8. • Purines & Pyrimidines are dietary nonessential
components .
• Body can synthesize Purines & Pyrimidine
nucleotides via de novo.
• Built up as nucleotides.
• Purines are first synthesized as nucleotide
inosonic acid.
• Purine ring is built on ribose -5-P.
9. Biosynthesis of Purine nucleotides
• Two parent Purine nucleotides of nucleic acids
are :-
- Adenosine monophosphate (AMP)
- Guanosine monophosphate (GMP)
• Synthesized by two pathways :-
- De novo pathway
- Salvage pathway
14. Major steps of De Novo synthesis
• Location :- liver
• Precursor :- ribose -5-P
• Major enzyme :- synthases, transferases,
carboxylases & hydroxylases
• Importance of PRPP
- PRPP required for both synthesis of Pyrimidine
& Purine.
- Intermediate in the Purine salvage pathway &
synthesis of NAD & NADP.
15. De novo synthesis of purine
D- ribose -5-P
ATP PRPP synthase
AMP Mg+
PRPP
glutamine PRPP-glutamyl
glutamate amidotransferase
5-phosphoribosylamine(PRA)
33. Conversion of IMP to AMP,GMP
inosine monophosphate (IMP)
Adenosuccinate IMP dehydrogenase
synthase
Adenylosuccinate xanthosine monophosphate
adenylosuccinase glutamine guanosine-
fumarate glutamate P synthase
AMP GMP
34. Inhibitors of de novo synthesis
• Inhibitors :- Purine synthesis
• Sulfonamides :- structural analogs of para-
aminobenzoic acid (PABA).
- Inhibit the synthesis of folic acid .
• Methotrexate :- analogs of folic acid.
- Control cancer.
• 6-mercaptopurine :- inhibits the synthesis of
AMP & GMP.
35. Salvage pathway
• Salvage pathway :- Pathway involved in the
conversion of Purines , Purines ribonucleoside &
Purine deoxy ribonucleosides to
mononucleotides .
• It consist of single reaction.
• Free Purine & Pyrimidine bases are formed in
cells during the metabolic degradation of nucleic
acid are salvaged & used for resynthesis of
nucleotides.
• Advantage :- required less energy and metabolic
intermediate. Eg:- brain , RBCs and neutrophils.
36. • Two mechanism for salvage reactions:-
• Phosphoribosylation of purine bases.
( conversion of free purines bases to nucleotides
which are produced by degradation process.)
• Phosphorylation of Purine nucleosides into
nucleotides .
37. Phosphoribosylation of purine bases.
Adenine
PRPP adenine phosphoribosyl
PPi transferase ( APRTase)
Adenosine monophosphate (AMP)
38. • Hypoxanthine Guanine
PRPP Hypoxanthine –Guanine PRPP
PPi phosphoribosyl PPi
transferase(HGPRTase)
-
IMP AMP, GMP GMP
• Defect in the enzyme HGPRT causes lesch-
Nyhan syndrome.
39. Phosphorylation of Purine nucleosides
ATP kinase
Purine nucleoside Purine nucleotide
• Synthesis of deoxyribonucleotides
Ribonucleotide
reduced thioredoxin reductase
oxidized thioredoxin -
deoxyribonucleotide dATP, dGTP
40. Salvage pathway of Purine
• Significance :- salvage pathway provides
Purine nucleotides for tissues, incapable of
their biosynthesis by de novo pathway.
- eg:- human brain has low level of PRPP amido-
transferase . It depends in part on exogenous
purines.
- Erythrocytes & polymorphonuclear leukocytes
41. Regulation of de novo synthesis
• Regulated by :-
Concentration of PRPP :- increased PRPP
levels stimulates the purine synthesis.
- PRPP depends on (i). availability of ribose-5-P
(ii). On the activity of PRPP synthase.
feedback regulation
42. • Ist step of de novo synthesis is catalyzed by
allosteric enzyme PRPP synthase inhibited by
AMP, GMP & IMP.
• GMP & AMP inhibit HGPRTase by feedback
mechanism.
• Cross regulation between the pathways of IMP
metabolism serves to decrease synthesis of
one purine nucleotide when there is
deficiency of the other nucleotide .
43. Questionnaire ??
• Q1. Diagrammatically represent the sources of
purine ring ?
• Q2.What is the importance of PRPP ?
• Q3.Explain the pathway of De novo synthesis
of purine ?
• Q4. Importance salvage pathway of purine
44. Catabolism of purine
• End product of purine :- uric acid
• Mammals oxidized uric acid further to allantoin .
Some animals further degraded allantoic acid to
produce urea or even ammonia.
• Significance of uric acid :-
- Final excretory product in humans.
- Role as potent antioxidant.
- Very effective scavenger of free radicals .
45. • AMP GMP
H₂O nucleotidase
Pi
Adenosine guanosine
H₂O Adenosine deaminase Pi
NH₃ phosphorylase
r-1-P
Inosine guanine
47. Disorders of purine catabolism
• Catabolism of purine to give uric acid.
• Uric acid , at physiological pH ionized &
present in plasma as sodium urate.
• Elevated levels of serum urate is known as
hyperuricaemia .
• Normal range :- 4 to 7 mg/dl.
48. Factors affecting of uric acid
• De novo synthesis of purine .
• Metabolism of DNA , RNA & other purine
containing molecule such as ATP.
• Breakdown of nucleic acid.
49. Excretion of uric acid
• Excreted in two ways:-
- Kidney :- majority of uric acid.
- Gut :- smaller amount of urate excreted ,
where it is broken down by bacteria is called
uricolysis.
50.
51. Gout
• Metabolic disease.
• Impaired excretion or overproduction of uric
acid.
• Uric acid crystals precipitate into joints (Gouty
Arthritis), kidneys, ureters (stones)
Gout is associated with hyperuricaemia but
hyperuricaemia is not associated with gout.
52. History :- over eating & alcohol consumption.
Prevalence :- 3 per 1000 persons, mostly
affecting males.
Classification :- into two types :-
- Primary gout
- Secondary gout
53. Primary gout
• Inborn error of metabolism caused by
defective enzymes of purine biosynthesis.
( increase synthesis of purine nucleotides)
Loss of feedback regulation
↑ PRPP synthase ↑ purines
↑ PRPP glutamyl amidotransferase
Deficiency of HGPRTase:- ↑PRPP ↑ de -
novo synthesis, salvage pathway
54. glucose -6-phosphatase deficiency :- type- I
Von gierke’s disease
- Glucose -6-P glucose
HMP shunt ribose -5-P PRPP ↑purine
Elevation of glutathione reductase
55.
56. Sign & Symptoms
• Patients often show deposition of urate as
tophi ( clusters of urate crystals) in soft tissue
that affects the joints & leads to painful
arthritis.
• The kidneys are also affected , due to excess
urate deposition in the tubules & leads to
renal failure.
57.
58. Secondary gout
• Due to variety of diseases that cause an
defective elimination of uric acid.
• Overproduction of urate due to increased
destruction of cells.
- Myeloproliferative disorders eg;- leukemia ,
polycythemia
- Cytotoxic drug therapy , renal disease
- Psoriasis
59. Suicide inhibition
• Irreversible inhibition.
• Original inhibitor is converted to a more
potent form by the same enzyme .
• Allopurinol is oxidized to alloxanthine by
xanthine oxidase. Alloxanthine is more
effective inhibitor of xanthine oxidase.
• Inhibition of xanthine oxidase leads to the
accumulation of hypoxanthine & xanthine .
60. Treatment of gout
• Treated by nutritional therapy & drug
therapy:-
- Avoid nucleotides rich diets.
- Consumption of plenty of water.
- Allopurinol drug ;- analogs of hypoxanthine
which inhibits xanthine oxidase , reduces the
uric acid .
- NSAIDS :- non steroid anti-inflammatory drugs
eg;- phenylbutazone & corticosteroids.
62. Pseudogout
• Clinical manifestation similar to gout.
• Caused by deposition of calcium
pyrophosphate crystals in the joints.
• Serum uric acid conc. is normal .
63. Lesch- Nyhan syndrome
• X- linked metabolic disorder, affect only males.
• Enzyme deficiency :- HGPRTase
in the absence of HGPRTase , salvage
pathway is inoperative & Purines cannot be
reconverted to nucleotides , instead they are
degraded to uric acid.
Lack of HGPRTase also cause an
overproduction of PRPP , purine synthesis
& uric acid.
65. Xanthinuria
• Enzyme deficiency :- xanthine oxidase
genetic defect :-
severe liver damage
( due to hypouricaemia & excretion of
xanthine & hypoxanthine )
Renal damage
66. • Defect in adenosine deaminase (ADA)
–immunodeficiency Diseases Associated
with Purine Degradation.
• Defect in both B-cells and T-cells (Disease of
Lymphocytes)
• in the cells of patients with ADA deficiency ,
deoxy-adenosine & adenosine abundant ,
because they do not degrade to deoxyinosine .
SCID- severe combined
immunodeficiency
67. • Immune dysfunction is due to high levels of
ATP.
• Autosomal recessive disorders with symptoms
of recurrent & chronic infection. SCID is
usually fatal, often 18 months of age.
68. Therapies for SCID
• Can be diagnosed in infants through a simple
blood test (white cell count)
• Bone marrow transplant for infants
– Familial donor
• Continued administration of adenosine
deaminase (ADA-PEG)
• Gene therapy- repair defective gene in T-cells
or blood stem cells
69. Questionnaires
• Note on catabolism of purine ?
• Explain gout
• Note on lesch –nyhan syndrome
• Note on SCID
70. Multiple choice question
• 1. An amino group donated by glutamine is attached at
C-1 of PRPP, this results in
a) 5-phosphoribosylamine
b) 4-phosphoribosylamine
c) 3-phosphoribosylamine
d) 2-phosphoribosylamine
2. The first intermediate with a complete purine ring is
a) Inosinate
b) Formate
c) Aspartate
d) Glycine
71. • 3. Salvage pathway is used in the synthesis of
___________
a) Amino acid
b) Carbohydrate
c) Nucleotide
d) Fatty acid
• 4. All deoxyribonucleotide is synthesized by the
ribonucleotides.
a) True
b) False
• 5.Name the precursor of RNA?
a) Glutamine
b) Cytidine
c) Orotidylate
d) Uridylate
72. • 6. Which of the following is not the precursor of a purine ring?
a) Glutamine
b) Lysine
c) Glycine
d) Aspartate
7. During purine synthesis the activity of amidotransferase
enzyme is inhibited by the antitumor agent, mark the correct
one.
a) Aminopterin
b) Methotrexate
c) Texol
d) Azaserine
8. What is the final product of purine degradation in mammals?
a) Guanine
b) Inosine
c) Uric acid
d) Hypoxanthine
73. 9. Which of the following disorder is caused due to
the high serum level of urate?
a) Gout
b) Galectosemia
c) Cystic fibrosis
d) Maple syrup urine disease
10.Name the genetic disorder which is caused by the
deficiency of enzyme HGPRT?
a) SCID
b) Lesch-Nyhan syndrome
c) Cystic fibrosis
d) Down syndrome
74. 11.Name the deficiency in which T and B lymphocyte do not develop
properly?
a) XLA
b) CVID
c) SCID
d) Multiple myeloma
12. Three amino acids that donate amine groups for the purine
biosynthesis are
• a) Glycine, glutamine, aspartate
• b) Glycine, beta-alanine, aspartate
• c) Glycine, alanine, aspartate
• d) Lysine, glutamine, aspartate
• e) Lysine, glutamate, asparagine
• f) Lysine, glycine, asparagine
•
•
75. 13.Gout is characterized by elevated uric acid
concentrations in blood and urine due to a variety of
metabolic abnormalities that lead to the
overproduction of purine nucleotides. Allopurinol is
used in the treatment of gout because this drug, and its
metabolic product, alloxanthine, act as inhibitors of:
• a) Xanthine Oxidase
• b) PRPP synthetase
• c) Adenyl succinate synthase
• d) Hypoxhantine guanine phosphoribosyl transferase
• e) Nucleotides
77. De novo synthesis of Pyrimidine
• Uridine Monophosphate (UMP)
• Cytidine monophosphate (CMP)
• Thymidine monophosphate (TMP)
• Unlike purine , six membered ring is made first
& then attached to ribose phosphate (PRPP).
78. • Synthesized from:
– Glutamine provides N₃
– CO2 - C₂
– Aspartic acid – C₄, C₅, C₆ & N₁
– Requires ATP
Precursors of Pyrimidines
79. • Pyrimidine rings are synthesized independent
of the ribose and transferred to the PRPP
(ribose).
• Generated as UMP (uridine 5’-
monophosphate) first.