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Group 1
Title Page Content
About What?
Chemical Connections:
1. Galactosemia
2. Ascorbic acid/Vitamin C and Glucose
3. Blood Sugar Tests
4. Oligosaccharides
Clinical Focus:
1. Diabetes
Title Page Content
About What?
GALACTOSEMIA
Title Page Content Galactosemia
What is Galactosemia?
What is Galactosemia?
TYPES OF GALACTOSEMIA
1. Classic Galactosemia (GALT, Type 1/ Galactose-1 phosphate uridyl transferase (GALT)
deficiency
2. Galactokinase Deficiency (GALK, Type 2)/ Deficiency of galactose kinase (GALK)
3. Galactoepimerase Deficiency (GALE, Type 3)/Deficiency of Galactose-6 phosphate epimerase
4. Duarte Galactosemia (DG)
Title Page Content Galactosemia
Classic Galactosemia
Rarely, a child with GALK will have pseudotumor cerebri, a condition which mimics the
symptoms of a large brain tumor when no brain tumor is present.
GALK is an inherited condition in which the body is unable to properly digest galactose, a sugar
found in all foods that contain milk and some fruits and vegetables.
Title Page Content Galactosemia
Treatment:
Treatment of galactosemia is most successful if initiated early and includes dietary restriction
of lactose intake.
On initial screening, which often involves measuring the concentration of galactose in blood,
classic galactosemia may be indistinguishable from other inborn errors of galactose
metabolism, including galactokinase deficiency and galactose epimerase deficiency.
Galactokinase Deficiency
Rarely, a child with GALK will have pseudotumor cerebri, a condition which mimics the
symptoms of a large brain tumor when no brain tumor is present.
GALK is an inherited condition in which the body is unable to properly digest galactose, a sugar
found in all foods that contain milk and some fruits and vegetables.
Title Page Content Galactosemia
Treatment:
Typically, cataracts that are due to galactokinase deficiency resolve after the individual makes
these dietary changes.
Title Page Content Galactosemia
Galactoepimerase Deficiency
The parents of an individual with an autosomal recessive disorder both carry one copy of the
defective gene, but usually do not experience any signs or symptoms of the disorder
There are three forms of GALE (generalized, peripheral, and intermediate). Some of these forms
are more severe, while others are milder. Severe forms of GALE can lead to eye problems
(cataracts), delayed growth and development, intellectual disabilities, liver disease, kidney
problems or even death.
Title Page Content Galactosemia
Treatment:
Persons with generalized epimerase deficiency galactosemia should be on a galactose/lactose-
restricted diet, certainly as infants and perhaps for life. Persons with intermediate epimerase
deficiency galactosemia may be placed on a galactose/lactose-restricted diet, either transiently
or long-term.
Title Page Content Galactosemia
Treatment:
Lactose and galactose-free diet
Special lactose-free formula
Calcium supplements
Monitoring health
Informing friend, relatives, teachers and child-care providers
Title Page Content Galactosemia
Demographics
Demographics
Galactosemia affects 1 in every 40,000 to 1 in 60,000 newborns around the world. Usually,
classic galactosemia is rare, it occurs in approximately 1 in 45,000 people. A milder variant
known as Duarte galactosemia is more common, it affects about 1 in 4,000 people.
Carriers do not have galactosemia because the other gene of this pair is working correctly.
When both parents are carriers, there is a 25% chance in each pregnancy for the child to
have galactosemia. There is a 50% chance for the child to be a carrier, just like the parents.
And, there is a 25% chance for the child to have two working genes.
Title Page Content Galactosemia
Normal vs Abnormal;
Normal vs Abnormal
NORMAL ABNORMAL
Normal vs Abnormal
Normal vs Abnormal
NORMAL ABNORMAL
The body develops The body may develop more slowly than normal, Both
DEVELOPMENT normally, both physically physically and mentally.
and mentally.
OLIGOSACCHARIDES
Title Page Reporters Galactosemia Chemical Connection
4
What is Oligosaccharides?
What is Oligosaccharides?
These chains are bound to proteins and lipids in the RBC membrane. Antigen A (A-
oligosaccharides) and antigen B (B-oligosaccharides) are the two antigen types in the ABO
system. Genetics determines the presence or absence of these antigens, which define a
person’s blood type.
Title Page Reporters Galactosemia Chemical Connection
4
Blood Type B: People with blood type B have antigen B (B-oligosaccharides) on the surface of their
red blood cells. The structure of blood type B is as follows.
Antigen Present: B-oligosaccharides
Absent Antigen: A-oligosaccharides
Title Page Reporters Galactosemia Chemical Connection
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Blood Type AB: People with blood type AB have both antigen A and antigen B on the surface of their
red blood cells. The structure of blood type AB is as follows:
Antigen Present: A-oligosaccharides and B-oligosaccharides
Absent Antigen: None (both A and B antigens are present)
Blood Type O: People with blood type O have neither antigen A nor antigen B on the surface of their
red blood cells. The structure of blood type O is as follows:
Antigen Present: None (neither A-oligosaccharides nor B-oligosaccharides are present)
Absent Antigen: None
Title Page Reporters Galactosemia Chemical Connection
4
Similarities
Similarities:
Plasma Components: Regardless of blood type, the plasma component of blood contains water,
electrolytes, proteins, hormones, and waste products.
Red Blood Cells: Red blood cells (erythrocytes) are found in all blood types and are responsible for
transporting oxygen throughout the body.
White Blood Cells and Platelets: White blood cells (leukocytes) and platelets (thrombocytes) are
found in all blood types and play important roles in the immune system and blood clotting,
respectively.
Title Page Reporters Galactosemia Chemical Connection
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Differences
Differences:
Antigens on Red Blood Cells:
Antibodies in Plasma:
Differences
Differences:
Compatibility: