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An in-depth exploration of the metabolism of purine and pyrimidine nucleotides in humans, focusing on their biosynthesis from amphibolic intermediates, catabolism, and the diseases associated with their deficiencies or overproduction. The role of multifunctional catalysts, salvage reactions, and antifolate drugs in purine nucleotide biosynthesis, as well as the regulation of purine and pyrimidine nucleotide biosynthesis in the human body. It also covers the catabolism of purines to uric acid and disorders of purine and pyrimidine metabolism.
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(CMT) BIOCHEMICAL IMPORTANCE ❖ Humans synthesize nucleic acids and their derivatives ATP, NAD+, coenzyme A, etc, from amphibolic intermediates (e.g. Oxaloacetate, Alpha-ketoglutarate, etc.). ❖ Dietary purines and pyrimidines - not incorporated directly into tissue nucleic acids. ❖ Injected purine or pyrimidine analogs (e.g. potential anticancer drugs)-incorporated directly into DNA. PURINE ❖ low solubility end product of catabolism: ➢ uric acid ❖ Diseases involved: ➢ Gout ➢ Lesch-Nyhan syndrome ➢ adenosine deaminase deficiency ➢ purine nucleoside phosphorylase deficiency PYRIMIDINE ❖ Highly water-soluble end product of catabolism: ➢ carbon dioxide ➢ ammonia ➢ β-alanine ➢ γ-amino isobutyrate ❖ Diseases of pyrimidine biosynthesis: RARE ➢ Orotic acidurias ➢ β-hydroxybutyric aciduria- due to total or partial deficiency of the enzyme dihydropyrimidine dehydrogenase. ➢ Uraciluria-thyminuria- also known as combined, is also a disorder of β-amino acid biosynthesis. PURINES & PYRIMIDINES ARE DIETARILY NONESSENTIAL ❖ Normal human tissues can synthesize purines and pyrimidines from amphibolic intermediates in quantities and at times appropriate to meet variable physiologic demands. ➢ Ingested nucleic acids and nucleotides ▪ Dietarily nonessential ▪ Little or none is incorporated into tissue nucleic acids ▪ Intestinal degradation - > mononucleotides - > absorbed or converted to purine base (oxidized to uric acid->absorbed and excreted in the urine) and pyrimidine bases. ➢ Injected nucleic acids and nucleotides are incorporated into tissue nucleic acids. BIOSYNTHESIS OF PURINE NUCLEOTIDES ❖ All forms of life synthesize purine and pyrimidine nucleotides, except parasitic protozoa. ❖ Propose of biosynthesis: ➢ To achieve homeostasis, ➢ intracellular mechanisms sense ➢ regulate the pool sizes of NTPs, which rise during growth or tissue regeneration when cells are rapidly dividing. ❖ Early investigations of nucleotide biosynthesis first employed birds (Pigeons), and later Escherichia coli. ❖ Avian tissues also serve as a source of cloned genes that encode enzymes of purine biosynthesis and the regulatory proteins that control the rate of purine biosynthesis. ❖ The three processes that contribute to purine nucleotide biosynthesis are, in order of decreasing importance: ➢ Synthesis from amphibolic intermediates (synthesis de novo) ➢ Phosphoribosylation of purines ➢ Phosphorylation of purine nucleosides INOSINE MONOPHOSPHATE (IMP) IS SYNTHESIZED FROM AMPHIBOLIC INTERMEDIATES Alpha-D-Ribose 5-phosphate - > - > - > Inosine monophosphate (IMP) ❖ The initial reaction of purine biosynthesis: ➢ Alpha-D-Ribose 5-phosphate + ATP - > Phosphoribosyl pyrophosphate (PRPP) ▪ Enzyme: PRPP Synthase ❖ Following IMP (Two Branches): ➢ IMP->Guanosine monophosphate (GMP) ➢ IMP-> Adenosine monophosphate (AMP) ❖ Subsequent phosphoryl transfer from ATP converts AMP and GMP to ADP and GDP, respectively. ❖ Conversion of GDP to GTP involves a second phosphoryl transfer from ATP, whereas conversion of ADP to ATP is achieved primarily by oxidative phosphorylation. (NOTE: See Figure 33-2 and 33-3, pages 329-330) MULTIFUNCTIONAL CATALYSTS PARTICIPATE IN PURINE NUCLEOTIDE BIOSYNTHESIS (Figure 33-2) ❖ Enzymes of eukaryotes are polypeptides that possess multiple catalytic activities whose adjacent catalytic sites facilitate the channeling of intermediates between sites. ❖ Three distinct multifunctional enzymes catalyze reactions: ➢ Formyl transferase ➢ VII carboxylase ➢ Formyl transferase ANTIFOLATE DRUGS & GLUTAMINE ANALOGS BLOCK PURINE NUCLEOTIDE BIOSYNTHESIS
(CMT) ❖ Purine deficiency states, while rare in humans, generally reflect a deficiency of folic acid. ➢ Since the carbons added in reactions ④ and ⑩ of Purine Biosynthesis (Figure 33-2) are contributed by derivatives of tetrahydrofolate. Compounds that inhibit the formation of tetrahydrofolates and therefore block purine synthesis have been used in cancer chemotherapy. ❖ Inhibitory compounds: ➢ azaserine (inhibit reaction ⑤, Figure 33–2), ➢ diazanorleucine (inhibit reaction ②, Figure 33-2) ➢ 6 - mercaptopurine (inhibit reactions ⑬ and ⑭, Figure 33–3) ➢ mycophenolic acid (inhibit reactions and ⑭, Figure 33 – 3) “SALVAGE REACTIONS” CONVERT PURINES & THEIR NUCLEOSIDES TO MONONUCLEOTIDES Salvage reactions ❖ Involve in the conversion of purines, their ribonucleosides, and their deoxyribonucleosides to mononucleotides. ❖ Require far less energy than de novo synthesis. ❖ The more important (1st) mechanism involves phosphoribosylation by PRPP of a free purine (Pu) to form a purine 5’-mononucleotide (Pu-RP). ➢ Pu+PR-PP - > Pu-RP +PP ➢ Phosphoryl transfer from PRPP catalyzed by adenosine- and hypoxanthine-phosphoribosyl transferases. ➢ Converts adenine, hypoxanthine, and guanine to their mononucleotides. ➢ (See figure 33-4, page 331) ❖ A 2 nd^ salvage mechanism involves phosphoryl transfer from ATP to a purine ribonucleoside (Pu-R): ➢ Pu-R + ATP - > PuR-P + ADP ➢ Phosphorylation of the purine nucleotides, catalyzed by adenosine kinase converts adenosine and deoxyadenosine to AMP and dAMP. ➢ Similarly, deoxycytidine kinase phosphorylates deoxycytidine and 2’-deoxyguanosine, forming dCMP and dGMP, respectively. ❖ Liver ➢ major site of purine nucleotide biosynthesis ➢ Provides purines and purine nucleosides for salvage and for utilization by tissues incapable of their biosynthesis. ❖ Human brain tissue ➢ low level of PRPP glutamyl amidotransferase ➢ depends in part on exogenous purines. ❖ Erythrocytes and polymorphonuclear leukocytes ➢ Cannot synthesize 5-phosphoribosylamine. ➢ utilize exogenous purines to form nucleotides. HEPATIC PURINE BIOSYNTHESIS IS STRINGENTLY REGULATED AMP & GMP FEEDBACK REGULATE PRPP GLUTAMYL AMIDOTRANSFERASE ❖ Biosynthesis of IMP ➢ energetically expensive ➢ ATP, glycine, glutamine, aspartate, and reduced tetrahydrofolate derivatives all are consumed in the process. ➢ It is of survival advantage to closely regulate purine biosynthesis in response to varying physiologic needs. ❖ De novo purine nucleotide biosynthesis (Figure 33-5) ➢ The concentration of PRPP controls the overall determinant of the rate of de novo purine nucleotide biosynthesis. ➢ The rate of PRPP synthesis depends on the availability of ribose 5 - phosphate and the activity of PRPP synthetase. ➢ PRPP synthetase- an enzyme responsible for feedback inhibited by AMP, ADP, GMP, and GDP. AMP & GMP FEEDBACK REGULATE THEIR FORMATION FROM IMP (Figure 33-6) ❖ AMP ➢ AMP feedback inhibits adenylosuccinate Synthetase ➢ Conversion of IMP to adenylosuccinate to AMP requires GTP. ❖ GMP ➢ GMP inhibits IMP dehydrogenase. ➢ Conversion of xanthinylate (XMP) to GMP requires ATP. ➢ GMP feedback inhibits PRPP glutamyl amidotransferase. ❖ The cross-regulation between the pathways of IMP metabolism ➢ Balance the biosynthesis of purine nucleoside triphosphates by decreasing the synthesis of one purine nucleotide when there is a deficiency of the other nucleotide. ❖ AMP and GMP also inhibit hypoxanthine-guanine phosphoribosyltransferase, which converts hypoxanthine and guanine to IMP and GMP. REDUCTION OF RIBONUCLEOSIDE DIPHOSPHATES FORMS DEOXYRIBONUCLEOSIDE DIPHOSPHATES (Figure 33 - 7, page
❖ Reduction of the 2’hydroxyl (2’-deoxyribonucleoside diphosphate)
(CMT) ❖ Since humans lack uricase, the end product of purine catabolism in humans is uric acid. DISORDERS OF PURINE METABOLISM ❖ Various genetic defects in PRPP synthetase present clinically as gout. ❖ Each defect—for example, an elevated Vmax, increased affinity for ribose 5-phosphate, or resistance to feedback inhibition—results in overproduction and overexcretion of purine catabolites. ❖ When serum urate levels exceed the solubility limit, sodium urate crystalizes in soft tissues and joints and causes an inflammatory reaction, gouty arthritis. ❖ Most cases of gout reflect abnormalities in renal handling of uric acid. ❖ Hyperuricemias may be differentiated based on whether patients excrete normal or excessive quantities of total urates. ❖ Hyperuricemias reflect specific enzyme defects. ❖ Secondary to diseases such as cancer or psoriasis that enhance tissue turnover. LESCH-NYHAN SYNDROME ❖ An overproduction hyperuricemia ❖ Frequent episodes of uric acid lithiasis and a bizarre syndrome of self-mutilation. ❖ Reflects a defect in hypoxanthine-guanine phosphoribosyl transferase, an enzyme of purine salvage. ❖ The accompanying rise in intracellular PRPP results in purine overproduction. ❖ Mutations that decrease or abolish hypoxanthine-guanine phosphoribosyltransferase activity include: ➢ Deletions ➢ Frame-shift mutations ➢ Base substitutions ➢ Aberrant mRNA splicing. VON GIERKE DISEASE ❖ Purine overproduction and hyperuricemia in von Gierke disease (glucose- 6 - phosphatase deficiency) occurs secondary to enhanced generation of the PRPP precursor ribose 5-phosphate. ❖ An associated lactic acidosis elevates the renal threshold for urate, elevating total body urates. HYPOURICEMIA ❖ Hypouricemia an increased excretion of hypoxanthine and xanthine are associated with a deficiency in xanthine oxidase. ❖ Due to a genetic defect or to severe liver damage. ❖ Patients with a severe enzyme deficiency may exhibit xanthinuria and xanthine lithiasis. ADENOSINE DEAMINASE & PURINE NUCLEOSIDE PHOSPHORYLASE DEFICIENCY ❖ Associated with an immunodeficiency disease in which both thymus-derived lymphocytes (T cells) and bone marrow–derived lymphocytes (B cells) are sparse and dysfunctional. ❖ Patients suffer from severe immunodeficiency. ❖ In the absence of enzyme replacement or bone marrow transplantation, infants often succumb to fatal infections. ❖ Defective activity of purine nucleoside phosphorylase is associated with a severe deficiency of T cells, but apparently normal B-cell function. ❖ Immune dysfunctions appear to result from accumulation of dGTP and dATP, which inhibit ribonucleotide reductase and thereby deplete cells of DNA precursors. PYRIMIDINE CATABOLITES ARE WATER SOLUBLE ❖ Catabolism of the pyrimidines forms highly water-soluble products—CO2, NH3, β-alanine, and β-aminoisobutyrate. ❖ Excretion of β-aminoisobutyrate increases in leukemia and severe x-ray radiation exposure due to increased destruction of DNA. ❖ Disorders of β-alanine and β-aminoisobutryrate metabolism arise from defects in enzymes of pyrimidine catabolism. ❖ A disorder of pyrimidine catabolism, known also as combined uraciluria-thyminuria, is also a disorder of β- amino acid metabolism, since the formation of β-alanine and of β-aminoisobutyrate is impaired. ❖ When caused by a genetic error, there are serious neurologic complications. ❖ A nongenetic form is triggered by the administration of the anticancer drug 5-fluorouracil to patients with low levels of dihydropyrimidine dehydrogenase. PSEUDOURIDINE IS EXCRETED UNCHANGED ❖ No human enzyme catalyzes hydrolysis or phosphorolysis of the pseudouridine (ψ) derived from the degradation of RNA molecules. ❖ This unusual nucleotide therefore is excreted unchanged in the urine of normal subjects. ❖ Pseudouridine was indeed first isolated from human urine. OVERPRODUCTION OF PYRIMIDINE ❖ In hyperuricemia associated with severe overproduction of PRPP, there is overproduction of pyrimidine nucleotides and increased excretion of β-alanine.
(CMT) ❖ N5, N10-methylenetetrahydrofolate is required for thymidylate synthesis, disorders of folate and vitamin B metabolism result in deficiencies of TMP. OROTIC ACIDURIA ❖ Accompanies the Reye syndrome probably is a consequence of the inability of severely damaged mitochondria to utilize carbamoyl phosphate, which then becomes available for cytosolic overproduction of orotic acid. ❖ Type I orotic aciduria reflects a deficiency of both orotate phosphoribosyltransferase and orotidylate decarboxylase. ❖ The rarer Type II orotic aciduria is due to a deficiency only of orotidylate decarboxylase. DEFICIENCY OF A UREA CYCLE ENZYME RESULTS IN EXCRETION OF PYRIMIDINE PRECURSORS ❖ Increased excretion of orotic acid, uracil, and uridine accompanies a ❖ deficiency in liver mitochondrial ornithine transcarbamoylase. ❖ Excess carbamoyl phosphate exits to the cytosol, where it stimulates pyrimidine nucleotide biosynthesis. ❖ The resulting mild orotic aciduria is increased by high- nitrogen foods. DRUGS MAY PRECIPITATE OROTIC ACIDURIA ❖ Allopurinol an alternative substrate for orotate Phosphoribosyltransferase competes with orotic acid. ❖ The resulting nucleotide product also inhibits orotidylate decarboxylase, resulting in orotic aciduria and orotidinuria. ❖ 6 - Azauridine, following conversion to 6-azauridylate, also competitively inhibits orotidylate decarboxylase enhancing excretion of orotic acid and orotidine. ❖ Four genes that encode urate transporters have been identified. ❖ Two of the encoded proteins are localized to the apical membrane of proximal tubular cells. CHECK PO NINYO ANG MGA FIGURE SA BOOK