De Novo Pyrimidine Synthesis Mnemonic For USMLE
De Novo Pyrimidine Synthesis Mnemonic For USMLE
Cori Cycle
Purine Salvage
Purine Excretion
Ethanol Metabolism
Pyruvate Metabolism
Galactose Metabolism
De Novo Pyrimidine Synthesis describes the biochemical pathway used to make pyrimidine nucleotides from building
blocks in the cell.
Pyrimidine Synthesis begins with glutamine and carbon dioxide, which combine to form carbamoyl phosphate, in a
reaction catalyzed by CPS2. Carbamoyl phosphate then combines with aspartate to form orotic acid, through steps
that can be inhibited by leflunomide. Afterwards, orotic acid reacts with PRPP to form UMP, in a reaction that is
impaired in orotic aciduria.
UMP is then phosphorylated to UDP, which has two possible fates: it can be converted into the pyrimidine nucleotide, 21:01
CTP, or undergo reduction by ribonucleotide reductase (RNR) to dUDP. Notably, RNR can be inhibited by the drug,
hydroxyurea. dUDP is then dephosphorylated to dUMP, which in turn undergoes methylation by thymidylate