IMMS Flashcards

1
Q

2 haploid gametes fuse forming…

A

Diploid Zygote

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2
Q

3 phases of interphase

A

G1- Cells get bigger in prep for division
S- Each chromosome is copied (still 46 chromosomes but each chromosome contains 2 sister chromatids joined at centromere)
G2- Cell does more growing in prep for mitosis

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3
Q

Anaphase (Mitosis)

A
  • Starts when a microtubule from each
    centrosome has attached to the
    kinetochore of each chromosome
  • Centrosomes pull on spindle fibre pulling
    sister chromatids to opposite poles of cell
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4
Q

Anaphase I

A

Tetrads split up by spindle fibres (1 chromosome to each pole of cell)

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5
Q

Cytokinesis

A

Throughout mitosis, cell pinches tighter and tighter until it separates into 2 daughter cells post telophase

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6
Q

G0 phase

A

Only some cell like neurons which carry on growing but don’t divide have a G0 phase

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7
Q

The difference in the interphase process that occurs between MI and MII

A

During S phase, chromosomes aren’t replicated

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8
Q

Meiosis produces…

A

4 genetically different haploid daughter cells

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9
Q

Metaphase (Mitosis)

A

Prometaphase - Nuclear membrane and nucleolus disintegrate
Actual Metaphase - Chromosomes align along metaphase plate (midline of cell)
Spindle fibres connect to kinetochore of centromere

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10
Q

Metaphase I

A

Tetrads go to metaphase plate

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11
Q

Non-disjunction

A

Failure of chromosome pairs to separate during Meiosis I or sister chromatids to separate during Meiosis II (Trisomy 21)

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12
Q

What % of meiosis is prophase I?

A

90%

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13
Q

What occurs in Prophase I

A

46 chromosomes of 2 chromatids condense and nuclear membrane disintegrates
Each chromosome finds its homologue (forming a tetrad)
Crossing over occurs between homologues at chiasmata

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14
Q

Prophase (Mitosis)

A

Chromatin fibres condense (untangle into individual chromosomes)
2 centrosomes at opposite poles of cell each have 2 centrioles (protein structures at right angles to each other)
Each centriole sends spindle fibres made of microtubule protein connecting centriole to centromere

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15
Q

Telophase (Mitosis)

A

New nuclear envelope forms around centrosome and chromosomes

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16
Q

What does Telophase I and Cytokinesis I produce?

A

2 haploid daughter cells (containing bivalent chromosomes)

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17
Q

Genotype

A

Genetic constitution of an orgnaism

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18
Q

Phenotype

A

Appearance of an individual resulting from interaction of environment and genotype

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19
Q

Allele

A

1 of several alternate forms of a gene at a specific locus

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20
Q

Haplo-insufficiency

A

1 gene is inactivated or deleted and the remaining functional copy isn’t sufficient to produce needed gene product for normal function

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21
Q

Polymorphism

A

Frequent hereditary variations at a locus

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22
Q

Define Genomics

A

Study of entirety of DNA, the genome, together with technologies that allow sequencing, interpretation and analysis

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23
Q

Pathogenic Variant

A

Alteration in genetic sequence increasing an individual’s susceptibility to a certain disorder

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24
Q

Name for an alteration in genetic sequence which isn’t disease causing

A

Benign Variant

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25
Name for an alteration in genetic sequence whose association with disease risk is unknown
Variant of unknown significance
26
What is penetrance?
Proportion of individual's with a particular genotype who express the associated phenotype (develop the condition)
27
When would you carry out a predictive test for a genetic disease?
Testing an unaffected individual for a pathogenic variant known to be present in a family
28
Name for an individual who has only 1 member of a chromosome pair/segment rather than the usual 2
Hemizygous (males only have 1 X chromosome)
29
What is the ACMG criteria?
Formal scoring system to decide if a gene variant is pathogenic
30
Name for something you're born with
Congenital
31
A Karyotype shows...
Complete set of an individuals chromosomes in metaphase (so they're clear to see) from largest to smallest
32
Centromeres divide chromosomes into...
Long arm (q) Short arm (p) Bands are then numbered from centromere outwards to give an idea of where an abnormality is
33
How would an individual with Down's Syndrome be written?
47, XX, +21
34
How would a polyploidy individual be written?
69, XXY
35
How would an individual with one X chromosome be written?
45, X
36
What type of mutation is this? t(1;2)(q24;p12)
Translocation (swap between sections of chromosome 1 and 2)
37
What type of mutation is this? inv(7)(q11q21)
Inversion (chromosome folds over at q21 sticking back in at q11)
38
What type of mutation is this? dup(11)(p14p15)
Duplication (p14-p15 of chromosome 11 duplicated)
39
What type of mutation is this? del(22)(q11q12)
Deletion (p11-p12 of chromosome 22 deleted)
40
Reciprocal Translocation
Bit of one chromosome snaps off and attaches to another
41
Acrocentric Chromosome
Non-central centromere (located near end of chromosome)
42
Robertsonian Translocation
Occurs between Robertsonian/acrocentric chromosomes (one arm present) and one arm attaches to another chromosome (resulting in 1 less chromosome)
43
What is genomic imprinting?
Term for 1 copy of a gene in an individual being expressed (mother or father) and the other is suppressed
44
What is FISH testing?
Fluorescence in situ Hybridisation (Tests for several deletions) - DNA probes labelled with fluorophores which bind to regions of DNA you're interested in If target DNA region is missing - No/half signal If target region is duplicated - signal is duplicated (trisomy on a microscope slide)
45
Multifactorial Inheritance
Diseases due to a combination of genetic and environmental factors
46
For diseases with high genetic loading, will MZ or DZ twins have a greater concordance rate?
MZ but DZ still have a higher rate than rest of population
47
Define hereditability
Proportion of aetiology that can be ascribed to genetic factors as opposed to environmental factors (out of 1 / a %)
48
Microarrays: What does it test for? How does it work?
Test for deletions/duplications across the whole genome -DNA added to test card, if DNA doesn't bind, signal shines through (deletion) -Binds twice as much reducing signal for duplications
49
Explain liability threshold model
Liability combines genetic and environmental factors Normal distribution curve Curve shifts right with genetic factors meaning less environmental exposure required to result in more severe disease
50
Name for a germline substitution of a single nucleotide
Short Nucleotide Polymorphism (SNP)
51
What is SNPs role in GWAS?
Tagged to sections of the chromosome that could be causing phenotype (compares healthy vs patient pools looking for SNPs notably more common in patients)
52
Mendel's 3 Laws
- Dominance (in heterozygotes, 1 allele shows) - Segregation (alleles separate randomly during meiosis) - Independent Assortment (traits transmitted to offspring independent of one another)
53
Name for receiving 2 copies of a chromosome from 1 parent and 0 from the other
Uniparental disomy
54
2 types of mitochondrial inheritance
- Homoplasmy - Cell whose copies of mitochondrial DNA are identical (normal or mutated) - Heteroplasmy - Multiple copies of mtDNA in each cell with mutations affecting only a proportion of molecules in the cell
55
Pedigree drawing: What does a triangle mean?
Miscarriage
56
Pedigree drawing: What does a diamond mean?
Unknown gender
57
Pedigree drawing: What does a double line between parents mean?
Related parents
58
Pedigree drawing: What do diagonal lines mean? If horizontal line across the diagonals is present...
Twins Twins are MZ (identical)
59
What is Allelic Heterogeneity?
Different mutations within the same gene result in the same clinical condition
60
What is Locus Heterogeneity?
Variants in different genes give rise to same clinical condition
61
What is a compound heterozygous?
Presence of 2 different mutated alleles at a particular gene locus
62
In what instance(s) does autosomal recessive manifest?
In homozygous and compound heterozygous state
63
What is consanguinity?
Reproductive union between 2 blood relatives
64
What is autozygosity?
Homozygosity by descent (inheritance of same altered allele through 2 branches of the same family) (cousins)
65
In what instance does autosomal dominant inheritance manifest?
Only in heterozygous state
66
What is expressivity?
Refers to the range of phenotypes expressed by a specific genotype
67
What is a De novo mutation?
Mutation in genome that wasn't present/transmitted by parents (mutation occurs spontaneously during DNA replication)
68
What is anticipation in genetics?
Where genetic disorders affect successive generations earlier or more severely due to expansion of unstable triplet repeat sequences (the trinucleotide repeats get larger like in myotrophic dystrophy)
69
What is somatic mosaicism?
Genetic fault present only in some body tissues (1 cell line normal, other cell line has mutated allele)
70
What is gonadal mosaicism? (causes our offspring problems)
Genetic fault in gonadal tissue
71
What is a late-onset condition?
Condition not manifested at birth (adult-onset)
72
What are sex-limited genes?
Present in both sexes of sexually reproducing species but are expressed in only one sex and have no penetrance, or are simply 'turned off' in the other
73
What is the only pattern of inheritance with male-to-male transmission?
ADI
74
What is Lyonization?
The normal phenomenon in which one of the two X chromosomes in female cells is inactivated during embryonic development (can be skewed but typically 50/50) which explains why some individuals in a family get a disease and some don't
75
With X-linked inheritance, an affected male can have affected daughters but not affected sons. Why?
No male-to-male transmission in X-linked inheritance
76
What is a VUS?
In genetic testing, a variant of uncertain significance
77
What is a splice-site variant?
Alteration occurring at boundary between exon and intron resulting in loss of exons or inclusion of introns (affects accurate removal of introns)
78
What is nonsense-mediated decay?
Surveillance pathway which reduces errors in gene expression by eliminating mRNA transcripts containing premature stop codons (caused by a nonsense mutation)
79
What is a missense variant?
Single base pair change (changing type of amino acid in protein)
80
What is a synonymous variant?
Codon substitution that doesn't change the encoded amino acid
81
At what point is a mutation considered benign/polymorphism?
When it's present in +5% of the healthy population
82
What are secondary findings in genetic testing?
Incidental findings (finding a non-target DNA mutation)
83
Explain Sangar Sequencing
Using PCR to amplify regions of interest followed by sequencing PCR products Useful for single gene testing (very accurate but slow and expensive) Uses a single start primer and only a single DNA fragment is sequenced (easier to read)
84
Explain NGS
Quick, lower cost Can sequence human genome in 1 day using parallel analysis. Harder to interpret, less accurate than Sangar Must sift through "noise" of NGS due to rare missense variants found in healthy people to find the mutation responsible for disease
85
What % of total DNA do the following sequence? -Whole Genome Sequencing -Whole Exome Sequencing -Targeted Sequencing
95% 1.5% 0.005-0.01%
86
What are targeted panels?
Selecting specific genes to sequence producing less "noise" and fewer VUS
87
What is eugenics?
Racial improvement and planned breeding to perfect human beings (but 2 people with high intelligence likely have child of average intelligence due to deviation to the mean)
88
What is genetic counselling?
Advising patients at risk of a disease its consequences, probability of it developing / you passing it on and ways it can be prevented/ameliorated (non-directive as in your choice)
89
What is an NIPT? Why is it done?
Non-invasive pre-natal test - sample of maternal blood and take DNA from embryo that's leaked across placenta (helps identify a trisomy) Invasive tests can cause the foetus harm (increases likelihood of miscarriage)
90
Example of a disease caused by an expansion of a trinucleotide repeat
Huntington's Disease (CAG repeated more)
91
What is PGD?
Preimplantation genetic diagnosis - Sperm + egg to make embryo, 8 cell stage embryo biopsied, genetic material extracted and tested for genetic condition. Only embryos without genetic change placed into woman's womb
92
When might a child be considered to have 3 parents?
When they've had mitochondrial replacement therapy using donor mtDNA
93
Side chain (R) of an amino acid determines...
Polarity (hydrophilicity) / Non-polarity (hydrophobicity)
94
How many amino acids are there?
20
95
What effect does increased pH have on an amino acid?
Dissociation of H+ from carboxyl and dissociation of H+ from NH3+ changing charge of amino acid
96
Nucleotides bond to form a nucleotide polymer by...
Phosphodiester bonds
97
Water is liquid over the range... Max density of water achieved at what temperature?
0-100 degrees celsius 4 degrees celsius
98
What is an aldose?
A monosaccharide with an aldehyde group
99
What is a ketose?
A monosaccharide with a ketone group
100
Proteoglycans
Long, unbranched polysaccharides radiating from a core protein
101
Nucleotide with no phosphate group attached is called... With 1 attached is called... With 2 attached is called... With 3 attached is called...
Nucleoside (not nucleotide) Nucleoside monophosphate (NMP) (nucleotide) Nucleoside diphosphate (NDP) (nucleotide) Nucleoside triphosphate (NTP) (nucleotide)
102
What type of glycosidic bond is found in nucleotides?
N-glycosidic bonds between a nucleotide base and pentose sugar (N-C)
103
What type of bond binds 2 monosaccharides?
O-glycosidic bond
104
How many monosaccharides in an oligosaccharide?
3-12
105
4 sugar derivatives
Aminosugars (NH2 group present) Alcohol-sugars Phosphorylated sugars Sulphated sugars
106
How do melting points change in fatty acids?
Relative degree of unsaturation (less saturated = lower melting point)
107
5 forces holding proteins together
Van der Waals forces (IDDI) Hydrogen Bonds (H + O/N binded to H) Hydrophobic Forces Ionic Bonds (weakened in aq solution by shielding water molecules and other ions present) Disulphide Bonds (covalent bonding between side chains)
108
Formation of a-helix protein
H-bonds between each carbonyl group and the H attached to the N which is 4 aa along the chain
109
How do we determine protein structure?
X-ray diffraction of protein crystals (Keratin produces X shape due to presence of helices)
110
Define metabolism
The sum of the chemical reactions that take place within each cell of a living organism
111
Ligand- vs voltage-gated protein channels
Voltage-gated allow passage of 1 type of ion ligand-gated allow passage of 2+ types of ion
112
Difference between uniport, symport and antiport membrane carrier proteins
Uniport - Single substance Symport - 2 substances in same direction Antiport - 2 substances in the opposite direction
113
Driving forces moving substances across a membrane
Chemical Electrical Electrochemical (net direction equal to the sum of electrical and chemical forces)
114
GLUT4 carrier protein
Expressed in skeletal muscle and adipose tissue Glucose uptake (facilitated diffusion) Expression upregulated by insulin
115
Common active transport example
Na+/K+-ATPase Pumps 3 Na+ out and 2 K+ in using hydrolysis of ATP -> ADP + Pi
116
How does the Na+/K+-ATPase pump allow secondary active transport of glucose?
Creates a concentration gradient of Na to enter the cell allowing co-transport of glucose with Na
117
Why is glucose intake much more important for a foetus?
Low arterial PO2 in uterus and placenta (prevents activation of gluconeogenic enzymes)
118
Receptor-mediated endocytosis
Metabolites/proteins/hormones bind to receptors on cell surface triggering invagination of membrane producing a vesicle inside the cell
119
Exocytosis: Constitutive vs Regulated Secretion
Constitutive (always going on, eg antibody secretion) Regulated (synaptic transfer)
120
Where and under what conditions does glycolysis take place?
Cytosol under anaerobic conditions (with or without O2)
121
3 precursors produced in glycolysis
G-6-P (used to produce nucleotides) Pyruvate (substrate for fatty acid synthesis) Glycerol-3-P (backbone of triglycerides)
122
Glycolysis summary equation
Glucose + 2NAD+ + 2Pi + 2ADP -> 2Pyruvate + 2NADH + 2H+ + 2ATP + 2H2O
123
Phosphofructokinase (PFK1) allosteric regulation
Converts F-6-P into F-1,6-BP) Inhibited by: ATP, citrate Activated by: AMP (when ATP is used up, ADP accumulates and is converted to AMP) (2ADP -> ATP + AMP catalysed by adenylate kinase). Also activated by F-2,6-BP
124
Fate of pyruvate in anaerobic conditions (reversible reaction)
Pyruvate -> Lactate Catalysed by lactate dehydrogenase (and NADH and H+ to regen NAD+ for glycolysis)
125
Fate of pyruvate in aerobic conditions (irreversible reaction)
Enters mitochondria and converted to Acetyl CoA and CO2 by pyruvate dehydrogenase (process inactivated by high concs of Acetyl CoA and NADH)
126
Where does Kreb's cycle occur? Under what conditions?
Mitochondrial matrix Aerobic conditions
127
Kreb's cycle overall reaction
Acteyl-CoA + 3NAD+ + FAD + GDP + Pi + 2H2O -> 2CO2 + 3NADH + FADH2 + GTP + 3H+ + CoA
128
Mnemonic for remembering kreb's cycle intermediates
Citrate Is - Isocitrate Kreb's - a-ketoglutarate Starting - Succinyl-CoA Substrate - Succinate For -Fumarate Making - Malate Oxaloacetate
129
Net energy gain of Kreb's cycle per glucose molecule (2 pyruvate per glucose)
6 NADH 2 FADH2 2 GTP
130
Summarise Oxidative Phosphorylation
NADH and FADH2 oxidised giving off H+ and e Electrons transferred to electron acceptor and passed along chain of electron carriers releasing free energy which fuels them to pump electrons into the intermembrane space Creates electrochemical gradient so protons flow through ATP synthase providing energy to produce ATP
131
Final electron acceptor in oxidative phosphorylation
Oxygen 0.5O2 + 2H+ + 2e- -> H2O
132
Fatty acid structure
Carboxylic head with aliphatic tail (saturated or unsaturated) Derivatives of triglycerides and phospholipids
133
Bile salts role
Emulsify lipids forming mixed micelles so fats are soluble in the gut Intestinal lipase can then break down triglycerides into free fatty acids
134
What transports triglycerides around the body?
Triglycerides incorporated with cholesterol and apoproteins into chylomicrons which transport triglycerides around the body
135
Role of lipoprotein lipase?
Recognises the apoprotein present in a chylomicron triggering lipoprotein lipase to break down triglycerides again into free fatty acids to absorb them into tissues
136
Fatty acid activation (occurs in cytoplasm of cells)
Fatty acid -> Acyl Adenylate (requires a molecule of ATP) Acyl Adenylate -> Acyl-CoA (acyl-CoA synthetase required Acyl-CoA is then transported through mitochondrial membrane for fatty acid oxidation
137
How does Acyl-CoA get from the cytoplasm through the mitochondrial membrane?
Acyl-CoA <12 carbons (can diffuse straight through membrane) Acyl-CoA >14 carbons (taken through mitochondrial membrane using the carnitine shuttle) (active process)
138
Start and end point of fatty acid oxidation
Starts with Acyl-CoA Ends with an Acetyl-CoA (which enter TCA) and an Acyl-CoA with 2 less carbons (each thiolysis stage chops off 2 carbons)
139
4 stages of fatty acid oxidation
Oxidation Hydration Oxidation Thiolysis
140
How is Acetyl-CoA used?
Most is used in TCA cycle Small amount converted to ketones (when large amounts of acetyl-CoA are produced exceeding TCA cycle capacity) (ketones produced in liver)
141
Ketogenesis example pathway
2 Acetyl-CoA -> Acetoacetyl-CoA -> HMG-CoA -> Acetoacetate -> Acetone (spontaneously) or B-Hydroxybutyrate (requires enzymes)
142
How are ketone bodies utilised by extrahepatic tissues?
Conversion of beta-hydroybutyrate and acetoacetate to acetoacetyl-CoA using enzyme succinyl-CoA transferase
143
Where in the body is succinyl-CoA transferase not found?
Only hepatic tissues (as that's where ketones are made)
144
Factors affecting rate of ketogenesis
ATP demand high = acetyl-CoA oxidised by TCA cycle Greater release of free fatty acids from adipose tissue (from low carbohydrate levels) High glycerol-3-phosphate conc in liver = greater triglyceride production (less free fatty acids) Insulin downregulates ketone production (suggests high glucose levels), glucagon upregulates
145
Phospholipid structure
2 fatty acid tails attached to glycerol attached to a phosphate group attached to either Serine (phosphatidyl-serine) Choline (phosphatidyl-choline) Inositol (phosphatidyl-inositol)
146
Membrane is permeable to...
Water, gases, small uncharged polar molecules (urea)
147
Membrane is impermeable to...
Ions, Charged polar molecules, Large uncharged polar molecules
148
Desmosomes
Join the intermediate filaments in 1 cell to another (make sure contents of a hollow organ either enter cells or stay in the lumen)
149
Gap Junctions
Allow passage of small water soluble ions and molecules
150
Hemi-desmosomes
Anchor intermediate filaments in a cell to the basal lamina
151
Tight junctions
Seals neighbouring cells together to prevent leakage
152
Nuclear Steroid Receptors
Sit inactive in cytosol Specific hormone (e.g-oestrogen) binds to receptor resulting in structures change to the NSR so it can enter the nucleus Then binds to certain sequence of DNA to modulate gene expression
153
Membrane-bound Steroid Receptors speed of action
Quicker than NSRs in altering gene expression
154
Growth factor receptors
Stimulate cell growth when a growth hormone binds to them
155
G-Protein Coupled Receptors made up of...
The receptor (primary specificity)) 3 G-proteins (alpha, beta, gamma) (peripheral so can move around freely and provide further specificity) Adenylyl Cyclase (converts ATP -> cAMP which is a second messenger) Phosphodiesterase (enzyme converting cAMP -> AMP once cAMP function has been carried out)
156
Different G alpha subunit's determine secondary messenger in GPCRs
Can promote (turn on) cAMP pathway Can turn off cAMP pathway when alpha i (inhibitory) is activated Gaq makes a different secondary messenger (IP3 and DAG)
157
pH effect on Ca2+ conc in serum
Acidosis - Less Ca2+ bound to plasma proteins (H+ ions buffered by albumin) Alkalosis - More Ca2+ bound to plasma proteins (fewer H+ ions on protein) These 2 change the ratio of Ca2+:Ca in blood (this can effect membrane permeability to Na+ in excitable tissues)
158
Heat exhaustion temp Heat stroke temp
3740 (no longer sweat)
159
How do steroids pass over membrane?
Hydrophobic and fat soluble
160
How do enzymes increase RoR?
Stabilise intermediates
161
2 DNA functions
Transcription / Protein Synthesis Genetic material (for heredity)
162
How to determine protein structure?
Crystallise protein Pass a slice through x-ray diffraction which will reflect off electrons giving you an idea of the structure
163
What connects the phosphate group of 1 nucleotide to the pentose sugar of another?
A phosphodiester (covalent) bond
164
How many H bonds between: C and G? A and T?
3 2
165
How do proteins alter DNA gene expression?
Slide in major and minor grooves of the helix
166
DNA wraps around histone protein forming a... Which as a chain wrap up to form a...
Nucleosome Solenoid
167
Condensed form of chromatin called... More open form called?
Heterochromatin (darker bands when photographed) Euchromatin (lighter bands)
168
Proto-oncogene vs oncogene
Proto-oncogene controls normal cell growth (if mutated can become an oncogene resulting in uncontrolled cell growth)
169
DNA Polymerase path of action How fast does it act?
Prints 5' -> 3' 700-1000 bp per second
170
DNA Polymerase error proofing function
Editing Function Deletes incorrect insertion of base and will excise and repeat
171
PCR
-Design 2 primers which will anneal to DNA at right place (1 on each strand) -Heat up mixture to 96degreesC so DNA separates -Cool it and primer anneals to sequence -Add polymerase + nucleotides to extend from each primer to make a copy of the DNA sequence (Then repeat process)
172
How has the issue of enzymes dying in PCR been overcome?
Use thermostable enzymes
173
DNA Repair
Proteins detect changes/mismatches in DNA causing enzymes to excise the damaged section of DNA
174
p53 gene
Tumour Suppressor Gene Detects DNA damage and stops cell replication If cell isn't repaired, p53 commands it to apoptose
175
The genetic code is...(3)
Degenerate but unambiguous (each codon codes only 1 aa) Almost universal Non-overlapping
176
Transcription factors
Protein factors which control if a gene is turned on
177
TATA-Binding-Protein (TBP)
Recognises the common TATA base sequence in DNA and binds in the minor groove bending the strand 80degrees (imposed strain lowers required energy for separation)
178
4 pathways of dietary components
-Biosynthetic Pathways (forming proteins etc.) -Fuel storage -Fuel oxidative pathways (respiration) -Detoxification and waste disposal pathways
179
Cofactors
Often vitamins which help enzymes catalyse reactions
180
Breakdown of lactate in the liver
Lactate -> Pyruvate -> Glucose (Gluconeogenesis example)
181
How much protein do you need a day?
0.8g/kg/day
182
Stores of: Fat Carbohydrates Proteins
Adipose Tissue (as triglycerides) (only 15% water as fat is hydrophobic) As glycogen in liver and muscle cells Muscles (cells 80% water as proteins are hydrophilic)
183
How much energy released per gram? Carbohydrate Protein Alcohol Lipid
4kcal/g 4kcal/g 7kcal/g 9kcal/g
184
Basal Metabolic Rate (BMR)
Energy needed to stay alive at rest (non-exercise body functions like respiration, contraction of heart muscle)
185
Factors decreasing BMR
Older age Female gender Dieting/starvation Hypothyroidism Decreased muscle mass
186
Factors increasing BMR
Higher BMI Hyperthyroidism Fever
187
Define Malnutrition
Deficiency, excess or imbalance of energy, protein or other nutrients, causing measurable adverse effects
188
Vitamin C
Fruit and Veg Collagen synthesis Improves iron absorption Antioxidant
189
Vitamin B12
Eggs, meat, milk Protein and DNA synthesis Energy production
190
Folate (Folic acid)
Produce and maintain DNA Helps make RBCs and prevent anaemia
191
Vitamin D
Increases amount of Ca and P your body absorbs Deposits Ca and P in bones and teeth (makes them stronger)
192
Oocyte is... Sperm is...
Female Germ Cell Male Germ Cell
193
Zygote is...
Cell resulting from union of sperm and oocyte at fertilisation
194
Blastomeres are...
Early embryonic cells
195
Morula
Solid mass of 12-32 blastomeres
196
Blastocyst
Stage where morula has entered uterine cavity and blastocystic cavity develops from within
197
Gastrula
Stage after trilaminar embryonic disc formation
198
Neurula
Stage after where neural tube opens
199
Embryo
Developing human during embryonic stage (to end of 8th week)
200
Fetus
Period from week 9 to birth
201
Autocrine vs Paracrine vs Endocrine secretion
Autocrine - Cells talking to themselves Paracrine - Cells talking to neighbouring cells (signal diffuses across gap between cells) Endocrine - Cells talking to other cells elsewhere in the body
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Steroid hormones
All made from cholesterol Different enzymes modify cholesterol to make different hormones Can't dissolve in water (so binds to protein in blood), can in lipids
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Water composition of body
Total body water is 60% of body weight (42L) Intracellular is 40% of body weight (28L) Extracellular is 20% of body weight (14L) (11 interstitial, 3 plasma)
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Predominant cation in ECF and ICF
ECF - Sodium ICF - Potassium
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Plasma Osmolality
Conc of solution expressed as mmol/kg (normal is 275-295mmol/kg)
206
3 responses to increased ECF osmolality from dehydration
1) Movement of water from ICF to ECF 2) Stimulation of thirst centre in hypothalamus making you want to drink 3) ADH release from posterior pituitary resulting in renal water retention
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Body response to change in ECF volume (Renin-angiotensin-aldosterone system)
1) Decrease in renal perfusion acts on the juxtaglomerular apparatus and causes release of renin form the kidney 2) Renin then acts on angiotensinogen (released from liver) converting it to angiotensin I 3) Angiotensin I converted to angiotensin II by ACE (released from pulmonary and renal endothelium) 4a) Adrenal gland detects angiotensin II and secretes aldosterone which acts on distal kidney tubules to increase water retention (reabsorbing Na+ and Cl- whilst excreting K+) 4b) Angiotensin II also stimulates ADH release from pituitary glands 4c) Angiotensin II also causes arterial vasoconstriction 5) These all increase perfusion of juxtaglomerular apparatus switching the system off
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Oncotic pressure
Pressure caused by difference in protein concentration between plasma and interstitial fluid Water moves interstitial fluid -> plasma
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Normal sodium concentration in blood
135-145mmol/L
210
When does implantation occur?
Day 21 of menstrual cycle 7 days after fertilisation
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Upon implantation, how does the zygote gain fuel for growth?
Endometrial cells provide metabolic fuel for growth
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Maternal recognition of embryo
By secretion of IL-2 prevents rejection
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What attaches embryo to endometrium?
Integrins
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What is the decidual reaction?
Differentiation of endometrial stromal cells adjacent to the blastocyst
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Differentiation in pregnancy
Splitting of the trophoblast into 2 cell layers (synctiotrophoblast and cytotrophoblast)
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Invasion in implantation
Synctiotrophoblast erodes blood vessels by using enzymes to digest basal lamina