Genetic Disorders: Osteogenesis Imperfecta & Ehlers-Danlos
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Questions and Answers

What is the primary genetic cause of Osteogenesis Imperfecta?

  • Impaired copper absorption
  • Defective type V collagen
  • Abnormalities in procollagen peptidase
  • Mutations in COL1A1 and COL1A2 (correct)

Which of the following is NOT a common manifestation of Osteogenesis Imperfecta?

  • Multiple fractures
  • Blue sclerae
  • Brittle, 'kinky' hair (correct)
  • Dental imperfections

Which type of Ehlers-Danlos Syndrome is characterized by joint instability?

  • Procollagen peptidase deficiency type
  • Classical type
  • Vascular type
  • Hypermobility type (correct)

What results from impaired copper absorption in Menkes Disease?

<p>Reduced lysyl oxidase activity (C)</p> Signup and view all the answers

What is a hallmark symptom of the classical type of Ehlers-Danlos Syndrome?

<p>Skin hyperextension (C)</p> Signup and view all the answers

What is one of the cautionary notes associated with treatment for Osteogenesis Imperfecta?

<p>May be confused with child abuse (A)</p> Signup and view all the answers

Which condition is associated with a risk of berry and aortic aneurysms?

<p>Ehlers-Danlos Syndrome (C)</p> Signup and view all the answers

Which mutation is primarily responsible for the vascular type of Ehlers-Danlos Syndrome?

<p>COL3A1 (C)</p> Signup and view all the answers

Flashcards

What is Osteogenesis Imperfecta?

A genetic bone disorder characterized by brittle bones, often caused by mutations in the COL1A1 or COL1A2 genes.

What is the role of collagen in Osteogenesis Imperfecta?

Type I collagen is a key structural protein in bones, skin, and tendons. In Osteogenesis Imperfecta, mutations in genes like COL1A1 and COL1A2 disrupt the formation of this vital collagen.

What is Ehlers-Danlos Syndrome?

A group of genetic disorders that affect collagen synthesis, causing a range of symptoms like hyperelastic skin, hypermobile joints, and fragile blood vessels.

What is the hypermobility type of Ehlers-Danlos Syndrome?

A type of Ehlers-Danlos Syndrome characterized by joint hypermobility, often the most common form.

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What is the vascular type of Ehlers-Danlos Syndrome?

A type of Ehlers-Danlos Syndrome marked by fragile blood vessels, muscles, and organs, due to mutations in type III procollagen.

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What is Menkes Disease?

An X-linked recessive disorder affecting copper absorption and transport, disrupting collagen cross-linking.

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How does the defective Menkes protein lead to collagen problems?

The Menkes protein, ATP7A, is responsible for copper transport. Defective ATP7A leads to copper deficiency, affecting enzymes like lysyl oxidase that are crucial for collagen cross-linking.

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How is Menkes Disease different from Wilson's Disease?

Menkes disease is caused by a defective gene called ATP7A, which is responsible for copper transport. This contrasts with Wilson's disease, caused by defective ATP7B, which leads to copper buildup.

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Study Notes

Osteogenesis Imperfecta

  • Genetic bone disorder caused by gene defects (most commonly COL1A1 and COL1A2)
  • Autosomal dominant type I collagen is common, but with altered triple helix formation
  • Manifestations:
    • Multiple fractures and bone deformities (especially after minor trauma, e.g., during birth)
    • Blue sclera due to translucent scleral collagen revealing choroidal veins
    • Tooth abnormalities (e.g., opalescent teeth that wear easily, dentinogenesis imperfecta)
    • Hearing loss due to abnormal ossicles

Ehlers-Danlos Syndrome

  • Faulty collagen synthesis leads to:
    • Hyperextensible, thin, or translucent skin.
    • Hypermobile joints
    • Tendency to bleed easily (bruising)
  • Multiple types, with variable inheritance (autosomal dominant or recessive)
  • Potential associations:
    • Joint dislocation
    • Berry and aortic aneurysms
    • Organ rupture
  • Different types include hypermobility type (most common), which involves joint instability

Menkes Disease

  • X-linked recessive connective tissue disorder
  • Caused by impaired copper absorption and transport, specifically due to a defective Menkes protein (ATP7A)
  • Copper deficiency leads to:
    • Increased lysyl oxidase activity
    • Defective collagen cross-linking
  • Manifestations:
    • Brittle, "kinky" hair
    • Growth and developmental delay
    • Hypotonia
    • Increased risk of cerebral aneurysms

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Description

Explore the genetic disorders Osteogenesis Imperfecta and Ehlers-Danlos Syndrome. This quiz covers their causes, manifestations, and implications on health. Understand the genetic aspects and clinical features of these conditions.

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