在出生时,新陈代谢的先天错误大约在出生时发生
1Biochemistry, Endocrinology and Metabolism Unit, Institute of Child Health, London, UK.
Lancet (London, England)
|August 19, 2000
概括
代谢的先天性错误 (IEM) 经常出现在出生时. 及时诊断和风险识别对于及时治疗至关重要,甚至在确定确诊之前.
科学领域:
- 生物化学 生物化学
- 儿科 儿科 儿科
- 遗传学 是一个遗传学.
背景情况:
- 代谢的先天性错误 (IEM) 是一组遗传性疾病.
- 这些情况经常在新生儿身上表现出来,这给诊断带来了挑战.
- 早期检测对于预防严重的健康后果至关重要.
研究的目的:
- 突出IEM中快速诊断的重要性.
- 提出一种策略来识别高风险婴儿.
- 强调需要及时启动治疗的必要性.
主要方法:
- 对IEM临床表现的审查.
- 分析诊断挑战和时间表.
- 开发一种风险分层方法.
主要成果:
- 大多数患有IEM的婴儿在出生时看起来很健康,但病情迅速恶化.
- 一些IEM在出生时存在或可以通过产前超声波检测.
- 建议制定一项早期识别有风险的新生儿的战略.
结论:
- 及时诊断IEM对于有效管理至关重要.
- 不应该推迟开始治疗,等待最终的诊断.
- 建议采取积极的方法来识别和管理高风险婴儿.
相关概念视频
Animal Mitochondrial Genetics
Among all the organelles in an animal cell, only mitochondria have their own independent genomes. Animal mitochondrial DNA is a double-stranded, closed-circular molecule with around 20,000 base pairs. Mitochondrial DNA is unique in that one of its two strands, the heavy, or H, -strand is guanine rich, whereas the complementary strand is cytosine rich and called the light, or L, -strand. Compared to nuclear DNA, mitochondrial DNA has a very low percentage of non-coding regions and is marked by...
Genome Copying Errors
DNA replication is a well-evolved process that copies millions of base pairs with high fidelity during each cell division. Occasionally a wrong base or a long stretch of wrong bases may get added to the daughter strands. If the errors are left unchecked, cells might accumulate several mutations that might endanger their survival. Therefore, the copying errors are checked and repaired at three levels.
Teratogenicity
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
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...
Pharmacokinetics in Pediatric Patients: Drug Metabolism
In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses a challenge in...
Biosynthesis of Nucleic Acids
Nucleic acid biosynthesis is a fundamental biochemical process that produces the purine and pyrimidine nucleotides essential for DNA and RNA synthesis. This pathway maintains a balanced nucleotide pool, preventing imbalances that could jeopardize genetic integrity and cellular function. Given the crucial role of nucleotides, their synthesis is tightly regulated to ensure proper cellular homeostasis.Purine BiosynthesisThe biosynthesis of purine nucleotides begins with ribose-5-phosphate, a...


