Page 204 - Color Atlas of Biochemistry
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Porphyrin Metabolism         195


                 A. Degradation of heme groups

                                                               Heme                 Cleavage by   1
                      3  N   A    3  N   A      CO                     R 2          CH 3
                              P           P
                                                                H C     A          B      R 3
                                                                 3
                                                                          N      N
                    2           1                                               2
                                                                              Fe
                                                                          N      N
                         3 O 2      3 H O   Fe 2                 R 1    D          C     CH 3
                                       2
                  Heme                        Reused
                                              for heme
                                              synthesis            COO                  COO

                             Biliverdin
                                                                 CH 2  OOC   CH H C   COO           CH 2
                                                                                  2
                                                                               2
                                                            CH 3  CH   CH 3  CH 2  CH 2  CH 3  CH 3  CH

                       N    A       N   A
                                                               B          C           D          A
                             P           P
                                                         O    N     C     N     C     N     C    N     O
                                                              H     H     H     H 2   H     H    H
                                                                            Bilirubin
                                2




                             Bilirubin        RES
                                                         Bilirubin      3        Bilirubin
                                                                                 diglucuronide        Urine
                                                            U
                                                         2      P P   GlcUA  2 UDP              Slowest
                                              Blood                                             step in
                             Albumin                                                            hepatic
                                                                                                metabo-
                                                                                                lism
                                                                                  Gallbladder




                                                                                                Entero-
                             Albumin                                                            hepatic
                                                                       Bile                     circulation
                              Bilirubin                                pigments


                                                         Intestine
                             Binding
                             site for
                             bilirubin
                             and drugs                          Bilirubin       Bacterial
                                                                                metabolism
                                                                diglucuronide
                                                          2 GlcUA

                     1   Heme oxygenase                                       Stercobilinogen
                         (decyclizing) 1.14.99.3                  Bilirubin   Urobilinogen

                     2   Biliverdin reductase
                         1.3.1.24
                                                                     Stercobilin
                     3   Glucuronosyl                                Urobilin
                          transferase 2.4.1.17



           Koolman, Color Atlas of Biochemistry, 2nd edition © 2005 Thieme
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