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75 Cards in this Set

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What is the role of p53?

What other gene has this function?
p53 and Rb both inhibit G1 to S (DNA Synthesis) phase progression.

Mutations in these genes result in unrestrained growth.
Role of cyclins.
Activate cyclin-dependent kinases to proceed with cell cycle.
How are Cyclin-CDK complexes inactivated?
p21, p27, and p57 bind and inactivate cyclin-CDK complexes.

p53 controls activation of p21.
What is the role of cyclin D?
Downstream effects?
Cyclin D binds/activates CDK4
CDK4 phosphorylates Rb protein
Rb protein released from transcription factor E2F (elongation factor)
Cell is now free to transcribe/synthesize components needed for progression through S phase (cyclin E, DNA pol, thymidine kinase, DHF reductase)


(allows G1 to S)
What is the role of cyclin E?
Cyclin E binds/activated CDK2-->cell progresses into S phase from G1
What cyclins allow the progression from G2 to M phase?
How?
Cyclin A-->CDK2-->mitotic phase

Cyclin B-->CDK1-->breakdown of nuclear envelope (nuclear lamin breakdown) and initiation of mitosis
Permanent vs Stable Cells:
General
Examples
Permanent cells remain in Go; ex: neurons, ekeletal, cardiac muscle, RBCs

Stable: Enter G1 from G0 when stimulated; ex: hepatocytes, lymphocytes
Labile vs Stable Cells:
General Examples
Labile: Never go to G0; divide rapidly with short G1. Ex: BM, gut epithelium, hair follicles.

Stable: Enter G1 from G0 when stimulated; ex: hepatocytes, lymphocytes
rER vs sER:
General
Which contain free ribosomes?--Function?
rER: Site of synthesis of secretory (exported) proteins, ex: mucus

Contain free ribosomes: unattached to any membrane; site of synthesis of cytosolic and organellar porteins

sER: steroid synthesis and detox; ex: liver hepatocytes and steroid hormone-producing ells of adrenal cortex
Label
A: rER--stippled appearance (rough) due to ribosomes bound to membranes
B: Nucleolus-synthesis and assembly of ribosomal components (NOT membrane-bound)
C: Nucleus--lighter region is euchromatin (DNA that has been unpackaged and is actively being transcribed)
D-Mitochondria
E-Exocrine secretory granule (contains exocrine enzymes and proteins packaged for secretion)
Describe the molecular structure of cilia.

Discuss dynein.
9+2 arrangement of MTs

Axonemal dynein--ATPase that links peripheral 9 doublets and causes bending of cilium
What is Kartagener's syndrome?
Immotile cilia due to dynein arm defect.

Results in male and female infertility (fallopian tubes can't move ovum along), bronchiectasis, and recurrent sinusitis; assocd w/situs inversus.
What drugs act on microtubules?
Bendazoles (antihelminths)
Griseofulvin (antifungal)
Vincristine/vinblastine (anti-cancer)
Paclitaxel (anti-BrCa)
Colchicine (anti-gout)
What is Chediak-Higashi syndrome?
Microtubule polymerization defect resulting in dec'd phagocytosis

Results in recurrent pyogenic infections, partial albinism, peripheral neuropathy
Which amino acids are modified by the Golgi apparatus?
Asparagine
Serine
Threonine
I-cell Disease:
Pathophys
Presentation
(inclusion cell dz)
Inherited lyosomal storage disorder

Failure of addition of mannose-6-phosphate to lysosome proteins (enzymes secreted outisde the cell instead of being targeted to lysosome)

Results in coarse facial features, clouded corneas, restricted joint movement, high plasma levels of lysosomal enzymes (often fatal in childhood)
What are the roles of the Golgi apparatus?
Distribution center of proteins and lipids from ER to plasma membrane, lysosomes, secretory vesicles

Modifies oligosaccharides on asparagine

Adds oligosaccharides to serine, threonine

Adds mannose-6-phosphate to lysosomal proteins (targets protein to lysosome)

Sulfation of
COPI vs COPII:
General
These are both vesicular trafficking proteins

COPI (Co-protein I): retrograde--Golgi to ER

COPII: anterograde: RER to cis-Golgi
Clathrin:
Role
Vesicular trafficking protein--
Trans-Golgi-->lysosomes, plasma membrane-->endosomes (receptor-mediated endocytosis)
What protein is involved in transporting an endocytosed vesicle from the plasma membrane to the endosome?
Clathrin
What molecule targets proteins in the endoplasmic reticulum for lysosomes?
Mannose-6-phosphate
How is arachidonic acid formed?
What inhibits this?
Membrane lipid (phosphatidylinositol)-->Arachidonic acid via Phospholipase A2

Corticosteroids inhibit Phospholipase A2
Zileuton:
MOA
Inhibits Arachidonic acid-->--->Leukotrienes via inhibiting LIPOXYGENASE

Lipoxygenase catalyzes Arachidonic acid-->Hydroperoxides(-->Leukotrienes)
Zafirlukast:
MOA
Inhibit LTC4, LTD4, LTE4 and thus prevent bronchoconstriction
Montelukast:
MOA
Inhibit LTC4, LTD4, LTE4 and thus prevent bronchoconstriction
NSAIDs:
MOA
What other drugs share this MOA?
Inhibit Cyclooxygenase which catalyzes:
Arachidonic acid-->Endoperoxides(-->Prostacyclin, Prostaglandins, Thromboxane)

ASA, acetaminophen, COX-2 inhibitors
Prostacyclin:
Effects
Dec'd PLT aggregation
Dec'd uterine tone
Vasodilation
Prostaglandins:
Effects
Dec'd vasc tone
Inc'd pain, uterine tone, temp
Thromboxane:
Effects
Inc'd PLT agg (it's pro-THROMBOtic)
Vasoconstriction
Which hormones utilize the cAMP pathway?
Think: Anterior Pituitary hormones, hormones that share alpha-subunit

So:
FLAT CHAMP
FSH
LH
ACTH
TSH
CRH
hCG
ADH (V2 receptor)
MSH
PTH
Calcitonin, GHRH, glucagon
Which hormones utilize the cGMP pathway?
Think: Vasodilators

So:
ANP, NO
Which hormones utilize IP3?
Think: Posterior pituitary

So:
GOAT
GnRH
Oxytocin
ADH (V1 receptor)
TRH
Which hormones utilize cytosolic steroid receptors?
VET CAP
Vit D
Estrogen
Testosterone
Cortisol
Aldosterone
Progesterone
Which hormones utilize nuclear steroid receptors?
T4/T3
Which hormones utilize intrinsic tyrosine kinase pathways?
Growth factors.

Insulin, IGF-1 FGF, PDGF
Describe the 4 types of cartilage.
Be (So Totally) Cool, Read Books

Or A Strong Slippery Bloody BM
I. (90%)--Bone, Skin, Tendon, fascia, late wound repair

II--Cartilage (including hyaline), vitreous body

III--Reticulun--skin, BVs, uterus, fetal tissue, granulation tissue

IV--BM or basal lamina
Describe the synthesis of collagen.
1. Synthesis in RER--translation of preprocollagen, usually Gly-X-Y

2. Hydroxylation in ER of specific proline and lysine residues; requires VITAMIN C

3. Glycosylation or pro-alpha-chain lysine residues to form procollagen

4. Exocytosis into extracell space

5. Proteolytic processing (cleaving of procollagen) to form tropocollagen

6. Cross-linking of tropocollagen to form fibrils
Ehlers-Danlos Syndrome:
Pathophys
Presentation
Faulty collagen synthesis causing hyperextensible skin, tendency to bleed (easy bruising), hypermobile joints

Collagen III (bloody collagen) most frequently affected
Osteogenesis Imperfecta:
Pathophys
Presentation
Abnormal Type I collagen causing multiple fractures with minimal trauma (may occur during birthing)
Blue sclerae
Hearing Loss (abnl middle ear bones)
Dental imperfections (lack of dentin)
Alport's Syndrome:
Pathophys
Presentation
Abnl type IV collagen-->progressive hereditary nephritis, deafness

Can't see, can't pee, can't hear
When is apoptosis initiated?
Cells deprived of important cell signals such as GFs

Cell stress present

DNA damage pressent and DNA repair process fails-->p53 triggers apoptosis

Cytokines such as TNF trigger apoptosis

Cytotoxic T cells insert granzyme into cells-->activation of caspases
Role of p53.
Triggers apoptosis if DNA damage is present and repair mechanism fails.
Caspase:
Role
Protease that executes apoptosis and have Cysteine protease that cleaves ASPartic acid residues
Apoptosis:
Extrinsic vs Intrinsic Pathways
Extrinsic: via activation of cell surface death receptor
Type I TNF receptor I (TNFR1)
Fas (CD95): Fas ligand binds Fas-->Fas-associated death domain (FADD) binds inactive caspase-8-->activates it
-->apoptotic proteolytic cascade

Intrinsic: INc'd mitochondrial permeability-->release of pro-apoptotic molecules into cytoplasm
Bcl-2 proteins regulate (and prevent) apoptosis
Under what physiologically normal conditions is the intrinsic pathway of apoptosis utilized?
Need intrinsic PW for:
Embryogenesis
Menstruation
Atrophy (endometrial linging during menopause)
(also in response to radiation, toxins, hypoxia).

This deals with mitochondrial perm and release of cytochrome c.
Role of CD31.
Expressed by healthy cells to prevent phagocytosis.
What are the histologic features of apoptosis?
Cell shrinkage
Nuclear shrinkage
Basophilia (pyknosis)
Membrane blebbing
Pyknotic nuclear fragmentation
Nuclear fading (karolysis)
What is necrosis?

How does it differ histologically from apoptosis?
Enzymatic degradation and protein denaturation of a cell resulting from exogenous injury.

Inflammatory process (unlike apoptosis. APOPTOSIS IS NOT AN INFLAMMATORY PROCESS)

Necrosis = cell swelling, not shrinkage!
Where does coagulative necrosis occur?
Heart, liver, kidney
Where does liquefactive necrosis occur?
Brain, bacterial abscesses, pleural effusion
Where does caseous necrosis occur?
TB, systemic fungi
Where does fatty necrosis occur?
Pancreas (saponification)
Where does fibroid necrosis occur?
BVs
Where does gangrenous necrosis occur?

Wet vs Dry?
Dry = ischemic coagulative
Wet = with bacteria

Common in limbs, GI tract
Cell injury:
Reversible vs Irreversible changes--characteristics of cells
Reversible (with O2):
Dec'd ATP synthesis
Cell swelling (no ATP-->impaired Na/K pump)

Nuclear chromatin clumping

Dec'd glycogen

Fatty change

Ribosomal detachment (dec'd prot synth)

Irreversible--
Nuclear pyknosis (basophilia)
Karolysis (nuclear fading)
Karyorrhexis (pyknotic nuclear fragmentation)
Ca2+ influx-->caspase activation
Red vs Pale Infarction:
General
Red: hemorrhagic; occurs in loose tissues with collaterals, such as liver, lungs, intestine or following reperfusion (due to free radicals)

Pale: occur in solid tissues with single blood supply, such as heart, kidney, and spleen; no reperfusion
Amyloid:
Stains
Apple-green birefringence of Congo red stain under polarized light
What drugs act on microtubules?
-bendazoles
-taxels
Griseofulvin
Vincristine/Vinblastine
Colchicine
What findings are a/w Ehlers-Danlos syndrome?
Hyperextensible skin
Inc'd bleeding tendency
Hypermobile joints
Berry aneurysm
Which arachidonic acid product:
Increased bronchial tone
Leukotrienes
Thromboxane
Which arachidonic acid product:
Decreased bronchial tone
Prostacyclins
PG's
Which arachidonic acid product:
Increased platelet aggregation
Thromboxane
Which arachidonic acid product:
Decreased platelet aggregation
Prostacyclin
Which arachidonic acid product:
Increased uterine tone
PG
Which arachidonic acid product:
Decreased uterine tone
Prostacyclin
Which arachidonic acid product:
Increased vascular tone
Thromboxane
Which arachidonic acid product:
Decreased vascular tone
PG, prostacyclin
What are the two most abundant substances in plasma membranes?
Cholesterol
Phospholipids
What provides the structural framework for DNA and the nuclear envelope?
Lamins A, B, C
What drugs act on the arachidonic acid product pathway?

What enzymes do they affect?
Corticosteroids inhibit Phospholipase A2

Zileuton inhibits lipoxygenase

Zafirlukast and Montelukast inhibit luekotriene receptors

COX inhibited by NSAIDs, acetaminophen, ASA, COX-2 inhibitors
In trying to determine the genomic location of genes x, y, and z, you cut multiple copies of the gene with
a variety of different endonucleases.

The following proteins are expressed x, xz, y, and z.

What are the
most likely relative locations of genes x, y and z?
SOmetimes x and z expressed together, and y never expressed with them, so y must be far way from x and z.

so would be something like:
y-----------------------x---z
Describe the process of leukocyte extravasation.
Rolling mediated by selectins

TIght binding mediated by integrins

Diapedesis mediated by PECAM

Migration mediated by chemotactic factors (IL-8, LTB4, C5a, Kallikrein)
How are molecules transported into the nucleus?
Nuclear localization signals rich in :
Lysine
Arginine
Proline
What histologic features are seen in apoptotic liver cells?
Cell shrinkage
Nuclear shrinkage, basophilia (pyknosis)
Membrane blebbing
Formation of apoptotic bodies
What are the signaling pathway effects of activating Gq?

What are the effects of activating Gs?
Gq is QC

Gq activates phospholipase C
Phopholipase C makes IP3
IP3 increases intracell Ca2+
Phopholipase C makes DAG
DAG activates Protein Kinase C-->more IP3

Activating Gs:
Stimulates adenylyl cyclase to use ATP to make cAMP
cAMP activates protein kinase A