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Biochem-SAM/B12/Folate-WVSOM Class of 2012

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Question
Answer
what is the basic function of folate and SAM?   transfer of one methyl group to another molecule  
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folate has what molecule on the end?   glutamate  
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can folate be synthesized?   no  
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what enzyme is responsible for reducing and activating folate?   dihydrofolate reductase (dhfr)  
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general process for making folate?   ingest->make monoglutamate->FH2->FH4  
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what molecule most often donates the carbon group to folate?   serine  
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what are the 3 main molecules that rely on folate for their synthesis?   purine and dtmp; serine; methylcobalamin  
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another name for B12?   methylcobalamin  
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what is the most common form of FH4-C? what is its function?   N5-methyl-FH4; transfers methyl group to B12  
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what is the other name for B12? why? what is important about cobalt?   cobalamin; because it has cobalt ring; can form carbon bonds  
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B12 can only be synthesized how?   bacteria  
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what are the 2 metabolites of B12?   methyl cobalamin or deoxyadenosylcobalamin  
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what are the 3 names for the proteins that bind B12 after ingestion?   Haptocorrin, Transcobalamin I, or R-binders  
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what is the process of B12 uptake to liver or tissue?   ingest->binds to transcobalamin I->pancreatic enzymes cleave->binds to intrinsic factor->cleave in ileum->transcobalamin II takes to liver or tissue  
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what are the 2 reactions that require B12 as a cofactor?   conversion of homocysteine to methionine; conversion of methylmalonyl-CoA to Succinyl CoA  
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Conversion of methylmalonyl-CoA to succinyl CoA requires what B12 form?   adenosylcobalamin  
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Conversion of homocysteine to methionine requires what B12 form?   methylcobalamin  
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is methionine an essential amino acid?   yes  
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what is most important function of SAM?   to methylate nucleotides (turns them off)  
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what disease is associated with hyperhomocysteinemia?   cardiovascular disease  
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what are 3 enzymatic causes of hyperhomocysteinemia?   Met synthase, MTHFR, and cystathionine synthase mutations  
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PLP is derived from what vitamin?   B6  
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how can homocysteine levels be reduced?   B6, B12, and folate supplements  
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macrocytic anemia can result from what deficiency? why?   B12 and folate; reduced nucleotides leads to less cellular dividing  
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in addition to macrocytic anemia, what else can occur in B12 deficiency? why?   neurological symptoms; need B12 to make methionine to make SAM, which is precursor for neurotransmitters  
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what is the methyl trap hypothesis?   need folate to get methylcobalamin; need B12 to recycle N5-methyl-tetrahydrofolate  
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pernicious anemia is a decrease in what?   intrinsic factor  
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normal absorption of crystalline B12 means you can not have what?   pernicious anemia  
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why is B12 deficiency seen in the elderly?   reduced gastric secretions (IF) and inadequate diet  
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what explains how B12 affects dna replication?   methyl trap hypothsis  
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