Epilepsy mutations Flashcards

1
Q

Two states of ion channel

A
  1. Intrinsic: mutations in ion channel.
  2. Extrinsic: normal ion channel sequence
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2
Q

Intrinsic mutations:

Mis-sense

A

A single point mutation in the coding region of DNA

Causing a change in the triplet codon leading to a change in the amino acid (N->S).

Incorporated into the protein during translation

Known as mis-sense

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3
Q

Intrinsic mutation:

Non-sense?

A

If the codon change generates a stop codon.

Translation is terminated at this point

Generates a short protein.

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4
Q

Intrinsic mutations

Frame shift 1: insertion?

A

Mutation is an addition of a single base.

the reading frame is altered.

Completely unrelated protein to the parental DNA.

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5
Q

Intrinsic mutations:

Frame shift 2 (deletion)

A

A frame-shift occurs upon the deletion of a single base.

A stop codon is encountered that exist out of frame in the parental DNA.

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6
Q

What is the resting potenetial of a neuron?

A

-70mV

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7
Q

What does glutamate do to this resting potential?

A

Make it more positive

Depolarises the cell

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8
Q

What does the GABAA do the resting potential of a neurone?

A

Makes it more negative

Hyperpolarisation

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9
Q

Action potential?

A

Excitation and inhibition balance.

Moves towarsd depolarisation to fire AP.

Multiple inputs are required to make this happen

Therefore AP is not just erratic but buffered

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10
Q

The shape of the graph for an AP?

A

AS7

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11
Q

Wave effect?

A

AP move as a wave from the cell body down the dendrites onto post-synpases.

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12
Q

Propagation?

A

During the AP sodium channels are open.

Downstream: channels are inactivated- takes time for them to be reactivated.

Upstream:sodium channels are closed.

Wave effect: leaving behind a trail of inactivated sodium channels

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13
Q

What is the percentage of population that has anxiety disorders?

Name the 3 types of anxiety disorders?

A

25% of population

Phobias

Panic disorders

Post-traumatic stress

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14
Q

What is the treatment for anxiety?

A

Diazepam

Increases GABAA receptor function

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15
Q

What genetic variation is responsible for anxiety?

A

Decrease gamma2 expression

Increase in anxiety levels

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16
Q

Name the 3 post-translational processing related to protein biogenesis?

A
  1. Protein glycosylation
  2. Disulphide bond formation
  3. Protein folding(2nd-3rd) and oligomerisation (4th- coming together to produce a protein receptor)
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17
Q

Glycosylation?

A

In ER and Golgi

the formation of linkages with glycosyl groups.

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18
Q

BiP/calnexin?

A

Fomrs tertiary and quaternary structures.

Aided by chaperone proteins

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19
Q

Disulphide bonds?

A

Essnetial disulphide bonds are needed

Only when the correct disulphide bond is formed will the substrate be released

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20
Q

GABAA receptor?

A

5 TM

GABA binding site at the interface between alpha and beta subunits.

Benzodiapin binds between the alpha and gamma

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21
Q

What is the success rate of getting the correct confirmation for the GABAA receptor?

A

20-30%

22
Q

Chaperon

A

a family of proteins that aid in the folding of target proteins.

23
Q

Name the 2 epilepsy mutations?

A

Gamma2 subunit mutation

Alpha1 subunit mutations

24
Q

Name the 3 types of gamma2 subunit mutations?

A

R43Q

K289M

Q351X

25
Q

Name the type of alpha1 subunit mutation

A

A322D

26
Q

Other mechanisms that cause epilepsy?

A
  1. Channel function
  2. Rasmussen’s encephalitis
  3. Stargazin mutation
  4. Environmental contaminants
27
Q

R43 forms?

A

Inter-subunits contacts.

Interaction between the alpha-beta and gamma-alpha.

Loss of interaction between gamma and beta.

Some activity still there but efficiency is decreased.

28
Q

R82Q and P83S?

A

Similar effects of gamma2.

29
Q

Name the 3 epilepsy mutations?

A

R43Q

R82Q

P83S

30
Q

Gamma 2 (R117G)

A

Reduces current density.

Gamma2 subunit is quiet but the alpha and beta subunits can still make a receptor.

31
Q

A332D mutation?

A

Unstable regardless of assembly.

Alpha1 subunit no longer expressed.

32
Q

R46W muation?

A

Associated with childhood absense epilepsy.

Affects receptor channel gating and expression.

33
Q

Sodium channels?

A

Voltage gated

Generalised epilepsy with febrile seizures- convulsions and fever.

Hyper excitability- therefore these channels are easier to activate therefore seizures.

34
Q

Potassium channels?

A

Voltage gated.

Episodic ataxia.

Decreased function of potassium channels-AP is now prolonged.

35
Q

ataxia?

A

describes a group of neurological disorders that affect co-ordination, balance and speech

36
Q

Migraine?

What channels

Prevalence figures

Symptoms

A

calcium channels

Prevalence: 24% females; 12% males.

Headaches, nausea, vomiting, sensitivity to light

37
Q

Calcium channels?

A

Voltage gated

38
Q

alpha1A mutation:

Types of mutation

What channel does it affect?

A

It affects calcium channels

Cause: missense, nonsense, aberrant splicing and insertion.

39
Q

Familial Hemiplegic Migraine?

A

Rare

Paralysis to half of body.

Progressive cerebellar atrophy.

Decrease function of all channels due to missense voltage sensor

40
Q

Episodic ataxia?

Type of mutations?

A

Neurodegenerative.

Lack of response.

Non-functional

Types of mutations: frameshift and subsitution

41
Q

Spinocerebellar ataxia?

A

Slow progressive cerebellar ataxia.

Severe neuronal loss in cerebellum

Expansion of the mutation at each generation.

42
Q

Alpha1 subunit mutations?

A

Tottering mice

Absence/motor seizures

Ataxia.

Leaner mice

Absense/motor seizures

43
Q

Beta subunit mutations?

A

Lethargic mice

Absence seizures

Ataxia

44
Q

Gamma subunit mutation?

A

Stargazer mice

Epilepsy

45
Q

Rasmussen’s encephalitis?

A

Progressive: only in a single cerebral hemisphere.

Causes severe epilepsy.

Hemiplegia (paralysis in one side)

Dementia

Brain inflammation

Environmental triggers

46
Q

Extrinsic factors?

A

When neuronal activity applies there is an increase in lateral diffusion of the neurotransmitter.

Therefore can reach more receptors.

47
Q

Stargazer mutation?

A

Head tossing

Epileptic seizure

Ataxic

Effects the gamma subunit of the calcium channel (intrinsic mutation)

48
Q

Intrinsic mutation?

A

situated entirely within or pertaining exclusively to this receptor.

49
Q

Extrinsic?

A

Affects the postsynaptic receptors instead of the presynaptic receptors in which it originates from

50
Q

Environmental excitotoxins for glutamate recepotrs?

A

Shellfish

Ibotenic acid

MSG

BMAA

51
Q

Environmental excitotoxins for the GABAA receptors?

A

RDX explosives.

Organochlorine pesticides

PCBs