Carnitine Palmityl Transferase Deficiency (CPT)

17:01 Posted by Ahmed Khalil

Definition
one of a group of muscle diseases that interfere with the processing of fats for energy production
 
Cause
a genetic defect in the carnitine palmityl transferase 2 (CPT2) enzyme, which
normally escorts breakdown products of fats from the main part of the muscle cell into the mitochondria, where they can be further metabolized for energy
 
Onset
infancy to adulthood
 
Symptoms
episodic muscle pain, stiffness and tenderness; myoglobinuria (rust-colored urine indicating breakdown of muscle tissue) can occur; usually brought on by prolonged intense exercise, but illness, cold, stress, menstruation can also provoke symptoms
 
Progression
if enzyme completely lost, rapid progression leading to death in infancy; if some enzyme activity remains, little or no progression with normal strength between episodes
 
Inheritance
generally autosomal recessive, meaning caused by the contribution of a defective gene from each parent; some genetic defects cause symptoms even if the gene from only one parent contains the flaw (mutation)
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