extra info from Review Sessions Flashcards

1
Q

what do CDC6 and CDT1 do?

A

both essential for DNA replication and formation of pre-RC. they act as vehicles to assemble the pre-rc. Once loaded, you can assembly primase, helicase, etc..

cdc6 - loads MCM (helicase) proteins onto the DNA. regulates cell cycle checkpoints. activity regulated by cyclinA

cdt1 - knockouts for cdt1 are lethal - cells undergo mitosis but not dna replciation

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2
Q

what enzymes are needed to unite the lagging strand?

A

Fen-1, DNA pol delta, ligase

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3
Q

error in helicase?

A

meier-garlin

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4
Q

error in clamp loader (r-27)

A

autoimmune disease, chronic inflammation, cancer

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5
Q

why does replicative DNA poly have high fidelity

A

it’s 3-5 exonuclease activity

enzyme has low kM for strand when mismatch occurs. it slows down rate that DNA unravels, allows the mismatch to be sequestered far away and be repaired

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6
Q

what encourages tight binding of DNA polymerase?

A

the narrow channel. More error prone DNA polymerases have larger crevice

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7
Q

describe nucleotide pool imbalance

A

as a result of accumulation of a particular nucleotide, a mistake if quickly skipped over because of the annealing of high concentration nucleotides occurs so quickly

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8
Q

what can stall the fork?

A

anything that gets in the way
centromeres - lots of protein
telomeres - lots of capping proteins
dna lesions or bulky adducts

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9
Q

premature activation/misregulation of the pre-RC can lead to

A

nucleotide pool stress

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10
Q

environmental factors that can mess up replication

A

sunlight casuing DNA damage (TT dimers)

massive amounts of damage - cell undergoes apoptosis. triggered by ATM stimulating p53 via the DDR

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11
Q

describe the error prone response

A

trasnlesion DNA polymerase uses non-template double strand.

when you have massive damage, sometimes you can’t repair it. translesion polymerases skip the damage by including any random nucleotide. If it can keep the replication fork from moving without being stalled, that is one way to deal with massive DNA damage

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12
Q

repetitive elements can cause..

A

loops out of DNA sequences. another type of error in DNA replication.

-Error that occurs when Polymerase slips

once the stable hairpin structure forms, it becomes an impediemnt to replication

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13
Q

errors in XPA-G? what pathway?

A

errors in the NER pathway. Xeroderma pigmentosum

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14
Q

what is the common set of steps of repairing DNA damage

A
  1. damage recognition by an enzyme specific to that damage type
  2. enzyme will remove damage (just base, entire nucleotide, large segment) and leave a gap
  3. DNA poly syntehsizes DNA to fill in
  4. Ligase ligates
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15
Q

what causes HNPCC?

A

mismatch repair errors

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16
Q

what causes aicardi gouteries?

A

error in RER Excision repair, RNAse

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17
Q

in BER, the lesion is removed by?

A

DNA glycosylase = cuts sugar/ cuts base/ cuts bond between sugar and base, cuts glyosidic bond

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18
Q

In NER, gap is filled by?

A

DNA polymerase. Dna poly does make the phosphodiester bond with previous nucleotide, but need ligase for next one to seal

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19
Q

what is the biochemical mechanism that can be used to regulate actin assembly into microfilaments?

A

energy output and input involved. By using ATP as energy, can control rates of assembly.

fast growing end can do work through the assembly process

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20
Q

fillapodia

A

fast gorwing ends towards the membrane

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21
Q

stress fibers

A

bundles where each + end is against membrane. in middle you get overlapping - filaments

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22
Q

lammelapodia

A

broad edge of cell being pushed out. You have branched filaments. ART binds to ends to existing filaments and creatse a place to nucleate and assemble

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23
Q

contractile ring

A

similar to stress fibers - lots of filaments go around cell and overlap with each other. Can have myosin between filaments pulling them, involved in cytokinesis.

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24
Q

myosin I

A

Myosin 1- monomeric, standalone vesicular motor. Sngle ATP binding site. Tail associates with membrane, does not have long tail, has short tail. Vesicular transport if free, or binding of mysoin to plasma membrane to move the filaments relative to the PM.

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25
myosin II where in non-muscle?
Myson I I - contracile arrays. In muscle and non muscle. - where in non muscle? Epithelial sheet that has to change shape during a process. - bipolar arrays cause contraction
26
assembly of microtubules is... rate limiting step?
more complicated than filaments, Uses GTP not ATP. the slow GTPase activity of bound subunits
27
meier garlin syndrome
helicase error
28
clamp loader mutation
autoimmune, chronic inflammation, cancer
29
mechanism that controls DNA replication to once oer cycle
cyclinA/CDK kinase - degrade CDC6 and CDt1 by phosphorylation and removing
30
microfilaments can form
microvilli filipodium/lammelapodium - fast growing ends push membrane out stress fibers - each + end against membrane, overlapping filaments in center to get contraction lamellapodium - broad edge fo cell fushed out, branched filaments, actin related protein (ART) binds to ends, allows nucleation. contractile ring - lots of filaments go around cell and overlap. can have myson between filaments pulling, involved in cytokinesis
31
extending nerve terminus
assembly of actin. get actin subunits to the end, vesciles get transportered to end and "hop off"
32
secretory and actin
vesicles get close to membrane, actin filamnets bring them up to membrane, allow secretion
33
mysosin walking across actin filaments
same cycle of ATP bidning, myosin release, ATP hydrolysis, change in confirmation, reattatch, release energy and pull along filament
34
how is mysoin regulated?
depends where you are in skeletal/cardiac muscle - directly involves calcium assocation with proteins on thin filament or phosphorylation of proteins associated with myosin like chains
35
general contraction/relaxation cycle
Thin filament (actin), mysoin tries to move toward plus ends at Z disk, trying to move in 2 direction at once. The contractile unit (Sarcomere) shortens. This happens when calcium bins to the proteins on actin filaments, moving the tropomysin out of way so myosin can interact with actin. Regulated through sequestration of CA in membrane vesicles of SR that get released and pumped back in.
36
intermediate filaments
family of proteins that provide structural support, NOT tracks for motility keratins, vimentin/related, neurofilaments, nuclear lamins (all cells)
37
microtubules vs microfilaments
microtubules - hollow, more complicated assembly, uses GTP and slow GTPase of beta subunits microfilaments - use ATP and actin
38
microtubules involved in
nucleic and cell division, organization of intracellular structure, and intracellular transport, as well as ciliary and flagellar motility
39
where are microtubules found in cells?
nucleating sites (where - are togheter and cant assemble) associated with gamma tubulin rings to rapid assembly
40
what moves along microtubules?
membrane associated things ER and golgi comparments move to different parts of cell Dynein - pulls things closer to centrosome (-). keeps golgi next to nucleus. nuclear membrane and golgi have dynein associated ER - spreads throughout microtubule network using kinesin
41
motile vs non motile cilia
motile - have dyneins non-motile - lots of sensory receptors on membrane, no dynein
42
primary places where you see defects with cilia?
not having receptors on non motil cilia - causes polycistic kidney disease where the kidney cilia dont assemble or receptors are mutated
43
ramachandran plot glycine?
certain regions are compatible with secondary structures due to bonding angles glycine has large area in plot suggsting flexibility
44
can the C-N bond rotate?
no, all four atoms connected are in a plane and rotate together, C-N bond has partial double bond character
45
Phi Angle? PSi angle?
Phi - Con Psi - CC
46
phi and psi in beta sheets? alpha helicies?
beta sheets - close to 180 minus 60 - alpha helix
47
if NH3+? pH must be.. if histidine is protonated? if carboxyl is deprotonated?
below 8 must be below 6.5 must be above 4
48
Alpha-1-antitrypsin
serine protease, example of disease cuased by protein misfolding leading to aggregation or loss of function
49
Correct function of alpha1-antitrysin
reactive center loop where neutrophil elastasce likes to cleave (cheese in mousetrap). Bites the loop, forms covalent bond to loop. Loop cleaves and now inserts into central beta sheet (it is complementary) - Loop drags neutrophil elastase down to lower section of alpha-1-at, and the interaction cuases neutorphil elastase to misfold - other proteases now degrade neutrophil elastase
50
what can do wrong with alpha-1-antitrypsin? 2 things
-suggested by lock of similar antithrombin enzyme when reactive loop inserted into beta sheet, it sprung all by itself (more stable, cant go back). Can no longer inhibit. Happens too much due to mutation - can no longer inhibit neutrophil elastase second thing that can go wrong - insertion happens without cleavage, it mis inserts into neighboring molecule. Abundant in liver, causes a cascade of polymerization that builds up in liver
51
alpha helix amino acids
helix formers - mainly alanine, but also arginine and leucine
52
if the N-terminal is in the internal lumen of the ER...
, then when it is sent to the plasma membrane, the N-term will be on the external face.
53
Biosynthesis of glycosaminoglycan chains on proteoglycans occurs primarily in
golgi
54
When a protein destined for the plasma membrane is synthesized, it is inserted into the ER membrane with its extracellular domain on
the lumenal side of the ER membrane. to be facing out of the cell, must be facing inside of the ER
55
lyosome, endosome, peroxisome
lyososome - degradation/recycling endosome - sorting from endocytosis peroxisomes - creates h202
56
2 organelles that do not communicate with other organelles via vesicles
mitochondria and peroxisomes are not a part of the vesicular trafficking pathways
57
when LDL receptor iis synthesized in the ER..
the LDL binding domain faces the ER lumin, but will face the cytosol once it reaches the PM the adaptin domain starts off facing the cyotosol, will end up pointing inward When we put proteins into the ER, we put them in the same way in correct orientation every time. Something that needs to face outward and inward -something initially faces lumen then faces outside
58
mitochondrial receptor VS ER receptor
the receptor for the mito signal sequence is on the mito membrane the receptor for the ER directing signal is in the lumen (Soluble)
59
scanning EM of golgi vs rough ER
rough ER will have visible studded ribosomes
60
golgi Vs SMOOTH ER?
golgi- tight pancake stack
61
lysosome scanning image
very dark, black
62
peroxisome scan
uniform gray, smooth, very dark spot in center (Crystallization of enzymes)
63
Phospholipids and Sphingolipids
Phospholipid ex) phosphoglyeride - 2 fa, glycerol backbone, phosphate alcohol head Sphingolipid ex) Glycolipid- sphingosine backbone/fa, carbohydrate shingomyelin -is a sphingolipid and a phospholipid (sphingosine, fatty, acid, phosphate choline
64
mito genome is in the
mito matrix
65
proteins required for Mito genome (RNA poly, DNA poly) come from the...encoded where?
cytosol, in the nucleus transcribed in nucleus, translated in cytosol, transported into mitochondria
66
x-linked adenoleukodystrophy
cant import long fatty acids, beta oxidation doesnt occur, they accumulate
67
familial hypercholesterolemia
LDL can't get taken up by endocytosis. LDL receptor suffers a loss of function mutation, accumulated in blood
68
where are the ABO antigens synthesized?
in golgi
69
3 functions of golgi
n-linked sugars modified o-linked sugars added to proteins and lipids GAGS built on proteoglycan core proteins ABO blood group antigens degrade glycoproteins and proteoglycans
70
mucopolysaccharidoses
-defects in the degradtion of GAGS
71
oligosaccharidosis
defend in degredation of oligosaccharides
72
sphingolipidosis
defects in degredation of sphingolipids
73
inclusion-cell disease
defect in generating M6P tag on lyososomal enzymes. lysosomes fill with substrate with nothing to degrade them. the enzymes are sent throguh default pathway which is harmless because they only act at low pH
74
why don't the proteases in lysosomes self digest the other enzymes?
the other enzymes are protected by sugars, proteins are heavily glycosylated
75
all nuclear pores are ______, what determines the direction taken?
equivalent, direction is based on the carrier intermediate
76
there are vanishing amounts of GTP in the
cytoplasm
77
Role of Ran GTPase?
provides energy for transport in form of energy stored as chemical gradient helps form export compleex and accompanies these complexes out of nucleus
78
homologous recombination mixes up...
parent and grandparent alleles by exhanging arms of chromosomes
79
we all inheret ______ loss of function alleles
250-300
80
half of our genome are ________
transposable element sequences
81
retrotranspons
in humans, move via RNA intermediate with RNA reverse transcriptase
82
retrotranspons and exon shuffling
Rretrotranspons have unique transposon ends. The enzymes recongize these tranposable ends. Make RNA out of this, reverse transcriptase can recognize the other two, and move entire Normally the RT would transcribe and transport the small pink, instead it mistakenly cuts out and tranports the larger green gene between the two similar transposons -this can cause misalignment
83
creation of unequal gene families by crossing over
an entire gene can get duplicated, or the same thing can occur WITHIN a gene causing a single exon duplication or deletion
84
multiplex PCR
many PCR in single tube, get multiple products. You've got 9 reactions at same time, done diagnostically, how you look for deletions in dystropin
85
RT-PCR
You can PCR and amplify when template is RNA - use RT enzyme to do first early rounds to turn RNA into DNA, then it’s a normal PCR. It’s a PCR where the first round is
86
Microarrays
lung cancer example but lots of things. Different kinds of tumors in cancers, how they might respond to different chemo treatments. Microarrays give you a readout of all the genes being expressed in that tumor. Gives you a very detailed view of what that cell is doing and how its doing it. Much more so then under a microscope (Stain, shape) very high res. - tells subtype of cancer - what mutations might be present - what pathways elevated - will tell you what chemo will or wont work
87
FISH vs Microarray
fish - looking at whole chromosome, you see large changes in chrosomomes. Cancer cell karyotype. Shows approximate lesions of chromosome and how its been moved typical microarray - analyzes mrna to determine expression (what and how much) of a gene. Tells more than fish, lets you get to see exactly where translocation is
88
spirochetes under a microscope can appear
either spiral or invisible (pallidum). need darkfield
89
What do we do antibiotics resistance testing on?
the enterobacteriaecae - they are so abx resistant due to horizontal gene transfers that we need to do agar plate + abx disks
90
what would a culture of rickettsia on agar look like?
rickettsia is intracellular, plane of agar would be blank. must culture in tissue
91
we do not do antibiotic resistance testing on...
environmental microbes, such as clostridium
92
to establish intracellular infection (4)
need type 3SS - important for host cell takeover/living inside of them
93
why don't we use the TB vaccine (bcg)?
our incidence of TB is low, and we primarily screen people as necessary with PPD. Giving people the vaccine would cause all PPD to come back positive, new way to screen would require chest xray
94
Childhood infection due to bacteriophage, has been declining ever since
scarlet fever
95
N.meningitidis
gram negative diplococcus that oxidizes maltose and has a a capsule
96
N.Gonorrhea
gram - diplococcus that does not oxidize maltose, has pili
97
most common disinfectant used for living tissue?
alcohol, is also a crossover agent used for countertops/objects
98
quaternary ammonium compounds
most common use of sterilization and disinfecting and detergent in hospital of surfaces. Quats have residual activity even after wiped off.
99
Augmentin, ceft, vancomycin all...
inhibit peptidoglycan synthesis the beta lactams act as PBP substrate analog vancomycin (glycoproteins) - bind to the terminal d-ala strands to block PBP
100
penicillinase/beta lactamase resistant penicillins
used against organisms that product beta lactamase
101
MRSA
has found a way to become resistant to all beta lactams and beta lactamse inhibitors MRSA changed its PBP2 to PBP2a
102
cephalosporin generations
move up food chain, become more and more resistant to beta lactamase
103
carbepenams
the most powerful beta lactams, resistant to ALL beta lactamases, sensitive to carbepenemases
104
CRE
carbepenam resistant enterobacteriaca - stared off as just kleb, produces carbepenamases
105
why might a patient not respond to cephalosprin treatment?
the organism is producing beta lactamase to "break the floor of the garage"
106
treatment of simple betalactamases expressing organisms?
can use antibiotic + b lactam inhibitor (augmentin_
107
treatment of sophisticated beta lactamase expressing organisms?
produced by the ESBLS, can no longer use 3rd and 4th gen cephalosporins. use carbepenam
108
CRE's are ____
plasma encoded superbugs. plasmids contain genes for all mechanisms of resistance. we only have colistin left
109
treatment of CRE's?
colistin
110
most common immunodeficiency?
lack of IgA - get more colds and gi infections
111
why doesnt cholera have a high infant death rate?
IgA are present in breast milk
112
why is IL1B in a prophase?
so it is already made, and can quickly be cleaved by the inflammasome to be realeased to begin inflammation
113
enzyme for immunoglobulin class witching and somatic hypermutation?
AID
114
RAG1 and RAG 2 are needed to
recombine the b cell chain DNA
115
TDT
adds n-regions during splicing to give random diversity
116
N regions exist primarily in
heavy chains, leading to more diversity
117
someone without TDT
has antibody and t-cell receptors, but doesnt make as high affinity antibody because they dont have the same amount of diversity to start with
118
_______ is never present in T-CElls
AID
119
what stimulates AID in b-cells?
t-cells
120
t-independant antigen wil not
class switch or do hypermutation
121
western blot and elisa both show.... difference?
how much antigen there is western blot takes longer and limits how much can be run at once Western blot does let us know the molecular weight of the antigen
122
advantage of western blot?
lets us know molecular weigth of the antigen -sometimes there is a mixture of things that are reactive, but we want to know the particular protein that is causing the reaction
123
_____ provides better info about size ______ is much more quantitative
western blot - size elisa - quantitiative, shows amount
124
which can tell concentration of antibody, western of elisa?
both can, simply titrate until you don't have reaction anymore
125
Fc receptor on macrophage binds the
IgG constant region
126
what is an allergen?
an antigen that binds IgE
127
epitope
part of antigen that single monoclonal antibody binds to
128
the is no Fc receptor for...
IgM
129
complement can enhance phagocytosis due to
prescence of receptors for c3b on macrophages and neutrophils
130
____ is the main target of major complement receptors
c3b, used to opsonize a target to be cleared out of the body
131
b-cell differentiation timeline
heavy chain, then light chain. Heavy chain gets made first and each chromsome gets only one chance to rearrange its VDJ successfully. Light chains get multiple cahnces to rearrange their DJ regions.
132
hapten experiment
carrier coated with hapens t-cells respond to carrier b-cells respond to hapten and carrier switching the carrier - no secondary response by the B cells against the hapten -B cells and T-cells need to be on the same page to have a secondary response
133
toxoids are similar to hapten molecules. TF
True
134
we get less crossreactivity with a monoclonal because
this is a laboratory artifact, we screen for crossreactives and they are not used
135
mito matrix contains
mito genome, beta-oxidation enzymes, TCA cycle enzymes
136
mito inner membrane contains
components of oxidative phosphorylation, ETC proteins
137
mito outer membrane contains
porin molecules
138
intermembrane space contains
cytochrome c - important for cell death signaling
139
all bacteria have...
internal plasma membrane
140
describe exotoxins
polypeptides secreted from pathogen or injected into host cell via t3ss - superantigenicity - actin depolarization - interference with signal transduction
141
unknown anaerobes can be identified by
gram stain, biochemical tests, gas chromatography analysis of waste products
142
major pathogenic anaerobes
Clostridium, GNAB, and actinomyces Gnab are gram - clostridum and actinomyces are gram + GNAB, actinomyces, and C.diff are normal flora remainer of clostridum are soil organsism (tetani, botulinum) that depend on spore forming ability
143
anaerobic virulence depends on
exotoxin expression and tissue degrading enzymes to create abscesses
144
metabolism of staph?
facultative anaerobes - wall themselves off
145
treatment of anearobic infections?
antibiotics against the bacteria, antitoxin against the toxin, and wound draining/debridement
146
spirochetal trasmission
sexual, vector, environmental
147
common spirochete themes
cross into bloodstream quickly/easily virulence primarily due to immune evasion (not antigenic but also immunomodule the host) - no vaccines diagnosis challening - treponema are too small to see, cause various odd symptoms. Lyme tests are difficult treatment easy often get herx reaction
148
vaccines against spirochetes effective?
no vaccine, spirochetes are not immunogenic enough
149
syphilis
3 stages painless chancre to variable rash/flu to either early or late latency to dangerous cardiac or CNS involvment. "Gummas"
150
lyme stages
early localized - rash early disseminated - meningitis, facial paralysis, rashes, cardiac symtpoms late disseminated - arthritis, encephalitis
151
treatment of lyme
doxycycline
152
appearance of vibrios reservoir?
curved, gram - rods. ocean dwelling, infected humans, halophiles (thrive in high salt concentrations)
153
most vibrios can cause
fecal oral gastroenteris primarily may infect wounds exposed to ocean water H.pylori causes peptic ulcurs
154
v.cholera
complex planktonic lifecyle outside of human host pathogenic strains have O1 antigenic marker of colonization by lyosgenic phage that carries virulence factors trasmission is fecal oral, usually killed in stomach via acid
155
virulence of v.cholera
encoded by lysogenic phage (has O1 marker) - secretes mucinase to attatch/colonize intestine - secretes choleragen - AB enterotoxin that interferes with signal transduction = massive watery diarreah
156
treatment of v.cholera
antibiotics may not be necessary, self limiting in otherwise healthy host provide hydration and electrolytes
157
intracellular bacteria may be facultative-
facultative - enter has part of life cycle, can replicate outside on agar -neisseria, enterics, mycobacter, bacilli, legionalla or obligate, must be grown on tissue -rickettsial, chlamydia
158
how do they get around?
pathogens use infected macrophages for transport around body, avoid humoral
159
treatment of intracellular bacteria?
tetracyclines except pregnant
160
Reactive arthritis may be caused by
chlamidia, shigella, or eneterohemmogenic e.coli
161
listeria
causes gentroententeritis, escapes endosome after endocytosis and uses actin based motility to spread between cells (ActA)
162
chlamyida
use t3ss to enter and create paranuclear inclusion body for the larger reticulate bodies to multiple in
163
enterobacteriaca
two groups foodborne - shigella, e.coli, salmnella, yersinia oppotunistic ICU bugs - kleb, enterobacter, proteus, providencia, serrata, morganella
164
describe the testing results of enterbacteraicace
gram -, non spore forming, straight rods, facultative anaerobes catalase +, oxidase -, glucose fermenters
165
problem with the enterobacteriaceae
promiscuous with DNA, extreme abx resisitance is common. must do sensitivity testing
166
virulence factors of enterbacteriaceae?
pili for attatchment, t3ss for injecting enterotoxins and subverting gut macrophage. allow themselves to be sampled by M-cells in peyers patches
167
Y.enterocolicita and macrophages
use subverted macrophages as trojan horse to local lyph nodes (false apendicitis)
168
s.typhi
system wide entry using macrophages
169
HUS
hemolytic uremic syndrome - pediatric complication caused by release of shiga toxin into bloodstream by either shigella or eneterhemmogenic e.coli
170
patients with human antigen b27 infected with enterobacteriaceae
may develope reactive arthritis (conjunctivitis, urethritis, and arthritis) after infection from Shigella, salmonella, yersinia, campylobacter, or chalomydia
171
the 6 ICU bugs defense?
kleb, enterobacter, morganella, proteus, serratus, providencia frequent catheter change and patient scrubdowns -
172
growth rate of M.tuberculosis
slow, difficult to culture and defeats some antibiotics
173
gram stain of M.Tuberculosis?
poorly due to mycolic cell wall
174
spread of M.Tuberculosis
inhalation of infectious particles, spreads to lymph nodes, long bones, kindney, and CNS by hematogenous spread (trojan horse macrophages)
175
immunocompetent reaction to TB?
creates strong CMI, can hold latent
176
cd8 cells respond to tb by
killing infected macrophages and forming granulomas to wall off infection
177
classic TB
cough, weight loss, fever, bright pink chains of rods in sputum
178
extrapulmonary TB
ussually reactivations - scrofulas, genitourinary, CNA, skeletal
179
in pediatrics, TB can cause
miliary and meningitis
180
main treatment of TB
4 drug coctail with isoniazid, 2 week isolation
181
aytipical mycobacteria? infection symptoms?
environmentally acquired, don't cause TB or leprosy ussually cutaneous - scrofulas. in compromised - may mimic TB, especially M.Kansasii
182
two forms of leprosy treatmetn?
tuberculoid - strong cmi that causes nerve damage, paucibacillary, ppd + leproid - weak CMI, causes extreme cutaneous damage, multibaccilarry, PPD - 2 years dapsone/rifampin
183
TF can be a...
an activator, repressor, or recuitor of chromatin modifier
184
what can result from enhancer translocation?
t-cell acute lymphocytic ademia - make tons of T-cells, way more than needed
185
Transcription factors use different motifs to..
contact DNA and provide specificity typically have an alpha helix that inserts into major groove. multiple contacts gives specificity, does not need to unwind DNA helix
186
Transcription factors stimulate the general transcription machinery via a
mediator -bridges RNA pol activators to RNA pol II and general factors -required for transcription activation
187
what do chromatin modifiers do?
adds covalent modifications to histone N-terminal tails acetylation - activation deacteylation - deactivation methylation - activation or repression phsophorlyation - coupold to acetylation