Biochemistry · MU Pleven

74. Biosynthesis and Degradation of Pyrimidines. Enzyme Defects. Orotic Aciduria.

Covers the de novo synthesis of pyrimidine nucleotides, starting from carbamoyl phosphate through orotate and UMP to UTP, CTP and thymidylate, with CPS II as the regulatory step. It then outlines pyrimidine breakdown to water-soluble products and the enzyme defects behind orotic aciduria, including clinical features, uridine or cytidine treatment, and a note distinguishing it from urea cycle defects.

Inside: 3 sections · 5 labelled pictures · 10 flashcards · 3 min

Topic 74 of 76 in the MU Pleven syllabus for Biochemistry (Medicine, Year 2). The free AceMed note covers it in 3 sections, about 375 words (3 min of reading), with 10 flashcards.

In this note

  1. Biosynthesis and Degradation of Pyrimidines. Enzyme Defects. Orotic Aciduria.
  2. Biosynthesis and Degradation of Pyrimidines
  3. Enzyme Defects: Orotic Aciduria

Biosynthesis and Degradation of Pyrimidines

Pyrimidines include cytosine, thymine and uracil. Unlike purines, the pyrimidine ring is synthesized first, then attached to ribose-5-phosphate.

De Novo Biosynthesis of Pyrimidines

  • The process begins with carbamoyl phosphate, which is synthesized in the cytosol by Carbamoyl Phosphate Synthetase II (CPS II).
  • CPS II uses glutamine, CO₂, and ATP and is the key regulatory enzyme of pyrimidine synthesis.
  • CPS II is inhibited by UTP and activated by PRPP.
  • Carbamoyl phosphate is combined with aspartate to form carbamoyl aspartate, which is then cyclized to produce dihydroorotate.
  • Dihydroorotate is oxidized to orotate.
  • Orotate reacts with PRPP (from the pentose phosphate pathway) to form OMP (orotidine monophosphate).
  • OMP decarboxylase then converts OMP to UMP (uridine monophosphate).
  • From UMP → UDP → UTP.
  • UTP can be converted to CTP by adding an amine group (from glutamine).
  • To make thymidine nucleotides, UMP → UDP → dUDP → dUMP → thymidylate (dTMP) via:
  • Thymidylate synthase
  • Requires tetrahydrofolate (THF) as a one-carbon donor.

Regulation of Pyrimidine Synthesis

  • CPS II is the main regulatory step.
  • UTP provides feedback inhibition.
  • High PRPP stimulates synthesis, signaling high need for nucleotides.

Degradation of Pyrimidines

  • Pyrimidines degrade into β-alanine, β-aminoisobutyrate, CO₂, and NH₃.
  • These products are water-soluble and easily excreted.
  • Unlike purines (which form uric acid), pyrimidine degradation does not cause gout.

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