Abstract
The first known drug affecting the orotate pathway was 6-azauridine [245,246]. This analogue is phosphorylated to 6-azauridine 5′-monophosphate which acts as a competitive inhibitor of orotidylic acid decarboxylase [247]. Therapeutic use of 6-azauridine [248,249] is occasionally complicated by a pronounced crystalluria. Owing to the block of orotidylic acid decarboxylase, large amounts of orotidine and orotic acid are excreted in urine. After the infusion of 6-azauridine the excretion of orotic acid precedes orotidine and the former disappears more rapidly from the urine. Psoriatic patients on azaribine (triacetylated form of 6-azauridine given orally) excreted 0.2–1.3 g of orotic acid and orotidine per day [250].
Keywords
Barbituric Acid Psoriatic Patient Orotic Acid Phenethyl Alcohol Pyrimidine SynthesisPreview
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References
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