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Biochemistry LMR - Dr.

Mohammed Azam
Pathway Site Rate limiting enzyme
CARBOHYDRATE METABOLISM
Glycolysis/Embden Mayerhoff Cytosol Phosphofructokinase-I (PFK-I)
Pathway (EMP)

Krebs Cycle /TCA cycle /Citric Acid Mitochondrial Matrix Isocitrate Dehydrogenase
Cycle

Gluconeogenesis Liver & Kidney ( Cytosol & Fructose 1,6-bisphosphatase


Mitochondria)
Glycogenesis Liver & Skeletal muscle (Cytosol) Glycogen Synthase
Glycogenolysis Liver & Skeletal muscle (Cytosol) Glycogen Phosphorylase
HMP Shunt/ Pentose Phosphate Cytosol Glucose-6-Phosphate dehydrogenase
pathway (G6PD)
PROTEIN METABOLISM
Urea cycle/Ornithine Cycle Liver (Cytosol & Mitochondria) Carbamoyl Phosphate Synthase-I
(CPS-I)
LIPID METABOLISM
Beta oxidation of fatty acid Mitochondria Carnitine Acyl Transferase-I (CAT-I)
Ketogenesis Mitochondria HMG CoA Synthase
Fatty acid Synthesis Cytosol Acetyl CoA Carboxylase
Cholesterol Synthesis Cytosol HMG CoA Reductase
NUCLEOTIDE METABOLISM
Purine Synthesis PRPP glutamyl Amidotransferase
CONSISTENCY is mantra of SUCCESS - Dr Mohammed Azam

Disease Enzyme Deficient

Carbohydrates

Type I/ Von Gierke's Disease Glucose-6-phosphatase SEVERE Hypoglycemia, Hepatomegaly &


Renomegaly, Lactic acidosis,
Hyperlipidemia, Ketosis and Hyperuricemia
(Gout).
Type II/Pompe's Disease Acid Maltase/ Lysosomal glucosidase Cardiomyopathy, hypotonia & systemic
findings lead to early death by 2 year.
Type III/Cori's Disease/Limit Debranching Enzyme Similar to TYPE-I but milder symptoms &
Dextrinosis normal blood lactate levels.
Type IV/ Anderson's Disease Branching Enzyme Hepatosplenomegaly, failure to thrive in
early infancy & progressive cirrhosis (death
usually before 5th year).
Type V/ Mc Arlde's Disease Muscle Glycogen Phosphorylase Painful muscle cramps with strenuous
exercise & muscle glycogen abnormally
high.
Type VI/ Her's Disease Hepatic Glycogen Phosphorylase Hepatomegaly.
Essential Fructosuria Fructokinase Fructose appears in blood & urine.
Fructose Intolerance Aldolase B Jaundice, vomiting, seizures, lethargy.
Hepatomegaly.
Galactossemia Galactose-1-phosphatase uridyl Jaundice, vomiting, seizures, lethargy.
transferase (GALPUT) Hepatomegaly & Oil drop cataract.
Mental retardation.
Protein's

Phenylketonuria (Mousy/Musty Phenylalanine Hydroxylase Hypopigmented skin, Blonde hairs,


odour) Intellectual disability, microcephaly, seizures
& mousey or musty odour.
Alkaptonuria /Black Urine Disease Homogentisate Oxidase Urine turns black on prolonged exposure to
air; Ochronosis (bluish-black connective
tissue, ear cartilage & sclerae.
Maple Syrup Urine Disease (Burnt Branched Chain Keta Acid Vomiting, poor feeding, urine smells like
Sugar Odour) Dehydrogenase/Decarboxylase maple syrup/burnt sugar.
Lipid Storage Diseases
Niemann Pick Disease Sphingomyelinase
Gaucher's Disease Beta-Glucocerebrosidase
Krabbe's Disease Beta- Galactocerebrosidase
Fabry's Disease Alpha- Galactocerebrosidase
Tay Sach's Disease Hexosaminidase A
Sand Hoff's Disease Hexosaminidase A & B
Nucleotide's
Lesch Nyhan Syndrome HGPRT Hyperuricemia & Gout, Intellectual
disability, Self mutilation and red/orange
crystals in urine.
Gout Hyperuricemia Needle shaped MonoSodium Urate (MSU)
Crystals and Gouty arthritis.
CONSISTENCY is mantra of SUCCESS - Dr Mohammed Azam

Amino Acid Special Product


Tyrosine Melanin, T3, T4, Catecholamines
Tryptophan Melatonin, Serotonin, Vit B3
Histidine Histamine
Arginine Nitric Oxide (NO), Creatine
Glycine Heme, Purine ring, Glutathione, Creatine

Inhibitor
Flouride (NaF) Enolase ( Glycolysis)
Barbiturates(PhenobarbitONE) and RotenONE Complex-I (ETC)
Malonate Complex-II (ETC)
Antimycin, British Anti Lewisite (BAL) Complex-III (ETC)
CO, CN, H2S Complex-IV (ETC)
Oligomycin Complex-V (ETC) - ADP to ATP Conversion

Classification of Amino Acids


Aliphatic Amino Acid Glycine, Alanine, Valine, Leucine, Isoleucine
Hydroxyl group containing Amino Acid Serine, Threonine
Sulphur containing Amino Acid Cysteine, Methionine
Acidic Amino Acid Aspartic Acid, Glutamic Acid, Asparagine, Glutamine
Basic Amino Acid Lysine, Arginine, Histidine
Aromatic Amino Acid Tyrosine, Tryptophan, Phenylalanine
Imino Acid Proline
Essential Amino Acid Tryptophan, Valine, Threonine, Isoleucine,Leucine, Lysine,
Phenylalanine, Methionine (TV TILL 8 PM)
Semi Essential Amino Acid Arginine, Histidine
Ketogenic Amino Acid Leucine, Lysine
Glucogenic and Ketogenic Amino Acid Tyrosine, Tryptophan, Phenylalanine, Isoleucine
Glucogenic Amino Acid Rest All
21st Amino Acid Selenocysteine (UGA)
22nd Amino Acid Pyrrolysine (UAG)
Fatty Acids
Essential Fatty Acids Linoleic Acid, Linolenic Acid, Arachidonic Acid

Fat Soluble Vitamins


Vitamin Chemistry Function Deficiency
Vit-A Retinol Vision ( Rhodopsin : Opsin Nyctalopia
Retinal + 11Cis Retinal) Xerophthalmia
Retinoic Acid Normal Reproduction Keratomalacia
Normal differentiation of Dry & scaly skin
Epithelium Bitot spots (Keratin debris;
Antioxidant foamy appearance on
conjunctiva)
Vit- D Vit-D1(Calciferol) Intestinal absorption of Rickets in children
Vit-D2 (Ergocalciferol) calcium and phosphate. Osteomalacia in adults
Vit-D3 (Cholecalciferol) Bone mineralization.
Reabsorption of calcium&
phosphate from kidney.
Vit-E Tocopherol Antioxidant Neurological disorders
Hemolytic anemia
Vit-K Vit-K1 (Phylloquinone) Activated form acts as Neonatal hemorrhage with
Vit-K2 (Menaquinone) cofactor for the increased PT & aPTT but
Vit-K3 (Menadione) γ-carboxylation of normal bleeding time.
Glutamate for clotting
factors II,VII,IX, X and
Protein C&S.

Water Soluble Vitamins


Vitamin Cofactor Enzyme Deficiency
Vit-B1 ( Thiamine ) Thiamine Pyrophosphate Pyruvate Beri-Beri
(TPP) Dehydrogenase(PDH) Wernicke-Korsakoff
α-Ketoglutarate Syndrome
dehydrogenase
Branched chain ketoacid
dehydrogenase (BCKD)
Transketolase
Vit-B2 (Riboflavin) FAD & FMN Dehydrogenases Chielosis (inflammation of
lips, scaling and fissures at
the corners of the mouth)
Magenta tongue
Seborrheic dermatitis
Vit-B3 ( Niacin/Nicotinic NAD & NADP Dehydrogenases Pellagra
acid) - Dementia
- Diarrhea
- Dermatitis (Casal’s
Necklace)

Vit-B5 ( Pantothenic Acid ) CoA ( Coenzyme A ) - Burning feet Syndrome,


dermatitis, alopecia
Vit-B6 ( Pyridoxine ) Pyridoxal Phosphate (PLP) Transamination (ALT&AST) Sideroblastic Anemia
Heme synthesis ( ALA Conculsions
Synthase) Peripheral Neuropathy
Decarboxylation reactions.
Glycogen Phosphorylase.
Vit- B7 ( Biotin/Vit-H) Biotin Pyruvate carboxylase Alopecia
Propionyl CoA carboxylase Caused by long term
Acetyl Carboxylase antibiotic use or excessive
ingestion of raw egg
whites(AVIDIN in egg
whites avidly binds biotin)
Vit- B12 ( Cobalamin) Vit-B12 Homocysteine methyl Megaloblastic Anemia
transferase (HMT) Peripheral Neuropathy
Methyl malonyl CoA Inc. serum Homocysteine
Mutase (MMC Mutase) and Methylmalonic acid.
Vit – B9 ( Folic Acid ) Converted to tetrahydrofolate (THF), which is important for Megaloblastic Anemia
synthesis of nitrogenous bases in DNA & RNA Neural Tube Defects
Inc. serum Homocysteine.
Vit – C (Ascorbic Acid) Antioxidant SCURVY (swollen gums,
Iron absorption poor wound healing, easy
Post translational modification of collagen bruising, petechiae,
(Hydroxylation of Proline and Lysine ) hemarthrosis, corkscrew
hair)

-Nucleosome is formed by DNA looped around histone


octamer(H2A, H2B, H3 & H4).
- H1 binds to linker DNA.
-DNA has negative charge from phosphate group.
-Histones are positive charge from lysine and arginine.

Nucleosomiz

ET

Pathological 2,4DNP Aspirin


TUncouplett
Physiological Thermogybownfa
Thyroxine
FreeFattyAcid
Bilirubin
EnzymeInhibition

Boat BATE

Isoenzymes

tRNAs

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