Exam 1 Material Flashcards
Marfan syndrome
type?
clinical features?
genetic principles?
Autosomal dominant
skeletal abnormalities
plietropic, new mutation, high dad age=high de novo mutation risk
Prader Willi
type?
clinical features?
genetic principles?
Imprinting
Uniparental disomy: maternal UBE3A disomy. no paternal SNRPN
obesity, underdeveloped genitalia
familial hypercholesterolemia
type?
clinical features?
genetic principles?
Autosomal dominant
LDL receptor deficiency
haplo-insufficiency
MI
LDL-1/LDL2 ratio high or low?
Ck-MB vaule?
Severity is a reflection of what ratio?
Cell loss disorder
high LDL-1/LDL-2 ratio.
Ck-MB > 3%
severity: % of Ck-MB/total Ck ratio.
Camptothecin
Type/Trats
Mechanism of action/Targets?
Anti-cancer
inhibits Topoisomerase I
Respiratory distress syndrome
L/S ratio not mature?
role of phospholipid in surfactant
DPPC deficiency in pre-me babies
L/S ratio: <1.5 NOT mature
Azidothymidine (AZT) / Zidovudine
Type?
Treats?
Mechanism of action?
Targets?
Anti-viral nucleoside analogue of deoxythymidine. no OH group. triple N instead.
HIV: prolongs life in HIV affected individuals and redce mom to baby transmission by >20%.
incorporated into dsDNA so transcription can’t continue.
Inhibits viral reverse transcriptase so virus
Vidarabine Adenosine Arabinoside: araA
Type?
Treats?
Mechanism of action?
Targets?
Anti-viral adenosine analogue
Herpes Simplex and Anti-neoplastic (relapsed childhood acute lymphoblasyic lukemia agent)
Planar configuration prevents DNA elongation, yielding premature termination.
Inhibits viral DNA polymerase
Cytochalasins
Type?
Treats?
Mechanism of action?
Targets?
Fungal product
Treats nothing. this is a fungal infection. stay away.
blocks actin polymerization
inhibits cell movement, promotes apoptoosis
Initiation factors
aid in the formation of the 30S initiation complex.
RNA Pol I
transcribes rRNA
Fragile X
type?
clinical features?
genetic principles?
X-linked Triple repeat CGG
can’t speak, anxiety, temper tantrums.
Anticipation
Systemic Lupus erethematosus
type?
clinical info?
symptoms?
cell acumulation disorder.
autoantibidies to U1 RNA splisosome component and histone and topoisomerase.
results in fatigue, arthritis, fever, skin rash, kidney problems
regions of a prokaryotic gene (transcription)
promoter
RNA coding sequence
terminator
Mycophenolic acid
Type of inhibition and which enzyme?
Function of enzyme?
Mechanism of action?
End result?
Reversible, uncompetitive inhibitor of inosine monophosphate dehydrogenase
IMP->xanthosine monophosphate->GMP
deprives rapidly proliferating T and B cells of key components of nucleic acids
prevents graft recognition
Metaplasia
causes?
clinical features?
Tissues affected?
REVERSIBLE change of cell differentiation
Increased risk for dysplasia and neoplasia
resp. epithelium, cervical epithelium (columnar to stratified squamous), esophagus epithelium (stratified squamous to columnar).
Dysplasia
causes?
clinical features?
Tissues affected?
rapid multiplication of cells, may demonstrate genetic abnormalities
failure of maturation and differentiation: persistent cellular atypia, high nuclear/cytomlasm ratio, large nuclei with dark staining chromatin
cervix and skin
Nitroprusside
Type of inhibition and which enzyme?
Function of enzyme?
Mechanism of action?
End result?
Metabolized to NO -> activates guanylyl cyclase
GTP->cGMP
cGMP causes smooth muscle relaxation, platelet aggregation and aids in visual system
vasodilation
Trimethoprim
Type of inhibition and which enzyme?
inhibits dihydrofolate reductase.
MELAS
type?
clinical features?
genetic principles?
Mitochondrial
encephalopathy, lactic acidosis, stroke-like episodes
only from mother, heteroplasmy
Aplastic Anemia
Cell loss disorder
5’ fluorouracil
Type of inhibition and which enzyme?
Function of enzyme?
Mechanism of action?
End result?
competitively inhibits thymidylate synthase by being converted into dFUMP
dUMP->dTMP
Given with thymidine to increase toxicity in cancer cells. Incorporated into cancerous mRNA making it more toxic to cancer cells.
Anticancer
Novobiocin Courmarin family
Type?
Treats?
Mechanism of action? (target is same as mechanism)
Antbiotic
Staph infections and MRSA
Inhibits DNA gyrase
Phosphatase
Removes one phosphate from 5’ end of RNA
protein for extrinsic termination of transcription
What type of cells have it?
Rho
Prokaryotic cells
Allopurinol
Type of inhibition and which enzyme?
Function of enzyme?
Mechanism of action?
End result?
irreversibly inhibits xanthine oxidase
forms uric acid by degrading purines
binds to Molybdenum-sulfide complex in enzyme.
used to limit uric acid production in pts. with gout.
VNTR
Slightly longer than SSR. 5-10 base pairs(but maybe hundreds) repeating many times
4 enzymes involved in 5’ cap in eukaryotes
Phosphatase
Guanylyl transferase
Guanine 7-methyl transferase
2’ O-methyl transferase
Orotic aciduria
causes?
clinical features?
treatment?
low activities of orotidine phosphate decarboxylase and ortate phosphoribosylatransferase. rare genetic form present in patients who lack both enzymes. can come from pyramidine analog cancer treatments
poor growth, megaloblastic anemia, excretion of large amounts of orotate in urine
dietary uridine to improve anemia and decrease orotate excretion.
Roles of RNA Polymerase
Recognize DNA sequence
Helicase activity
Catalyze transcription: RNA synthesis
Friedrich ataxia
type?
clinical features?
triple repeat GAA\
heterochromatin formation
Taxol
Type?
Treats?
Mechanism of action?
Targets?
Anti-cancer
cancer
makes microtubules keep growing.
arrests cell in Metaphase. leads to apoptosis
Xeroderma pigmentosum
type?
clinical features?
genetic principles?
Autosomal Recessive
UV damage makes more severe
variable expression
Rb mutation
cancer risk. less tumor supression between G1 and S.
Leber hereditary optic neuropathy
type?
clinical features?
genetic principles?
Mitochondrial
progressive blindness around 20-30 years
only from mother
Simple Sequence Repeat
Most simple type of repetitive sequence.
2, 3, or 4 base pairs repeated many times.
Theophylline
Type of inhibition and which enzyme?
Function of enzyme?
Mechanism of action?
End result?
inhibits phosphodiesterase
breaks down cAMP
Some major differences between Prokaryotic & Eukaryotic Translation
Initiator tRNA
RNA
Translation start site
Transcription and Translation
ASO
Procedure?
General use?
Challenges?
Disroders?
15bp (probe) sequences that specifically bind to a single allele of a gene
Identify single nucleotide polymorph/mutation OF A KNOWN MUTATION
Allelic Heterogeneity.
CF and Hemochromatosis
Hemophilia A and B
type?
clinical features?
genetic principles?
X-linked recessive
increased bleeding tendency after minor trauma, hemarthrosis, subcutaneous hematoma
allelic heterogeneity, asymmetric X-inactivation; skewed X inactivation,. leads to manifesting heterozygote females. Hemophilia B presents with germline mosaicism
Eukaryotic transcriptional promoters
TATA box GC box CAAT box
Acylovir
Type?
Treats?
Mechanism of action?
Targets?
Anti-viral guanine analogue
Herpes Simplex Virus and Varicella
activated by viral kinases only present in infected cells.
Viral DNA polymerase. Inhibitor of viral replication.
Transmissible spongiform encephalopathy
type?
clinical info?
3 routes of acquiring
Prion disease
brain becomes like a sponge causing dimentia, loss of coordination, and death within 1 year
sporadic, infection, genetic predisposition.
Phenylketonuria (PKU)
type?
genetic principles?
Autosomal recessive
loss of function mutations
Creutzfelt-Jacob
type?
clinical info?
3 routes of acquiring
name in cows? sheep?
Prion disease
brain becomes like a sponge causing dimentia, loss of coordination, and death within 1 year
sporadic, infection, genetic predisposition.
mad cow or scrapie
Zellweger
type?
clinical features?
peroxisomal
defective import of proteins
Single Nucleotide Polymorphism
One single base pair changes. Variant found in atleast 1% of population.
Chrcot-Marie-Tooth
type?
genetic principles?
Autosomal Dominant
locus heterogenity
hepatocellular cancer
clinical features
alpha fetoprotein (AFP) normally found in a fetus)
TFIIE
positions RNA polymerase
Rett syndrome
type?
clinical features?
genetic principles?
X-linked dominant
affects females more, male lethal.
Short Interspersed Nuclear Elements (SINEs)
Short sequences, less than 500 bp. 1.5M times in genome. (10%).
appear to be normal DNA that was reverse-transcribed from RNA with enzymes “stolen” from LINE.
Most common is the Alu sequence. (called that b/c SINES contain sequence recognized by Alu restriction enzyme.
Poly-A-polymerase (PAP)
adds approximately 200 A nucleotides to the new 3’ end of the mRNA produced by the cleavage of the 3’ UTR.
Neoplasia
causes?
clinical features?
2 main grous?
cell proliferation and growth in absence of external stimulus, variable states of differentiation but commonly fail to reach high level
benign (slow localized growing) and malignant (fast growing w/ chance of spread)
G6PD deficiency
type?
clinical features?
X-linked recessive
hemolytic anemia on ingestion
bone disease Padget disease or bone tumors
clinical features
increased levels of ALP in serum!!!!!!!
Huntington Disease
type?
clinical features?
genetic principles?
Autosomal Dominant
Triple repeat CAG, progressive dementia, loss of motor control
GOF mutations, incomplete but high penetrance, anticipation, more severe from father
RFLP
Procedure?
General use?
Challenges?
Disroders?
Digestion of DNA from different individuals may result in patterns of DNA fragments. (Direct detection)
Identify a single nucleotide polymorph/mutation (creation or destruction of restriction site which is recognized by endonuclease with a palindrome)
the procedure is very lengthy and rarely used.
sickle cell anemia and maple cyrip urine disease
ASO PCR
Procedure?
General use?
Challenges?
Disroders?
15bp sequences that specifically bind to a single allele of a gene for direct detection
Identify single nucleotide mutation and tri nucleotide repeats.
DMD not able to identify mother. Due to 2 X chromosomes she may appear normal.
Triple expansion disorders
Which pathway is involved with smooth muscle?
What 2nd messengers are involved with this pathway?
What is the result?
Gq pathway
Phspholipase C
PIP2
IP3 and DAG
Increase of Ca2+ and activation of PKC
Prokaryotic ribosome
70S.
30S and 50S
TFIIB
involved with RNA polymerase interactions
Start site recognition of BRE element
Cytosine arabinoside (araC). / Cytarabine
Type?
Treats?
Mechanism of action?
Targets?
Cytosine analogue that sterically hinders 3’OH with a 2’OH.
Acurte myeloid lukemia, lymphoma, general cancer
prevents addition of next dNTP leading to chain termination/
planar configuration damages DNA and inhibits DNA polymerase therby preventing replication.
Hydroxyurea
Type of inhibition and which enzyme?
Function of enzyme?
End result?
inhibits ribonucleotide diphosphate reductase
converts ribonucleotide to deoxyribonucleotide diphosphate
stops UDP->dUDP, ADP->dADP, etc.
Lesch-Nyhan Syndrome
type?
clinical features?
genetic principles?
X-linked recessive
abnormal B-cell development
locus heterogenity
Which enzyme fixes negative supercoils in prokaryotic DNA
Topoisomerase II
2’ O-methyl transferase
Adds methyl group to 2’ O position on next to last base on 5’ end.
ONLY FOUND ON SOME MRNA.
Vit-D resistant rickets
type?
X-linked dominant
Atrophy
causes?
clinical features?
tissues affected?
decr. functional demand, decr. blood supply, loss of innervation, loss of endocrine function, nutritional deficiency, aging
reduction in functional cell mass: both size and function. REVERSIBLE.
testes (in elderly), skeletal muscle, brain, kidney (often due to atherosclerosis cutting off blood flow)
Hemochromatosis
type?
clinical features?
genetic principles?
Autosomal Recessive
iron overload. mre severe in males b/c females lose iron through blood in menstruation
loss of function, allelic heterogenity, incomplete penetrance, variable expression, delayed age of onsed
Incontinentia pigmenti
type?
clinical features?
genetic principles?
X-linked dominant
affects females more, male lethal.
rash and blisters in early life. hyperpigmentation patches
variable expresivity due to X-inactivation
Hyperplasia
causes?
clinical features?
Increased functional demand and hormonal stimulation
increased number of cells affecting: endometrium/prostate, RBC at higher elevation, breast glandular epithelium, uterine enlargement?
Angelman Syndrome
type?
clinical features?
genetic principles?
imprinting
Uniparental disomy: paternal SNRPN disomy. no maternal UBE3A.
happy puppet
Polyploidy
whole extra sets of chromosomes
ex: Triploids (3N) or tetraploids (4N).
Rifampin (Rifamycin)
Type?
Treats?
Mechanism of action?
Targets?
Antibiotic
TB
blocks formation of 1st phosphodiester bond inhibiting prok. transctiption initiation.
prok. RNA polymerase
Van der Woude
type?
clinical features?
genetic principles?
Autosomal Dominant
Lip pits, cleft lip and palate
Incomplete penetrance