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Flashcards in GI Dysfunction Deck (62):
1

What is p53?

A transcription factor
Regulates G1/S checkpoint by preventing progression into S phase when the environment is not favourable
Tumour suppressor gene

2

What happens to p53 when the environment is favourable for cell proliferation?

p53 is ubiquitylated by mdm2 and undergoes proteasomal degradation

3

What happens to p53 when the environment is NOT favourable for cell proliferation?

DNA damage causes p53 phosphorylation to protect it from ubiquitylation
p53 transcribes genes including p21
p21 inhibits CDK4 and CDK6

4

What does Retinoblastoma do under normal conditions?

Binds to/Inhibits the E2F transcription factor
Prevents transcription of E2F controlled genes that are required for cell cycle progression into S phase

5

What are cyclins and what do they do?

Cyclins are proteins that regulate the cell cycle
Different cyclins are present at different times during the cell cycle
Needed to activate cyclin dependent kinases

6

What are CDKs?

Cyclin dependent kinases
Phosphorylate targets within cell, allowing progression past a checkpoint

7

How is Retinoblastoma inhibited?

It becomes phosphorylated by CDK4 and CDK6

8

What is glycogenolysis?

Glycogen breaks down to form glycogen and glucose-6-phosphate
Sequential removal of monomers
Catalysed by glycogen phosphorylase

9

What is the name of the reaction taking place during glyogenolysis?

Phosphorolysis

10

How is glucose used to generate ATP?

Glucose undergoes glycolysis to produce pyruvate
Pryruvate enters the citric acid cycle in a mitochondria
Reduced products undergo oxidative phosphorylation in the electron transport chain

11

Where does glycogenolysis takes place?

Muscle cells and liver cells

12

What is gluconeogenesis?

Glucose is created from sources other than glycogen e.g. glycerol and amino acids

13

What is insulin?

Peptide hormone release by beta cells of the pancreas in response to high blood glucose

14

What downstream effects does insulin have?

Upregulates insertion of GLUT4 transporter into the membrane of adipose and muscle cells (and liver???)
WHAT ELSE

15

What is glucagon?

Peptide hormone released by alpha cells of the pancreas in response to low blood sugar

16

What downstream effects does glucagon have?

Upregulates glycogenolysis

17

What do GLUT transporters do?

Facilitates transport of glucose across cell membranes using the glucose concentration gradient, via conformational change

18

How many types of GLUT transporters are there?

14

19

What are the main GLUT transporters and where are they found?

GLUT 1 and GLUT 3 - most cells
GLUT 2 - liver and pancreas
GLUT 4 - adipose cells, skeletal and cardiac muscle

20

Where does absorption of nutrients take place?

Small intestine: duodenum (90%), jejenum and ileum
Large intestine: water and >10% nutrients

21

How are the different nutrients absorbed?

Carbohydrates (glucose, fructose, galactose) and amino acids are absorbed by cotransportation with sodium
Fats are absorbed with passive diffusion as they are lipophilic
All vitamines absorbed by passive diffusion

22

What are the possible ligands of the insulin receptor?

Insulin, IGF-1, IGF-2

23

What two signalling pathways are initiated by the insulin receptor?

MAPK cascade and PI3K

24

What two signalling pathways are initiated by the insulin receptor?

MAPK cascade and PI3K

25

Describe the MAPK cascade

1. Ligand binds to insulin receptor
2. Dimerisation and trans-autophosphorylation
3. Attracts SH2 domain on Grb2
4. Grb2 brings SOS
5. SOS converts GDP on Ras to GTP
6. Ras activates Raf
7. Raf phosphorylates MEK
8. MEK phosphorylates ERK
9. ERK translocates to the nucleus to transcribe genes

26

What happens in each stage of the cell cycle?

G0 - cell cycle arrest
G1 - Replication of everything except DNA
S - DNA replication
G2 - Preparation for division
M - mitosis

27

What is checked at each cell cycle checkpoint?

G1/S - Is the environment favourable?
G1/M - Is all DNA replicated? Are all DNA errors corrected?

28

What is a mitogen?

Substance that stimulate cell proliferation e.g. Insulin, EGF, VEGF, TGF-a

29

Which checkpoint is mitogen dependent?

G1/S

30

What is retinoblastoma?

Tumour suppressor protein

31

What is APC (disease)?

Adenomatous Polyposis Coli
Form of colorectal cancer

32

What is the cause of APC?

A mutation in the APC gene
No functioning destruction complex
No destruction of beta catenin
Uncontrolled cell proliferation

33

What is beta catenin?

Transcription factor
Involved in the Wnt signalling pathway

34

Describe the Wnt signalling pathway

Wnt binds to it's receptor, Frizzled
This activates the intracellular Dishevelled protein
Dishevelled inhibits the GSK kinase in the beta-catenin destruction complex
No destruction
Beta catenin transcribes genes
Cell proliferation

35

What is APC (protein) and what does it do?

APC is a protein in the beta-catenin destruction complex
Forms complex with a GSK kinase and actin
Phosphorylates beta-catenin, marking it for ubiquitylation and proteasomal degredation

36

What is DCC?

The 'deleted in colorectal cancer' gene
Codes for a receptor present on the villi in the small intestine
Acts as a tumour suppressor gene AND oncogene, depending on whether the ligand is bound or not

37

What is the function of DCC when the ligand is bound?

Netrin-1 binds
DCC stimulates MAPK cascade
Results in cell proliferation

38

What is the function of DCC when the ligand is not bound?

No Netrin-1 bound
DCC stimulates apoptosis of the cell

39

What is the cause of DCC?

A mutation in the gene for DCC
No functioning receptor to stimulate apoptosis
No suppression of growth

40

How does DCC result in formation of villi?

Netrin-1 is present at the base of the villi, stimulating cell proliferation
Netrin-1 is absent at the tip of the villi, so DCC stimulate apoptosis here

41

Symptoms of diabetes

Polyuria
Increased thirst
Increased hunger
Changes in vision as glucose is absorbed by the lens of the eye

42

What is the cause of Type 1 diabetes?

Autoimmune destruction of beta pancreatic cells that produce insulin
Insulin-dependent

43

What is the cause of Type 2 diabetes?

Cells become resistant to insulin, and less insulin is produced
Linked to obesity and lack of exercise

44

2 possible treatments for diabetes

Insulin injections
Metformin - suppresses gluconeogenesis, to decrease glucose production

45

What is recombinant DNA?

DNA that has been made by putting DNA from multiple different organisms together

46

What are biologics?

Drugs that have been manufactured from living systems
Includes recombinant DNA and monoclonal antibodies

47

What are monoclonal antibodies?

Antibodies generated by injecting an organism with the target antigen, so their adaptive immune system creates antibodies

48

Uses of monoclonal antibodies

1. Bind to and block receptors involved in cell proliferation e.g. HER2
2. Bind to and block IL-2 receptors on T cells to prevent activation, to suppress the immune system. Useful for preventing organ rejection following transplant
3. Antibody can be conjugated to a radioactive molecule and targeted to cancer cells, to kill the cells

49

How are monoclonal antibodies made?

1. Inject organism with target antigen via intraperitoneal injection
2. Organisms spleen cells produce antibodies
3. Extract spleen cells and fuse them with myeloma cells to create hybridomas
4. Hybridomas produce monoclonal antibodies

50

How can you test if an organism is producing antibodies?

Use a test bleed to test if antibodies have been produced

51

How do you screen hybridomas to check that they have fused correctly?

Grow them on HAT medium
Non fused spleen/myeloma cells die

52

What are first generation monoclonal antibodies?

Antibodies that have been extracted from a non-genetically modified organism

53

What are second generation monoclonal antibodies?

The organism has been genetically modified before injecting with antigen
This enables creation of chimeric or humanised mAbs

54

What are chimeric mAbs?

The Fc region of the antibody is human but the Fab region is not

55

What are humanised mAbs?

Majority of the antibody is human

56

How is recombinant DNA created?

Host plasmid cleaved using restriction enzymes
Creates sticky ends
Annealing of new gene (e.g. insulin gene) into plasmid
Forms recombinant plasmid

57

Uses of recombinant DNA

Recombinant plasmid inserted into bacteria
Bacteria produces protein
Can be used to make insulin and glucagon

58

What is the structure of an antibody?

2 long heavy chains
2 short light chains
Chains connected by disulfide bond
Fab region (antigen binding)
Fc region

59

What is the difference between monoclonal and polyclonal antibodies?

Monoclonal = one species of antibody, produced by identical immune cells
Polyclonal = mixture of antibodies, produced by several types of plasma cells

60

Pros/Cons of humanised antibodies

Pros: Less likely to cause immune reaction, Longer half life
Cons: Takes longer to develop, More expensive

61

What is parenteral administration?

Any systemic form of administration that is not through the GI tract

62

What is the two functions of IL-2?

Proliferation of T cells
Activates JAK/STAT receptors