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GMC Test 3
Genes, Molecules and Cells Test 3
224
Medical
Graduate
09/08/2010

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Term
double heterozygote
Definition
one mutant allele at each of two different loci
Term
Compound heterozygote
Definition
individual with two diffrent mutant alleles of the same locus
Term
hemizygous
Definition
only having 1 copy of the gene and being a mutant there
Term
Do de novo mutations matter for recessive disorders?
Definition
no because they will still not be expressed unless they happened TWICE T THE SAME TIME
Term
Do de novo mutations matter for dominant or x-linked disorders?
Definition
YES! they will be significant
Term
Penetrance vs expressivity
Definition
penetrance: percent of people that will show the disease if they have the mutation
expressivity: how much the disease comes through, mild to severe phenotype
Term
Neurofibromatosis
Definition
1 in 3,500 births
AD - NF1 gene
50% de novo
cafe-au-lait
5% malignant
tumors of nervous and connective tissue
blindness: lisch nodules on the iris
100% penetrance
VERY variable expressivity
Term
allelic heterogeneity
Definition
different mutant alleles with different mutations
(classic case is CF)
Term
What are the exceptions to allelic heterogeneity?
Definition
consanguineous parents
particular ethnic group
disease has no real heterogeneitylike sickle cell
Term
Hardy-
what is affected?
what is unaffected?
Definition
q^2
p^2
Term
Consanguinity
Coefficient of relationship?
What is it for a parent and child?
Brother and sister?
Uncle and Nephew?
Definition
Coefficient of relationship?: proportion of genes are shared between two related individuals
Parent and Child is 1/2
Brother and sister is 1/2
Uncle and nephew is 1/4
Term
Equation for R in consanguinity:
Definition
(1/2)^n where n is the number of steps of steps away on a pedigree
Term
Coefficient of inbreeding (F)
Equation for F?
What about homozygosity for the mutant allele?
Definition
Probability of homozygosity for a specific allele dervied from a common ancestor
Proportion of loci at which a person is homozygous by descent
Multiply R by 1/2
Multiply F by 1/2
Term
What kinds of proteins are autosomal dominant disorders?
Definition
non-enzyme proteins
Term
Is homozygosity for an autosomal dominant worse?
Definition
YES
Term
achondroplasia
Definition
AD (imcompletely dominant) - Fibroblast growth factor
80% de novo
shortened limbs
Term
How could no parent be affected in an autosomal dominant mutation?
Definition
new mutations
gonadal germline mosaicism
parental phenotype
penetrance
delayed onset
non-paternity
anticipation
Term
Huntington Disease
Definition
unstable length mutation, CAG at 4p
disease at 36 repeats
shows anticipation
triploid increase in spermatogenesis not oogenesis
Term
Myotonic Dystrophy
Definition
1:8000
19q13.3 mutation
progressive muscle weakness
trinucleotide repeat CTG, correlates with age and onset and severity
Term
Where do de novo AD mutations come from?
Definition
SPERM! at least most of the time
Term
What diseases have been associated with paternal age?
Definition
achondroplasia
marfan syndrome
treacher-collins syndrome
crouzon sundrome
progeria
Term
Single Gene traits
What percent occur after puberty?
What percent happen once we hit reproductive age?
What percent of livebirths?
What percent of hospitalized children?
Definition
10%
1%
.4
7
Term
How many autosomal recessive disorder can you name?
Definition
primary haemochromatosis, mental retardation, CF, retinis pigmentosa, spinal muscular atrophe, blindness, congenital adrenal hyperplasia, medium chain acyl CoA dehydrogenase Def, phenylketonuria, Guacher disease, Smith-lemil-opitz, zellweger, galactosemia, seckle cell, thalassaemia, freidreich, ceriod lupofusinosis
Term
What is the risk for a child with birth defect in the general population?
For first cousin?
For brother sister?
Definition
2-3%
3-5%
50%
Term
AD disorders
Definition
osteosclerosis, familial hypercholesterolaemia, detiongenesis imperfecta, adult polycystic kidney disease, multiple exostosis, hereditary motor and sensory neuropathey, neurofibramatotis type 1, hereditary sperocytosis, osteogenesis imperfecta, myotonic dystrophy, Ehlers-Danlos syndrome, marfan syndrome, achondroplasia, dominant blindness, cominant congenital deafness, adult onst cerebellar ataxia, huntington's disease,
Term
MARFAN Syndrome
Definition
AD
fibrillin 1 disorder
Skelton, heart eyes affected
Term
What proportion of XLR cases are due to a de novo mutation?
Definition
1/3 is the trait is lethal
Term
X - linked disorders
Definition
Be Wise Fools GOLD Heeds Silly HOpe
Brutons agammaglobulinemia, Wiskott-Aldrich, Fabrys, G6PD Def, Ocular albinism, Lesch-Nyhan, Duchennes, Hunters, Hemophilia, OTC def
Term
SRY
Definition
sex determining region
Term
What do we make without SRY?
What do we make with SRY?
What do we need to make external male genetalia?
What regresses the uterus, fallopian tubes and upper vagina?
Definition
ovaries
testes
5alpha-reductase androgen receptor for testosterone and then dihydroesterones
SF-1 and antimullerian hormones
Term
Duchenne Muscular Dystrophy
Definition
X-Linked - deletion (80%)
Lack of dystrophin for muscle and brain neurons,
onset at 3-5 years, 50% cardiac failure, IQ 1SD below mean
Has Gowers Sign
VERY Large GENE
Term
Dystrophin gene
How many exons?
What percent of the X chromosome?
Definition
How many exons? 79!
What percent of the X chormosome? 1.5
Term
Becker Muscular Dystrophy
Definition
X Linked, allelic to Duchenne
Much later onset then Duchenne, milder, reproduction possible
Term
Hemophilias A and B
Definition
X linked
Protease (F9) and cofactors (F8) activate Factor X to form clot
Term
Hemophelias A
Definition
Factor 8 (A and rhyme!)
1/5000 - 1/10000
26 exons on gene
Term
Hemophelias B
Definition
F9 - 1/100,000
Term
Hemophelias and recombination
Definition
Factor 8 gene can get inverted in exons 1-22 because of inverted homologous sequences on the same strand
Term
Fragile X Syndrome
Definition
X-linked Recessive gene to Xq27.3 FMR1
1:4000 males: mental retardatoin
1:4000 females - borderline IQ
Gene is a transcription suppressor and this suppressor is silenced by CGG repeats
Premutation is >55
Full Mutation has >200
Tends to Increase in oogenesis
Term
Expansive Repeat Disorders
Definition
Huntington >40CAG
Mytotonic Dystropy >80CTG
Friedrich Ataxia >100AAG
Fragile X >200CGG
Term
How many organs should be affected in polyenic/multifactorial traits?
Definition
1!!!!
Term
What are the reccurence risks for........
chromosomal numerical?
chromosomal structural?
Single Gene Dominant?
Single Gene Recessive?
POlygenic?
Definition
chromosomal numerical? 1%
chromosomal structural? 10% if parent translocation
Single Gene Dominant? 50%
Single Gene Recessive? 25%
POlygenic? 2-5%
Term
Name some polygenic conditions
Definition
Neural tube defects
hydrocephaly
cleft lip
cardiac defects
diaphragmatic hernia
omphalocele
renal agenesis
ureteral anomalies
hypospadias
posterior urethral valves
uterine defects
hip dislocation
limb reduction defects
talipes equinovarus
Term
Incidence for Multifactorial Traits
Definition
1/1000
Term
Concordance of monozygotic twins fro
AD
AR
polygenic
Definition
100
100
50-75 (shows environmental component)
Term
Cleft Lip +/- Cleft Palate
vs.
Cleft Palate (alone)
Definition
Lip
1/1000 Japan, 1/2000 in U.S. Blacks
Males>Females
counsel on serverity
Palate Alone
1/2000 White, 80/1000 in Native American
females>males
counsel on sex and number of prior affected relatives (more is more recurrence)

MEN GET LIP
Women GET Pallete (women cook!))
Term
Reccurence Risk and Ease of infection
Definition
Recurrence Risk is HIGHER if it is the LESS often affected sex
Term
Hirschsprung Disease
Definition
Congenital Intestinal Aganglionosis
Higher Recurrence in female proband, long proband and male sibling
Constipation, inability to pass meconium
Term
Adult Onset Polygenic Disorders
Definition
8-10% recurrence Risk (higher then just normal polygenic)
Term
Pseudocholinesterase Deficiency
Definition
cholinesterase converts acetylchoine into choline and acetic acid
Usually activity, slow degradation of choline ester drugs
High in Iranian Jews
Term
Alchol Metabolism in Different Populations
Definition
differences in Acetaldehyde Dehydrogenase Deficiency

Japanese > Chinese > Indians
Term
Acetaldehyde Dehydrogenase Deficiency
What is the mutation?
Definition
Glu504Lys
Term
Drug Metabolism
Definition
Phase 1 - Make oxygen intermediates (example is hydroxylation)
Phase 2 - Turn oxygenate intermediates to conjugates products
Term
Warfarin (Coumadin)
Definition
Prophylaxis and treatment of thrombosis
S racemate is more active, metabolized by CYP2C9* which can have very variable alleles
R racemate is metabolized by CYP450 enzymes
Term
CYP2C9
Definition
breaks down warfarin S
Higher numbers are slower breaking down (need lower dose)
Term
VKORC1
Definition
Warfarin inhibition
Complete inactivation causes multiple coagulation factor defects
A alleles have high activity and therefore lots of warfarin inhibition and therefore Low dose?)
Term
Glucose 6 Phosphate Dehydrogenase Deficiency
Definition
G6PD takes glucose 6 phosphate into HMP Shunt
Deficiency causes lack of NADPH to make glutathione to detoxify oxidants and resulting hemolytic anemia
Term
Glucose 6 Phosphate Dehydrogenase Deficiency
A-
B-
Definition
(A is AFRICAN) A-African, 20-30% of hemizygous males affected, activitiy sufficiency for 50 Days
B-(more server) Mediteranean - all hemizygous males susceptible, activity insufficient only 5-10 days after circulation
Term
Abacavir
Definition
Treats HIV
nucleotide reverse transcriptase inhibitor but can give systemic hypersensitivity reaction
HLA-B*5701 is a good predictor of the hypersensitivity
Term
PKU
Definition
AR
1 in 13,000 in newborns
low phenylaline hydroxylase, tyrosine becomes essential
excess phenylalanine becomes toxic phenylpyruvate (AKA phenylketone)
Term
3 disorders of phenylalanine hydroxylase
Definition
classic pku
varient PKU
non-pku hyperphenylalaninemia (no dietary restriction needed)
Term
Pregnant Mothers and PKU
Definition
as adults less restrictive diet needed but fetus will be harmed and therefore pregnant mothers MUST have very restricted diet
Term
hypothyroidism
Definition
thyroxine 2 SD below mean
elevated TSH from anterior pituitary
1/4000 neonates
Term
Deafness at birth
Definition
1/500 middle ear
1/1000 neurosensory
can be AD or AR
GJB2 (connexion 26) in cochlea
Term
Homocystinuria
Definition
cystathionine synthase deficiency
low B12
low Folate
Term
Maple Syrup Urine Disease
Definition
branch chain amino acids low alpha ketoacid dehydrogenase
Term
Screened urea cycle disorders
Definition
citrullinemia, argininosuccinic oxidase
OTC deficiency (not screened)
Term
Screened Fatty Acid Disorders
Definition
Propinylcarnithine; methylmalonic acidemia

acylcarnithine
B-hypohetotic hypoglycemia (medium chain acyl -CoA dehydrogenase deficiency)
Term
Glactosemia
Definition
GALT definicinecy
Term
Screening Recommendations
Blacks:
Jewish:
Italian and Greek:
Asian:
All:
Definition
Blacks: Sickle Cell
Jewish: Tay Sachs, CF
Italian and Greek: B-thalassemia
Asian: alpha thalassemia
All: CF, Spinal Muscular Atrophy
Term
What diseases have high herterzygosity in Ashkenazim Jews?
Definition
Gaucher 1/13
CF 1/25
Tay Sachs 1/30
Familia Dysautonomia 1/30
Canavan 1/40
Nieman-Pick 1/90
Term
Hereditary Hemochromatosis
Definition
Iron Overload causing fatigue, abdominal pain, cirrhosis, diabetes, cardiomyopathy, skin bronzing, hypogonadism
95% homozygous Cys282Tyr not the most common mutation but the more deleterious allele
75-90% asymptomatic
Term
A plateau of risk is reached earlier in the
Definition
variant, not the wild type
Term
Relative Risk (lambda)
Definition
how many more times the prevalence is in the relative then in the population
higher means more genetic disease
Term
Type 1 Diabetes
Definition
10% of all diabetes
Childhood onset
Autoimmune destruction of B cells in pancreas
MZ concordane 40%
DZ concordance 5%
relative risk =35
95% are heterozygous for HLA class II locus at DRB 1
90% lack aspartic at position 57
Term
Schizophrenia
Definition
1% of population
MZ conc - 50%
DZ - 14$
several genes involved
22q11 deleitions (DiGeorge)
child of two parents has recurrence risk of 46%, relative risk is 23
sibling is rr of 11
Term
Bipolar Disease
Definition
0.8% of population
15% suicide rate
child of two parents 60%, rr of 75
sibling 25%, rr of 31
Term
Alzheimers Disease
Definition
1-2% of population
B amyloid plaques
MZ conc 50%
DZ conc 18%
Problem is apolipoprotein E
E4 allele of the worst of these thought 60% still do not get disease
Women get it more oftenh
Term
Mutations are random but not seen in exons - why?
Definition
selection pressure!
Term
oculodentodigital syndrome
Definition
nonsense mutation in connexin 43
Term
What can crossing over between repetitive sequence cause?
Definition
duplication and deletions!
Term
CNP
SNP
STRP
VNTR
Definition
Copy number polymorphism
single nucleotide polymorphism
short tandem repeat polymorphism
variable number tandem repeat
Term
delCCR5
Definition
does not allow HIV to invade cells
Term
A blood type
B blood type
Definition
A - N-acetylgalactosamine
B- extra galactose
Term
MHC
Definition
short arm chromosome 6
Complex with linkage disequilibrium
Term
Mitochondrial Disorders
Definition
MELAS
KSS
PEO
DAD
LHON
Leigh
NARP
MINGIE
MEERF
Term
KSS
Definition
Kearns Sayre
opthalmoplegia, cardiac function loss, sensorineural hearing loss
Term
PEO
Definition
progessive external opthalmoplegia
mitochondrial
progressive ophthalmoparesis in cardinal region
Term
DAD
Definition
mitochondrial
diabetes and deafness
Term
NARP
Definition
neuropathy,ataxia, retinitis pigmentosa, ptosis
dementia
Term
MINGIE
Definition
myoneurogenic gastrointestinal encephalopathy
Term
equation for recombination frequency
Definition
recombinants / total
Term
Nail Patella Syndrome
Definition
9q34
linked to ABO blood group
Term
What two things are factors of equilibrium?
Definition
time and recombination frequency
Term
Sibpair Method
Definition
grab concordant siblings with the disease, look for alleles they share more than 50% of the time
Finds markers close to disease gene, not necessarily the disease gene
Term
highly discordant sibpair method
Definition
grab siblings that only 1 has the disease and find where the siblings are different
Term
disease association
Definition
DNA is extracted from affected individuals and compared to control group
Term
Replisome
Definition
melts the DNA at an origin of replication
Term
DNA Polymerase
1
2
3
4
5
Definition
1 - polA - major repair, replaces RNA primer
2- polB - replication restart
3- polC replicase
4 - dinB translesion replication
5 - umuD2C - translesion replication
Term
What makes the replication RNA primer?
Definition
DNA primase
Can start a polynucleotide by joining two nucleosides together
Term
DNA synthesis
Definition
builds 5 to 3
adds the 3 phosphate nucleotide and only keeps 1 of these phosphates as the backbone
Term
Proofreading of DNA polymerases
Definition
1 - Replaces RNA primer with 5 to 3 exonuclease
3 - builds 5 to 3, proofreads 3 to 5
Term
Unwinding the DNA
Definition
Helicase which wraps around and undoes helix
single stranded binding proteins bind to one side
topoisomerse gets rid of torsion by clipping and rotating it
Term
Connectos and Clamps
Definition
Connectors: hold the replisome together
Clamps: keep DNA Pol 3 on DNA until it hits double stranded DNA
Term
DNA Ligase
Definition
Joins together Okazaki Framents, uses ATP for the phosphate needed
Term
Fluoroquinolones
Definition
inhibits DNA gyrase (prokaryotic toposomerase)
Term
What makes sure that mismatch repair mechanisms in DNA replication know which is the template strand?
Definition
nicks in the backbone of the nontemplate strand
Term
Where do we have early replication?
Definition
less condensed chromatin
Term
deamination
Definition
cytosine to uracil
5 methyl cytosine to thymine
adenine to hypoxanthine
guanine to xanthine
nucleotide exicision repair
Term
depurination
Definition
most frequent type of DNA damage
guaniine or adenosine become just phosphate backbone
correct with base excision repair
Term
base excision repair vs nucleotide excision repair
Definition
base only cuts out 1 base, glycosylases, AP endonuclease, used for depurination

nucleotide cuts out whole region, use DNA pol and ligase, Uvr
Term
Replication Forks and DNA Damage
Definition
Replication stalls and fixes the damage
Term
Transcription and DNA repair
Definition
actively transcribed genes are more prone to repair, signal is RNA pol stall

done by Mfd
Term
Steps of Apoptosis
Definition
1. Cell shrinkage and chromatin condensation
2. Membrane bledding
3. Nuclear collapse
4. Apoptotic body formation
Term
When in meiosis does crossing over occur?
Definition
leptotene of prophase 1
Term
3 types of recombination
Definition
Generalized or homologous
site specific
somatic
Term
site specific recombination
Definition
specific sequences invade the virus and bacterial DNA at specific places
Term
Homologous Recombination Steps
Definition
Leptotene - condensed chromatin
Zygotene- begin pairing
Pachytene - synaptonemal complex extends entire length of chromosome
Diplotene - separate but held together at chiasmata
Dikinesis - all 4 visible, chiasmata remain
Term
How is recombination initiated?
Definition
double stranded breaks in one DNA dublex
Term
Homologous recombination biochemistry
Definition
1) Spo11 and Mre11 cut DNA and degrade 5 to 3
2) Forms D structure using rec A
3) Branch migration
4) double holiday junction formed
5) DNA cut to possibly form crossovers
Term
synaptonemal complex
Definition
formed after double stranded break in DNA
has an axis of cohesins and loops of DNA for each pair of sister chromatids
Pairs connected via Zip proteins
Term
gene conversion
Definition
using recombination to fix mismatched bases
Term
Somatic Recombination and recessive genes
Definition
can lead to localized areas of homozygous recessive state and disease, possibly tumour supressing genes
Term
Immunoglobulins crossing over
Definition
often acheieved through unequal somatic recombination to produce high variability in globulins
Term
Antibody Class Switching
Definition
Accomplished by using recombination to bring different DNA domains together
Term
Antibody Class Switching
Definition
Accomplished by using recombination to bring different DNA domains together
Term
Why care about sister chromatid exchange?
Definition
It has no significance as they are identical but help assess mutagens and carcinogens
Term
Repetitive Sequences and double strand breaks
Definition
double strand breaks can be repairs through repetitive sequences although often it will often cause a deletion of the sequence between the repeats and the loss of one of the repeat sequences
Term
2 classes of transposons
Definition
1. DNA type elements (no RNA intermediate required)
2. Retroelements (2 subtypes, have LTR's or lack LTR's)
Term
transposase
Definition
enzyme helping element insert, usually encoded by transposon itself
Term
What percent of human DNA is transposons?
Definition
50%
Term
Positive and negative effects of transposalable elements
Definition
Positive: Genetic variability
can turn on and off genes

Negative: cause deletions and duplications
move host sequences
interrupt host sequences
Term
transposons and recombination
Definition
cause the crossover at the wrong places and cause duplications and deletions
Term
What do inverted repeats do when recombination occurs?
Definition
they invert region between them!
Term
What do direct repeats do when they loop and recombine?
Definition
releases material between
Term
insertionn sequence
Definition
has two inverted terminal repeats and is flanked by direct repeats after inversion
Term
Retroviruses
Definition
2 copies of single stranded RNA
integrated is called a provirus
are retrotransposons which acquired an envelope
Term
3 genes of a retrovirus
Definition
gag, pol and env
pol requires a ribosome frameshift
env is made by mRNA splicing
3 proteins are cut up into many other proteins by proteases
Term
retroviral integration
Definition
2 base pairs are lost from each end
done by retroviral integrase
target site makes direct repeats
Term
3 categories of retroelements
Definition
LTR retrotransposons- has LTR, target repeats 4-6BP, ancient retroviral infections, use RT, have introns

non LTR retroposons - 7-21BP target repeats, use RT, could be LINEs

nonautonomous SINE's - no RT coded for in them, still use it!
Term
LINEs vs SINEs
Definition
LINES are longer and have reverse transcriptase coded for (sometimes it is broken), LInes are translated where as SINES are only transcribed

SINEs are related to RNA polymerase 3 transcripts (the SRP in humans)
Term
LINE and SINE integrations
Definition
use nick in DNA, cDNA grows from RNA template and then cDNA is copied
Term
transduction
Definition
virus is a vector to transport the host NDA
Term
conjugation
Definition
sex between prokaryots with sex pili (coded for by F+ gene)
Sex is between F+ and F-, thought F- becomes F+ after
Term
transformation
Definition
pick up DNA from environment
Term
transfection
Definition
foreign DNA incorporated in Eukaryotic cell
Term
blastocyst
chimera
mosaic
determination
differentiation
embryonic germ cells
embryo
epiblast
hypoblast
morula
gastrulation
inner cell mass
morphogen
mosaic development
zygote
Definition
morula - 8-16 cells, implants to uterus
blastocyst - multicellular mass of about 60 cells, with ICM and trophoblast
chimera - embryo made of 2 or more cells lines with different genotypes
mosaic
determination
differentiation
embryonic germ cells
embryo
epiblast - inner cell mass that makes embyo
hypoblast - gives rise to fetal membranse (amnion)
gastrulation - makes 3 germ layers
inner cell mass - makes hypoblast and epiblast
morphogen
mosaic development - mutation causes 2 of more genotypes
zygote
fetus - between G9 and birth
Term
What four processes allow for development of an embryo?
Definition
proliferation, differentiation, migration, apoptosis
Term
morphagen
Definition
produced by cells in a particular region and that diffuses to create concentration gradients, controls determination
Term
plasticity and time
Definition
plasticity goes down with time
Term
two insemmination methods
Definition
culture egg with sperm
intracytoplasmic sperm injection
Term
zona pellucide
Definition
surrounds zygote
Term
ectopic pregnancy
Definition
implantation outside the uterus
Term
trophoblast
Definition
pasrt of blastocyst that becomes the placenta and chorion
cytotrophoblast (cells around ICM)
and synctiotrophoblast (becomes placent)
Term
uterine wall attachment
Definition
6th day after fertilization
trophoblast produces enzymes that allow blastocyst to burrow
Term
gastrulation
Definition
14-16 days after fertilization
Term
Grade of embryo
Definition
high grade is bad, shows fragmentation
Term
60% of day for embryos have.......
Definition
mutiple or no nucleus
Term
aneuploid and mosaic with age
Definition
aneuploid is increases with age
mosaic is constant
Term
specification vs determination
Definition
specification is reversible
Term
regulative vs mosaic development
Definition
regulative is early and if a cell is lost is can be compensated for
Term
twincs
dichorionic
monochorionic and diamniotic
monoamniotic
Definition
0-3 days dichorionic - completely separate -35%
4-7 days monochorionic and diamniotic - 2 ICM in 1 trophoblast - 65%
after 7 days - monoamniotic - rare, one ICM
Term
embryo and transcription factors disease
Definition
synpolydactyly - extra digits and webbing
mutationi n HoxD13
Term
PAX 6
Definition
signal from optic cups induses placode to develop
hetero mutation -aniridia (no iris)
homo mutation - eyeless
Term
Glucose and pyruvate in development
Definition
pyruvate is essential for the 1st cleavage division and glucose only used as 8 cell stage
Term
mitogens
Definition
remove intracellular molecular breaks that restrains progression in G1 phase
Term
mitogen vs growth factor
Definition
mitogen gets us through cell cycle
growth factors makes sure we grab the nutrients needed
Term
3 major control sites for cell cycle
Definition
G1/S
G2/M
metaphase/anaphase
Term
cell size checkpoints
Definition
G2 and G1
Term
mitogen and entry to S phase
Definition
mitogen to RAS to MAP kinase to DNA to make Myc to activate G1-CdK to inactivate Rb to active E2F to Cyclin E and Cyclin A
Term
cohesin complex
Definition
link sister chromatids into one mechanical unit
Term
DNA damage and arrested the cell cycle
Definition
Damage to ATM kinase activative to ChK1 kinase activation to phosporylate p53 releasing it from Mdm2 which goes to DNA to make p21 which inactivates G1/S-Cdk
Term
Cdk activation
Definition
Cdk hooks up with cyclin in t loop and gets phosphorylated
Term
cyclin
D
E,A
B
Definition
D - past G1/S restriction
E/A - initiation of S
B - transition from G2 to M
Term
G1 CDK
G1/S cdk
S-CDK
MCDK
APC/C
Definition
G1 CDK - cyclin D, tests environment
G1/S cdk - cyclin E, DNA damage
S-CDK - cyclin A, DNA damage
MCDK - cyclin B
APC/C - anaphase promoting complex, tests chormosomes attached to spindle
Term
APC/C
Definition
anaphase promoting complex
ubiquitinates M cyclin and securins which hold sister chromatids together
Term
excessive Myc
Definition
causes Arf production and release of Mdm2 from p53 causing cell cycle arrest of apoptosis
Term
necrosis
Definition
accident, disrupted homeostasis
types: coagulation - MI
liquefaction -softening
caseous - cheesy
Term
steps of necrosis
Definition
swelling, repture, cytoplasm spilled
Term
necrosis detection
Definition
nuclear propidium iodide staining
Term
phenotype of apoptosis
Definition
shrinkage, blebs, dna fragmentation, loss of adhesion, engulfed by macrophages
Term
Apoptosis phenotype
Definition
loss of junctions
skrinkage
blebbing
chrmoatin hypercondensation
apoptotic bodies
Term
probes for apoptosis
Definition
looks for Annexin (binds to phosphoserine)
Caspase 3 activity
TUNEL assay - DNA fragmentation
Term
caspases
Definition
cystine aspartate specific proteases
procaspases are cleaved and then go cleave proteins and nuclear lamin
Term
what executioner caspases degrade?
what activates them?
Definition
cytoskeleton, golgi, nuclear proteins
initator caspase
Term
Intrinsic Apoptois
Definition
Bcl2 sensors to Bax and Bak to mitochondia which realeases cytochrome C making Aparf1 active and apoptosome which activates caspase 9
Term
extrinsic apoptosis
Definition
Fas or TNF receptor to DISC to active caspase - 8 to procaspase 3 to active caspase 3
Term
Bcl-2 Family
Definition
Proapoptosis - Bax and Bak, Bad, Bim, Bid, Puma, Noxa
antiapoptotic - Bcl2 and Bcl-x
Term
caspase 1
Definition
is actually pro survival!!
Term
ER mitochondria
Definition
large release of Ca2+ from ER can signal cytochrome C release
Term
BH1234
Definition
parts of Bcl2 family that are the transmembrane proteins that releases cytochrome c from mitchondrial intermembraneous space
Term
IAP
Definition
inhibitors of apoptosis, they block caspases that were spontaneously made and are turned off by proteins released from mitochondrial intermembranous space
Term
3 ways to block apoptosis
Definition
1. survival factor activates gene regulatory protein TF making Bcl2
2. survival factor activates Akt kinase which activates Bcl2
3. survival factor activates MAP kinase which inactivates Hid an anti-IAP
Term
anoikis
Definition
apoptosis from lack of EM mediated cell contact
Term
p53
Definition
transcription factor for:
Bax: apoptosis
p21 - G1 arrest
GADD45 - repair
FAS and IGBP-3- apoptosis
Term
Oncogenes vs TSG
Definition
oncogenes are dominant and are gain of function mutations
TSG are recessive and are loss of function mutations
Term
what is Akt?
Definition
PKB!
Term
what will activate Mdm2 thereby inactivating p53?
Definition
growth factors, TGFbeta to Smad2/3
Term
how to make a proto-oncogene into an oncogene
Definition
point mutation
regulatory mutation
gene amplification
chromosome rearrangment
Term
Abl proto oncogene in chronic myelogenous leukemia
Definition
Bcr gene on 22 and Abl on 9 are translocationed and fused
Term
what activates p53?
Definition
DNA damage, hyperproliferation, telomere shortening, hypoxia
Term
DNA virus causes cell proliferation by activating....
Definition
E6 - inhibits p53 trancripiton of P21
E7 - binds Rb protein allowing transcription of cyclin E
Term
DNA virus causes cell proliferation by activating....
Definition
E6 - inhibits p53 trancripiton of P21
E7 - binds Rb protein allowing transcription of cyclin E
Term
Stopping EGF
Definition
Cetuximab - binds EGF receptor
Trastuzumab - binds to EGF itself

NOTE: if mutation was downsteam, these drugs will be worthless
Term
Sarcomas
Definition
mesodermal, more agressive, from soft tissue, connective tissue
Term
Carcinoma
Definition
ectoderm and endoderm
Term
mixed tumors
Definition
neoplasm from more then one cell type
Term
teratomas
Definition
neoplasms from more then one germ layer
Term
-blastoma
Definition
resemble primative embryonic tissue
Term
Hypertrophy
hyperplasia
metaplasia
dysplasia
pleomorphism
anaplasia
Definition
Hypertrophy - big
hyperplasia - lots of cells
metaplasia - change in form/differentition
dysplasia - disordered, abnormality (orientation)
pleomorphism -variaibility in size and shape
anaplasia - reversal or failure of differentiation
Term
TNM classification
Definition
T - size
N - nodes
M - metastasis
Term
Grading
Definition
level of anaplasia or differentiation
higher is more undifferentiated and worse
Term
6 hall marks of cancer
Definition
evade apoptosis
get self sufficient growth
insensitivity to anti-growth
tissue invasion
limitless replicative potential
angiogenesis
Term
self sufficient growth
Definition
autocrine
overexpresison of EGF
mutations in signaling (Ras)
upregulated TF like Myc
activate cyclins
Term
Mutant Ras
Definition
constituatively active as if GF was always there, cannot hydrolyze GTP off it

Activate Map-Kinase Pathway
Term
p21 and p27
Definition
CDK inhibitors
Term
insensitivity to growth inhibitory signals
Definition
2 hit system to tumor suppressor genes
Term
Rb
Definition
retinoblastoma
hypophosphorylated binds to E2F and blocks transcription of S phase genes

hyperphosphorylates happens by cyclins D/E and allows E2F to promote S phase genes
Term
APC
Definition
not present in colorectal cancers and therefore allows B catenin to be a TF and proliferate

Normally WNT signals break APC off Bcatenin and allow proliferation
Term
Telomerase
Definition
not active early in cancers but it is active late in cancers
allows the mutations to accumulate and then allows the cell to survive forever
Term
shortened telomeres
with p53
without p53
Definition
with p53 - senescence
without p53 - bridge fusion break cycles and aneuplodiy
Term
how doyou induce angiogenesis?
Definition
hypoxia to HIF1alpha (normally inhibited by VHL)
HIF1apla TF for VEGF
Term
p53 and angiogenesis
Definition
p53 activates the expresison of thrombopondin 1 an anti-angiogenetic molecule
Term
ability to mestastasize requires:
Definition
losing E cadherin
degrade matrix with MMPs
attachment to new ECM components with adherins and integrins
migration of tumor cells
Term
EMT
Definition
epithelial to mesenchymal transition
seen by loss of E cadherin
allows the cell to travel!
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