Cystic Fibrosis, Dystrophinopathies and Huntington's Disease Flashcards

(19 cards)

1
Q

What is a major symptom of Cystic Fibrosis?

A

Thick and sticky mucus in airways leading to chronic infections and lung damage

This mucus can trap bacteria, leading to serious health complications.

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2
Q

What can Cystic Fibrosis block in the digestive system?

A

Ducts, resulting in poor digestion of food and potential malnutrition

This blockage prevents enzymes from reaching the gut.

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3
Q

What gene is associated with Cystic Fibrosis?

A

CFTR gene

CFTR stands for Cystic Fibrosis Transmembrane conductance Regulator.

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4
Q

What does the CFTR protein control?

A

The flow of chloride ions in and out of cells

It forms a gated chloride channel protein.

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5
Q

What is the mode of inheritance for Cystic Fibrosis?

A

Autosomal recessive

Carriers are unaffected, and incidence is higher in Caucasians.

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6
Q

What is the most common CF variant?

A

P.Phe508del

This variant involves a deletion of 3 nucleotides leading to a mis-folded protein.

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7
Q

What type of testing is used to diagnose Cystic Fibrosis?

A

Newborn bloodspot screening and sweat test

Heel prick checks the amount of IRT, a pancreatic enzyme.

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8
Q

What are some treatments for Cystic Fibrosis?

A

Anti-inflammatory drugs, antibiotics, lung transplant, mucolytics

Treatment aims to manage symptoms and improve quality of life.

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9
Q

What is a key symptom of Huntington’s Disease?

A

Motor dysfunction, including involuntary movements (chorea)

Symptoms typically start in mid 30-40s.

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10
Q

What gene is associated with Huntington’s Disease?

A

HTT gene

It is located on chromosome 4 and involves CAG expanded repeats.

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11
Q

What occurs when the HTT gene has more than 36 CAG repeats?

A

Produces a misfolded version of the huntingtin protein

This leads to cellular dysfunction and neurodegeneration.

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12
Q

What is the mode of inheritance for Huntington’s Disease?

A

Autosomal dominant

Incomplete penetrance means not all carriers will express symptoms.

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13
Q

What is the definitive diagnostic test for Huntington’s Disease?

A

Genetic testing for expanded CAG repeats in the HTT gene

Neuroimaging can also show structural brain changes.

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14
Q

What are dystrophinopathies?

A

Group of muscular diseases caused by pathogenic variants in the dystrophin (DMD) gene

Dystrophin is crucial for muscle cell integrity.

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15
Q

What is the primary mode of inheritance for Dystrophinopathies?

A

X-linked recessive

Primarily affects males; females may experience mild symptoms as carriers.

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16
Q

What are common symptoms of Duchenne Muscular Dystrophy (DMD)?

A

Progressive weakness, muscle atrophy, loss of coordination, breathing difficulties

Symptoms worsen with age.

17
Q

What role does dystrophin play in muscle cells?

A

Links actin cytoskeleton to the extracellular matrix, stabilizing muscle fibers

It protects muscle fibers from damage during contraction.

18
Q

What is the treatment for Dystrophinopathies?

A

No cure; treatments include corticosteroids, physical therapy, and ventilatory support

Medications may help manage symptoms and improve quality of life.

19
Q

What is an important diagnostic tool for Dystrophinopathies?

A

Genetic testing for mutations in the dystrophin gene

Muscle biopsies may also be performed to assess dystrophin presence.