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CHAPTER SUMMARY
This chapter opens with a vignette about the discovery of phenylketonuria that reinforces the
relationship between gene products and phenotype. The role of proteins as the link between
genotype and phenotype is described.
To begin the discussion of metabolic disease, the great variety of protein functions and possible
protein structures are described. Enzyme function is defined, metabolic pathways are described
and Archibald Garrod’s elucidation of alkaptonuria is recalled. To illustrate the role of enzymes
as gene products in the production of phenotype, defects in pathways of amino acid
86 Chapter Ten
metabolism are used as examples. Figure 10.4 summarizes the metabolic pathways that begin
with phenylalanine, and shows several genetic disorders associated with metabolic blocks and
their phenotypic consequences. Phenylketonuria (PKU) is used as a classic example of a
metabolic block that has phenotypic consequences as a result of the accumulation of products in
a secondary pathway. Its progress and treatment are described at length. This is contrasted with
genetic goitrous cretinism, another condition associated with phenylalanine metabolism, but in
which phenotypic consequences result from lack of an important pathway product.
Defects in proteins that function in transport are also covered, using the various hemoglobin
abnormalities as examples. The hemoglobin molecule and the two hemoglobin gene clusters are
described as background to discussion of hemoglobin variants. In this section the point is made
that the defect in sickle cell anemia is caused by the substitution of one out of 146 amino acids in
the structure of beta globin. This is done to provide a graphic example of the relationship
between the nucleotide sequence of a gene, the amino acid sequence of a protein, and the
phenotype. Thalassemias and other variants are described. The section ends with an account of
the novel method of gene switching to treat these disorders.
A section on pharmacogenetics introduces the concept that we live in greatly different sensory
worlds due to genetic differences in our abilities to taste or smell various compounds. This in
turn likely affects our chosen diets and therefore our health. Genetic differences also exist that
cause potentially lethal sensitivity to various drugs; two examples are described.
In the last section, ecogenetics is defined as the branch of pharmacogenetics dealing with
sensitivity to environmental chemicals. A gene whose alleles provide varying degrees of
resistance to both a common insecticide and a toxic nerve gas agent is discussed.
TEACHING/LEARNING OBJECTIVES
By the conclusion of this chapter, students should have a thorough understanding of:
a. The concept that proteins are the end products of genes.
b. The fact that proteins that function as enzymes participate in metabolic pathways.
c. The idea that mutations can produce defects in enzymes that affect metabolic pathways,
producing phenotypic effects due to either lack of a necessary product or accumulation
of a toxic pathway substance; details of PKU provide a useful example.
d. The functional capacities of proteins in other roles, including receptors and transport.
88 Chapter Ten
• Ecogenetics: A branch of genetics that studies genetic traits related to the response to
environmental substances.
TEACHING HINTS
In a definition in a previous chapter and in Table 10.3 the author describes familial
hypercholesterolemia as dominant, and in this chapter thalassemia is defined as recessive, even
though in both cases the heterozygote has markedly milder symptoms than the homozygote. As
in chapter 5, this brings up the fuzziness of these terms and the need, perhaps, to point this out
to students.
Lactose intolerance is a fairly common condition and fairly well known, thanks to advertising.
Students often confuse this with galactosemia since in both cases milk and dairy product
consumption is a problem. It might be a good idea to specifically make sure students
understand the difference.
Even if there is no lab in your course, the PTC tasting test is a popular exercise with students.
Sensitive tasters are astounded that others cannot detect what to them is an obvious and terrible
taste. Although use of one-strength test papers is easy and cheap, use of varied-strength
solutions is both more informative, as the text points out, and also saves sensitive tasters a very
unpleasant experience if they test themselves starting with the weakest solution.
PKU
Online resource and support group for those with PKU and parents of children with PKU.
http://www.pku.com/
90 Chapter Ten
Ecogenetics, Evolutionary Biology, Genomics, and Medicine
Downloadable PowerPoint presentation from conference on Darwin and medicine.
www.pitt.edu/~super7/32011-33001/32211-32221.ppt
ANIMATIONS
Biological Animations
Short animations of biological processes including enzyme activity and metabolism.
http://www.stolaf.edu/people/giannini/biological%20anamations.html
KScience — Enzymes
Animation with an interactive that allows changing parameters to investigate how enzymes act
under varying conditions. Downloadable files.
http://www.kscience.co.uk/animations/anim_2.htm#top
3. C
5. a. Yes. Each will carry the normal gene for the other enzyme. (Individual 1 will be
mutant for enzyme 1 but normal for enzyme 2. This is because enzyme 1 and 2 are
encoded by two different genes)
b. Let D = dominant mutation in enzyme 1, let normal allele = d
Let A = dominant mutation in enzyme 2, let normal allele = a
Ddaa X ddAa
Offspring: DdAa mutation in enzyme 1 and 2, A buildup, no C
Ddaa mutation in enzyme 1, A buildup, no C
ddAa mutation in enzyme 2, B buildup, no C
6. Alleles for enzyme 1: A (dominant, 50% activity); a (recessive, 0% activity). Alleles for
enzyme 2: B (dominant, 50% activity); b (recessive, 0% activity).
7. a. 1 and 6; 2 and 7, 3 and 8. We know this because when 1 and 6 are mixed, they cannot
produce protein E because they contain defects in the same gene. The same is true for 2
and 7, 3 and 8. However, when 1 and 5 are combined, for example, protein E can be
made because 1 and 5 contain mutations in different genes.
b. Yes, individual 2 has a mutation in a different gene than individual 3.
c. No, individual 1 has a mutation in the same gene as individual 6.
8. 5, because the data shows that there are 5 groups of mutations (1 and 6, 2 and 7, 3 and 8, 4,
5) meaning that there are five different genes that are mutated corresponding to five steps in
the pathway.
9 & 10.
Substrate: A→B→C→D→E
Block for individuals: 5 2,7 1,6 3,8 4
12. B
13. The disease: phenylketonuria (PKU), a deficiency of the enzyme phenylalanine hydroxylase.
This enzyme is used to convert the substrate phenylalanine to the product tyrosine.
92 Chapter Ten
Phenotype: enhanced reflexes, convulsive seizures, and mental retardation; also, they have
lighter hair and skin color than siblings and other family members.
14. No. Essential amino acids are amino acids that the body cannot produce. Therefore, these
amino acids must be included in the diet. PKU sufferers can limit their phenylalanine intake
and prevent much of the mental retardation that would normally occur. If phenylalanine
were not an essential amino acid, the body would be able to produce it but would not be
able to convert it to tyrosine. This would lead to mental retardation. Therefore, a diet with
low phenylalanine levels would not have a significant effect.
15. Normal. Phenylketonuria and alkaptonuria are caused by mutations in different genes
affecting different enzymes. The children will be normal in phenotype because they will
carry one normal copy of the PKU gene, the phenylalanine hydroxylase gene, from the AKU
parent. Similarly, the children will have one normal copy of the AKU gene, the
homogentisic acid oxidase gene, from the PKU parent.
16. There was a failure in a biochemical reaction in the pathway prior to this step; therefore,
there was no substrate for the enzyme to work on.
17. No, because individuals who are GD/GD show 50 percent activity. The g allele reduces
activity by 50 percent so heterozygotes appear normal. It is not until the level of activity falls
below 50 percent that the mutant phenotype is observed.
19. Gene therapy could be used, in which the normal gene is inserted into a vector and
delivered to the cells of the liver of a HH or Hh individual. If the gene gets into the liver
cells, it may express the normal receptor protein on the cell surface and remove LDL from
the circulatory system. Biotechnology (the production of the human LDL receptor and
injection into individuals) cannot be used. The LDL receptor has to be embedded in the cell
membrane and therefore has to essentially be “inside cells.” A human protein circulating in
the blood cannot spontaneously insert itself in the membrane of liver cells.
20. Disorder: androgen insensitivity. Without the ability to bind the hormone testosterone, a
complete change in the sexual phenotype results, causing a genotypic male (XY) to develop
into a phenotypic female.
22. Beta thalassemia: caused by a defect in the conversion of pre-mRNA into a mature RNA
molecule. A mutation in one or more of the introns could have interfered with normal
mRNA splicing events, resulting in very low levels of functional mRNA and low level of
beta globin.
23. It would cause a frame shift mutation very early in the protein. Most likely, the protein
would lose all of its functional capacity.
24. Yes. If you mutate gene X, the protein will be nonfunctional and this will cause the mutant
phenotype. If you mutate the transcriptional regulator gene, the protein will be
nonfunctional and will not allow the transcription of gene X. In both cases, no normal gene
X protein is present and the mutant phenotype would be manifested.
25. One fourth will be normal. The other three fourths will be missing one, two, and three
copies of the gene, respectively, causing non-lethal alpha-thalassemia with varying degrees
of severity.
26. Drugs usually act on proteins. Different people have different forms of proteins. Different
proteins are inherited as different alleles of a gene.
27. People have different abilities to smell and taste chemical compounds such as
phenylthiocarbamide (PTC); some people are unable to smell skunk odors; different
reactions to succinylcholine, a muscle relaxant, and to primaquine, an antimalarial drug.
Others are sensitive to the pesticide parathion.
3. In most cases, mutations in metabolic pathways produce a recessive trait. Suggest how a
mutation in a metabolic pathway might produce a dominant condition.
94 Chapter Ten
4. Why do you think some heterozygotes produce only half the normal amount of a given
enzyme and yet have a normal phenotype?
5. Why must dietary therapy for PKU be instituted soon after birth?
6. Show how the environment, extrauterine and intrauterine, can influence the expression of
PKU.
7. Discuss the various possible effects of the loss of the activity of an enzyme.
9. What does the chapter’s section on pharmacogenetics and ecogenetics tell us about the
issue of the relative safety of chemicals sold to the public and used in industry?
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“Neuer,” quoth I, “was fortune so vniust
As to do wrong vnto thy noble[2067] hart,
What man so wicked could betray the trust
Of one so vpright, of so good desart?
And though obey necessitie thou must,
As when the great’st[2068] the same to me thou art,
Let me alone the last be left of all,
That from the rest declin’d not with thy fall.”
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The wisest and most prouident but build,
For time againe too wastfully destroy,[2089]
The costly piles and monuments we guild,
Succeeding time shall reckon but a toy,
Vicissitude impartially wil’d,
The goodliest things be subiect to annoy,
And what one age did studiously maintaine,
The next againe accounteth vile and vaine.
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The frier soone feeling Conscience had him found,
And hearing how hypocrisie did thriue,
That many teachers euery where did wound,
For which Contriton miserably did grieue:
Now in deceit to shew himselfe profound,
His former hopes yet lastly so reuiue
Gets the pope’s letters, whereof he doth shape
Him a disguise from conscience to escape.
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Michael Drayton.
FINIS.