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14 Cards in this Set
- Front
- Back
What are the two enzymes associated with salvage pathways.
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1. Adenosine Phosphoribosyltransferase.
2. HGPRT |
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What is the disorder associated with an absence of HGPRT?
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Lesch-Nyhan syndrome
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What is the general feature of salvage pathways?
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Transfer of the ribose from PRPP to a nitrogenous base.
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What is the reaction catalyzed by adenosine phosphoribosyltransferase?
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Adenosine + PRPP --> Adenylate + PPi
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What is the reaction catalyzed by HGPRT?
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Hypoxanthine + PRPP --> inosinate + PPi
Guanine + PRPP --> guanylate + PPi |
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Why do primates have high uric acid blood levels?
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Because they fail to catabolize uric acid.
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At physiological pH, uric acid exists as what?
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MSU (Monosodium Urate)
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What are two pathologies associated with Hyperuricemia.
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Acute Gouty Arthritis
Lithiasis |
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What is the basis of hyperuricemia?
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1. Increased purine production
2. Increased purine degradation |
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What happens in hyperuricemia when purine production increases?
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1. Elevated PRPP synthetase levels.
2. Loss of feedback inhibition of PRPP amidotransferases |
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What happens in hyperuricemia when purine degradation goes down.
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1. Decreased slavage pathway-HGPRT activity is low
2. Increased adenine deaminase activity. |
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What is the treatment for acute gouty arthritis? x 3
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1. NSAIDS
2. Steroids 3. Colchicine |
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What is the treatment for chronic hyperuricemia? x 2
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1. Diet
2. Urate lowering drugs |
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What are two examples of urate lowering drugs?
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1. Allopurinol
2. Uricosurics |