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Inborn error of metabolism |
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Inborn error of metabolism A rare enzyme deficiency; children with inborn errors of metabolism do not have certain enzymes that the body requires to maintain organ functions. Inborn errors of metabolism can cause brain damage and mental retardation if left untreated. Phenylketonuria is an inborn error of metabolism. Mentioned in: Mental Retardation inborn error of metabolism Any of the expanding group, now in the hundreds, of inherited metabolic and biochemical disorders, that are divisible into those affecting 1. Small molecules–eg, simple sugars, amino or organic acids, that often have an acute onset in infancy/childhood; 2. Large molecules–eg, ↑ in 'storage diseases'–eg, mucopolysaccharidoses and glycogen storage diseases that affect older children
Inborn errors of metabolism consequences
Loss of certain molecules–eg, albinism–defect of tyrosinase or Ehlers-Danlos disease–defect of lysyl-hydroxylase or others of a vast array of enzymes
Accumulation of normal metabolites–eg, alkaptonuria–defect of homogentisic acid oxidase or galactosemia–defect of galactose-1-phosphate uridyl transferase
Transport defects–eg, cystinuria–dibasic amino acids or intestinal disaccharidase deficiency
Defects in erythrocyte metabolism–eg, glucose-6-phosphate dehydrogenase deficiency
Pigment defects–eg, acute intermittent porphyria
Defects in mineral metabolism–eg, Wilson's disease
Vitamin defects–eg, vitamin D-dependent rickets
Defects in intestinal absorption–eg, cystic fibrosis
Other defects of unknown origin–eg, achondroplasia
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| The liver may be the preferred target for somatic gene therapy of many inborn errors of metabolism that are currently indications for liver transplant,' the researchers write in the August PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES (Vol. Robert Steiner specializes in inborn errors of metabolism and their impact on disease. Woo of Baylor College of Medicine in Houston reports that in work on phenylketonuria (PKU), the "granddaddy" of inborn errors of metabolism, he and his colleagues have developed a family-based analysis and used it to perform the first prenatal diagnosis of PKU. |
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