[drmodi44]

A 52-year-old African American man with newly diagnosed diabetes presents to the outpatient clinic in a tachycardic and diaphoretic state. The patient admits that he skipped lunch. His blood sugar is 42 mg/dL. Which co-enzyme is required in the final synthetic step for the effector hormone causing these symptoms?

A) S-Adenosyl-methionine
B) Tetrahydrobiopterin
C) Vitamin B12
D) Vitamin C
E) None

 

[tmsid]

Tachycardia and diaphoresis - Epinephrine?

My guess is A). SAM :S

 

[drmodi44]

yup its S adenosyl methionine...it is involved as co substrate in methyl group transfer...
Epinephrin is released in response to hypoglycemia...Enzyme that converts Norepinephrin to epinephrin requires S Adenosyl methionine..:happy: