Exam 1 - Diseases + Stuff Flashcards

(74 cards)

1
Q

Blood pH range

A

7.34-7.45

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2
Q

pH maintained by:

A

chemical buffer (INSTANT) > reg of CO2 (LUNGS-HOURS) > reg of HCO3- (KINDEY - DAYS)

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3
Q

Henderson HasselBalch

A

pH=pka+Log{A-/HA)

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4
Q

pH>pKa which form predominates?

A

acid

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5
Q

pH<pKa which form predominates?

A

base

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6
Q

Intracellular buffer system uses

A

H3PO4

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7
Q

Buffer system of the blood is open:

A

can adjust by altering CO2 (lungs) and HCO3- (kidneys)

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8
Q

Respiratory Acidosis examples:

A

asthma, bronchitis, obesity, sedatives/anesthetics

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9
Q

Respiratory Alkalosis examples:

A

anxiety, pain, mechanical hyperventillation

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10
Q

metabolic Acidosis examples

A

renal failure, methanol poisoning, diabetes, ketoacidosis

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11
Q

metabolic alkalosis

A

acute alkali administration (antacid), vomiting, gastric aspiration, diuretics

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12
Q

Parkinsons

A

loss of dopa neurons - alpha syn nuclein aggregates = lewey bodies

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13
Q

Alzheimers

A

plaque (amyloid beta) and tangles (tau - fibers)

amyloid B aggregates and seeds plaques — on on and on…

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14
Q

Prion diseases

A

Kuru and Creutzfeld jacob (mad cow)

Seeding nucleation

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15
Q

SIckle Cell mech

A

Glu to Val change = hydrophobic AA now on the OUTSIDE and it causes conformational change to remvoe itself from aqueous environment and it dimerizes with other Val to hide

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16
Q

myoglobin structure

A

all alpa helices

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17
Q

prosthetic groups

A

organic molecules permanently bound ex) HEME in myoglobin

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18
Q

hemoglobin vs myoglobin bindingcurves

A

myoglobin is hyperbolic - it binds even at low conc.

hemo is sigmoidal - cooperative binding

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19
Q

2,3 BPG shifts curve

A

RIGHT - lower affinity for O2

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20
Q

CO2 and H+ effect on curve

A

stabilize T-form lower O2 affinity = shift right

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21
Q

Hb binds O2 best:

A

high pH, lower CO2, higer O2

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22
Q

fetal Hb

A

has ser on B - unit where adult has His = this his is where 23 BPG normally binds = no 2,3 pBG he higher affinity for O2 than adult Hb

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23
Q

collagen

A

Gly - for tight packing
pro -strength/rigidity
hydroxyproline-H bonds for stability - str and rigidity
hydroxylysine - help with self assembly in left ahnded fiber -form reactive aldehydes and covalent link

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24
Q

Scurvy

A

Vit C deficiency - Vit C needed for prolyl hydroxylase to make hydroxyproline - no hydroxyproline = weak collagen bc no H bonding = gum issues n shit

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25
metaloenzymes
metal ion catalysts FE CU ZN MG
26
coenzymes
cofactors that are small organic molecules EX)NAD+
27
prosthetic groups
coo-enzymes that are linked to the enzyme HEME
28
holoenzyme
an ACTIVE enzyme that has its prosthetic group atttached
29
apoenzyme
an INACTIVE enzyme that does not have its prosthetic group attached
30
rate equation
v= (Vmax*[S])/(Km+[S])
31
Vmax is dependent on:
[enzyme]
32
Km is independent of:
[enzyme]
33
when does V=Vmax/2
when [S] = Km - enzyme is at HALF max rate
34
HIGH Km
WEAK BINDING/LOW SUBSTRATE AFFINITY
35
LOW Km
TIGHT BINDING/HIGH SUBSTRATE AFFINITY
36
Competitive inh - Lineweaver Burke plot
``` 1/Vmax stays the SAME y-axis Increase Km (closer to 0). X-axis ``` Will need more substrate to reach Vmax but you can still reach it!
37
Non-competitive inh - Lineweaver Burke plot
1/Vmax decrease (gets higher) | 1/Km on stays the same
38
Irreversible inh plot
Will look like a non-competitive plot
39
Common irreversible inhibitor
aspirin
40
How to distinguish bw irreversible and non-competitive
need to remove inhibitor and see if function is restored
41
LDH isozyme profile important clinically bc:
amt in serum is indicative of a myocardial infarction or liver damage such as with acute hepatitis
42
Prostaglandins - COX's
COX2 is BAD COX1 is GOOD 3D structure showed how to bind the BAD COX to inhibit it while not in COX1. Drug designed to be TOO big for COX1 but just right for COX2
43
Km and affinity for enzyme (hexokinase vs glucokinase=isozymes)
the SMALLER Km indicates tighter binding - so HEXOKINSE BINDS TIGHER with glucos
44
isozymes
enzymes with dif AA seq but catalyzesame rxn
45
Inhibitory subunits:
The presence of regulatory subunits may inhibit the activity of the catalytic subunit. For example, the important signaling molecule cAMP-dependent protein kinase, which will be covered later in the course, is regulated this way.
46
Activating subunits
Sometimes binding of a regulatory subunit is required for activation of catalytic activity. An important example here is provided by calmodulin, a small Ca2+-binding protein. When Ca2+ levels in the cell increase, Ca2+ binds to calmodulin. This binding alters the conformation of calmodulin and allows the molecule to bind to and activate a large number of different calmodulin-dependent enzymes.
47
Targeting subunits:
In certain cases, catalytic subunits require the presence of a targeting subunit to direct them to there substrate. An example here is the enzyme referred to as protein phosphatase type 1 (PP1). The catalytic subunit of PP1 binds to a large number of different targeting subunits. These targeting subunits in turn bind to specific PP1 substrates. Therefore, the different targeting subunits direct PP1 catalytic activity to different areas within the cell.
48
allosteric modulator
small molecules that bind the at a site distinct from active site (mult subunits) that allows the substrate to have enhanced binding (POSITIVE COoPERATIVITY)
49
Activation of chymotripsinogen
chymotrypsinogen converted into PI-chymotrypsin by trypsin. PI-chymotrypsin is converted into trypsinogen by cleaving itself-self activation
50
intracellular fluid
40% water - K, proteins and phosphate
51
extracellular fluid
20% - Na, Cl and bicarb
52
MORE FAT effect on water=
LOWER % OF BODY WEIGHT AS WATER
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Ratio of lipid to protein in plasma membrane
ABOUT equal EXCEPT in innermitochondrial membrane where ~70% proteins and in myelin where ~20% proteins
54
4 ways to attach a protein to membrance
1) electrostatic interactions bw + residues and - lipid 2) hydrophobic tail inserted into 3) covalently linked to PIP 4) bound to integral membrane proteins
55
Myasthenia gravis
antibodies attack nicotinic acetylcholine receptor = facial muscle weakness
56
Cystic Fibrosis
CFTR Cl channel
57
alpha neurotoxin examples and affect waht
affect muscular nicotinic aceytlcholine receptor= paralysis a-cobratoxin aconotoxin tubocurarine bungarotoxin
58
inhibitor of NA/K PUMP
digitalis - inhiits the ATP pump - increases the contrctile force of the heart and slows rate of beating
59
Zelwgger syndrome
inability to form functional perozisomes = cant synthesize plasmalogens = poor myelination results in lack of muscle tone, intellecutal issues, facial features (high forehad, flat nasal bridge, and microganthia)
60
type 1 diabetes
autoimmune detroy B-cells that produce insulin
61
type 2 diabetes
tissues become less sensitive to insulin
62
pertussis toxin
whooping cough - ADP ribosylation of alpha subunit of G-inhibitory protein cysteine residue. G-protein affinity for GTP is reduced and it is in OFF position. cAMP levels rise
63
What is YopH
protein tyrosine phosphatase - dephosphorylates key proteins in immune response and host cell cannot defend itself
64
cholera toxin
ADP ribosylation of G-stimulatory protein in intestines. locks G-protein in GTP bound states = always ON = secretion of ions in intestines and water follows --> diarrhea
65
Gi
inhibit adenylase cyclase alpha 2 adrenergic receptors
66
Gs
stimulate adenylase cyclase beta 1,2,3 adrenergic receptors
67
Gq
alpha 1 adrenergic receptors phospholipase C
68
nitroglycerin
in the body nitroglycerin is converted into NO relaxes blood vessels = lowers BP
69
Viagra
cGMP phosphodiesterase inhibitor -- enzyme that breaks down cGMP is inhibited = more cGMP floating around for longer
70
soluble guanylate cyclase
NO cascade
71
insoluble guanylate cyclase
atrial natriuretic peptides (ANPs) (transmembrane receptor - lowers BP by action on kidney and vascular walls ANP ligand binds the ANP receptor (it dimerizes) and activates cGMP-ase activity
72
catalytic receptors
basically protein tysorine kinases or any variation. effect on enzymatic activity of some sort most common = growth factors
73
vit B2
riboflavinv = FMNH2 and FAD
74
vit B3
niacin = NAD