Mnemonic for 1st 5 of 28 types of collagen
1 skin
2 connective tissue
3 arteries and other cvs
4 basement membrane of glomeruli(Alport syndrome , hematuria and endstage renal disorder)
7 junction of epidermis and dermis(epidermolysis bulbosa, blisters)
Menkes disease and collagen
Glycosylation via Lysyl oxidase (in presence of Cu+2 )of collagen decreases
Transthyretin
In transport of thyroxine and retinol binding protein
Aka pre albumin
Blood and CSF
Ceruloplasmin
6 Cu binding protein
From liver
For iron transport also as it has ferro oxidase activity
Menkes disease
Protein ATP- 7A defective
Cu transport decreases. Cu decreases in blood and tissue
Brain affected, grey kinky hair
X linked so males are …
Disease in infancy and death in 3 years
All oxidases including lysyl oxidase affected
Wilson’s disease
ATP 7B protein of liver is the defect
Cu into bile transport decreases
Adds Cu to ceruloplasmin
So ceruloplasmin is not properly formed and in low levels
Cu deposits in liver, kidney , brain and RBC
Cu increases in urine and blood
Autosomal recessive
Hepatosplenomegaly
Haemolytic anaemia
Seizures
Sunflower cataract
Kayser Fleisher rich due to deposits in decement membraneSelenium deficiency
Keshan disease
Zinc deficiency
Acrodermatitis enterohepatica