Hartnup Disease causes: Difference between revisions

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(Created page with " ==Overview== '''Hartnup disease''' (also known as "pellagra-like dermatosis"<ref name="Bolognia">{{cite book |author=Rapini, Ronald P. |author2=Bolognia, Jean L....")
 
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'''Hartnup disease''' (also known as "[[pellagra]]-like [[dermatosis]]"<ref name="Bolognia">{{cite book |author=Rapini, Ronald P. |author2=Bolognia, Jean L. |author3=Jorizzo, Joseph L. |title=Dermatology: 2-Volume Set |publisher=Mosby |location=St. Louis |year=2007 |pages= |isbn=1-4160-2999-0 |oclc= |doi= |accessdate=}}</ref> and "Hartnup disorder"<ref>{{OMIM|234500}}</ref>) is an [[autosomal]] [[recessive]]<ref name="pmid15286787">{{cite journal |pmid=15286787 |date=September 2004 |vauthors=Kleta R, Romeo E, Ristic Z, Ohura T, Stuart C, Arcos-Burgos M, Dave MH, Wagner CA, Camargo SR, Inoue S, Matsuura N, Helip-Wooley A, Bockenhauer D, Warth R, Bernardini I, Visser G, Eggermann T, Lee P, Chairoungdua A, Jutabha P, Babu E, Nilwarangkoon S, Anzai N, Kanai Y, Verrey F, Gahl WA, Koizumi A |title=Mutations in SLC6A19, encoding B0AT1, cause Hartnup disorder |volume=36 |issue=9 |pages=999–1002 |doi=10.1038/ng1405 |journal=Nature Genetics}}</ref> [[metabolic disorder]] affecting the absorption of nonpolar [[amino acids]] (particularly [[tryptophan]] that can be, in turn, converted into [[serotonin]], [[melatonin]], and [[niacin]]). Niacin is a precursor to [[nicotinamide]], a necessary component of [[NAD+]].<ref name="Andrews">{{cite book |author=James, William D. |author2=Berger, Timothy G.|title=Andrews' Diseases of the Skin: clinical Dermatology |publisher=Saunders Elsevier |location= |year=2006 |pages= |isbn=0-7216-2921-0 |oclc= |doi= |accessdate=|display-authors=etal}}</ref>{{rp|541}}
'''Hartnup disease''' (also known as "[[pellagra]]-like [[dermatosis]]"<ref name="Bolognia">{{cite book |author=Rapini, Ronald P. |author2=Bolognia, Jean L. |author3=Jorizzo, Joseph L. |title=Dermatology: 2-Volume Set |publisher=Mosby |location=St. Louis |year=2007 |pages= |isbn=1-4160-2999-0 |oclc= |doi= |accessdate=}}</ref> and "Hartnup disorder"<ref>{{OMIM|234500}}</ref>) is an [[autosomal]] [[recessive]]<ref name="pmid15286787">{{cite journal |pmid=15286787 |date=September 2004 |vauthors=Kleta R, Romeo E, Ristic Z, Ohura T, Stuart C, Arcos-Burgos M, Dave MH, Wagner CA, Camargo SR, Inoue S, Matsuura N, Helip-Wooley A, Bockenhauer D, Warth R, Bernardini I, Visser G, Eggermann T, Lee P, Chairoungdua A, Jutabha P, Babu E, Nilwarangkoon S, Anzai N, Kanai Y, Verrey F, Gahl WA, Koizumi A |title=Mutations in SLC6A19, encoding B0AT1, cause Hartnup disorder |volume=36 |issue=9 |pages=999–1002 |doi=10.1038/ng1405 |journal=Nature Genetics}}</ref> [[metabolic disorder]] affecting the absorption of nonpolar [[amino acids]] (particularly [[tryptophan]] that can be, in turn, converted into [[serotonin]], [[melatonin]], and [[niacin]]). Niacin is a precursor to [[nicotinamide]], a necessary component of [[NAD+]].<ref name="Andrews">{{cite book |author=James, William D. |author2=Berger, Timothy G.|title=Andrews' Diseases of the Skin: clinical Dermatology |publisher=Saunders Elsevier |location= |year=2006 |pages= |isbn=0-7216-2921-0 |oclc= |doi= |accessdate=|display-authors=etal}}</ref>{{rp|541}}


The causative gene, ''[[SLC6A19]]'', is located on [[chromosome 5]].<ref name="pmid15286788">{{cite journal |pmid=15286788 |doi=10.1038/ng1406 |date=September 2004 |vauthors=Seow HF, Brer S, Brer A, Bailey CG, Potter SJ, Cavanaugh JA, Rasko JE |title=Hartnup disorder is caused by mutations in the gene encoding the neutral amino acid transporter SLC6A19 |volume=36 |issue=9 |pages=1003–7 |journal=Nature Genetics}}</ref>==Causes==
The causative gene, ''[[SLC6A19]]'', is located on [[chromosome 5]].<ref name="pmid15286788">{{cite journal |pmid=15286788 |doi=10.1038/ng1406 |date=September 2004 |vauthors=Seow HF, Brer S, Brer A, Bailey CG, Potter SJ, Cavanaugh JA, Rasko JE |title=Hartnup disorder is caused by mutations in the gene encoding the neutral amino acid transporter SLC6A19 |volume=36 |issue=9 |pages=1003–7 |journal=Nature Genetics}}</ref>
 
==Causes==
Hartnup disease is inherited as an [[autosomal recessive]] trait. [[Heterozygote]]s are normal. [[Consanguinity]] is common. The failure of [[Membrane transport protein|amino-acid transport]] was reported in 1960 from the increased presence of [[indole]]s (bacterial metabolites of tryptophan) and tryptophan in the urine of patients as part of a generalized [[aminoaciduria]] of the disease. The excessive loss of tryptophan from [[malabsorption]] was the cause of the pellagra like symptoms. From studies on ingestion of tryptophan it seemed that there was a generalized problem with amino-acid transport.<ref>Milne, M.D., Crawford, M.A., Girao, C.B. and Loughridge, L. (1961) The metabolic disorder of the Hartnup disease. Q. J. Med. 29: 407-421</ref> In 2004, a causative gene, ''SLC6A19'', was located on band 5p15.33. ''SLC6A19'' is a sodium-dependent and chloride-independent neutral amino acid transporter, expressed predominately in the kidneys and intestine.<ref name=eMedicine>{{ cite web | url=http://www.emedicine.com/derm/byname/hartnup-disease.htm | title=Hartnup Disease | author=Lidija Kandolf Sekulovic | accessdate=2008-11-23 }}</ref>
Hartnup disease is inherited as an [[autosomal recessive]] trait. [[Heterozygote]]s are normal. [[Consanguinity]] is common. The failure of [[Membrane transport protein|amino-acid transport]] was reported in 1960 from the increased presence of [[indole]]s (bacterial metabolites of tryptophan) and tryptophan in the urine of patients as part of a generalized [[aminoaciduria]] of the disease. The excessive loss of tryptophan from [[malabsorption]] was the cause of the pellagra like symptoms. From studies on ingestion of tryptophan it seemed that there was a generalized problem with amino-acid transport.<ref>Milne, M.D., Crawford, M.A., Girao, C.B. and Loughridge, L. (1961) The metabolic disorder of the Hartnup disease. Q. J. Med. 29: 407-421</ref> In 2004, a causative gene, ''SLC6A19'', was located on band 5p15.33. ''SLC6A19'' is a sodium-dependent and chloride-independent neutral amino acid transporter, expressed predominately in the kidneys and intestine.<ref name=eMedicine>{{ cite web | url=http://www.emedicine.com/derm/byname/hartnup-disease.htm | title=Hartnup Disease | author=Lidija Kandolf Sekulovic | accessdate=2008-11-23 }}</ref>



Latest revision as of 18:39, 2 June 2016



Overview

Hartnup disease (also known as "pellagra-like dermatosis"[1] and "Hartnup disorder"[2]) is an autosomal recessive[3] metabolic disorder affecting the absorption of nonpolar amino acids (particularly tryptophan that can be, in turn, converted into serotonin, melatonin, and niacin). Niacin is a precursor to nicotinamide, a necessary component of NAD+.[4]:541

The causative gene, SLC6A19, is located on chromosome 5.[5]

Causes

Hartnup disease is inherited as an autosomal recessive trait. Heterozygotes are normal. Consanguinity is common. The failure of amino-acid transport was reported in 1960 from the increased presence of indoles (bacterial metabolites of tryptophan) and tryptophan in the urine of patients as part of a generalized aminoaciduria of the disease. The excessive loss of tryptophan from malabsorption was the cause of the pellagra like symptoms. From studies on ingestion of tryptophan it seemed that there was a generalized problem with amino-acid transport.[6] In 2004, a causative gene, SLC6A19, was located on band 5p15.33. SLC6A19 is a sodium-dependent and chloride-independent neutral amino acid transporter, expressed predominately in the kidneys and intestine.[7]


References

  1. Rapini, Ronald P.; Bolognia, Jean L.; Jorizzo, Joseph L. (2007). Dermatology: 2-Volume Set. St. Louis: Mosby. ISBN 1-4160-2999-0.
  2. Online Mendelian Inheritance in Man (OMIM) 234500
  3. Kleta R, Romeo E, Ristic Z, Ohura T, Stuart C, Arcos-Burgos M, Dave MH, Wagner CA, Camargo SR, Inoue S, Matsuura N, Helip-Wooley A, Bockenhauer D, Warth R, Bernardini I, Visser G, Eggermann T, Lee P, Chairoungdua A, Jutabha P, Babu E, Nilwarangkoon S, Anzai N, Kanai Y, Verrey F, Gahl WA, Koizumi A (September 2004). "Mutations in SLC6A19, encoding B0AT1, cause Hartnup disorder". Nature Genetics. 36 (9): 999–1002. doi:10.1038/ng1405. PMID 15286787.
  4. James, William D.; Berger, Timothy G.; et al. (2006). Andrews' Diseases of the Skin: clinical Dermatology. Saunders Elsevier. ISBN 0-7216-2921-0.
  5. Seow HF, Brer S, Brer A, Bailey CG, Potter SJ, Cavanaugh JA, Rasko JE (September 2004). "Hartnup disorder is caused by mutations in the gene encoding the neutral amino acid transporter SLC6A19". Nature Genetics. 36 (9): 1003–7. doi:10.1038/ng1406. PMID 15286788.
  6. Milne, M.D., Crawford, M.A., Girao, C.B. and Loughridge, L. (1961) The metabolic disorder of the Hartnup disease. Q. J. Med. 29: 407-421
  7. Lidija Kandolf Sekulovic. "Hartnup Disease". Retrieved 2008-11-23.