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CAUSES OF PURINE AND PYRIMIDINE METABOLISM DISORDERS

Abstract

Purines and pyrimidines are essential building blocks of DNA, RNA, and compounds involved in cellular energy transfer and biosynthetic reactions (e.g., adenosine triphosphate, ATP). Purine and pyrimidine disorders have a wide spectrum of signs and symptoms, including autism, kidney stones, susceptibility to infections, and severe intellectual disability. Symptoms may present from infancy to old age. Most metabolic screening tests do not detect disorders of purine or pyrimidine metabolism; hence, they must be specifically sought out by having specialized analyses performed. Adenosine deaminase (ADA) deficiency results in the accumulation of 2′-deoxyadenosine in the circulating white blood cells (lymphocytes). This, in turn, causes a decreased number of lymphocytes and a drastically increased susceptibility to infection (severe combined immunodeficiency, SCID). Bone marrow transplantation may be curative, and gene therapy has shown promise, but enzyme replacement therapy is the standard treatment.

Keywords

Adenosine,ADA,metabolic syndrome,phosphoribosyltransferase, purine,pyrimidine.

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