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433 Cards in this Set

  • Front
  • Back
how many histone units in a nucleosome
8
effects on gene transcription
methylation decreases, acetylation increases
thymine vs cytocine vs uracil
thymine has 2 keto groups and a methyl, uracil is missing that keto group, and deamination of cytosine makes uracil
what components needed to make up purine?
co2, thf, glycine, glutamine, asp
what components needed to make up pyridimine?
carbamoyl phosphate (=co2+gly), asp
draw out the synthesis pathway for purine/pyridimine synthesis
p68
what is the rate limiting step for purine synthesis
PRPP amidotransferase
what is the rate limiting step for pyridimine synthesis
CPSII
what drug can inhibit IMP dehydrogenase
mycophenylate mofetil, ribavirin
what regulates CPSII
ATP stimulates, UTP inhibits
what drug can inhibit thymidilate synthesis
5fu
what drug can inhibit ribonucleotide reductase
hydroxyurea
regulation of ribonucleotide reductase
ATP stimulates, dATP inhibits
which diseases will have increased orotic acid in urine
orotic aciduria, ornithine transcarbamoylase deficiency
is hyperammonia seen in orotic acidura
no
hematological abnormality seen in orotic aciduria
megaloblastic anemia irreversible w/ b12, folate
how can DNA turnover during chemotherapy be measured
pyridimines are broken down to beta amino acids, co2, and ammonia
draw out the purine salvage/degradation pathway
p69
why might uric acid be increased in the urine
increased production (hemolytic cell death - eg psoriasis, leukemia), or decreased excretion (aspirin, alcohol, diuretic, kidney dz)
why does adenosine deaminase deficiency cause scid
backs up the atp/dATP degradation pathway, which inhibits ribonucleotide reductase
what purine salvage deficit can result in chorea
lesch nyhan
in what disease do you see antibodies against ssbp's
sjrogrens
do eukaryotes have a primase enzyme
no
what drugs inhibit dna gyrase
fluoroquinolones
which dna replicase enzymes require atp
helicase
which dna polymerases have 3-5 exonuclease activity
dna pol 3
which dna polymerases have 5-3 exonuclease activity
dna pol 1
which dna polymerase degrades rna primer
dna pol 1
which eukaryotic dna polymerase synthesiszes lagging strand and primer
alpha
which eukaryotic dna polymerases repair dna
beta and epsilon
which eukaryotic dna polymerases synthesize mitochondrial dna
gamma
what does lac operon code for
beta galactosidase
what region of dna does repressor bind to
operator
what region of dna does CAP bind to
promotor
what disease has mutated nucleotide excision repair
xeroderma pigmentosum
nucleotide excision repair vs base excision repair
base excision removes damaged base first (glycosylase), then endonuclease step removes bases for both. Nucleotide excision repair usually involves longer stretches of nucleotides
what dna repair is dysfunctional in HNPCC
mismatch reapir
what disease is notable for microsatellite instabilityq
HNPCC
how can double strand breaks be repaired
nonhomologous end joining
diseases that have defect in dna repair
xeroderma pigmentosum, wiscott aldrich, bloom, ataxia telangiectasia, werner's (fast aging), fanconi
start codon for eukaryotes vs prokaryotes
methionine vs fmet
what inhibits rna pol 2
alpha amantin
what segments of dna to repressors bind in eukaryotes
silencer
what structural motifs bind dna
zinc finger, leucine zipper, helix turn helix
what inhibits elongation of rna transcript
actinomycin D
where is hnRNA likely to be seen
nucleus, before processing
what is the polyadenylation signal
aauaaa
what is the template for polyA polymerase
there is non
in what disease is antibodies made to snRNPs
lupus
what is located at 3' end of tRNA
cca
which tRNA enzyme requires atp
aminoacyl trna synthetase
what are nucleotides seen in trna
dihydrouracil, acetylcytosine, pseudouridine, thymine
where does tetracycline act on protein synthesis
binds 30s and prevents trna binding
what is responsible for accuracy of amino acid selection
aminoacyl trna synthetase
which part of protein synthesis requires gtp
initiation (i.e. formation of complex) requires gtp hydrolysis, also needed for translocation
which part of protein synthesis requires atp
charging of trna by aminoacyl trna
what catalyzes peptide bond formation
ribosomal rRNA (i.e. peptidyltransferase)
what is needed for protein assembly complex
eIF (i.e. initiation factor), 40S, initiator met
what signals termination in protein synthesis
stop codon recognized by release factor
which subunit in prokaryotes contains peptidyl transferase activity
23s, which forms 50s
components of eukaryote ribosome vs prokaryote
40+60->80, 30+50->70
what are the different sites in ribosomes
A (incoming), P (peptidyl), E (exiting)
how do aminoglycosides inhibit the ribosome
inhibit formation of initiation complex and prevent misreading
how do chloramphenicol inhibit the ribosome
inhibit 50s peptidyltransferase
which part of ribosome binds the shine dalgarno sequence
16s, which forms 30s
which antibiotics bind translocation
macrolide, clinda
prokaryotic vs eukaryotic translation initiation
prokaryotic: shine dalgarno, fmet, 3 initiation factors; eukaryotic: binding to 5' cap, scanning for AUG, Met, many initiation factors
where does ubiquitin mediated degradation occur
cytoplasm in proteosomes, not in lysosome
which one is constitutive: cdk and cyclin
cdks
describe which phase these act in: cyclin A, CDK2, cyclin D, CDK4
A, CDK2 = G2. D, CDK4 = G1.
p53, rb regulate what checkpoint
G1-S checkpoint
What chromosome is p53 on
chromosme 17
which cells exxist primarily in G0
hepatocytes, lymphocytes
which cells do not exist in G0
bm, gut, skin, hair
where does n-linkage of oligosaccharide occur
er
what type of organelle is a nissl body
rer
what proteins are likely to be seen in zona occludens
claudin, occludin, actin, e-cadherin
what proteins are likely to be seen in zona adherens
cadherin, actin
what type of proteins likely to be seen in macula adherens
intermediate filaments, desmoplakin, cadherin (this is a desmosome)
what are nuclear localization signals rich in?
lys, arg, pro
what proteins are increased with stress
hsps, chaperones
COP1 vs COP2
used in golgi transport. Cop1 = retrograde, to er. Cop2 = anterograde, to golgi from er
what performs o glysylation to proteins
golgi
what organelle adds mannose 6p to proteins
golgi
where does sulfation of sugars in proteoglycans occur
golgi
sulfation of tyrosine residues where does it occur
golgi
cause of clouded corneas
hurler, I cell dz
high plasma levels of lysosomal enzymes
I cell dz
features of I cell dz
course facial features, clouded cornea, joint issue
microtubules bind what nucleotide
2 gtp for each dimer
drugs that act on microtubules
bendazole, griseofulvin, vincas, taxels, colchicine
dynein vs kinesin -- how do they transport
kinesin goes anterograde
defect in kartageners
dyenein
what dz associated with situs inversus
kartageners
major components of plasma membrane
cholsterol, phospholipid
effect of high cholesterol on plasma membrane? Long sat fatty acid
increase melting temp, decrease fluidity
what type of cancer would stain for each of these: vimentin, desmin, cytokeratin,
sarcoma, rhabdomyosarcoma, carcinoma
describe what each of these stains: vimentin, desmin, cytokeratin, gfap
connective tissue, muscle, epithelial, neuroglia
what is progeria
rapid aging (werner's is a type of this)
what type of genes are mutated in progeria and rapid aging
nuclear laminins
mechanism of ouabain
disabling na/k atpase by binding k site (kind of like digoxin)
know the different locations of different types of collagen
p79
another name for type 3 collagen
reticulin
effect of aging on collagen
decreased amount, same quality of cross linking
most prevalent amino acid in collagen
glycine (proline and lysine also very common)
where does hydroxylation and glycosylation of collagen take place
rer
what must occur in the ecm before cross linking for collagen
cleavage of terminal procollagen
what intracellular messaging does TKRs use
ip3, ras
most common collagen affected in ehlers danlos
3
inheritance of osteogenesis imperfecta
ad
what collagen is defective in osteogenesis imperfecta
1
sx of osteogenesis imperfecta
HEARING LOSS, DENTAL, fractures during birth, blue sclera
what type of osteogenesis imperfecta is prenatally fatal
type 2
defective collagen in alports sydnrome
type 4 collagen
inheritance of alports
xr
predominant structural protein in ligamentum flavum
elastin
predominant aa's in elastin
proline and glycine
marfanoid syndromes
men2b, homocysteinuria
where is the anode in pcr
positive end, where the dna travels
cre lox system
antibiotic controlled promoter
mechanism of RNAi
knockdown gene by giving dna complementary to mrna
dominant negative mutation
heterozygote produces all nonfunctional proteins due to effect of mutation on the nonmutated (eg tetramers)
what chromosome is a disease that demonstrates imprinting located at
chromosome 15
prader willi vs angelman
prader willi = paternal. Fat, slow, stupid, and hypogonad. Angelman = mr, happy puppet, in appropriate laugh
name a disease that is xd
hypophosphatemic rickets (i.e. vit d resistant rickets). Increased phosphate wasting at pct
name a disease that is spread through mtDNA
mitochondrial myopathies, leber's hereditary optic neuropathy
sx of mtDNA related mitrochondiral myopathy
ragged skeletal mm, lactic acidosis, neuromuscular lesion
sx of leber's hereditary optic neurpathy
acute loss of central visiosn
achondroplasia - risk factor
advanced paternal age
inheritance of achondrol plasia
ad
gene mutation in achondrolpaslia
fgfr3
adpkd -- which types are unilateral kidney involvement
all are bilateral
inheritance of fap
ad
inheritance of type 2a familial hypercholesterol
ad
which types of familial dyslipidemia doesn't have increased risk of atheroscleroris
i
which familial dysplipidemia has overproduction of vldl
iv
which familial dyslipid has highest chance of tendon xanthoma
2a
which familial dyslipid is associated with hsm
i
which familial dyslipid has defective lpl
i
which fmailla dyslipid has defective apoc2
i
inheritance of osler weber randu
ad
inheritance of hereditary spherocytosis
ad
cbc finding of hereditary spherocytosis
increased mchc, maybe anemia
where is huntingtin chromsome
chromsome 4
pathophysiology of repeats in huntington
improper methylation of genes
decreased levels of what neurotransmitters in huntingtons
gaba and ach
what disease is associated with cystic medial necrosis
marfan
which dz is assoc/ w/ pectus excavatum
marfan
which diseases is associted with arachnodactyly
marfan, ehler danlos, homocysteinuria
ineritance of marfan
ad
inheritance of men
ad
pigmented iris hamartomas
nf1
ineritance of nf1 and nf2
ad
often presents with skeletla disorders like scoliosis and neural tumors
nf1
what chromosome is nf1 on
17
what diseases have RETINAL hamartomas
tuberous sclerosis
dz assos w renal angiomyolipoma
tuberous sclerosis
ineritance of uberous sclerosis
ad
vhl dz associated with overexpression of what
hif
what chromosme is vhl on
3
inheritance of fvhl dz
ad
inheritance of hnpcc
ad
inheritance of peutz jeghers
ad
inheritance of herditary thromboses (p356)
ad
where is cftr gene located
7
what is most common deletion in cf
phe508
does cf cause infertility in males or females
males, missing vas deferens
in cf, where is cl secreted too much and too little
too much in sweat, too little eveyrwhere else
what tests can be used for cf
sweat test, decreased serum immunoreactive trypsin
will you see cftr in ER of cf patietns
yes, cuz it folds improperly there and is degraded
what level of cl ions gap is diagnostic for cf
>60 meq/l
name x linked dzz
p87
sx of duchennes
muscle weakness that begins in pelvic muscle and asends, fibrofatty repacement of calkf mm
beckers vs duchennes
becker is less severe, later onset
dx of musclar dystrophy
increased cpk and muscle biopsy
role of dystrophin gene
longest gene, helps to angchor muscle skeletal and cardiac muscle fibers
pathology of fragile x
hypermethylation leads to gene inactivation. Dna break is common, but not the cause of problem. Fmr1 gene is inactivated
mcc mr
down, fragile x
what dzz assoc/ w/ mvp
marfan, fragile x, ehler danlos
what dzz that demonstrates anticipation is assoc/w autism
fragile x
inheritance of myotonic dystrophy
ad
hypogonad + cataract + balding + trinucleotide dz
myotonic dystrophy
what are the repeats in these dzz: fragile x, huntington, mytonic dystrophy, freidrich
cgg, cag, ctg, gaa
which dz assoc/ w/ gap b/w 1st and 2nd toes
down
which dz assoc/ w/ risk of alzheimer
down
quad screen
test for down, decrease afp, increase hcg, decrease estriol, increase inhibin A
ultrasound finding in down syndrome
nuchal translucency
genetic defects in downs
trisomy due to nondisjunction, robertsonian translocation, mocacism
what dzz has increased risk of all and aml
downs
what chromosome is beta amyloid encoded on
21
what dzz assoc/ w/ brushfield spots
downs
which dzz assoc w/ polydactly
patau
which dz assoc/ w/ holoprosencephaly
patau
which dz assoc/ w/ cleft lip and palate, micropthalmia, microcephaly
patau
genetic defect in patau
13
findings on edwards
CLENCH HAND, SMALL JAW, rocker feet, low ears
what if all quad screen findings positive except decrease bhcg
edward
which chromosomes prone to undergo robertsonian
13-15, 21, 22
chromosme abnormality in cri du chat
5del
dzz assoc/ w/ microcephaly
patau (not down or edward), cru du chat, PKU
which dzz have epicanthal folds
down, cri du chat
which dzz assoc w/ congential heart dz
down, edward, patau, cri du chat, williams, 22q11, PKU
which dz assoc w/ increased sensitivty to calcium
williams syndrome
why are williams syndrome pts likely to have cardiovascular problems
deletion on chromosme 7 includes elastin
22q11 sx
catch-22
common sx of b-complex deficiencies
dermatitis, glossitis, diarrhea
absence of vitamin a can lead to what finding
keratosis
what dzz can vitamin A treat
measles, acne, aml
where is vit a usually found
liver and leafy veggies
what vitamin deficiency can cause keratomalacia (ie. Dry cornea)
vitamina a
what vitamin can actually increase risk of cancer in smokers
a
what can cause yellow skin w/o scleral icterus
vitamin a
what vitamin excess can cause headaches and papilledema
vitamin a
cofactors necessary for pyruvate dehydrogenase and alpha kg dehydrogenase
coa, fad, nad, thiamine, lipoid acid
what inhibits lipoic acid
arsenic
why is giving glucose to person w/ alcohol tox
eat up thiamine
what enzymes relies on thiamine as cofactor
pyruvate dehydrogenase, alphakg dehyrogenase, transketolase, branched chain aa dehydrogenase
what nucleus is damaged in wernicke korsakoff
medial dorsal nucleus of thalamus, mamillary n
what does medial dorsal nucleus (thalamus) do
communicates w/ prefrontal cortex, memory
what reactions does b2 participate in
oxidation and reduction
what vitamin deficiency can result in cheilosis and corneal vascularization
b2
what is b3 derived from
tryptophan
triad of pellagra
dermatitis, dementia, diarrhea
what drug can kill niacin levels
inh
what drug can kill b6 levels
inh
causes of pellagra
hartnup, malignant carcinoid, inh
what vitamin deficiency can cause alopecia and adrenal insufficiency
b5
6 things that b6 particpates in
transamination, decarboxylation (important for nts like dopamine and gaba), glycogen phosphorylase, cystathione synthesis, heme synthesis, niacin synthesis
what vitamin def can produce sideroblastic anemia
b6
what vitamin def can cause convulsions
b6 (can't make gaba)
what vitamin def can cause peripheral neuropathy
b6, b12,
importance of chromium
helps insulin
importance of copper
helps in lysyl oxidase (collagen cross link)
tox of fluorine
white chalky teeth
what is a cofactor for adenylate cyclase
mg
importance of selenium
cofactor for glutathione peroxidase
where is b12 found
animal products
what reactions does b12 participate in
production of methionine from homocysteine, production of succinyl coa from methylmalonyl coa
what foods is folate found in
green leafy veggies
what drugs can cause folate deficiency
PS: BAM - phenytoin, alcohol, birth control, sulfonamides, mtx
what reactions is SAM important for (3)
methionine to homocysteine, conversion of ne to epi, genesis of phosphocreatine
fiber effect on estrogen levels
estrogen is recycled in gut, so fiber can trash it, so lowers levels chronically
what bile salt is associated with colon cancer
lithocholic acid
what reactions does biotin participate in
pyruvate carboxylase, acetyl coa carboxylase, propionyl coa carboxylase
what vitamin deficinecy can cause alopecia
b5, biotin
3 reactions that vit c parcipates in
1. reduction of iron 2. collagen 3. conversion of dopamine to ne
d2 vs d3 vitamin
d2 is found in plants, d3 is made in skin and found in milk
what vitamins are reduced in breastmilk
d & k
what part of kidney contains 1alpha hydroxylase
pct
sx of rickets
bowed legs, cranial tabes, rachitic rosaries
when is excess vitamin d seen
sarcoidosis
function of vitamin e
prevention of lipid peroxidation by phospholipase a
deficiency of vit e
hemolysis, posterior and spinocerebellar tract defect
how can vit e prevent atherosclerosis
neutralizes oxidized ldl, which ismore atherogenic than regular ldl
vitamin e excess
inhibits synthesis of vit-k dep clottin factors
what is tetrahydrobiopterin needed for
tyrosine, dopa, serotonin, no
another name for vitamin k
menadione
what mineral is a cofactor for collagenase
zinc (helps with wound healing)
which mineral deficiency is associted with dysgeusia
zinc
deficiency of what is associated with alcoholic cirrhosis
zinc
what blocks alcohol dehydrogenase
fomepezole
what blocks aldehyde dehydrogenase
disulfram
why can ethanol cause fatty liver (3)
all due to increased nadh. 1. tca gets stopped cuz malate can't go to OAA 2. g3p gets converted to tg's 3. decreased liver proteins means less vldls (THIS IS OVER LONG PERIOD OF TIME. ACUTELY THERE IS INCREASED VLDLS) 4. Decreased NAD+ means can't complete FA oxidation
is the rate of alcohol dehydrogenase dependent on amt of alcohol in system
no, zero order
how does ethylene glycol cause damage
gets coverted to OAA, get nephrotox from calcium oxalate crystals
how does methanol cause damage
gets converted to formic acid, which causes acidosis and retinal dmg
sx of kwashiorkor
malnutrition (NOT MALABSORPTION), edema, anemia, fatty liver
for each of the following, where does it occur? FA ox, FA syn, acCoA syn, TCA, oxphos, glycolysis, HMP, protein syn, steroid syn, heme syn, urea, gluconeo
p95
for each of the following, what's the rate limt? Glycosis, gluconeo, tca, glycogen syn and lysis, hmp, pur/pyr, urea, fa syn, fa ox, ketogen, cholesterol syn
p95
regulation for rate limit enzyme: Glycosis, gluconeo, tca, glycogen syn and lysis, hmp, pur/pyr, urea, fa syn, fa ox, ketogen, cholesterol syn
p95
which of the following promotes a kinase, which one promotes phosphorylase: insulin, gluc
insulin = phos, gluc = kinase
Draw out metabolilc pathway
p96
what happens when these are transaminated: ala, asp, glu
ala -> pyr, asp -> oaa, glu -> alphaketog
how much atp is made in heart and liver vs msucle (i.e. during glycolysis and tca cycle)
mal asp shuttle in heart and liver =32, 30 elsewhere
what holds aldehydes in the cell
tpp
nad vs nadph in terms of function
nad = catabolic, nadph = anabolic
what processes is nadph involved in
anabolic process (steroid and FA synthesis), respiratory burst (nadph oxidase), cyp, glutathione reductase
hexokinase vs glucokinase: km, vmax, hormone induction, feedback. Which one can convert fructose to f6p
hexokinase is low km, low vmax, and uninduced by insulin, and inhibited by g6p. Glucokinase is opposite of that and has no feed back regulation. Hexokinase can convert fruc
how is pfk1 regulated
feedback by atp and citrate. Positive by fruc26bp and amp though
regulation of pyruvate kinase
feedback by atp and alanine. Postive by fruc16bp (feedforward)
regulation of pyruvate dehydrogenase
negative by atp, acCoA, and nadh
which glycolysis rxns require atp
hexokinase, pfk1
which glycolysis rxns produce atp
phosphoglycerate kinase, pyruvate kinase
what glycolytic enzymes monitor fed/fasting state
pfk2, fbp2. pfk2 = fed state, produces f26bp which activates pfk1
what intracellular messaging does glucagon use
camp, pka
what is cori cycle
lactate from anaerobic metabolism can go to liver hwere it is converted to glucose
how is nitrogen transported in blood
alanine
why does exercise activate pyruvate dehydrogenase
increased nad, adp, and calcium
triad for arsenic poison
vomit + rice stool + garlic breath
how can pyruvate dehydrogenase deficiency be acquired
thiamine def from alcohol
how much nadh, fadh2, co2, and gtp produced in tca cycle
3 nadh, 1fadh2, 2co2, and 1gtp for each acCoA
regulation of icocitrate dehydrogenase
positive by adh, neg by atp and nadh
name things that can inhibit complex 1
mptp, rotenone, amytal
name things that can inhibit coenzyme q
statins inactivate isopentnyl pyrophosphate, which is needed to form coq
what inhibits complex 4
co, h2s, n3, cn
what can inhibit complex 5
oligomycin, arsenate (gets incorporated into atp and spontaneously breaks again)
what can uncouple etc
2-4 dnp, aspirin, alcohol
3 ways CO can kill oxygenation
1. binds hb and lowers vmax, left shifts the curve, and shuts down complex 4
irreversible enzymes of gluconeogesis
pyruvate carboxylase, pepck, f16bpase, g6pase
what activates pyruvate carboxylase
acetylCOA
what is required for pepck
gtp
can odd chain fatty acids undergo gluconeognesis
yes, they yield 1 propionyl coa, which can enter tca cycle and undergo gluconeogenesis
what are the products of oxidative reactions in the hmp shunt
nadph and ribulose 5p
what are the nonoxidate rxn products in hmp shunt. Also what enzyme
transketolase. Ribose5p, g3p, f6p
levels of what promote either glycolysis vs gluconeo/ketogen
acCoA
role of nadph oxidase
coverts o2 into radical
what are catalase + organisms
Sorry SNAP - SAureus, Serratia, Aspergillus, Pseudomonas
why is sputum green in respiratory infections
myeloperoxidase contains heme, which is green
what does myeloperoxidase catalyze
formation of bleach from hydrogen peroxide
what cells produce nadph oxidase
neutrophils and monocytes, not macrophages
effect of hypoxia on respiratory burst
crippples
essential fructosuria vs fructose intolerance
fructoseuria = fructokinase. Fructuse intol = aldolase b
pathology in fructose intolerance
accumulation of f1p results in phosphate depletion, which results in inhibition of glycogenolysis and gluconeogenesis
why is fructose digested faster than other sugars
bypasses pfk1
how could infantile cataracts present in children (i.e. behavior or sx wise)
failure to tract objects or develop social smile
what enzyme defect in classic galactosemia
galactose1p uridyltransferase
what is common and different in galactosemia vs hurlers
both have jaundice, hsm, cataract, mr. galactosemia presents earlier and aversion to milk. Hurlers has course facial featurs
what cells lack sorbitol dehydrogenase
schwann, lens, retina, kidney
what cofactor is needed to convert glucose to sorbitol
nadph
what does bloating and cramps come from with lactase deficiency
bacterial digestion products
what is another namem for lactose
galactosyl beta,14 glucose
osmotic diarrhea w/ milk ingestion may oft follow what
gastroenteritis
what form of amino acids are found in proteins normal
l
name the essential amino acids
(HAVe you Met Lou Les PITT) - his, arg, val, met, leu, lys, phe, ile, thr, trp
what amino acids are negatively charged in body ph
asp, glu
what amino acids are required in growth periods and actually stimulate gf
arg, his
what amino acids are present in high concentration in histones
arg, lys
draw out urea cycle
p105
tx for hyperammonia
benzoate, phenylbutyrate, alpha lactalbumin
inheritance of otc deficiency
xr
what are the derivates of the following aa's: phenylalanine, tryptophan, histidine, glycine, arg, glutamate
p106
what are the six major catabolic products of AA's and which amino acids degrade to them
AcCoA, pyruvate, OAA, fumarate, alpha kG, succinyl coa
what is needed to convert proprionyl coa to succinyl coa
biotin and b12
draw out the biosynthetic pathway of catecholamine synthesis
p107
2 defects for PKU
decreased phenylalanine hydroxylase or tetrahydrobipterin
what are the phenylketones
phenylacetate, phenyllactate, phyenylpyruvate. these are seen in urine of PKU
what is maternal PKU
too much phenylalanine, microcephaly, mr, congenital heart defct
defect in alkatonuria
homogentisic acid oxidase, can't make fumarate from tyrosine
causes of albinism
decreased tyrosinase, defective tyrosine transporter, lack of migration of neural crest, destruction of melocytes, etc
3 causes of homocysteinuria
cystathione synthase deficiency, decreased affinity of cystathione synthase for b6, homocysteine methyltransferase deficiency
which dzz likely to have kyphosis, osteoporosis, and atherosclerosis
homocysteinuria
defect in cystinura
COAL transporter in kidney (PCT)
how to dx cystinuria
cyanide-nitroprusside test turns urine red
cystine vs cysteine
cystine = 2cysteines w/ disulfide
tx for cystineurine
acetozolamide
vomiting, lethargy after birth, sweet smelling urine
maple syrup
pathology of hartnup dz
can't absorb trp from kidney or gut
why do glycogen levels increase in msucle during exercise
increased calcium stimulates phosphorylase kinase, which activates glycogen phosphorylase
how does insulin/glucagon affect phosphorylase kinase
insulin inhibits by stimulating phosphorylase, whereas glucagon stimulates it by pka
branches vs linkages in glycogen
alpha 16 vs alpha 14
know and understand the glycogen cycle
p110
where is glycogen normally degraded? Role of lysosomal degradation
cytoplasm. If missing -> pompeii
myoglobinurea w/ exercise
mcardle
what enzyme is deficient in: von gierke, pompe, cori, mcardle
p110
which dzz can result in increased blood lactate, uric acid, hsm, and fasting hypoglycemia
von gierke
draw out degradation diagram for ceramide
p111
cherry red spot on macula
niemann pick, tay sachs, central retinal a occlusion
which lysosomal storage dz is xr
fabry, hunter
gargoylism, aggressive, no corneal clouding
hunter
enzyme deficiency: hurler vs hunter
p111
lysosomal storage dz in jews
goldman sachs, neiman marcus, gaucher
which lysosomal storage dz does not involve neural issue
gaucher
of the lysosomal storage dz that involves neural, which ones are peripheral issues
krabbe and fabry
lysosomal storage dz w/ angiokeratoma
fabry
which lysosomal storage dz w/ hsm
gaucher, neiman paick, hurler, hunter
lysosomal storage: foam cells
niemann pick
lysosomal storage: globoid cells
krabbe
lysosomal storage: optic atrophy
krabbe
lysosomal storage: ataxia
metachromatic leukodystrophy
cause of hypoglycemia with low ketone bodies
carnitine deficiency
defect in carnitine deficiency
cannot transport fatty acids into mitochondrias
defect in acyl coa dehydrogenase leads to
increase in dicarboxylic acids, decreased glucose and keytones
rate limiting step in beta oxidation
carnitine acyl transferase
rate limiting step in fa synthesis
ac coa carboxylase
shuttles in fa syn vs oxidation
citrate vs carnitine
which ketone body (acetoacetate or beta hydroxybutyrate) is increased in alcoholism
increased nadh-> more beta hydroxybutyrate
why is ketosis seen in alcoholism
excess nadh stalls tca cycle, which shunts to ketogenesis
why is gluconeogenesis stalled in prolonged dka
OAA is depleted for gluconeognesis
how long does it take for glycogen stores to get depleted
1 day
where does ketogenesis occur
liver NOT ADIPOSE
what are the only fatty acids that can contribute to gluconeogenesis
odd chained (proprionyl coa)
how is cholesterol present in plasma
esterified by lcat
what enzyme helps to transfer cholesterol from hdls to other lipoprotiens
cetp
what is the function of apo a1
activation of lcat
what enzyme is needed to convert nascent hdl to mature
lcat
function of apo b100
ldlr binding and vldl secretion
function of apo c2
cofactor for lpl
function of apo b48
cm secretion
function of apo e
remant uptake
what apolipoproteins are present on cm
b48, c2, e, a4
what apoliporopteins present on vldl
b100, c2, e
what apolipoprotein increased in alcoholism
vldl
what apoliporoteins present on ldl
b100
what acts as repository for apo c and apo e
hdl
defect in abetalipoproteinemia
deficiencies in b100 and b48
glycerophospholipid vs sphingomyelin
spingo has spingomyelin. Only 1 fa
what are glycospingolipids
ceramide + sugar
mitochondrial localization signal
ampipathetic helix
peroxisomal localization signal
ser-lys-leu
what enzyme converts glucose to sorbitol
aldose reductase
high risk of leukemia, sarcoma, breast cancer
li fraumeni
does conversion between the different oxidized forms of folate require b12
no
person has muscle cramping and hemolytic anemia. Where is deficiency
somewhere in glycolysis,
posterior column defect w/ low B12 and normal pH. What is problem
folate deficiency (normal pH means it's not methylmalonic acid)
where is hyaluronic acid mostly found
interstitial tissue
where is chondroitin sulfate mostly found
cartilage, cornea
where is dermatan sulfate mostly found
cardiac tissue
where is heparin mostly found
mast cells
where is keratan sulfate mostly found
cornea, along with chondroitin
what water soluble vitamins are stored in liver
b12, folate
what vitamin is found in bear liver
a
what vitamin deficiency may result in decreased axillary, pubic, facial hair
zinc
where does FA synthesis take place
cytoplasm
where does FA degradation take place
mitochondria (that's where products will be used)
where does FA synthesis take place
cytoplasm
where does FA degradation take place
mitochondria (that's where products will be used)
mechanism of lactulose
acidifies intestine to trap ammonia
mentally retarded, fat, testicle atrophy, food seeking behavior kid with negative fish
prader-willi caused by uniparental disomy
another name for alkaptonuria
onchronosis
describe 2 functions of clathrin proteins
1. transfer from trans golgi to lysosomes 2. transfer from cell membrane to endosome
what is procollagen and where is it formed
initial triple helix form of collagen. formed in ER
what chromosome is apkd1 located on
16
what chromsome is apc gene located on
5
what chromsome is p53 located on
17
what chromosome is rb located on
13
what chromosome is huntingtin located on
4
what chromosome is nf1 located on
17
what chromosome is nf2 located on
22
what chromosome is vhl located on
3
what chromosome is cftr located on
7
what type of sequences is overerxpressed in the promotor region
TATA, CAAT box
what is the product of NADPH oxidase
superoxide, not hydrogen peroxide
why are people with CGD susceptible to catalase + organisms
cuz they "clean up their mess" and get rid of the h2o2 that body could use to make bleach