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MCB-2 Block 1 Gems-3
Apoptosis, Coagulation
22
Microbiology
Graduate
05/19/2011

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Term
Extrinsic Apoptotic pathway
Definition
Death receptors / Activators:
FasR(CD95) - FasL
TNFR1 - TNF -a

activation -> Fadd binding(adapter)

Fadd cleaves pro-caspase-8 to 3,6,7

(effector caspases)3,6,7 -> apoptosis
Term
Intrinsic Pathway
Definition
Cyt-C + Bax released from mitochondria

Cyt-c binds to APaf-1. Oligomerizes into
apoptosome

apoptosome: cleaves pro-caspase 9
Caspase 9 cleaves 3,6,9

CAD(Caspase induced DNase) ,activated by caspase-3, goes to nucleus and fragments DNA
Term
IAPs
Definition
Inhibitor of apoptosis proteins inhibit
effector caspases 3,6,7.

Smac/Diablo inhibit IAPs.

BID links extrinsic to intrinsic
pathways. Caspase activates BID
Term
Control of apoptosis
Definition
Anti-apoptotic:
BCL-2, BCL-xL block release of cyc C
(block Bax and Bak)

Proapoptotic:
Bax and Bak form pore
Bad,Bim(inhibit BCL-2, BCL-xL)
(anti-apoptotic proteins)
Term
P53 in Apoptosis
Definition
P53 trancriptionally activates
pro-apoptotics(BAX) by localizing to
nucleus

Directly effects by moving to
mitochondria and facilitating Bax
self-dimerization
(P53 binds to Bcl-xL, releases Bax)

p53 Inhibits anti-apoptotic genes
Bcl-2, Bcl-xl
Term
PTEN
Definition
Pl3K -> AKT(PKB) activates BCL-2(by
phosphorylating BAD)
Inhibits apoptosis.

PTEN inhibits action of PL3-kinase and AKT. (increases Apoptosis)

Pten mutated in Prostate cancer.
Increase in PSA: overactive Androgen
receptor signalling
Term
Platelets
Definition
Activated by binding collagen(binds
receptors), and thrombin(cleaves
receptors),fibrinogen, expose
phosphatidyl serine.

change shape and release granules.

Dense Bodies:
serotonin(vasoconstrictor)

Alpha Granules:
Vonwillebrand factor
Fibrinogen
Term
Platelet Adhesion
Definition
Adhesion of platelets to subendothelial layer.

Binding of GP1B to collagen via vWF

Interaction between membrane
glycoproteins and sub endothelium
Term
Platelet Aggregation
Definition
GPIIB/GPIIIA(Integrins) bind finbrinogen
Fibrinogen forms bridge between
platelets
Term
GPIIB/GPIIIA
Definition
Glanzmanns thrombasthenia: Severe
bleeding due to mutations in GP

Plavix interferes with GPIIB/GPIIIA
/Fibrinogen platelet aggregation
Term
Thomboxanes
Definition
Thromboxane A2(platelet activation)

Phospholipid -> arachidonic acid ->
thromboxane A2.

Cycloxygenase is a key enzyme in
pathway. Target of aspirin
Term
von Willebrand Factor(vWF)
Definition
vWF: contains binding sites for GP1B,
collagen, and factor VII

Adhesion of platelets(collagen) to vessel wall

Functionality due to higher molecular
weight of multimeric forms
Term
Von Willebrand Disease
Definition
Inherited deficiency in vWF

Most common congenital bleeding disorder

vWF deficiency results in defective
platelet adhesion
Term
Clotting Reactions
Definition
Factors synthesized in liver and secreted
in Zymogen(inactive) form.

Most enzymes involved are serine
proteases

ca+ ions required for most steps

Thrombin cleave and activates Factor VIII and Factor V.(positive feedback)
Term
Tissue Factor Pathway
Definition
Factor Viia is not active without tissue
factor.

Tissue Factor + Factor VII -> TF:VLLA

TF:VLLA + factor X -> Factor Xa
Term
Inhibition of coagulation by thrombomodulin
Definition
Thrombin + thrombomodulin. Activates APC
APC destroys factors Va and VIIIa

Inhibits coagulation cascade
Term
Factor V leiden
Definition
In european population

Mutation in Factor V gene causes it to be resistant to APC. Arg -> Gln

Increased Risk of deep vein thrombosis
Term
Haemophillia
Definition
Factor VIII = Haemophillia A
Usually do to flip inversion
(intrachromosomal recombination)

Factor IX(hemophilia) B
Term
Fibrin Polymerization
Definition
Fibrin composed of Aa, Bb, and y chains
organized into Dimer

N-terminal ends highly negatively
charged and through repulsion prevent
aggregation

Thrombin releases fibrin peptide A and B
and clot is formed.

Factor XIIIa stabilizes the fibrin clot
Term
Antithrombin
Definition
Antithrombin: Serpin
(serine protease inhibitor)

Targets Factor Xa and thrombin

Antithrombin is stimulated by heparin

Give heparin to break up a clot
Term
Fibrinolysis
Definition
Fibrin clots degraded by plasmin

Plasmin circulates as plasminogen

Activated by tPA and uPA(serine
proteases)
Term
Oral anticoagulants
Definition
Coumadin(warfarin) antagonize Vitamin K

Depresses vitamin K-dependent carboxylation of:

Prothrombin, proteins C and S,
Factors 7,9,10
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