PKU

Description

First year Genetics & Society (Origin of Phenotype) Mind Map on PKU, created by clairegillian95 on 01/04/2014.
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Mind Map by clairegillian95, updated more than 1 year ago
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Created by clairegillian95 over 10 years ago
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Resource summary

PKU
  1. Genotype
    1. Alleles: Different forms of a gene.
      1. Normal/wildtype allele
        1. Defective/mutant/disease-causing allele
          1. Individuals with 2 normal alleles are phenotypically normal
            1. Produce lots of phenylalanine hydroxylase
            2. Individuals with 1 normal allele and 1 defective allele are phenotypically normal
              1. Produce adequate amounts of phenylalanine hydroxylase
              2. Individuals with two defective alleles have PKU
                1. Do not produce a functional phenylalanine hydroxylase
            3. Recessive condition because the affected individual must have two copies of the defective allele
              1. Chromosomes
                1. Humans have 46 chromosomes
                  1. 2 of each - chromosome number (1-22) and XX or XY
                  2. Chromosomes 1-22 are called autosomes
                    1. X and Y chromosomes are called sex chromosomes
                      1. Y chromosome has gene for males
                      2. The gene that encodes phenylalanine hydroxylase is found on chromosome 12
                      3. PKU is an autosomal recessive disease
                        1. How common is PKU?
                          1. Northern Europe: 1 in 10,000
                            1. Ireland: 1 in 4,500
                              1. U.S. Whites - 1 in 8,000
                                1. U.S. Blacks: 1 in 50,000
                                  1. Incidence of PKU is approximately 1 in 10,000 births in Ontario
                                  2. Newborn Screening
                                    1. Babies tested shortly after birth for PKU
                                      1. The Guthrie Test
                                        1. Blood sample taken
                                          1. Blood is placed on a plate with bacteria that need phenylalanine to grow
                                            1. A positive test that shows a halo of growing bacteria surrounding spots with excess phenylalanine
                                        2. Mass spectrometry is now used to detect elevated levels of phenylalanine in a newborn's blood
                                        3. Dietary management of PKU
                                          1. Reduce intake of phenylalanine
                                            1. Diet includes protein supplements in which phenylalanine is reduced
                                              1. Special formula for infants and toddlers
                                                1. Protein mixes for children and adults
                                                  1. Avoid aspartame
                                                  2. PKU and Pregnancy
                                                    1. Women with PKU must resume the special diet during pregnancy
                                                      1. Excess phenylalanine in the blood can cross the placenta and damage the foetus
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