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{{Galactosemia}}
{{Galactosemia}}
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==Overview==
==Overview==
[[Galactosemia]] is an [[autosomal]] [[recessive]] disorder which is caused by dysfunction of the [[enzymes]]] involved in the [[Leloir]] [[pathway]] of [[galactose]] [[metabolism]].


Galactosemia is an inherited disease. For an individual to be galactosemic, he or she must have inherited the tendency from both parents
==Causes==


==Causes==
[[Galactosemia]] is inherited in an [[autosomal]] [[recessive]] manner when one faulty [[gene]] is acquired from each of the [[carrier]] parents. The [[mutations]] responsible are as follows <ref name="pmid29409891">{{cite journal| author=Demirbas D, Coelho AI, Rubio-Gozalbo ME, Berry GT| title=Hereditary galactosemia. | journal=Metabolism | year= 2018 | volume= 83 | issue=  | pages= 188-196 | pmid=29409891 | doi=10.1016/j.metabol.2018.01.025 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29409891  }} </ref>:
 
===Type I/ Classical [[galactosemia]]===
Impaired functioning of the [[GALT]] [[gene]], leading to absence of the [[galactose-1-phosphate uridyl transferase]] [[enzyme]] <ref name="pmid11261429">{{cite journal| author=Elsas LJ, Lai K| title=The molecular biology of galactosemia. | journal=Genet Med | year= 1998 | volume= 1 | issue= 1 | pages= 40-8 | pmid=11261429 | doi=10.1097/00125817-199811000-00009 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11261429  }} </ref>.


Mutations in the genes GALE, GALK1 AND GALT are the causes of galactosemia. The mutations that occur in these genes will eliminate or greatly reduce their activity, preventing or diminishing the metabolism of galactose and leading to the buildup of the sugar in the blood to toxic levels resulting in life threatening complications like [[hepatomegaly]] (an enlarged [[liver]]), [[renal failure]], [[cataract]]s, and [[brain damage]]. Without treatment, mortality in infants with galactosemia is about 75%.
====Duarte variant====
[[GALT]] gene dysfunction causes reduction of [[enzyme]] activity to 50 % <ref name="pmid11261429">{{cite journal| author=Elsas LJ, Lai K| title=The molecular biology of galactosemia. | journal=Genet Med | year= 1998 | volume= 1 | issue= 1 | pages= 40-8 | pmid=11261429 | doi=10.1097/00125817-199811000-00009 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11261429  }} </ref>


Shown below is a diagram depicting galactose metabolism and the different enzymes involved in it.
===Type II [[galactosemia]]===
Abnormality in the [[GALK1]] [[gene]] <ref name="pmid32809518">{{cite journal| author=| title=StatPearls | journal= | year= 2022 | volume=  | issue=  | pages= | pmid=32809518 | doi= | pmc= | url= }} </ref>


===Type III [[galactosemia]]===
Variation in the activity of the [[GALE]] [[gene]] <ref name="pmid21290786">{{cite journal| author=Adam MP, Ardinger HH, Pagon RA, Wallace SE, Bean LJH, Gripp KW | display-authors=etal| title=GeneReviews® | journal= | year= 1993 | volume=  | issue=  | pages=  | pmid=21290786 | doi= | pmc= | url= }} </ref>


[[File:Galactose_metabolism.png]]
===Type IV [[galactosemia]]===
[[Biallelic]] [[mutations]] in the [[GALM]] [[gene]] <ref name="pmid30910422">{{cite journal| author=Iwasawa S, Kikuchi A, Wada Y, Arai-Ichinoi N, Sakamoto O, Tamiya G | display-authors=etal| title=The prevalence of GALM mutations that cause galactosemia: A database of functionally evaluated variants. | journal=Mol Genet Metab | year= 2019 | volume= 126 | issue= 4 | pages= 362-367 | pmid=30910422 | doi=10.1016/j.ymgme.2019.01.018 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=30910422  }} </ref>


==References==
==References==
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Latest revision as of 15:04, 18 August 2022

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sujaya Chattopadhyay, M.D.[2]

Overview

Galactosemia is an autosomal recessive disorder which is caused by dysfunction of the enzymes] involved in the Leloir pathway of galactose metabolism.

Causes

Galactosemia is inherited in an autosomal recessive manner when one faulty gene is acquired from each of the carrier parents. The mutations responsible are as follows [1]:

Type I/ Classical galactosemia

Impaired functioning of the GALT gene, leading to absence of the galactose-1-phosphate uridyl transferase enzyme [2].

Duarte variant

GALT gene dysfunction causes reduction of enzyme activity to 50 % [2]

Type II galactosemia

Abnormality in the GALK1 gene [3]

Type III galactosemia

Variation in the activity of the GALE gene [4]

Type IV galactosemia

Biallelic mutations in the GALM gene [5]

References

  1. Demirbas D, Coelho AI, Rubio-Gozalbo ME, Berry GT (2018). "Hereditary galactosemia". Metabolism. 83: 188–196. doi:10.1016/j.metabol.2018.01.025. PMID 29409891.
  2. 2.0 2.1 Elsas LJ, Lai K (1998). "The molecular biology of galactosemia". Genet Med. 1 (1): 40–8. doi:10.1097/00125817-199811000-00009. PMID 11261429.
  3. "StatPearls". 2022. PMID 32809518 Check |pmid= value (help).
  4. Adam MP, Ardinger HH, Pagon RA, Wallace SE, Bean LJH, Gripp KW; et al. (1993). "GeneReviews®". PMID 21290786.
  5. Iwasawa S, Kikuchi A, Wada Y, Arai-Ichinoi N, Sakamoto O, Tamiya G; et al. (2019). "The prevalence of GALM mutations that cause galactosemia: A database of functionally evaluated variants". Mol Genet Metab. 126 (4): 362–367. doi:10.1016/j.ymgme.2019.01.018. PMID 30910422.

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