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Course, academic year 2023/2024
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Pathobiochemistry 1 - Inherited Metabolic Disorders - B82431 (General Medicine - English parallel, compulsory elective)
Title: Pathobiochemistry 1 - Inherited Metabolic Disorders
Guaranteed by: Department of Pediatrics and Inherited Metabolic Disorders First Faculty of Medicine Charles University and General University Hospital in Prague (11-00650)
Faculty: First Faculty of Medicine
Actual: from 2023
Semester: winter
Points: 2
E-Credits: 2
Examination process: winter s.:
Hours per week, examination: winter s.:15/0, Ex [HS]
Extent per academic year: 15 [hours]
Capacity: 45
Min. number of students: unlimited
4EU+: no
Virtual mobility / capacity: no
State of the course: taught
Language: English
Teaching methods: full-time
Teaching methods: full-time
Explanation: Please choose only one of the three Pathobiochemistry courses
Additional information: https://udmp.lf1.cuni.cz/en/pathobiochemistry-for-3rd-year-general-medicine-students-winter-term-20122013-25-9-2018-85141
Note: enabled for web enrollment
Guarantor: prof. MUDr. Viktor Kožich, CSc.
Comes under: Compulsory elective for GM 3.y.
Attributes: Lékařství
Teoretický předmět
Incompatibility : B82432, B82433
Pre-requisite : B83120
Is incompatible with: B82710, B82432, B82433
Is interchangeable with: B80925
In complex pre-requisite: B80114, B82711
Annotation
Last update: MUDr. Martin Hřebíček, Ph.D. (20.09.2018)
Biochemical basis of inherited metabolic disorders. Overview of their molecular bases, diagnostics and treatment.
Syllabus
Last update: Ing. Vladislava Kohútová (27.09.2019)

Introduction to biochemical genetics

Hereditary disorders of amino-acid metabolism

Hereditary disorders of saccharide metabolism and protein glycosylation

Disorders of purine and pyrimidine metabolism

Disorders of mitochondrial metabolism; pathobiochemistry of fasting

Hereditary disorders of metabolism and biogenesis of lysosomes and peroxisomes

Diagnosis and therapy of monogenic disorders of metabolism

Requirements to the exam
Last update: MUDr. Martin Hřebíček, Ph.D. (30.10.2023)

Students will answer two questions, one from each of two pools of questions (see below):

 

Group I. General topics

1. IEM of small molecules (substrate accumulation) - pathogenesis, symptoms and treatment options, examples

2. IEM of small molecules (product deficiency) - pathogenesis, symptoms and treatment options, examples

3. IEM of complex molecules (substrate accumulation) - pathogenesis, symptoms and treatment options, examples

4. IEM of complex molecules (product deficiency) - pathogenesis, symptoms and treatment options, examples

5. IEM of energy deficits - pathogenesis, symptoms and treatment options, examples

6. Newborn screening of IEM - general principles of organization, criteria for inclusion of diseases, incidence of screened diseases in the Czech Republic, laboratory methods

7. Laboratory methods of IEM diagnostics and diagnostic approaches to IEM in symptomatic patients.

8. Fasting and IEM in which the symptoms are triggered by fasting.

9. Inheritance of IEM - examples of autosomal recessive, X-linked and maternally inherited IEM.

10. Principles of treatment of IEM of small molecules.

11. Disorders of energy metabolism

11. Principles of treatment of IEM of complex molecules.

 

Group II. Individual IEM

1. Phenylketonuria and hyperphenylalaninemia, including incidence, causes, clinical symptoms, treatment, maternal hyperphenylalaninemia

2. Disorders of metabolism of aromatic amino-acids except phenylketonuria, including tyrosinemia, alcaptonuria. IEM of branched-chain amino-acids (including maple-syrup urine disease and isovaleric, propionic and methylmalonic acidemias).

3. Disorders of urea cycle (hyperamonemias).

4. Genetic and dietary disorders of metabolism of folic acid, vitamin B12, and sulphur amino-acids.

5. Disorders of fructose and galactose metabolism

6. Glycogenoses (liver and muscle glycogenoses and Pompe disease).

7. Disorders of mitochondrial beta-oxidation of fatty acids and carnitine cycle, including MCAD, VLCAD, and LCHAD.

8. Gout (primary and secondary).

9. Disorders of purine and pyrimidin metabolism.

10. Mitochondrial disorders

11. Classification and patophysiological mechanisms of lysosomal disorders, example : features of a group of lysosomal diseases

12. Mucopolysacccharidoses and glycoproteinoses

13. Lipidoses, Niemann-Pick type C disease.

14. Peroxisomal disorders

15. Disorders of glycoprotein glycosylation (CDG syndromes).

 

Education plan -
Schedule by date
Day Date Description Teacher Files Note Hodnocení
Monday02.10.2023Introduction to biochemical geneticsprof. MUDr. Viktor Kožich, CSc.Po 16:15 - 17:45 DEKP2
průměr: 4, hodnoceno: 1x
Friday06.10.2023Hereditary disorders of amino-acid metabolismprof. MUDr. Viktor Kožich, CSc.Pá 16:15 - 17:45 CHE1P1
Monday09.10.2023Hereditary disorders of saccharide metabolism and protein glycosylationMUDr. Martin Hřebíček, Ph.D.Po 16:15 - 17:45 DEKP2
Friday13.10.2023Hereditary disorders of metabolism and biogenesis of lysosomes and peroxisomesMUDr. Martin Hřebíček, Ph.D.Pá 16:15 - 17:45 CHE1P1
Monday16.10.2023Disorders of mitochondrial metabolism; pathobiochemistry of fastingdoc. RNDr. MUDr. Pavel Ješina, Ph.D.Po 16:15 - 17:45 DEKP2
Friday20.10.2023Disorders of purine and pyrimidine metabolismdoc. Mgr. Ing. Blanka Stibůrková, Ph.D.Pá 16:15 - 17:45 CHE1P1
Monday23.10.2023Diagnosis and therapy of monogenic disorders of metabolismprof. MUDr. Viktor Kožich, CSc.Po 16:15 - 17:45 DEKP2
 
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