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PURINE METABOLISM 209<br />

purine available to the cell is in excess of its<br />

requirements. Urate is synthesized from<br />

hypoxanthine and xanthine, an oxidation<br />

reaction that is catalyzed by XO. XO is absent<br />

in both protozoan and helminthic parasites.<br />

Because of the nutritional necessity of purines<br />

and the relative scarcity of purines in the environment,<br />

it is unlikely that parasites would<br />

have a great need for eliminating dispensable<br />

purine.<br />

The purine deoxynucleotide substrates for<br />

DNA synthesis are derived from ribonucleotides.<br />

Most RRs are two-subunit enzymes<br />

that catalyze the reduction of the 2-hydroxy<br />

moiety of all four naturally occurring purine<br />

and pyrimidine ribonucleoside disphosphates<br />

to the corresponding deoxynucleotides. RR is<br />

the only known mechanism for de novo production<br />

of deoxynucleotides, and the enzyme<br />

is subject to complex allosteric regulatory<br />

mechanisms that ensure a balanced supply of<br />

all four dNTPs for DNA synthesis. RR activity<br />

in mammalian cells is also cell-cycle dependent;<br />

the enzyme is active during the S phase<br />

of the cell cycle when DNA is replicated and<br />

relatively inactive during the quiescent<br />

(G1 and G2) and mitotic (M) phases of the cell<br />

cycle. Deoxynucleotides can also be generated,<br />

albeit inefficiently, via kinase enzymes.<br />

AK, dCK, and several mitochondrial deoxynucleoside<br />

kinases can metabolize deoxyadenosine<br />

and/or deoxyguanosine to the nucleotide<br />

level. Most parasites are thought to generate<br />

deoxynucleotides directly via ribonucleotide<br />

reduction. The existence of RR is supported<br />

by the ability of parasites to grow in medium<br />

lacking deoxynucleosides, to incorporate radiolabeled<br />

bases and nucleosides into DNA, the<br />

detection of RR activities in crude parasite<br />

lysates, the existence of parasite clones encoding<br />

RR subunit homologs, and RR subunit<br />

sequences in the parasite genome sequencing<br />

databases.<br />

Apicomplexa<br />

Plasmodium<br />

Because infection of erythrocytes with Plasmodium<br />

spp. dramatically augments their capacity<br />

to salvage purines, most of the early knowledge<br />

on purine salvage capabilities of malarial<br />

parasites was gleaned from comparisons of<br />

uninfected and infected erythrocytes. Like the<br />

mammalian red blood cell, Plasmodium species<br />

cannot synthesize purines de novo, and their<br />

growth is contingent on salvage. Any of a number<br />

of purines, including hypoxanthine, guanine,<br />

adenine, inosine, and adenosine, can<br />

satisfy the purine requirements of P. falciparum.<br />

Hypoxanthine is likely the preferred source of<br />

malarial nucleotides, and can be acquired<br />

directly from blood or from erythrocytes<br />

through nucleotide degradation. Furthermore,<br />

addition of XO, which converts hypoxanthine<br />

to urate, to the growth medium inhibits P. falciparum<br />

proliferation, strongly implying that<br />

extracellular hypoxanthine is the critical source<br />

for parasite nucleotides. ADA and PNP activities<br />

necessary for adenosine deamination and<br />

inosine cleavage are also present in both the<br />

red blood cell and parasite and are likely major<br />

contributors to purine salvage as well (Figure<br />

9.4). Similar findings were obtained with rodent<br />

and avian malarias. Because a single purine can<br />

fulfill all of the parasite’s nucleotide requirements,<br />

the enzymatic machinery to convert<br />

IMP to adenylate and guanylate nucleotides<br />

must be operational in the parasite.<br />

A number of purine salvage and interconversion<br />

enzymes from P. falciparum have been<br />

characterized at the biochemical level (Figure<br />

9.4). Most prominent among these are HGX-<br />

PRT, PNP, and ADA. The PfHGXPRT gene has<br />

been cloned, sequenced, and overexpressed in<br />

E. coli, and the recombinant protein purified<br />

to homogeneity. Preferred substrates for<br />

BIOCHEMISTRY AND CELL BIOLOGY: PROTOZOA

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