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FSOM-Foundations
Exam 1
105
Medical
Graduate
08/22/2012

Additional Medical Flashcards

 


 

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Term
Direction of DNA Polymerase and repair mechanism
Definition
-Goes from 5'-3', the 3' end grows
-Polymerase has a 3'-5' exonuclease activity that can proofread
Term
Telomerase
Definition
-Provides an RNA template for extending the ends of chromosomes
-Has a bunch of TTAGGG sequences
Term
3 Types of DNA mutations
Definition
-De-amination: T-->U by losing an amine group
-De-purination: a purine is cleaved off by hydrolysis
-Thymine dimers: UV causes thymines to link up.
Term
Abortive synthesis
Definition
-When RNA Pol starts out it makes a short sequence and then aborts the transcription unless the sigma subunit is released.
Term
RNA Polymerases in Eukaryotes
Definition
Pol I: Makes rRNA
Pol II: Makes mRNA
Pol III: Makes rRNA and tRNA
Term
snRNP
Definition
small nuclear ribonuclearprotein particles used for splices.
(SNERPS)
Term
Inosine
Definition
a de-aminated adenine
Term
Tertiary Domains
Definition
-Continuous strands of aa that fold independently from the rest of the protein.
-All proteins may be made up of about 2000 domains.
Term
3 Cell cycle check points
Definition
G1: Environment check
G2: Is DNA replicated and repaired?
Mitosis: Are chromosomes attached to the mitotic spindle?
Term
6 aspects of cell cycle control
Definition
1- must be a timer
2- must ensure order
3- must ensure each part happens once
4- must trigger complete/irreversible events
5- must have redundancies
6- can adapt for cell types and conditions
Term
Chromosome types and distinguishing features
Definition
-Metacentric: central centromere
-Submetacentric: off-center centromere with arms of two lengths
-Acrocentric: centromere is at one end, one end has stalks with satellites for making rRNA.
Term
Cleft lip and threshold
Definition
-Males have a lower threshold for the disease
-That's why if a female presents with the disease that it has a higher recurrence risk.
Term
Examples of things that cause proteins to mis-fold:
Definition
mutations, oxidative stress, infection, aging, cancer.
Term
How chaperone proteins work:
Definition
-They clamp onto a protein and hydrolyze ATP
-Clamped conformation has an affinity for the protein
-There are chaperones in the cytoplasm, ER, and mitochondria.
Term
How Rb and E2F work as a checkpoint
Definition
-E2F is a transcription factor inhibited by Rb.
-When cyclin D/ CDK 4/6 detect favorable conditions in the ECM, they phosph Rb and Rb no longer inhbits E2F.
-E2F then transcribes cyclin S and S phase is initiated.
Term
How S-Cyclins initiate replication
Definition
- S-Cyclins phosph CDC6
- CDC6 activates the ORC site and assembles MDM proteins
- The ORC site assembles replication machinery and MDM proteins act as helicases
- CDC6 and MDM proteins are deactivated until the end of mitosis, this prevents re-replication of DNA
Term
Independent Segregation vs. Independent Assortment
Definition
Segregation: Only one allele gets passed on
Assortment: the combination of alleles passed on is random
Term
Microdeletion
Definition
Can't see on a chromosome study, but mulitple genes are affected.
Term
Missense mutation
Nonesense mutation
Definition
Missense: a single base changes and causes a new AA to be put in
Nonesense: a single base is changed that causes an early stop codon.
Term
Multifactorial trait characteristics
Definition
- Qualitative (present or not) or quantitative (degree)
- Multiple genes and/or multiple environmental factors
Term
Multifactorial trait relative risk
Definition
prevalence among relatives/ prevalence in population
Term
Numerical chromosomes abnormalities
Definition
Euploid: exact multiple of haploid set, i.e. triploidy (3n)

Aneuploid: loss or gain of whole chromosome, i.e. trosomy 21
Term
Penetrance vs. Expressivity
Definition
Penetrance: proportion of people with the gene that express the trait
Expressivity: the severity of a trait
Term
Recombination
Definition
-Only happens between 2 of the sister chromatids
- Happens more in females
- decreases near centromer, increases near telomere (more so in males)
Term
Restriction point and terminal differentiation
Definition
Restriction point: go or no go, last check before S phase

Terminal differentiation: a cell can't get back into the cell cycle, i.e. RBC
Term
Robertsonian Translocation
Definition
Translocation between two acrosomic chromosomes. They are balanced, and it isn't a big deal that some of the satellite dna is lost.
-Results in 25 chromosomes
Term
Self-spreading of amyloids
What are they called?
Definition
-Amyloids can spread simply by seeding and providing a surface for further aggregation.
-These are called prions
Term
The big control of the cell cycle is:
Definition
CDK- cyclin dependent kinases
Different cyclins are made in each step of the cycle to move things forward
CDK-cyclin complexes are also controlled by phosph/dephosph
Term
Unfolded Protein Response
Definition
-Happens in the ER when unfolded proteins build up
-Can tell the cell to pause what it's doing or make more ER
-If there's too much bogus protein then it can tell the cell to self-destruct
Term
What happens if too many misfolded proteins are around?
Definition
-They will aggregate and form amyloids, which lead to aggresomes.
-Aggregates are cleared by autophagy or the ubiquitin system (JUNQs and IPODS)
Term
What does it mean if a disease has a concordance of 100% among MZ twins and a rate of 25% among DZ twins?
Definition
-The disease is due to a recessive trait.
Term
What does an LOD score of 0 mean?
Definition
It means that the two loci are on top of each other (extremely close)
Term
Complete disequilibrium
Definition
Means that two loci are very close to each other.
Term
Tay-Sachs Disease: mode of inheritance, defect, classic symptoms
Definition
MOI: autosomal recessive
Defect: lack of hexosaminadas activity, build up of GM2
Symptoms: mental/physical deterioration as gangliosides build up in neurons, decrease vision
-Similar to Sandhoff, which lacks A&B
Term
[image]
Definition

Autosomal Recessive

-horizontal inheritance

Term
[image]
Definition

X-linked

-only males across many generations, all connected through females.

Term
Mucopolysaccharidoses
Definition
-lack of certain enzymes in the lysosome to break down mucopolysaccharies (GAGs)
I-Hurlers (AR)
II-Hunter (X-linked)
-severe CNS and skeletal
-can be cross correcting because of allelic heterogeneity
Term
Allelic heterogeneity vs. locus heterogeneity
Definition
Allelic: different mutations at the same locus, mutation at one place that causes different phenotypes
Locus: mutations at different loci, different loci producing similar phenotypes
Term
Glycogen storage diseases
Definition
-Deficiency in glucose and accumulates glycogen
-Example is von Gierke's disease, can't convert G6P
-Controlled by diet manipulation
Term
What's the disease that results in a build up of propionyl-CoA?
Definition
Propionic acidemia
-Results in propionyl-CoA being converted into a bunch of different acids.
-Treated w/bicarb and protein restriction
Term
What is MCD?
Definition
Multiple Carboxylase Deficiency
-Lack of certain apocarboxylases in the biotin cycle
-Results in lack of the product biotin
-Can be treated well w/biotin supplementation
Term
AD: Haploinsufficiency
Definition
-Mutation results in protein has little or no function and the normal protein can't produce activity at high enough levels
-example is familial hypercholesterolemia, too few LDL receptors
Term
AD: Dominant Negative
Definition
-Mutation results in a protein that competes with the normal protein function
-Insulin Chicago: mutated insulin binds to the receptor but doesn't have any activity
-Also dimeric binding/inhibition
Term
Protein Suicide
Definition
A dominant negative mutation might decrease the stability of multimeric proteins -Example is osteogenesis imperfecta- brittle bones -defects in collagen decrease stable triple helices, blue sclera
Term
Achondroplasia vs. Wolf Hirschhorn Syndrome
Definition
-Achondroplasia results from a point mutation that results in a gain of function for the FGFR3 gene.
-WHS results from a deletion of the FGFR3 gene
-These two have different effects: WHS has growth def w/normal limb proportions and severe mental retardation. Achond has short stature, shortened limbs, and normal intelligence.
Term
Familial male precocious puberty
Definition
-Autosomal dominant, sex-limited inheritance
-Results in an over active LH receptor that initiates testosterone synthesis and early puberty.
Term
Marfan Syndrome
Definition
-Autosomal dominant, long limbs/fingers -Caused by a mutation in the Fibrillin-1 gene, affects connective tissue -Patients often die from cardiac difficulties
Term
Neurofibromatosis-1
Definition
-Pretty common, autosomal dominant
-Cafe-au-lait, neurofibromas, lower IQ
-NF1 gene is very large and has a high mutation rate.
-NF1 codes for neurofibromin which is a tumor suppressor
Term
Trisomy 13
Definition
Patau Syndrome
-Holoprosencephaly, severe mental deficiency,
- 82% mortality in the first year
Term
Trisomy 18
Definition
-Edwards syndrome
-Clenched hand with overlapping fingers, prominent occiput, severe retardation
- 90% mortality by 12 months
Term
Turner Syndrome
Definition
-Monosmy X, short stature, webbed neck, infertile, lower IQ,
Term
Fragile X-Syndrome
Definition
-Most common cause of mental retardation
-Children have a normal phenotype, adults have long face, and big testes.
-Frequency increases w/each subsequent generation b/c of trinucleotide expansion in females.
Term
How FMR-1 works in fragile X
Definition
If CpG is overmethylated then it decreases transcription of FMR-1.
-Over methylation of CpG also leads to an increase in the number of trinucleotide repeats
Term
ANTICIPATION:
Definition
The appearance of a genetic trait at an earlier age or with
greater severity in successive generations.
Term
Myotonic Dystrophy
Definition
-Autosomal dominant w/trinucleotide repeats in the non-coding region
-weakness and difficulty relaxing muscles
-affected children are only born from affected mothers, not affected fathers.
Term
SBMA
Definition
Spinal and bulbar muscular atrophy - Kennedy Disease
-loss of spinal cord bulbar motor neurons - weakness
-gynecomastia, reduced fertility,
-trinucleotide in a coding region, expansion occurs paternally
Term
Huntington's Disease
Definition
-Autosomal dominant, trinucleotide repeat in a coding region
-Progressive choreic movements
Term
Stages of Human Development
Definition
Week 1: fertilization and implantation
Week 2: formation of bilaminar disc
Week 3: formation of trilaminar disc
Week 4-8: Dev. of tissues,organs, body patterning
Week 9-broth: Fetal period
Term
HOX genes
Definition
-Anterior-posterior axis
-They contain a home box and a homeodomain
-Determine body segments, DNA binding
-Genes expressed earlier show up more anterior
Term
Colinearity
Definition
-Spatial colinearity: the order of genes in a cluster map to an axis on an embryo.
-Temporal colinearity: the order of genes reflects their expression in time. i.e. 3' genes are expressed earlier
-An example is HOX genes
Term
Shh
-Where is it found, what does it do, what happens if it's not there?
Definition
-Released by the notochord
-High concentration results in neurons (NT) or bone in the sclerotome
-Also high Shh in the ZPA
-Loss of Shh can lead to holoprosencephaly
Term
Malformation
-3 Types
Definition
-Results from poor formation of tissue
1-Incomplete morphogenesis: syndactyly
2-Redundant morphogenesis: Polydactyly
3-Aberrant morphogenesis: Mediastinal thyroid
Term
Deformations
Definition
-Result of unusual forces on normal tissue (i.e. twins or oligohydramnios)
-Can be the result of a malformation, i.e. no kidney formation leads to deformations in Potter's Sequence
Term
Syndrome vs. sequence
Definition
Syndrome: a bunch of anomalies or sequences; there are similar patterns manifested in in more than one person
Sequence: when an anomaly causes other anomalies to occur
Term
For a teratogen to be a teratogen it must act:
Definition
-specifically and consistently
Term
4 Things that affect the effect of a teratogen:
Definition
1) Dose: what concentration, maternal/fetal genotype, etc.
2) Timing: first 2 weeks are all-or-none, most have their effect between 2-8 weeks
3) Maternal factors like diabetes or PKU
4) Physical factors like Ionizing radiation
Term
Phenocopies
Definition
Teratogens that mimic diseases
-Warfarin embryopathy is very similar to chondrodysplasi punctata (trident nose)
Term
Mitochondrial Genome tidbits:
Definition
-Codes for respiratory chain peptides, tRNA, and rRNA.
-No introns, everything has a coding purpose
-Mitochondrial disorders can result from mitochondrial or nuclear gene problems
Term
Mitochondrial disorders
Definition
-dysfunctional respiratory chain (energy production)
-affect organs with high energy requirements
-age of onset varies, even in families
-multi-symptom disorders
Term
4 ways gene therapy can be used
Definition
1) Augment, give the gene back to a diseased cell
2) Directly alter or repair (recombination)
3) Provide a gene that adds missing function or regulates expression
4) Silencing or inhibiting genes (good for trinucleotide repeats)
Term
Two main pathways for gene therapy
Definition
1) In Vivo: direct, all types of cells, but unstable and may need to be repeated
2) Ex Vivo: can persist for life, integrates into genome, but requires cells that divide (not good for neurons)
Term
3 necessities of gene therapy
Definition
1) Gotta know what the gene responsible is
2) Gotta have a wildtype
3) Gotta have a good way of getting it in there
Term
Pseudo-typed
Tropism
Definition
-Pseudo-typed: changing the coat of a virus
-Tropism: how different viruses/pathogens have evolved to target certain cells/tissues
Term
Retrovirus
Lentivirus
Definition
Both are integrating methods for gene therapy
-Retrovirus: longterm, stable, only in dividing
-Lentivirus: longterm, stable, all types of cells, a stripped down HIV virus could be dangerous
Term
Non-integrating gene therapy
Definition
-Adenovirus: easy to get into cells, large capacity and persists for a while, but activates immune response
-Adeno-associated: better against immuno, small capacity
-Naked DNA: direct injection, cheap, not super effective and unstable
Term
Epigenetic mechanisms
Definition
-Trithorax group(activates)/Polycomb group (suppresses):bind to the homeobox
-DNA Methylation
-Histone modification
-Nuclear compartmentalization (lamina periphery)
-RNAi (xist codes for an rna that coats and inactivates one of the x chromosomes)
Term
How do we know that male and female chromosomes are different?
Definition
-Through pronuclear transplantation
-M+M=no embryo (androgenetic)
-F+F= no placenta/membranes (gynogenetic)
Term
[image]
Definition

This is an example of gene imprinting. Could also be dominant with low penetrance.

- Only people that inherited the gene from their father have the disease.

-Not x-linked because sons and daughters have it

Term
Prader-Willi Syndrome
Definition
-Hypotonia in infancy, obesity and unsatiable appetite later on
-Due to a deletion on the PATERNAL chromosome 15
-Or due to uniparental disomy (both 15s are maternal, so no paternal 15).
Term
Uniparental Disomy
Definition
-Both chromosomes are from the same parent
-Heterodisomy: one chr. is the mothers maternal and one is the mothers paternal
-Isodisomy: both chr. are from the mother and both are either her paternal or her maternal
Term
Angelman Syndrome
Definition
-Always due to a deletion on the MATERNAL chr. 15
-mental retardation, inappropriate laughing, seizures.
Term
What we learned from the Dutch Hunger Winter
Definition
-Famine caused reduced IGF2 methylation which lead to decreased intrauterine growth
-The children of affected children were also smaller, so the environment changed the genetics.
Term
Prenatal screening vs. prenatal testing
Definition
Screening is noninvasive and has high detection rate, only for trisomy 21/18

Testing is invasive, definitive, and any chromosomal abnormality can be detected
Term
Forms of prenatal diagnosis
Definition
1) Genomic: arrays, karyotyping
2) Analyte detection: a-fetoprotein, hCG
3) Structural survey: ultrasound
4) Infection eval: culture
Term
What happens to the number of alleles as a disease becomes more prevalent?
Definition
-As a disease become more prevalent there are more alleles that contribute to it and they have smaller effects
-Rare diseases generally have one large gene with a big effect
Term
Sensitivity vs. specificity
Definition
100% Sensitivity: no false negatives
100% Specific: no false positives
SPIN SNOUT
Term
Homocystinuria
Definition
-Build up of homocysteine due to a defective enzyme
-Results in mental delays, etc
-Treated with drug that is a cofactor for the defective enzyme.
Term
Cystinosis
Definition
-Results in a build up of cystine in the lysosome.
-treated with cysteamine which turns cystine into a cysteine and a cysteine-cysteamine complex.
Term
Non-Mendelian irregularities of complex diseases include
Definition
-Disconcordance between MZ twins
-Parental origins (imprinting)
-Gender dimorphisms
-Age at onset
Term
Calculating odds ratio
Definition
-Odds ratio is an estimation of the risk ratio
-calculate with (a/c)/(b/d)
Term
Ratio vs. Proportion vs. Rate
Definition
Ratio: numerator not part of the denominator
Proportion: numerator is part of the denominator
Rate: proportion over time
Term
Prevalence vs. incidence
Definition
Prevalence is the number of people with a disease at a given time.
Incidence is the number of new cases over a certain period of time.
Prevalence=incidence x avg duration of disease
Term
TORCH
Definition
For infectious teratogens
T: toxoplasmosis (undercooked meat)
O: Syphillus
R: Rubella
C: cytomegalo virus (herpes)
H: Herpes
Term
HbS
Definition
-Caused by a single point mutation turns glutamic acid to a valine in the B chain.
Term
What links glycolysis and the TCA cycle?
Definition
-Pyruvate dehydrogenase (PAH)
-It converts pyruvate into acetyl CoA
Term
TCA cycle regulation
Definition
-The irreversible reactions are regulated
-So isocitrate dehydrogenase and a-ketoglutarate dehydrogenase
-NADH inhibits, Ca and ADP activate
Term
Glycolysis regulation
Definition
Irreversible rxn: F6P to F1,6-BP
This rxn is catalyzed by PKF-1, which is regulated by AMP, citrate, and F1,6-BP
Term
4 main steps of β-Oxidation:
Definition
-oxidation (using an FAD)
-hydration
-oxidation (using NAD)
-cleavage (using CoASH)
Term
How Vmax and Km are affected by different inhibitors
Definition
Competitive: Vmax is the same and Km goes up
Non-competitive: Vmax is decreased and Km stays the same
Uncompetitve: only bind to enzymes that are already bound to substrate, both Vmax and Km are decreased.
Term
5 stages of behavior change
Definition
PC PAM
-Pre-contemplation: Not aware of a problem
-Contemplation: Aware and starting to think
-Preparation: realizes benefit, getting ready
-Action: Doing it
-Maintenance: Doing it for a long time
Term
4 Theories of behavior change
Definition
-Health Belief Model: Do you know that you need to change?
-Social Cognitive Theory: Access, barriers, affordability, built environment
-Theory of Planned Behavior: change do to intention(planning), also involves control
-Cognitive Behavior Therapy: self monitoring and stimulus control
Term
DNA Polymerases
Definition
α-priming on leading and lagging strands
β-DNA repair only
Ɣ-mitochondrial
ƍ-primarily lagging strand synthesis
ε-primarily leading strand synthesis
Term
Duchenne Muscular Dystrophy
Definition
-X-linked
-
Term
Williams-Beuren Syndrome
Definition
-Microdeletion
-Loquacious
Term
Criteria for invasive prenatal testing
Definition
Advanced maternal age
Previous child with chromosome abnormality
Abnormal serum screening
At risk for single gene disorder
At risk for NTD
Abnormal sonogram (fetal anomalies)
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