Alpha 1 Anti-trypsin Deficiency Flashcards

1
Q

This is a genetic condition with mutations in the ____ genes.

A

A1AT

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2
Q

what is responsible for the variable phenotype

A

the gene is present in multiple sites

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3
Q

where does this deficiency often cause problems in the body?2

A
  • the lungs and the liver
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4
Q

what does the deficiency do in the lungs?

A

lung A1AT protects against tissue damage from neutrophil elastase - a process which is also induced by cigarette smoking - and causes emphysema

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5
Q

what does the gene do in the liver?

A

it is a protein which controls inflammatory cascade

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6
Q

so what happens to the liver if the function is lost?

A

get cirrhosis and hepatocellular cancer

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7
Q

how does it present ? 3

A
  • Dyspnoea from emphysema
  • Cirrhosis
  • Cholestatic jaundice
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