IL7 : Disease Flashcards

(36 cards)

1
Q

What mutation occurs in Hemoglobin E (Hb E)?

A

Codon 26 mutation in B-globin: Glutamic acid → Lysine

This mutation leads to a cryptic splice site that affects ß-globin mRNA, resembling ß*-thalassemia.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Where is Hemoglobin E (Hb E) very common?

A

Thailand

Hb E is particularly prevalent in Southeast Asian populations.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the characteristics of homozygous Hb E?

A

Mild chronic hemolytic anemia and target cells on peripheral smear

Target cells are indicative of certain hemoglobinopathies.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What distinguishes Hb H disease from Hb H-CS disease?

A

Hb H disease: –/-a; Hb H-CS disease: –/aCSa

The differences in genetic composition lead to variations in clinical severity.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is a common characteristic of Hemoglobin S (Hb S)?

A

Common in African populations

Hb S is associated with sickle cell disease.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What happens to the a1-globin in Hb H disease?

A

Unstable & degraded

This instability contributes to the pathology of the disease.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the main consequence of the codon 26 mutation in Hemoglobin E?

A

It creates a cryptic splice site that resembles ß*-thalassemia

This affects the production of functional hemoglobin.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What type of anemia is associated with homozygous Hb E?

A

Mild chronic hemolytic anemia

This condition results from the abnormal structure of hemoglobin.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Fill in the blank: Hemoglobin E is characterized by a mutation at _______.

A

Codon 26

This specific mutation alters the amino acid sequence in the beta-globin chain.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

True or False: Target cells are not typically seen in the peripheral smear of individuals with Hb E.

A

False

Target cells are a hallmark of certain hemoglobinopathies, including Hb E.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What does IL-10 target?

A

White blood cells

IL-10 is an anti-inflammatory cytokine that plays a role in regulating immune responses.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the significance of IL-6 in relation to RBC disorders?

A

It is involved in the pathology of red blood cell disorders

IL-6 is a cytokine that can influence the production and behavior of red blood cells.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are hemoglobinopathies?

A

Genetic disorders affecting hemoglobin structure or production

Examples include sickle cell disease and thalassemia.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What mutation is associated with Hemoglobin S (Hb S)?

A

Codon 6 mutation in B-globin: Glutamic acid → Valine

This mutation leads to sickle cell anemia.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What happens to red blood cells when Hemoglobin S is deoxygenated?

A

It polymerizes and distorts RBC into sickle shape

This deformation causes various complications in sickle cell anemia.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What condition is caused by Hemoglobin S polymerization?

A

Sickle cell anemia

It leads to various health issues due to distorted red blood cells.

17
Q

What are the consequences of Hb H disease?

A

Vaso-occlusive crises, pain, organ damage

Hb H disease is a form of alpha thalassemia characterized by the presence of excess beta globin.

18
Q

Fill in the blank: Hemoglobin S is common in ______ populations.

A

African

This prevalence is due to the historical advantage against malaria.

19
Q

What levels are affected in the context of hemoglobinopathies?

A

DNA level, mRNA level, Protein level

These levels are critical for understanding the genetic and biochemical basis of hemoglobin disorders.

20
Q

What is the relationship between a1-globin and a2-globin?

A

They are types of globin chains that make up hemoglobin

Both are essential for proper hemoglobin function.

21
Q

True or False: Hb H-CS disease results from a complete absence of alpha globin chains.

A

False

Hb H-CS disease involves a deficiency, not a complete absence.

22
Q

What is Hemoglobin C (Hb C)?

A

A variant of hemoglobin caused by a point mutation at codon 6 of the ß-globin gene.

23
Q

What is the mutation in Hemoglobin C?

A

Glutamic acid → Lysine.

24
Q

Which population is Hemoglobin C common in?

A

People of African ancestry.

25
True or False: Hemoglobin C causes sickling.
False.
26
What does a peripheral smear show in Hemoglobin C?
Target cells.
27
What are the genotypes associated with compound heterozygote and homozygote of beta-thalassemia?
* Hb E/beta-thalassemia (b/bF) * Hb C/Hb S (Hb SC).
28
What is the effect of homozygous Hb C disease?
Causes mild chronic hemolytic anemia.
29
How does the severity of homozygous Hb C disease compare to Hb S disease?
Generally less severe.
30
What is the first step in the pathogenesis of thalassemia?
Imbalanced globin chain synthesis.
31
What occurs due to excess unpaired normal chains in thalassemia?
Precipitation in red cell precursors.
32
What do precipitated globins produce?
Reactive oxygen species (ROS).
33
What are the effects of reactive oxygen species (ROS) in thalassemia?
* Membrane lipid peroxidation * Loss of deformability and lipid asymmetry.
34
What happens to RBCs due to increased rigidity caused by ROS?
They are trapped and destroyed by the spleen.
35
What are the results of the pathophysiology of thalassemia?
* Ineffective erythropoiesis * Extravascular hemolysis * Chronic anemia.
36
What is the order of severity of thalassemia?
* Hb Bart's hydrops fetalis * Beta-thalassemia major * Beta-thalassemia/Hb E disease * Hb H disease.