amino acid diseases 3-14 Sarge Flashcards

1
Q

Physical Charateristics of people with cistinuria

A

cictine stones form in the bladder and kidneys

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2
Q

What molecule causes issues in cistinuria and how does it accumulate

A

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.

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3
Q

What is the function of the proteins mutated in cistinuria

A

heterodimer transporters of cistine

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4
Q

3 means by which citinuria is treated

A

hydration, penicillamine (reduces cystine to cisteines), extracorporeal shock wave lithotripsy (ultrasound)

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5
Q

symptoms of PKU

A

mental retardation, fair skin, increased ketoacids (phenylpyruvic acid

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6
Q

main defect of PKU, inheritance

A

phenylalanine hydroxylase or dihydropterin reductase(autosomal recessive) phenylalanine can not be used to make tyrosine

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7
Q

How is PKU diagnosed

A

test phenylalanine levels in newborns’ blood (elevated)

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8
Q

Symptoms of Maple Syrup Urine Disease, inheritance

A

sweet-smelling pee, mental retardation, autosomal recessive

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9
Q

Defect in MSUD

A

high levels of branched amino chains (valine, isoleucine, leucine)- mutations in the 4 proteins that make up the branched chain amino ketoacid dehydrogenase units

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10
Q

How is MSUD treated

A

restrict branched chain amino acids in diet, thiamine supplement to use as a cofactor for the dehydrogenase

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11
Q

symptoms of urea cycle diseases

A

ataxia, lethargy, death

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12
Q

Most common urea cycle disorder

A

ornithine transcarbamoylase deficiency

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13
Q

treatment for urea cycle disorders

A

low protein diet and injection with nitrogen-scavenging compounds, LIVER TRANSPLANT

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