Epidermolysis Bullosa (EB) Flashcards

(47 cards)

1
Q

What causes Epidermolysis Bullosa (EB)?

A

Mutations in genes responsible for skin adhesion proteins like keratin and collagen, weakening the connections between skin layers.

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2
Q

How is EB inherited?

A

It can be inherited in a dominant or recessive pattern depending on the specific gene involved.

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3
Q

Characteristics of fibrous proteins

A
  • Perform structured functions
  • Don’t have tertiary structure
  • Insoluble in water
  • Repetitive sequence of amino acids
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4
Q

Characteristics of Globular protein?

A
  • Have tertiary structure
  • Dissolve in water
  • Perform metabolic functions
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5
Q

Examples of fibrous proteins

A

Keratin & Collagen

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6
Q

What layers of skin and fibrous proteins are effected during each severity of EB?

A

Epidermis - Keratin
Basement layer - Glycoprotein
Dermis - Collagen

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7
Q

How do fibrosis & globular proteins such as Keratin and Collagen and glycoproteins maintain layers of skin?

A
  • Fibrous proteins strengthen cell-to-cell connections providing a framework for many other tissues.
  • Glycoproteins maintain the basement membrane: bind to cell surface receptors causing cells to adhere to each other.
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8
Q

List the four levels of protein structure.

A
  1. Primary (linear sequence of amino acids)
  2. Secondary (α-helices, β pleated sheets)
  3. Tertiary (3D folding of the polypeptide chain)
  4. Quaternary (more than one polypeptide chain bonded)
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9
Q

List the four levels of protein structure bonds?

A
  1. Primary - Peptide bonds
  2. Secondary - Hydrogen bonds
  3. Tertiary - hydrogen bonds, ionic bonds, disulfide bonds
  4. Quaternary - hydrogen bonds, ionic bonds, disulfide bonds
    (Both 3 + 4 bond at the R groups)
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10
Q

What is the molecular formula for a protein?

A

. R
l
NH2 — C —- COOH
l
H

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11
Q

How does protein structure relate to function?

A

Structure determines bonding and folding, which controls what a proteins function is in the body.

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12
Q

Name the four main types of EB.

A
  1. EB Simplex
  2. JEB
  3. DEB
  4. Kindler Syndrome
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13
Q

Where does blistering occur in EB Simplex?

A

In the epidermis (outer skin layer).

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14
Q

Where does blistering occur in JEB?

A

In the basement membrane

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15
Q

Where does blistering occur in Dystrophic EB?

A

In the dermis (deeper skin layer).

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16
Q

Where does blistering occur in Kindler Syndrome?

A

In multiple layers of the skin.

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17
Q

What is amniocentesis?

A

A prenatal test where amniotic fluid is sampled to test for genetic conditions.

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18
Q

What is chorionic villus sampling (CVS)?

A

A prenatal test using placental tissue to detect genetic mutations.

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19
Q

What are the 3 main layers of skin?

A
  • Epidermis
  • Dermis
  • Subcutaneous fat layer
20
Q

What is PCR (polymerase chain reaction) used for in EB diagnosis?

A

To amplify DNA creating many copies of genes and detect specific mutations in EB-related genes.

21
Q

How does gel electrophoresis help identify EB mutations?

A

It separates DNA fragments by size , helping identify abnormal patterns linked to mutations. (This is done by moving them through a gel under an electric field)

22
Q

What is DNA sequencing used for in EB diagnosis?

A

To determine the exact order of DNA nucleotide bases and identify gene mutations.

23
Q

What are genes?

A

Genes are short sections of DNA that carry the blueprints for making proteins

24
Q

What is point mutation and its 3 types explained?

A

A point mutation is a change in a single nucleotide base in the DNA sequence.

  1. Silent mutation: no change in the protein.
  2. Nonsense mutation: changes a codon to a stop codon, ending the protein early.
  3. Missense mutation: changes one amino acid in the protein.
25
What is Translocation?
Translocation is when a piece of one chromosome breaks off and attaches to another chromosome.
26
What is histopathology?
The microscopic examination of tissue to diagnose diseases like EB.
27
Describe how tissue from a biopsy could be made into a slide?
1. Fixing / The tissue is stored in a fixative which preserves structure of cell and tissue. 2. Processing / The tissue samples are dehydrated 3. Embedding / The tissue is embedded in molten wax which hardens enabling thin sections to be cut. 4. Sectioning / Using a diamond blade tissue is cut into specified thickness. 5. Staining / The tissue is stained using eosin making different tissues easier to see.
28
Why is eosin (Red dye) used in histology?
It stains collagen pink and other proteins red, highlighting tissue structure.
29
What does the integumentary system do?
- Protects against damage - Controls temperature - Stores fat - Produces vitamin D.
30
How does the skin help regulate temperature?
- Through sweating - Blood vessel dilation/constriction - Hair movement - Fat insulation.
31
What part of the brain regulates body temperature?
The hypothalamus.
32
What happens to the skin in EB?
Skin layers don’t bind properly, so friction causes blisters, wounds, and scarring.
33
Can EB affect internal organs?
Yes, including the Digestive system, oesophagus and respiratory system.
34
How is EB managed daily?
- By lancing blisters with sterile needles to avoid infection and preventing blister becoming bigger and more painful. - Applying protective dressings - Managing pain
35
Why does EB not affect the alveoli?
Alveoli are only one cell thick thus EB which attacks cell-to-cell adhesion cant have an effect.
36
Why are protective dressings used in EB?
To reduce friction and prevent infection from pathogens.
37
What procedure can help a scarred oesophagus in EB?
Balloon dilation using a gastroscope.
38
Explain how a gastroscope works?
A long, thin flexible tube that has a light source and a video camera at one end which relays the images to a television screen for examination.
39
What tool might measure lung function in EB?
A peak flow meter or spirometer.
40
What are cannabinoids being tested for in EB treatment?
Pain relief by controlling neurotransmission and reducing neuroinflammation.
41
Cannabinoids are thought to inhibit neurotransmitter release. Using knowledge from nerves and synapses suggest how this controls pain in patients with EB?
1. Competitive inhibition of receptor sites; on post synaptic membrane; not enough sodium channels open; lower/no post synaptic response; affects synapses from pain receptors; 2. Blocking calcium channels on pre-synaptic membrane; inhibits neurotransmitter release / vesicles containing neurotransmitter from merging with post synaptic membrane.
42
What is a drug antagonist?
A molecule that blocks receptors, preventing activation by other compounds.
43
What is a partial agonist?
A drug that activates a receptor but produces a smaller response than a full agonist.
44
What does drug specificity mean?
The ability of a drug to target a specific receptor due to shape fit.
45
Why are ethics important in EB research?
To protect patient; Rights Dignity Safety (especially for vulnerable individuals like children)
46
How to conduct a drug research trial?
1. Write hypothesis of your estimation of the trial 2. Gather participants via random sampling 3. Split group into 2 groups 1 whom receive a placebo and the other 1 who receive actual drug. 4. Over a period of time monitor and gather results of drug action.
47
What ethical principles must be followed in research?
- Informed consent - Confidentiality - Right to withdraw - Data protection - Protection from harm