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Unless otherwise noted, the content of this course material is licensed under a Creative Commons Attribution – Share Alike 3.0 License. Copyright 2007, Robert Lyons. The following information is intended to inform and educate and is not a tool for self-diagnosis or a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional. You should speak to your physician or make an appointment to be seen if you have questions or concerns about this information or your medical condition. You assume all responsibility for use and potential liability associated with any use of the material. Material contains copyrighted content, used in accordance with U.S. law. Copyright holders of content included in this material should contact [email protected] with any questions, corrections, or clarifications regarding the use of content. The Regents of the University of Michigan do not license the use of third party content posted to this site unless such a license is specifically granted in connection with particular content objects. Users of content are responsible for their compliance with applicable law. Mention of specific products in this recording solely represents the opinion of the speaker and does not represent an endorsement by the University of Michigan. Viewer discretion advised: Material may contain medical images that may be disturbing to some viewers. Amino Acid met abolism A mino acids Folat e met abolism Met hylene THF Glu, Gln, Asp , NH3 Met Cycle Urea oxaloacet at e Pu r in e s Uric Acid DNA RNA Py r im id in e s ( energy) f um arat e TCA Cycle Nucleic Acid met abolism Nucleic Acid met abolism Click on any blue rect angle t o see det ails. Carbamoyl Phosphate am i n o a c id s, f o la t e Purine Salvage PRPP Purine Biosynt hesis IMP Pyrimidine Biosynt hesis OMP Pyrimidine Salvage Pyr im idine MP Pur ine MP Ribonucleot ide reduct ase Ribonucleot ide reduct ase dNTP NTP Purine Degradat ion DNA RNA dNTP NTP Pyrimidine Degradat ion NH4 Uric A cid ( energ y ) Formation of PRPP: Phosphoribose pyrophosphate O PO O P O O P O P OH OH OH ribose - 5 - phosphate ATP OH OH phosphoribose - 1 pyrophosphate AMP PRPP Use in Purine Biosynthesis: PO H2O O OH P O OH O NH2 O PO P phosphoribose - 1 pyrophosphate glutamine glutamate OH OH O N HN The First Purine: Inosine Monophosphate (folates are involved in this synthesis) O P O OH Conversion to Adenosine: O GTP N HN NH 2 GDP + Pi N N N N N N ribose-5-P aspartate fumarate Inosine monophosphate ribose-5-P Adenosine monophosphate Conversion to Guanosine: O NAD + + N HN N N ribose-5-P Inosine monophosphate N N O H2O ATP O NADH + H N H ribose-5-P O AMP + PPi N HN N gln Xanthosine monophosphate glu N N NH 2 N N ribose-5-P Guanosine monophosphate OH Nucleoside Monophosphate Kinases AMP + ATP <--> 2ADP (adenylate kinase) GMP + ATP <---> GDP + ADP (guanylate kinase) • similar enzymes specific for each nucleotide • no specificity for ribonucleotide vs. deoxyribonucleotide Ribonucleotide Reductase P OP O O Enzyme• NADH Enzyme NAD+ OH OH P OP O X X O OH H Hydroxyurea inhibits this enzyme: chemotherapeutic use O HONH C NH 2 Regulation of Ribonucleotide Reductase A TP + CDP (-) dCDP dCTP (-) dUDP dTTP + dGDP dGTP dADP dATP A TP + UDP GDP + ADP (-) Nucleoside Diphosphate Kinase N1DP + N2TP <--> N1TP + N2DP dN1DP + N2TP <--> dN1TP + N2DP • No specificity for base • No specificity for ribo vs deoxy Feed-forward regulation by PRPP PRPP IMP A TP GTP GMP AMP GTP ATP Feed-forward regulation by PRPP PRPP + IMP A TP GTP GMP AMP GTP ATP Feed-forward regulation by PRPP PRPP IMP A TP GTP + + GMP AMP GTP ATP Feed-forward regulation by PRPP PRPP + - - IMP ATP GTP GMP AMP GTP ATP Degradation of the Purine Nucleosides: NH 2 HO 2 + 4 N N N N ribose O NH N HN Adenosine deaminase (ADA) ribose purine nucleoside phosphorylase N N H Hypoxanthine Inosine Adenosine N HN N N O ribose - 1 - P Pi xanthine oxidase Pi O N HN NH 2 N N ribose Guanosine ribose - 1 - P O N N H O + NH 4 N HN purine nucleoside NH 2 phosphorylase H 2O N HN Guanine deaminase O N H N H Xanthine Guanine xanthine oxidase O HN O Uric acid O H N N H N H “Salvage” Pathways for Purine Nucleotides O N HN N H N O Hypoxanthine + P O Hypoxant hineguanine phosphoribosyl t ransf erase OH OH PRPP N P O O O P O P N HN N O + PPi OH OH Inosine monophosphate APRT - Adenine phosphoribosyl transferase performs a similar function with adenine. Adenosine Deaminase Deficiency: NH 2 Adenosine deaminase (ADA) O OH H O N HN N N HO O N N N N 2-deoxyribose N HN N N H Deoxyinosine Hypoxanthine Guanine Xanthine Deoxyadenosine dAMP dADP Uric acid dATP O Gout: deposition of urate crystals in joints, “tophi” in cooler periphery N HN N H N Hypoxanthine Hyperuricemia can be caused by: xanthine oxidase Accelerated degradation of purines: O N HN O •Accelerated synthesis of purines •Increased dietary intake of purines N H N H Xanthine xanthine oxidase O HN O Impaired renal clearance of uric acid H N OH O N H N H Uric acid Allopurinol inhibits xanthine oxidase and reduces blood uric acid levels: N H N N N Allopurinol The hands of a patient with a long history of gout, including high serum urate levels BY: Univ. of Alabama at Birmingham, Dept. of Pathology http://creativecommons.org/licenses/by-nc-sa/3.0/deed.en Lesch-Nyhan Syndrome: Defective HGPRT • hyperuricemia • spasticity • mental retardation • self-mutilation behavior O N HN N H N O Hypoxanthine + P O Hypoxant hineguanine phosphoribosyl t ransf erase OH OH PRPP N P O O O P O P N HN N O + PPi OH OH Inosine monophosphate A defect in APRT does NOT have similar consequences Myoadenylate Deaminase ‘Fills’ the TCA Cycle in Muscle H 2O NH3 myoad enylat e d eaminase NH 2 O N N N HN N N N N ribose-5-P Adenosine monophosphate ribose-5-P Inosine monophosphate Asp, GTP Fumarate GDP + Pi To TCA Cycle Carbamoyl phosphate synthetase II - a cytoplasmic enzyme… O 2 ATP + HCO3 + glut amine + H 2O 2- NH2 OP C + glut amat e + 2A DP + Pi carbamoyl phosphat e …used for pyrimidine synthesis O O NH2 O C 2- OP carbamoyl phosphate O C + - CH2 CH NH + 3 aspartate - CO2 O O C O NH2 CH2 C CH N H HN - CO2 O N H orotate CO2 Orotate is linked to PRPP to form Uridine monophosphate: O HN O O N H CO2 HN orotate O + P O P O O O P OP OH OH phosphoribose - 1 pyrophosphate O HN N CO2 O O OH P O OH orotidine monophosphate N O CO2 OH OH uridine monophosphate Newly-synthesized uridine monophosphate will be phosphorylated to UDP and UTP, as described for the purine nucleotides. UTP can be converted to CTP by CTP Synthetase: O NH 2 HN O P OP O P O N N gln glu O OH O P OP O P O OH uridine triphosphate ATP + H 2O ADP + Pi N O OH OH cytidine triphosphate Some UDP is converted to dUDP via ribonucleotide reductase. UDP ribonucleotide reductase dUDP dUTP ADP ATP dUMP H 2O Pi The Thymidylate Synthase Reaction: O O HN O P O CH3 HN N O O P O thymidylate synthase OH H deoxyuridine monophosphate N 5, N10 methylene tetrahydrofolate dihydrofolate DHFR **** methylene donor THF NADH NAD+ N O OH H deoxythymidine monophosphate Methotrexate Inhibits Dihydrofolate Reductase: O O HN O P O CH3 HN N O O OH H deoxyuridine monophosphate N 5, N10 methylene tetrahydrofolate O P O thymidylate synthase dihydrofolate DHFR **** N OH H deoxythymidine monophosphate NADH X Met ho t rexat e methylene donor THF NAD+ Dihydrofolate builds up, levels of THF become limiting, thymidylate synthase is unable to proceed. Follow it with a dose of Leucovorin, a.k.a. formyl-THF. FdUMP Inhibits The Thymidylate Synthase Reaction: O F HN O P O O N O O OH H 5-fluorodeoxyuridine monophosphate (F-dUMP) P O thymidylate synthase X N 5, N10 methylene tetrahydrofolate dihydrofolate DHFR **** methylene donor CH3 HN THF NADH NAD+ N O OH H deoxythymidine monophosphate Complicated Pathways for Pyrimidine Production: dCTP CTP dCDP CDP *** *** UTP dUTP dTTP UDP dUDP dTDP dUMP dTMP UMP de-novo synthesis *** *** OMP This figure is primarily a study aid; you do not need to memorize it or reproduce it. The information here merely summarizes material from previous sections. Pathologies of pyrimidine nucleotide biosynthesis: Orotic acidurea due to OTC deficiency - please review your Urea Cycle notes. Hereditary orotic acidurea - deficiency of the enzyme that convert orotate to OMP to UMP. Not common. Pyrimidine degradation: Cytidine deaminase converts cytidine to uridine O NH2 HN N O O HO OH N cyt idine deaminase O O HO OH OH Cytidine N OH Uridine A phosphorylase removes the sugar O O CH3 HN HO O O OH N H (deoxy)thymidine CH3 HN + Pi O pyrimidine phospho rylase N H thymine + HO O OP OH H deoxyribose-1-phosphate Degradation of the base proceeds (products are unimportant here) Pyrimidines can be salvaged as well: Enzyme: Pyrimidine nucleoside phosphorylases Thymine + deoxyribose-1-phosphate --> thymidine (NOT thymidine monophosphate!) O O CH3 HN HO O O OH N H CH3 HN + Pi O pyrimidine phospho rylase N H thymine + HO (deoxy)thymidine O OP OH H deoxyribose-1-phosphate Enzyme: Thymidine kinase - adds the monophosphate back Thymidine + ATP --> thymidine monophosphate Herpes Simplex Virus carries its own tk gene Certain drugs act via the pyrimidine salvage pathway: G HO O H G HSV thymidine kinase O P O H H H AcycloGMP Acyclovir O O O F HN N H 5-fluorouracil HO O HO OP OH H deoxyribose-1-phosphate F HN pyrimidine phosp horylase + O F HN O O N uridine kinase PO OH O O H fluorodeoxyuridine OH N H fluorodeoxyuridine monophosphate (FdUMP) 5-FU efficacy depends on rate of degradation vs activation O O O F HN N H 5-fluorouracil O HO OP 5-FU O O uridine kinase N PO OH OH H deoxyribose-1-phosphate O O H OH fluorodeoxyuridine --> F HN pyrimidine phosp horylase + HO O F HN --> N H fluorodeoxyuridine monophosphate (FdUMP) FdUMP + methylene-THF + Thymidylate Synthase --> inactivation of TS Degradation (via dihydropyrimidine dehydrogenase, DPD DPD inhibitors can potentiate 5FU activity Capecitabine mode of action: O HN F N O O N OH cyt idine deaminase dealkylat ion O HO CH3 O pyrimidine pho shorylase F HN O N H fluorouracil OH capecitabine Cytosine arabinoside (araC) activation and inactivation: O NH2 HN HO O O NH2 N N OH OH Uridine arabinoside (INACTIVE) cyt id ine deaminase HO O O N N cyt id ine kinase OH OH Cytosine arabinoside (araC) PO O O N OH OH Cytosine arabinoside monophosphate (ACTIVE)