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Heme biosynthetic pathway enzyme (None standardized for the entire pathway; most enzymes in the pathway have individual abbreviations (e.g., ALAS for 5-aminolevulinic acid synthase, PBGD for porphobilinogen deaminase))

Target
None standardized for the entire pathway; most enzymes in the pathway have individual abbreviations (e.g., ALAS for 5-aminolevulinic acid synthase, PBGD for porphobilinogen deaminase)
Molecular classification
Enzyme, metabolic enzymes, synthase, deaminase, decarboxylase, oxidase, chelatase
01

Overview

The heme biosynthetic pathway consists of a series of eight sequential enzymatic steps converting glycine and succinyl-CoA into heme through multiple intermediates (ALA, PBG, HMB, uroporphyrinogen III, coproporphyrinogen III, protoporphyrinogen IX, protoporphyrin IX), with each reaction catalyzed by a specific enzyme (e.g., ALAS, ALAD, PBGD, UROS, UROD, CPO, PPO, FC). These enzymes are critical in cellular metabolism and function of hemoglobin, cytochromes, and other heme-containing proteins. Mutations or inhibition of these enzymes lead to a variety of porphyrias and other metabolic disorders, making them both biomarkers and therapeutic targets. The canonical nomenclature for each enzyme should be used specifically, rather than the collective term. If a database entry requires a single canonical molecule, split this entry into individual enzyme names for accuracy and utility.

Other names
Heme biosynthetic enzymesHeme synthesis enzymesPorphyrin pathway enzymesIndividual enzyme names as aliases: 5-aminolevulinic acid synthase (ALAS)porphobilinogen deaminase (PBGD)uroporphyrinogen III synthase (UROS)uroporphyrinogen III decarboxylase (UROD)coproporphyrinogen III oxidase (CPO)protoporphyrinogen IX oxidase (PPO)ferrochelatase (FC)etc.
02

Mechanism of action

Enzyme inhibition (e.g., reducing ALAS1 activity); Enzyme replacement or activation; Gene silencing via RNA interference (e.g., givosiran targets ALAS1 mRNA)

03

Biological functions

Metabolic pathway for heme synthesisProduction of tetrapyrrole compoundsEssential for hemoglobin, myoglobin, cytochromes, catalases, peroxidases functionOther (amino acid metabolism linkage, iron utilization)
04

Disease associations

Porphyrias (e.g., acute intermittent porphyria, erythropoietic protoporphyria, congenital erythropoietic porphyria)Anemias (e.g., sideroblastic anemia)Lead poisoning (inhibition of ALA dehydratase)Other (neurological and hepatic disorders linked to porphyrin metabolism)
05

Safety considerations

Toxic intermediate accumulation (e.g., ALA and PBG neurotoxicity)Photosensitivity (porphyrin accumulation causing skin damage)Drug-induced exacerbation of porphyrias
06

Interacting drugs

Hemin

3 more in the full profile.

07

Biomarkers

ALA (aminolevulinic acid)PBG (porphobilinogen)Porphyrins (urine, plasma, and erythrocyte forms depending on the block in the pathway)Enzyme activity assays (for ALAS, PBGD, UROD, etc.)

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