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Heme Metabolism TAU

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Medical Biochemistry & Genetics (MBG1125)

Metabolism of Heme
by

Dr. Chimuka Mwaanga


Heme Metabolism (Outline)
Heme (Haem) Synthesis

Heme Breakdown

Bilirubin Metabolism
Heme Molecular Structure

N
H
pyrrole

pyrrole rings

• Heme is a derivative of the porphyrin molecule.


• Porphyrins are cyclic compounds formed by fusion of 4
pyrrole rings linked by methenyl bridges.
Heme is a Derivative of Porphyrin
(C20H14N4)

Heme
Porphyrin
Biological Importance of Heme

Heme is the prosthetic group of hemoproteins


Hemeglobin (α2β2): The Oxygen Carrier
because of Heme

Heme (Haem) and ferrous Iron confer the ability to store


and transport Oxygen
Heme Biosynthesis
Synthesis of Heme
• The substrates mainly include succinyl-CoA,
glycine, Fe2+.
• Heme can be synthesized by almost all the tissues
in the body which require hemoproteins.
• Major sites of synthesis is liver and bone marrow
• The whole synthetic process takes place
subcellularly in the mitochondria and cytosol
Step 1
In mitochondrion

① Heme synthesis begins with condensation of


glycine & succinyl-CoA, with decarboxylation, to
form d-aminolevulinic acid (ALA).
ALA Synthase is The Regulatory Enzyme for Heme
Biosynthesis
1. ALA Synthesis is the committed step of the heme synthesis
pathway, and usually rate-limiting for the overall pathway.
2. Regulation occurs through control of gene transcription.
3. Heme functions as a feedback inhibitor, repressing transcription
of the ALA Synthase gene in most cells.
Step 2 COOH O
OH
CH2 porphobilinogen
CH2 HO

O C
ALA dehydratase
O
H C H
2H2O
H N H N
H2N H

• The succeeding few reactions occur in the cytoplasm.


• One ALA condenses with another molecule of ALA to form porphobilinogen(PBG).
• The condensation involves removal of 2 molecules of water and the enzyme is
ALA dehydratase .
COO

COO CH2 Porphobilinogen


CH2 CH2 (PBG) is the first
pathway intermediate N
that includes a H
H2 C pyrrole ring. pyrrole
N
+ H
NH3
Porphobilinogen (PBG)
The porphyrin ring is formed by condensation of 4 molecules of
porphobilinogen.
Porphobilinogen Deaminase catalyzes successive PBG condensations,
initiated in each case by elimination of the amino group.
Synthesis of Uroporphyrinogen from PBG
URO

COPRO
PROTO
CH2 protoporphyrin IX CH2 heme
CH CH3 CH CH3

H3C CH CH2 H3C CH CH2


NH N ++ +
N N
Fe 2H
Fe
N HN N N
H3C CH3 H3C CH3

CH2 CH2 Ferrochelatase CH2 CH2

CH2 CH2 CH2 CH2


- - - -
COO COO COO COO

- heme is formed by incorporation of iron (Fe2+)


- partly spontaneous
- ferrochelatase enhances rate and also inhibited by lead
 Fe++ is added to protoporphyrin IX via Ferrochelatase, a homodimeric enzyme
containing 2 iron-sulfur clusters.
Regulation of heme synthesis
Regulation of heme synthesis

1. ALA synthase
Major site of regulation is at the level of ALA synthase.

① It is regulated by repression mechanism.


Heme inhibits the synthesis of ALA synthesis by
acting as a corepressor. The feedback regulatory
effect is a typical example of end-product
inhibition.
② ALA synthase is also allosterically inhibited by
hematin.
When there is excess of free heme without globin
chains to bind with, the Fe++ is oxidized to Fe+++
forming hematin. Hematin will inhibit ALA synthase
to prevent excessive unwanted production of heme.

Hematin will also inhibit the translocation of ALA


synthase from the cytoplasm into the mitochondria where
its substrate, succinyl CoA is formed. Thus heme synthesis
is inhibited till there are sufficient globin chains to bind with.
③ Lack of Vitamin B6 will decrease the synthesis of
ALA.
Drugs like INH (isonicotinic acid hydrazide) that
decrease the availability of pyridoxal phosphate may
also affect heme synthesis.
2. Heme synthesis may be inhibited by heavy metals. the steps
catalyzed by ALA dehydratase and ferrochelatase are inhibited by lead.

3. erythropoietin, EPO

 The kidneys also secrete a hormone called erythropoietin.


 The function of erythropoietin is to stimulate the production of red blood cells. The
kidney produces 85~95% of the body's erythropoietin so when the kidney is
damaged (kidney disease or failure), not enough erythropoietin is produced to
maintain normal red blood cell levels. This leads to anemia.
Heme Breakdown and Bilirubin
Metabolism
Heme Degradation
Bilirubin
Metabolism

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