Homocystinuria: marfanoid habitus, DOWNWARD lens dislocation, thrombosis; B6-responsive forms
Enzymes & cofactors
Search by name, gene symbol, EC number or the disorder it causes. Open any enzyme to see every reaction it catalyses, what accelerates it and what inhibits it.
CYP3A4 handles ~50% of drugs; major site of drug-drug interactions
FBPase deficiency: fasting hypoglycaemia, lactic acidosis, ketosis
Classic galactosaemia: cataracts, jaundice, E. coli sepsis, intellectual disability
Rate-limiting for glutathione synthesis; feedback-inhibited by GSH
G6PD deficiency: oxidative haemolysis, Heinz bodies, bite cells, favism
Committed step of purine synthesis; feedback-inhibited by AMP/GMP; azaserine site
McArdle disease (GSD V, muscle); Hers disease (GSD VI, liver)
GSD 0: low glycogen, fasting ketotic hypoglycaemia
Produces biliverdin, CO and Fe2+; rate-limiting for heme catabolism
Target of statins; SREBP-2 regulated
Rate-limiting TCA step; IDH1/2 neomorphic mutations produce 2-hydroxyglutarate in glioma/AML
ALAS2 defects: X-linked sideroblastic anaemia (B6-responsive)
Rate-limiting for ketogenesis; induced by fasting/PPAR-alpha
Phenylketonuria: musty odour, intellectual disability, hypopigmentation; BH4 defects cause malignant PKU
Suppressed indirectly by corticosteroids (annexin/lipocortin)
Suppressed indirectly by corticosteroids (annexin/lipocortin)