Podcast
Questions and Answers
What is primarily affected in patients with purine nucleoside phosphorylase deficiency?
What is primarily affected in patients with purine nucleoside phosphorylase deficiency?
- Antibody production
- B cell function
- T cell function (correct)
- Cytokine release
Which of the following treatments is effective for a disorder characterized by negatively birefringent monosodium urate crystals?
Which of the following treatments is effective for a disorder characterized by negatively birefringent monosodium urate crystals?
- Bone marrow transplantation (correct)
- Nucleotide supplementation
- Chronic corticosteroid therapy
- Dialysis
What is the regulated step in the synthesis of carbamoyl phosphate in mammalian cells?
What is the regulated step in the synthesis of carbamoyl phosphate in mammalian cells?
- Synthesis from glutamine and carbon dioxide (correct)
- Phosphorylation of ribose 5-phosphate
- Hydrolysis of uridine triphosphate
- Conversion of aspartate to carbamoyl phosphate
Which of the following substances inhibits the action of carbamoyl phosphate synthetase II?
Which of the following substances inhibits the action of carbamoyl phosphate synthetase II?
In the context of nucleotide metabolism disorders, what consequence does a defect in ornithine transcarbamylase lead to?
In the context of nucleotide metabolism disorders, what consequence does a defect in ornithine transcarbamylase lead to?
Children with purine nucleoside phosphorylase deficiency typically die from what complication by age 2 years?
Children with purine nucleoside phosphorylase deficiency typically die from what complication by age 2 years?
Which factors are sources of the atoms in the pyrimidine ring?
Which factors are sources of the atoms in the pyrimidine ring?
What role does PRPP play in pyrimidine synthesis?
What role does PRPP play in pyrimidine synthesis?
What effect does lactic acidosis have on urate handling by the kidney?
What effect does lactic acidosis have on urate handling by the kidney?
Which genetic mutation is associated with primary hyperuricemia?
Which genetic mutation is associated with primary hyperuricemia?
What is the primary treatment option for ADA deficiency?
What is the primary treatment option for ADA deficiency?
Which factor is NOT commonly associated with the development of gout?
Which factor is NOT commonly associated with the development of gout?
How does PNP deficiency primarily affect the immune system?
How does PNP deficiency primarily affect the immune system?
What is the result of high levels of PRPP in purine metabolism?
What is the result of high levels of PRPP in purine metabolism?
What is a common consequence of untreated ADA deficiency in children?
What is a common consequence of untreated ADA deficiency in children?
Which of the following is a characteristic of primary hyperuricemia?
Which of the following is a characteristic of primary hyperuricemia?
What enzyme is primarily affected in individuals with PNP deficiency?
What enzyme is primarily affected in individuals with PNP deficiency?
Which of these treatments is NOT considered for managing hyperuricemia?
Which of these treatments is NOT considered for managing hyperuricemia?
What primary issue contributes to hyperuricemia in gout?
What primary issue contributes to hyperuricemia in gout?
Which compounds accumulate as a result of allopurinol treatment?
Which compounds accumulate as a result of allopurinol treatment?
The deposition of crystals in gout is primarily due to which substance?
The deposition of crystals in gout is primarily due to which substance?
What is a common genetic factor that can lead to overproduction of uric acid?
What is a common genetic factor that can lead to overproduction of uric acid?
What role does hypoxanthine play in purine metabolism?
What role does hypoxanthine play in purine metabolism?
Which treatment strategy is primarily aimed at reducing uric acid levels?
Which treatment strategy is primarily aimed at reducing uric acid levels?
Which of the following is NOT a consequence of chronic gout?
Which of the following is NOT a consequence of chronic gout?
What is the primary mechanism of action of allopurinol in treating gout?
What is the primary mechanism of action of allopurinol in treating gout?
What is the primary enzyme responsible for converting ribonucleotides to deoxyribonucleotides?
What is the primary enzyme responsible for converting ribonucleotides to deoxyribonucleotides?
What condition is caused by a near-total deficiency of HGPRT?
What condition is caused by a near-total deficiency of HGPRT?
Which condition is characterized by the accumulation of uric acid crystals in the joints?
Which condition is characterized by the accumulation of uric acid crystals in the joints?
Which compound is the end product of purine degradation?
Which compound is the end product of purine degradation?
What is a key difference between uric acid and its more soluble derivatives produced by allopurinol treatment?
What is a key difference between uric acid and its more soluble derivatives produced by allopurinol treatment?
Which of the following compounds inhibits the enzyme ribonucleotide reductase?
Which of the following compounds inhibits the enzyme ribonucleotide reductase?
What is triggered when there is overproduction of uric acid accompanied by the deposition of monosodium urate crystals?
What is triggered when there is overproduction of uric acid accompanied by the deposition of monosodium urate crystals?
Which condition is primarily characterized by elevated levels of uric acid in the blood and potential crystal formation in joints?
Which condition is primarily characterized by elevated levels of uric acid in the blood and potential crystal formation in joints?
Which enzyme deficiency is most commonly linked to hereditary gout?
Which enzyme deficiency is most commonly linked to hereditary gout?
What is the primary strategy for managing hyperuricemia in patients with a history of gout?
What is the primary strategy for managing hyperuricemia in patients with a history of gout?
In purine metabolism, which product is generated from the dephosphorylation of ATP?
In purine metabolism, which product is generated from the dephosphorylation of ATP?
Which of the following best describes the role of nucleotides in signal transduction pathways?
Which of the following best describes the role of nucleotides in signal transduction pathways?
What is the primary metabolic pathway through which excess purines are redirected for reutilization?
What is the primary metabolic pathway through which excess purines are redirected for reutilization?
What genetic disorder is characterized by a deficiency in the enzyme that converts hypoxanthine to xanthine in purine metabolism?
What genetic disorder is characterized by a deficiency in the enzyme that converts hypoxanthine to xanthine in purine metabolism?
Which nucleotide serves as a precursor in the synthesis of ATP, playing a crucial role in energy metabolism?
Which nucleotide serves as a precursor in the synthesis of ATP, playing a crucial role in energy metabolism?
Which of the following coenzymes is NOT derived from nucleotides?
Which of the following coenzymes is NOT derived from nucleotides?
Which statement about the role of ribonucleoside and deoxyribonucleoside phosphates in cells is true?
Which statement about the role of ribonucleoside and deoxyribonucleoside phosphates in cells is true?
What is the primary consequence of adenosine deaminase (ADA) deficiency in lymphocytes?
What is the primary consequence of adenosine deaminase (ADA) deficiency in lymphocytes?
Which compound is produced as a long-lived inhibitor of xanthine oxidase from allopurinol?
Which compound is produced as a long-lived inhibitor of xanthine oxidase from allopurinol?
What role does hypoxanthine play in purine metabolism when ADA is normal?
What role does hypoxanthine play in purine metabolism when ADA is normal?
In the context of uric acid metabolism, what is a consequence of treating patients with xanthine oxidase inhibitors like febuxostat?
In the context of uric acid metabolism, what is a consequence of treating patients with xanthine oxidase inhibitors like febuxostat?
Which of the following reflects the antioxidant effect of uric acid in the body?
Which of the following reflects the antioxidant effect of uric acid in the body?
What is a primary function of nucleotides in intermediary metabolism?
What is a primary function of nucleotides in intermediary metabolism?
Which nucleotide acts as a second messenger in signal transduction pathways?
Which nucleotide acts as a second messenger in signal transduction pathways?
Which structural component is NOT a part of nucleotide composition?
Which structural component is NOT a part of nucleotide composition?
What primary role does the salvage pathway serve in nucleotide metabolism?
What primary role does the salvage pathway serve in nucleotide metabolism?
Which coenzyme is derived from nucleotides and plays a crucial role in metabolic reactions?
Which coenzyme is derived from nucleotides and plays a crucial role in metabolic reactions?
What type of nitrogenous bases are adenine and guanine classified as?
What type of nitrogenous bases are adenine and guanine classified as?
Which of the following statements is true regarding dietary intake of purines and pyrimidines?
Which of the following statements is true regarding dietary intake of purines and pyrimidines?
Which step in purine synthesis is primarily associated with the use of 5-phosphoribosyl-1-pyrophosphate (PRPP)?
Which step in purine synthesis is primarily associated with the use of 5-phosphoribosyl-1-pyrophosphate (PRPP)?
What is the primary purpose of using synthetic inhibitors like sulfonamides in purine synthesis?
What is the primary purpose of using synthetic inhibitors like sulfonamides in purine synthesis?
In purine synthesis, what is the role of N10-formyl-THF?
In purine synthesis, what is the role of N10-formyl-THF?
What is the significance of hypoxanthine in purine metabolism?
What is the significance of hypoxanthine in purine metabolism?
What happens when there is an overproduction of PRPP in purine metabolism?
What happens when there is an overproduction of PRPP in purine metabolism?
Which of the following accurately describes the role of ATP in the purine synthesis pathway?
Which of the following accurately describes the role of ATP in the purine synthesis pathway?
Which compound is not typically associated with purine ring synthesis?
Which compound is not typically associated with purine ring synthesis?
What is the most likely outcome of using structural analogs as inhibitors in the purine synthesis pathway?
What is the most likely outcome of using structural analogs as inhibitors in the purine synthesis pathway?
Which of the following components is crucial for the initial steps of the purine synthesis pathway?
Which of the following components is crucial for the initial steps of the purine synthesis pathway?
Which factor plays a role in determining the order of atom addition in the purine ring?
Which factor plays a role in determining the order of atom addition in the purine ring?
What is the role of glutamine in the synthesis of 5-phosphoribosylamine?
What is the role of glutamine in the synthesis of 5-phosphoribosylamine?
Which substance inhibits glutamine:phosphoribosylpyrophosphate amidotransferase (GPAT)?
Which substance inhibits glutamine:phosphoribosylpyrophosphate amidotransferase (GPAT)?
What is the relationship between PRPP concentration and the Michaelis constant (Km) for GPAT?
What is the relationship between PRPP concentration and the Michaelis constant (Km) for GPAT?
Which nucleotide acts as the parent purine nucleotide for AMP and GMP?
Which nucleotide acts as the parent purine nucleotide for AMP and GMP?
During purine nucleotide biosynthesis, which base is associated with inosine monophosphate (IMP)?
During purine nucleotide biosynthesis, which base is associated with inosine monophosphate (IMP)?
What is the significance of the committed step in purine nucleotide biosynthesis?
What is the significance of the committed step in purine nucleotide biosynthesis?
Which condition reflects the regulation of purine metabolism by end products?
Which condition reflects the regulation of purine metabolism by end products?
How is inosine monophosphate (IMP) primarily synthesized in purine metabolism?
How is inosine monophosphate (IMP) primarily synthesized in purine metabolism?
What effect does increased PRPP concentration have on the rate of purine synthesis?
What effect does increased PRPP concentration have on the rate of purine synthesis?
What is required as a coenzyme for forming tetrahydrofolate in the purine synthesis pathway?
What is required as a coenzyme for forming tetrahydrofolate in the purine synthesis pathway?
Which substance is primarily inhibited by methotrexate in purine metabolism?
Which substance is primarily inhibited by methotrexate in purine metabolism?
What is the role of sulfa drugs in bacterial purine synthesis?
What is the role of sulfa drugs in bacterial purine synthesis?
Humans rely on external sources for which vitamin essential for purine synthesis?
Humans rely on external sources for which vitamin essential for purine synthesis?
Which intermediate is produced from the condensation of ribose 5-phosphate in the purine synthesis pathway?
Which intermediate is produced from the condensation of ribose 5-phosphate in the purine synthesis pathway?
What effect do folic acid analogs have on purine metabolism?
What effect do folic acid analogs have on purine metabolism?
What is a primary effect of inhibiting dihydrofolate reductase in bacteria?
What is a primary effect of inhibiting dihydrofolate reductase in bacteria?
In purine metabolism, the conversion of what compound is essential for generating ATP?
In purine metabolism, the conversion of what compound is essential for generating ATP?
Which of the following best describes the function of ribose 5-phosphate in purine synthesis?
Which of the following best describes the function of ribose 5-phosphate in purine synthesis?
What is the consequence of humans' inability to synthesize folic acid?
What is the consequence of humans' inability to synthesize folic acid?
Match the following nucleotide components with their descriptions:
Match the following nucleotide components with their descriptions:
Match the following molecules with their primary function:
Match the following molecules with their primary function:
Match the following nucleotides with their classification:
Match the following nucleotides with their classification:
Match the following metabolic roles with their corresponding nucleotides:
Match the following metabolic roles with their corresponding nucleotides:
Match the following nucleotide forms with their attributes:
Match the following nucleotide forms with their attributes:
Match the following types of nucleotides with their characteristics:
Match the following types of nucleotides with their characteristics:
Match the following terms with their definitions:
Match the following terms with their definitions:
Match the following types of sugars with their corresponding nucleotide types:
Match the following types of sugars with their corresponding nucleotide types:
Match the following nucleotides with their associated energy characteristics:
Match the following nucleotides with their associated energy characteristics:
Match the following components to their roles in nucleotide structure:
Match the following components to their roles in nucleotide structure:
Flashcards
Pyrimidine synthesis
Pyrimidine synthesis
The creation of pyrimidine rings, which happen before attaching to ribose 5-phosphate.
Purine synthesis
Purine synthesis
Creation of purine rings on a pre-existing ribose 5-phosphate.
Carbamoyl phosphate synthesis
Carbamoyl phosphate synthesis
The regulated step in pyrimidine synthesis, making carbamoyl phosphate.
Carbamoyl phosphate synthetase II (CPS II)
Carbamoyl phosphate synthetase II (CPS II)
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Pyrimidine synthesis regulation
Pyrimidine synthesis regulation
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Uridine triphosphate (UTP)
Uridine triphosphate (UTP)
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Pyrimidine ring sources
Pyrimidine ring sources
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PRPP
PRPP
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Gout
Gout
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Hyperuricemia
Hyperuricemia
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Uric acid
Uric acid
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Treatment for Gout
Treatment for Gout
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Purines
Purines
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Crystal Deposition
Crystal Deposition
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Allopurinol
Allopurinol
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Nucleotide function
Nucleotide function
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Nucleotide structure
Nucleotide structure
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Purines
Purines
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Pyrimidines
Pyrimidines
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Nucleotide roles
Nucleotide roles
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Ribonucleosides/deoxyribonucleosides
Ribonucleosides/deoxyribonucleosides
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Renal Urate Reabsorption
Renal Urate Reabsorption
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Hyperuricemia
Hyperuricemia
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Uric Acid Overproduction
Uric Acid Overproduction
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Primary Hyperuricemia
Primary Hyperuricemia
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PRPP Synthetase
PRPP Synthetase
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Vmax
Vmax
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Km
Km
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Allosteric inhibitors
Allosteric inhibitors
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Combined Immunodeficiency (SCID)
Combined Immunodeficiency (SCID)
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ADA Deficiency
ADA Deficiency
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PNP Deficiency
PNP Deficiency
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Nucleotide Structure
Nucleotide Structure
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Purine Synthesis
Purine Synthesis
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PRPP
PRPP
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Purine Synthesis Committed Step
Purine Synthesis Committed Step
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Purine Nucleotide Salvage Pathways
Purine Nucleotide Salvage Pathways
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Lesch-Nyhan Syndrome
Lesch-Nyhan Syndrome
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Ribonucleotide Reduction
Ribonucleotide Reduction
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Ribonucleotide Reductase
Ribonucleotide Reductase
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Pyrimidine Synthesis Regulation
Pyrimidine Synthesis Regulation
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Deoxyuridine Monophosphate (dUMP) to Deoxythymidine Monophosphate (dTMP)
Deoxyuridine Monophosphate (dUMP) to Deoxythymidine Monophosphate (dTMP)
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Pyrimidine Synthesis Committed Step
Pyrimidine Synthesis Committed Step
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Hyperuricemia
Hyperuricemia
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Gout
Gout
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Nucleotide
Nucleotide
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Metabolism
Metabolism
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Nucleotide Structure
Nucleotide Structure
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Purines/Pyrimidines
Purines/Pyrimidines
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Nucleotide Functions
Nucleotide Functions
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Nucleotides Role in Cells
Nucleotides Role in Cells
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Ribonucleoside/Deoxyribonucleoside
Ribonucleoside/Deoxyribonucleoside
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Purine nucleotide biosynthesis
Purine nucleotide biosynthesis
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5-phosphoribosylamine synthesis
5-phosphoribosylamine synthesis
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Glutamine:phosphoribosylpyrophosphate amidotransferase (GPAT)
Glutamine:phosphoribosylpyrophosphate amidotransferase (GPAT)
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Inosine monophosphate (IMP)
Inosine monophosphate (IMP)
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Purine 5'-nucleotides
Purine 5'-nucleotides
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Phosphoribosylpyrophosphate (PRPP)
Phosphoribosylpyrophosphate (PRPP)
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Purine synthesis
Purine synthesis
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PRPP
PRPP
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Purine Synthesis Committed Step
Purine Synthesis Committed Step
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Synthetic Inhibitors (of Purine Synthesis)
Synthetic Inhibitors (of Purine Synthesis)
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ATP
ATP
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N 10-formyl-THF
N 10-formyl-THF
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Ribose-5-phosphate
Ribose-5-phosphate
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Inorganic phosphate
Inorganic phosphate
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Folic Acid Analogs
Folic Acid Analogs
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Tetrahydrofolate
Tetrahydrofolate
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Dihydrofolate Reductase
Dihydrofolate Reductase
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Sulfa Drugs
Sulfa Drugs
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Purine Synthesis
Purine Synthesis
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Human Folate Requirement
Human Folate Requirement
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Uric Acid Agents
Uric Acid Agents
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Allopurinol
Allopurinol
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Oxypurinol
Oxypurinol
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Gout
Gout
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Adenosine Deaminase Deficiency (ADA)
Adenosine Deaminase Deficiency (ADA)
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Severe Combined Immunodeficiency (SCID)
Severe Combined Immunodeficiency (SCID)
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Febuxostat
Febuxostat
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Xanthine Oxidase (XO)
Xanthine Oxidase (XO)
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Hyperuricemia
Hyperuricemia
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Nucleotide
Nucleotide
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Nucleotide Function
Nucleotide Function
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Nucleotide Structure
Nucleotide Structure
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Metabolism
Metabolism
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Purines
Purines
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Pyrimidines
Pyrimidines
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Ribonucleoside/Deoxyribonucleoside
Ribonucleoside/Deoxyribonucleoside
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Nucleoside 5'-phosphate
Nucleoside 5'-phosphate
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Nucleoside Monophosphate (NMP)
Nucleoside Monophosphate (NMP)
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Nucleoside Diphosphate (NDP)
Nucleoside Diphosphate (NDP)
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Nucleoside Triphosphate (NTP)
Nucleoside Triphosphate (NTP)
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High-energy bond
High-energy bond
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Nucleotide
Nucleotide
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5'-ribonucleotide
5'-ribonucleotide
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5'-deoxyribonucleotide
5'-deoxyribonucleotide
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Adenosine Monophosphate (AMP)
Adenosine Monophosphate (AMP)
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Adenosine Diphosphate (ADP)
Adenosine Diphosphate (ADP)
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Adenosine Triphosphate (ATP)
Adenosine Triphosphate (ATP)
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Study Notes
Nucleotide Metabolism Overview
- Nucleotides are essential for all cells.
- RNA, DNA, and proteins cannot be produced without nucleotides.
- Nucleotides act as carriers of intermediates in carbohydrate, lipid, and protein synthesis.
- They're structural components of coenzymes like FAD, NAD, and NADP.
- Nucleotides like cAMP and cGMP are second messengers.
- Nucleotides are crucial energy sources.
- They regulate numerous metabolic pathways.
- Purines and pyrimidines can be synthesized de novo or from salvaged precursors.
Nucleotide Structure
- Nucleotides consist of a nitrogenous base, a pentose sugar, and one to three phosphate groups.
- Nitrogenous bases are categorized into purines and pyrimidines.
- Purines include adenine (A) and guanine (G) and are found in both DNA and RNA.
- Pyrimidines include cytosine (C), which is present in both DNA and RNA, thymine (T) in DNA, and uracil (U) in RNA.
- Unusual, modified bases are also present in some DNA and RNA species. Modifications include methylation, glycosylation, acetylation, and reduction.
Purine Nucleotide Synthesis
- Purine rings are constructed from amino acids, CO2, and N10-formyltetrahydrofolate.
- The process primarily occurs in the liver.
- Ribose 5-phosphate is utilized as a precursor.
- 5-Phosphoribosyl-1-pyrophosphate (PRPP) plays a key role in the process.
- Glutamine:phosphoribosylpyrophosphate amidotransferase (GPAT) is a critical enzyme and is regulated by AMP, GMP, and PRPP.
- Inosine monophosphate (IMP) is a crucial intermediate.
- AMP and GMP are synthesized from IMP.
Purine Nucleotide Degradation
- Pancreatic nucleases hydrolyze dietary nucleic acids in the small intestine.
- Nucleotides are sequentially degraded into nucleosides, their components, and eventually uric acid.
- Uric acid is a major end product and is primarily excreted in the urine.
- Some purines can be salvaged to nucleotides: the enzymes adenine phosphoribosyltransferase (APRT) and hypoxanthine-guanine phosphoribosyltransferase (HGPRT) are involved.
- Lesch-Nyhan syndrome is an X-linked disorder caused by defects in HGPRT. This results in elevated uric acid, leading to various symptoms.
Deoxyribonucleotide Synthesis
- Deoxyribonucleotides are required for DNA synthesis.
- Ribonucleotide reductase is the key enzyme that converts ribonucleotide diphosphates to deoxyribonucleotide diphosphates.
- The enzyme itself is crucial for continued synthesis.
- The enzyme activity is regulated by allosteric sites that bind to products or substrates.
- Deoxyribonucleotides are essential metabolites for DNA synthesis.
Pyrimidine Synthesis
- Pyrimidine ring synthesis occurs before attachment to ribose-5-phosphate.
- Pyrimidine precursors combine to form the pyrimidine ring.
- Carbamoyl phosphate synthetase II is a crucial regulatory enzyme in pyrimidine synthesis.
- Orotate phosphoribosyltransferase catalyzes the conversion of orotate to orotate monophosphate (OMP).
- OMP decarboxylase converts OMP to uridine monophosphate (UMP).
Pyrimidine Degradation
- Degradation produces soluble products like B-aminoisobutyrate and f-alanine.
- Pyrimidine bases are sometimes salvaged.
- Pyrimidine bases aren't degraded to the same insoluble product as purines.
Important Diseases/Conditions
- Lesch-Nyhan syndrome
- Gout
- Orotic aciduria
- Adenosine deaminase deficiency
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