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Biochemistry · Amino acid metabolism: dopamine beta-hydroxylase and copper
Sample itemMenkes disease causes low plasma noradrenaline with a raised dopamine to noradrenaline ratio. Which trace element needed by dopamine beta-hydroxylase explains this?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Copper
Dopamine beta-hydroxylase is a copper-containing enzyme that also uses ascorbate. In Menkes disease the ATP7A copper transporter is defective, so copper cannot reach cuproenzymes, and dopamine is converted poorly to noradrenaline.
Option by option
A. Copper (correct)
Correct. This enzyme requires copper and ascorbate.
B. Selenium
Selenium is a cofactor for glutathione peroxidase and iodothyronine deiodinases.
C. Zinc
Zinc is a cofactor of enzymes such as alcohol dehydrogenase and carbonic anhydrase.
D. Manganese
Manganese is a cofactor for mitochondrial superoxide dismutase and arginase.
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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