“…3 Under physiological conditions, this process occurs regioselectively starting with the acetate group on ring D and then proceeding to ring A, then B and finally ring C (the 'clockwise' decarboxylation pathway). 3,[5][6][7] However, there are four possible hepta-, six hexa-and four pentacarboxylate porphyrinogens that could be formed from uro'gen-III, and overall there are 24 possible pathways between uro'gen-III and copro'gen-III. 3,[5][6][7] Interestingly, in enzyme incubation studies using uro'gen-III or specific hepta-or hexacarboxylate porphyrinogens, the process appears to be random and all of the possible porphyrinogen intermediates can be identified.…”