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30 Cards in this Set

  • Front
  • Back

Wernicke-Korsakoff Syndrome

-Mutation in the transketolase gene


- Decreased affinity to TPP

Farber disease (disseminated lipogranulomatosis)

- Enzyme deficiency resulting in accumulation of PAS-positive lipid consisting of ceramide, leading to cell damge with inflammatory response

Phenylketonuria

- Phenylalanine hydroxylase defect

Maple syrup urine disease

- Branched alfa-ketoacid dehydrogenase complex


- Defective metabolism of branched chain amino acids (Leu, Ile, Val), accumulation of keto acid

Tyrosinemia I

Fumaryl-acetoacetate hydrolase deficiency

Tyrsinemia II

Tyrosine aminotransferase deficiency

Citrullinemia type I

Argininosuccinate synthetase deficiency

Homocystinuria

Cystathionine B sythase deficiency

Methylmalonic acidemia

Glycin and methylmalonic acid accumulates.


Can depend on cofactor B12


- Methylmalonyl-CoA mutase inhibited

Propionic acidemia (propionemia)

Lycine, propionate and "strange" ketonbodies accumulates.


- Propionyl-CoA carboxylase inhibited

Galactosemia

Gal-1-P uridyl transferase or


galactokinase or


UDP-galactose-4-epimerase deficiency


- Gal-1-P accumulating in liver will give liver chirrhosis

Fructosuria

Deficiency of hepatic fructokinase enzyme

Fructose intolerance (Frucosaemia)

Fructose-1-P aldolase enzyme deficiency


-> inhibition of glycolysis, glycogenolysis, and gluconeogenesis.

von Gierke's disease

Glucose-6-phosphatase deficiency


-> hepatomegaly becasue of glycogen accumulation

Pompe's disease

a-1,4-glucosidase enzyme, lysosomal glycogen storage diseases

Cori's disease

Amylo-1,6-glucosidase (debranching enzyme)


-> glycogen accumulation in the liver, heart and skeletal muscle

McArdle's disease

Glycogen phosphorlyase deficiency in the muscle

Glucose-6-phosphate dehydrogenase deficiency

X-linked dominant


oxidative stress->hemolysis-> anaemia


Protection against malaria


G6PD / NADPH pathway is the only source fro reduced glutathione in RBS, which protects against oxidative stress. In case of deficiency, denatured, precipitated haemoglobin aggregates to form Heinz bodies

Alkaptonuria

homogentisate 1,2-dioxygenase enzyme deficiency

GM1 gangliosidoses

B-galactosidase deficiency


-> abnormal storage of acidic lipid materials in PNS and CNS, particularly in nerve cells

Tay-Sachs disease

Hexosaminidase A deficiency


- Nomally a hyrdolytic enzyme found in lysosomes, which breaks down phospholipids.


- Hyrdolysis of GM2-ganglioside requires 3 enzymes, two of which are hexosaminidase A subunits, the third is an activator.


-GM2-ganglioside accumulates in neurons

Sandhoff disease

B-hexosaminidase B deficincy


-> progressive destruction of CNS

Gaucher's disease

Glucocerebrosidase enzyme deficiency.


-> glucocerebroside accumulates, Gaucher cells appears

Niemann-Pick disease

Sphyngomyeline phosphodiesterase deficiency


(sphyngomyelinase


-> accumulation of sphyngomyeline in spleen, liver, lungs, bone marow and brain

Hyperglycinemia

Defect of glycine cleavage enzyme: 

Defect of glycine cleavage enzyme:

Tyrosinemia III



Lesch-Nyhan syndrome



Congenital hyperammonia type I

Carbamoyl phosphate synthetase

Congenital hyperammonia type II

Ornithine transcarbamoylase

Albinism