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Clinical Biochemistry of Domestic Animals (Sixth Edition) - UMK ...

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II. Porphyrins<br />

243<br />

two vinyl groups are converted to hydroxy-ethyl groups,<br />

the product is hematoporphyrin IX. If the two vinyl groups<br />

are replaced by hydrogen atoms, the product is deuteroporphyrin<br />

IX. Protoporphyrin and deuteroporphyrin normally<br />

occur in feces but are primarily products <strong>of</strong> intestinal bacterial<br />

degradation.<br />

B . Synthesis <strong>of</strong> Porphyrins and Heme<br />

The initial steps in the pathway for porphyrin and heme<br />

biosynthesis begins with the incorporation <strong>of</strong> the methyl<br />

carbon (C-2) and nitrogen atom <strong>of</strong> glycine into the porphyrin<br />

ring and ultimately into the heme <strong>of</strong> hemoglobin.<br />

Porphyrin metabolism and the porphyrias have been periodically<br />

reviewed ( Elder and Sheppard, 1982 ; Hindmarsh,<br />

1986 ; Sassa, 2006 ; Sassa and Kappas, 2000 ).<br />

The methyl carbons (C-2) <strong>of</strong> glycine supply 8 <strong>of</strong> the 34<br />

carbons <strong>of</strong> protoporphyrin: one for each <strong>of</strong> the four methene<br />

bridges and one for each <strong>of</strong> the pyrrole rings ( Fig. 8-3 ).<br />

The carboxyl carbon atom <strong>of</strong> glycine is given <strong>of</strong>f as CO 2 and<br />

is not incorporated into the protoporphyrin molecule ( Fig.<br />

8-3 ). The direct incorporation <strong>of</strong> the nitrogen or the methyl<br />

carbon glycine into the heme <strong>of</strong> hemoglobin has been the<br />

basis for a useful technique to label the erythrocyte and to<br />

measure its survival time. After administering 15 N-glycine,<br />

the concentration <strong>of</strong> 15 N in heme rises rapidly, remains constant<br />

for a time, and then falls. Mathematical analysis <strong>of</strong> the<br />

curve indicates a survival time <strong>of</strong> 120 days for the human<br />

erythrocyte. On a similar basis, methyl carbon labeled glycine<br />

has been used to determine the life span <strong>of</strong> the erythrocytes<br />

<strong>of</strong> a number <strong>of</strong> domestic animals ( Table 8-1 ).<br />

The remaining carbons <strong>of</strong> protoporphyrin are supplied<br />

by the tricarboxylic acid (TCA) cycle intermediate, succinyl-CoA.<br />

An outline <strong>of</strong> the pathway <strong>of</strong> heme and porphyrin<br />

synthesis is given in Figure 8-4 , which depicts the<br />

compartmentalization <strong>of</strong> their pathways between the mitochondria<br />

and cytosol. The nomenclature <strong>of</strong> the enzymes <strong>of</strong><br />

porphyrin synthesis varies among authors, so a guide to the<br />

nomenclature <strong>of</strong> the enzymes is provided in Table 8-2 .<br />

FIGURE 8-3 The synthetic pathway<br />

for protoporphyrin and heme.<br />

Note that two enzymes are required to<br />

catalyze the formation <strong>of</strong> UROgenIII.<br />

The circled numbers correspond to<br />

the enzymes listed in Table 8-2.

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