Metabolic Disease Flashcards
Result from disruption of a normal metabolic pathway that causes increased plasma concentrations of arz the non-metabolized substances; over ride reabsorption ability of the tubules are not normally reabsorbed from the filtrate
Overflow
Due to defective tubular reabsorption of amino acids
Renal
Tubules in
the nephron are no longer reabsorbing certain amino acids
Renal
Failure to inherit a gene that codes for a particular enzyme
Inborn error of metabolism
Testing for many substances is now performed using
Tandem Mass Spectrophotometry
It is capable of screening infant blood sample for specific substances associated with particular IEMs
Tandem Mass Spectrophotometry (MS/MS).
Homogentisic acid color
Black
Affect the color tho not directly
Melanin
Indican color
Dark/bluish color
Porphyrins color
Pink to reddish brown or purple
Most well known of the aminoacidurias
Phenylketonuria
Most well known of the aminoacidurias
Phenylketonuria
Phenylketonuria: negative for the gene that codes for?
Phenylalanine hydroxylase
Phenylketonuria: negative for the gene that codes for
Phenylalanine hydroxylase
Screnung test for pku
FeCl3 tube tes
Phenistix strip
Pku: FeCl3 positive color
Blue green color
Pku: phenistix color
Gray to gray green color
GBIT: B.subtilis is cultured with?
Beta-2-thienylalanine (TE)
counteracts the action of B2-TE
Phenylalanine
Guthrie bacterial inhibition test aka
Guthrie’s microbial inhibition assay
Most well known teit for phenylketonuria
Guthrie bacterial inhibition test’
Blood sample from the heel stick and placed on filter paper disc
• placed in culture media incorporated with Beta-2-thienylalanine which serves as an inmoitor for B-subtilis
(+): Growth of the organism
Guthrie bacterial inhibition test’
accumulation of excess tyrosine in the plasma (tyrosinemia)
producing urinary overflow
Tyrosyluria
Tyrosyluria: (-) for a gene that decodes for:
Type 1:
Fumarylacetoacetate hydrolase (FAH)
Tyrosyluria: (-) for a gene that decodes for:
Type 2:
Tyrosine aminotransferase
Tyrosyluria: (-) for a gene that decodes for:
Type 3:
p-hydroxyphenylpyruvic acid dioxygenase
• May also be seen in patients with severe liver disease (will produce tyrosine and leucine crystals)
Tyrosyluria
Tyrosyluria odor
Rancid butter odor
Screening for tyrosyluria
Nitrosonaphthanol