amino acid diseases 3-14 Sarge Flashcards
Physical Charateristics of people with cistinuria
cictine stones form in the bladder and kidneys
What molecule causes issues in cistinuria and how does it accumulate
cistine- the product if two cysteines. cystine is normally filtered through the glomerulus and then re-absorbed by a transporter in the proximal tubule, but the transporter is not functional.
What is the function of the proteins mutated in cistinuria
heterodimer transporters of cistine
3 means by which citinuria is treated
hydration, penicillamine (reduces cystine to cisteines), extracorporeal shock wave lithotripsy (ultrasound)
symptoms of PKU
mental retardation, fair skin, increased ketoacids (phenylpyruvic acid
main defect of PKU, inheritance
phenylalanine hydroxylase or dihydropterin reductase(autosomal recessive) phenylalanine can not be used to make tyrosine
How is PKU diagnosed
test phenylalanine levels in newborns’ blood (elevated)
Symptoms of Maple Syrup Urine Disease, inheritance
sweet-smelling pee, mental retardation, autosomal recessive
Defect in MSUD
high levels of branched amino chains (valine, isoleucine, leucine)- mutations in the 4 proteins that make up the branched chain amino ketoacid dehydrogenase units
How is MSUD treated
restrict branched chain amino acids in diet, thiamine supplement to use as a cofactor for the dehydrogenase
symptoms of urea cycle diseases
ataxia, lethargy, death
Most common urea cycle disorder
ornithine transcarbamoylase deficiency
treatment for urea cycle disorders
low protein diet and injection with nitrogen-scavenging compounds, LIVER TRANSPLANT