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Recessive Nosology: Thiamine metabolism dysfunction syndrome 5 (Episodic encephalopathy type) (THMD5) Epidemiology: 3 families Genetics Mutations: Missense or Truncation TPK1 protein Regulation of thiamine metabolism Catalyzes conversion of thiamine to thiamine pyrophosphate (TPP) TPP Pathways: Either Bound to transketolase from pentose phosphate cycle, or Transported into mitochondria via mitochondrial SLC25A19 TPP carrier Functions: Cofactor of 3 ketoacid dehydrogenases Pyruvate dehydrogenase complex (PDHC) -ketoglutarate dehydrogenase (-KGDH) Branched-chain -keto acid dehydrogenase (BCKDH) Other causes of TPP deficiency Clinical Onset age: 1 to 4 years Developmental delay Encephalopathy: Exacerbation during infection Loss of function: Episodic Hypotonia Ataxia: Gait disorder

Eco-friendly synthesis of CuO nanoparticles using Pulicaria gnaphalodes extract and biological and photocatalytic properties

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Conclusion: The Future of Neuropathy Peripheral nerve damage has long been a dark corner of medicinea condition managed with painkillers but rarely cured