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DISORDERS OF PURINE AND
PYRIMIDINE METABOLISM
AZEEM ASLAM
BS BIOCHEMISTRY
LAHORE GARRISON UNIVERSITY
NUCLEOTIDES:
• Nucleotides are composed of a nitrogenous base, a pentose sugar and a phosphate.
• Purine and pyrimidine nucleotide, beside being structural components of DNA and RNA, are involved in
a wide variety of metabolic function energy metabolism, protein synthesis control of enzymes activity
etc.
PURINE NUCLEOTIDE:
• The nitrogenous base found in nucleotide are aromatic heterocyclic compounds which are in two types
purine and pyrimidine.
• 2-aminopurine Adenine guanine 2-amino 6-oxypurine
SYNTHESIS:
• Liver is the major site for the synthesis of purine nucleotide.
• Generally, pathway takes place for the synthesis of Inosine Monophosphate which is the parent
nucleotide of purine nucleotide.
• For the synthesis of Inosine Monophosphate, the reaction takes place in total 11 steps.
INOSINE MONOPHOSPHATE SYNTHESIS
DEGRADATION OF CATABOLISM OF PURINE
NUCLEOTIDE:
• Uric acid is the final excretory product of purine metabolism in humans.
• Uric acid can serve as an important antioxidant by getting itself converted to allatonin.
BIOSYNTHESIS OF PYRIMIDINE NUCLEOTIDES
INTRODUCTION:
• The synthesis of pyrimidine is a much simpler process compared to that of purines.
• Aspartate, glutamine and CO2 contribute to atoms in the formation of pyrimidine ring.
Thymine
Cytosine Uracil
DISORDERS OF PURINE METABOLISM:
• Xanthinuria
• Orotic aciduria
XANTHINURIA:
• Xanthinuria, is a rare genetic disorder causing the accumulation of xanthine.
• It is caused by a deficiency of the enzyme Xanthine oxidase.
• It was first formally characterized in 1954.
OVERVIEW:
• Hereditary Xanthinuria is a purine metabolic disorder due to inherited deficiency of the
dehydrogenase/oxidase enzyme and is characterized by very low Concentrations of uric acid in blood
and urine and very high concentration of xanthine in urine, leading to urolithiasis.
XANTHINURIA:
• Xanthine oxidase deficiency, due to either genetic defect or due to severe Liver damage.
• Increase excretion of Hypoxanthine and xanthine.
• So decreased uric acid.
CAUSES:
 Type I xanthinuria can be caused by deficiency of xanthine dehydrogenase, which is an enzyme
necessary for converting xanthine to uric acid.
 Type II xanthinuria caused by molybdenum cofactor deficiency lack one or two other enzyme activities
in addition to xanthine.
 Xanthinuria can be caused by mutations in the xanthine dehydrogenase gene, aldehyde oxidase gene,
or the molybdenum cofactor gene.
 Xanthinuria may also be caused by treatment of uric acid excretion with allopurinol therapy.
SYMPTOMS:
• Nausea
• Vomiting
• Abdominal Pain
• Joint Pain
• Fever
• Acute renal failure
• Kidney stones
DIAGNOSIS:
• Diagnosis is based on estimation of uric acid in blood and urine.
 If hypouricemia is confirmed, detailed purine metabolic investigation follows, and includes
measurement of xanthine and hypoxanthine in urine and plasma.
➔ Ultrasonography: reveals the presence of xanthine.
TREATMENT:
• There is no specific treatment beyond maintaining a high fluid intake and avoiding foods that are high
in purine, avoiding foods and drinks that contain xanthine derivatives, such as coffee, tea, and cola.
OROTIC ACIDURIA:
• Orotic aciduria refers to an excessive excretion of Orotic acid in urine.
• Orotic acid is an intermediate product in pyrimidine synthesis pathway, a subsequent product of
which plays a role in conversion between dihydrofolate and tetrahydrofolate.
• Orotic aciduria is associated with megaloblastic anemia due to decreased pyrimidine synthesis,
which leads to decreased nucleotide-lipid cofactors needed for erythrocyte membrane synthesis in
the bone marrow.
SIGNS AND SYMPTOMS:
• It causes a characteristic form of anemia and may be associated with mental and physical
retardation.
• In addition to the characteristic excessive Orotic acid in the urine, patients typically have
megaloblastic anemia which cannot be cured by administration of vitamin B12 or folic acid.
• It also can cause inhibition of RNA and DNA synthesis and failure to thrive. This can lead to mental and
physical retardation.
DIAGNOSE:
• A diagnosis of hereditary Orotic aciduria is based upon identification of characteristic symptoms, a
detailed patient and family history, a thorough clinical evaluation and examination of the urine.
• Examination of the urine (urinalysis) can reveal elevated levels of Orotic acid.
• Hereditary Orotic aciduria by assessing blood ammonia levels and blood urea nitrogen (BUN).
TREATMENT:
• Treat with feeding diet rich in Uridine /Cytidine
• This provide Pyrimidine nucleotides through Salvage Pathway.
• Also the introduced Pyrimidine bases inhibits CPS II enzyme by feed back mechanism and block
synthesis of Oroticaciduria.
DISORDER OF PYRIMIDINE METABOLISM:
• Orotic aciduria
• Reye’s syndrome
REYE’S SYNDROME
• This is considered as a secondary Orotic aciduria.
• Due to defect in ornithine transcarbamoylase causes the accumulation of carbamoyl phosphate.
• This is then diverted for the increased synthesis and excretion of Orotic acid.
REFERENCES:
 Textbook of Biochemistry-U Satyanarayana
 Textbook of Biochemistry-DM Vasudevan
Disorders of purine and pyrimidine metabolism

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Disorders of purine and pyrimidine metabolism

  • 1. DISORDERS OF PURINE AND PYRIMIDINE METABOLISM AZEEM ASLAM BS BIOCHEMISTRY LAHORE GARRISON UNIVERSITY
  • 2. NUCLEOTIDES: • Nucleotides are composed of a nitrogenous base, a pentose sugar and a phosphate. • Purine and pyrimidine nucleotide, beside being structural components of DNA and RNA, are involved in a wide variety of metabolic function energy metabolism, protein synthesis control of enzymes activity etc.
  • 3. PURINE NUCLEOTIDE: • The nitrogenous base found in nucleotide are aromatic heterocyclic compounds which are in two types purine and pyrimidine. • 2-aminopurine Adenine guanine 2-amino 6-oxypurine
  • 4. SYNTHESIS: • Liver is the major site for the synthesis of purine nucleotide. • Generally, pathway takes place for the synthesis of Inosine Monophosphate which is the parent nucleotide of purine nucleotide. • For the synthesis of Inosine Monophosphate, the reaction takes place in total 11 steps.
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  • 9. DEGRADATION OF CATABOLISM OF PURINE NUCLEOTIDE: • Uric acid is the final excretory product of purine metabolism in humans. • Uric acid can serve as an important antioxidant by getting itself converted to allatonin.
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  • 12. INTRODUCTION: • The synthesis of pyrimidine is a much simpler process compared to that of purines. • Aspartate, glutamine and CO2 contribute to atoms in the formation of pyrimidine ring. Thymine Cytosine Uracil
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  • 15. DISORDERS OF PURINE METABOLISM: • Xanthinuria • Orotic aciduria
  • 16. XANTHINURIA: • Xanthinuria, is a rare genetic disorder causing the accumulation of xanthine. • It is caused by a deficiency of the enzyme Xanthine oxidase. • It was first formally characterized in 1954.
  • 17. OVERVIEW: • Hereditary Xanthinuria is a purine metabolic disorder due to inherited deficiency of the dehydrogenase/oxidase enzyme and is characterized by very low Concentrations of uric acid in blood and urine and very high concentration of xanthine in urine, leading to urolithiasis.
  • 18. XANTHINURIA: • Xanthine oxidase deficiency, due to either genetic defect or due to severe Liver damage. • Increase excretion of Hypoxanthine and xanthine. • So decreased uric acid.
  • 19. CAUSES:  Type I xanthinuria can be caused by deficiency of xanthine dehydrogenase, which is an enzyme necessary for converting xanthine to uric acid.  Type II xanthinuria caused by molybdenum cofactor deficiency lack one or two other enzyme activities in addition to xanthine.  Xanthinuria can be caused by mutations in the xanthine dehydrogenase gene, aldehyde oxidase gene, or the molybdenum cofactor gene.  Xanthinuria may also be caused by treatment of uric acid excretion with allopurinol therapy.
  • 20. SYMPTOMS: • Nausea • Vomiting • Abdominal Pain • Joint Pain • Fever • Acute renal failure • Kidney stones
  • 21. DIAGNOSIS: • Diagnosis is based on estimation of uric acid in blood and urine.  If hypouricemia is confirmed, detailed purine metabolic investigation follows, and includes measurement of xanthine and hypoxanthine in urine and plasma. ➔ Ultrasonography: reveals the presence of xanthine.
  • 22. TREATMENT: • There is no specific treatment beyond maintaining a high fluid intake and avoiding foods that are high in purine, avoiding foods and drinks that contain xanthine derivatives, such as coffee, tea, and cola.
  • 23. OROTIC ACIDURIA: • Orotic aciduria refers to an excessive excretion of Orotic acid in urine. • Orotic acid is an intermediate product in pyrimidine synthesis pathway, a subsequent product of which plays a role in conversion between dihydrofolate and tetrahydrofolate. • Orotic aciduria is associated with megaloblastic anemia due to decreased pyrimidine synthesis, which leads to decreased nucleotide-lipid cofactors needed for erythrocyte membrane synthesis in the bone marrow.
  • 24. SIGNS AND SYMPTOMS: • It causes a characteristic form of anemia and may be associated with mental and physical retardation. • In addition to the characteristic excessive Orotic acid in the urine, patients typically have megaloblastic anemia which cannot be cured by administration of vitamin B12 or folic acid. • It also can cause inhibition of RNA and DNA synthesis and failure to thrive. This can lead to mental and physical retardation.
  • 25. DIAGNOSE: • A diagnosis of hereditary Orotic aciduria is based upon identification of characteristic symptoms, a detailed patient and family history, a thorough clinical evaluation and examination of the urine. • Examination of the urine (urinalysis) can reveal elevated levels of Orotic acid. • Hereditary Orotic aciduria by assessing blood ammonia levels and blood urea nitrogen (BUN).
  • 26. TREATMENT: • Treat with feeding diet rich in Uridine /Cytidine • This provide Pyrimidine nucleotides through Salvage Pathway. • Also the introduced Pyrimidine bases inhibits CPS II enzyme by feed back mechanism and block synthesis of Oroticaciduria.
  • 27. DISORDER OF PYRIMIDINE METABOLISM: • Orotic aciduria • Reye’s syndrome
  • 28. REYE’S SYNDROME • This is considered as a secondary Orotic aciduria. • Due to defect in ornithine transcarbamoylase causes the accumulation of carbamoyl phosphate. • This is then diverted for the increased synthesis and excretion of Orotic acid.
  • 29. REFERENCES:  Textbook of Biochemistry-U Satyanarayana  Textbook of Biochemistry-DM Vasudevan