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Showing posts from October, 2023

Always hungry? Prader-Willi syndrome (PWS)

Prader-Willi syndrome (PWS) is a rare genetic disorder that results from the deletion or inactivation of genes on the paternal chromosome 15. It is characterized by a number of physical, mental, and behavioral symptoms. These findings suggest that HERC2 is an important gene encoding a GEF involved in protein trafficking and degradation pathways in the cell ( Refs 46 , 47 ). Here's a brief overview of the effects of PWS: Physical Symptoms : Hypotonia : Infants with PWS often have weak muscle tone (hypotonia) and struggle with sucking, leading to difficulty in feeding. Failure to Thrive : Despite having a normal appetite as infants, children with PWS may gain weight slowly and remain much smaller than their peers. Altered Growth : As they grow older, individuals with PWS can have short stature and small hands and feet. Distinct Facial Features : Children may have almond-shaped eyes, a narrow forehead, a down-turned mouth, and a thin upper lip. Behavioral and Mental Symptoms : Excess...

Prion diseases explained.

Prion diseases, also known as transmissible spongiform encephalopathies (TSEs), are a group of rare and fatal neurodegenerative disorders that affect both humans and animals. These diseases are caused by abnormal, misfolded proteins called prions. Here's an explanation of the key aspects of prion diseases: Protein Misfolding: Prion diseases are characterized by the conversion of a normal, cellular protein called PrP (prion protein) into an abnormal, misfolded form known as PrP^Sc (scrapie isoform). This misfolded protein is highly stable and resistant to normal cellular mechanisms that degrade proteins. Accumulation in the Brain: PrP^Sc proteins have a strong tendency to accumulate in the brain, where they can form aggregates and disrupt normal brain function. These protein aggregates can lead to the death of nerve cells and the development of characteristic brain lesions. Progressive Neurodegeneration: As prion proteins accumulate and spread throughout the brain, they cause progre...

Andersen-Tawil syndrome. Hyperkalemic periodic paralysis. Hypokalemic periodic paralysis explained

 Let's break these down: Andersen-Tawil Syndrome (ATS) Definition : Andersen-Tawil Syndrome is a rare genetic disorder that affects the heart, muscles, and other parts of the body. Features : ATS is characterized by a triad of symptoms, although not everyone will have all three: Periodic paralysis: Episodes of muscle weakness or paralysis. Cardiac arrhythmias: Abnormal heart rhythms, particularly long QT syndrome which can lead to ventricular arrhythmias. Dysmorphic features: Physical abnormalities like a small jaw, wide-set eyes, low-set ears, syndactyly (webbed or fused fingers or toes), and others. Genetics : It's usually caused by mutations in the KCNJ2 gene, though not all cases have an identifiable mutation. The condition is inherited in an autosomal dominant pattern, meaning only one copy of the mutated gene is required to express the condition. Hyperkalemic Periodic Paralysis (HyperPP) Definition : HyperPP is an inherited condition in which individuals have episodes of...

High Phytanic Acid (VLCFA) Refsum disease.

Elevated serum levels of phytanic acid and VLCFAs are the biochemical hallmarks of two distinct inherited neurodegenerative diseases. Accumulation of phytanic acid is typically due to Refsum disease, a rare neurological disorder resulting from an inherited genetic mutation in the PHYH or PEX7 gene. Symptoms of phytanic acid accumulation encompass peripheral polyneuropathy, cerebellar ataxia, retinitis pigmentosa, anosmia, and hearing impairment. Abstract: Refsum's Disease, also known as phytanic acid storage disease, arises from inherited defects in the metabolic pathway for phytanic acid, a branched-chain fatty acid derived from the diet. Due to poor metabolism, phytanic acid accumulates in fatty tissues such as the myelin sheaths and organs like the liver and kidneys. Among other symptoms are the loss of the sense of smell (anosmia), rough and scaly skin (ichthyosis), and, over time, deafness. Elevated plasma phytanic acid levels have also been noted in other conditions. How is ...

Is GENE THERAPY implanting new genes or demethylating existing genes?

  Gene therapy encompasses a range of techniques, and its objective is to treat or prevent diseases by manipulating genes. Two primary approaches in gene therapy are: Introducing or Replacing Genes : This involves delivering a new or functional copy of a gene into cells where a non-functional or faulty gene is causing disease. Common methods include using viral vectors, which have been engineered to carry therapeutic genes instead of their viral genes, to deliver the desired gene into target cells. Gene Editing : Instead of adding a functional copy of a gene, researchers can also directly edit a faulty gene within the body. Tools like CRISPR/Cas9 have made it possible to target specific DNA sequences, allowing for precise alterations of the genetic code. Now, concerning demethylation: Methylation is a type of epigenetic modification where a methyl group is added to a cytosine base in DNA. When genes are hypermethylated (especially at promoter regions), their expression is often rep...

Triglycerides explained

  Triglycerides are a type of lipid (fat) found in the blood. They have several crucial functions in the body: Energy Storage : Triglycerides are the body's main form of stored energy. When you consume more calories than your body can use immediately, these excess calories are converted into triglycerides and stored in fat cells (adipocytes). When the body needs energy between meals, hormones release these stored triglycerides from fat cells into the bloodstream to be used as fuel by cells throughout the body. Insulation and Protection : Fat tissue, where triglycerides are stored, acts as an insulator, helping to regulate body temperature. It also provides cushioning to protect organs and tissues. Carrier of Fat-soluble Vitamins : Triglycerides help in the absorption and transport of fat-soluble vitamins (A, D, E, and K) from the digestive tract to various parts of the body where they are needed. Hormone Production : Fats, including triglycerides, are precursors to certain hormones...

Vitamin D deficiency in adults results in Osteomalacia, which presents as a poorly mineralized skeletal matrix.

Does vitamin D deficiency cause rickets in adults? Osteomalacia, which presents as a poorly mineralized skeletal matrix. This can further result in osteomalacia (soft bones) in adults and rickets in children. Osteomalacia and osteoporosis put you at an increased risk for bone fractures. Rickets is the same as osteomalacia, but it only affects children. Since a child's bones are still growing, demineralization causes bowed or bent bones. Vitamin D deficiency in adults does not cause "rickets" in the traditional sense that it does in children. In children, a severe deficiency of vitamin D leads to rickets, which is characterized by soft, weak bones that can become deformed. In adults, prolonged deficiency of vitamin D can lead to a condition called osteomalacia . Osteomalacia is often considered the adult equivalent of rickets. It is characterized by softening of the bones, which can lead to bone pain, muscle weakness, and an increased risk of fractures. The symptoms a...

Kidney Dysfunction missing Minerals

The minerals that can become imbalanced or deficient due to kidney dysfunction, it's important to understand that the kidneys play a vital role in maintaining the balance of various minerals and electrolytes in the body. Here's a rundown of some minerals and electrolytes that might be affected: Potassium (K+) : The kidneys help regulate blood potassium levels. In cases of kidney dysfunction, there can be hyperkalemia (high blood potassium) or, in some cases, hypokalemia (low blood potassium). Hyperkalemia is more common and can be dangerous, leading to heart arrhythmias. Sodium (Na+) : The kidneys help regulate sodium balance. Kidney dysfunction can result in either hyponatremia (low sodium) or hypernatremia (high sodium). Calcium (Ca2+) : Chronic kidney disease can lead to disturbances in calcium metabolism. This can be due to decreased vitamin D activation in the kidneys or imbalances in parathyroid hormone (PTH). It can result in hypocalcemia (low calcium) or sometimes hyper...

Metabolic Dysfunction Explain

Metabolic dysfunction refers to disturbances in the body's normal metabolic processes, which can result in various health conditions. To understand metabolic dysfunction, it's important to first understand what metabolism is. Metabolism is a broad term that encompasses all the chemical reactions that occur within the body to maintain life. These reactions are responsible for converting the food we eat into energy (catabolism) and building and repairing body tissues (anabolism). Enzymes play a critical role in facilitating these reactions. Metabolic dysfunction occurs when there is a disturbance or abnormality in any of these reactions or processes. This can be due to a variety of reasons: Genetic factors : Mutations in genes that encode metabolic enzymes can lead to inborn errors of metabolism. Examples include phenylketonuria (PKU) and Tay-Sachs disease. Lifestyle and environmental factors : Poor diet, lack of physical activity, excessive alcohol consumption, and exposure to...

Kidney, Liver problems and high blood pressure.

Kidney and liver problems, as well as high blood pressure, can be interconnected, with dysfunction in one organ potentially affecting the others. Here’s a brief overview of the relationship between these conditions and their management: 1. High Blood Pressure and Kidney Problems: As previously discussed, hypertension can damage kidney blood vessels, which can impair their ability to filter waste. Conversely, kidney damage can lead to hypertension. 2. Liver Problems and High Blood Pressure: Portal Hypertension: This is increased blood pressure within the portal venous system (which carries blood from the digestive organs to the liver). It often results from cirrhosis or liver scarring. Portal hypertension can lead to complications like varices and ascites. Hepatorenal Syndrome: This is a type of kidney failure seen in people with severe liver damage, especially in cases of cirrhosis. The exact mechanism is complex but involves changes in blood flow and blood vessel function in both t...

Mitochondria function and dysfunction

Mitochondria are often referred to as the "powerhouses" of the cell because they generate most of the cell's supply of adenosine triphosphate (ATP), which is used as a source of chemical energy. They have several key functions: ATP Production: The primary function of the mitochondria is to produce energy in the form of ATP through the process of oxidative phosphorylation. This involves a series of enzymatic reactions in the electron transport chain, located in the inner mitochondrial membrane. Electrons are transferred from molecules of nutrients to oxygen molecules, creating a flow of electrons that allows for the generation of ATP. Calcium Storage: Mitochondria play a role in calcium homeostasis, which is critical for several cellular processes, including signal transduction, muscle contraction, and neurotransmitter release. Apoptosis (Programmed Cell Death): Mitochondria have a role in initiating apoptosis. They release factors that activate the enzymes responsible ...

What is Mast Cell Activation Syndrome (MCAS)

Mast Cell Activation Syndrome (MCAS): Causes, Effects, and Neurological Impact Mast Cell Activation Syndrome (MCAS) is a complex and often misunderstood condition marked by the inappropriate and excessive release of chemical mediators from mast cells—critical immune system cells. These releases can lead to widespread systemic symptoms that may mimic allergic reactions, inflammatory diseases, and even psychiatric disorders. Although the precise cause of MCAS remains elusive, an increasing body of research suggests it is influenced by genetic predisposition, environmental triggers, infections, and chronic immune dysregulation. Understanding Mast Cells: Key Players in Immunity What Are Mast Cells? Mast cells are a type of white blood cell derived from myeloid stem cells in the bone marrow. Once released into circulation, they migrate into peripheral tissues—particularly those in close contact with the external environment, such as the skin, respiratory tract, gastrointestinal tract, ...