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Metabolism of
Nucleotides
Guided by
Dr. D V Bhale
( prof. & HOD)
By
Roshan Kumar Mahat
(PG Student)
Department Of Biochemistry
Objectives to know
1.
2.
3.
4.
5.
6.
7.

Nitrogen bases i.e. purines & pyrimidines
Nucleosides
Nucleotides
Synthesis of purine nucleotides
Regulation of purine nucleotides synthesis
Inhibitors of purine nucleotide synthesis
Disorders of purine metabolism
8. Synthesis of pyrimidine nucleotides
9. Inhibitors of pyrimidine nucleotides
synthesis
10. Disorders of pyrimidine nucleotide
synthesis
Pyrimidines and Purines
Pyrimidine and purine are the names of the
parent compounds of two types of nitrogencontaining heterocyclic aromatic
compounds.
N

N

N

N

Pyrimidine

N

Purine

N
H
Important Pyrimidines
• Pyrimidines that occur in DNA are cytosine
and thymine. Cytosine and uracil are the
pyrimidines in RNA.
NH
O

2

O

CH3
HN
O

HN

HN
N
H
Uracil

O

O
N
H
Thymine

N
H

Cytosine
Important Purines
• Adenine and guanine are the principal
purines of both DNA and RNA.
NH2

O

N

N

N

Adenine

N
H

N

HN

H2N

N

Guanine

N
H
Caffeine and Theobromine
• Caffeine (coffee) and theobromine (coffee
and tea) are naturally occurring purines.
O
H3C

N

N

O

O

CH3

N
CH3
Caffeine

N

N

HN
O

CH3

N
CH3

Theobromine

N
Nucleosides
• Is a structure formed by the combination of
nitrogen base and sugar.
N2 base

Sugars

Nucleoside

Adenine

Deoxyribose/Ribose

Adenosine

Guanine

Deoxiribose/Ribose

Guanosine

Thymine

Deoxyribose

Thymidine

Cytosine

Deoxyribose/Ribose

Cytidine

Uracil

Ribose

Uridine
Nucleotides
• Nucleotides are phosphoric acid esters of
nucleosides.
Nucleoside

Phosphoric acid

Nucleotides

Adenosine

Phosphoric acid

Adenylate (AMP)

Guanosine

Phosphoric acid

Guanylate ( GMP)

Thymidine

Phosphoric acid

Thymidylate ( TMP)

Cytidine

Phosphoric acid

Cytidylate (CMP)

Uridine

Phosphoric acid

Uridylate (UMP)
Synthesis of purine nucleotides
Denovo
synthesis

Synthesis of
purine base step
by step on the
ribose 5phosphate

Salvage
pathway

Addition of ribose
5-phosphate to the
preformed purine
bases or addition
of phosphate to
the purine
nucleosides

Synthesis
of purine
nucleotides
Sources of different atoms of
purine ring
Denovo synthesis of purine
nucleotides
Tissue and site of synthesis
Tissues- major tissue is liver
Site- cytosol
Inhibitors
1. Sunfonamide
 Are structural analogues of PABA
 Act as competitive inhibitors of synthesis of folic
acid from PABA in bacteria.
 They inhibit the reactions of purine nucleotide
synthesis requiring folic acid ( GAR
transformylase and AICAR transformylase)
 Used as bacteriostatic drugs to control bacterial
infection.
2. Methotrexate and Aminopterin
Are structural analogue of folic acid.
They act as a competitive inhibitors of
dihydrofolate reductase thus blocking the
biosynthesis of tetrahydrofolic acid.
They inhibit the reaction requiring folic acid
for purine nucleotide synthesis.
Used in t/t of cancers like leukemia
choriocarcinoma.
3. Trimethoprim
structural analogue of folic acid.
Acts as a competitive inhibitors of
dihydrofolate reductase in bacteria thus
blocking the biosynthesis of tetrahydrofolic
acid.
Inhibit the reaction requiring folic acid to
purine nucleotide synthesis.
Used in the t/t of bacterial infections and
UTI.
4. 6-mercaptopurine
 is a structural analogue of purine bases.
 is converted to 6- thioionosine
monophosphate by the enzyme HGPRT,
called lethal synthesis.
 6-thio IMP inhibits the conversion of IMP
to AMP and GMP.
 6-thio IMP also feed back inhibits
glutamine PRPP amidotransferase.
Used as an anticancer drug.
5. Thioguanine
Is a guanine analogue.
 It is converted to 6-thio GMP by the
enzyme HGPRT.
 6-thio GMP inhibits the conversion of IMP
to GMP.
 Also inhibits glutamine PRPP
amidotransferase.
 Used as an anticancer drug.
6. Azaserine
 is a structural analogue of glutamine.
 is a glutamine antagonist.
 inhibits the enzyme reactions in purine and
pyrimidine nucleotide synthesis that utilize
glutamine as a substrste.
 it is highly toxic to the cells so it is not
used clinically as a drug.
Regulation
1. Intracellular conc. Of PRPPdepends upon 2 factors i.e. its synthesis &
utilization.
Synthesis depends on Availability of R-5-P.
 Action of enzyme PRPP synthetase.
Utilization depends on Denovo synthesis.
 Salvage pathway.
2. Activity of enzyme PRPP amidotransferase.
Increased activity of PRPP
amidotransferase leads to Increased
synthesis of AMP amd GMP, which
feedbackly inhibit the enzyme PRPP
amidotransferase.
3. Both AMP and GMP inhibit their own
formation by feedback inhibition of
adenylosuccinate synthetase and IMP
dehydrogenase.
Salvage pathway
It refers to the formation of purine nucleotides
by the
1. Addition of ribose phosphate ( from PRPP)
to the preformed purine bases.
2. Addition of phosphate to the preformed
purine nucleosides.
Significance
Salvage pathway provide a pathway for the
utilization of purine bases derived from diet
(exogenous) and normal turnover of the
nucleic acids.
In erythrocytes, denovo syntheis of purine
nucleotides does not occur because of
absence of PRPP amidotransferase. The
requirement of purine nucleotides is met by
the salvage pathway.
Synthesis of purine nucleotides from purine
bases
Catalyzed by HGPRT and APRT.
Adenine + PRPP
AMP + PPi
APRT
Hypoxanthine + PRPP
Guanine + PRPP

HGPRT
HGPRT

IMP + PPi
GMP+ PPi
Synthesis of purine nucleotides from
purine nucleosides
Adenosine + ATP

AMP+ ADP
Adenosine kinase
Degradation of purine nucleotides
Disorders of purine metabolism
1. Gout
2. Lesch nyhan syndrome
3. Immunodeficiency associated with purine
metabolism
4. Infantile autism
Gout
Metabolic disorders associated with
overproduction of uric acid.
At physiological form, uric acid is found in
more soluble form as sodium urate.
In severe hyperuricemia, crystal of sodium
urate get deposited in the soft tissues,
particularly in joints. Such deposits are
commonly known as tophi.
This causes inflammation of joints resulting
in gouty arthritis.
The prevalence of gout is about 3 per 1000
persons, mostly affecting males.
Post menopausal women, however are as
susceptable as men for this disease.
Historically, gout was found to be
associated with high living, over eating and
alcohol consumption.
Lead poisoning also causes gout by
decreasing uric acid excretion.
Types of gout
Gout

Primary
gout

Metabolic
gout

Renal gout

Secondary
gout

Metabolic
gout

Renal gout
Primary metabolic gout
It is an inborn error of purine metabolism
due to overproduction of uric acid.
Causes:
1. Increased activity of PRPP synthetase
2. Overactivity of PRPP amidotransferase
3. HGPRT deficiency
4. Glucose 6-phosphatase deficiency
5. Elevation of glutathione reductase
Primary renal gout
It is due to failure of uric acid excretion
from the body so that uric acid level in the
body gets increased.
Secondary metabolic gout
Secondary gout is due to secondary to
certain diseases like leukemia,
polycythemia, lymphoma, psoriasis and
increased tissue breakdown like in trauma,
starvation etc.
Secondary renal gout
It is due to secondary to defective
glomerular filtration of urate due to
generalized renal failure.
Tratment of gout
Is by
1. Use of colchicine & uricosuric drugs.
 To remove urates from the joint, colchine
is the drug of choice.
 To remove the urates from the body,
urocosuric drugs such as probenecid,
sulfinpyrazole, salicylates etc are used.
2. Use of allopurinol-inhibits the activity of
enzyme xanthine oxidase as a result of
which uric acid is not produced.
Lesch Nyhan syndrome
 Fist described tn 1964 by Michael Lesch( a
medical student) and William L. Nyhan (his
teacher).
 It is X linked metabolic disorder since the
structural genes for HGPRT is located on the X
chromosome.
 It affects only males and is characterized by
excessive uric acid production and neurological
abnormalities such as mental retardation,
aggressive behaviour, learning disability etc.
 The patients of this disorder have an irresistible
urge to bite their fingers and lips,ofen causing
self-mutilation.
Biochemical basis
HGPRT deficiency spares the utilization of
PRPP through salvage and the accumulated
PRPP takes part in the purine biosynthesis
by the denovo pathway finally leading to
hyperuricemia.
The biochemical basis for neurological
abnormalities are big enegma till date.
Indeed, it is surprising that the deficiency of
a single enzyme can cause such an
abnormal behavioural changes.
 few explanations are putforth in this regard.
Neurological symptoms may be due to
decreased availability of purines to the
developing brain which has a low capacity
for denovo purine synthesis and hence
depends on purine salvage pathway for the
supply of purine nucleotides it requires.
Treatment
 allopurinol is used to treat hyperuricemia
but it has no effect on the neurological
menefestation in theses patients.
Treatment for the neuro-behavioural
features are limited to behavioural therapy
and providing protective physical device to
prevet self-mutilation.
Immunodeficiency diseases associated
with purine metabolism
Two different immunodeficiency disorders
associated with degredation of purine
nucleotides are known.
The enzyme defects are adenosine
deaminase and purine nucleoside
phosphorylase, involved in uric acid
synthesis.
The deficiency of ADA causes SCID
involving T- cell and usually B- cell
dysfunction.
It is explained that ADA deficiency results
in the accumulation of Datp which is an
inhibitor of ribonucleotide reductase and
thus DNA synthesis, replication are
adversely affected.
Different modes of t/t such as blood
transfusion, bone marrow transplantation
are tried to cure the diseases but with
limited effects.
But, like in any other inborn error, the real hope
for the future is only gene therapy.
In 1990, a 5 year old girl suffering from SCID
was successfully cured by transfecting the ADA
gene into stem cells of the patients.
This is considered as landmark in the history of
trating inborn errors of metabolism.
The deficiency of purine nucleoside
phosphorylase is associated with impairement
of T cell function but has no effect on B cell
function.
It is believed that d GTP inhibits the
development of normal T-cells.
Infantile Autism
Recently it was observed that children
suffering from infantile autism exihibited
increased excretion of uric acid but
surprisingly the serum concentrations are
within normal limits.
The biochemical basis for this is unknown.
An oral dose of uridine is tried in the t/t.
Synthesis of pyrimidine
nucleotides

Synthesis
of
pyrimidine
nucleotides

Denovo
synthesis

Synthesis of
pyrimidine
nucleotide refers
to the formation
of pyrimidine ring
structure followed
by the addition of
ribose phosphate.

Salvage
pathway

Formation of
pyrimidine
nucleotides from
pyrimidine bases
Sources of different atoms of prrimidine rings
Denovo synthesis of pyrimidine
nucleotides
Tissue and site of synthesis
Mainly occurs in the liver.
The reaction occurs in cytosol and
mitochondria. The formation of orotate
from dihydroorotate occurs ie mitochondria
and all other reactions occur in the cytosol.
Pyrimidine Synthesis

O

-

2 A T P + H C O 3 + G lutam in e + H 2 O

C

2 ADP +

O

C arbam oyl
Phosphate
Synthetase II

G lutam ate +
Pi

C

C
CH

PRPP

PPi

C

O

C
N
H

O
PO 3

N
COO

2-

O 3P

O

CH2

NH2
C

C

O

HN

O

CH

HN

O

H

H

OH

O ro tate P h o sp h o rib o sy l
T ran sferase

OH

H

H

COO

-2

O ro tid ine-5'-m onophosphate
(O M P )

O rotate

C arbam oyl P hosphate
R educed
Q uinone

A spartate
A spartate
T ranscarbam oylase
(A T C ase)

O

C
CH2

CH
N
H

C

CH2

HN

D ihydroorotase

O

2-

CH
N
H

CH
N

O

H 2O

C
O

CH

HN

C

C

C

O

O

NH2

CO2

Q uinone

Pi

HO

OM P
D ecarboxylase

D ihydroorotate
D ehydrogenase

O 3P

O

CH2

O

COO

H

OH

COO

H

OH

H

H

D ih y d ro o ro tate
C arb am o y l A sp artate

U ridine M o nophosphate
(U M P )
UMP  UTP and CTP
• Nucleoside monophosphate kinase catalyzes
transfer of Pi to UMP to form UDP; nucleoside
diphosphate kinase catalyzes transfer of Pi from
ATP to UDP to form UTP
• CTP formed from UTP via CTP Synthetase
driven by ATP hydrolysis
– Glutamine provides amide nitrogen for C4 in
animals
UDP

Ribonucleotide reductase

dUDP
dUMP

dUDP
dUMP

Thymidylate synthetase

N5,10 formyl THF

dTMP

formyl THF
Regulation of pyrimidine synthesis
 In bacteria, aspartate transcarbamoylase catalyses
a committed step in pyrimidine biosynthesis.
 Aspartate transcarbamoylase is a good example of
an enzyme controlled by feedback mechanism by
the end product CTP.
 In certain bacteria, UTP also inhibits aspartate
transcarbamoylase. ATP, however stimulates
aspartate transcarbamoylase activity.
Carbamoyl phosphate synthase II is the
regulatory enzyme of pyrimidine synthesis
in animals.
It is activated by PRPP and ATP and
inhibited by UDP and UTP.
OMP decarboxylase inhibited by UMP and
CMP, also controls pyrimidine formation.
Inhibitors of pyrimidine synthesis
Sulfonamides
Methotrexate
Trimethoprim
5-fluorouracil
Fluorocytosine
Salvage pathway
Salvage pathway of pyrimidine nucleotide
synthesis refers to the formation of
pyrimidine nucleotides from pyrimidine
bases.
Significance
Salvage pathway provide a pathway for the
utilization of pyrimidine bases derived from
diet(exogenous) and normal turnover of
nucleic acids.
Enzymes and reactions
There are 2 enzymes that catalyze the
reactions of salvage pathway. They are
uracil phosphoribosyl transferase (UPRT)
and thymidine kinase.
Uracil + PRPP
UMP + PPi
UPRT

Thymidine + ATP

Thymidine
kinase

TMP+ ADP
Disorders of pyrimidine metabolism
Disorders of pyrimidine metabolism includes:
Orotic aciduria
Reye’s syndrome
Orotic aciduria
Is a rare metabolic disorder characterized by the
excretion of orotic acid in urine, severe anemia
and retarded growth.
It is due to the deficiency of the enzymes orotate
phosphoribosyl transferase and OMP
decarboxylase of pyrimidine synthesis.
Both these enzymes activities are present on a
single protein as domains (bifunctional enzyme).
Treatment
Feeding diet rich in uridine or cytidine is an
effective t/t of orotic aciduria.
These compounds provide pyrimidine
nucleotides required for DNA and RNA
synthesis.
Reye’s syndrome
Is considered as a secondary orotic aciduria.
It is believed that a defect in ornithine
transcarbamoylase (of urea cycle) causes
the accumulation of carbamoyl phosphate.
This is then diverted for the increased
synthesis and excretion of orotic acid.
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Metabolism of Nucleotides: Synthesis, Regulation and Disorders

  • 1. Metabolism of Nucleotides Guided by Dr. D V Bhale ( prof. & HOD) By Roshan Kumar Mahat (PG Student) Department Of Biochemistry
  • 2. Objectives to know 1. 2. 3. 4. 5. 6. 7. Nitrogen bases i.e. purines & pyrimidines Nucleosides Nucleotides Synthesis of purine nucleotides Regulation of purine nucleotides synthesis Inhibitors of purine nucleotide synthesis Disorders of purine metabolism
  • 3. 8. Synthesis of pyrimidine nucleotides 9. Inhibitors of pyrimidine nucleotides synthesis 10. Disorders of pyrimidine nucleotide synthesis
  • 4. Pyrimidines and Purines Pyrimidine and purine are the names of the parent compounds of two types of nitrogencontaining heterocyclic aromatic compounds. N N N N Pyrimidine N Purine N H
  • 5. Important Pyrimidines • Pyrimidines that occur in DNA are cytosine and thymine. Cytosine and uracil are the pyrimidines in RNA. NH O 2 O CH3 HN O HN HN N H Uracil O O N H Thymine N H Cytosine
  • 6. Important Purines • Adenine and guanine are the principal purines of both DNA and RNA. NH2 O N N N Adenine N H N HN H2N N Guanine N H
  • 7. Caffeine and Theobromine • Caffeine (coffee) and theobromine (coffee and tea) are naturally occurring purines. O H3C N N O O CH3 N CH3 Caffeine N N HN O CH3 N CH3 Theobromine N
  • 8. Nucleosides • Is a structure formed by the combination of nitrogen base and sugar. N2 base Sugars Nucleoside Adenine Deoxyribose/Ribose Adenosine Guanine Deoxiribose/Ribose Guanosine Thymine Deoxyribose Thymidine Cytosine Deoxyribose/Ribose Cytidine Uracil Ribose Uridine
  • 9. Nucleotides • Nucleotides are phosphoric acid esters of nucleosides. Nucleoside Phosphoric acid Nucleotides Adenosine Phosphoric acid Adenylate (AMP) Guanosine Phosphoric acid Guanylate ( GMP) Thymidine Phosphoric acid Thymidylate ( TMP) Cytidine Phosphoric acid Cytidylate (CMP) Uridine Phosphoric acid Uridylate (UMP)
  • 10. Synthesis of purine nucleotides Denovo synthesis Synthesis of purine base step by step on the ribose 5phosphate Salvage pathway Addition of ribose 5-phosphate to the preformed purine bases or addition of phosphate to the purine nucleosides Synthesis of purine nucleotides
  • 11. Sources of different atoms of purine ring
  • 12. Denovo synthesis of purine nucleotides Tissue and site of synthesis Tissues- major tissue is liver Site- cytosol
  • 13.
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  • 19.
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  • 22.
  • 23.
  • 24. Inhibitors 1. Sunfonamide  Are structural analogues of PABA  Act as competitive inhibitors of synthesis of folic acid from PABA in bacteria.  They inhibit the reactions of purine nucleotide synthesis requiring folic acid ( GAR transformylase and AICAR transformylase)  Used as bacteriostatic drugs to control bacterial infection.
  • 25. 2. Methotrexate and Aminopterin Are structural analogue of folic acid. They act as a competitive inhibitors of dihydrofolate reductase thus blocking the biosynthesis of tetrahydrofolic acid. They inhibit the reaction requiring folic acid for purine nucleotide synthesis. Used in t/t of cancers like leukemia choriocarcinoma.
  • 26. 3. Trimethoprim structural analogue of folic acid. Acts as a competitive inhibitors of dihydrofolate reductase in bacteria thus blocking the biosynthesis of tetrahydrofolic acid. Inhibit the reaction requiring folic acid to purine nucleotide synthesis. Used in the t/t of bacterial infections and UTI.
  • 27. 4. 6-mercaptopurine  is a structural analogue of purine bases.  is converted to 6- thioionosine monophosphate by the enzyme HGPRT, called lethal synthesis.  6-thio IMP inhibits the conversion of IMP to AMP and GMP.  6-thio IMP also feed back inhibits glutamine PRPP amidotransferase. Used as an anticancer drug.
  • 28. 5. Thioguanine Is a guanine analogue.  It is converted to 6-thio GMP by the enzyme HGPRT.  6-thio GMP inhibits the conversion of IMP to GMP.  Also inhibits glutamine PRPP amidotransferase.  Used as an anticancer drug.
  • 29. 6. Azaserine  is a structural analogue of glutamine.  is a glutamine antagonist.  inhibits the enzyme reactions in purine and pyrimidine nucleotide synthesis that utilize glutamine as a substrste.  it is highly toxic to the cells so it is not used clinically as a drug.
  • 30. Regulation 1. Intracellular conc. Of PRPPdepends upon 2 factors i.e. its synthesis & utilization. Synthesis depends on Availability of R-5-P.  Action of enzyme PRPP synthetase. Utilization depends on Denovo synthesis.  Salvage pathway.
  • 31. 2. Activity of enzyme PRPP amidotransferase. Increased activity of PRPP amidotransferase leads to Increased synthesis of AMP amd GMP, which feedbackly inhibit the enzyme PRPP amidotransferase. 3. Both AMP and GMP inhibit their own formation by feedback inhibition of adenylosuccinate synthetase and IMP dehydrogenase.
  • 32. Salvage pathway It refers to the formation of purine nucleotides by the 1. Addition of ribose phosphate ( from PRPP) to the preformed purine bases. 2. Addition of phosphate to the preformed purine nucleosides.
  • 33. Significance Salvage pathway provide a pathway for the utilization of purine bases derived from diet (exogenous) and normal turnover of the nucleic acids. In erythrocytes, denovo syntheis of purine nucleotides does not occur because of absence of PRPP amidotransferase. The requirement of purine nucleotides is met by the salvage pathway.
  • 34. Synthesis of purine nucleotides from purine bases Catalyzed by HGPRT and APRT. Adenine + PRPP AMP + PPi APRT Hypoxanthine + PRPP Guanine + PRPP HGPRT HGPRT IMP + PPi GMP+ PPi
  • 35. Synthesis of purine nucleotides from purine nucleosides Adenosine + ATP AMP+ ADP Adenosine kinase
  • 36. Degradation of purine nucleotides
  • 37. Disorders of purine metabolism 1. Gout 2. Lesch nyhan syndrome 3. Immunodeficiency associated with purine metabolism 4. Infantile autism
  • 38. Gout Metabolic disorders associated with overproduction of uric acid. At physiological form, uric acid is found in more soluble form as sodium urate. In severe hyperuricemia, crystal of sodium urate get deposited in the soft tissues, particularly in joints. Such deposits are commonly known as tophi.
  • 39. This causes inflammation of joints resulting in gouty arthritis. The prevalence of gout is about 3 per 1000 persons, mostly affecting males. Post menopausal women, however are as susceptable as men for this disease. Historically, gout was found to be associated with high living, over eating and alcohol consumption. Lead poisoning also causes gout by decreasing uric acid excretion.
  • 40. Types of gout Gout Primary gout Metabolic gout Renal gout Secondary gout Metabolic gout Renal gout
  • 41. Primary metabolic gout It is an inborn error of purine metabolism due to overproduction of uric acid. Causes: 1. Increased activity of PRPP synthetase 2. Overactivity of PRPP amidotransferase 3. HGPRT deficiency 4. Glucose 6-phosphatase deficiency 5. Elevation of glutathione reductase
  • 42. Primary renal gout It is due to failure of uric acid excretion from the body so that uric acid level in the body gets increased.
  • 43. Secondary metabolic gout Secondary gout is due to secondary to certain diseases like leukemia, polycythemia, lymphoma, psoriasis and increased tissue breakdown like in trauma, starvation etc.
  • 44. Secondary renal gout It is due to secondary to defective glomerular filtration of urate due to generalized renal failure.
  • 45. Tratment of gout Is by 1. Use of colchicine & uricosuric drugs.  To remove urates from the joint, colchine is the drug of choice.  To remove the urates from the body, urocosuric drugs such as probenecid, sulfinpyrazole, salicylates etc are used. 2. Use of allopurinol-inhibits the activity of enzyme xanthine oxidase as a result of which uric acid is not produced.
  • 46. Lesch Nyhan syndrome  Fist described tn 1964 by Michael Lesch( a medical student) and William L. Nyhan (his teacher).  It is X linked metabolic disorder since the structural genes for HGPRT is located on the X chromosome.  It affects only males and is characterized by excessive uric acid production and neurological abnormalities such as mental retardation, aggressive behaviour, learning disability etc.  The patients of this disorder have an irresistible urge to bite their fingers and lips,ofen causing self-mutilation.
  • 47. Biochemical basis HGPRT deficiency spares the utilization of PRPP through salvage and the accumulated PRPP takes part in the purine biosynthesis by the denovo pathway finally leading to hyperuricemia. The biochemical basis for neurological abnormalities are big enegma till date. Indeed, it is surprising that the deficiency of a single enzyme can cause such an abnormal behavioural changes.
  • 48.  few explanations are putforth in this regard. Neurological symptoms may be due to decreased availability of purines to the developing brain which has a low capacity for denovo purine synthesis and hence depends on purine salvage pathway for the supply of purine nucleotides it requires.
  • 49. Treatment  allopurinol is used to treat hyperuricemia but it has no effect on the neurological menefestation in theses patients. Treatment for the neuro-behavioural features are limited to behavioural therapy and providing protective physical device to prevet self-mutilation.
  • 50. Immunodeficiency diseases associated with purine metabolism Two different immunodeficiency disorders associated with degredation of purine nucleotides are known. The enzyme defects are adenosine deaminase and purine nucleoside phosphorylase, involved in uric acid synthesis.
  • 51. The deficiency of ADA causes SCID involving T- cell and usually B- cell dysfunction. It is explained that ADA deficiency results in the accumulation of Datp which is an inhibitor of ribonucleotide reductase and thus DNA synthesis, replication are adversely affected. Different modes of t/t such as blood transfusion, bone marrow transplantation are tried to cure the diseases but with limited effects.
  • 52. But, like in any other inborn error, the real hope for the future is only gene therapy. In 1990, a 5 year old girl suffering from SCID was successfully cured by transfecting the ADA gene into stem cells of the patients. This is considered as landmark in the history of trating inborn errors of metabolism. The deficiency of purine nucleoside phosphorylase is associated with impairement of T cell function but has no effect on B cell function. It is believed that d GTP inhibits the development of normal T-cells.
  • 53. Infantile Autism Recently it was observed that children suffering from infantile autism exihibited increased excretion of uric acid but surprisingly the serum concentrations are within normal limits. The biochemical basis for this is unknown. An oral dose of uridine is tried in the t/t.
  • 54. Synthesis of pyrimidine nucleotides Synthesis of pyrimidine nucleotides Denovo synthesis Synthesis of pyrimidine nucleotide refers to the formation of pyrimidine ring structure followed by the addition of ribose phosphate. Salvage pathway Formation of pyrimidine nucleotides from pyrimidine bases
  • 55. Sources of different atoms of prrimidine rings
  • 56. Denovo synthesis of pyrimidine nucleotides Tissue and site of synthesis Mainly occurs in the liver. The reaction occurs in cytosol and mitochondria. The formation of orotate from dihydroorotate occurs ie mitochondria and all other reactions occur in the cytosol.
  • 57. Pyrimidine Synthesis O - 2 A T P + H C O 3 + G lutam in e + H 2 O C 2 ADP + O C arbam oyl Phosphate Synthetase II G lutam ate + Pi C C CH PRPP PPi C O C N H O PO 3 N COO 2- O 3P O CH2 NH2 C C O HN O CH HN O H H OH O ro tate P h o sp h o rib o sy l T ran sferase OH H H COO -2 O ro tid ine-5'-m onophosphate (O M P ) O rotate C arbam oyl P hosphate R educed Q uinone A spartate A spartate T ranscarbam oylase (A T C ase) O C CH2 CH N H C CH2 HN D ihydroorotase O 2- CH N H CH N O H 2O C O CH HN C C C O O NH2 CO2 Q uinone Pi HO OM P D ecarboxylase D ihydroorotate D ehydrogenase O 3P O CH2 O COO H OH COO H OH H H D ih y d ro o ro tate C arb am o y l A sp artate U ridine M o nophosphate (U M P )
  • 58.
  • 59.
  • 60. UMP  UTP and CTP • Nucleoside monophosphate kinase catalyzes transfer of Pi to UMP to form UDP; nucleoside diphosphate kinase catalyzes transfer of Pi from ATP to UDP to form UTP • CTP formed from UTP via CTP Synthetase driven by ATP hydrolysis – Glutamine provides amide nitrogen for C4 in animals
  • 62. Regulation of pyrimidine synthesis  In bacteria, aspartate transcarbamoylase catalyses a committed step in pyrimidine biosynthesis.  Aspartate transcarbamoylase is a good example of an enzyme controlled by feedback mechanism by the end product CTP.  In certain bacteria, UTP also inhibits aspartate transcarbamoylase. ATP, however stimulates aspartate transcarbamoylase activity.
  • 63. Carbamoyl phosphate synthase II is the regulatory enzyme of pyrimidine synthesis in animals. It is activated by PRPP and ATP and inhibited by UDP and UTP. OMP decarboxylase inhibited by UMP and CMP, also controls pyrimidine formation.
  • 64. Inhibitors of pyrimidine synthesis Sulfonamides Methotrexate Trimethoprim 5-fluorouracil Fluorocytosine
  • 65. Salvage pathway Salvage pathway of pyrimidine nucleotide synthesis refers to the formation of pyrimidine nucleotides from pyrimidine bases. Significance Salvage pathway provide a pathway for the utilization of pyrimidine bases derived from diet(exogenous) and normal turnover of nucleic acids.
  • 66. Enzymes and reactions There are 2 enzymes that catalyze the reactions of salvage pathway. They are uracil phosphoribosyl transferase (UPRT) and thymidine kinase. Uracil + PRPP UMP + PPi UPRT Thymidine + ATP Thymidine kinase TMP+ ADP
  • 67. Disorders of pyrimidine metabolism Disorders of pyrimidine metabolism includes: Orotic aciduria Reye’s syndrome
  • 68. Orotic aciduria Is a rare metabolic disorder characterized by the excretion of orotic acid in urine, severe anemia and retarded growth. It is due to the deficiency of the enzymes orotate phosphoribosyl transferase and OMP decarboxylase of pyrimidine synthesis. Both these enzymes activities are present on a single protein as domains (bifunctional enzyme).
  • 69. Treatment Feeding diet rich in uridine or cytidine is an effective t/t of orotic aciduria. These compounds provide pyrimidine nucleotides required for DNA and RNA synthesis.
  • 70. Reye’s syndrome Is considered as a secondary orotic aciduria. It is believed that a defect in ornithine transcarbamoylase (of urea cycle) causes the accumulation of carbamoyl phosphate. This is then diverted for the increased synthesis and excretion of orotic acid.