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Biochem Diseases
Biochem diseases
44
Biochemistry
Graduate
11/23/2012

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Term
Essential Fructosuria
Definition
Fructokinase deficiency. benign. elevated reducing sugar in blood and urine but no glucose oxidase
Term
Hereditary Fructose Intolerance
Definition
Aldolase B deficiency. Hepatotoxic
Term
Von Gierke's Disease
Definition
Glc 6 Phosphatase Deficiency
Glycogen Storage Disease
severe hepatomegaly, hypoglycemia
Term
Pompe's Disease
Definition
Lysosomal a-1,4 glucoside
cardiac failure in infants
Term
McArdle's Disease
Definition
Muscle Glc Phosphorylase deficiency
Glycogen Storage Disease
cramps upon exertion, otherwise normal
Term
Her's Disease
Definition
Liver Glc Phosphorylase Deficiency
Glycogen Storage Disease
mild hypoglycemia
Term
Anderson's Disease
Definition
Branching Enzyme deficiency
Glycogen Storage Disease
death from liver cirrhosis before age 2
Term
Cori's Disease
Definition
Debranching Enzyme Deficiency
Glycogen Storage Disease
mild
Term
Korsekoff's Disease
Definition
Transketolase Deficiency
Korsakoff's Syndrome occurs in alcoholics
Term
Pyruvate Dehydrogenase Deficiency
Definition
Lactic Acidosis, Neurological Defects
(caused by backup of pyruvate and Ala)
Term
Arsenic
Definition
inhibits Lipoic Acid
Term
Cyanide, CO
Definition
Binds to Fe 3+ in complex IV (cytochrome oxidase)
treated with nitrile
Term
Oliomycin
Definition
blocks F0 channel
Term
2,4-DNP, aspirin
Definition
uncouplers (reduces gradient)
weak base that picks up protons on cytoplasm and carries them over membrane without using F0 Channel
Term
Barbituates, Rotenone
Definition
blocks complex I (NADH-Q Reductase)
Term
steatorrhea
Definition
fatty stool
causes: bile, pancreatic juice, malabsorption deficiency
Term
Abetalipoproteinemia
Definition
Apo B-48 or B-100 deficiency.
accumulation of lipid in intestinal mucosa cells because lipid cant be exported as chylomicrons.
decreased serum TG and Chol.
Term
Familial Hyperocholesterolemia
Definition
LDL receptor deficiency; type II hyperlipoemia (cholesteroemia); heterozygous has 2x normal chol (LDL in blood that cant be absorbed + increased de novo synthesis in cells); Xathomas (subcutaneous yellow lipid deposits) is characteristic of disease
Term
Type I hyperchylomicronemia
Definition
lipoprotein lipase or Apo C-II deficiency; TG, chylomicron lvls elevated. (VLDL after high carb meal)
Term
Type IIa hyperchylomicronemia
Definition
LDL receptor deficiency or secondary causes; LDL elevation
(autosomal dominant)
characteristic sign: xanthomas of achilles heel
Term
Type III dysbetalipoproteinemia
Definition
Apo A-II deficiency;
chylomicron remnant elevated
Term
statins
Definition
competitive inhibititor of HMG-CoA Reductase
Term
Myopathic Carnitine acyl(palmatine)transferase deficiency (CAT/CPT)
Definition
muscle weakness/ache provoked by prolonged exercise, esp if fasting
Biopsy: elevated TG in muscle
Term
Medium-chain acyl-CoA dehydrogenase deficiency
Definition
-FFA oxidation stops at 10-12 carbons
–Produces fasting nonketotic (ketones is end product of beta oxidation) hypoglycemia (ATP of beta oxidation needed to gluconeogenesis in fasting state) and muscle weakness
–"Dangerous only in extreme or frequent fasting" - Pelley
-dicarbonxilic acidemia/uria
Term
Hyperammonemia
Definition
-CPSI deficiency
-blood glutamine increased
-BUN decreased
-no orotic aciduria
-autosomal recessive
-neurological symptoms
Term
Hyperammonemia with secondary oroticaciduria
Definition
-Ornithine transcarbamoylase deficiency
-BUN decreased
-orotic aciduria
-autosomal recessive
-neurological symptoms
-Carbamoyl PO4 excess leaks into cytoplasm and pushes pyrimidine pathway
Term
PKU I
Definition
-phenylalanine hydroxylase defect
-mental retardation
-toxic build up of phenylpyruvate, phenylacetate, phenyllactate
Term
PKU II
Definition
-biopterin reductase deficiency
-still get neurologic damage on low phe diet
Term
alkaptonuria
Definition
-homogentisate oxidase
-dark blue/black urine
-ochronosis
-arthritis
Term
Maple Syrup Disease
Definition
-Branched Chain Ketoacid Dehydrogenase deficiency
-urine smells like maple syrup
-mental retardation
-ketosis
Term
Methylmalonic aciduria
Definition
-methylmalonyl-CoA Mutase deficiency
- Methylmalonic acid build up
Term
Hyperammonemia
Definition
-CPSI deficiency
-blood glutamine increased
-BUN decreased
-no orotic aciduria
-autosomal recessive
-neurological symptoms
Term
Hyperammonemia with secondary oroticaciduria
Definition
-Ornithine transcarbamoylase deficiency
-BUN decreased
-orotic aciduria
-autosomal recessive
-neurological symptoms
-Carbamoyl PO4 excess leaks into cytoplasm and pushes pyrimidine pathway
Term
Homocystinuria
Definition
-cystathionine synthase or homocysteine methyl transferase
-also caused by B12, B6, or folate deficiency
-sulfhydryl group is toxic; mental retardation, deep vein thrombosis, stroke, atherosclerosis
Term
Lesch-Nyhan Syndrome
Definition
-HGPRT deficiency
-self mutilation
-
Term
Adenosine Deaminase Deficiency
Definition
-Adenosine Deaminase Deficiency
-severe combined immunodeficiency
-autosomal recessive
Term
Gout
Definition
Term
Fabry's Disease
Definition
-a-galactosidase A deficiency
-lysosomal storage disease
Term
Gaucher's disease
Definition
-glucocerebrosidease deficiency
-lysosomal storage disease
Term
niemann-pick's disease
Definition
-spingomyelinase deficiency
-lysosomal storage disease
Term
tay-sachs
Definition
-hexosamindase A deficiency
-lysosomal storage disease
Term
krabbe's disease
Definition
-galactocerebrosidase deficiency
-lysosomal storage disease
Term
Metachromatic leukodystrophy
Definition
-arylsulfatase A deficiency
--lysosomal storage disease
Term
Hartnup's disease
Definition
-tyrpthophan disorder
-pellegra
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