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Nucleotides: Synthesis and Degradation Javad Zavar Reza Ph.D in Clinical Biochemistry Department of Biochemistry School of Medicine 1 Nitrogenous Bases Planar, aromatic, and heterocyclic Derived from purine or pyrimidine Numbering of bases is “unprimed” 2 Nucleic Acid Bases Purines Pyrimidines 3 Sugars Pentoses (5-C sugars) Numbering of sugars is “primed” 4 Sugars D-Ribose and 2’-Deoxyribose *Lacks a 2’-OH group 5 Nucleosides 6 Phosphate Groups Mono-, di- or triphosphates Phosphates can be bonded to either C3 or C5 atoms of the sugar 7 Nucleotides Result from linking one or more phosphates with a nucleoside onto the 5’ end of the molecule through esterification 8 Nucleotides Monomers for nucleic acid polymers Nucleoside Triphosphates are important energy carriers (ATP, GTP) Important components of coenzymes – FAD, NAD+ and Coenzyme A 9 Naming Conventions Nucleosides: – Purine nucleosides end in “-sine” Adenosine, Guanosine – Pyrimidine nucleosides end in “-dine” Thymidine, Cytidine, Uridine Nucleotides: – Start with the nucleoside name from above and add “mono-”, “di-”, or “triphosphate” Adenosine Monophosphate, Cytidine Triphosphate, Deoxythymidine Diphosphate 10 Nucleotide Biosynthesis De novo Biosynthesis Salvage Biosynthesis 11 Nucleotide Metabolism PURINE RIBONUCLEOTIDES: De novo – i.e., purines are not initially synthesized as free bases – First purine derivative formed is Inosine Mono-phosphate (IMP) 12 13 Steps 1 Step 1:Activation of ribose-5-phosphate – product: 5-phosphoribosyl-a-pyrophosphate (PRPP) – PRPP is also a precursor in the biosynthesis of: pyrimidine nucleotides Histidine Tryptophan 14 Step 1: purine synthesis 15 Step 2: purine synthesis: commited step 16 Step 3 : purine synthesis 17 Acquisition of purine atom C8 & purine atom N3 18 Step 6: purine synthesis 19 Step 7: purine synthesis Acquisition of C6 introduced as HCO3- 20 Steps 8 thru 11 Step 8: acquisition of N1 – N1 is acquired from aspartate in an amide condensation reaction – enzyme: SAICAR synthetase – product: 5-aminoimidazole-4-(Nsuccinylocarboxamide)ribotide (SAICAR) – reaction is driven by hydrolysis of ATP 21 Step 8: purine synthesis 22 Step 9: purine synthesis 23 Step 10: purine synthesis 24 Step 11 cyclization or ring closure to form IMP water is eliminated in contrast to step 6 (closure of the imidazole ring), this reaction does not require ATP hydrolysis once formed, IMP is rapidly converted to AMP and GMP (it does not accumulate in cells 25 Step 11: purine synthesis 26 27 O N HN Synthesis of adenine and guanine nucleotides Aspartate + GTP N N Ribose-P IMP GDP IMP dehydrogenase NAD+ A.S. synthetase NADH COO- O -OOC NH N HN N N O Ribose-P H N N N N Ribose-P xanthine monophosphate XMP Adenylosuccinate glutamine + ATP A.S. lyase fumarate Glutamate + AMP + PPi O NH2 N N N N N HN H2 N N Ribose-P 28 Ribose-P AMP N GMP Purine nucleoside diphosphates and triphosphates: - to be incorporated into DNA and RNA, nucleoside monophosphates (NMP’s) must be converted into nucleoside triphosphates (NTP’s) - nucleoside monophosphate kinases (adenylate & guanylate kinases) AMP + ATP 2 ADP accomplished by separate enzymes GMP + ATP GDP + ADP - nucleoside diphosphate kinase GDP + ATP GTP + ADP same enzyme acts on all nucleotide di & triphosphates nucleoside diphosphate kinase is an enzyme which plays a key role in the activation of antiviral nucleosides such as Retrovir/AZT 29 activation amidophosphoribosyl transferase ribose-P-pyrophosphokinase Ribose-5-P 5-P-ribosylamine PRPP AMP + GMP ADP + GDP 30 31 Salvage of Purines OH OH P O H CH 2 O O H O H O H OH OH P O- O O P adenine OPPi O- NH2 N Adenine phosphoribosyltransferase (APRT) OH OH P N O CH 2 O O H H H H OH 32 OH N N Salvage of Purines Salvage is needed to maintain the purine pool (biosynthesis is not completely adequate, especially in neural tissue) Hypoxanthine-guanine phosphoribosyltransferase (HGPRT) Hypoxanthine + PRPP IMP + Ppi Guanine + PRPP GMP + Ppi Lack of HGPRT leads to Lesch-Nyhan syndrome. Lack of enzyme leads to overproduction of purines which are metabolized to uric acid, which damages cells 33 Salvage of purine bases Salvage of purines 34 Lesch-Nyhan syndrome there is a defect or lack in the HGPRT enzyme the rate of purine synthesis is increased about 200X uric acid level rises and there is gout in addition there are mental aberrations patients will self-mutilate by biting lips and fingers off 35 Lesch-Nyhan syndrome 36 37 Purine Autism 25% of autistic patients may overproduce purines To diagnose, must test urine over 24 hours – Biochemical findings from this test disappear in adolescence – Must obtain urine specimen in infancy, but it’s difficult to do! 38 39 Origin of atoms in pyrimidine ring 40 Step 1: synthesis of carbamoyl phosphate Condensation of glutamine, bicarbonate in the presence of ATP Carbamoyl phosphate synthetase exists in 2 types: CPS-I which is a mitochondrial enzyme and is dedicated to the urea cycle and arginine biosynthesis) and CPS-II, a cytosolic enzyme used here 42 Step 1: pyrimidine synthesis CPS-II is the major site of regulation in animals: UDP and UTP inhibit the enzyme and ATP and PRPP activate it It is the committed step in animals 43 Step 2: synthesis of carbamoyl aspartate enzyme is aspartate transcarbamoylase (ATCase) catalyzes the condensation of carbamoyl phosphate with aspartate with the release of Pi ATCase is the major site of regulation in bacteria; it is activated by ATP and inhibited by CTP carbamoyl phosphate is an “activated” compound, so no energy input is needed at this step 44 Step 2: pyrimidine synthesis 45 Step 3: ring closure to form dihydroorotate enzyme: dihydroorotase forms a pyrimidine from carbamoyl aspartate water is released in this process 46 Step 3: pyrimidine synthesis 47 Step 4: oxidation of dihydroorotate to orotate an irreversible reaction enzyme: dihydroorotate dehydrogenase oxidizing power is derived from quinones (thru coenzyme Q) 48 Step 4: pyrimidine synthesis 49 Step 5: pyrimidine synthesis 50 Step 6: pyrimidine synthesis 51 The big picture again 52 Orotic aciduria an inherited human disease caused by a deficiency in the multifunctional enzyme that catalyzes the last 2 steps in the pyrimidine synthesis large amounts of orotic acid in urine retarded growth and severe anemia treat by administration (injection) of uridine and/or cytidine 53 Leflunomide (Arava) Leflunomide is an isoxazole immunomodulatory agent which inhibits dihydroorotate dehydrogenase) and has antiproliferative activity. Several in vivo and in vitro experimental models have demonstrated an anti-inflammatory effect. 54 Leflunomide (Arava) 55 Synthesis of uridine and cytidine triphosphate UMP + ATP UDP + ADP nucleoside diphosphate kinase UTP + ADP UDP + ATP CTP synthase (cytidylate synthetase) O H glutamine + ATP Glutamate + ADP +Pi NH2 N O N N Ribose 3 phosphate UTP (in56 bacteria, ammonia donates the amino group) O N Ribose 3 phosphate CTP Regulation of pyrimidine nucleotide biosynthesis Glutamine + HCO 3- + ATP carbamoyl phosph. synthetase Orotate orotate phosphoribosyl transferase UTP + CTP UTP and CTP are feedback inhibitors of CPS II 57 Carbamoyl phosphate UMP OMP Formation of deoxyribonucleotides ribonucleotide reductase OH OH P Base O CH2 O OH O H H H OH P Base O CH2 O H OH OH O H H H H OH H dADP, dGDP, dUDP and dCDP are all synthesized by the same enzyme Synthesized from nucleoside diphosphate (not mono or triphosphate) by ribonucleotide reductase 58 Synthesis of dTMP Methylation of d-UMP via N5,N10-methylene THF Reaction inhibited by 5-fluorouracil (Efudex) 59 Activation of 5-fluorouracil O F HN O O HO P O O CH2 O F HN OH H O N N H H H H H OH 5-fluorouracil 60 H H Regeneration of N5,N10 Methylen THF dUMP dTMP thymidylate synthase DHF N5,N10 – METHYLENE-THF NADPH + H+ GLYCINE dihydrofolate reductase serine hydroxymethyl transferase NADP+ SERINE THF Inhibitors of N5,N10 Methylene THF Regeneration METHOTREXATE AMINOPTERIN TRIMETHOPRIM dUMP dTMP DHF thymidylate synthase N5,N10 – METHYLENE-THF FdUMP NADPH + H+ GLYCINE serine hydroxymethyl transferase SERINE THF dihydrofolate reductase NADP+ Hydroxyurea (Hydrea) inhibits the enzyme ribonucleotide reductase – DNA synthesis cannot occur – Cell are killed in the S phase – Drug holds other cells in the G1 phase Primarily used to treat chronic myelogenous leukemia Cancer cell develop resistance by: – increasing quantity of inhibited enzyme – decreasing sensitivity of enzyme for inhibitor used orally major side effect is leukopenia H N OH H2 N O HYDROXYUREA 63 NH2 N O HOCH 2 N O OH F F 2',2'-DIFLUORODEOXYCYTIDINE Another inhibitor of ribonucleotide reductase:indicated for non-small cell lung cancer (usually with cisplatin) also first line treatment for non-resectable pancreatic cancer 64 65 66 Digestion: RNA + DNA Nucleosides Nucleotides nucleosidase Base + 1-P-ribose base + ribose 67 Degradation of AMP OH NH2 NH3 H2 O N N N N AMP deaminase N N N N Ribose-P Ribose-P H2 O H2O Nucleotidase Nucleotidase Pi Pi O NH2 NH3 H2 O N N HN N Adenosine deaminase N N N Pi N Ribose Ribose-1-P Ribose Purine nucleoside phosphorylase O may be reused through salvage pathway N HN N N H hypoxanthine 68 PENTOSTATIN previously called deoxycoformycin (DCF) a purine analog with a 7-membered-ring H OH H N potent inhibitor of adenosine deaminase ADA is a key enzyme which regulates adenosine levels in cells indicated for refractory hairy cell leukemia other uses: chronic lymphocytic leukemia and lymphomas 69 N N N HOCH2 O H H H H OH H 2'-DEOXYCOFORMYCIN ADA deficiency In the absence of ADA lymphocytes are destroyed deoxyadenosine is not destroyed, is converted to dAMP and then into dATP dATP is a potent feedback inhibitor of deoxynucleotide biosynthesis this leads to SCID (severe combined immunodeficiency disease) Infants with this deficiency have a high fatality rate due to infections 70 ADA deficiency treatment consists of administering pegylated ADA which can remain in the blood for 1 – 2 weeks more efficient is gene therapy: replacing the gene that is missing or defective gene therapy has been performed on selected patients 71 O O H N N H2N N H N O N N Ribose-P N N H Ribose-P H2O H2O nucleotidase nucleotidase Pi Degradation of GMP and XMP Pi O O H N N N N N N H2N H O Pi N N Ribose PNP Ribose H Ribose-1P Pi PNP Ribose-1P O O H N N H N N H2N 72 N N H H2O NH3 O N N H H NH2 OH N N N N N N N H GUANINE 2-AMINO-6-OXYPURINE) ADENINE (6-AMINOPURINE) N PURINE OH N N N H OH OH N N N H2N H N N N N OH N N H HYPOXANTHINE (6-OXYPURINE) 73 HO N N H XANTHINE (2,6-DIOXYPURINE) HO N N H URIC ACID (LACTIM FORM) CATABOLISM OF PURINES adenase ADENINE + H 2O GUANINE + H 2O HYPOXANTHINE + AMMONIA guanase HYPOXANTHINE + O XANTHINE + O 74 2 2 + H 2O + H 20 XANTHINE + AMMONIA xanthine oxidase xanthine oxidase XANTHINE + H 2O 2 URIC ACID + H 2O 2 O O H H N N N N N N O2 H O H202 N N H H HYPOXANTHINE XANTHINE O2 H202 O H O N N H O N H 75 N N OH H O N O N N H acidic proton H URIC ACID H GOUT Associated with abnormal amounts of urates in the body Early stage: recurring acute non- articular arthritis Late stage: chronic deforming polyarthritis and eventual renal complication Disease with rich history dating back to ancient Greece 76 GOUT Once fashionable to associate gout with intelligence People with gout: – – – – Isaac Newton Benjamin Frankin Martin Luther Charles Darwin 77 Gout prevail mainly in adult males rarely encountered in premenopausal women symptoms are cause by deposition of crystals of monosodium urate monohydrate (can be seen under polarized light) usually affect joints in the lower extremities (the big toe is the classic site) 78 Gout 79 Diagnostic features usually affect joints in the lower extremities ( 95%) onset is fast and sudden pain is usually severe; joint may be swollen, red and hot attack may be accompanied by fever, leukocytosis and an elevated ESR 80 Drugs which may induce hyperuricemia niacin thiazides and other diuretics low dose aspirin pyrazinamide ethambutol cyclosporine cytotoxic drugs 81 Non-pharmacological approaches Avoid purine rich foods: – red meat and organ meat (liver, kidneys) – shellfish, anchovies, mackerel, herring – meat extracts and gravies – peas and beans, aspargus, lentils – beer, lager, other alcoholic beverages Weight loss Control alcohol (binge drinking) 82 Pharmacological management of gout based on the premise that the hyperuricemia is due to both overproduction and underexcretion of uric acid symptomatic relief of pain is also achieved with analgesics (i.e. indomethacin) drugs used: – analgesics (NSAIDs) – uricosuric agents – xanthine oxidase inhibitors 83 Colchicine CH 3O H N C CH 3O OCH 3 CH 3 O O OCH 3 COLCHICINE a non-basic alkaloid from the seeds and corms of Colchicum autumnale (Meadow Safron) 84 COLCHICINE used in the symptomatic treatment of acute attacks of gout decreases leukocyte motility, decreases phagocytosis and lactic acid production not used in other forms of arthritis a very potent drug can cause severe GI distress and abdominal pain 85 O HO2C S O C3H7 N C3H7 PROBENECID (BENEMID) Inhibits the tubular reabsorption of uric acid Inhibit the tubular excretion of certain organic acid via the transporter Also used to enhance plasma concentration of certain anti-infective (beta lactams) 86 ALLOPURINOL (Zyloprim) prevention of attacks of gouty arthitis and nephropathy also used during chemotherapy of cancer and to prevent recurrent calcium oxalate calculi metabolized to oxypurinol (also an inhibitor of xanthine oxidase) inhibits the metabolism of certain anticancer drugs (6-MP, azathioprine) 87 OH N N N N H ALLOPURINOL (ZYLOPRIM) An inhibitor of xanthine oxidase; prevents the formation of uric acid from precursorial purines 88 89 Catabolism of a pyrimidine 90 91 92 93