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Q16:
Mention any two autosomal genetic disorders with their symptoms.

Solution :

1. Sickle Cell Anemia: An Autosomal Recessive Disorder

Sickle cell anemia is a hemoglobinopathy caused by a point mutation in the $\beta$-globin chain of the hemoglobin molecule. It is inherited in an autosomal recessive pattern [Per Mendelian Laws of Inheritance].

Mechanism of Action:

  • The mutation involves the substitution of Glutamic acid ($Glu$) by Valine ($Val$) at the sixth position of the $\beta$-globin chain.
  • This is caused by a single base substitution ($GAG \rightarrow GUG$) at the sixth codon of the $\beta$-globin gene ($HBB$).
  • Under conditions of low oxygen tension, the mutant hemoglobin undergoes polymerization, causing the erythrocyte to lose its biconcave shape and assume a sickle-like structure [Per Molecular Basis of Inheritance].

Clinical Symptoms:

  • Chronic Anemia: The sickle-shaped cells are fragile and undergo rapid hemolysis, leading to a shortened lifespan ($10-20$ days compared to the normal $120$ days).
  • Vaso-occlusive Crises: Sickled cells block micro-capillaries, leading to severe localized pain, organ damage (particularly in the spleen), and episodic fever.

2. Phenylketonuria (PKU): An Autosomal Recessive Metabolic Disorder

Phenylketonuria is an inborn error of metabolism resulting from a mutation in the gene encoding the enzyme phenylalanine hydroxylase ($PAH$), located on chromosome $12$ [Per Human Genetics Mapping].

Mechanism of Action:

  • The defective $PAH$ enzyme fails to convert the amino acid Phenylalanine into Tyrosine.
  • This results in the accumulation of Phenylalanine in the blood and body tissues.
  • Excess Phenylalanine is subsequently converted into phenylpyruvic acid and other derivatives, which are excreted in the urine due to poor kidney reabsorption.

Clinical Symptoms:

  • Neurological Impairment: Accumulation of Phenylalanine derivatives in the brain leads to severe mental retardation.
  • Physiological Manifestations: Reduced skin and hair pigmentation occurs because of the metabolic diversion away from melanin synthesis [Per Biochemical Pathway Logic].

Summary Comparison

Disorder Chromosomal Location Primary Pathophysiology
Sickle Cell Anemia Chromosome $11$ Hemoglobin polymerization
Phenylketonuria Chromosome $12$ Enzyme ($PAH$) deficiency
Genetic Transmission Model (Autosomal Recessive) Aa Aa Aa aa Affected Individual

Final Solution: The two autosomal genetic disorders are Sickle Cell Anemia (characterized by hemolytic anemia and vaso-occlusion due to abnormal hemoglobin) and Phenylketonuria (characterized by mental retardation and reduced pigmentation due to phenylalanine hydroxylase deficiency).


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