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Biochemistry Urea cycle f12dfe5d

HHH syndrome is due to defect in:-

A
Ornithine transcarbamoylase
B
Ornithine permease
C
Ornithine decarboxylase
D
Ornithine
High-Yield Explanation
HHH syndrome is due to defect in Ornithine permease of mitochondrial membrane. Hyperornithinemia: As ornithine can't enter mitochondria, it accumulates in blood. Hyperammonemia: As ornithine is not available, urea cycle can't operate i.e. NH3 can't be detoxified. Homocitrullinuria: As ornithine is not available, ornithine homologue lysine reacts with Carbamoyl phosphate to produce homocitrulline. (Difference between lysine and ornithine is just one CH2 group)

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