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102811 Purine & Pyrimidine Biosynthesis
UC MED 2015
84
Medical
Graduate
10/29/2011

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Term
What are some of the major diseases seen with Purine and Pyrimidine Metabolism?
Definition
1) Gout
2) Adenosine deaminase deficiency
3) Lesch-Nyhan syndrome
4) Orotic Aciduria
Term
What is Gout?
Definition
Accumulation of uric acid which will precipitate in joints and lead to severe pain. It is a direct result of a degradation product of purine rings, from excess purine degradation. Uric acid is relatively insoluble.
Term
What are the functions of a purine or pyrimidine?
Definition
1) energy source
2) precursor for nucleic acid biosynthesis
3) precursor for cofactor synthesis
4) second messenger
5) allosteric regulator
6) methyl donor
7) catalysis
Term
What are the two pathways for purine synthesis?
Definition
1) de novo (from scratch)
2) salvage (take a free base and create a nucleotide)- dietary absorption of purines and pyrimidines is low
Term
Most purines are converted to what? And where is this released?
Definition
uric acid, released in the blood
Term
Why can't hydroxybutyrate be used to synthesize ribose for purine synthesis?
Definition
It is a ketone body, we can't get net carbon from anything that is ketogenic.
Term
What is a key intermediate for purine biosynthesis, pyrimidine biosynthesis, NADH synthesis, and salvage pathways for purines and pyrimidines?
Definition
PRPP
Term
What enzyme makes PRPP from ribose-5-phosphate?
Definition
PRPP synthetase
Term
What activates PRPP synthetase?
What inhibits PRPP synthetase?
Definition
activators- Pi
inhibitors- ADP and GDP
Term
Is PRPP the first committed step of purine biosynthesis?
Definition
No, its purpose is to activate C-1 of ribose for the next step
Term
What is the committed step of purine biosynthesis?
Definition
Transfer of Gln amide to C-1"with loss of pyrophosphate
Term
What inhibits the committed step of purine biosynthesis?
Definition
AMP and GMP (enzyme binds to adenine or guanine, so technically A-DP/TP or G-DP/TP can also inhibit)

Inhibition additive: need both purines to totally inhibit enzyme
Term
Whenever aspartate donates its N, what results?
Definition
fumarate
Term
Which disorder will lead to an increase in PRPP levels?
Definition
Von Gierke's disease- loss of glucose-6-phosphatase (Glycogen Storage DisorderI)
Term
Which ring is formed first in purine biosynthesis?
Definition
smaller one
Term
Which purine is formed first?
Definition
IMP; base=hypoxanthine
Term
What enzyme is needed for the committed step?
Definition
Amidophosphoribosyl transferase
Term
What are the sources of all the base components of purines?
Definition
1) glutamine provides 2 N (requires two glutamines)
2) glycine(provides N-C-C)
3) CO2
4) Aspartate- provides N
5) N10-Formyl-THF 2 of them provide 2 total C's
Term
Where does the -NH2 come from in AMP?
Definition
It comes from aspartate to fumarate
Term
What two enzymes are needed for AMP biosynthesis from IMP? What else is needed?
Definition
1) Adenylosuccinate Synthetase (needs Aspartate and GTP)
2) Adenylosuccinate (Fumarate leaves)
Term
What regulates Adenylosuccinate Synthetase?
Definition
AMP levels
Term
Where does the -NH2 comes from in GMP biosynthesis?
Definition
Glutamine( -NH2 goes to position 2)
Term
What enzymes are needed for GMP biosynthesis from IMP?
Definition
1) IMP DH (make NADH)
2) GMP synthetase (need Glutamine and ATP)
Term
IMP Dh is regulated by?
Definition
GMP levels
Term
What enzyme makes GDP from GMP and where does the Pi come from?
Definition
-GMP kinase
-ATP is the phosphate donor
Term
What enzyme makes ADP from AMP and where does the Pi come from?
Definition
-adenylate kinase (myokinase in the muscle)
-ATP is the phosphate donor
Term
What produces a nucleotide triphosphate?
Definition
nucleoside diphosphate kinases (switches Pi from one NTP to a different NDP)
Term
Overproduction of purines leads to?
Definition
Increased degradation of purines
Increased uric acid
Possibly Gout
Term
What can lead to overproduction of purines?
Definition
1) high levels of glutamine
2) high PRPP levels
3) increased activity of amdiophosphoribosyl-transferase
4) loss of negative effectors for amdiophosphoribosyl-transferase(this can be loss of A or G site)
Term
Is the Km of amidophosphoribosyl-transferase for Gln or PRPP higher or lower than normal cellular concentrations?
Definition
Its higher, so an increase in Gln or PRPP will just increase rate of production of purines
Term
What cells need the salvage pathway?
Definition
erythrocytes and leukocytes(lack de novo pathway)
Term
What cells need the salvage pathway?
Definition
erythrocytes and leukocytes(lack de novo pathway)
Term
What is the major site of base synthesis?
Definition
liver- sends bases to other tissue for salvage
Term
Purine nucleoside phosphorylase(PNP) deficiency leads to?
Definition
Immune disorders
-T-cell deficiency
-Hypouricemia
Term
Why does a PNP deficiency lead to an immune disorder?
Definition
dGTP accumulates (cannot be degraded), which leads to a reduced production of dCTP (will learn shortly), which leads to reduced levels of DNA synthesis- high levels of dGTP will reduce the activity of Ribonucleotide reductase in making dCTP
Term
Lesch-Nyhan deficiency results from and causes what?
Definition
-HGPRT defieincy <2% activity

Symptoms include- neurological defects, self-mutilation, and gout
Term
If there is an HGPRT deficiency and 2-10% of the activity is observed what symptoms are observed?
Definition
Gout
Term
What results from Adenosine Deaminase Deficiency?
Definition
-SCID(severe combined immunodeficiency disease)
Pt lacks B and T cells and lacks thymus

Treay with gene therapy
Term
How does SCID result from Adenosine Deaminase Deficiency?
Definition
dATP levels increase- this is an inhibitor for ribonucleotide reductase, blocking DNA synthesis
-affects lymphocytes which must proliferate in response to antigens, so lose immune function
Term
What occurs primarily in the muscle and brain? It produces ammonia to buffer lactic acid?
Definition
Purine Nucleotide Cycle
Term
What causes this cycle to begin?
Definition
increase in levels during exercise
Term
Where does the nitrogen come from in the Purine Nucleotide cycle?
Definition
It comes from Aspartate which was made from a BCAA, Asp donates the NH3 to IMP and Fumarate is made
Term
What is the most important enzyme in purine degradation and the target for many drugs?
Definition
Xanthine oxidase
Term
What are some treatments for Gout?
Definition
1) Reduce purine uptake through dietary means
-Partially effective, recall intestinal cells convert purines to uric acid
-most purines come from de novo pathway
2) Promote uric acid secretion by the kidney
-drugs do this
-does not solve problem, still excess uric acid and gout attacks still can occur
3) Add enzyme to degrade uric acid further (Uricase does this, but it comes from chimps and is targeted by our immune system, still developing less antigenic version)
4) Inhibit uric acid production with drugs (Allopurinol)
Term
Uricase breaks uric acid into?
Definition
Allantoin- which is more water soluble
Term
How does Allopurinol work in treatment of Gout?
Definition
It irreversibly binds to Xanthine oxidase creating oxypurinol-that remains bound to xanthine oxidase. This is a suicide inhibitor.
There is a buildup of xanthine and hypoxanthine, but this is more water soluble than uric acid and it is readily cleared from circulation by the kidneys
Term
What is a difference between purine and pyrimidine synthesis?
Definition
In pyrimidines, ribose is added after bas formation. Opposite of purines.
Term
What is required for both purine and pyrimidine biosynthesis?
Definition
1) PRPP
2) Gln
3) CO2
4) Aspartate
Term
What is needed to make the pyrimidine base?
Definition
1) Glutamine
2) CO2
3) Aspartate
4 or 1/2) Carbamoyl Phosphate
Term
What is the major regulated step in pyrimidine biosynthesis?
Definition
CPS-II
Term
What is the difference between CPS-I and CPS-II?
Definition
CPS-I located in the mitochondria and fixes free NH3

CPS-II located in cytoplasm and does not fix free NH3
Term
What does CPS-II do?
Definition
It takes CO2 + Gln + ATP -> Carbamoyl Phosphate
Term
What activates CPS-II?
What inhibits CPS-II?
Definition
activator-PRPP
inhibitor-UTP
Term
UMP synthase contains what?
Definition
Both Orotate Phosphoribosyl Transferase and Orotidylic Acid Decarboxylase
Term
CAD contains what?
Definition
CPS-II, Aspartate transcarbamoylase and Dihydro-orotase
Term
What is the first pyrimidine formed in nucleic acids?
Definition
UMP
Term
CTP is made from?
Definition
UTP so UMP needs to be made into UTP for CTP to be made use a UMP kinase then a UDP kinase
Term
What makes CTP from UTP? What is the nitrogen donor and what ring number is it added to?
Definition
-CTP Synthetase (uses ATP and H2O)
-Glutamine provides the -NH2
-It's added to C-4'
Term
The UTP to CTP rxn is similar to what other rxn?
Definition
XMP to GMP(both use Gln as source of -NH2)
Term
What enzyme makes all deoxyribonucleotides from XDP's to make dXDP's?
Definition
Ribonucleotide Reductase
Term
When making deoxynucletotide, ribose is ___________ and thioredoxin is________. What happens to make it ready for another rxn?
Definition
ribose is reduced
thioredoxin is oxidized

to regain thioreduxin it is reduced by NADPH
Term
Ribonucleotide reductase contains how many allosteric sites?
Definition
-Overall activity site(activates ort inhibits enzyme)
-Substrate specificity site(controls which substrate to reduce)
Term
Ribonucleotide reductase binds two ligans which are they?
Definition
-ATP activates enzyme
-dATP inactivates enzyme
(they both bind to the same site, compete for binding)
Term
When dTMP is synthesized from dUMP, where does the methyl group come from and what member of the ring gets this methyl?
Definition
The methyl comes from THF, it is added to C-5'
Term
What enzyme is the only one where THF is oxidized to dihyrofolate?
Definition
Thymidylate synthase
Term
What is used to regenerate THF?
Definition
Dihydrofolate reductase (DHFR)
Term
What happens if you inhibit DHFR and what drug does this?
Definition
Then THF (tetrahydrofolate) cannot be regenerated. This will lead to an inability to produce dTMP, and eventually will stop DNA synthesis. DHFR is a target of anti-cancer drugs such as ***methotrexate
Term
What happens when you have an Adenosine Deaminase deficiency?
Definition
1 )deoxyadenosine levels increase
2) Adenosine kinase will convert deoxyadenosine to dAMP
3) dAMP is converted to dATP
4) As dATP levels increase in lymphocytes, inhibition of ribonucleotide reductase occurs
5) this cause levels of dGTP, dCTP, and dTTP to be too low for DNA synthesis to occur
6) T cells can't proliferate and the individual has an immune deficiency
7) this gets so bad you might as well call it SCID
Term
What is the major enzyme in pyrimidine base salvage?
Definition
pyrimidine nucleoside phosphorylase- it take free base, and ribose-1-phosphate to produce nucleoside and free phosphate
Term
What base will pyrimidine nucleoside phosphorylase not make?
Definition
thymine (do to low affinity)
Term
What will take Thymine and deoxyribose-1-phosphate and produce thymidine?
Definition
Thymine phosphorylase
Term
What will phosphorylate uridine or cystidine?
Definition
Uridine-Cystidine Kinase (uses ATP and makes ADP)
Term
What will phosphorylate thymidine and make dTMP?
Definition
Thymidine kinase (uses ATP and makes dADP)
Term
What will phosphorylate dC?
Definition
Deoxycystidine kinase
Term
Where does pyrimidine catabolism occur? What is different about the end products?
Definition
It occurs in the liver, but the end products are soluble and no known disorders
Term
Hereditary Orotic Aciduria
Definition
Cause: reduced activity of orotate phosphoribosyl transferase, and orotidine 5'-phosphate decarboxylase
-Pyrimidine de novo pathway is completely blocked

Symptoms: Retarded growth and development
-Hypochromic anemia
-excessive excretion of orotic acid

Treat with uridine or uracil (works well) because CPS-II is inhibited by UTP.
Term
What three nucleotide reactions require a THF derivative?
Definition
-Two steps in the formation of the purine ring utilize N10-formyl-THF
-The conversion of dUMP to dTMP utilizes N5,N10 methylene THF, and produces DHF
Term
What 4 reactions in amino acid metabolism require THF forms?
Definition
1) Serine to glycine reaction generates N5, N10 methylene THF
2) Glycine cleavage enzyme generates N5, N10 methylene THF
3) Histidine degradation generates N5 formimino THF
4) Homocysteine + N5-methyl THF yields methionine
Term
Why is folate needed in the diet?
Definition
We need it for THF because we can't generate a pteridine ring. Carbons are carried in various states on N5 and N10.
Term
What requires Folate?
Definition
DNA synthesis (purine rings and dTMP)
Term
What are two cancer drugs that block or inhibit DHFR?
Definition
1) aminopterin
2) methotrexate
Term
What is the suicide inhibitor of thymidylate synthase?
Definition
5-Flururouracil
Term
What is incorporated into HIV DNA, it is a chain terminator?
Definition
AZT
Term
What drug inhibits dihydrofolate reductase(DHFR)?
Definition
Methotrexate
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