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Kaplan Qbank USMLE



Author9 Posts
  #1

You are given the clinical vignette of a young girl in coma with a history of poorly control D.M type 1. then your are ask what is the rate limiting step of the rxn that lead to her situation.

In another words, what is the rate limiting step of ketogenesis

Also, what is the rate limiting step of ketogenolysis

What enzyme is absent in the liver if ketogenolysis cannot occur

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if you haven't any charity in your heart, you have the worst kind of heart trouble.

  #2

HMG Co A synthase?

  #3

rate limiting enzyme is HMG-Co A synthase...for synthesis..
enzyme absent in liver is thiophorase..(succinylcoA :acetoactate coA transferase)

what is ratelimiting for lysis of ketone bodies :roll: :?:

  #4

yes i agree even i couldnot find out about key enzyme for ketogenolysis except thiophorase which is absent in liver but present in peripheral tissues.

  #5

:|

___________________
if you haven't any charity in your heart, you have the worst kind of heart trouble.

  #6

as far as i remmeber , hmg coA Lyase (HMG CoA to acetoacetate!!)is an eng in ketogenesis n not in ketolgenoysis!!! :roll: correct me if i m wrong

  #7

I'd have to agree with you, oddissy4u. HMG CoA lyase should be in the ketogenesis pathway.

  #8

Yup HMG Co A Synthase and Lyase both r in the Ketogenic Pathway.
Cant figure out the Key enzyme in Ketogenolysis

  #9

plz do verify, i might be wrong. if you have a more reliable source you can quote it.


rate limiting step of ketogenosynthesis----HMG Co A synthase

rate limiting step of ketogenolysis-----hmg coA Lyase

enzyme absent in the liver if ketogenolysis cannot occur---- thiophorase

___________________
if you haven't any charity in your heart, you have the worst kind of heart trouble.







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