The X-linked recessive Menkes disease (MD) is a multisystemic lethal disorder of copper metabolism, characterized by neurodegenerative symptoms and connective tissue manifestations. MD results from the malfunction of several important copper requiring enzymes due to a disturbance in the intracellula
Genetic epidemiology of Menkes disease
β Scribed by Nina Horn; Newton E. Morton; D. C. Rao
- Publisher
- John Wiley and Sons
- Year
- 1986
- Tongue
- English
- Weight
- 357 KB
- Volume
- 3
- Category
- Article
- ISSN
- 0741-0395
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β¦ Synopsis
Copper incorporation studies were performed on individuals from 58 pedigrees, comprising 140 sibships. As previously reported, there is considerable overlap between heterozygotes and normal homozygotes. Segregation analysis supports recessive inheritance of disease, with residual heritability for @Cu uptake in cultured cells. The population frequency of sporadic cases is compatible with the 1/3 expected for an X-linked lethal with equal mutation rates in egg and sperm, which implies a mutation rate of 6.7 x 10-6/gamete/generation. The parameters estimated here are likely to provide the best basis for genetic counseling until more reliable carrier tests are performed on a systematic sample from a large, defined population.
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About 90-95 per cent of the patients have a severe clinical course leading to death in early childhood. ATP7A mutations associated with MD show great variety, from cytogenetic abnormalities to partial gene deletions to single base-pair changes. As a lethal X-linked trait, an estimated one-third of n
Genetic epidemiology can contribute as greatly to the understanding of major chronic and degenerative diseases as classical genetics has to the understanding of inborn errors of metabolism and as classical epidemiology has to the understanding of diseases of environmental origin. Through increasing