Biochemistry · MU Pleven

73. Biosynthesis and Degradation of Purines. Enzyme Defects. Lesch-Nyhan syndrome.

Covers de novo purine nucleotide synthesis from ribose-5-phosphate, including the origin of each ring atom and the branching from IMP to AMP and GMP, then the feedback regulation of the pathway. It goes on to the salvage pathway recycling free bases via HGPRT and APRT, and to catabolism ending in uric acid, with gout as the related disorder. The final part describes Lesch-Nyhan syndrome, its X-linked inheritance, clinical features and the proposed dopamine-related mechanism behind its self-mutilation.

Inside: 3 sections · 7 labelled pictures · 10 flashcards · 3 min

Topic 73 of 76 in the MU Pleven syllabus for Biochemistry (Medicine, Year 2). The free AceMed note covers it in 3 sections, about 369 words (3 min of reading), with 10 flashcards.

In this note

  1. Biosynthesis and Degradation of Purines. Enzyme Defects. Lesch-Nyhan syndrome.
  2. Biosynthesis and Degradation of Purines
  3. Enzyme Defects and Clinical Disorders

Biosynthesis and Degradation of Purines

Purines include adenine and guanine, found in DNA, RNA, ATP, GTP, NAD⁺, FAD, CoA and many signaling molecules. Their metabolism is carefully regulated because their breakdown products (uric acid) can accumulate.

De Novo Synthesis of Purine Nucleotides

  • The purine ring is synthesized directly on a ribose-5-phosphate backbone.
  • The starting molecule is ribose-5-phosphate, formed in the Pentose Phosphate Pathway.
  • PRPP (phosphoribosyl pyrophosphate) is formed from ribose-5-phosphate by PRPP synthetase (requires ATP).
  • The first committed step is conversion of PRPP → 5-Phosphoribosylamine, catalyzed by glutamine-PRPP amidotransferase.
  • The ring atoms come from:
  • Glutamine (N)
  • Glycine (C + N)
  • Aspartate (N)
  • CO₂ (C)
  • Tetrahydrofolate (formyl groups, C)
  • The initial product of the pathway is IMP (inosine monophosphate).
  • From IMP, two branches form:
  • GMP pathway (requires ATP)
  • AMP pathway (requires GTP)
  • This cross-dependence helps balance adenine and guanine pools.

Regulation

  • Feedback inhibition:
  • AMP and GMP inhibit their own synthesis from IMP.
  • PRPP amidotransferase is inhibited when purine levels are high.
  • PRPP levels rise in purine deficiency, accelerating purine production.

Purine Salvage Pathway

  • Salvage recycles free bases (adenine, hypoxanthine, guanine) back into nucleotides.
  • Catalyzed mainly by:
  • HGPRT (Hypoxanthine-Guanine Phosphoribosyltransferase)
  • APRT (Adenine Phosphoribosyltransferase)
  • Salvage conserves energy because de novo synthesis is costly.

Degradation of Purines

  • AMP and GMP are degraded into xanthine.
  • Xanthine oxidase converts xanthine → uric acid.
  • Humans excrete uric acid (poorly soluble).
  • Excess uric acid leads to gout, where urate crystals accumulate in joints.

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