воскресенье, 24 марта 2019 г.
Galactosemia Essay -- essays research papers
GalactosemiaGalactosemia is an inborn error of metabolism. Because of energy barriers, essentially none of the chemical reactions that take place in living things could authorize at whatsoever measurable rate without the presence of a catalyst. intimately catalysts in living things argon enzymes that depend on their structure to be able to function. Their structure is determined by their coding on DNA. nonheritable errors of metabolism, like the one seen in galactosemia, are caused by big genes.Galactosemia is an patrimonial metabolic disorder in which the transformation of galactose to glucose is block, allowing galactose to augment to toxic levels in the body (Chung 1997). Galactose epimerase, the enzyme in the liver that is required to break down galactose, is deficient in galactosemia patients (Galactosemia 1995 and Wohlers, Christacos, and Harreman 1999). This enzyme works as a catalyst to speed up the breakdown of galactose. When there is a wish of this enzyme, the body cannot metabolize galactose as quickly as needed, causing a toxic buildup (Olendore, Jenyan, and Bayden 1999). This disease is inherited in an autosomal recessionary manner, this means that galactosemia is only present in individuals with ii unfit copies of any one of the three genes that causes it (Chung 1997). These genes are the genes that code for the three enzymes, galactosemia-1-phosphate-uridyl transferase (GALT), galactokinase (GALK), and uridyl disphosphogalactose-4-epimerase (Olendore, Jenyan, and Bayden 1999). Although carriers thrust little(prenominal) than common enzyme activity, carriers of the disease are unaware that they are carrying a defective gene since no symptoms are evident (Chung 1997). If devil carriers of the same defective gene have children, the chance of their child getting galactosemia by having two copies of the same defective gene is 25% for each(prenominal) pregnancy (Elsas 1999). any cell nucleus has two copies of each gene, therefore, if only one of the two copies is defective, enough of the enzyme is made and the pathway of galactose metabolism is not blocked (Olendore, Jenyan, and Bayden 1999). Most states have now included testing for galactosemia in newborn infant screening programs (Galactosemia 1995). However, if galactosemia is not found in a screening program, any(prenominal) symptoms appear within the... ...al of death (Galactosemia 1995).Unfortunately, many children are born each year with galactosemia and there is no medication that can treat it (Chung 1997). However, galactosemia is tame and the symptoms can be greatly reduced by taking a few precautions. First of all, babies whose GALT activity is less than 10% need to have all their milk products replaced by formula such as Isomil or Prosobee, which are free of lactose. Soy products contain other sugars such as sucrose, fructose, and non-galactose polycarbohydrates, which supply the needed energy to the baby. All lactose containing foods such a s dairy products, tomato sauces, candies, and medicines should be avoided fro the remainder of the patients life (Elsas 1999). Finally, legumes, organ meats, and processed meats also contain galactose and should be avoided (Olendore, Jenyan, and Bayden 1999). Management of the diet becomes less important after infancy and early childhood because milk products are no longer the primary source of energy (Elsas 1999). So, although galactosemia can be fatal, it is highly treatable and a patient can live a normal life with only a few changes in their diet.
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