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English Pages 2 Year 2019
1 Orotic aciduria 2 G6PD deficiency
Pyrimidine metabolism Glutamine
CO2
Aspartate
Dihydrofolate DHF reductase
9 Maturity onset diabetes of the young 10 Von Gierke disease
13 Lactose intolerance 14 Galactokinase deficiency
19 MCAD deficiency 20 Maple syrup urine disease
ADP
Galactose Aldose reductase
ATP
Galactitol 4-epimerase
Fructokinase 16
Aldolase B 17
Dihydroxyacetone phosphate (DHAP)
Fructose metabolism
Glyceraldehyde
NAD+ NADH
Acyl-CoA synthase
Glycerol
1,3-bisphosphoglycerate ADP
18
Triglycerides
ATP
IMP
AMP 4
ADA
Guanosine
HGPRT
Inosine
Guanine
PRPP
Hypoxanthine
3
Adenosine
Xanthine oxidase
Fatty acid metabolism
Acyl-CoA
Carnitine
CAT I
Carnitine
CAT II
Acyl-carnitine
Cytosol
APRT
Xanthine oxidase
NH3 + CO2+ Carbamoyl phosphate synthetase I
Phosphoenolpyruvate carboxykinase
Aspartate
ATP
Citrulline
Argininosuccinate synthase
Ornithine transcarbamylase 5
Carbamoyl phosphate
Lactate
Malate
Malate
Succinate dehydrogenase
H2O
NADH
Phenylalanine
Melanin
Phenylalanine hydroxylase
Mevalonate
6
DOPA BH4
BH2
Dihydrobiopterin reductase
HMG-CoA reductase
TCA cycle NADH + CO2
FAD
NAD+ NADH + CO2
Methylmalonyl-CoA
6
DOPA decarboxylase
BH2
Dihydrobiopterin reductase
Dopamine
Acetoacetate
Isocitrate dehydrogenase
β-hydroxybutyrate
α-Ketoglutarate α-Ketoglutarate dehydrogenase
Ketone metabolism
Pyrimidines + lipids
Propionyl-CoA Branched-chain α-ketoacid dehydrogenase complex 20
α-ketoacid PhenylethanolamineN-methyltransferase
5, 10-methylene Methylene THF tetrahydrofolate
reductase (MTHFR)
5-methyl THF
THF
Methionine
Methionine synthase
S-adenosyl methionine (SAM)
Homocysteine 21
Cystathionine synthase
Cystathionine
Cysteine
Cystathionase
S-adenosyl homocysteine
ATP
Norepinephrine
Amino acid metabolism
HMG-CoA
Isocitrate
NAD+
FADH2
Acetoacetyl-CoA
Tyrosinase 8
Tyrosine
BH4
Cholesterol
Methylmalonyl-CoA mutase
Homogentisate 6
Cholesterol synthesis
Citrate synthase
Succinyl-CoA Homogentisic acid 7 dioxygenase
Acetyl-CoA
Citrate
NAD
+
GTP GDP
Maleylacetoacetate
Thiamine (B1) Riboflavin (B2) Niacin (B3) Pantothenic acid (B5) Pyridoxine (B6) Biotin (B7) Folate (B9) Cobalamin (B12)
NADH
Oxaloacetate
Succinate
Arginase
Acyl-CoA dehydrogenase
Acetyl-CoA
Fumarate
Argininosuccinate lyase
19
Pyruvate 12 dehydrogenase
NAD+
Malate dehydogenase
Arginine Urea
NADH
Acyl-carnitine Acyl-CoA
FADH2
Acetyl-CoA carboxylase
ATP
Pyruvate
Argininosuccinate Ornithine
Urea cycle
Pyruvate kinase
Oxaloacetate NADH NAD+
Malonyl-CoA
Phosphoenolpyruvate ADP 11
Lactate dehydrogenase
Urine
Fatty acid synthase
GDP
Gluconeogenesis
Uric acid
Purine salvage pathway
GTP
Mit. Matrix
Fatty acids
2-phosphoglycerate
PRPP Adenine
Xanthine
17 Fructose intolerance 18 Systemic 1° carnitine deficiency
Fructose-1,6-bisphosphate
Ribose-5phosphate
GMP
15 Classic galactosemia 16 Essential fructosuria
ATP
Purine metabolism
dUMP DTMP
UDP-glucose
ADP
Pi
Fructose-1,6bisphosphatase
Glyceraldehyde3-phosphate
AMP GMP
Thymidylate synthase
phosphate
Lactase 13
Fructose1-phosphate
IMP
CTP
Glactose-1-phosphate uridyltransferase Galactose-1- 14 Galactokinase
UDP-galactose
Glucose Fructose
Hexokinase
15
3-phosphoglycerate
11 Pyruvate kinase deficiency 12 Pyruvate dehydrogenase deficiency
PFK-1
Ribonucleotide reductase
THF
ATP
ADP
PRPP
UDP
5,10methylene THF
Transketolase
Glucose-1phosphate
Sucrose
PRPP amidotransferase
UMP
dUDP
Phosphoglucomutase
Glucose-6-phosphate
Fructose6-phosphate
Lactose Glucose
Glucose-6- 10 phosphatase
Glucose-6- 2 phosphate dehydrogenase
PRPP synthetase
UMP synthetase
1
Orotic acid
Transketolase
Hexokinase / glucokinase
Galactose metabolism
Glycogenolysis / glycogenesis
Glucose
ADP
NADP
+
9
6-phosphogluconate
Ribose-5phosphate
Dihydroorotate dehydrogenase
NADPH
NADP+
Ribulose-5phosphate
Carbamoyl phosphate
6 Phenylketonuria
8 Albinism
NADPH
Carbamoyl phosphate synthetase II
5 Ornithine transcarbamylase deficiency
7 Alkaptonuria
Glycolysis ATP
3 Lesch-Nyhan syndrome 4 Severe combined immunodeficiency (SCID)
HMP shunt
• Valine
Methylation • Isoleucine 21 Homocystinuria Epinephrine Copyright © 2018 by Physeo All rights reserved. No part of this publication may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of Physeo, except in the case of personal study purposes.
Homocysteine metabolism
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1 Orotic aciduria 2 G6PD deficiency
BIOCHEMISTRY MAP Pyrimidine metabolism Glutamine
CO2
Aspartate
10 Von Gierke disease
13 Lactose intolerance 14 Galactokinase deficiency
19 MCAD deficiency 20 Maple syrup urine disease 21 Homocystinuria
ATP
Fructose-1,6bisphosphatase
Glyceraldehyde3-phosphate
ADP
Aldose reductase
ATP
Galactitol 4-epimerase
Fructokinase 16
ADP
Aldolase B 17
Dihydroxyacetone phosphate (DHAP)
Fructose metabolism
Glyceraldehyde
NAD+ NADH
Purine metabolism
Acyl-CoA synthase
Glycerol
1,3-bisphosphoglycerate ADP
18
Triglycerides
ATP
IMP
AMP 4
ADA
Guanosine
HGPRT
Inosine
Guanine
PRPP
Hypoxanthine
3
Adenosine
Xanthine oxidase
Fatty acid metabolism
Acyl-CoA
Carnitine
CAT I
Carnitine
CAT II
Acyl-carnitine
Cytosol
APRT
Xanthine oxidase
NH3 + CO2+ Carbamoyl phosphate synthetase I
Citrulline
Carbamoyl phosphate
Malate
Malate
Succinate dehydrogenase
Arginine
Urea cycle
Urea
H2O
Mevalonate
TCA cycle
Melanin
Phenylalanine
Phenylalanine hydroxylase
NAD+ NADH + CO2
6
DOPA BH4
BH2
Dihydrobiopterin reductase
Methylmalonyl-CoA
6
DOPA decarboxylase
BH2
Dihydrobiopterin reductase
Dopamine
Acetoacetate
Isocitrate dehydrogenase
β-hydroxybutyrate
α-Ketoglutarate dehydrogenase
Ketone metabolism
Pyrimidines + lipids
Propionyl-CoA Branched-chain α-ketoacid dehydrogenase complex 20
α-ketoacid PhenylethanolamineN-methyltransferase
Epinephrine
5, 10-methylene Methylene THF tetrahydrofolate
reductase (MTHFR)
5-methyl THF
THF
Methionine
Methionine synthase
S-adenosyl methionine (SAM)
Homocysteine 21
Cystathionine synthase
Cystathionine
Cysteine
Cystathionase
S-adenosyl homocysteine
ATP
Norepinephrine
Amino acid metabolism
HMG-CoA
α-Ketoglutarate
Tyrosinase 8
Tyrosine
BH4
HMG-CoA reductase
Acetoacetyl-CoA
Isocitrate
NAD+ NADH + CO2
FAD
Methylmalonyl-CoA mutase
Homogentisic acid 7 dioxygenase
6
Cholesterol synthesis
Cholesterol
Citrate synthase
Succinyl-CoA
Homogentisate
Acetyl-CoA
Citrate
FADH2
GTP GDP
Maleylacetoacetate
Thiamine (B1) Riboflavin (B2) Niacin (B3) Pantothenic acid (B5) Pyridoxine (B6) Biotin (B7) Folate (B9) Cobalamin (B12)
NADH
NAD+
Succinate
Arginase
Acyl-CoA dehydrogenase
Acetyl-CoA Oxaloacetate
Fumarate
Argininosuccinate lyase
19
NADH
Pyruvate 12 dehydrogenase
NAD+
Malate dehydogenase
Argininosuccinate Ornithine
NADH
Acyl-carnitine Acyl-CoA
FADH2
Acetyl-CoA carboxylase
ATP
Pyruvate
Lactate
NADH NAD+
Argininosuccinate synthase
Ornithine transcarbamylase 5
Pyruvate kinase
Oxaloacetate
Aspartate
ATP
Malonyl-CoA
Phosphoenolpyruvate ADP 11
Phosphoenolpyruvate carboxykinase
Lactate dehydrogenase
Urine
Fatty acid synthase
GDP
Gluconeogenesis
Uric acid
Purine salvage pathway
GTP
Mit. Matrix
Fatty acids
2-phosphoglycerate
PRPP Adenine
Xanthine
17 Fructose intolerance 18 Systemic 1° carnitine deficiency
UDP-glucose
Lactase 13
Galactose
3-phosphoglycerate
15 Classic galactosemia 16 Essential fructosuria
phosphate
Fructose1-phosphate
Ribose-5phosphate
DTMP
GMP
11 Pyruvate kinase deficiency 12 Pyruvate dehydrogenase deficiency
PFK-1
AMP GMP
Thymidylate synthase
Glactose-1-phosphate uridyltransferase Galactose-1- 14 Galactokinase
UDP-galactose
Glucose Fructose
Hexokinase
15
Pi
ADP
dUMP
THF
9 Maturity onset diabetes of the young
CTP
Glucose-1phosphate
Sucrose
Fructose6-phosphate
Fructose-1,6-bisphosphate
IMP
Ribonucleotide reductase
Dihydrofolate DHF reductase
Phosphoglucomutase
Glucose-6-phosphate
ATP
Lactose Glucose
Glucose-6- 10 phosphatase
Glucose-6- 2 phosphate dehydrogenase Transketolase
Galactose metabolism
Glycogenolysis / glycogenesis
PRPP amidotransferase
UMP
dUDP
ADP
Hexokinase / 9 glucokinase
PRPP
UDP
5,10methylene THF
Transketolase
NADP+
PRPP synthetase
UMP synthetase
1
Orotic acid
6-phosphogluconate
Ribose-5phosphate
Dihydroorotate dehydrogenase
NADPH
NADP+
Ribulose-5phosphate
Carbamoyl phosphate
6 Phenylketonuria
8 Albinism
NADPH
Carbamoyl phosphate synthetase II
5 Ornithine transcarbamylase deficiency
7 Alkaptonuria
Glycolysis
Glucose
ATP
3 Lesch-Nyhan syndrome 4 Severe combined immunodeficiency (SCID)
HMP shunt
• Valine • Isoleucine
Methylation
Homocysteine metabolism
MEDICAL COURSE AND STEP 1 REVIEW FIRST EDITION Accompanies online videos taught by Michael Christensen & Rhett Thomson physeo.com