Why is de novo biosynthesis of purines markedly elevated in patients with a deficiency in hypoxanthine-guanine phosphoribosyl transferase (HGPRT)? 5-Fluoruracil is converted to methotrexate by a DPD deficiency, leading to increased purine biosynthesis. OHGPRT deficiency prevents purine salvage, leading to increased purine biosynthesis to make up for it. HGPRT increases pyrimidine salvage and thereby increases purine biosynthesis as a result. Increased purine biosynthesis is the result of ATP hydrolysis during the production of cyclic AMP.

Biochemistry
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ISBN:9781319114671
Author:Lubert Stryer, Jeremy M. Berg, John L. Tymoczko, Gregory J. Gatto Jr.
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Chapter1: Biochemistry: An Evolving Science
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Why is de novo biosynthesis of purines markedly elevated in patients with a
deficiency in hypoxanthine-guanine phosphoribosyl transferase (HGPRT)?
5-Fluoruracil is converted to methotrexate by a DPD deficiency, leading
to increased purine biosynthesis.
HGPRT deficiency prevents purine salvage, leading to increased purine
biosynthesis to make up for it.
HGPRT increases pyrimidine salvage and thereby increases purine
biosynthesis as a result.
Increased purine biosynthesis is the result of ATP hydrolysis during the
production of cyclic AMP.
Transcribed Image Text:Why is de novo biosynthesis of purines markedly elevated in patients with a deficiency in hypoxanthine-guanine phosphoribosyl transferase (HGPRT)? 5-Fluoruracil is converted to methotrexate by a DPD deficiency, leading to increased purine biosynthesis. HGPRT deficiency prevents purine salvage, leading to increased purine biosynthesis to make up for it. HGPRT increases pyrimidine salvage and thereby increases purine biosynthesis as a result. Increased purine biosynthesis is the result of ATP hydrolysis during the production of cyclic AMP.
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