Nucleic Acids Lecture Note
Nucleic Acids Lecture Note
INTRODUCTION
The subject biochemistry is functionally divided into two major aspects
1. Biochemistry of homeostasis that is, metabolism and
2. Biochemistry of growth and production that is cellular biosynthesis.
The biochemistry of growth, reproduction or cellular biosynthesis centers on the function of the
nucleic acids. It therefore, becomes imperative to discuss the properties as well as the
components structure of nucleic acids in order to better appreciate these functions.
Nucleic acids could be defined as naturally occurring compounds that are capable of being
hydrolysed to produce sugars, phosphoric acid, and a combination of purines and pyrimidines as
organic bases.
Generally, nucleic acids are better defined as acidic chainlike biological macromolecules which
constitute multiple units of nucleotides with each nucleotide unit consisting of a nitrogenous
(nitrogen-containing) base, pentose sugar and phosphoric acid. These nucleic acids (monomers
of nucleotides) are important for a number of reasons. Most nucleic acid, not just ATP, are the
sources of energy that drive most of our reactions. ATP is the most commonly used source but
GTP is used in protein synthesis as well as a few other reactions. UTP is the source of energy
which is necessary for activating glucose and galactose. CTP is another energy source in lipid
metabolism. AMP is part of the structure of some of the coenzymes like NAD and Coenzyme A.
Neither the nucleotides nor the bases are required dietary components. We can both synthesize
them de novo and salvage and recycle those we already have.
Nucleic acids—the primary information-carrying molecules of the cell—determine the inherited
traits of every living creature. Deoxyribonucleic acid (DNA) and ribonucleic acid (RNA) are the
two primary types of nucleic acids. All free-living organisms and the majority of viruses have
genetic material made up of DNA, which is the ultimate life-plan. RNA is the genetic material of
some viruses, but it is also present in all living cells and is crucial to many biological activities,
including the synthesis of proteins.
Learning Outcome
After you have studied this study session, you should be able to:
The first isolation of nucleic acid from the nuclei of pus cells was described in 1869 by a Swiss
physician Miescher. They also isolated the same substance from Salman sperm and later
demonstrated that these isolated substances consist of a basic protein called protamine and an
acid components now known as nucleic acid.
Two types of bases are obviously recognized: pyrimidines which monocyclic rings containing
six atoms: two and four atoms of nitrogen and carbon respectively. The three pyrimidine bases
include cytosine(C) thymine (T) and uracil (U). The second type of nucleic acid base is purine
which is a bicycling structure with imidazole ring fused to pyrimidine base. There are two types
of purines bases found in DNA and RNA; adenine (A) and guanine (G).
Purines are organic compounds that can be found in high concentrations in meat, specifically in
liver and kidney. They are found in smaller quantities in plant-based diets. Sources with high
levels of purines include sardines, sweetbreads, beer (from the yeast), kidney and liver.
Additionally, a moderate amount of purine can be found in various other food sources such as
beef, pork, poultry, seafood, vegetables, legumes, and grains. While higher levels of meat and
seafood consumption are associated with an increased risk of gout, moderate intake of purine-
rich vegetables or protein is not associated with an increased risk. Purines such as adenine and
guanine can be found in both RNA and DNA molecules. Hypoxanthine and Xanthine are
necessary intermediates in the breakdown and synthesis of the purine nucleotides, but are not
combined into the nucleic acids as they are being synthesized. The minor purine bases,
Hypoxanthine and Xanthine, are found in small amounts in nucleic acids.
D-ribose D-2-deoxyribose
NUCLEOSIDES
In nucleic acids, the bases are covalently attached to the first position of a pentose sugar ring to
form a nucleoside. A nucleoside therefore, consist of a purine or pyrimidine base bound to a
pentose sugar which is a B-D-2’-ribose (B-D-2’-ribofuranose) in RNA and B-D-2’-Deoxyribose
(B-D-2’-Deoxyribofuranose) in DNA. In B-D-2'-DEOXYRIBOSE, the oxo group at the 2'
position is replaced by hydrogen. In pyrimidines, the 1-position (N-1) is the point of attachment
whereas, it is N-9 for purine.
The nucleosides of B-D-ribose (ribonucleosides) with adenine, cytosine and uracil, respectively.
But if the sugar is B-D-2'-Deoxyribose, the resulting deoxyribonucleotide would-be
deoxyadenosine, deoxyguanosine, deoxycytosine and deoxythymidine, though, thymine and
deoxythymidine may be used interchangeably.
To distinguish the numbering on the base from the sugar Moiety, a superscript prime (') is
usually added to the number on the pentose ring. example,1',2',3' etc.
The bond between the bases and sugar is called the glycosidic (or glycosylic) bond and it is acid
labile, free rotating, theoritically occurs about this N- glycosidic Bond.
Fig. 5.0; example of nucleosides
NUCLEOTIDES
A nucleotide is a nucleoside with one or more phosphate groups covalently attached to the 3'-,5'-
or (in ribonucleosides only) the 2'- position.
If the phosphate group is esterified to the deoxyribonucleotide, the resulting compound is termed
deoxyribonucleotide.
Chemically, nucleotides are phosphate esters.
NOMENCLATURE OF NUCLEOTIDES
Conventionally, the abbreviations A, G, C, T and U could be used to designate nucleoside in vis-
a-vis the purine or pyramidine it contains. Nevertheless the prefix’d’ is usually added if the sugar
of the nucleoside is 2' deoxyribose; e.g, dA is 2'-deoxyadenosine.
The position of a phosphate in a nucleoside is indicated by an Arabic number. For instance
adenosine with the phosphate group attached to carbon five of the ribose sugar would be
adenosine-5-monophosphate, commonly abbreviated as AMP. A nucleotide of 2'
deoxyadenosine with the phosphate group bond to the carbon 5' of the sugar moiety is called 2'-
deoxyadenosine-5'-monophosphate also written as dAMP.
When two or three phosphate groups are attached to a sugar moiety DP and TP are respectively
included to the abbreviation for the corresponding purine or pyramiding nucleoside. Thus,
adenosine-5'-diphosphate and adenosine-5'-triphosphate with two and three phosphate residues
could be abbreviated as ADP and ATP respectively.
Fig. 6: Adenosine Triphosphate (ATP).
Note:
1. The nucleoside and nucleotide of thymine are synthesized with only B-D-2'-deoxyribose sugar
hence, not present in RNA.
2. The deoxyribonucleoside and deoxyribonucleotide derived from uracil actually exist but the
catalytic activity of deoxyuridine triphosphate dephosphorylase (dUTPase) hydrolyzes dUTP and
this prevents the incorporation of uracil into DNA. Since the enzyme that synthesizes DNA
(DNA polymerase III) uses deoxyribonucleoside triphosphate.
dUTP + H2O—----------->dUMP + ppi
In-text question
1. Explain why uracil cannot be incorporated in DNA.
2. Why is thymidine not found in RNA?
These structural differences arise from the puckering of the deoxyribose unit. In A-DNA c3 is
puckered whereas in B-DNA, c2 is puckered.
CHARGAFF'S RULE:
1. The sum of purine bases equal the sum of pyrimidine bases. Ie, A+G=T+C
2. Adenine is equivalent to thymine and guanine is equivalent to cytosine. ie, A=T, G=C
Supercoiling
Circular DNA molecules such as those found in plasmids or bacterial chromosomes can adopt
many different topologies. One is active supercoiling, which involves the cleavage of one DNA
strand, its winding one or more turns around the complementary strand, and then the resealing of
the molecule. Each complete rotation leads to the introduction of one supercoiled turn in the
DNA, a process that can continue until the DNA is fully wound and collapses on itself in a tight
ball. Reversal is also possible. Special enzymes called gyrases and topoisomerases catalyze the
winding and relaxation of supercoiled DNA. In the linear chromosomes of eukaryotes, the DNA
is usually tightly constrained at various points by proteins, allowing the intervening stretches to
be supercoiled. This property is partially responsible for the great compaction of DNA that is
necessary to fit it within the confines of the cell. The DNA in one human cell would have an
extended length of between two and three meters, but it is packed very tightly so that it can fit
within a human cell nucleus that is 10 micrometres in diameter.
Mutation
A gene mutation is a permanent alteration in the DNA sequence of a gene. Mutations can affect
one or more nucleotides (the building blocks of DNA) and can lead to changes in the protein or
RNA product that the gene encodes. Gene mutations can be caused by various factors, and they
can have a wide range of effects, both beneficial and detrimental. Anions such as bisulfite can
deaminate cytosine to form uracil, changing the genetic message by causing C-to-T transitions.
Exposure to acid causes the loss of purine residues, though specific enzymes exist in cells to
repair these lesions. Exposure to UV light can cause adjacent pyrimidines to dimerize, while
oxidative damage from free radicals or strong oxidizing agents can cause a variety of lesions that
are mutagenic if not repaired. Halogens such as chlorine and bromine react directly with uracil,
adenine, and guanine, giving substituted bases that are often mutagenic. Similarly, nitrous acid
reacts with primary amine groups—for example, converting adenosine into inosine—which then
leads to changes in base pairing and mutation. Many chemical mutagens, such as chlorinated
hydrocarbons and nitrites, owe their toxicity to the production of halides and nitrous acid during
their metabolism in the body.
HISTONES
Histones are essential proteins found in the cell nuclei of eukaryotes, They play a pivotal role in
the organization and regulation of DNA. They are small, positively charged proteins which
associate with DNA to form a structure called chromatin, which is critical for the packaging and
functioning of genetic material. Histones have gained significant attention in the field of
molecular biology and genetics due to their fundamental roles in gene expression, genome
stability, and epigenetic modifications.
DNA is wound round histones to form a nucleosome. Chromatin is a long collection of
nucleosomes (DNA and proteins). The chromatin condenses to form the chromosome.
One of the most well-known functions of histones is their involvement in gene regulation
through the modification of histone tails. Acetylation, methylation, phosphorylation, and other
post-translational modifications of histone tails can alter the accessibility of DNA to transcription
factors and RNA polymerase, thereby influencing gene expression. For instance, acetylation of
histone tails typically leads to a more relaxed chromatin structure, allowing for gene activation,
while methylation can have varying effects depending on the specific histone and site modified.
Histones also play a crucial role in genome stability by aiding in DNA repair and replication.
They help maintain the integrity of the genetic material and ensure accurate transmission of
genetic information during cell division. Hence, histones are central players in epigenetic
processes, which involve heritable changes in gene expression without alterations to the DNA
sequence itself. Epigenetic modifications, such as DNA methylation and histone modifications,
can influence an organism's phenotype and play a role in development, aging, and disease.
Antisense RNAs
The majority of antisense RNAs are synthetically altered, potentially useful variants of RNA or
DNA. The complement of the typical coding sequences found in mRNAs (also known as sense
RNAs) is present in antisense RNAs in nature. Antisense RNAs are single-stranded like mRNAs,
but they are unable to be translated into proteins. By producing a double-stranded structure that
prevents the translation of the base sequence, they can inactivate their corresponding mRNA. By
interfering with normal RNA metabolism, antisense RNAs introduced artificially into cells
selectively inactivate genes.
Viral genomes
RNA is a common genetic material for viruses. Although a few prokaryotic RNA viruses are also
discovered, eukaryotic viruses are more likely to exhibit this. The poliovirus, HIV, and influenza
viruses, which all harm people, and the tobacco mosaic virus, which infects plants, are a few
such examples. Some viruses encode their whole genetic code in a single RNA molecule,
although segmented RNA viruses may contain several RNA molecules. Reverse transcriptase is
a specialized enzyme that is used by many RNA viruses, including HIV, to allow reproduction of
the virus through a DNA intermediary. The virus can then exist in a dormant form and
successfully avoid the host immune system when this DNA intermediate integrates into the host
chromosome after infection.
Other RNAs
Cells also contain a large number of other tiny RNA molecules with unique roles. Small RNAs
that are components of the enzymes telomerase or ribonuclease P, for instance, or small nuclear
RNAs (snRNAs) that are involved in RNA splicing are components of ribonucleoprotein
particles. Other RNA molecules act as editing guides or complement tiny segments of rRNA,
directing where methyl groups should be inserted or designating U residues to be converted to
the isomer pseudouridine..
RNA PROCESSING
Cleavage
Most RNA molecules undergo processing after being created by transcription before taking on
their final form. Numerous rRNA molecules can be methylation or enzymatically changed and
are frequently cleaved from much bigger transcripts. Additionally, tRNAs frequently have extra
residues added to their 3′ end to form the sequence CCA. This is because tRNAs are typically
produced as larger precursor molecules that are cleaved by ribonuclease P to produce the mature
5′ end. The amino acid acceptor required for the function of RNA in protein synthesis is the
hydroxyl group on the ribose ring of the terminal A of the 3′-CCA sequence.
Splicing
In prokaryotes, the DNA segment containing the protein-coding sequence is one continuous
linear segment. However, Richard J. Roberts and Phillip A. Sharp independently discovered in
the 1970s that the coding sequences in eukaryotic genes are frequently "split" throughout the
genome. For their findings, they were awarded the Nobel Prize in 1993. Exons are the portions
of DNA or RNA that code for proteins, whereas introns are the non-coding sections that exist
between exons.
These coding sequences need to be combined after transcription before the mRNAs are able to
function. RNA splicing refers to the procedure of intron removal followed by exon reconnection.
A complex piece of enzyme equipment known as a spliceosome removes each intron in a unique
chain of events. Small nuclear ribonucleoprotein particles (snRNPs) that carry small nuclear
RNAs (snRNAs) make up this mechanism.
INTRONS VS EXONS
Exons:contain the actual genetic information coding for the required protein.
Introns: do not code for protein, but are important in regulation of gene [Link] are
intervening sequences and stay in the nucleus, whereas exons exit and are expressed.
Different exons are frequently combined by alternative splicing to produce a larger number of
unique [Link] splicing can produce a variety of protein products from a single
hnRNA (heterogenous nuclear RNA) sequence (eg, transmembranevs secreted Ig, tropomyosin
variants in muscle, dopamine receptors in the brain, host defense evasion by tumor cells).
Self-Assessment Questions
Now that you have completed this study session you can assess how well you have achieved the
learning outcomes by answering the following questions. Write the answers in your jotter and
discuss them with your facilitator in your next study meeting.
Purine Synthesis:
Purines are synthesized as nucleotides attached to ribose 5-phosphate, with PRPP synthetase
producing PRPP as a key regulatory step. The first committed step to purine synthesis involves
the reaction of PRPP, glutamine, and water to 5'-phosphoribosylamine, glutamate, and
pyrophosphate catalyzed by pyrophosphate amidotransferase. This is not the committed step, but
is instead the committed step to pyrimidine synthesis and salvage pathways. Pyrophosphate
amidotransferase is activated by PRPP and inhibited by AMP, GMP, and IMP.
Adenine and guanine are both derived from the nucleotide inosine monophosphate (IMP), this is
the first compound in the pathway to have a completely formed purine ring system.
.
Reactions of Purine Synthesis
• Inosinate is the branch point in the synthesis of AMP and GMP. The reactions leading
away from inosinate are sites of feedback inhibition. AMP inhibits the conversion of
inosinate into adenylosuccinate. Likewise, GMP inhibits the conversion of inosinate into
xanthylate.
• GTP is a substrate in the synthesis of AMP and ATP is a substrate in the synthesis of
GMP. This reciprocal substrate relation tends to balance the synthesis of both adenine
and guanine ribonucleotides.
De novo synthesis of purine nucleotide occurs actively in the cytosol of the liver where all of the
necessary enzymes are present as a macro-molecular aggregate. The first step involves the
replacement of the pyrophosphate of PRPP by the amide group of glutamine. The product of this
reaction is 5-Phosphoribosylamine. The amine group which has been placed on carbon 1 of the
sugar becomes nitrogen 9 of the ultimate purine ring. This is the commitment and rate-limiting
step of the pathway.
The enzyme is under tight allosteric control by feedback inhibition. Either AMP, GMP, or IMP
alone will inhibit the amidotransferase while AMP + GMP or AMP + IMP together act
synergistically. This is a good control and probably the major factor in minute by minute
regulation of the enzyme. The nucleotides inhibit the enzyme by causing the small active
molecules to aggregate to larger inactive molecules.
[PRPP] also plays a role in regulating the rate. Normal intracellular concentrations of PRPP
(which can and do fluctuate) are below the KM of the enzyme for PRPP so there is great
potential for increasing the rate of the reaction by elevating the substrate concentration. The
kinetics are sigmoidal. The enzyme is not particularly responsive to changes in [Gln] (Kinetics
are hyperbolic and [gln] approximates KM). Very high PRPP also overcomes the normal
nucleotide feedback inhibition by causing the huge, inactive aggregates to separate back to the
small active molecules.
5.2 Purine Catabolism
Uric acid is the end product of purine catabolism in man. Other mammals such as cows, have
the enzyme urate oxidase and excrete the more soluble allantoin as the end product. Man does
not have this enzyme therefore, urate is the end product for us. Uric acid is formed mainly in the
liver and excreted by the kidney into the urine.
Nucleotides to Bases
Whether or not methylated purines are catabolized depends on the location of the methyl group.
If the methyl (-CH3) is on an -NH2, it is removed along with the -NH2 and the core is
metabolized in the usual way. If the methyl is on a ring nitrogen, the compound is excreted
unchanged in the urine.
Both adenine and guanine nucleotides connect at the common intermediate xanthine.
Hypoxanthine, representing the original adenine, is oxidized to xanthine by the enzyme xanthine
oxidase. Guanine is deaminated, with the amino group released as ammonia, to xanthine. If this
process is occurring in tissues rather than the liver, most of the ammonia will be transported to
the liver as glutamine for excretion as urea.
Xanthine, like hypoxanthine, is oxidized by oxygen and xanthine oxidase with the production of
hydrogen peroxide. The urate is excreted and the hydrogen peroxide is degraded by catalase in
man. Xanthine oxidase is found in significant concentration only in liver and intestine. The
pathway to the nucleosides, possibly to the free bases, is present in many tissues.
Purine bases which are not broken down are recycled - i.e. reincorporated into nucleotides.
However, This recycling, is not sufficient to meet total body requirements and so some de novo
synthesis is essential. There are tissue differences in the ability to carry out de novo synthesis.
De novo synthesis of purines is mostly active in liver. Non-hepatic tissues generally have limited
or even no de novo synthesis. For purines, especially in the non-hepatic tissues, rely heavily on
preformed bases - those salvaged from their own intracellular turnover supplemented by bases
synthesized in the liver and delivered to tissues through the blood.
Salvaging Purines
The more important of the pathways for salvaging purines uses enzymes called
phosphoribosyltransferases (PRT): PRTs catalyze the addition of ribose 5-phosphate to the base
from PRPP to yield a nucleotide.:
We gave already seen one example of this type of enzyme as a normal part of de novo synthesis
of the pyrimidine nucleotides, - O-PRT.
As a salvage process though, we are dealing with purines. There are two enzymes, A-PRT and
HG-PRT. A-PRT is not very necessary because we generate very little adenine. (Remember that
the catabolism of adenine nucleotides and nucleosides is through inosine). HG-PRT, though, is
important and can be inhibited by both IMP and GMP. This enzyme salvages guanine directly
and adenine indirectly. Remember that AMP is generated mainly from IMP, not from free
adenine.
"Salvage" of purines is decent in most cells because xanthine oxidase, the main enzyme in taking
the purines all of the way to uric acid, is significantly active only in liver and intestine. The bases
generated by turnover in non-hepatic tissues are not readily degraded to uric acid in those tissues
and, therefore, are available for salvage. The liver does less salvage but is very active in de novo
synthesis. Though, not so much for itself but to help supply the peripheral tissues.
There are different inborn errors of purine metabolism such as Adenylosuccinate lyase
deficiency, Adenosine Monophosphate Deaminase Deficiency type 1, Lesch Nyhan syndrome,
Hyperuricemia, Adenine phosphoribosyltransferase deficiency, Adenosine deaminase deficiency,
Purine nucleoside phosphorylase deficiency, Xanthinuria, Gout and Mitochondrial
neurogastrointestinal encephalopathy syndrome.
• Hyperuricemia: is an abnormally high level of uric acid in the blood, Uric acid exists
largely as urate (ion form), In the pH conditions of body fluid. It can also be defined as a
condition where serum uric acid concentrations is greater than 6 mg/dL for females,
7 mg/dL for men, and 5.5 mg/dL for youth (under 18 years old).It may not be associated
with Uricosuria (increased excretion of uric acid in urine). The amount of urate in the
body is dependant on the balance between the amount of purines ingested in food, the
amount of urate synthesised within the body and the amount of urate that is excreted in
urine or through the gastrointestinal tract.
Signs and symptoms of Hyperuricemia
• High blood levels of uric acid
• Development of gout by some people
Causes of Hyperuricemia
It can be classified into three functional types such as:
Increased production of uric acid (high levels of purine in the diet and increased purine
metabolism). A diet rich in purine is a common but minor cause of hyperuricemia. Diet
alone generally is not enough to cause hyperuricemia (see Gout). Foods rich in
purines adenine and hypoxanthine may provoke symptoms of hyperuricemia
Decreased excretion of uric acid (kidney disease, certain drugs, and competition for
excretion between uric acid and other molecules). The main drugs that contribute to
hyperuricemia by reduced excretion are the primary antiuricosurics. Others are
diuretics, salicylates, pyrazinamide, ethambutol, nicotinic acid, ciclosporin, 2-
ethylamino-1,3,4-thiadiazole, and cytotoxic agents.
Both increased production and reduced excretion (high levels of alcohol
and/or fructose in the diet, and starvation). Ethanol promotes production of uric acid by
increasing production of lactic acid, hence lactic acidosis. It also increases the plasma
concentrations of hypoxanthine and xanthine through the acceleration of adenine
nucleotide breakdown, and is a possible weak inhibitor of xanthine dehydrogenase. As a
byproduct of its fermentation process, beer contributes purines. Ethanol reduces removal
of uric acid by promoting dehydration and (rarely) clinical ketoacidosis
Diagnosis of Hyperuricemia
Using blood and urine tests hyperuricemia can be detected
Treatment of Hyperuricemia
• Xanthine oxidase inhibitors: Including allopurinol, febuxostat and topiroxostat,
decrease the production of uric acid, by interfering with xanthine oxidase
• Uricosuric agents (benzbromarone, benziodarone, probenecid, lesinurad, sulfinpyrazone,
ethebencid, zoxazolamine, and ticrynafen) increase the excretion of uric acid, by reducing
the reabsorption of uric acid once it has been filtered out of the blood by the kidneys.
• Adenylosuccinate lyase deficiency is a rare autosomal recessive metabolic
disorder characterized by the appearance of
succinylaminoimidazolecarboxamide riboside (SAICA riboside) and succinyladenosine
(S-Ado) in cerebrospinal fluid, urine.
Signs and symptoms of Adenylosuccinate lyase deficiency
• Aggressive behavior
• Microcephaly
• Autism
• Brachycephaly
• Mild Cerebellar hypoplasia
• Seizures
Treatment of Adenylosuccinate lyase deficiency
• Epilepsy management with anticonvulsive drugs.
• D-ribose and uridine administration
• Ketogenic diet
• S-adenosyl-1-methionine
Adenosine monophosphate deaminase deficiency type 1 or AMPD1
This is a human metabolic disorder in which the body lacks the enzyme AMP
deaminase, in sufficient amount. The disorder was formerly known as myoadenylate
deaminase deficiency. In virtually all cases, the deficiency has been caused by single-
nucleotide polymorphism (SNP) mutation, known as rs17602729 or C34T. While it was
initially regarded as a recessive (or purely homozygous) disorder, some researchers have
reported the presence of similarly detrimental effects from the heterozygous form of the
SNP. A single-nucleotide polymorphism is a germline substitution of a
single nucleotide at a specific position in the genome and is present in a sufficiently large
fraction of the population (1% or more).
Signs and symptoms of Adenosine monophosphate deaminase deficiency type 1
• Exercise intolerance,
• Muscle pain
• Muscle cramping
Treatment of Adenosine monophosphate deaminase deficiency type 1
• Maintain strength and fitness without exercising or working to exhaustion.
• Administer ribose orally at a dose of approximately 10 grams per 100 pounds (0.2
g/kg) of body weight per day, and exercise modulation as appropriate.
• Use Creatine monohydrate
Adenine phosphoribosyltransferase deficiency
Adenine phosphoribosyltransferase deficiency is an autosomal recessive metabolic
disorder related with a alteration in the enzyme adenine phosphoribosyltransferase. The disorder
results in accumulation of the insoluble purine 2,8-dihydroxyadenine. It can result
in nephrolithiasis (kidney stones), acute renal failure and permanent kidney damage. Patients
with the disease disorder lack the enzyme adenine phosphoribosyltransferase and therefore have
difficulties degrading dietary substances called purines, resulting in accumulation of a compound
called 2,8-dihydroxyadenine (2,8-DHA) that is excreted by the kidneys. Up to 70% of affected
patients, have red hair or relatives with this hair colour.
Signs and symptoms of Adenine phosphoribosyltransferase deficiency
• Development of kidney stones
• Fever
• Urinary tract infection
• Blood in the urine (hematuria)
• Abdominal cramps
• Nausea
• Vomiting
• Pneumonia
• Chronic diarrhea
Gout is a form of inflammatory arthritis distinguished by recurrent attacks of a red, tender, hot
and swollen joint, caused by the accumulation of needle-like crystals of uric acid known
as monosodium urate crystals. Pain usually comes on quickly, reaching maximal intensity in less
than 12 hours. The joint at the base of the big toe is affected (Podagra) in about half of cases. It
could also result in tophi, kidney stones, or kidney damage.
Gout is as a result of the consistent elevated levels of uric acid (urate) in the blood
(hyperuricemia). This happen from a combination of diet, other health problems, and genetic
factors. At high levels, uric acid crystallizes and the crystals deposit in joints, tendons, and
surrounding tissues, resulting in an attack of gout. Gout occurs commonly in those who drink
beer or sugar-sweetened beverages regularly; eat foods that are rich in purines such as liver,
shellfish, or anchovies; or are overweight. Diagnosis of gout may be confirmed by the existence
of crystals in the joint fluid or accumulate outside the joint. Blood uric acid levels may be normal
during an attack.
Gout affects about 1 to 2% of adults in the developed world at some point in their lives. It has
become more common in recent [Link] is believed to be due to increasing risk factors in
the population, such as metabolic syndrome, longer life expectancy, and changes in diet. Older
males are most commonly affected . Gout was historically known as "the disease of kings" or
"rich man's disease".It has been recognized at least since the time of the ancient Egyptians.
• Recurrent attack of acute inflammatory arthritis (a red, tender, hot, swollen joint).
• The metatarsophalangeal joint at the base of the big toe is affected most often,
accounting for half of cases.
• Other joints, such as the heels, knees, wrists, and fingers, may also be affected.
• Joint pain usually begins during the night and peaks within 24 hours of onset. This is
mainly due to lower body temperature.
• Fatigue
• High fever.
Causes of Gout
The crystallization of uric acid, often associated to relatively high levels in the blood, is the main
cause of gout. This might occur because of diet, genetic predisposition, or underexcretion
of urate, the salts of uric acid. Underexcretion of uric acid by the kidney is the primary cause of
hyperuricemia in about 90% of cases, while overproduction is the cause in less than 10%. About
10% of people with hyperuricemia develop gout at some point in their lifetimes. The risk can
vary depending on the degree of hyperuricemia. When levels are between 415 and 530 μmol/L (7
and 8.9 mg/dl), the risk is 0.5% per year, while in those with a level greater than 535 μmol/L
(9 mg/dL), the risk is 4.5% per year
Prevention of Gout
• Reduce purine-rich foods of animal origin, such as organ meats and seafood.
• Eating dairy products, vitamin C-rich foods, coffee, and cherries may help prevent gout
attacks, as does losing weight.
• The following drugs such as allopurinol, febuxostat, and probenecid can also be used.
LNS is inherited in an X-linked recessive manner; the gene mutation is normally carried by the
mother and passed on to her son, although one-third of all cases arise de novo (from new
mutations) and do not have a family history. LNS is usually present at birth in baby boys. Most
persons with this deficiency have severe mental and physical problems throughout life. Cases in
females are very rare.
• Orotic aciduria
• Failure to thrive
• Developmental delay
• Megaloblastic anemia
Pyrimidine synthesis occurs in a variety of tissues. Since pyrimidine molecules are simpler than
purines, so is their synthesis simpler but is still from readily available components. The amide
nitrogen in glutamine and carbon dioxide provide atoms 2 and 3 or the pyrimidine ring. They do
so, however, after they have been converted to carbamoyl phosphate. The other four atoms of the
ring are supplied by aspartate. As is true with purine nucleotides, the sugar phosphate part of the
molecule is supplied by PRPP.
Pyrimidine synthesis starts with carbamoyl phosphate synthesized in the cytosol of those tissues
capable of making pyrimidines which are highest in spleen, thymus, GItract and testes. This uses
a different enzyme than the one involved in urea synthesis. Carbamoyl phosphate synthetase II
(CPS II) prefers glutamine to free ammonia and has no need for N-Acetylglutamate.
6.2 Formation of Orotic Acid
Oxidation of the ring by a complex, poorly understood enzyme produces the free pyrimidine,
orotic acid. This enzyme is found on the outer face of the inner mitochondrial membrane, in
contrast to the other enzymes which are cytosolic. Note the difference with purine synthesis in
which a nucleotide is formed first while pyrimidines are first synthesized as the free base.
In man, the control of pyrimidine nucleotide synthesis is exerted primarily at the level of
cytoplasmic CPS II. UTP inhibits the enzyme, competitively with ATP. PRPP activates it. Other
secondary sites of control also exist (e.g. OMP decarboxylase is inhibited by UMP and CMP).
These are probably not important under normal circumstances.
In bacteria, aspartate transcarbamylase is the control enzyme. There is only one carbamoyl
phosphate synthetase enzyme in bacteria since they do not have mitochondria. Carbamoyl
phosphate rather participates in a branched pathway in these organisms that leads to either
pyrimidine nucleotides or arginine.
Pyrimidine Catabolism
Unlike purines, pyrimidines undergo ring cleavage and the usual end products of catabolism are
beta-amino acids plus ammonia and carbon dioxide. Pyrimidines from nucleic acids or the
energy pool are acted upon by nucleotidases and pyrimidine nucleoside phosphorylase to give
rise to free bases. The 4-amino group of both cytosine and 5-methyl cytosine is released as
ammonia.
Ring Cleavage
In order for the rings to be split, they must first be reduced by NADPH. Atoms 2 and 3 of both
rings are released as ammonia and carbon dioxide. The rest of the ring is left as a beta-amino
acid. Beta-amino isobutyrate from thymine or 5-methyl cytosine is largely removed from the
system. Beta-alanine from cytosine or uracil may either be excreted or assimilated into the brain
and muscle dipeptides, carnosine (his-beta-ala) or anserine (methyl his-beta-ala).
Salvaging Pyrimidines
The other type of salvage pathway involves two steps and is the major pathway for the
pyrimidines, uracil and thymine.
Formation of Deoxyribonucleotides
De novo synthesis and most salvage pathways involves the ribonucleotides. An exception is the
small amount of salvage of thymine indicated above. Deoxyribonucleotides which are for DNA
synthesis are formed from the ribonucleotide diphosphates (in mammals and E. coli).
A base diphosphate (BDP) is reduced at the 2' position of the ribose portion using a protein,
thioredoxin and an enzyme nucleoside diphosphate reductase. Thioredoxin has two sulfhydryl
groups which are oxidized to a disulfide bond during this process. In order to restore the
thioredoxin to its reduced for so that it can be recycled, thioredoxin reductase and NADPH are
required.
This system is tightly controlled by a variety of allosteric effectors. dATP is a general inhibitor
for all substrates and ATP an activator. Each substrate then has a particular positive effector (a
BTP or dBTP). Which results in the maintenance of an appropriate balance of the
deoxynucleotides for DNA synthesis.
Synthesis of dTMP
DNA synthesis also requires dTMP (dTTP). Which is not synthesized in the de novo pathway
and salvage is not adequate to maintain the necessary amount. dTMP is gotten from dUMP using
the folate-dependent one-carbon pool.
Since the enyme nucleoside diphosphate reductase is not very active toward UDP, CDP is
reduced to dCDP and then converted to dCMP. This is then deaminated to form dUMP. In the
presence of 5,10-Methylene tetrahydrofolate and the enzyme thymidylate synthetase, the
carbon group is both passed on to the pyrimidine ring and further reduced to a methyl group. The
other product is dihydrofolate which is eventually reduced to the tetrahydrofolate by
dihydrofolate reductase.
Chemotherapeutic Agents
Cancer chemotherapeutic agents like methotrexate (4-amino, 10-methyl folic acid) and
aminopterin (4-amino, folic acid) are structural analogs of folic acid and inhibit the enzyme
dihydrofolate reductase. This obstruct the maintenance of the folate pool and thus of de novo
synthesis of purine nucleotides and of dTMP synthesis. Such agents are very toxic and
administered under careful control.
REFERENCES
Vasudevan, D. M., Sreekumari, S. and Vaidyanathan, K. (2013). Texbook of Biochemistry for
Medical Students. New Delhi. Lodon, Philadelphia, Panama, JAYPEE 559-633
Hershey JWB, Merrick WC. The pathway and mechanisms of initiation of protein synthesisIn:
Sonenberg N, Hershey JWB, Mathews MB, [Link] Control of Gene ExpressionCold
Spring Harbor: Cold Spring Harbor Laboratory Press,200033–88.