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Management of Inherited Metabolic Diseases in India

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Genetic Disorders of the Indian Subcontinent
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Abstract

Medical genetics has come of age as a unique specialty in medicine. All practitioners of medicine, regardless of their individual speciality encounter numerous patients with genetic disorders or conditions strongly influenced by hereditary factors. Clinicians are expected to be aware of aetiology, pathogenesis, natural history and prognosis of inherited diseases, as well as current approaches to their treatment and prevention. Unlike most other medical specialties, which are limited to a body system, age range or diagnostic modality, medical genetics has no such limits. It involves all bodily systems and utilizes all manner of diagnostic and therapeutic modalities. In addition, the recent spectacular advances in cellular, biochemical and molecular genetics are rapidly integrated into clinical applicability, and thus provide unique diagnostic tools. The modern management of genetically determined metabolic disorders is an excellent example where advances in modern genetics are being applied with measurable success.

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References

  • Ambani LM, Patel ZM and Dhareshwar SS (1984) Clinical, biochemical and cytogenetic studies in mental retardation. Indian J Med Res; 79: 384–387.

    PubMed  CAS  Google Scholar 

  • Apte BN (2002) A process for the manufacture of kits and preparation of enzyme enriched samples for a new method for the diagnosis of genetic diseases resulting from enzymopathies. Patent No. 1161/MUM/2002.

    Google Scholar 

  • Beadle GW and Tatum EL (1941) Genetic control of biochemical reactions in Neurospora. Proc Natl Acad Sci, USA; 27: 499–503.

    Article  CAS  Google Scholar 

  • Bharucha BA, Kher AS and Naik GG (1994) Chaudhary P, Sachdev HPS, Puri RK (eds.) Spectrum of inherited metabolic disease in India–A 15-year experience. Abstracts of the 8th Asian Congress of Pediatrics, New Delhi, Jaypee Publishers, pg 98.

    Google Scholar 

  • Bickel H, Gerrard J and Hickmanns EM (1954) Influence of phenylalanine intake on phenylketonuria. Lancet; 2: 812–817.

    Google Scholar 

  • Bonjour JP, Bausch J, Suormala T and Baumgartner ER (1984) Detection of biocytin in urine of children with congenital biotinidase deficiency. Int J Vitam Nutr Res; 54: 223–227.

    PubMed  CAS  Google Scholar 

  • Brady RO, Pentchev PG and Gal AE (1954) Replacement therapy for inherited enzyme deficiency: Use of purified glucocerebrosidase in Gaucher’s disease. N Eng J Med 1074 (291): 989–996.

    Google Scholar 

  • Brady RO and Barton NW, Desnick RJ (Eds.) (1991) Enzyme replacement therapy for type I Gaucher’s disease. In Treatment of genetic diseases. Churchill Livingstone Inc., New York, pp 153–168.

    Google Scholar 

  • Burri BJ, Sweetman L and Nyhan WL (1981) Mutant Holocarboxylase synthetase. Evidence for the enzyme defect in early infantile biotin responsive multiple carboxylase deficiency. J Clin Invest; 68: 1491–1497.

    Article  PubMed  CAS  Google Scholar 

  • Dubois G, Turpin JC and Baumann N (1975) Absence of ASA activity in healthy father of a patient with Metachromatic leukodystrophy. N Engl J Med; 293: 302–305.

    PubMed  CAS  Google Scholar 

  • Garrod AE (1908) Inborn errors of metabolism (Croonian lectures). Lancet;1: 73, 142, 214.

    Google Scholar 

  • Goldsmith LA, Kng E, Bienfeng DC, Jimbrow K, Gerald P and Baden HP (1973) Tyrosinemia with plantar and palmar keratosis and keratitis. J Pediatr;83: 798–804

    Article  PubMed  CAS  Google Scholar 

  • Hermann ME, Broesicke HG and Keller M (1994) Dependence of the utilization of a phenylalanine-free amino acid mixture on different amounts of single dose ingested. A case report. Eur J Pediatr; 153: 501–503.

    Article  Google Scholar 

  • Hershfeld MS and Chaffee S, Desnick RJ (Eds.) (1991) Enzyme replacement therapy for adenosine deaminase deficiency. In Treatment of Genetic disease Churchill Livingstone Inc., New York, pp 169–182.

    Google Scholar 

  • ICMR collaborating centres and central coordinating unit, India. Multicentric study on genetic causes of mental retardation in India. Indian J Med Res 1991; (B), 94: 161–169

    Google Scholar 

  • Ingram V (1956) A specific chemical difference between the globins of normal human and sickle cell anaemia haemoglobin. Nature; 178: 792–797.

    Article  PubMed  CAS  Google Scholar 

  • Kabra M (2002) Dietary management of inborn errors of metabolism. Indian J Pediatr; 69: 421–426.

    Article  PubMed  Google Scholar 

  • Kaur M, Das GP and Verma IC (1994) Inborn errors of amino acid metabolism in north India. J Inh Metabol Dis; 17: 230–233.

    Article  CAS  Google Scholar 

  • Koch R, Acosta P, Donnel GN and Liberman E (1965) Nutritional therapy of galactosemia. Clin Pediatr (Phila); 4: 571–573.

    Article  CAS  Google Scholar 

  • Kochupillai N and Pandav CS (1986) Iodine deficiency and neonatal hypothyroidism. Bull WHO; 64: 547–551.

    PubMed  CAS  Google Scholar 

  • Mudd SH, Edwards WA, Loeb PM, Brown MS and Laster L (1973) Homocysteinemia due to cystathionine synthase deficiency: The effect of pyridoxine. J Clin Invest; 49: 1762.

    Article  Google Scholar 

  • Pauling l, Itano HA, Singer SJ and Wells IC (1949) Sickle cell anaemia: A molecular disease. Science; 110: 542–546.

    Article  Google Scholar 

  • Pratt EL, Snyderman SE and Cheung MW (1955) The threonine requirement of the normal infant. J Nutr; 56: 231–251.

    PubMed  CAS  Google Scholar 

  • Sander JE, Malamud N, Cowan MJ, Packman S, Amman AJ and Wara DW. (1980) Intermittent ataxia and immunodeficiency with multiple carboxylase deficiency: A biotin responsive disorder. Ann Neurol; 8: 544–550.

    Article  PubMed  CAS  Google Scholar 

  • Schoeffer A, Herman ME, Broesick HG, and Moenche E (1994) Effect of dosage and timing of amino acid mixtures on nitrogen retention in patients with phenylketonuria. J Nutr Med; 4: 415–418.

    Article  Google Scholar 

  • Scriver CR, Neal JL, Saginur R and Clow A (1973) The frequency of genetic disease and congenital malformation among patients in a pediatric hospital. Canad Med Assoc J; 108: 1111–1115.

    PubMed  CAS  Google Scholar 

  • Scriver CR, Bickel H, Guthrie R and Hammersen G (Eds.) (1980) Predictive medicine: A goal for genetic screening. Springer Verlag, 1980, pp 317–333.

    Google Scholar 

  • Shapiro LJ, Aleck KA, Kaback MM, Itabashi H, Desnick RJ, Brand N, Stevens RL, Fluharty AL and Kihara H (1979) Metachromatic leukodystrophy without arylsulphatase A deficiency. Ped Res; 13: 1179–1182.

    Article  CAS  Google Scholar 

  • Smolin LA, Benevenga NJ and Berlows (198 1) The use of betaine for the treatment of homocysteinuria. J Pediatr; 99: 467–472.

    Google Scholar 

  • Stanbury JB, Wyngaarden JB, Fredrickson DS, Goldstein JL and Brown MS, (Eds.) (1960) The metabolic inherited disease. McGraw-Hill, Inc, USA.

    Google Scholar 

  • Verma IC (Eds.) (1980) Directory of human genetic services in India. All India Institute of Medical Sciences, India.

    Google Scholar 

  • Verma IC (2000) Burden of genetic disorders in India. Indian J Pediatr; 67: 893–898.

    Article  PubMed  CAS  Google Scholar 

  • Wolff JA, Kulovich S and Yu AL (1986) The effectiveness of benzoate in the management of seizures in nonketotic hyperglycinemia. Am J Dis Child; 140: 596–602.

    PubMed  CAS  Google Scholar 

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© 2004 Springer Science+Business Media Dordrecht

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Apte, B.N. (2004). Management of Inherited Metabolic Diseases in India. In: Kumar, D. (eds) Genetic Disorders of the Indian Subcontinent. Springer, Dordrecht. https://doi.org/10.1007/978-1-4020-2231-9_11

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  • DOI: https://doi.org/10.1007/978-1-4020-2231-9_11

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-90-481-6262-8

  • Online ISBN: 978-1-4020-2231-9

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