolism in humans. It is excreted in urine.

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GMP Degradation

A series of enzymatic reactions that break down guanine monophosphate (GMP) into simpler compounds.

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Nucleotidase

An enzyme that removes the phosphate group from GMP, leaving only guanosine.

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Nucleoside Phosphorylase

An enzyme that breaks down guanosine into guanine and ribose-1-phosphate.

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Guanase

An enzyme that removes the amino group from guanine, converting it to xanthine.

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De novo Pyrimidine Synthesis

A metabolic pathway that produces pyrimidines, essential building blocks of DNA and RNA, from simpler molecules.

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Salvage Pathway of Pyrimidine Synthesis

A metabolic pathway that recycles pre-existing pyrimidine bases, like uracil, cytosine, and thymine, into new nucleotides.

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What is CAD protein?

A multi-enzyme complex involved in the first three steps of pyrimidine biosynthesis. It contains active sites for carbamoyl phosphate synthetase II (CPS II), aspartate transcarbamoylase (ATCase), and dihydroorotase.

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What is the committed step in pyrimidine biosynthesis?

The step in pyrimidine biosynthesis where aspartate transcarbamoylase (ATCase) catalyzes the reaction of carbamoyl phosphate with aspartate to form N-carbamoyl aspartate.

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What does dihydroorotate dehydrogenase enzyme do?

An enzyme that catalyzes the conversion of dihydroorotate to orotate in the pyrimidine biosynthesis pathway. This step requires NAD+ as a coenzyme.

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What is OMP?

A precursor for nucleic acid synthesis, formed from the reaction of orotate with 5-phosphoribosyl-1-pyrophosphate (PRPP).

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What does orotidylate decarboxylase do?

An enzyme that catalyzes the decarboxylation of orotidylate (OMP) to form uridylate (UMP).

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What does dihydroorotase do?

The enzyme that catalyzes the conversion of N-carbamoyl aspartate to dihydroorotate in the pyrimidine biosynthesis pathway. It removes water from the substrate.

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How does CPSII ensure efficient synthesis of pyrimidines?

It is the active site of carbamoyl phosphate synthetase II (CPSII) where the first step of de novo pyrimidine biosynthesis takes place. It's important for preventing the loss of intermediates by diffusion and hydrolysis.

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What is PfDHODH?

The target of antimalarial drug development. It's a crucial enzyme in the pyrimidine synthesis pathway of the malaria parasite.

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Gout Definition

A painful arthritis mostly affecting men. It's caused by elevated uric acid in the blood, leading to urate crystals accumulating in joints and under the skin.

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Allopurinol's Function

Allopurinol is a medication for gout that blocks the enzyme xanthine oxidase, which normally helps convert purines into uric acid.

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Allopurinol Structure and Mechanism

Allopurinol is structurally similar to hypoxanthine, a purine. This allows it to bind to xanthine oxidase and inhibit its activity.

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Allopurinol's Impact on Breakdown Products

When xanthine oxidase is blocked, the breakdown products of purines, xanthine and hypoxanthine, accumulate instead of uric acid. These are more soluble and less likely to cause inflammation.

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Allopurinol's Effect on HGPRT Pathway

In patients with normal levels of HGPRT, a salvage pathway for hypoxanthine and guanine is available. Blocking xanthine oxidase leads to increased availability of these purines, reducing the need for de novo purine synthesis.

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Allopurinol and Kidney Stones

Allopurinol also helps to reduce the risk of kidney stones, which can be formed by uric acid.

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Lesch-Nyhan Syndrome Definition

Lesch-Nyhan syndrome is a rare X-linked recessive disorder that causes a deficiency in HGPRT, the enzyme responsible for salvaging hypoxanthine and guanine. This leads to increased uric acid production and its accumulation.

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Lesch-Nyhan Syndrome Symptoms

Lesch-Nyhan syndrome leads to cognitive deficits, self-mutilation, and aggressive behavior, along with hyperuricemia and kidney stones.

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Study Notes

Nucleic Acids Metabolism

  • Nucleic acid metabolism encompasses two key aspects: biosynthesis (anabolism) and degradation (catabolism).
  • The focus of metabolism includes purine and pyrimidine metabolism, as well as associated abnormalities.
  • This metabolism is paramount to cellular functions, such as replication, transcription, and translation, which are vital to gene expression and cellular function.

Modern Relevance to Medicine

  • Cancer therapy relies on targeting nucleic acid metabolism pathways to develop chemotherapeutic agents inhibiting DNA synthesis/repair.
  • Understanding nucleic acid metabolism aids in diagnosing and treating numerous genetic conditions, facilitating gene therapy.
  • Nucleoside analogs are used in antiviral treatments to combat viral infections by interfering with viral nucleic acid synthesis.
  • Personalized medicine benefits from advances in genomics and RNA sequencing for tailoring treatments based on individual genetic profiles.

What Nucleic Acids Do

  • Dictate the amino acid sequence in proteins.
  • Carry genetic information passed from parent to offspring via chromosomes.
  • Act as the fourth type of macromolecules.
  • Link generations chemically.
  • Are the source of genetic information within chromosomes.

Central Dogma of Molecular Biology

  • DNA replication leads to identical copies of DNA.
  • Transcription converts DNA's instructions to RNA.
  • RNA translation interprets RNA's instructions to create proteins.
  • This series of processes plays a crucial role in molecular biology.
  • The processes involved in HIV replication that targets specific actions within the body.

Inhibitors of Nucleic Acid Synthesis

  • 6-Mercaptopurine inhibits IMP conversion to AMP and GMP.
  • Sulfonamides are analogs of PABA inhibiting folic acid synthesis.
  • Acyclovir is converted to triphosphate, inhibiting viral DNA polymerase.
  • Methotrexate inhibits dihydrofolate reductase & thymidylate synthase, crucial for DNA/RNA synthesis.
  • Azaserine is a glutamine antagonist inhibiting purine and pyrimidine synthesis.
  • Mycophenolic acid is a reversible, uncompetitive inhibitor of IMP dehydrogenase.
  • 6-Thioguanine & 8-aza-guanine are anticancer agents inhibiting glutamine PRPP amidotransferase and the conversion of IMP to GMP.
  • Fluorouracil is an anticancer drug converted to FdUMP, inhibiting thymidylate synthase.
  • Zidovudine is an HIV/AIDS drug that terminates nucleotide formation.

Synthesis of Purine Ribonucleotides

  • IMP is synthesized through the assembly of a purine base on ribose-5-phosphate.
  • Kinases convert IMP-derived AMP and GMP to ATP and GTP.
  • Purine nucleotide synthesis is regulated by feedback inhibition and feedforward activation.
  • Salvage reactions convert purines to their nucleotide forms.

De Novo Biosynthesis of IMP

  • The process starts with the synthesis of ribose-phosphate.
  • A critical regulatory step is converting PRPP to 5-Phosphoribosyl-1-amine.
  • Amidophosphoribosyl transferase is a key regulatory enzyme.
  • Various amino acids play crucial roles.
  • Several steps are involved in the process, utilizing molecules such as glycine, 5,10-methenyl-THF, glutamine, and aspartate.

Conversion of IMP to AMP & GMP:

  • Shows feedback inhibition.
  • Myofenolic acid is a reversible & uncompetitive inhibitor of IMP dehydrogenase.
  • The drug prevents the rapid proliferation of T/B cells, critical for nucleic acid synthesis preventing graft rejection.

Conversion of Hypoxanthine to Adenine/Guanine

  • Adenine/Guanine conversion involves changing a carbonyl oxygen to an amino group.
  • The mechanism is common to both A and G conversions.

Formation of Di & Tri-phosphates

  • Nucleoside monophosphates are converted to their di & triphosphate counterparts.
  • Phosphate transfer from ATP (phosphorylation) catalyzed by specific nucleoside monophosphate kinases.
  • Nucleoside diphosphate kinases are less specific for the process.

Formation of Deoxyribonucleotides from Ribonucleotides

  • Deoxyribonucleotides are derived form corresponding nucleotides by reducing the 2'-C of ribose.
  • This enzymatic conversion is catalyzed by ribonucleotide reductase.
  • NADPH donates a pair of H-atoms.
  • Ribonucleoside diphosphate/triphosphates work as substrates.

Regulatory Control of Purine Nucleotide Biosynthesis

  • Purine biosynthesis is precisely regulated by feedback inhibition.
  • Four key enzymes are involved in feedback regulation: PRPP synthetase, glutamine phosphoribosyl amidotransferase, adenylosuccinate synthetase, and IMP dehydrogenase.
  • The step where PRPP synthetase converts ribose-5-phosphate to Phosphoribosyl pyrophosphate is regulated.
  • Glutamine phosphoribosyl amidotransferase is activated by PRPP and competitively inhibited by AMP, GMP, and IMP.
  • Adenylosuccinate synthetase is competitively inhibited by AMP without affecting GMP synthesis.
  • IMP dehydrogenase is competitively inhibited by GMP without affecting AMP synthesis.

Purine Salvage Pathways

  • Free purines released during nucleic acid degradation are converted into nucleotides through salvage pathways.
  • Adenine phosphoribosyltransferase and hypoxanthine/guanine phosphoribosyltransferase are crucial enzymes in these pathways.

Digestion & Degradation of Nucleic Acids/Purine Nucleotides in the Gastrointestinal Tract (GI tract)

  • Ingested nucleic acids are degraded into nucleotides by pancreatic nucleases and intestinal phosphodiesterases.
  • Nucleotides are converted to nucleosides, and nucleosides are further degraded or absorbed.
  • Bases are reused in salvage pathways.
  • Most bases are degraded into uric acid and excreted in urine.

Degradation of Purines in Humans

  • Purines in humans are degraded to urate.
  • Many enzymes are involved in the process, including nucleotidases, nucleoside phosphorylases, deaminases, and xanthine oxidases.
  • Urate is the final product and excreted.

AMP Degradation/Catabolism

  • AMP is degraded to IMP by AMP deaminase.
  • Nucleotidase hydrolyzes AMP to adenosine and IMP to inosine.
  • Adenosine is deaminated to inosine and inosine is converted to hypoxanthine.
  • Xanthine oxidase oxidizes hypoxanthine to xanthine, and then xanthine to uric acid.
  • Uric acid is the end product and excreted in urine.

GMP Degradation/Catabolism

  • GMP is degraded to GMP by nucleotidase.
  • GMP is converted to guanosine.
  • Guanosine is converted to guanine, and guanine is deaminated to xanthine.
  • Xanthine oxidase converts xanthine to uric acid.

The Fate of Uric Acid

  • In primates, uric acid is the final product and excreted.
  • In other mammals, uric acid is oxidized to allantoin, which is then hydrolyzed to allantoic acid.
  • Some organisms convert uric acid to glyoxylic acid.

Degradation of Uric Acid

  • Excretion or degradation, depending on species
  • Breakdown by marine invertebrates down to ammonia.

Pyrimidine Metabolism

  • Pyrimidine biosynthesis involves de novo pathways and salvage pathways.
  • Pyrimidine catabolism focuses on the breakdown of pyrimidine nucleotide bases.

De Novo Synthesis of Pyrimidine Nucleotides

  • Pyrimidine ring synthesis occurs before the ribose-5-phosphate attachment.
  • Specific atoms of the pyrimidine ring are derived from bicarbonate, ammonia, and aspartate.

De Novo Biosynthesis of Pyrimidines: Step-by-Step

  • Step 1: Synthesis of carbamoyl phosphate from bicarbonate, ammonia, and ATP.
  • Step 2: Carbamoyl phosphate reacts with aspartate to form N-carbamoyl aspartate, a committed step.
  • Step 3: Dihydroorotase acts on N-carbamoyl aspartate to form dihydroorotate. This step removes water.
  • Step 4: Dihydroorotate is oxidized to orotate via dihydroorotate dehydrogenase.
  • Step 5: Orotate reacts with PRPP to create orotidine 5'-monophosphate (OMP).
  • Step 6: OMP is decarboxylated to form UMP by orotidylate decarboxylase.

Overview of De Novo Synthesis of Pyrimidines

  • Shows the key steps and enzymes involved in the synthesis of pyrimidines from carbamoyl phosphate, aspartate.
  • Diagram the process from bicarbonate, ammonia and glutamine to finally synthesizing UMP.

De Novo Biosynthesis of Pyrimidines: Step 7 (Continuation)

  • Uridylate (UMP) is converted to UTP through steps using ATP and kinases.
  • Specific UMP kinase & less specific UDP kinase play critical roles.

Synthesis of Cytidine Triphosphate (CTP) from UTP

  • Forming CTP involves replacing a carbonyl with an amino group on UTP using ATP with the action of CTP synthetase.
  • Glutamine acts as the nitrogen donor in animals, while ammonia serves the same role in bacteria.

Overview of Thymidylate Biosynthesis

  • Thymidylate synthesis processes converting dUMP to dTMP.
  • This conversion is crucial for DNA synthesis and involves specific enzymes.
  • Glycine, serine, and 10-formyl-THF play key roles in the process.
  • 5-Fluorouracil is a crucial inhibitor of this synthesis in cancer treatment.

Salvage Pathway Synthesis of Pyrimidines

  • Free pyrimidines released during nucleotide breakdown are salvaged and recycled for pyrimidine nucleotide synthesis.
  • Pyrimidine phosphoribosyltransferase enzyme is key in this process, using PRPP as the source of ribose-5-phosphate.

Feedback Regulatory Control of Pyrimidine Synthesis

  • Regulation in bacteria occurs at aspartate transcarbamoylase (ATCase).
  • In animals, regulation is at carbamoyl phosphate synthetase II (CPS II).
  • UDP & UTP inhibits CPS II.
  • ATP & PRPP activate CPS II.
  • OMP decarboxylase is competitively inhibited by UMP & CMP.
  • Inhibition of PRPP synthetase in purine synthesis also regulates pyrimidine synthesis.

Overview of Pyrimidine Biosynthesis Regulation

  • Diagrams show the key regulatory steps and enzymes involved in the feedback regulation of pyrimidine biosynthesis.
  • Highlights enzyme regulation by substrate and end product inhibition.

Catabolism/Degradation of Pyrimidine Nucleotides

  • CMP and UMP are dephosphorylated by nucleotidase to form nucleosides.
  • Nucleosides are cleaved to produce ribose-1-phosphate and free pyrimidine bases (cytosine, uracil, thymine) via nucleosidase or phosphorylase.
  • Cytosine is converted to uracil, which is further degraded.
  • Thymine is broken down to CO2, NH4, and β-aminoisobutyrate.
  • Products are excreted in urine or converted to CO2, H20, and NH4+.

Abnormalities in Nucleic Acid Metabolism

  • Gout is a painful arthritis associated with increased uric acid formation.
  • Treatment involves inhibiting xanthine oxidase (e.g., allopurinol).
  • Lesch-Nyhan syndrome results from HGPRT deficiency leading to excess purines.
  • Treatment involves managing behavioral issues.
  • Von Gierke's Disease (Type 1 glycogen storage disease) is caused by glucose-6-phosphatase deficiency, leading to hypoglycemia and purine overproduction.
  • Xanthine oxidase deficiency causes hyperuricemia (high uric acid).
  • Enzyme replacement therapy can prove beneficial.

Orotic Aciduria

  • A genetic deficiency of either orotate phosphoribosyltransferase or orotidylate decarboxylase leads to orotic aciduria.
  • This results in the excretion of orotic acid and leads to megaloblastic anemia.
  • The treatment involves using uridine to bypass the missing enzymes.

Some Clinical Relevance of Nucleotide Synthesis

  • Thymidylate synthesis is crucial for cell proliferation, making enzymes involved valuable drug targets.
  • Chemotherapeutic agents like 5-fluorouracil, raltitrexed, methotrexate, and trimethoprim target involved enzymes in various cancers to inhibit.
  • In 2002, research found that some organisms lack thymidine kinase yet survive on a thymidine deficient media.
  • This observation led to the discovery of flavin-dependent thymidylate synthase.

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