 By: Christer Löfkrantz and Nita Helseth.  Autosomal recessive disorder  Protein complex BCKD (Branched- chain alpha-ketoacid dehydrogenase)  Mutations.

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Presentation transcript:

 By: Christer Löfkrantz and Nita Helseth

 Autosomal recessive disorder  Protein complex BCKD (Branched- chain alpha-ketoacid dehydrogenase)  Mutations of at least four genes  Unable to break down three types of amino acids (Leucine, Isoleucine and valine)

 Accumulation of the amino acids in the blood  Toxic substances  Cause permanent brain damage  Developmental delay  Mother’s milk  Infection

 Sweet–smelling urine(Maple syrup)  Poor appetite  Weak suck  Vomiting  High pitched cry  Low energy/extreme sleepiness  ‘‘Meningitis’’  Seizures  Coma

 Early diagnosis prevent brain damage  Dietary restriction of Leucine, Isoleucine and Valine  Infants: Special formula of milk  Adult: Protein-free diet  Liver transplantation  Newborn screening

 Aproximately 1 in infants each year are diagnosed with MSUD worldwide  10 cases of MSUD are known in Norway

 d/msud/ d/msud/   Disease.htm Disease.htm  ders/MSUD.html#1 ders/MSUD.html#1  le%20Syrup%20Urine%20Disease%20(MSUD)&aid= le%20Syrup%20Urine%20Disease%20(MSUD)&aid=8729