Amino acid metabolism: dopamine beta-hydroxylase and copper: practice question

A Biochemistry question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Biochemistry · Amino acid metabolism: dopamine beta-hydroxylase and copper

Sample item

Menkes 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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Questions about this Biochemistry question

What is the answer to this Biochemistry question?

The best answer is A, Copper. Dopamine beta-hydroxylase is a copper-containing enzyme that also uses ascorbate.

Why is "Selenium" not the answer?

Selenium is a cofactor for glutathione peroxidase and iodothyronine deiodinases.

Why is "Zinc" not the answer?

Zinc is a cofactor of enzymes such as alcohol dehydrogenase and carbonic anhydrase.

Why is "Manganese" not the answer?

Manganese is a cofactor for mitochondrial superoxide dismutase and arginase.

What concept does this question test?

It tests Amino acid metabolism: dopamine beta-hydroxylase and copper in Biochemistry. In Menkes disease the ATP7A copper transporter is defective, so copper cannot reach cuproenzymes, and dopamine is converted poorly to noradrenaline.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Amino acid metabolism: dopamine beta-hydroxylase and copper?

Build one table of enzyme deficiency, disease, inheritance and key finding, then revise it by spaced recall. Then use the flashcards and the other Biochemistry questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.