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Enterokinase Deficiency - Causes and Treatment

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Enterokinase deficiency is a genetic disorder that leads to problems with digestion and malabsorption of proteins. Read below to learn more.

Medically reviewed by

Dr. Jagdish Singh

Published At September 8, 2023
Reviewed AtSeptember 8, 2023

Introduction

Enterokinase deficiency is a rare genetic disorder and it is an autosomal recessive disorder that affects the digestive system. The important cause of the disease is due to mutations of the enterokinase gene that is responsible for the production of enterokinase enzyme. The functions of enterokinase proteins include the digestion of proteins and activating the trypsinogen to trypsin. In enterokinase deficiency. A sufficient amount of enterokinase is not produced which leads to malabsorption of nutrients. The symptoms of enterokinase deficiency are diarrhea, abdominal pain, bloating, and weight loss.

Enterokinase deficiency is an autosomal recessive disorder. Individuals who inherit only one copy of the mutated gene are known as carriers and typically do not experience any symptoms.

What Is Enterokinase?

Enterokinase, also known as enteropeptidase, is a serine protease enzyme produced by the duodenal glands in the small intestine. It plays a crucial role in protein digestion and activates the pancreatic enzymes.

Enterokinase works by cleaving and activating trypsinogen, an inactive precursor of the digestive enzyme trypsin secreted by the pancreas. This trypsin helps in breaking down dietary proteins into smaller peptides and amino acids. Without breaking it is difficult for the body to absorb these proteins and amino acids. In addition to its role in protein digestion, enterokinase has also been implicated in other physiological processes, such as blood pressure regulation and inflammation.

One notable feature of enterokinase is its high specificity for cleaving at a particular site on trypsinogen, which allows for precise control of trypsin activation. This specificity has made enterokinase a valuable tool in biotechnology for generating recombinant proteins with desired properties.

Overall, enterokinase is an important enzyme involved in protein digestion and regulation, with potential applications in various fields including biotechnology and medicine.

What Is Enterokinase Deficiency?

  • Enterokinase deficiency is a rare genetic disorder that affects the digestive system. People with enterokinase deficiency are unable to digest and absorb proteins properly, leading to malnutrition and other complications.

  • Symptoms typically appear in early infancy and may include diarrhea, vomiting, failure to thrive, and developmental delays.

  • Diagnosis of enterokinase deficiency is typically made through genetic testing or by measuring levels of enterokinase activity in the blood or stool. Treatment involves a specialized diet low in protein and supplemented with essential amino acids. In some cases, enzyme replacement therapy may also be used.

  • Enterokinase deficiency is an extremely rare disorder, with only a few dozen cases reported worldwide.

  • In summary, enterokinase deficiency is a rare genetic disorder that affects protein digestion and absorption in the digestive system. It is caused by mutations in the ENTK gene and can lead to malnutrition and other complications.

  • Diagnosis is typically made through genetic testing or measurement of enterokinase activity, and treatment involves a specialized diet and sometimes enzyme replacement therapy.

What Are the Symptoms of Enterokinase Deficiency?

Enterokinase deficiency is an extremely rare genetic disorder that affects the digestive system. It is caused by a mutation in the gene that encodes for enterokinase, an enzyme that activates other digestive enzymes in the small intestine. As a result of this mutation, the body is unable to properly digest food, leading to a range of symptoms. The symptoms of enterokinase deficiency can vary widely from person to person and can be mild or severe. Some common symptoms include:

  • Malnutrition: Because the body is unable to digest food properly, people with enterokinase deficiency may be malnourished, even if they are eating enough calories.

  • Abdominal Pain: Some people with enterokinase deficiency may experience abdominal pain or discomfort.

  • Bloating: Bloating and gas are common symptoms of enterokinase deficiency, as undigested food ferments in the gut.

  • Fatigue: People with enterokinase deficiency may experience fatigue or weakness due to malnutrition.

  • Chronic Diarrhea: This is one of the most common symptoms of enterokinase deficiency. The inability to properly digest food can lead to chronic diarrhea, which can be watery and foul-smelling.

  • Failure to Thrive: Infants with enterokinase deficiency may have difficulty gaining weight and growing at a normal rate.

Enterokinase deficiency is an extremely rare disorder, and there is no cure. Treatment typically involves managing symptoms through dietary changes and nutritional supplements.

What Is the Diagnosis and Treatment for Enterokinase Deficiency?

Symptoms of enterokinase deficiency usually appear in infancy and include severe diarrhea, malabsorption, failure to thrive, and nutrient deficiencies. Diagnosis of enterokinase deficiency is typically confirmed through genetic testing or a small intestine biopsy. There is currently no cure for enterokinase deficiency, and treatment primarily focuses on managing symptoms. This may include dietary changes such as a high-protein diet and enzyme replacement therapy to supplement the missing digestive enzymes. In some cases, parenteral nutrition may be necessary to provide adequate nutrition.

Conclusion

Enterokinase deficiency is an extremely rare autosomal recessive disorder that affects the small intestine's ability to digest and absorb proteins. The disease is caused by mutations in the enterokinase (also known as enteropeptidase) gene, which encodes for the enzyme that activates trypsinogen to trypsin. Individuals with enterokinase deficiency typically present with severe diarrhea, failure to thrive, and malabsorption of nutrients. In summary, enterokinase deficiency is a rare genetic disorder that affects the small intestine's ability to digest proteins due to mutations in the enterokinase gene.

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Dr. Jagdish Singh
Dr. Jagdish Singh

Medical Gastroenterology

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