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Disorders of Amino acid
metabolism
By-lovnish Thakur
ASU2014010100099
Integrated Biotech
4th sem
Introduction
Protein which are major component of our diet
have amino acid as their precursor and also
act as important energy source. Any
imbalance in the metabolism of these amino
acid cause disorders
Disorders
Phenylketonuria
Cause
• PKU is caused by a defect
in the gene that helps create
phenylalanine hydroxylase
• Unable to break down
phenylalanine.
• This causes a buildup of
phenylalanine in the body
Symptoms
• Seizures
• Tremors, or trembling and
shaking
• Stunted growth
• Hyperactivity
• A musty odor of their
breath, skin, or urine
Treatment
Avoid foods high in protein
These include:
• eggs
• beans
• chicken
• beef
• pork
• fish
Medication- Sapropterin (Kuvan) for the treatment of PKU.
Sapropterin helps lower phenylalanine levels.
nutrisci.wisc.edu
Methyl Malonic Aciduria
Cause
• Methylmalonic acidemia is
an autosomal recessive
disorder of amino acid
metabolism, involving a
defect in the conversion of
methylmalonyl-coenzyme A
(CoA) to succinyl-CoA
Symptom
• Neurologic manifestations,
such as seizure,
encephalopathy, and stroke
• Several cases have involved
stroke
brain.oxfordjournals.org
Treatment
• Protein-restricted diet- This modification decreases the
key amino acids (eg, isoleucine, valine, threonine,
methionine) that enter the metabolic pathway.
• Cobalamin supplementation- may help because
cobalamin is a cofactor in the enzymatic conversion of
methylmalonyl-coenzyme A (CoA) to succinyl-CoA.
• L-carnitine- an enzyme involved in the metabolism of
long-chain fatty acids, buffers the acyl-CoA metabolites
• Liver transplantation alone or in conjunction with
kidney transplantation has been attempted
Alkaptonuria
Cause
Homogentisic dioxygenase (HGD)
Mutation on your homogentisate 1,2-
dioxygenase (HGD) gene
Used to break down a toxic substance
called homogentisic acid
When you don’t produce enough HGD,
homogentisic acid builds up in your
body
The buildup of homogentisic acid
causes your bones and cartilage to
become discolored and brittle.
Symptoms
• Dark spots in the sclera
(white) of your eyes
• Thickened and darkened
cartilage in your ears
• Blue speckled discoloration
of your skin, particularly
around sweat glands
• Black earwax
• kidney stones and prostate
stones
• Arthritis (especially hip and
knee joints)
Treatment
• A low-protein diet.
• large doses of ascorbic acid, or vitamin C, to
slow down the accumulation of homogentisic
acid in your cartilage.
• Physical and occupational therapy may help
you maintain flexibility and strength in your
muscles and joints.
• Use of the drug nitisinone as a possible
treatment for alkaptonuria.
flipper.diff.org
Maple syrup urine disease
Cause
Defects in any of the six
subunits of the BCKD
protein complex can cause
MSUD. The most common
defect is caused by a
mutation in a gene on
chromosome 19 that
encodes the alpha subunit
of the BCKD complex
(BCKDHA).
Symptoms
• loss of appetite
• fussiness
• sweet-smelling urine
Treatment
• Treatment involved dietary restriction of the amino
acids leucine, isoleucine, and valine.
• Patients can be treated with an intravenous (given
through a vein) solution that helps the body use up
excess leucine, isoleucine, and valine for protein
synthesis.
• Gene therapy is also a potential future treatment for
patients with MSUD. This treatment would involve
replacing the mutated gene with a good copy, allowing
the patient's cells to make a functional BCKD protein
complex and break down the excess amino acids.
Parkinson's Disease
Cause
progressive neurological
disorder that is caused by a
degeneration of cells in the
part of the brain that
produces the
neurotransmitter dopamine
(chemical messenger)
Symptoms
Symptoms of Parkinson's disease
differ from person to person
• lowness of voluntary
movements, especially in the
initiation of such movements
as walking or rolling over in
bed
• A shuffling gait with poor arm
swing and stooped posture
• Unsteady balance; difficulty
rising from a sitting position
www.intechopen.com
Treatment
• Medicines, such as levodopa and dopamine agonists.
• Brain surgery, for example deep brain stimulation (DBS), may
be considered when medicine fails to control symptoms of
Parkinson's disease or causes severe or disabling side effects.
• Speech therapy:Speech therapists use breathing and speech
exercises to help you overcome the soft, imprecise speech and
monotone voice that develop in advanced Parkinson's disease.
• Physical therapy:Therapists may help you improve your
walking and reduce your risk of falling.
• Occupational therapy: Therapists can help you learn new ways
to do things for yourself so you can stay independent longer.
Homocystinuria
Cause
Certain genetic mutations present at
birth cause this disease.
The CBS gene holds instructions for
making an enzyme that uses
vitamin B-6 to metabolize the
amino acids homocysteine and
serine.
The mutations prevent the normal
functioning of the CBS gene.
This results in a buildup of
homocysteine and other toxins
that damage the nervous system,
which includes the brain, and the
vascular system
Symptoms
• dislocation of the lenses in the eyes
• nearsightedness
• abnormal blood clots
• osteoporosis, or weakening of the
bones
• learning disabilities
• developmental problems
• chest deformities, such as a
protrusion or a caved-in
appearance of the breastbone
• long, spindly arms and legs
• scoliosis
www.nips.ac.jp
Treatment
• High doses of vitamin B-6 are a successful
treatment for about half of the people with this
disorder.
• Eating a diet low in foods containing the amino
acid methionine
• Betaine is a nutrient that works to remove
homocysteine from the blood. Taking a folic
acid supplement and adding the amino acid
cysteine to the diet are helpful.
Hartnup’s disease
Cause
disease is caused by a
mutation(six mutations in
SLC6A19) of the gene that
controls the processes of
amino acid absorption and
reabsorption
Symptoms
• sensitivity to light
• anxiety
• rapid mood swings
• hallucinations
• delusions
• intention tremor
• speech difficulties
• abnormalities in muscle
tone: either muscles can
become more tight
www.namrata.co
Treatment
• consists of a change in diet, avoidance of sunlight, and prescribing
sulfonamide drugs
• Consuming foods that contain the B-complex vitamin niacin can
significantly reduce your symptoms.
• Good sources of niacin include:
 meat
 poultry
 fish
 fortified and whole grains
 peanut butter
 potatoes
B-complex or niacin vitamin supplements (such as nicatonic acid)
DIAGNOSIS
• Blood Test
• Urine Test
• Prenatal Screening
Based On the Symptoms
Conclusion
Amino acid metabolism is very important for
survival, any impairment will cause deadly
disease most of them can’t be treated
References
• Methylmalonic Acidemia Brief Overview of Methylmalonic Acidemia
(http://emedicine.medscape.com/article/1161799-overview#a7)
• Alkaptonuria
(http://www.healthline.com/health/alkaptonuria)
• Maple Syrup Urine Disease
(http://emedicine.medscape.com/article/946234-overview)
• Maple Syrup Urine Disease (MSUD)
(http://learn.genetics.utah.edu/content/disorders/singlegene/msud/)
• Parkinson's Disease Health Center
(http://www.webmd.com/parkinsons-disease/)
• Homocystinuria
(http://www.healthline.com/health/homocystinuria#Overview1)
• Hartnup Disease
(http://www.healthline.com/health/hartnup-disorder)
Thank you

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Disorders of amino acid metabolism

  • 1. Disorders of Amino acid metabolism By-lovnish Thakur ASU2014010100099 Integrated Biotech 4th sem
  • 2. Introduction Protein which are major component of our diet have amino acid as their precursor and also act as important energy source. Any imbalance in the metabolism of these amino acid cause disorders
  • 3.
  • 5. Phenylketonuria Cause • PKU is caused by a defect in the gene that helps create phenylalanine hydroxylase • Unable to break down phenylalanine. • This causes a buildup of phenylalanine in the body Symptoms • Seizures • Tremors, or trembling and shaking • Stunted growth • Hyperactivity • A musty odor of their breath, skin, or urine
  • 6. Treatment Avoid foods high in protein These include: • eggs • beans • chicken • beef • pork • fish Medication- Sapropterin (Kuvan) for the treatment of PKU. Sapropterin helps lower phenylalanine levels. nutrisci.wisc.edu
  • 7. Methyl Malonic Aciduria Cause • Methylmalonic acidemia is an autosomal recessive disorder of amino acid metabolism, involving a defect in the conversion of methylmalonyl-coenzyme A (CoA) to succinyl-CoA Symptom • Neurologic manifestations, such as seizure, encephalopathy, and stroke • Several cases have involved stroke
  • 9. Treatment • Protein-restricted diet- This modification decreases the key amino acids (eg, isoleucine, valine, threonine, methionine) that enter the metabolic pathway. • Cobalamin supplementation- may help because cobalamin is a cofactor in the enzymatic conversion of methylmalonyl-coenzyme A (CoA) to succinyl-CoA. • L-carnitine- an enzyme involved in the metabolism of long-chain fatty acids, buffers the acyl-CoA metabolites • Liver transplantation alone or in conjunction with kidney transplantation has been attempted
  • 10. Alkaptonuria Cause Homogentisic dioxygenase (HGD) Mutation on your homogentisate 1,2- dioxygenase (HGD) gene Used to break down a toxic substance called homogentisic acid When you don’t produce enough HGD, homogentisic acid builds up in your body The buildup of homogentisic acid causes your bones and cartilage to become discolored and brittle. Symptoms • Dark spots in the sclera (white) of your eyes • Thickened and darkened cartilage in your ears • Blue speckled discoloration of your skin, particularly around sweat glands • Black earwax • kidney stones and prostate stones • Arthritis (especially hip and knee joints)
  • 11. Treatment • A low-protein diet. • large doses of ascorbic acid, or vitamin C, to slow down the accumulation of homogentisic acid in your cartilage. • Physical and occupational therapy may help you maintain flexibility and strength in your muscles and joints. • Use of the drug nitisinone as a possible treatment for alkaptonuria.
  • 13. Maple syrup urine disease Cause Defects in any of the six subunits of the BCKD protein complex can cause MSUD. The most common defect is caused by a mutation in a gene on chromosome 19 that encodes the alpha subunit of the BCKD complex (BCKDHA). Symptoms • loss of appetite • fussiness • sweet-smelling urine
  • 14.
  • 15. Treatment • Treatment involved dietary restriction of the amino acids leucine, isoleucine, and valine. • Patients can be treated with an intravenous (given through a vein) solution that helps the body use up excess leucine, isoleucine, and valine for protein synthesis. • Gene therapy is also a potential future treatment for patients with MSUD. This treatment would involve replacing the mutated gene with a good copy, allowing the patient's cells to make a functional BCKD protein complex and break down the excess amino acids.
  • 16. Parkinson's Disease Cause progressive neurological disorder that is caused by a degeneration of cells in the part of the brain that produces the neurotransmitter dopamine (chemical messenger) Symptoms Symptoms of Parkinson's disease differ from person to person • lowness of voluntary movements, especially in the initiation of such movements as walking or rolling over in bed • A shuffling gait with poor arm swing and stooped posture • Unsteady balance; difficulty rising from a sitting position
  • 18. Treatment • Medicines, such as levodopa and dopamine agonists. • Brain surgery, for example deep brain stimulation (DBS), may be considered when medicine fails to control symptoms of Parkinson's disease or causes severe or disabling side effects. • Speech therapy:Speech therapists use breathing and speech exercises to help you overcome the soft, imprecise speech and monotone voice that develop in advanced Parkinson's disease. • Physical therapy:Therapists may help you improve your walking and reduce your risk of falling. • Occupational therapy: Therapists can help you learn new ways to do things for yourself so you can stay independent longer.
  • 19. Homocystinuria Cause Certain genetic mutations present at birth cause this disease. The CBS gene holds instructions for making an enzyme that uses vitamin B-6 to metabolize the amino acids homocysteine and serine. The mutations prevent the normal functioning of the CBS gene. This results in a buildup of homocysteine and other toxins that damage the nervous system, which includes the brain, and the vascular system Symptoms • dislocation of the lenses in the eyes • nearsightedness • abnormal blood clots • osteoporosis, or weakening of the bones • learning disabilities • developmental problems • chest deformities, such as a protrusion or a caved-in appearance of the breastbone • long, spindly arms and legs • scoliosis
  • 21. Treatment • High doses of vitamin B-6 are a successful treatment for about half of the people with this disorder. • Eating a diet low in foods containing the amino acid methionine • Betaine is a nutrient that works to remove homocysteine from the blood. Taking a folic acid supplement and adding the amino acid cysteine to the diet are helpful.
  • 22. Hartnup’s disease Cause disease is caused by a mutation(six mutations in SLC6A19) of the gene that controls the processes of amino acid absorption and reabsorption Symptoms • sensitivity to light • anxiety • rapid mood swings • hallucinations • delusions • intention tremor • speech difficulties • abnormalities in muscle tone: either muscles can become more tight
  • 24. Treatment • consists of a change in diet, avoidance of sunlight, and prescribing sulfonamide drugs • Consuming foods that contain the B-complex vitamin niacin can significantly reduce your symptoms. • Good sources of niacin include:  meat  poultry  fish  fortified and whole grains  peanut butter  potatoes B-complex or niacin vitamin supplements (such as nicatonic acid)
  • 25. DIAGNOSIS • Blood Test • Urine Test • Prenatal Screening Based On the Symptoms
  • 26. Conclusion Amino acid metabolism is very important for survival, any impairment will cause deadly disease most of them can’t be treated
  • 27. References • Methylmalonic Acidemia Brief Overview of Methylmalonic Acidemia (http://emedicine.medscape.com/article/1161799-overview#a7) • Alkaptonuria (http://www.healthline.com/health/alkaptonuria) • Maple Syrup Urine Disease (http://emedicine.medscape.com/article/946234-overview) • Maple Syrup Urine Disease (MSUD) (http://learn.genetics.utah.edu/content/disorders/singlegene/msud/) • Parkinson's Disease Health Center (http://www.webmd.com/parkinsons-disease/) • Homocystinuria (http://www.healthline.com/health/homocystinuria#Overview1) • Hartnup Disease (http://www.healthline.com/health/hartnup-disorder)