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Erythroid heme biosynthesis and its disorders.
[erythropoietic protoporphyria]
Heme
,
which
is
composed
of
iron
and
the
small
organic
molecule
protoporphyrin
,
is
an
essential
component
of
hemoglobin
as
well
as
a
variety
of
physiologically
important
hemoproteins
.
During
erythropoiesis
,
heme
synthesis
is
induced
before
,
and
is
essential
for
,
globin
synthesis
.
Although
all
cells
possess
the
ability
to
synthesize
heme
,
there
are
distinct
differences
between
regulation
of
the
pathway
in
developing
erythroid
cells
and
all
other
types
of
cells
.
Disorders
that
compromise
the
ability
of
the
developing
red
cell
to
synthesize
heme
can
have
profound
medical
implications
.
The
biosynthetic
pathway
for
heme
and
key
regulatory
features
are
reviewed
herein
,
along
with
specific
human
genetic
disorders
that
arise
from
defective
heme
synthesis
such
as
X-
linked
sideroblastic
anemia
and
erythropoietic
protoporphyria
.
Diseases
Validation
Diseases presenting
"sideroblastic anemia"
symptom
erythropoietic protoporphyria
This symptom has already been validated