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Inborn Errors of Metabolism01:20

Inborn Errors of Metabolism

Phenylketonuria (PKU) is a protein metabolism disorder characterized by high blood levels of the amino acid phenylalanine. This results from a mutation in the gene responsible for phenylalanine hydroxylase, an enzyme that converts phenylalanine into tyrosine. When this enzyme is deficient, phenylalanine builds up in the blood, leading to symptoms such as vomiting, rashes, seizures, growth deficiency, and severe mental retardation. An early diagnosis and a diet restricting phenylalanine intake...
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Translation01:31

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Related Experiment Video

Updated: May 11, 2026

Ion Mobility-Mass Spectrometry Techniques for Determining the Structure and Mechanisms of Metal Ion Recognition and Redox Activity of Metal Binding Oligopeptides
11:04

Ion Mobility-Mass Spectrometry Techniques for Determining the Structure and Mechanisms of Metal Ion Recognition and Redox Activity of Metal Binding Oligopeptides

Published on: September 7, 2019

Inborn errors of copper metabolism.

Stephen G Kaler1

  • 1Unit on Human Copper Metabolism, Molecular Medicine Program, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, USA.

Handbook of Clinical Neurology
|April 30, 2013
PubMed
Summary

Copper ATPases ATP7A and ATP7B are crucial for human copper balance. Mutations cause distinct neurological disorders like Menkes disease and Wilson disease, some treatable with copper therapy or gene editing.

Area of Science:

  • Biochemistry
  • Genetics
  • Neuroscience

Background:

  • Copper homeostasis in mammals relies on two key ATPases: ATP7A for uptake and delivery, and ATP7B for liver excretion.
  • Mutations in ATP7A lead to X-linked disorders including Menkes disease, OHS, and distal motor neuropathy, presenting with varied neurological symptoms and onset ages.
  • Mutations in ATP7B cause Wilson disease, an autosomal recessive disorder of copper overload with distinct neurological and psychiatric manifestations.

Purpose of the Study:

  • To review the roles of ATP7A and ATP7B in mammalian copper metabolism.
  • To delineate the spectrum of genetic disorders arising from mutations in ATP7A and ATP7B.
  • To highlight recent discoveries in autosomal recessive copper metabolism conditions.

Main Methods:

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  • Literature review of genetic and clinical findings related to copper-transporting ATPases.
  • Analysis of mutation-phenotype correlations for ATP7A and ATP7B related disorders.
  • Summary of newly identified copper metabolism syndromes.
  • Main Results:

    • ATP7A mutations result in Menkes disease, OHS, and X-linked distal motor neuropathy, each with unique clinical presentations and ages of onset.
    • ATP7B mutations cause Wilson disease, characterized by copper overload and neurological symptoms typically appearing in adolescence or adulthood.
    • Three novel autosomal recessive conditions (Huppke-Brendel, CCS deficiency, MEDNIK syndrome) linked to copper metabolism have been identified.

    Conclusions:

    • Disorders of copper metabolism, particularly those involving ATP7A and ATP7B, present a range of neurological phenotypes.
    • Early diagnosis and targeted therapies, such as copper replacement or chelation, are crucial for managing these conditions.
    • Ongoing research continues to uncover new genetic factors influencing copper homeostasis and related diseases.