trikkkky Flashcards

1
Q

how do statins work

A

they inhibit the enzyme HMG-CoA reductase. this enzyme controls the production of cholesterol.

statins block the active site of enzymes, stopping other molecules from activating it, therefore slowing down the production of cholesterol

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2
Q

overall outcome of using statins

A

reduction in hepatic mevalonate production

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3
Q

which enzyme do statins target

A

HMG-CoA reductase- made in the liver

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4
Q

where is the juxtaglomerular apparatus found

A

at the junction of the distal convoluted tubule and afferent arteriole

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5
Q

function of JGA

A

help regulated BP and glomerular filtration

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6
Q

2 types of cell in JGA

A

Juxtaglomerular and macula densa

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7
Q

juxtaglomerular

A

secretes renin in response to a drop in BP and glomerular filtration –> RAAS

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8
Q

macula densa cells

A

senses changes in solute conc in DCT

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9
Q

where doe macula densa sense changes in solute conc

A

DCT

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10
Q

aldosterne

A

increases Na+ reabsorption- increasing the amount of water that is reabsorbed –> increase in BP

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11
Q

angiotensin 2 causes

A

vasoconstriction

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12
Q

juxtaglomerular cells are found closest to

A

the afferent arteriole

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13
Q

which solute specifically does macula densa sense

A

sodium

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14
Q

if sodium levels are high in DCT

A

adenosine is secreted

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15
Q

adenosine

A

causes constriction of afferent arterioles - less filtration –> less Na+

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16
Q

what does vasoconstriction causes

A

less filtration

17
Q

what is another response macula densa cells have to a high level of Na

A

they inhibit the secretion of Nitric oxide synthestase (NOS)

18
Q

NOS

A

causes NO to be produced which causes vasoconstriction

19
Q

decrease in NO

A

vasodilation

20
Q

if Na+ levels are low

A

macula densa cells secrete NOS- vasodilation

21
Q

class switching

A

also known as isotope switching is a biological mechanism that changes a B cells production of antibodies from one type to another.

e.g. at the beginning of a infection the antibodies will be IgM, however after class switching the predominant antibody being produced will be IgG

22
Q

what do T cells release to activate B cells to proliferate

A

interleukin

23
Q

interlocking released by T cells

A

activates the B cell to proliferate

24
Q

B cells become

A

memory B cells- stored for future infection, ready to proliferate rapidly and into Plasma cells to secrete antibodies

25
Q

MHC II

A

antibodies

26
Q

MHC I

A

cytotoxicity