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Inherited errors of metabolism and gene therapy

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Genetic aspects of metabolic disease
Inborn errors of metabolism (IEMs)
Geneti c Disease

 30% of individuals will suffer from genetic based disease during their lifetime
o Cystic fibrosis
o Thalessemia
o Huntingtons
o Cancer
o Heart disease
o In born errors of metabolism

Geneti c mutati ons

 Genetic mutations- changes in nucleotide sequence of
DNA- substitution, insertion, or deletion of one or more
base pairs

Causes of mutati on

Spontaneous/ natural Induced
- Replication errors - Intercalating agents
- Tautomerisation - Base analogous
- Deamination - Deaminating agents
- Depurination - Alkylating agents
- Oxidising agents
- Radiation, UV

Spontaneous Mutati ons

1) Replication errors

 Normal replication introduces wrong base once every 1010 base pairs
o Good chance it will get repaired
 Some repetitive regions cause slippage and insertion of more
repeats
o Can’t be repaired

2) Tautomeric shifts

 Bases of DNA are subject to spontaneous structure alterations called
tautomerisation
o They care capable to existing in two forms between which
they interconvert
 Tautomers- can form non-standard base pairs

, 3) Deamination

 Loss of Amino group




4) Depurination (A or G)

 Cleavage of base- sugar bond

Causes of Induced mutati on

 Mutagens- external agents that can cause mutation
o Chemical
o Physical

Mutati ons

Chemical 1- Intercalating agents

 Insert themselves between bases
o E.g. ethidium bromide

Chemical 2- Base analogues

 E.g. Bromouracil (T analogue)
o Incorporated into DNA
o More pore to tautomeric shifts

Chemical 3- Alkylating agents

 Add alkyl groups to nucleobases
o e.g. Nitrosamines
Methylbromide (former grain fumigant)

Chemical 4- Deaminating agents

 Remove amino groups
o E.g. Nitrous acid (HNO2)
Nitrosamines
Nitrite, Nitrate
o Far quicker than spontaneous deamination

Chemical 5- Oxidising agents

 E.g. superoxide ion (O2-), H2O2
 Cause of most mutations
 Many possible nucleotide alterations

Physical- Radiation, X rays, UV

 Break bonds and create free radicals
 Bases chemically altered, linked or detached
 Leading source of mutation

Number of mutations proportional to radiation dose
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