Nucleotides play important roles in energy storage, cell signaling, and as monomers for nucleic acids. Organisms synthesize purine and pyrimidine nucleotides through de novo and salvage pathways. Degradation of nucleic acids releases bases and nucleosides that can be reused through salvage pathways. Errors in purine metabolism can lead to disorders like gout, caused by uric acid crystal accumulation from excessive purine breakdown. Lesch-Nyhan syndrome results from HGPRT deficiency, causing excess purine synthesis and uric acid production as well as neurological issues. Some forms of severe combined immune deficiency occur due to lack of enzymes like ADA or PNP, resulting in nucleotide accumulation that inhibits DNA replication in lymphocytes.