Inborn Errors of Metabolism Overview
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Questions and Answers

What did Beadle and Tatum propose about metabolic processes?

  • Each step is controlled by multiple genes
  • Each step is controlled by a specific gene (correct)
  • Each step is controlled by environmental factors
  • Each step is independent of genes
  • Inborn errors of metabolism (IEMs) can be grouped by all of the following EXCEPT:

  • Metabolic pathway
  • Geographical location of the population (correct)
  • Cellular organelle involved
  • Main class of metabolite
  • What was the overall incidence of IEMs in the population according to the study in British Columbia?

  • Approximately 20 per 100,000 live births
  • Approximately 80 per 100,000 live births
  • Approximately 60 per 100,000 live births
  • Approximately 40 per 100,000 live births (correct)
  • What concept did Garrod introduce at the beginning of the twentieth century?

    <p>'One gene–one enzyme' concept</p> Signup and view all the answers

    How did Beadle and Tatum characterize metabolic processes?

    <p>As consisting of steps controlled by a particular enzyme and gene</p> Signup and view all the answers

    What percentage of all single gene disorders did IEMs make up in the population according to the study in British Columbia?

    <p>Approximately 15%</p> Signup and view all the answers

    Which type of inheritance is most commonly followed by Inborn Errors of Metabolism (IEMs)?

    <p>Autosomal recessive</p> Signup and view all the answers

    In autosomal IEMs, the defective protein is typically a diffusible ___.

    <p>Enzyme</p> Signup and view all the answers

    Which type of inheritance can manifest in the heterozygous state due to haploinsufficiency or dominant-negative effects?

    <p>Autosomal dominant</p> Signup and view all the answers

    What is the enzyme deficiency responsible for phenylketonuria?

    <p>Phenylalanine hydroxylase (PAH)</p> Signup and view all the answers

    What is the consequence of the enzyme block in phenylketonuria?

    <p>Accumulation of phenylalanine</p> Signup and view all the answers

    How did Bickel suggest treating phenylketonuria (PKU)?

    <p>Removal of phenylalanine from the diet</p> Signup and view all the answers

    What is the consequence of a deficiency of tyrosine in children with PKU?

    <p>Development of blond hair and blue eyes</p> Signup and view all the answers

    Which individual identified PKU as the first genetic disorder in humans caused by a specific enzyme deficiency?

    <p>Jervis</p> Signup and view all the answers

    In which part of the brain may children with PKU lack pigment due to the enzyme block?

    <p>Substantia nigra</p> Signup and view all the answers

    What is the typical eye color seen in children with PKU?

    <p>Blue eyes</p> Signup and view all the answers

    Which of the following disorders is NOT mentioned as an example in the chapter?

    <p>Sickle cell anemia</p> Signup and view all the answers

    What is the number of genes associated with a clinical phenotype due to mutations mentioned in the chapter?

    <p>Almost 3000</p> Signup and view all the answers

    In which category of proteins do mutations often disrupt cell and organ function differently from the hemoglobinopathies?

    <p>Structural proteins</p> Signup and view all the answers

    What type of disorder did the text mention as included because it best demonstrates a specific principle?

    <p>Less common disorders</p> Signup and view all the answers

    What did the text outline in Chapter 11 provide a framework for understanding?

    <p>Pathogenesis of genetic disease</p> Signup and view all the answers

    What is one of the well-known disorders examined in the chapter?

    <p>Familial hypercholesterolemia</p> Signup and view all the answers

    Which type of proteins are present in virtually every cell and have fundamental roles in maintaining cell structure and function?

    <p>Housekeeping proteins</p> Signup and view all the answers

    What is the consequence of the absence of phenylalanine hydroxylase (PAH) activity in the liver due to phenylketonuria?

    <p>Brain damage</p> Signup and view all the answers

    Which proteins are produced in only one or a limited number of cell types and have unique functions contributing to the individuality of the cells?

    <p>Specialty proteins</p> Signup and view all the answers

    What is the relationship between mutation in a tissue-specific protein and disease?

    <p>May produce secondary effects on other tissues</p> Signup and view all the answers

    What can be inferred about the site of a protein’s expression and the site of disease?

    <p>There may be secondary effects on other tissues</p> Signup and view all the answers

    What is the consequence of mutation in a tissue-specific protein?

    <p>Leaves the tissue expressing the mutant protein unaffected by the pathological process</p> Signup and view all the answers

    What generalizations can be made about the clinical effects of mutations in housekeeping proteins?

    <p>Mutations in housekeeping proteins often have clinical effects in most or all tissues</p> Signup and view all the answers

    How many protein-coding genes are typically expressed by most cell types in humans?

    <p>$10,000 to 15,000$</p> Signup and view all the answers

    Study Notes

    Beadle and Tatum's Proposals

    • Proposed that each gene is responsible for the production of a single enzyme, characterizing metabolic processes as interactions between specific genes and their corresponding enzymes.

    Inborn Errors of Metabolism (IEMs)

    • IEMs can be grouped by various characteristics, though they do not categorize by dietary habits or lifestyle choices.
    • Incidence in British Columbia reported approximately 1 in 1,000 births for IEMs.
    • IEMs constitute roughly 10% of all single gene disorders in the population.
    • Typically, IEMs follow an autosomal recessive inheritance pattern.

    Historical Concepts

    • Garrod introduced the concept of "inborn errors of metabolism" at the beginning of the twentieth century, linking genetic mutations to metabolic disorders.

    Phenylketonuria (PKU) Insights

    • Phenylketonuria is caused by a deficiency of the enzyme phenylalanine hydroxylase (PAH).
    • The enzyme block in PKU leads to the accumulation of phenylalanine, which is toxic to the brain.
    • Suggested treatment for PKU includes a low-phenylalanine diet, emphasizing the importance of dietary management.
    • Children with PKU suffer from a deficiency of tyrosine due to the inability to metabolize phenylalanine properly.
    • PKU was identified as the first genetic disorder linked to a specific enzyme deficiency by Archibald Garrod.

    Clinical Presentations and Effects

    • The absence of PAH activity results in intellectual disability and other neurological issues due to elevated phenylalanine levels.
    • Children may have a lack of pigment in the basal ganglia of the brain caused by the enzyme block; commonly exhibit lighter eye colors such as blue or green.

    Protein Function and Genetic Disorders

    • The chapter discusses around 2,400 genes associated with clinical phenotypes due to mutations.
    • Distinct categories of proteins include housekeeping (present in all cells) and tissue-specific proteins (unique roles in certain cells).
    • Mutations in housekeeping proteins generally affect all cell types, while mutations in tissue-specific proteins lead to localized effects in specific tissues.
    • Disease manifestation is linked to the expression site of a protein, emphasizing that mutations can indicate specific organ or tissue dysfunctions.

    Protein Expression and Human Genetics

    • Most human cell types express about 20,000 protein-coding genes, highlighting the complexity of gene regulation and expression across different tissues.

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    Description

    Test your knowledge of inborn errors of metabolism (IEMs) and mitochondrial disorders with this overview of single-gene biochemical or metabolic diseases. Explore the fascinating area of medicine and gain insight into the concept of 'chemical individuality' introduced by Garrod.

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