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Notes in
f. Folate Metabolism
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Published
07/28/2024
The 2 stage reduction of Folate to THF is catalyzed by the enzyme {{c1::Dihydrofolate reductase}}
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Which carbons are reduced in the coversion of folate to DHF?
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Which carbons are reduced in the conversion of DHF to THF?
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{{c1::Mono}}-glutamyl-folate is most readily absorbed from the lumen of the intestine. Poly-glutamyl-folate has glutamates bound to each other at the …
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07/28/2024
Folate (vitamin {{c1::B9}}) {{c1::cannot}} be synthesized by humans so it is consumed in the diet. Dietary folate has glutamates removed by {{c1::conj…
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Sulfonamides like sulfanilamide look like PABA and inhibit {{c1::bacterial folate synthesis}} which inhibits bacterias ability to use folates whi…
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Methotrexate inhibits {{c1::human}} Dihydrofolate Reductase (DHFR) which is why it is used as a chemotherapeutic drug that attacks rapidly dividi…
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Aminopterin inhibits {{c1::human}} DHFR but is {{c1::more}} toxic than methotrexate
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07/28/2024
{{c1::Trimethoprim}} inhibits bacterial DHFR
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Pyrimethamine inhibits {{c1::protozoan}} DHFR used to treat {{c1::malaria}} (though used less frequently now because of drug resistance) but stil…
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{{c1::Glycine}} and {{c2::Serine}} are the primary source of methyls uptaken by THF
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Serine hydroxymethyltransferase synthesizes {{c1::N5,N10-methylene-THF}} and {{c2::glycine}} from serine and THF
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Glycine synthase produces {{c1::N5,N10-methylene-THF}} from THF and glycine
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07/28/2024
Capecitabine is a {{c1::5-flourouracil}} {{c2::pro-drug}} that inhibits {{c1::thymidylate synthase}}
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07/28/2024
Tegafur is a {{c1::5-flourouracil}} {{c2::prodrug}}
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07/28/2024
Gimeracil {{c1::inhibits}} dihydropyrimidine dehydrogenase, which is responsible for {{c2::degradation}} of 5-flourouracil
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What 2 cofactors are required for homocysteine methyltransferase? And what reaction does it catalyze in which pathway? (methionine synthase) to proper…
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What is the function of S-adenosyl-methionine (SAM)?
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High levels of SAM {{c1::inhibit}} {{c2::N5,N10-methylene-THF Reductase}} which catalyzes an {{c1::irreversible}} reduction of N5, N10 methylene …
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{{c1::dTMP synthesis}} is affected the most in folate deficiencies because the lack of folate will prevent N5, N10 methylene THF from being synthesize…
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07/28/2024
The primary form of THF found in the blood is {{c1::N5-methyl-THF}} because once {{c1::N5-methyl-THF}} is produced it is not readily oxidiz…
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07/28/2024
Folic acid deficiency is associated with {{c1::megaloblastic anemia}} and {{c2::glossitis}}, and {{c1::neural tube}} defects in infants. If …
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07/28/2024
Folic acid deficiency during pregnancy is associated with {{c1::neural tube defects}} and {{c2::low birth weights}}
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07/28/2024
In folic acid deficiency, dTMP concentration is {{c1::decreased}}
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07/28/2024
In folic acid deficiency, homocysteine concentrations are {{c1::increased}}
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Loss of either vitamin B12 or N5-methyl-THF from methionine synthase will result in {{c1::megaloblastic anemia}}
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Aside from its use in methionine synthase, what is the other use of vitamin B12, in which a deficiency of vitamin B12 can also be observed pathologica…
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What additional symptom is present in patients with a vitamin B12 deficiency compared to a folic acid deficiency?
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Patients with folic acid deficiency will have elevated levels of {{c1::homocysteine}}
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07/28/2024
Patients with vitamin B12 deficiency have {{c1::megaloblastic anemia}} and elevated levels of {{c1::homocysteine}} and {{c2::methylmalonic a…
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07/28/2024
{{c1::Thymidylate synthase}} catalyzes a reaction where N5, N10 methylene THF donate both a {{c1::methyl}} group and {{c1::electrons}} which produces …
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