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Biochemistry · Nucleotide metabolism: allopurinol
Sample itemAllopurinol lowers uric acid by inhibiting which enzyme?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Xanthine oxidase
Allopurinol and febuxostat reduce conversion of hypoxanthine and xanthine to uric acid by inhibiting xanthine oxidase. This is useful for chronic urate lowering and tumour lysis prophylaxis.
Option by option
A. PRPP synthetase
PRPP synthetase is involved in nucleotide synthesis.
B. Adenosine deaminase
Adenosine deaminase participates in purine degradation but is not allopurinol's target.
C. Xanthine oxidase (correct)
Correct. Xanthine oxidase makes uric acid from purine breakdown products.
D. Carbamoyl phosphate synthetase I
CPS I is the mitochondrial urea-cycle enzyme.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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