HTI: Biochemical features and pathways Professor Genevieve Morrow, Professor Robert M Tanguay
Chapter 2
HT1 in Quebec: Occurrence and treatment Dr Grant A. Mitchel
Chapter 3
The Evolution and Domain structure of fumarylacetoacetate hydrolase (FAH) Dr Halim Maaroufi Professor Genevieve Morrow Professor Robert M Tanguay
Section II: The Molecular Basis of HTI
Chapter 4
Mutations in HTI Professor Genevieve Morrow, Dr Francesca Angileri,
Chapter 5
Molecular Pathogenesis of FAA-induced Liver Injury Dr Arndt Vogel, Professor Robert M Tanguay
Section III: Pathology
Chapter 6
Liver Imaging tbd.
Chapter 7
Liver Transplantation Dr Patrick McKiernan
Chapter 8
HCC in HTI Patients Professor Francjan J. van Spronsen
Chapter 9
NTBC and the correction of Renal Dysfunction Dr Carlo Dionisi-Vici
Chapter 10
Neurocognitive, Psychosocial and Neurological Issues in Tyrosinemia Type I Professor Francjan J. van Spronsen, Professor Stephan Huijbregts, Dr Rianne Jahja
Chapter 12
Mental Development in HTI Professor Philippe Robaey
Section IV: Screening, Management and The Future
Chapter 13
Newborn Screening for HT1 Professor Yves Giguere
Chapter 14 Management of HT1 Dr Helene Ogier de Baulny
Chapter 15 Inhibitors of PHPPD in the Treatment of HT1 Dr Edward Lock
Chapter 16 Nitisinone: Pharmacology and Distribution Dr Suzanne Atkinson
Hereditary tyrosinemia type 1 (HT1), the most severe inborn error of the tyrosine degradation pathway, is due to a deficiency in fumarylacetoacetate hydrolase (FAH). The worldwide frequency of HT1 is one per 100,000 births, but some regions have a significantly higher incidence (1:1,800). The FAH defect results in the accumulation of toxic metabolites, mainly in the liver. If left untreated, HT1 is usually fatal before the age of two. HT1 patients develop several chronic complications including cirrhosis with a high risk of hepatocellular carcinoma (HCC) and neuropsychological impairment. Treatment comprises an inhibitor of the pathway, Nitisinone, a strict dietary treatment or liver transplantation. Early treatment is important to avoid HCC. The book includes the latest developments on the molecular basis of HT1, its pathology, screening and diagnosis and management of the disease written by leading scientists, geneticists, hepatologists and clinicians in the field.