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POLG function
The role of the POLG gene in mitochondrial diseases.
MCHS
Myocerebrohepatopathy Spectrum, a mitochondrial disease with neonatal onset involving liver failure, lactic acidosis, and encephalopathy.
AHS
Alpers-Huttenlocher Syndrome, an infant-onset mitochondrial disease characterized by progressive cerebral degeneration, liver failure, and intractable seizures.
MNGIE
Mitochondrial Neurogastrointestinal Encephalopathy, a childhood-onset mitochondrial disease associated with GI dysmotility, leukoencephalopathy, and cachexia.
MIRAS
Mitochondrial Recessive Ataxia Syndrome, an adolescence-onset mitochondrial disease with ataxia, seizures, and white matter changes.
SCAE
Spinocerebellar Ataxia with Epilepsy, an adolescence-onset mitochondrial disease that overlaps with MIRAS and includes generalized seizures.
MEMSA
Myoclonic Epilepsy Myopathy Sensory Ataxia, an adolescence-onset mitochondrial disease characterized by myopathy, epilepsy, and ataxia.
MELAS
Mitochondrial Encephalomyopathy, Lactic Acidosis, and Stroke-like episodes, a classic mtDNA mutation syndrome with maternal inheritance.
PEO
Progressive External Ophthalmoplegia, a mitochondrial disease with eyelid droop and ophthalmoplegia, often involving POLG and other genes.
ANS
Ataxia Neuropathy Spectrum, a mitochondrial disease in adults characterized by ataxia, peripheral neuropathy, and possibly PEO or seizures.
SANDO
Sensory Ataxic Neuropathy, Dysarthria, and Ophthalmoparesis, an adult-onset mitochondrial disease that falls within the ANS-PEO-MIRAS continuum.
Hepatocerebral MDDS
Mitochondrial DNA depletion syndromes involving epilepsy and seizures.
ATP consumption in brain
The brain, which is ~2% of body weight, consumes ~20% of total body ATP.
OXPHOS
Oxidative phosphorylation, a process by which neurons generate ATP from mitochondria.
Cerebellum and hippocampus
Regions of the brain important in motor control and seizure thresholds, vulnerable to mitochondrial dysfunction.
Molecular epistasis
The interaction of different genes where one gene's effect is modified by another gene, particularly in the context of haploinsufficiency.
Known MDDS loci
Genes associated with mitochondrial DNA depletion syndromes, including TYMP, TK2, RRM2B, SUCLG1, SUCLG2, DGUOK, MPV17, POLG2, and TWNK.
Purine anabolic pathways
Biochemical pathways that synthesize purines, facilitated by the purinosome.
Pyrimidine biosynthesis
The biochemical process of synthesizing pyrimidine nucleotides.
One-carbon folate shuttling
The transport of one-carbon units in metabolic processes, involving SHMT, TS, and DHFR.
mtDNA replisome
The complex of proteins involved in the replication of mitochondrial DNA, including TFAM, POLRMT, POLG2, TWNK, SSBP1, FEN1, RNASEH1, and LIG3.
Heme biosynthesis pathway
A 10-step biochemical pathway for synthesizing heme, with specific steps occurring on the cristae membrane.
TIM/TOM complex
Translocase of the inner membrane (TIM) and translocase of the outer membrane (TOM), involved in trafficking mitochondrial-localization sequences across mitochondrial membranes.
TIM/TOM complex
Complex for trafficking mitochondrial-localization sequences (MLS aka presequence) protein cargo across the inner membrane (TIM) or outer membrane (TOM) of the mitochondria.
TYMP
Known MDDS locus associated with neurogastrointestinal MDDS.
TK2
Known MDDS locus associated with myopathic MDDS.
RRM2B
Known MDDS locus associated with encephalomyopathic MDDS.
SUCLG1
Known MDDS locus associated with encephalomyopathic MDDS.
SUCLG2
Known MDDS locus associated with encephalomyopathic MDDS.
DGUOK
Known MDDS locus associated with hepatocerebral MDDS.
MPV17
Known MDDS locus associated with hepatocerebral MDDS.
POLG2
Known MDDS locus associated with hepatocerebral MDDS.
TWNK
Known MDDS locus associated with hepatocerebral MDDS.
purinosome
Loss of purinosome function will likely be epistatic to POLG haploinsufficiency.
purine biosynthesis
Involves 10 distinct enzymatic steps from PRPP to IMP.
PRPP
Supplies the 5' phosphate group as well as the pentose sugar (ribose) in purine biosynthesis.
GAR synthetase
Enzyme in step 2 of purine biosynthesis that incorporates a glycine amino acid into the developing imidazole ring.
GAR transformylase
Enzyme in step 3 of purine biosynthesis that uses GAR and 10-formyl-THF to produce FGAR and THF.
10-formyl-THF
Part of the 1C shuttle system, derived from dietary vitamin B9 (folate), essential for THF synthesis.
FGAR amidotransferase
Enzyme in step 4 of purine biosynthesis that transfers a nitrogen from Gln to form part of the future pyrimidine ring.
AIR synthetase
Enzyme in step 5 of purine biosynthesis that circularizes the imidazole ring of the future purine base.
AIR carboxylase
Enzyme in step 6 of purine biosynthesis that fixes carbon dioxide as a carboxylic group in the future pyrimidine ring.
N5-CAIR synthetase
In plants, fungi, and bacteria, an enzyme that converts AIR to N5-CAIR using ATP and bicarbonate.
N5-CAIR mutase
In plants, fungi, and bacteria, an enzyme that converts N5-CAIR to CAIR.
CAIR
A compound involved in de novo purine biosynthesis.
SAICAR synthetase
An enzyme that catalyzes the conversion of CAIR, Asp, and ATP into SAICAR, ADP, and Pi.
Step 7 of de novo purine biosynthesis
The step where CAIR is converted to SAICAR.
Step 8 of de novo purine biosynthesis
The step where SAICAR is converted to AICAR and fumarate.
Adenylosuccinate lyase
An enzyme that catalyzes the conversion of SAICAR to AICAR and fumarate.
Fumarate
A compound that is essentially aspartic acid that has been deaminated.
Bifunctional enzyme
An enzyme that has two distinct functional activities, such as the adenylosuccinate lyase.
Step 9 of de novo purine biosynthesis
The step where AICAR is converted to FAICAR and THF.
AICAR transformylase
An enzyme that catalyzes the conversion of AICAR and 10-formyl-THF into FAICAR and THF.
Transformylase reactions
Reactions that utilize 1C shuttles for the transfer of carbon units.
Step 10 of de novo purine biosynthesis
The step where FAICAR is converted to IMP and H2O.
IMP cyclohydrolase
An enzyme that catalyzes the conversion of FAICAR to IMP.
IMP
Inosine monophosphate, an intermediate in purine biosynthesis.
Overall purine biosynthesis pathway
A pathway consisting of 10 catalytic steps that is very endergonic and requires various amino acids and cofactors.
Folate shuttles
1C carriers required in the purine biosynthesis pathway.
Purinosome
A hexameric complex in humans that contains 10 active sites for the conversion of PRPP to IMP.
PPAT
An enzyme that contains E1 in the purinosome.
GART
A trifunctional enzyme in the purinosome that contains E2, E3, and E5.
PFAS
An enzyme in the purinosome that contains E4.
PAICS
A bifunctional enzyme in the purinosome that contains E6 and E7.
ADSL
An enzyme in the purinosome that contains E8.
ATIC
A bifunctional enzyme in the purinosome that contains E9 and E10.
Intermediate channeling
A process in the purinosome that exploits Le Chatelier's Principle and protects metabolites from unwanted reactions.
SHMT complex
A complex that performs a key reaction for the purinosome involving L-Ser and THF.
C1-THF-synthase complex
A complex that performs two key reactions for the purinosome involving 5,10-methylene-THF.
IMP to XMP to GMP pathway
The pathway where IMP is converted to XMP and then to GMP.
G-1 enzyme
The enzyme that catalyzes the reaction of IMP to XMP.
G-2 enzyme
The enzyme that catalyzes the reaction of XMP to GMP.
XMP
xanthosine monophosphate
NADH
Nicotinamide adenine dinucleotide (reduced form)
H+
Proton ion
G-1 enzyme
Enzyme that converts IMP to GMP, inhibited by high concentrations of GMP
G-2 enzyme
GMP synthetase reaction
Input for G-2 enzyme
XMP, Gln, ATP
Output for G-2 enzyme
GMP, Glu, ADP, Pi
A-1 enzyme
adenylosuccinate synthetase
Input for A-1 enzyme
IMP, Asp, GTP
Output for A-1 enzyme
adenylosuccinate, GDP, Pi
Negative allosterism on A-1 enzyme
AMP
A-2 enzyme
adenylosuccinate lyase
Input for A-2 enzyme
adenylosuccinate
Output for A-2 enzyme
AMP, fumarate
GTP production from GMP
GMP + ATP -(guanylate kinase)-> GDP + ADP
Second reaction for GTP production
GDP + ATP -(NDP kinase)-> GTP + ADP
ATP hydrolysis for GTP production
Need to hydrolyze 2 ATP molecules (1 ATP hydrolysis per step) to make one GTP
GTP characteristics
GTP belongs to the RNA world (has ribose not deoxyribose moiety)
AMP to ADP reaction
AMP + ATP -(adenylate kinase)-> 2 ADP
Pyrimidine biosynthesis
Occurs at the free nucleobase level
Carbamoyl phosphate source
Source of 2 atoms (1 N, 1 C) for pyrimidine biosynthesis
Aspartic acid source
Source of 4 atoms (1 N, 3 C) for pyrimidine biosynthesis
Step 1 of de novo pyrimidine biosynthesis
Enzyme: carbamoyl phosphate synthetase, Input: Gln, HCO3-, H2O, 2 ATP, Output: Carbamoyl phosphate, Glu, 2 ADP, Pi
Step 2 of de novo pyrimidine biosynthesis
Enzyme: aspartate transcarbamoylase, Input: Carbamoyl phosphate, Asp, Output: Carbamoyl aspartate, Pi
Positive allosteric modulator of aspartate transcarbamoylase
ATP
Negative allosteric modulator of aspartate transcarbamoylase
CTP
Step 3 of de novo pyrimidine biosynthesis
Enzyme: dihydroorotase, Input: carbamoyl aspartate, Output: dihydroorotate, H2O
Step 4 of de novo pyrimidine biosynthesis
Enzyme: dihydroorotate dehydrogenase, Input: dihydroorotate, coenzymeQ, Output: orotate, CoQH2