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PYRIMIDINES 219<br />

Thymidine<br />

Uridine<br />

Deoxycytodine<br />

38 41<br />

dTMP<br />

UMP<br />

40<br />

dUMP<br />

15<br />

14<br />

dCMP<br />

dTDP<br />

UDP<br />

37<br />

dUDP<br />

CDP<br />

37<br />

dCDP<br />

dTTP<br />

UTP<br />

12<br />

dUTP<br />

CTP<br />

dCTP<br />

FIGURE 9.10 Mammalian pyrimidine salvage and interconversion pathways. Enzyme identities are listed in Table 9.1.<br />

unfavorable environments. Consistent with this<br />

supposition is the example of the amitochondriates<br />

that cannot regenerate the three ATP<br />

molecules via oxidative phosphorylation and<br />

also are unable to synthesize pyrimidine<br />

nucleotides de novo.<br />

Cytidylate, deoxycytidylate, and thymidylate<br />

nucleotides are generated from uridylate<br />

nucleotides via three specific reactions<br />

(Figure 9.10). The first is CTPS, which converts<br />

UTP to CTP. The second is RR, which synthesizes<br />

dCDP and dUDP (as well as dGDP and<br />

dADP) from CDP and UDP, respectively. The<br />

third enzyme, TS, catalyzes the reductive<br />

methylation of dUMP using 5,10-methylenetetrahydrofolate<br />

to produce TMP. TS is a well<br />

characterized enzyme in many organisms and<br />

has been targeted in anti-neoplastic chemotherapies.<br />

The enzyme is covalently linked to<br />

DHFR in many protozoan parasites, existing<br />

as a DHFR–TS complex. Pyrimethamine, an<br />

inhibitor of microbial DHFRs, is used in the<br />

treatment of Plasmodium and Toxoplasma<br />

infections (Chapter 17).<br />

With three exceptions, all the parasites discussed<br />

here possess pyrimidine biosynthetic,<br />

CTPS, RR, and TS enzymes. G. lamblia and<br />

T. vaginalis lack both RR and TS and must salvage<br />

pyrimidines and their deoxynucleosides.<br />

T. foetus possesses RR but not TS and must salvage<br />

pyrimidines and thymidine but not other<br />

deoxynucleotides.<br />

Mammalian cells also can salvage pyrimidines,<br />

but they do so mostly at the nucleoside<br />

level. Salvage of pyrimidine bases is minimal,<br />

and UPRT is missing. Mammalian cells have<br />

cytosolic UK, TK1, and dCK enzymes, as well<br />

as a mitochondrial TK2. UK recognizes uridine<br />

and cytidine, TK1 is specific for thymidine,<br />

dCK, although it prefers deoxycytidine, can<br />

also phosphorylate deoxyadenosine and deoxyguanosine,<br />

and TK2 is less selective than TK1.<br />

There are also pyrimidine interconversion<br />

enzymes including dCD and dCMPD.<br />

Apicomplexa<br />

Plasmodium spp.<br />

Uninfected red blood cells have virtually<br />

undetectable pyrimidine nucleotide pools<br />

and are deficient in pyrimidine nucleotide<br />

biosynthesis. The enzymes for UMP, TMP,<br />

and CTP synthesis, however, all can be found<br />

BIOCHEMISTRY AND CELL BIOLOGY: PROTOZOA

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