Lots of uroporphyrinogen I, a useless isomer are made
RBCs prematurely destroyed
Patient’s urine is red because of excretion of uroporphyrin I
Heme Degradation:
Old RBCs are removed from circulation and degraded by spleen.
Apoprotein part of hemoglobin is hydrolyzed into amino acids.
First step in degradation of heme group is cleavage of ? -methene bridge to form biliverdin, a linear tetrapyrrole; catalyzed by heme oxygenase; methene bridge released as CO.
Second step involved reduction of central methene bridge to form bilirubin; catalyzed by biliverdin reductase.
Bilirubin is complexed with serum albumin --> liver --> sugar residues added to propionate side chains.
2 glucuronates attached to bilirubin are secreted in bile.
Jaundice
yellow pigmentation in sclera of eye and in skin --> excessive bilirubin levels in blood
Caused by excessive breakdown of RBCs, impaired liver function, mechanical obstruction of bile duct.
Common in newborns as fetal hemoglobin is broken down and replaced by adult hemoglobin.