X-Linked Recessive Disorders Flashcards
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Duchenne Muscular Dystrophy (DMD)
Progressive myopathy
Eventual resp and cardiac failure
Mutation in X chromosome that codes for dystrophin
Sx: pseudohypertrophy of calves as muscles get replaced by fat (elevated creatine kinase CK in plasma)
1/3 new mutation, 2/3 inherited from mother
Certain female carriers, may exhibit variable expressions of abnormal phenotype (manifesting heterozygotes)
Becker Muscular Dystrophy
Same locus in DMD
15% of MD from dystophin defect
If alive beyond 20 years, possibly BMD, so capable of producing offspring
Hemophilia A and B
A: Factor VIII, 8
B: Factor IX, 9
Deletion, insertion, and point mutation
Result: defective blood clotting
Glucose-6-PO4 DH Deficiency
HETEROzygote advantage - malaria resistance
Hemolytic anemia (oxidative stress from drugs, diet, and infection) with Heinz bodies
Minimize drugs (primaquine), and diet (Fava bean) that cause oxidative stress
Sideroblastic Anemia
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Fabry Disease
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Ornithine Transcarboxymylase Deficiency
Orotic aciduria, add later
Leisch-Nyhan Syndrome
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Lesch–Nyhan Syndrome
HGPRT defect, gout, purine salvage pathway (increased purine pyrimidine), mostly in males
Hunter Syndrome
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Hunter Syndrome
I-Sulfatase, NO CORNEAL CLOUDING
Fabry Disease
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Wardott-Aldrinch Syndrome
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