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Genetic Disease Project Names: Aaron Lu & Carter McCarroll Disease OMIM # Protein Symbol Gene location Inheritance DNA sequence Amino Acid sequence # of specific Allelic variant .0004 .0005 .0006 .0009 Prognosis – Onset Symptoms Links Lesch-Nyhan Syndrome 308000 HYPOXANTHINE GUANINE PHOSPHORIBOSYLTRANSFERASE 1 HPRT1 Xq26.2-q26.3 X-Linked Recessive 1 ATGGCGACCC GCAGCCCTGG TTATTTTGCA TACCTAATCA 81 TTATGCTGAG GATTTGGAAA ACGTCTTGCT CGAGATGTGA 161 TGAAGGAGAT GGGAGGCCAT TCTTTGCTGA CCTGCTGGAT 241 TACATCAAAG CACTGAATAG AGACTGAAGA GCTATTGTAA 321 TGACCAGTCA ACAGGGGACA AAAGAATGTC TTGATTGTGG 401 AAGATATAAT TGACACTGGC ATCCAAAGAT GGTCAAGGTC 481 GCAAGCTTGC TGGTGAAAAG TTTGAAATTC CAGACAAGTT 561 TGTTGTAGGA TATGCCCTTG CATTAGTGAA ACTGGAAAAG 641 CAAAATACAA AGCCTAA 1 matrspgvvi sddepgydld 61 hivalcvlkg gykffadlld 121 dlstltgknv livediidtg 181 feipdkfvvg yaldyneyfr DNA change CGTCGTGATT AGTGATGATG AACCAGGTTA TGACCTTGAT GGGTGTTTAT TCCTCATGGA CTAATTATGG ACAGGACTGA CACATTGTAG CCCTCTGTGT GCTCAAGGGG GGCTATAAAT AAATAGTGAT AGATCCATTC CTATGACTGT AGATTTTATC TAAAAGTAAT TGGTGGAGAT GATCTCTCAA CTTTAACTGG AAAACAATGC AGACTTTGCT TTCCTTGGTC AGGCAGTATA GACCCCACGA AGTGTTGGAT ATAAGCCAGA CTTTGTTGGA ACTATAATGA ATACTTCAGG GATTTGAATC ATGTTTGTGT lfcipnhyae yikalnrnsd ktmqtllslv dlnhvcvise Amino Insertion of nucleotide T at nucleotide number 56, 57, or 58 (CCTTGA CCTTTGA) Deletion of nucleotides 532609 (deletion of exon 8) dlervfiphg limdrterla rdvmkemggh rsipmtvdfi rlksycndqs tgdikviggd rqynpkmvkv asllvkrtpr svgykpdfvg tgkakyka acid (protein change) Nonsense, amino acid 20, Aspartic Acid, replaced with a termination codon Frameshift, amino acid 178, Phenylalanine, through amino acid 203, Asparagine, are lost, and premature protein truncation T-to-C substitution at Missense, amino acid 41, Leucine, replaced nucleotide 122 with Proline G-to-A substitution at Missense, amino acid 194, Aspartic Acid, nucleotide 580 replaced with Asparagine There is no specific treatment for Lesch-Nyhan syndrome that exists. However, medicine for treating gout can lower uric acid levels. Unfortunately, treatment does not improve the nervous system outcome. People with this syndrome usually need help walking and sitting. Most need a wheelchair. If management of symptoms is effective, most individuals survive into their 20s or 30s. Death is usually from aspiration pneumonia or complications of nephrolithiasis. Sometimes there is sudden death of unknown cause. 3 – 12 months after birth, early urate crystal formation, resulting from abnormally increased levels of uric acid in the urine, leads to the presence of orange colored deposits. Abnormal involuntary muscle movements such as tensing of various muscles (dystonia), jerking movements (chorea), and flailing of the limbs (ballismus). Those affected usually cannot walk. Self-injury is a common and distinctive behavioral problem in individuals affected. https://ghr.nlm.nih.gov/condition/lesch-nyhan-syndrome http://patient.info/doctor/lesch-nyhan-syndrome