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Aminolevulinate synthase 1 (ALAS1) is a mitochondrial enzyme that catalyzes the first and rate-limiting step in the biosynthesis of heme. This step involves the condensation of glycine with succinyl-CoA to form delta-aminolevulinic acid (ALA). ALAS1 is considered a "housekeeping" isozyme expressed in most tissues except erythroid cells. Its activity is subject to feedback inhibition by heme. Mutations in ALAS2, another isozyme, cause X-linked sideroblastic anemia, while disruption of ALAS1 expression or function may contribute to metabolic disorders.
Inhibition of heme biosynthesis
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