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SCHEMATIC DIAGRAM WILSONS DISEASE

Cu enters body through digestive tract Disease genechromosome 13 Expressed primarily in liver, kidney, placenta

Cu incorporated to ceruplasmin

Increase Cu inside the cell

Disruption of Cu transport into bile

Normal physiology is disrupted

Liver produces Cu into bloodstream not bound to ceruplasmin

Enzyme (ATP7A) releases Cu into portal vein of liver

Low serum Cu

Free Cu circulates in the body

Cu accumulates in liver tissue

Paradoxical
Precipitates in: Cu in liver overwhelm CHONs that normally bind it

Increase urine Cu

Kidneys Causes oxidative damage

Kayser-Fleischer ring

Eyes Chronic active hepatitis, fibrosis, cirrhosis

Neuropsychiatric symptoms

Brain

Oxidation of Hgb, inhibition of energy-supplying enzymes in RBCs, direct damage to cell membrane

NORMAL PATHWAY

Increase Cu in cell

Metallothionein bind Cu inside cell

Excess Cu secreted into the bile

Relsease of ceruplasmin in liver

Ceruplasmin carries Cu into the bloodstream

Normalized Cu levels and in the body

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