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Ch. 9 - The Molecular Biology of Translation
Sanders - Genetic Analysis: An Integrated Approach 3rd Edition
Sanders3rd EditionGenetic Analysis: An Integrated ApproachISBN: 9780135564172Not the one you use?Change textbook
Chapter 9, Problem B.2b

Homocystinuria is a rare autosomal recessive condition on the RUSP list of conditions screened by newborn genetic testing. The condition results from a mutation that blocks the degradation of the amino acid methionine. The absence of a critical enzyme causes the buildup of the compound homocysteine, which is one of the intermediate compounds in the methionine breakdown pathway. Homocystinuria causes mental impairment, heart problems, seizures, eye abnormalities, and a number of other symptoms that shorten life if not treated. The condition is treated by a specialized diet that is low in methionine and by the ingestion of several supplements.
The low-methionine diet must be maintained throughout life to manage homocystinuria. Why do you think this is the case?

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1
Understand that homocystinuria is caused by a mutation leading to the absence of a critical enzyme needed to break down methionine, an essential amino acid.
Recognize that because the enzyme is missing or nonfunctional, methionine cannot be properly degraded, causing a buildup of homocysteine, a toxic intermediate.
Realize that if methionine intake is not controlled, excess methionine will continue to accumulate, leading to increased levels of homocysteine and worsening symptoms.
Understand that maintaining a low-methionine diet reduces the substrate (methionine) available for conversion into homocysteine, thereby minimizing toxic buildup.
Conclude that lifelong dietary management is necessary because the genetic defect is permanent, and without the enzyme, the body cannot process methionine normally at any stage of life.

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Key Concepts

Here are the essential concepts you must grasp in order to answer the question correctly.

Autosomal Recessive Inheritance

Autosomal recessive inheritance means that an individual must inherit two copies of a mutated gene, one from each parent, to express the disorder. Carriers with only one mutated gene typically do not show symptoms. Understanding this helps explain why homocystinuria appears in newborn screening and the genetic risk for families.
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Autosomal Pedigrees

Methionine Metabolism and Enzyme Deficiency

Methionine is an essential amino acid broken down through a metabolic pathway involving several enzymes. In homocystinuria, a mutation causes deficiency of a critical enzyme, leading to accumulation of homocysteine, a toxic intermediate. This buildup causes the disease symptoms and underlies the need to control methionine intake.
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Translation initiation

Dietary Management of Metabolic Disorders

Dietary management in metabolic disorders involves restricting substrates that accumulate due to enzyme deficiencies. For homocystinuria, a lifelong low-methionine diet reduces the production of homocysteine, preventing toxic buildup and associated symptoms. Supplements may also support alternative metabolic pathways or compensate for deficiencies.
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Pedigree Symbols
Related Practice
Textbook Question

Answer the following questions for autosomal conditions such as PKU.

Parents who are each heterozygous carriers for a recessive mutant allele have a child who does not have the condition. What is the chance this child is a heterozygous carrier of the condition?

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Textbook Question

Answer the following questions for autosomal conditions such as PKU.

If the first child of parents who are both heterozygous carriers of a recessive mutant allele is homozygous recessive, what is the chance the second child of the couple will be homozygous recessive? What is the chance the second child will be a heterozygous carrier of the recessive mutation?

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Textbook Question

Homocystinuria is a rare autosomal recessive condition on the RUSP list of conditions screened by newborn genetic testing. The condition results from a mutation that blocks the degradation of the amino acid methionine. The absence of a critical enzyme causes the buildup of the compound homocysteine, which is one of the intermediate compounds in the methionine breakdown pathway. Homocystinuria causes mental impairment, heart problems, seizures, eye abnormalities, and a number of other symptoms that shorten life if not treated. The condition is treated by a specialized diet that is low in methionine and by the ingestion of several supplements.

Why do you think eating a low-methionine diet is critical to controlling homocystinuria?

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Textbook Question

A couple and some of their relatives are screened for Gaucher disease in a community-based screening program. The woman is homozygous for the dominant allele, represented by G. The woman's father, sister, and paternal grandmother are heterozygous carriers of the mutant allele, represented by g. Her paternal grandfather, her mother, and both of her mother's parents are homozygous for the dominant allele. The man is heterozygous and he has a brother with Gaucher disease. The man's parents and grandparents have not been tested, but it is known that none of them has Gaucher disease.

Draw a pedigree of this family, including the woman, the man, their siblings, parents, and grandparents.

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Textbook Question

A couple and some of their relatives are screened for Gaucher disease in a community-based screening program. The woman is homozygous for the dominant allele, represented by G. The woman's father, sister, and paternal grandmother are heterozygous carriers of the mutant allele, represented by g. Her paternal grandfather, her mother, and both of her mother's parents are homozygous for the dominant allele. The man is heterozygous and he has a brother with Gaucher disease. The man's parents and grandparents have not been tested, but it is known that none of them has Gaucher disease.

On the pedigree, write the genotypes (GG, Gg, or gg) for each person who has been tested or for whom you can deduce a genotype. If a genotype cannot be determined completely, list the alleles you know or deduce must be present.

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Textbook Question

A couple and some of their relatives are screened for Gaucher disease in a community-based screening program. The woman is homozygous for the dominant allele, represented by G. The woman's father, sister, and paternal grandmother are heterozygous carriers of the mutant allele, represented by g. Her paternal grandfather, her mother, and both of her mother's parents are homozygous for the dominant allele. The man is heterozygous and he has a brother with Gaucher disease. The man's parents and grandparents have not been tested, but it is known that none of them has Gaucher disease.

Explain why you are able to assign genotypes to the man's parents despite their not being tested.

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