Organelle-Based Diseases
Heredity & Genetics
Progeria
Cystic Fibrosis (CF)
Endoplasmic Reticulum Disorder
- A single gene (lamin -A or LMNA) creates the protein responsible for holding the nucleus together
- Without LMNA, the nucleus is unstable, and the cells begin prematurely aging.
- Within the first year, physical development is normal, then slows dramatically
- Motor development and intelligence remain normal
- Less than 1,000 US cases per year
- The most common childhood genetic disease in America
- A gene mutation of one protein of the ER disables the ability to regulate movement of salt in/out of cells
- Result: Thick, sticky mucus in the respiratory, digestive, and reproductive systems, as well as more salt in sweat
- CF is an inherited race disorder, most common in white people of Northern European ancestry
- Both parents must have at least one copy of the defective gene to pass it on to offspring
- 1:3,000 affect rate
- Symptoms
- Slowed growth, with below-average height and weight
- Narrowed face, small lower jaw, thin lips and beaked nose
- Head disproportionately large for face
- Prominent eyes and incomplete closure of the eyelids
- Hair loss, including eyelashes and eyebrows
- Thinning, spotty, wrinkled skin
- Visible veins
- High-pitched voice
- Some hearing loss
- Hip dislocation
- Severe progressive heart and blood vessel (cardiovascular) disease
Achondrogenesis
- Golgi apparatus is supposed to package proteins from the ER
- A defect in the protein (GMAP-210) responsible for the packaging structure in the the Golgi apparatus
- The proteins build up in the ER, which becomes swollen and affects the function of certain cells affecting the formation of bones and cartilage
- 1:60,000 affect rate
- Symptoms
- Shortened limbs/small body
- Infants born with achondrogenesis are born prematurely or stillborn
- Infant survivors can live only with intensive medical care
Tay-Sachs Disease
Treacher Collins syndrome (TCS)
- Lysosomes that are supposed to break down substances in the cell stop working
- In nerve cells, a certain lipid is supposed to be broken down by lysosomes with a specific enzyme known as Hex-A
- In Tay-Sachs disease, Hex-A is missing, so that lipid continually multiplies until it kills the cell and the central nervous system
- The defect starts in the fetus, but is undetected until ~6 months, when normal development begins to slow
- Affects those of Ashkenazi Jewish descent (~1:27 Jews in the USA)
- Symptoms:
- Normal development until ~6 months, then children develop seizures
- by two years, children start regressing
- Diminished mental function
- Unable to crawl, turn over, etc.
- Eventually they become blind, paralyzed, unresponsive, and mentally impaired
- Death usually results by age 5
- When ribosomes fail to create the right protein structure for one of 3 genetic markers, it triggers a self-destruct switch in certain cells that are involved in the development of facial bones & tissues
- It is unclear why TCS only targets the face
- TCS affects 1 in 50,000 people
Leber hereditary optic neuropathy
- Symptoms
- Underdeveloped facial bones, especially the cheek and jaw
- Cleft palate (hole in the roof of the mouth)
- Affected airway
- Downward slanted eyes
- Notched lower eyelids
- Vision and hearing loss
- It does not affect the intelligence
- TCS can be unnoticeable to very severe
- Mitochondria are supposed to create energy for the cell
- Four enzymes are responsible for converting oxygen and simple sugars to energy
- Mutations disrupt this process and creates vision loss, first in one eye, then the other a few months later
- Symptoms
- Vision loss begins in teens-twenties, affecting more males than females
- Men cannot pass on this disease; only women
- 1:50,000 births in Finland