Heme Synthesis (from Glycine) - Bloody Building Blocks
- Initial Step (Mitochondria):
- $Glycine + Succinyl CoA \xrightarrow{ALA Synthase, PLP} \delta-Aminolevulinate (ALA) + CO_2 + CoA$.
- Rate-limiting: ALA Synthase (PLP-dependent).
- Pathway Overview & Key Intermediates:
- Intermediates: ALA, Porphobilinogen, Uroporphyrinogen, Coproporphyrinogen, Protoporphyrinogen, Protoporphyrin IX.
- Key Deficiencies:
- ALA Dehydratase (Lead sensitive): ↑ ALA.
- Uroporphyrinogen I Synthase: Acute Intermittent Porphyria (AIP). ↑ PBG, ALA. No photosensitivity.
- Regulation:
- Heme/Hemin: Feedback inhibits ALA synthase.
- Glucose: Represses ALA synthase.
- 📌 Porphyria (5 Ps): Painful abdomen, Polyneuropathy, Psychological issues, Precipitated by drugs, Purple pee.
⭐ Lead poisoning inhibits ALA dehydratase & Ferrochelatase → ↑ ALA & ↑ Protoporphyrin IX. Causes anemia, neurotoxicity.

Tyrosine Derivatives - Mood & Pigment Power
Tyrosine, a non-essential amino acid (conditionally essential in PKU), is a precursor to vital catecholamines, melanin, and thyroid hormones.
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Catecholamine Synthesis Pathway:
⭐ Tyrosine hydroxylase is the rate-limiting enzyme in catecholamine synthesis and requires tetrahydrobiopterin (THB or BH4) as a cofactor.
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Melanin Synthesis (Pigment):
- Tyrosine $\xrightarrow{\text{Tyrosinase (Cu-dependent)}}$ L-DOPA $\rightarrow$ Dopaquinone $\rightarrow$ Melanin.
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Thyroid Hormones (T3/T4): Synthesized from iodination and coupling of tyrosine residues in thyroglobulin.
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Clinical Significance:
- Parkinson's Disease: ↓ Dopamine.
- Pheochromocytoma: ↑ Catecholamines.
- Albinism: Tyrosinase deficiency $\rightarrow$ ↓ Melanin.
- Phenylketonuria (PKU): Phenylalanine Hydroxylase deficiency makes Tyrosine essential.

Tryptophan Derivatives - Serene Nights & Energy
- Key Products: Serotonin (neurotransmitter), Melatonin (sleep hormone), Niacin (Vitamin B3).
- Serotonin (5-HT): Tryptophan $\xrightarrow{\text{Tryptophan hydroxylase (THB, rate-limiting)}}$ 5-Hydroxytryptophan $\xrightarrow{\text{Decarboxylase (PLP)}}$ Serotonin.
- Melatonin: Serotonin $\xrightarrow{\text{Pineal gland, Acetylation, Methylation (SAM)}}$ Melatonin.
- Niacin (B3): Tryptophan $\xrightarrow{\text{Kynurenine pathway (PLP, FAD, Niacin)}}$ Quinolinic acid $\rightarrow$ NAD+/NADP+. Inefficient.
- Clinical Notes:
- Depression (↓Serotonin; SSRIs target reuptake).
- Sleep disorders (↓Melatonin).
- Pellagra (Niacin deficiency): 📌 3 D's: Diarrhea, Dermatitis, Dementia (+ Death).
- Hartnup disease (defective Tryptophan absorption).
- Carcinoid syndrome (↑Serotonin).
⭐ Tryptophan is a precursor for serotonin, melatonin, and niacin (Vitamin B3); approximately 60 mg of tryptophan yields 1 mg of niacin.

Other AA Derivatives - Vital Variety Pack
- Histamine: Histidine $\rightarrow$ Histamine (Histidine decarboxylase, PLP).
- Sources: Mast cells, basophils.
- Functions: Allergic reactions, gastric acid secretion.
- GABA ($\ ext{gamma}$-Aminobutyric acid): Glutamate $\rightarrow$ GABA (Glutamate decarboxylase, PLP).
- Function: Major inhibitory CNS neurotransmitter.
- Creatine/Phosphocreatine:
- Synthesis: Arginine + Glycine $\rightarrow$ Guanidinoacetate (kidney); Guanidinoacetate + SAM $\rightarrow$ Creatine (liver).
- Storage: Creatine $\rightarrow$ Phosphocreatine (muscle, brain energy reserve).
- Excretion: Creatinine (from non-enzymatic cyclization of creatine phosphate).
- Glutathione (GSH): Glutamate + Cysteine $\rightarrow$ $\gamma$-Glutamylcysteine; then + Glycine $\rightarrow$ GSH.
⭐ Glutathione (GSH), a tripeptide of glutamate, cysteine, and glycine, is a major intracellular antioxidant, protecting cells from oxidative damage.
- Nitric Oxide (NO): Arginine $\rightarrow$ NO + Citrulline (NO synthase; requires NADPH, THB).
- Functions: Vasodilator, neurotransmitter.
- Functions: Vasodilator, neurotransmitter.
High‑Yield Points - ⚡ Biggest Takeaways
- Tyrosine is a precursor for catecholamines (Dopamine, Epinephrine), thyroid hormones, and melanin.
- Tryptophan forms serotonin, melatonin, and is a source for niacin (B3).
- Glycine is essential for heme, purine rings, and creatine synthesis.
- Arginine synthesizes nitric oxide (NO), urea, and creatine.
- Histidine is decarboxylated to histamine, a key inflammatory mediator.
- Glutamate is converted to GABA (inhibitory neurotransmitter) and glutathione.
- S-Adenosylmethionine (SAM) from methionine is the primary methyl donor.
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