A/50 Flashcards
What are 5 examples of AR disorders
- CF
- Phenylketonuria
- Tay-sachs disease
- alpha and beta thalassemias
- Sickle cell anemia
What is the abnormal protein in phenylketonuria?
lack of phenylalanine hydroxylase enzyme
What is the abnormal protein in Tay Sachs disease?
hexosaminidase beta subunit
What is the prevalence of phenylketonuria?
1 / 10 000
Signs of phenylketonuria (5)
- increasing serum phenylalanine levels after 1-2 weeks
- mental retardation
- seizures
- neurological abnormalities
- decreased skin pigmentation
How can PKU be avoided?
By restricting consumption of phenylalanine (milk, eggs, chicken)
What is the biochemical explanation for PKU?
Without enzyme, cannot convert phenylalanine to tyrosine, so it produces many intermediates from other pathways
Why is there light pigmentation in PKU?
Because tyrosine is a melanin precursor
What is the prevalence of galactosemia?
1 / 60 000
What enzyme is missing in galactosemia?
GALT (galactose 1 phosphate uridyltransferase)
Result of missing enzyme in galactosemia?
Galactose 1P accumulation in all tissues
Anatomical changes in galactosemia
- early onset hepatomegaly
- jaundice
- cirrhosis
- cataracts
- loss of nerve cells
How to treat galactosemia?
Removing galactose from the diet for the first 2 years of life
What does the lack of enzyme cause in Tay Sachs disease?
Gangliosidosis : accumulation of gangliosides
Which cells are the most affected in Tay Sachs disease?
CNS cells : neurons, axons, glial cells