Everything2
Near Matches
Ignore Exact
Full Text
Everything2

Tay-Sachs Disease

created by dko

(thing) by dko (9.2 mon) (print)   ?   (I like it!) 2 C!s Sun Dec 17 2000 at 0:32:45


Tay-Sachs disease is a terminal genetic disorder in which harmful quantities of a fatty substance called ganglioside GM2 accumulate in the nerve cells in the brain. Infants with Tay-Sachs disease appear to develop normally for the first few months of life. Then, as nerve cells become distended with fatty material, a relentless deterioration of mental and physical abilities occurs. The child becomes blind, deaf, and unable to swallow. Muscles begin to atrophy and paralysis sets in.

A much rarer form of the disorder that occurs in patients in their twenties and early thirties is characterized by unsteadiness of gait and progressive neurological deterioration.

Patients with Tay-Sachs have a "cherry-red" spot in the back of their eyes. The condition is caused by insufficient activity of an enzyme called hexosaminidase A that catalyzes the biodegradation of acidic fatty materials known as gangliosides. Gangliosides are made and biodegraded rapidly in early life as the brain develops. Patients and carriers of Tay-Sachs disease can be identified by a simple blood test that measures hexosaminidase A activity. Both parents must be carriers in order to have an affected child (which makes it a recessive trait on the 15th chromosome). When both parents are found to carry a genetic mutation in hexosaminidase A, there is a theoretical 25 percent chance with each pregnancy that the child will be affected with Tay-Sachs disease. Prenatal monitoring of pregnancies is available.

Presently there is no treatment for Tay-Sachs. Even with the best of care, children with Tay-Sachs disease usually die by age 5.

Notably, this is a familial disorder found in east European Jewish (Ashkenazi) families. Symptoms begin to appear at 3 to 6 months old and progress rapidly, and the child usually dies before 3 years old. The only known risk factor is familial descent. In this group, the rate of fatality/birth with the disorder is 1 out of 2,500 people.

Symptoms include:
  • Blindness
  • Deafness
  • Dementia
  • Listlessness
  • Irritability
  • Seizures
  • Paralysis
  • Decreased muscle tone (loss of muscle strength)
  • Muscle function loss
  • Temper or agitation (exaggerated startle response)
  • Delayed mental and social skills
  • Growth (slow)

source: National Ty-Sachs & Allied Diseases Association, Inc.


Thaks to LadySun for bugging me to make this writeup more accurate. Creds go to her for the Chromosome 15 clarification.

(idea) by Footprints (12.1 min) (print)   ?   (I like it!) 1 C! Mon Jun 25 2001 at 11:44:03

Tay-Sachs disease is found predominately among Ashkenazi Jews (as mentioned above), and among French Canadians. About 1 in 30 Ashkenazi Jews, and 1 in 40 French Canadians is a carrier. Being a carrier means having a mutated HexA gene.

These two separate groups had interbred a lot in the past (and still do), and this accounts for the fact that Tay-Sachs is found almost exclusively in these two populations. But how come it's found in two populations that are so far apart from each other? Ashkenazi Jews come from Eastern Europe, and French Canadians come from Canada (the disease is not found in France). Isn't it strange that the same disease is found in two very separate populations?

This problem bothered biologists for a long time, and particularly studiers of evolution. How could exactly the same mutation have happened on two separate occasions? This is simply statistically impossible. This is about as likely as a troupe of alligators prancing into your bedroom right now and performing a tear-jerking rendition of 'Casablanca'. But as it turns out, it makes sense after all.

The answer is that the phenotype of the disease is the same in both cases: there is no production of the Hexosaminidase A enzyme. The lack of this enzyme causes all the symptoms explained in dko's w/u. But the genotype is different. The HexA gene in Ashkenazis and in French Europeans is ruined by different mutations. So in both cases, there is some problem with the gene that causes it to stop producing Hexosaminidase A, but the mutation is different.


printable version
chaos

Eponymous diseases Ancient Eugenics I don't have a problem with Christians, it's Biblical Literalism I can't stand Tay Sachs disease
Do you remember how small your body was when you were five? To the Jews of All Countries Ashkenazi Jews in Space
Polyploidy Where There Are Two Jews, There Are Three Opinions If All Men Were Brothers, Would You Let One Marry Your Sister? Eponymous medical signs
The Last Kabbalist of Lisbon Dor Yeshorim Eponymous syndromes decompression sickness
Americans don't speak English backcross Humanopathogenic worms Our Babies, Ourselves: How Biology and Culture Shape the Way We Parent
Giving a bottle to a breastfed baby Diphtheria Vitiligo genetics
Y'know, if you log in, you can write something here, or contact authors directly on the site. Create a New User if you don't already have an account.
  Epicenter
Login
Password

password reminder
register

Everything2 Help

Cool Staff Picks
Drink up!
Yellow Mountain
glassblowing
Reflections, unacknowledged
angel hair
Hearse black hair
transsexual
You'll never work in dis bidness again
F-14 Tomcat
Invader ZIM
Middle English
The Grey Album
Everything: In the Beginning
Guitar Hero
New Writeups
Heitah
Anarchy is Order(idea)
jessicaj
July 26, 2008(dream)
Berek
ABBA(person)
devolution
k-hole(place)
Nadine_2
The Sound Of Madness(review)
Twin Eclipse
Conversations with God: An Uncommon Dialogue(idea)
SwimmingMonkey
Conversations with Fo Fo- the Loneliest dog in Purgatory(fiction)
locke baron
lynx(thing)
Simulacron3
Reality, Dimensions and the Natural Ontology(essay)
SubSane
Making Love to a 9-Foot Woman(person)
Ouzo
Thoughts(idea)
antigravpussy
I fall silent, listening. The breadcrumbs are talking about us(person)
calgon
Buffalo Bill by the pool(poetry)
gate
Anarchy is Order(idea)
ushdfgakjasgh
Scribeling(thing)
This affordable entertainment brought to you by The Everything Development Company