refsum disease its a genetical disorder which is autosomal recessive phytanoyl-CoA-hydroxylase is the enzyme location of this enzyme is chromosome 10p13
Refsum disease is a rare genetic disorder caused by the buildup of phytanic acid, a fatty acid found in beef and dairy products. Key symptoms include impaired eyesight due to retinitis pigmentosa, deafness, loss of smell, coordination problems, dry skin, and heartbeat abnormalities. A blood test can detect high levels of phytanic acid to diagnose Refsum disease. Following a low-phytanic acid diet can improve symptoms, although vision and hearing changes may be permanent. The disease is treatable but not curable. Catching it early and adhering to medical advice can improve quality of life.
Maple syrup urine disease (MSUD) is a rare metabolic disorder caused by a deficiency of the enzyme branched-chain keto acid dehydrogenase (BCKDH), which is required to break down the branched-chain amino acids leucine, valine, and isoleucine. This causes an accumulation of these amino acids in the blood and urine, giving urine a characteristic maple syrup smell. MSUD is treated through a carefully controlled diet low in these amino acids and supplementation to maintain metabolic control. Without treatment, MSUD can cause neurological damage and is often fatal within the first month of life.
- Phytanic acid is a branched-chain fatty acid found in dairy and ruminant products that is normally broken down via α-oxidation and β-oxidation pathways.
- Refsum disease is caused by an inability to break down phytanic acid due to a deficiency in the enzyme phytanoyl-CoA hydroxylase, leading to its accumulation and neurological damage.
- Symptoms include night blindness, loss of smell, deafness, skin problems, and loss of balance. Treatment focuses on severely restricting dietary sources of phytanic acid and plasma exchange may be used in severe cases.
Zellweger syndrome is a rare and severe genetic disorder that damages the white matter of the brain and affects how the body metabolizes substances. It is caused by defects in the PEX genes required for normal peroxisome formation and function. Diagnosis involves tests to check for high organic compound levels and liver biopsy to examine peroxisomes. Physical symptoms include distinctive facial features, eye abnormalities, loose skin, weakness and seizures. There is no cure and most infants do not survive past 6 months due to organ failure or other issues. Treatments are limited to symptom management.
This document discusses sphingolipidoses, a class of rare genetic disorders caused by the accumulation of metabolites from complex lipids within neurons. Sphingolipidoses are characterized by progressive nervous system degeneration leading to symptoms like blindness, dementia, and paralysis. A cherry-red spot in the macula is a common sign seen during ophthalmologic examination, which can provide an important clue to diagnosis. Gangliosidoses are a type of sphingolipidosis caused by deficiencies in lysosomal enzymes involved in ganglioside metabolism, resulting in the storage of certain gangliosides in neurons and neurological deterioration. These disorders are ultimately fatal as there are currently no effective treatments available.
Zellweger Syndrome is one class of Cerebrohepatorenal syndromes. It is a rare hereditary disorder and caused by a gene mutation that affects the way peroxisomes function.
Homocystinuria is a disorder of methionine metabolism caused by an inability to metabolize homocysteine. There are three main types: classic homocystinuria caused by cystathionine β-synthase deficiency; defects in methylcobalamin formation; and methylenetetrahydrofolate reductase deficiency. Symptoms vary but can include developmental delay, dislocated lenses, skeletal abnormalities, thromboembolism, and intellectual disability. Treatment depends on the type but may include vitamin B6, betaine, folic acid, vitamin B12, methionine supplementation, and dietary restrictions.
Refsum disease is a rare genetic disorder caused by the buildup of phytanic acid, a fatty acid found in beef and dairy products. Key symptoms include impaired eyesight due to retinitis pigmentosa, deafness, loss of smell, coordination problems, dry skin, and heartbeat abnormalities. A blood test can detect high levels of phytanic acid to diagnose Refsum disease. Following a low-phytanic acid diet can improve symptoms, although vision and hearing changes may be permanent. The disease is treatable but not curable. Catching it early and adhering to medical advice can improve quality of life.
Maple syrup urine disease (MSUD) is a rare metabolic disorder caused by a deficiency of the enzyme branched-chain keto acid dehydrogenase (BCKDH), which is required to break down the branched-chain amino acids leucine, valine, and isoleucine. This causes an accumulation of these amino acids in the blood and urine, giving urine a characteristic maple syrup smell. MSUD is treated through a carefully controlled diet low in these amino acids and supplementation to maintain metabolic control. Without treatment, MSUD can cause neurological damage and is often fatal within the first month of life.
- Phytanic acid is a branched-chain fatty acid found in dairy and ruminant products that is normally broken down via α-oxidation and β-oxidation pathways.
- Refsum disease is caused by an inability to break down phytanic acid due to a deficiency in the enzyme phytanoyl-CoA hydroxylase, leading to its accumulation and neurological damage.
- Symptoms include night blindness, loss of smell, deafness, skin problems, and loss of balance. Treatment focuses on severely restricting dietary sources of phytanic acid and plasma exchange may be used in severe cases.
Zellweger syndrome is a rare and severe genetic disorder that damages the white matter of the brain and affects how the body metabolizes substances. It is caused by defects in the PEX genes required for normal peroxisome formation and function. Diagnosis involves tests to check for high organic compound levels and liver biopsy to examine peroxisomes. Physical symptoms include distinctive facial features, eye abnormalities, loose skin, weakness and seizures. There is no cure and most infants do not survive past 6 months due to organ failure or other issues. Treatments are limited to symptom management.
This document discusses sphingolipidoses, a class of rare genetic disorders caused by the accumulation of metabolites from complex lipids within neurons. Sphingolipidoses are characterized by progressive nervous system degeneration leading to symptoms like blindness, dementia, and paralysis. A cherry-red spot in the macula is a common sign seen during ophthalmologic examination, which can provide an important clue to diagnosis. Gangliosidoses are a type of sphingolipidosis caused by deficiencies in lysosomal enzymes involved in ganglioside metabolism, resulting in the storage of certain gangliosides in neurons and neurological deterioration. These disorders are ultimately fatal as there are currently no effective treatments available.
Zellweger Syndrome is one class of Cerebrohepatorenal syndromes. It is a rare hereditary disorder and caused by a gene mutation that affects the way peroxisomes function.
Homocystinuria is a disorder of methionine metabolism caused by an inability to metabolize homocysteine. There are three main types: classic homocystinuria caused by cystathionine β-synthase deficiency; defects in methylcobalamin formation; and methylenetetrahydrofolate reductase deficiency. Symptoms vary but can include developmental delay, dislocated lenses, skeletal abnormalities, thromboembolism, and intellectual disability. Treatment depends on the type but may include vitamin B6, betaine, folic acid, vitamin B12, methionine supplementation, and dietary restrictions.
Alcohol is absorbed from the stomach and intestine and metabolized primarily in the liver. The liver enzyme alcohol dehydrogenase oxidizes ethanol to acetaldehyde, which is then further oxidized to acetate. A small amount of alcohol is eliminated through the lungs, urine, and sweat, while the majority is metabolized in the liver. The metabolism of alcohol increases the NADH/NAD+ ratio in the liver, leading to metabolic alterations like lactic acidosis, hypoglycemia, and fatty liver. Chronic alcohol use can also damage the liver and brain, potentially causing cirrhosis and neurological issues.
October is the global awareness month of Niemann-Pick Disease (NPD), a fatal inherited metabolic disorder. Hence, I am sharing a presentation I made on NPD in 2013 in this month of 2016.
GSD are inherited disorders of glycogen metabolism caused by defects in glycogen degradation, glycolysis or glycogen synthesis. They can affect the liver, muscle or be generalized. GSD I is the most severe liver GSD affecting glycogen breakdown and gluconeogenesis. It presents in infancy with hypoglycemia, hepatomegaly and growth retardation. Treatment involves preventing hypoglycemia through frequent feeds and nocturnal gastric feeding. GSD III is caused by debranching enzyme deficiency and can present with liver or muscle involvement. Symptoms are similar to GSD I in childhood but improve with age, while myopathy often appears later in life.
This document discusses inborn errors of metabolism. It begins by defining metabolism as the breakdown and building up of molecules through catabolic and anabolic pathways, facilitated by enzymes. Inborn errors of metabolism are disorders caused by mutations that block normal metabolic pathways, resulting in toxic metabolites. The document then classifies different types of inborn errors affecting amino acid, carbohydrate, lipid, protein, and pigment metabolism. It outlines patterns of clinical presentation including encephalopathy, liver disease, dysmorphic features, and neurological symptoms. The document stresses the importance of early metabolic investigations for treating inborn errors.
This document discusses several lipid storage diseases including Tay-Sachs disease, Gaucher's disease, Niemann-Pick disease, and Fabry's disease. [1] These diseases arise from deficiencies in specific lysosomal enzymes, leading to accumulation of enzyme substrates in tissues. [2] They are inherited autosomally recessive except for Fabry's disease which is X-linked. [3] The document provides details on the genetic causes and clinical manifestations of each disease.
Gaucher disease is an inherited disorder caused by a deficiency of the glucocerebrosidase enzyme, which causes harmful substances to accumulate in organs. There are several types of Gaucher disease. Type 1 is the most common and usually does not affect the nervous system. Types 2 and 3 do affect the nervous system and can cause neurological problems. Symptoms vary depending on type but may include bone and organ enlargement, fatigue, easy bruising, and lung and heart problems. Diagnosis involves blood tests, imaging, and genetic testing. Treatment options include enzyme replacement therapy and bone marrow transplant for severe cases.
Metabolic disorders are caused by defects in enzymes involved in metabolic processes. There are several categories of inborn errors of metabolism including disorders of amino acid, carbohydrate, lipid, protein, and organic acid metabolism. Symptoms vary depending on the specific enzyme deficiency but can include developmental delay, organomegaly, neurological symptoms, and in some cases death in infancy if left untreated. Many metabolic disorders are inherited in an autosomal recessive pattern and while individually rare, as a group they have a prevalence of around 1 in 5,000 live births.
This document discusses glycogen storage disorders (GSD), specifically GSD type 1a (von Gierke's disease). It begins with an overview and lists the different types of GSD. It then provides more details on the background, causes, signs and symptoms, diagnosis, and treatment of GSD type 1a. GSD type 1a is caused by a deficiency of the glucose-6-phosphatase enzyme and results in glycogen accumulation in the liver and kidneys. Patients experience hypoglycemia, lactic acidosis, ketosis, and hyperlipidemia. Diagnosis involves blood and urine tests and liver biopsy to check enzyme levels. Treatment focuses on dietary management to avoid low blood glucose.
Lysosomal storage diseases (LSDs) are a group of over 50 inherited metabolic disorders caused by defects in lysosomal function. The main types are sphingolipidoses, mucopolysaccharidoses, and glycoproteinoses. Symptoms often involve the brain and nervous system. On MRI, the corpus callosum may be not visualized or partially visualized in some LSDs. Histopathology reveals neuronal storage material, spheroids in white matter, and membranous cytoplasmic bodies in neurons. LSDs can also affect dogs and cats, with clinical signs appearing in early life and pathology showing tissue storage.
Inborn errors of metabolism
Definition:- These are a group of rare genetic disorders in which the body cannot metabolize food components normally.
These disorders are usually caused by defects in the enzymes involved in the biochemical pathways that break down very essential biochemical components.
This document summarizes four lysosomal storage disorders: Niemann-Pick disease, Gaucher's disease, Krabbe's disease, and Farber's disease. Each disease is caused by a defect in an enzyme involved in sphingolipid metabolism, leading to accumulation of specific sphingolipids in tissues. The diseases are characterized by organomegaly, skeletal abnormalities, dermatological issues, neurological impairment, and early mortality.
Galactosemia is a rare genetic metabolic disorder caused by a deficiency of the enzyme galactose-1-phosphate uridyltransferase, which is necessary for galactose metabolism. There are three main types depending on the specific enzyme deficiency. It is inherited in an autosomal recessive pattern and causes an inability to properly break down and use the sugar galactose. If left untreated, it can cause serious issues such as liver damage, cataracts, intellectual disabilities and more. Treatment involves a strict lifelong galactose-restricted diet.
An inherited enzyme deficiency leading to the disruption of normal bodily metabolism.
Accumulation of a toxic substrate.
Impaired formation of a product normally produced by the deficient enzyme.
Alpha-1 Antitrypsin Deficiency is an autosomal recessive disease caused by mutations in the SERPINA1 gene resulting in low levels of alpha-1 antitrypsin (AAT) protein. This puts individuals at risk for lung and liver disease. In the lungs, a lack of AAT allows proteases to destroy tissue and cause emphysema. In the liver, mutated AAT accumulates in hepatocytes and can lead to cirrhosis. The disease is diagnosed through blood tests measuring AAT levels and treated through AAT augmentation therapy or liver transplantation for end-stage liver disease.
Mitochondrial diseases are caused by defects in mitochondrial structure or enzymes that result in deficient energy production. They can affect multiple organ systems and occur across all age groups. Mitochondrial DNA mutations can be inherited from the mother and nuclear DNA mutations can affect mitochondrial proteins or DNA maintenance. Common mitochondrial diseases include MELAS, MERRF, and Leigh syndrome. Mitochondrial dysfunction has also been implicated in aging and common diseases like heart disease and Parkinson's.
Type 2 Gaucher disease is a rare genetic disorder caused by a defective gene that inhibits the body's ability to break down a fatty lipid called glucocerebroside. This causes the fatty material to accumulate in organs like the spleen, liver, lungs and bone marrow. Type 2 Gaucher disease specifically affects the central nervous system, with initial signs including neck hyperextension, swallowing issues and eye movement disorders. Affected children usually experience rapid neurological degeneration and die by age 2. The article reviews 15 new cases of Type 2 Gaucher disease and compares them to 104 published cases to better understand the signs, symptoms and progression of this rare condition.
This document summarizes several lipid storage diseases: Tay Sachs disease results from hexosaminidase A deficiency leading to ganglioside accumulation and is classified based on neurological symptom onset. Gaucher disease stems from glucocerebrosidase deficiency causing glucosylceramide storage in reticuloendothelial cells. Niemann Pick disease types A and B involve sphingomyelin accumulation in the liver, spleen, and bone marrow due to different enzymes. Several other diseases are mentioned that involve deficiencies in enzymes responsible for degrading specific lipids.
Porphyrias are a group of rare genetic disorders caused by deficiencies in enzymes involved in heme synthesis. This results in the accumulation of toxic heme precursors known as porphyrins. There are two main types - cutaneous porphyrias which present with skin symptoms like blistering rashes, and acute hepatic porphyrias which present with severe neurological symptoms. The specific porphyrin accumulated and symptoms depend on which enzyme is deficient. Diagnosis involves biochemical analysis of porphyrins in urine, stool or blood. There is no cure, but acute attacks can be prevented by avoiding triggers.
GLYCOGEN STORAGE DISEASE , GSD , Von Gierke DiseaseRAHUL KATARIA
Detailed presentation about glycogen storage disease.
description about all types of GSDs like .
1. GSD I
2.GSD III
3. GSD IV
4. GSD VI
5. GSD IX
6. GSD 0
Lipids are naturally occurring organic compounds that are soluble in organic solvents but insoluble in water. They include fats, oils, waxes, phospholipids, and steroids. Lipids are classified as simple lipids like triglycerides and waxes, or compound lipids like phospholipids. The main roles of lipids include serving as energy stores, components of cell membranes, and intermediaries in signaling pathways. Essential lipids like omega-3 and omega-6 fatty acids must be obtained through diet as the body cannot produce them. Lipids are important for many biological functions including energy storage, cell membrane structure, hormone synthesis, and brain and vision health.
This document summarizes metabolism of lipids. It discusses hydrolysis of triacylglycerols into fatty acids, oxidation of fatty acids through beta-oxidation within mitochondria, and oxidation of odd-numbered fatty acids including propionate. It also covers degradation of more complex lipids like phytanic acid within peroxisomes, as well as biosynthesis of fatty acids.
Alcohol is absorbed from the stomach and intestine and metabolized primarily in the liver. The liver enzyme alcohol dehydrogenase oxidizes ethanol to acetaldehyde, which is then further oxidized to acetate. A small amount of alcohol is eliminated through the lungs, urine, and sweat, while the majority is metabolized in the liver. The metabolism of alcohol increases the NADH/NAD+ ratio in the liver, leading to metabolic alterations like lactic acidosis, hypoglycemia, and fatty liver. Chronic alcohol use can also damage the liver and brain, potentially causing cirrhosis and neurological issues.
October is the global awareness month of Niemann-Pick Disease (NPD), a fatal inherited metabolic disorder. Hence, I am sharing a presentation I made on NPD in 2013 in this month of 2016.
GSD are inherited disorders of glycogen metabolism caused by defects in glycogen degradation, glycolysis or glycogen synthesis. They can affect the liver, muscle or be generalized. GSD I is the most severe liver GSD affecting glycogen breakdown and gluconeogenesis. It presents in infancy with hypoglycemia, hepatomegaly and growth retardation. Treatment involves preventing hypoglycemia through frequent feeds and nocturnal gastric feeding. GSD III is caused by debranching enzyme deficiency and can present with liver or muscle involvement. Symptoms are similar to GSD I in childhood but improve with age, while myopathy often appears later in life.
This document discusses inborn errors of metabolism. It begins by defining metabolism as the breakdown and building up of molecules through catabolic and anabolic pathways, facilitated by enzymes. Inborn errors of metabolism are disorders caused by mutations that block normal metabolic pathways, resulting in toxic metabolites. The document then classifies different types of inborn errors affecting amino acid, carbohydrate, lipid, protein, and pigment metabolism. It outlines patterns of clinical presentation including encephalopathy, liver disease, dysmorphic features, and neurological symptoms. The document stresses the importance of early metabolic investigations for treating inborn errors.
This document discusses several lipid storage diseases including Tay-Sachs disease, Gaucher's disease, Niemann-Pick disease, and Fabry's disease. [1] These diseases arise from deficiencies in specific lysosomal enzymes, leading to accumulation of enzyme substrates in tissues. [2] They are inherited autosomally recessive except for Fabry's disease which is X-linked. [3] The document provides details on the genetic causes and clinical manifestations of each disease.
Gaucher disease is an inherited disorder caused by a deficiency of the glucocerebrosidase enzyme, which causes harmful substances to accumulate in organs. There are several types of Gaucher disease. Type 1 is the most common and usually does not affect the nervous system. Types 2 and 3 do affect the nervous system and can cause neurological problems. Symptoms vary depending on type but may include bone and organ enlargement, fatigue, easy bruising, and lung and heart problems. Diagnosis involves blood tests, imaging, and genetic testing. Treatment options include enzyme replacement therapy and bone marrow transplant for severe cases.
Metabolic disorders are caused by defects in enzymes involved in metabolic processes. There are several categories of inborn errors of metabolism including disorders of amino acid, carbohydrate, lipid, protein, and organic acid metabolism. Symptoms vary depending on the specific enzyme deficiency but can include developmental delay, organomegaly, neurological symptoms, and in some cases death in infancy if left untreated. Many metabolic disorders are inherited in an autosomal recessive pattern and while individually rare, as a group they have a prevalence of around 1 in 5,000 live births.
This document discusses glycogen storage disorders (GSD), specifically GSD type 1a (von Gierke's disease). It begins with an overview and lists the different types of GSD. It then provides more details on the background, causes, signs and symptoms, diagnosis, and treatment of GSD type 1a. GSD type 1a is caused by a deficiency of the glucose-6-phosphatase enzyme and results in glycogen accumulation in the liver and kidneys. Patients experience hypoglycemia, lactic acidosis, ketosis, and hyperlipidemia. Diagnosis involves blood and urine tests and liver biopsy to check enzyme levels. Treatment focuses on dietary management to avoid low blood glucose.
Lysosomal storage diseases (LSDs) are a group of over 50 inherited metabolic disorders caused by defects in lysosomal function. The main types are sphingolipidoses, mucopolysaccharidoses, and glycoproteinoses. Symptoms often involve the brain and nervous system. On MRI, the corpus callosum may be not visualized or partially visualized in some LSDs. Histopathology reveals neuronal storage material, spheroids in white matter, and membranous cytoplasmic bodies in neurons. LSDs can also affect dogs and cats, with clinical signs appearing in early life and pathology showing tissue storage.
Inborn errors of metabolism
Definition:- These are a group of rare genetic disorders in which the body cannot metabolize food components normally.
These disorders are usually caused by defects in the enzymes involved in the biochemical pathways that break down very essential biochemical components.
This document summarizes four lysosomal storage disorders: Niemann-Pick disease, Gaucher's disease, Krabbe's disease, and Farber's disease. Each disease is caused by a defect in an enzyme involved in sphingolipid metabolism, leading to accumulation of specific sphingolipids in tissues. The diseases are characterized by organomegaly, skeletal abnormalities, dermatological issues, neurological impairment, and early mortality.
Galactosemia is a rare genetic metabolic disorder caused by a deficiency of the enzyme galactose-1-phosphate uridyltransferase, which is necessary for galactose metabolism. There are three main types depending on the specific enzyme deficiency. It is inherited in an autosomal recessive pattern and causes an inability to properly break down and use the sugar galactose. If left untreated, it can cause serious issues such as liver damage, cataracts, intellectual disabilities and more. Treatment involves a strict lifelong galactose-restricted diet.
An inherited enzyme deficiency leading to the disruption of normal bodily metabolism.
Accumulation of a toxic substrate.
Impaired formation of a product normally produced by the deficient enzyme.
Alpha-1 Antitrypsin Deficiency is an autosomal recessive disease caused by mutations in the SERPINA1 gene resulting in low levels of alpha-1 antitrypsin (AAT) protein. This puts individuals at risk for lung and liver disease. In the lungs, a lack of AAT allows proteases to destroy tissue and cause emphysema. In the liver, mutated AAT accumulates in hepatocytes and can lead to cirrhosis. The disease is diagnosed through blood tests measuring AAT levels and treated through AAT augmentation therapy or liver transplantation for end-stage liver disease.
Mitochondrial diseases are caused by defects in mitochondrial structure or enzymes that result in deficient energy production. They can affect multiple organ systems and occur across all age groups. Mitochondrial DNA mutations can be inherited from the mother and nuclear DNA mutations can affect mitochondrial proteins or DNA maintenance. Common mitochondrial diseases include MELAS, MERRF, and Leigh syndrome. Mitochondrial dysfunction has also been implicated in aging and common diseases like heart disease and Parkinson's.
Type 2 Gaucher disease is a rare genetic disorder caused by a defective gene that inhibits the body's ability to break down a fatty lipid called glucocerebroside. This causes the fatty material to accumulate in organs like the spleen, liver, lungs and bone marrow. Type 2 Gaucher disease specifically affects the central nervous system, with initial signs including neck hyperextension, swallowing issues and eye movement disorders. Affected children usually experience rapid neurological degeneration and die by age 2. The article reviews 15 new cases of Type 2 Gaucher disease and compares them to 104 published cases to better understand the signs, symptoms and progression of this rare condition.
This document summarizes several lipid storage diseases: Tay Sachs disease results from hexosaminidase A deficiency leading to ganglioside accumulation and is classified based on neurological symptom onset. Gaucher disease stems from glucocerebrosidase deficiency causing glucosylceramide storage in reticuloendothelial cells. Niemann Pick disease types A and B involve sphingomyelin accumulation in the liver, spleen, and bone marrow due to different enzymes. Several other diseases are mentioned that involve deficiencies in enzymes responsible for degrading specific lipids.
Porphyrias are a group of rare genetic disorders caused by deficiencies in enzymes involved in heme synthesis. This results in the accumulation of toxic heme precursors known as porphyrins. There are two main types - cutaneous porphyrias which present with skin symptoms like blistering rashes, and acute hepatic porphyrias which present with severe neurological symptoms. The specific porphyrin accumulated and symptoms depend on which enzyme is deficient. Diagnosis involves biochemical analysis of porphyrins in urine, stool or blood. There is no cure, but acute attacks can be prevented by avoiding triggers.
GLYCOGEN STORAGE DISEASE , GSD , Von Gierke DiseaseRAHUL KATARIA
Detailed presentation about glycogen storage disease.
description about all types of GSDs like .
1. GSD I
2.GSD III
3. GSD IV
4. GSD VI
5. GSD IX
6. GSD 0
Lipids are naturally occurring organic compounds that are soluble in organic solvents but insoluble in water. They include fats, oils, waxes, phospholipids, and steroids. Lipids are classified as simple lipids like triglycerides and waxes, or compound lipids like phospholipids. The main roles of lipids include serving as energy stores, components of cell membranes, and intermediaries in signaling pathways. Essential lipids like omega-3 and omega-6 fatty acids must be obtained through diet as the body cannot produce them. Lipids are important for many biological functions including energy storage, cell membrane structure, hormone synthesis, and brain and vision health.
This document summarizes metabolism of lipids. It discusses hydrolysis of triacylglycerols into fatty acids, oxidation of fatty acids through beta-oxidation within mitochondria, and oxidation of odd-numbered fatty acids including propionate. It also covers degradation of more complex lipids like phytanic acid within peroxisomes, as well as biosynthesis of fatty acids.
The document discusses fatty acid oxidation (β-oxidation) which involves the breakdown of fatty acids into acetyl-CoA in the mitochondria. It describes the steps prior to β-oxidation including fatty acid transport into the cell and activation. It then explains the steps of β-oxidation which sequentially cleaves two-carbon units from acyl-CoA. The document also discusses the metabolism of ketone bodies which are produced from acetyl-CoA during periods of fasting or diabetes to be used as fuel by other tissues.
Obstructive jaundice is caused by a blockage of the bile ducts that prevents bile from flowing from the liver to the small intestine. This blockage can be due to gallstones, pancreatic cancer, or other cancers. It causes jaundice (yellowing of the skin and eyes) as well as other symptoms like itching, abdominal pain, dark urine and pale stool. Diagnosis involves blood tests and imaging scans like ultrasound or MRI. Treatment depends on the underlying cause but may include antibiotics, ERCP, surgery, or transplantation if the liver is severely damaged.
This document discusses abetalipoproteinemia, a rare genetic disorder characterized by the lack of apolipoprotein B, which is necessary for the formation of chylomicrons, VLDLs, and LDLs. This leads to an inability to absorb and transport dietary fats and fat-soluble vitamins. Patients with abetalipoproteinemia experience fat accumulation in intestinal and liver cells, malabsorption of fat and fat-soluble vitamins like vitamin E, and associated neurological and vision complications. The underlying genetic defect is mutations in the microsomal triglyceride transfer protein gene, which is essential for producing beta-lipoproteins needed for fat absorption and transport.
This document provides an overview of lipid chemistry. It begins by defining lipids as water-insoluble organic molecules that can be extracted by non-polar solvents. Lipids make up 18-25% of body mass and include fats, oils, steroids, waxes, and related compounds. The document then discusses the biomedical importance of lipids as an energy source, for protection, insulation, in lipoproteins, bile salts, prostaglandins, hormones, and vitamins. It provides classifications of lipids including simple lipids like triglycerides, complex lipids, derived lipids, and others. The document concludes with discussions of fatty acid chemistry including saturated and unsaturated fatty acids, essential fatty acids, and lipid degradation
Electron transport chain and Oxidative phosphorylationmeghna91
The document summarizes electron transport chain (ETC) and oxidative phosphorylation. It describes that NADH and FADH2 produced during metabolism are oxidized via ETC complexes I-IV to create a proton gradient, then ATP synthase uses this gradient to synthesize ATP. The ETC consists of Complexes I-V located in the inner mitochondrial membrane, with Complexes I, III, and IV pumping protons from the matrix to the intermembrane space during electron transfer, building up proton motive force used by Complex V to drive ATP synthesis from ADP and phosphate.
This document discusses obstructive jaundice, including a case study of an 82-year-old male patient presenting with progressive jaundice, itching, weight loss, and other symptoms. It reviews the causes, pathophysiology, investigations, and management of obstructive jaundice. Common causes include gallstones, pancreatic cancer, and cholangiocarcinoma. Investigations may include blood tests, ultrasound, CT, MRCP, and ERCP. Management depends on the underlying cause but may involve surgical procedures like cholecystectomy, Whipple procedure, or stenting to relieve the obstruction.
This document summarizes lipids that are important physiologically and their roles in health and disease. It discusses major lipids like fatty acids, triglycerides, phospholipids, sterols, and lipoproteins. Specific fatty acids like saturated, unsaturated, omega-3 and omega-6 are explained. The roles of lipids in brain development, cancer prevention and various lipid-related disorders are highlighted. Atherosclerosis and its pathological progression are also diagrammatically represented.
1) Fatty acids are oxidized through beta-oxidation in the mitochondria to generate acetyl-CoA units and energy in the form of ATP.
2) Beta-oxidation involves four steps - dehydrogenation, hydration, dehydrogenation, and thiolysis - that occur in a recurring cycle to shorten the fatty acid by two carbons each time.
3) Fatty acid oxidation provides the major source of energy during periods of fasting or low carbohydrate availability and yields substantial ATP through the electron transport chain.
The document discusses lipids and fatty acids. It defines lipids as a heterogeneous group of compounds related more by physical than chemical properties, that are relatively insoluble in water but soluble in nonpolar solvents. Fatty acids are aliphatic carboxylic acids that occur mainly as esters in natural fats and oils. They can be classified as saturated or unsaturated based on whether they contain double bonds. Common saturated fatty acids include palmitic acid and stearic acid, while monounsaturated fatty acids include oleic acid. Polyunsaturated fatty acids contain two or more double bonds and important examples are linoleic acid and alpha-linolenic acid.
This document summarizes key aspects of metabolism integration. It discusses the major macronutrients and their roles in energy production and storage. The major metabolic pathways are described, including their junction points and regulatory enzymes. Specific pathways for glucose, fatty acids, and amino acids are explained. The roles of the liver in metabolic integration and regulation by hormones like insulin and glucagon are highlighted.
1. Lipid storage disorders are a group of inherited metabolic disorders caused by deficiencies of enzymes involved in lipid metabolism, resulting in harmful accumulation of lipids in tissues.
2. There are several types of lipid storage disorders, including Gaucher's disease, Niemann-Pick disease, Fabry's disease, and others, each caused by deficiency of a different enzyme.
3. Symptoms vary depending on the specific disorder and tissues affected, but often include organ enlargement, neurological issues, and early death if left untreated. Treatment options include enzyme replacement therapy, organ transplantation, and symptom management depending on the condition.
This document summarizes several neurometabolic diseases of childhood including those caused by enzyme deficiencies or toxic metabolite buildup, resulting in brain damage and neurological symptoms. Specific disorders discussed include phenylketonuria caused by phenylalanine hydroxylase deficiency leading to high phenylalanine levels, maple syrup urine disease caused by a mitochondrial enzyme defect, and mitochondrial disorders involving multi-system energy failure and commonly presenting with developmental delay, muscle weakness, seizures, and vision/hearing problems. Symptoms can vary in age of onset and include coarse features, skin abnormalities, organomegaly, seizures, abnormal tone, and loss of cognitive/motor skills.
Disorders of purine and pyrimidine metabolismAzeem Aslam
This document discusses disorders of purine and pyrimidine metabolism. It begins by describing nucleotides and their role in various metabolic functions. It then focuses on the synthesis and degradation of purines, including a multi-step process for inosine monophosphate synthesis in the liver. Disorders covered include xanthinuria, caused by a deficiency in xanthine oxidase leading to kidney stones, and orotic aciduria, associated with megaloblastic anemia due to decreased pyrimidine synthesis. The document provides details on causes, symptoms, diagnosis, and treatment for these disorders of purine and pyrimidine metabolism.
These are local hormones called autacoids that are produced and act near their site of production. Key autacoids discussed include histamine, bradykinin, serotonin, prostaglandins, leukotrienes, thromboxanes, and platelet-activating factor. Histamine causes allergic reactions and is involved in gastric secretion. Bradykinin causes pain and inflammation. Prostaglandins regulate gastric acid secretion and platelet aggregation. Autacoids act through G-protein coupled receptors and are involved in processes like inflammation and smooth muscle contraction. H1 receptor antagonists and H2 receptor antagonists are used to treat allergic disorders and gastric acid conditions, respectively.
G6PDD is an inherited genetic disorder in the red blood cell enzyme known as G6PD. The effects of this disease are preventable by avoiding the triggers.
- Individuals with G6PD deficiency do not show symptoms until exposed to oxidative stress, such as certain foods or medicines.
- G6PD is responsible for producing NADPH, which generates glutathione to protect red blood cells from damage by free radicals. In G6PD deficiency, insufficient NADPH leads to hemolysis upon exposure to oxidative stress.
- Diagnosis involves testing for G6PD enzyme activity levels, which are reduced in deficiency. Exposure to oxidative triggers can cause a hemolytic crisis characterized by dark urine and jaundice.
Intravenous induction agents are drugs that cause rapid loss of consciousness when given intravenously. Some of the most commonly used agents are thiopental, propofol, etomidate, and ketamine. Thiopental was the first agent introduced in the 1930s and provided rapid induction but was unsuitable for maintenance. Propofol provides pleasant sedation and recovery but causes hypotension. Etomidate offers hemodynamic stability but can cause excitation. Ketamine produces dissociative anesthesia and analgesia with cardiorespiratory stability but may cause emergence reactions. Each agent has advantages and disadvantages depending on the surgical situation and patient characteristics.
This document discusses various types of metabolic optic neuropathies including toxic, nutritional, and hereditodegenerative optic neuropathies. It provides details on the clinical presentation, pathogenesis, and treatment of different conditions that can cause metabolic optic neuropathies including various toxic medications, nutritional deficiencies, hereditary disorders like Leber's hereditary optic neuropathy, and more. Examples of specific toxic medications that can cause optic neuropathies discussed include ethambutol, methanol, chloroquine, and statins.
Mechanisms and Applications of Antiviral Neutralizing Antibodies - Creative B...Creative-Biolabs
Neutralizing antibodies, pivotal in immune defense, specifically bind and inhibit viral pathogens, thereby playing a crucial role in protecting against and mitigating infectious diseases. In this slide, we will introduce what antibodies and neutralizing antibodies are, the production and regulation of neutralizing antibodies, their mechanisms of action, classification and applications, as well as the challenges they face.
Describing and Interpreting an Immersive Learning Case with the Immersion Cub...Leonel Morgado
Current descriptions of immersive learning cases are often difficult or impossible to compare. This is due to a myriad of different options on what details to include, which aspects are relevant, and on the descriptive approaches employed. Also, these aspects often combine very specific details with more general guidelines or indicate intents and rationales without clarifying their implementation. In this paper we provide a method to describe immersive learning cases that is structured to enable comparisons, yet flexible enough to allow researchers and practitioners to decide which aspects to include. This method leverages a taxonomy that classifies educational aspects at three levels (uses, practices, and strategies) and then utilizes two frameworks, the Immersive Learning Brain and the Immersion Cube, to enable a structured description and interpretation of immersive learning cases. The method is then demonstrated on a published immersive learning case on training for wind turbine maintenance using virtual reality. Applying the method results in a structured artifact, the Immersive Learning Case Sheet, that tags the case with its proximal uses, practices, and strategies, and refines the free text case description to ensure that matching details are included. This contribution is thus a case description method in support of future comparative research of immersive learning cases. We then discuss how the resulting description and interpretation can be leveraged to change immersion learning cases, by enriching them (considering low-effort changes or additions) or innovating (exploring more challenging avenues of transformation). The method holds significant promise to support better-grounded research in immersive learning.
(June 12, 2024) Webinar: Development of PET theranostics targeting the molecu...Scintica Instrumentation
Targeting Hsp90 and its pathogen Orthologs with Tethered Inhibitors as a Diagnostic and Therapeutic Strategy for cancer and infectious diseases with Dr. Timothy Haystead.
TOPIC OF DISCUSSION: CENTRIFUGATION SLIDESHARE.pptxshubhijain836
Centrifugation is a powerful technique used in laboratories to separate components of a heterogeneous mixture based on their density. This process utilizes centrifugal force to rapidly spin samples, causing denser particles to migrate outward more quickly than lighter ones. As a result, distinct layers form within the sample tube, allowing for easy isolation and purification of target substances.
Discovery of An Apparent Red, High-Velocity Type Ia Supernova at 𝐳 = 2.9 wi...Sérgio Sacani
We present the JWST discovery of SN 2023adsy, a transient object located in a host galaxy JADES-GS
+
53.13485
−
27.82088
with a host spectroscopic redshift of
2.903
±
0.007
. The transient was identified in deep James Webb Space Telescope (JWST)/NIRCam imaging from the JWST Advanced Deep Extragalactic Survey (JADES) program. Photometric and spectroscopic followup with NIRCam and NIRSpec, respectively, confirm the redshift and yield UV-NIR light-curve, NIR color, and spectroscopic information all consistent with a Type Ia classification. Despite its classification as a likely SN Ia, SN 2023adsy is both fairly red (
�
(
�
−
�
)
∼
0.9
) despite a host galaxy with low-extinction and has a high Ca II velocity (
19
,
000
±
2
,
000
km/s) compared to the general population of SNe Ia. While these characteristics are consistent with some Ca-rich SNe Ia, particularly SN 2016hnk, SN 2023adsy is intrinsically brighter than the low-
�
Ca-rich population. Although such an object is too red for any low-
�
cosmological sample, we apply a fiducial standardization approach to SN 2023adsy and find that the SN 2023adsy luminosity distance measurement is in excellent agreement (
≲
1
�
) with
Λ
CDM. Therefore unlike low-
�
Ca-rich SNe Ia, SN 2023adsy is standardizable and gives no indication that SN Ia standardized luminosities change significantly with redshift. A larger sample of distant SNe Ia is required to determine if SN Ia population characteristics at high-
�
truly diverge from their low-
�
counterparts, and to confirm that standardized luminosities nevertheless remain constant with redshift.
ESA/ACT Science Coffee: Diego Blas - Gravitational wave detection with orbita...Advanced-Concepts-Team
Presentation in the Science Coffee of the Advanced Concepts Team of the European Space Agency on the 07.06.2024.
Speaker: Diego Blas (IFAE/ICREA)
Title: Gravitational wave detection with orbital motion of Moon and artificial
Abstract:
In this talk I will describe some recent ideas to find gravitational waves from supermassive black holes or of primordial origin by studying their secular effect on the orbital motion of the Moon or satellites that are laser ranged.
Mending Clothing to Support Sustainable Fashion_CIMaR 2024.pdfSelcen Ozturkcan
Ozturkcan, S., Berndt, A., & Angelakis, A. (2024). Mending clothing to support sustainable fashion. Presented at the 31st Annual Conference by the Consortium for International Marketing Research (CIMaR), 10-13 Jun 2024, University of Gävle, Sweden.
The cost of acquiring information by natural selectionCarl Bergstrom
This is a short talk that I gave at the Banff International Research Station workshop on Modeling and Theory in Population Biology. The idea is to try to understand how the burden of natural selection relates to the amount of information that selection puts into the genome.
It's based on the first part of this research paper:
The cost of information acquisition by natural selection
Ryan Seamus McGee, Olivia Kosterlitz, Artem Kaznatcheev, Benjamin Kerr, Carl T. Bergstrom
bioRxiv 2022.07.02.498577; doi: https://doi.org/10.1101/2022.07.02.498577
CLASS 12th CHEMISTRY SOLID STATE ppt (Animated)eitps1506
Description:
Dive into the fascinating realm of solid-state physics with our meticulously crafted online PowerPoint presentation. This immersive educational resource offers a comprehensive exploration of the fundamental concepts, theories, and applications within the realm of solid-state physics.
From crystalline structures to semiconductor devices, this presentation delves into the intricate principles governing the behavior of solids, providing clear explanations and illustrative examples to enhance understanding. Whether you're a student delving into the subject for the first time or a seasoned researcher seeking to deepen your knowledge, our presentation offers valuable insights and in-depth analyses to cater to various levels of expertise.
Key topics covered include:
Crystal Structures: Unravel the mysteries of crystalline arrangements and their significance in determining material properties.
Band Theory: Explore the electronic band structure of solids and understand how it influences their conductive properties.
Semiconductor Physics: Delve into the behavior of semiconductors, including doping, carrier transport, and device applications.
Magnetic Properties: Investigate the magnetic behavior of solids, including ferromagnetism, antiferromagnetism, and ferrimagnetism.
Optical Properties: Examine the interaction of light with solids, including absorption, reflection, and transmission phenomena.
With visually engaging slides, informative content, and interactive elements, our online PowerPoint presentation serves as a valuable resource for students, educators, and enthusiasts alike, facilitating a deeper understanding of the captivating world of solid-state physics. Explore the intricacies of solid-state materials and unlock the secrets behind their remarkable properties with our comprehensive presentation.
BIRDS DIVERSITY OF SOOTEA BISWANATH ASSAM.ppt.pptxgoluk9330
Ahota Beel, nestled in Sootea Biswanath Assam , is celebrated for its extraordinary diversity of bird species. This wetland sanctuary supports a myriad of avian residents and migrants alike. Visitors can admire the elegant flights of migratory species such as the Northern Pintail and Eurasian Wigeon, alongside resident birds including the Asian Openbill and Pheasant-tailed Jacana. With its tranquil scenery and varied habitats, Ahota Beel offers a perfect haven for birdwatchers to appreciate and study the vibrant birdlife that thrives in this natural refuge.
Immersive Learning That Works: Research Grounding and Paths ForwardLeonel Morgado
We will metaverse into the essence of immersive learning, into its three dimensions and conceptual models. This approach encompasses elements from teaching methodologies to social involvement, through organizational concerns and technologies. Challenging the perception of learning as knowledge transfer, we introduce a 'Uses, Practices & Strategies' model operationalized by the 'Immersive Learning Brain' and ‘Immersion Cube’ frameworks. This approach offers a comprehensive guide through the intricacies of immersive educational experiences and spotlighting research frontiers, along the immersion dimensions of system, narrative, and agency. Our discourse extends to stakeholders beyond the academic sphere, addressing the interests of technologists, instructional designers, and policymakers. We span various contexts, from formal education to organizational transformation to the new horizon of an AI-pervasive society. This keynote aims to unite the iLRN community in a collaborative journey towards a future where immersive learning research and practice coalesce, paving the way for innovative educational research and practice landscapes.
9. DIAGNOSIS
• Chronic and intermittent polyneuritis
• Relapsing infectious polyneuritis
• mitochondrial myopathies
• Acute intermittent porphyria
• Recurrent exposure to toxins
• Various hereditary motor neuropathies
10. TREATMENT
DIET
• Less amount of phytanic acid in diet
• Slow progression of eye/hearing changes
Plasmapheresis:-plasma exchange
11. Prognosis
Refsum disease is treatable although incurable
Even if improved by diet, although changes in
vision, hearing, and sense of smell may be
irreversible