Biochemistry USMLE step 1

Study Guides Aug 1, 2025
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Biochemistry USMLE step 1

histones are rich in which 2 AA's (Ans- lysine & argenine

Barr bodies (what, type of chromatin) (Ans- inactive X chromosomes heterochromatin (highly condensed, sterically inaccessible)

less condensed, transcriptionally active, sterically accessible chromatin (Ans- euchromatin

DNA methylation at CpG islands (Ans- represses transcription

"CpG Methylation makes DNA Mute"

DNA methylation (what is methylated and why?) (Ans- template strand cytosine and adenine are methylated during replication --> mismatch repair enzymes can distinguish between old and new strands

Histone methylation (Ans- usually reversibly represses DNA transcription (can activate depending on location)

"histone Methylation Mostly makes DNA Mute"

Histone acetylation (Ans- relaxes DNA coiling --> permits transcription

"histone Acetylation makes DNA Active"

  • / 4

function of methylation and acetylation (Ans- change DNA transcription activity

methylation mutes acetylation activates

purines (which, ring number) (Ans- A, G

  • rings

PUR As Gold

pyrimidines (which, ring number) (Ans-

C, T, U

  • ring

CUT the PY (pie is a single circle)

thymine vs uracil (Ans- thymine has a methyl, found in DNA deamination of cytosine --> uracil, found in RNA

base pair with 3 H-H bonds (and consequences) (Ans- G-C

G-C is stronger than A-T (2 H-H)

inc G-C content --> inc melting temperature of DNA

amino acids necessary for purine synthesis (Ans- GAG + THF

glycine aspartate 2 / 4

glutamine

nucleoside vs. nucleotide vs. nucleotide di/triphosphate (Ans- nucleoside = base + sugar nucleotide = base + sugar + phosphate nucleotide diphosphate = base + sugar + 2P's nucleotide triphosphate = base + sugar + 3P's

de novo purine synthesis (Ans- R5P --> PRPP by PRPP synthetase (adds 2P's) add base (hypoxanthine) --> IMP by HGPRT IMP converted to AMP and GMP

ribonucleotides --> deoxyribonucleotides (Ans- ribonucleotide reductase

carbamoyl phosphate involved in which 2 metabolic pathways?(Ans- de novo pyrimidine synthesis (CP synthetase II) urea cycle

de novo pyrimidine synthesis (Ans-

*Make temporary base:*

  • glutamine + CO2 + ATP --> carbamoyl phosphate by CP synthetase II
  • carbamoyl phosphate + aspartate --> orotic acid via dihydroorotate
  • dehydrogenase

*Add sugar + P (PRPP):*

  • orotic acid + PRPP --> UMP --> UDP

*Modify base* 4a. UDP --> CTP 4b. UDP --> dUDP by ribonucleotide reductase

  • dUDP --> dUMP 3 / 4
  • dUMP + THF --> dTMP by thymidylate synthase = methylates uracil into
  • thymadine *THF (which becomes DHF) regenerated by dihydrofolate reductase

differences in de novo purine and pyrimidine synthesis

(Ans- purines: start with sugar + phos (PRPP), add base

pyrimidines: make temporary base (orotic acid), add sugar + phos (PRPP),

modify base (requires THF for thymidylate synthase)

inhibits dihydroorotate dehydrogenase

(Ans- leflunomide (tx: RA)

prevents carbamoyl phosphate --> orotic acid in pyrimidine synthesis

inhibits IMP dehydrogenase

(Ans- mycophenolate (tx: organ transplant rejection)

ribavirin (tx: viral infx)

prevents IMP --> GMP in purine synthesis

inhibits ribonucleotide reductase

(Ans- hydroxyurea (tx: SC dz > inc HbF)

prevents UDP --> dUDP (RNA > DNA) in pyrimidine synthesis

prodrug of 6-mercaptopurine (6-MP) (Ans- Azathioprine

MOA of 6-MP and Azathioprine (and use) (Ans- inhibit de novo purine synthesis

tx: leukemia, immune dzs (RA, IBD)

prevents PRPP --> IMP

  • / 4

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Category: Study Guides
Added: Aug 1, 2025
Description:

Biochemistry USMLE step 1 histones are rich in which 2 AA's (Ans- lysine & argenine Barr bodies (what, type of chromatin) (Ans- inactive X chromosomes heterochromatin (highly condensed, sterically ...

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