Defects in the Citrate Cycle are rare but have been described. Based on the level of metabolites shown in a patient's blood in the table below, which human metabolic enzyme is most likely defective; and why is the lactate lev so high in this patient? Compound Lactate Fumarate Succinate Malate Citrate Patient (mmol/L) 25.5 ± 1.2 <0.1 10.0 ± 1.0 <0.1 5.5 ± 1.5 Normal control (mmol/L) 1.5 ± 0.3 7.1 ± 0.5 0.5 ± 0.2 4.2 ± 0.4 150 ± 25

Biochemistry
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Chapter1: Biochemistry: An Evolving Science
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Fumarate
Succinate
Malate
Citrate
<0.1
10.0 ± 1.0
<0.1
5.5 1.5
7.1 ± 0.5
0.5 ± 0.2
4.2 ± 0.4
150 ± 25
Fumarase; because the citrate cycle is blocked.
Fumarase; because pyruvate is used to make oxaloacetate.
Lactate dehydrogenase; because the defect is in this enzyme.
Succinate dehydrogenase; because pyruvate is converted to lactate.
Malate dehydrogenase; because the citrate cycle is blocked.
Transcribed Image Text:Fumarate Succinate Malate Citrate <0.1 10.0 ± 1.0 <0.1 5.5 1.5 7.1 ± 0.5 0.5 ± 0.2 4.2 ± 0.4 150 ± 25 Fumarase; because the citrate cycle is blocked. Fumarase; because pyruvate is used to make oxaloacetate. Lactate dehydrogenase; because the defect is in this enzyme. Succinate dehydrogenase; because pyruvate is converted to lactate. Malate dehydrogenase; because the citrate cycle is blocked.
Defects in the Citrate Cycle are rare but have been described. Based on the
level of metabolites shown in a patient's blood in the table below, which
human metabolic enzyme is most likely defective; and why is the lactate lev
so high in this patient?
Compound
Lactate
Fumarate
Succinate
Malate
Citrate
Patient (mmol/L)
25.5 ± 1.2
<0.1
10.01.0
<0.1
5.5 ± 1.5
Normal control
(mmol/L)
1.5 ± 0.3
7.1 ± 0.5
0.5 ± 0.2
4.2 ± 0.4
150 ± 25
Fumarase: because the trato cycle is blocked
Transcribed Image Text:Defects in the Citrate Cycle are rare but have been described. Based on the level of metabolites shown in a patient's blood in the table below, which human metabolic enzyme is most likely defective; and why is the lactate lev so high in this patient? Compound Lactate Fumarate Succinate Malate Citrate Patient (mmol/L) 25.5 ± 1.2 <0.1 10.01.0 <0.1 5.5 ± 1.5 Normal control (mmol/L) 1.5 ± 0.3 7.1 ± 0.5 0.5 ± 0.2 4.2 ± 0.4 150 ± 25 Fumarase: because the trato cycle is blocked
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