Biochemistry · Heme Synthesis and Porphyrias

The final step of the heme biosynthetic pathway involves:

  • A Oxidation of protoporphyrinogen IX to protoporphyrin IX
  • B Decarboxylation of coproporphyrinogen III to protoporphyrinogen IX
  • C Condensation of glycine with succinyl-CoA
  • D Insertion of ferrous iron (Fe2+) into protoporphyrin IX
Correct answer: D. Insertion of ferrous iron (Fe2+) into protoporphyrin IX

Explanation

Ferrochelatase, the last mitochondrial enzyme of the pathway, inserts ferrous iron (Fe2+) into protoporphyrin IX to form heme. Option B describes coproporphyrinogen oxidase, option A describes protoporphyrinogen oxidase, and option C is the ALA synthase reaction. When iron is unavailable or ferrochelatase is inhibited, as in lead poisoning or iron deficiency, zinc substitutes for iron and zinc protoporphyrin accumulates.

Reference: Harper's Illustrated Biochemistry, 32nd ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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