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179 Cards in this Set

  • Front
  • Back
Who are the histones and what do they do?
H1 - ties nucleosomes together
H2A, H2B, H3, H4 form octamer that DNA coils around = nucleosome
Heterochromatin vs Euchromatin?
Hetero= highly condensed, inactive
Eu=less condensed, active
G-C vs A-T bonds?
G-C's are stronger, so if you increase G-C's you'll increase melting point
What is needed to make a Pyrimidine?
Aspartate (3 C's and 1 N)
Carbamoyl Phosphate (1 C, 1 N)
What is needed to make a Purine?
Aspartate (1 N)
Glycine (2 C's, 1 N)
Glutamine (2 N's)
CO2 (1 C)
N-Formyl-tetrahydrofolate (2 C's)
Nucleoside vs Nucleotide?
side = base + ribose
tide = base + ribose + phosphate; link by PDE bond
Enzyme needed to get from ribonucleotide to deoxyribonucleotide?
Ribonucleotide reductase
Drugs that interfere w/ nucleotide synthesis?
Hydroxyurea
6-mercaptopurine
5-fluorouracil
Methotrexate
Trimethoprim
MOA for hydroxyurea?
inhibits ribonucleotide reductase (so no Ribonucleotides-->deoxyribonucleotides)
MOA for 6-mercaptopurine?
blocks de novo PURINE synthesis
MOA for 5-fluorouracil?
inhibits thymidylate synthase

so dec dTMP
MOA for Methotrexate?
Inhibits dihydrofolate reductase

dec dTMP
MOA for Trimethoprim?
inhibits BACTERIAL dihydrofolate reductase (dec dTMP)
Transition vs Transversion?
Transition = switiching purine for purine or pyrimidine for pyrimidine

Transversion = switching purine for pyrimidine or vice versa
Difference between Unambiguous and Degenerate/Redundant genetic coding?
Unambiguous = 1 codon for 1 AA
Deg/Redundant = multiple codons for 1 AA
Helicase is?
Enzyme that unwinds DNA at replication fork
Single Stranded Binding Proteins do?
Prevent strands from reannealing
DNA Topoisomerases do?
Create a nick in the helix to relieve supercoils
Primase does?
Makes an RNA primer that DNA Pol III initiates replication upon
DNA Polymerase III?
ONLY PROKARYOTES
elongates leading strand by adding deoxynucleotides to the 3' end.
Elongates lagging strand until it reaches primer of preceding fragment
3'-->5' exonuclease activity (proofreads 3'-->5', but synthesizes 5'-->3')
DNA Polymerase I?
Prokaryotes only
Degrades RNA Primer (via 5'-->3' exonuclease) and fills in the gap w/ DNA
DNA Ligase?
Seals it
General MOA of Fluoroquinolones?
Inhibit DNA Gyrase, a specific prokaryotic topoisomerase
Single Strand DNA Repair Mechanisms?
Nucleotide Excision Repair
Base Excision Repair
Mismatch Repair
Double Strand DNA repair mechanisms?
Nonhomologous End Joining
Specific Diseases caused by Mutations in DNA Repair?
Xeroderma Pigmentosum

Hereditary Nonpolyposis Colorectal Cancer
Who is mutated in Xeroderma Pigmentosum?
NER
Prevents repair of thymidine dimers
Who is mutated in HNPCC?
Mismatch Repair
What direction are DNA and RNA synthesized in?
5'-->3'
What direction is mRNA read?
5'-->3'
What direction are proteins synthesized?
N-->C
Which RNA type is most abundant? longest? smallest?
rRNA is most abundant (rampant)
mRNA is longest (massive)
tRNA is smallest (tiny)
start codon?
AUG

it all starts in the A U G
What does AUG code for?
Methionine (formyl-met in prok's)
Stop codons?
UGA
UAA
UAG
Who binds to the Promoter?
RNA polymerase and other transcription factors
Which RNA Pol makes which RNA (in eukaryotes)?
RNA Pol I: rRNA
Pol II: mRNA
Pol III: tRNA

numbered as their products are used in protein synthesis
What is alpha-amanitin and what is its MOA?
Death Cap Mushroom compound that inhibits RNA Pol II
How do RNA Polymerases differ in prokaryotes?
There's only 1 and he makes all the RNA
What are the steps of RNA processing?
1. Cap the 5' end (7-methylguanosine)
2. Polyadenylation of 3' end (200 a's)
3. Splicing out of introns
What is hnRNA?
heterogenous nuclear RNA, i.e. pre-processing RNA. after processing --> mRNA
How are introns spliced out?
Primary transcript binds w/ snRNPs and other proteins to form spliceosome.
Lariat is formed
Lariat is cut out. Non-lariat pieces are joined together
What is alternative splicing? disease correlation?
different combo's of exons to make unique proteins

this is how you get different beta-thalassemia mutations
Structure of tRNA?
Cloverleaf
Anticodon at one end
3' Aminoacyl group at other end
How does a tRNA get charged/
Aminoacyl-tRNA synthetase
makes sure you get the right AA and then adds it to the 3' end
General Mechanism of Tetracyclines?
bind the 30S subunit preventing the attachment of aminoacyl-tRNA
what is up with tRNA wobble?
tRNA and mRNA only need accurate pairing of the first 2 nucleotide positions. The 3rd position is thus the wobble position
General Steps to Protein Synthesis?
Initiation
Elongation
Termination
Ribosomal subunits in Eukaryotes vs pro?
Eu: (even) 40S + 60S = 80S

Pro: (odd) 30S + 50S = 70S
Ribosome sites for Elongation?
A
P
E
Which drugs work as protein synthesis inhibitors?
Aminoglycosides
Chloramphenicol
Macrolides
Clindamycin
MOA for Aminoglycosides?
inhibit formation of initiation complex and cause misreading of mRNA
MOA for Chloramphenicol
inhibit 50S peptidyltransferase (so new AA's aren't added to chain)
MOA for Macrolides?
bind 50S and block translocation
MOA for Clindamycin?
bind 50S, block translocation
Energy Requirements for Translation?
ATP--> AMP for tRNA Aminoacylation (2)
GTP-->GDP for loading tRNA on ribosome
GTP-->GDP for translocation

= 4 bonds
Posttranslational Modifications?
Trimming (remove N or C propeptides)
Covalent Alterations
Proteasomal Degradation (attach ubiquitin to defective proteins to tag for destruction)
Who regulates the Cell Cycle?
CDK's
Cyclins
Cyclin-CDK Complexes
Tumor-Suppressors
Stereotypical Tumor Suppressors?
p53
Rb

they inhibit G1-->S
Types of Cells, the stages of the cell cycle they like, and examples?
Permanent: remain in G0, Neurons, Muscle, RBC's

Stable: enter G1 when stimulated, Hepatocytes, lymphocytes

Labile: never go to G0, marrow, gut epithelium, skin, hair follicles
What occurs in the RER vs Smooth ER?
RER: Synthesis of Secretory proteins. Addition of N-oligosac to proteins

SER: Steroid synthesis and detox of drugs and poisons
Special RER in neurons?
Nissl Bodies

synthesize enzymes and peptide neurotransmitters
what do Free ribosomes do?
synthesis of cytosolic and organellar proteins
So where would you expect to find cells with lots of SER?
Hepatocytes
Cells in adrenal cortex
Fxns of the Golgi Apparatus?
Distribution of proteins to plasma membrane, lysosomes, and secretory vesicles
Modifies N-oligosac on asparagine
Add's O-oligosac to serine and threonine
Adds mannose-6-phosphate to specific lysosomal proteins
Proteoglycan assembly from core proteins
Sulfation of sugars in proteoglycans and of tyrosine on proteins
Vesicular Trafficking Proteins?
COPI
COPII
Clathrin
Role of COPI?
Retrograde: Golgi-->ER
Role of COPII
Anterograde
RER-->cis-Golgi
Role of Clathrin?
trans-Golgi-->lysosomes, plasma membrane-->endosomes (Rec-mediated endocytosis)
What is up with I-cell Disease?
Inclusion Cell Disease
inherited lysosomal storage disorder
Failed addition of mannose-6-phosphate-->enzymes released out of cell instead of into lysosome
Sx's of I-Cell disease?
Coarse Facial Features
Clouded Corneas
Restricted Joint Movement
High Plasma Levels of Lysosomal Enzymes

often fatal in childhood
Structure of Microtubules?
Cylindrical
Helical array of polymerized dimers of alpha and beta-tubulin
Where do you find microtubules?
Flagella
Cilia
Mitotic Spindles

Slow axoplasmic transport in neurons
What the crap are Molecular Motor Proteins?
Transport proteins that cellular cargo toward opposite ends of microtubule tracks
Who are the Molecular Motor Proteins?
Dynein: retrograde movement (+ --> -)
Kinesin: anterograde (- --> +)
Drugs that act on Microtubules?
Mebendazole/Thiabendazole (antihelminthic)
Griseofulvin (antifungal)
Vincristine/vinblastine (anti-cancer)
Paclitaxel (anti breast cancer)
Colchicine (anti-gout)
What is up with Chediak-Higashi Syndrome?
Microtubule polymerization defect --> decreased phagocytosis
Sx's of Chediak-Higashi Syndrome?
Recurrent pyogenic infections
Partial Albinism
Peripheral Neuropathy
Cilia Structure
9 + 2
Axonemal Dynein
Role of Axonemal Dynein?
ATPase that links peripheral 9 doublets and causes bending of cilia
What's up with Kartagener's Syndrome?
Immotile cilia due to dynein arm defect
Sx's of Kartagener's?
Male and Female Infertility
Bronchiectasis
Recurrent Sinusitis
Associated w/ situs inversus
Who are the Cytoskeletal Elements?
Actin and Myosin
Microtubules
Intermediate Filaments
Where do you find Actin and Myosin
Microvilli
Muscles
Cytokinesis
Adhering junctions
Where do you find Intermediate Filaments?
Vimentin
Desmin
Cytokeratin
Glial fibrillary acid proteins (GFAP)
Neurofilaments
Make-up of Plasma Membrane?
50% cholesterol
50% Phospholipids

sprinkling of proteins, sphingolipids, glycolipids
What does increasing cholesterol or long, saturated FA's in the membrane do to the cell?
Inc Melting Temperature
Dec Fluidity
What's up with Immunohistochemical Stains?
You can stain for different intermediate filaments and subsequently determine the cell type
IH stain and corresponding cell type?
Vimentin:Connective Tissue
Desmin: Muscle
Cytokeratin: Epithelial Cells
GFAP: Neuroglia
Neurofilaments: Neurons
Who is the membranous sodium pump?
Na/K ATPase
How does the plasma membrane Na/K ATPase work?
For every ATP consumed, 3 Na's leave and 2 K come in
MOA of Ouabain?
Inhibits Na/K ATPase by binding the K site
Who are the Cardiac Glycosides?
Digoxin
MOA of Digoxin?
Directly inhibits Na/K ATPase-->indirect inhibition of Na/Ca exchanger--> inc Ca in cell--> inc contractility
What is the most abundant protein in the body?
Collagen
Types of Collagen and their location?
Type I (90%): bone, skin, tendons
Type II: Cartilage (including hyaline), etc.
Type III: (Reticulin) Skin, vessels, uterus, etc
Type IV: Basement Membrane
Steps of Collagen Synthesis
IN FIBROBLAST
Synthesis (RER)
Hydroxylation (ER)
Glycosylation (ER)
Exocytosis

OUTSIDE OF FIBROBLAST
Proteolytic processing
Cross-Linking
What is made during Synthesis step?
Preprocollagen: usually Gly-X-Y where X and Y are usually proline, hydroxyproline, or hydroxylysine
What happens w/ hydroxylation?
Hydroxylation of proline and lysine

REQUIRES VITAMIN C (think scurvy)
What happens w/ Glycosylation?
Formation of Procollagen = triple helix of 3 alpha chains
what happens w/ Proteolytic Processing?
Cleavage of terminal regions of procollagen to get Tropocollagen
What happens w/ Cross-Linking?
Reinforcement of staggered tropocollagen molecules by lysine-hydroxylysine cross-linkage--> Collagen Fibrils
Where does Osteogenesis Imperfecta screw things up?
At glycosylation into procollagen triple helix
Where in synthesis does Ehlers-Danlos screw things up?
At the cross-linking stage
Sx's of Ehlers-Danlos?
Hyperextensible Skin
Tendency to Bleed (easy bruising)
Hypermobile Joints
what type of collagen is affected w/ Ehlers Danlos?
Type III is most commonly affected
Osteogenesis Imperfecta is most commonly inherited how?
Auto Dom
Sx's of Osteogenesis Imperfecta?
Multiple Fractures
Blue Sclera due to translucency of CT over the choroid
Hearing Loss (abnormal middle ear bones)
Dental Imperfections from lack of dentin
Kicker for Type II Osteogenesis Imperfecta?
Fatal in utero or in neonatal period
What causes Alport's Syndrome?
Abnormal Collagen Type IV
Most common inheritance pattern for Alport's?
X-linked Recessive
Sx's of Alport's?
Progressive Hereditary Nephritis
Deafness
Possibly ocular disturbances
Where do you find Elastin?
Lungs
Arteries
Elastic Ligaments
Vocal Cords
Ligamenta Flava (vertebrae connector)
Make-Up of Elastin?
Non-glycosylated Proline and Glycine
Tropoelastin w/ Fibrillin Scaffoliding
Who breaks down elastin? who stops the breakdown?
Elastase
Normally stopped by alpha1-antitrypsin
Two disorders affecting Elastin and their pathogenesis?
Marfan's Syndrome: defect in fibrillin

Emphysema: can be caused by alpha1-antitrypsin deficiency-->excessive elastase activity
What's the premise for PCR?
Amplify a desired fragment of DNA

Denature
Anneal
Elongate
Different Blotting procedures
Souther Blot: labeled DNA probe for DNA
Northern Blot: labeled DNA probe for RNA
Western Blot: labeled antibody binds to a Protein
What's up with a microarray?
Thousands of nucleic acid sequences are arranged on a glass or silicon chip. DNA or RNA probes thrown on the chip and then its scanned to detect binding.

Can detect single nucleotide polymorphisms (SNPs)
What does ELISA test for?
Antigen-Antibody Reactivity in patient's blood sample.

Can use a Test Ag or a Test Ab.

Specificity and Sensitivity are near 100%
What's up with FISH?
Fluorescent DNA or RNA probes search our certain genes.
How can we clone DNA?
1. DNA fragments are inserted into bacterial plasmids
2. Restriction enzymes cleave DNA in fragments that are inserted into a plasmid
3. Tissue mRNA is exposed to reverse transcriptase forming cDNA
What's up with Sanger DNA Sequencing?
dideoxynucleotides halt DNA polymerization-->framents of various length-->electrophoresed to determine original sequence
What are the main two types of Model Systems?
Knock-Out = remove gene
Knock-In = insert a gene
Example of Codominance?
blood groups
What's up with Incomplete Penetrance?
Not all individuals w/ mutant genotype have mutant phenotype
What is Pleiotropy?
1 gene has more than 1 effect on an individual's phenotype
What is Imprinting?
Differences in phenotype depend on if mutation is maternal or paternal origin
What is Anticipation?
Severity of the disease worsens or the age of onset is earlier in succeeding generations
When do you see Loss of Heterozygosity?
Tumor Suppressor Genes. When one mutant allele is inherited, the other allele must undergo a mutation in order to cause cancer (not so w/ oncogenes)
What is a Dominant Negative Mutation?
Exerts a Dominant Effect. The mutant product that prevents the normal product from functioning correctly
What is Linkage Disequilibrium?
When 2 different alleles at 2 linked loci occur together more often than expected by chance.
What is Mosaicism?
Occurs when different cells in the body have a different genetic make-up (e.g. lyonization)
What is lyonization?
random X inactivation seen in females
What is Locus Heterogeneity?
Mutations at different loci can produce the same phenotype (e.g. albinism)
What is Heteroplasmy?
When there is both normal and mutant mitochondrial DNA resulting in a variable expression of a mitochondrial inherited disease
What is Uniparental Disomy?
when the offspring receives 2 copies of a chromosome from 1 parent and no copies from the other
If a population is in Hardy-Weinberg equilibrium, then what is the equation for Disease Prevalence?
p^2 + 2pq + q^2 = 1
If a population is in Hardy-Weinberg equilibrium, then what is the equation for Allele Prevalence?
p + q = 1
If a population is in Hardy-Weinberg equilibrium, then what is the equation for Heterozygote Prevalence?
2pq = heterzygote prevalence
If a population is in Hardy-Weinberg equilibrium, then what is the equation for prevalence of an x-linked recessive disease in males vs females?
Males = q
Females = q^2
What does Hardy-Weinberg laws assume?
No mutation occurring at the locus
No selection for any of the genotypes at the locus
Completely random mating
No migration
What is up with an gene locus characterized by imprinting?
Only 1 allele is active, the other is inactivated.
If a deletion of the active allele occurs, then you get disease
Main example of Imprinting?
Prader-Willi/AngelMan's
So what's going on w/ prader willi?
Deletion of normally active Paternal Allele

MR, hyperphagia, obesity, hypogonadism, hypotonia
What's up with Angelman's Syndrome?
Deletion of normally active Maternal allel

MR, seizures, ataxia, inappropriate laughter
Prader-Willi/Angelman's chromosome?
15
What is Hypophosphatemic Rickets?
"vitamin D resistant rickets"
Inherited disorder-->Inc Phosphate wasting at proximal tubule-->rickets-like presentation
How does a mitochondrial inherited disease appear in a pedigree?
Only transmitted through mom
All offspring of affected females may show signs of disease
Types of Mitochondrial Inherited diseases?
Mito Myopathies (neuromuscular sx's)

Leber's Hereditary Optic Neuropathy (degeneration of retinal ganglion cells and axons-->acute loss of central vision
AUTOSOMAL DOMINANT DISEASES
Achondroplasia?
Cell Signaling defect of fibroblast growth factor receptor 3.

Dwarfism: short limbs, normal head and trunk.

Associated w/ advanced paternal age
AUTOSOMAL DOMINANT DISEASES
APKD?
Adult Polycystic Kidney Disease
Always bilateral, multiple large cysts
Present w/ flank pain, hematuria, HTN, progressive RF
90% due to mutant APKD1 (ch 16; 16 letters is polycystic kidney)
Associated w/ polycystic liver, berry aneurysms, mitral valve prolapse
IPKD is recessive
AUTOSOMAL DOMINANT DISEASES
familial adenomatous polyposis?
After puberty, colon gets covered in polyps.
Progresses to colon cancer unless resected.
Deletion of APC gene on Ch. 5 (polyp = 5 letters)
AUTOSOMAL DOMINANT DISEASES
familial hypercholesterolemia?
Elevated LDL due to defective/absent LDL receptor
Heterozygous = 300mg/dL
Homo's (rare) = 700mg/dL

Severe atherosclerotic disease early in life (MI before 20)
Tendon Xanthomas (achilles)
AUTOSOMAL DOMINANT DISEASES
hereditary hemorrhagic telangiectasia?
Osler-Weber-Rendu Syndrome
Disorder of Blood Vessels
Telangiectasias, recurrent epistaxis, skin discoloration, AV malformations
AUTOSOMAL DOMINANT DISEASES
hereditary spherocytosis?
Spectrin or ankyrin defect-->spheroid RBC's-->hemolytic anemia
Inc MCHC
Rx: splenectomy (curable)
AUTOSOMAL DOMINANT DISEASES
huntington's disease?
Sx's: depression, progressive dementia, choreiform movements, caudate atrophy, dec GABA and ACH in brain
Onset between 20 and 50
Gene on Ch. 4; trinucleotide (CAG) repeat disorder
AUTOSOMAL DOMINANT DISEASES
marfan's?
Fibrillin gene mutation-->CT disorer affecting skeleton, heart, and eyes.
Sx's: tall, long extremities, pectus excavatum, hyperextensive joints, long tapering fingers and toes,
cystic medial necrosis of aorta-->incompetence and aortic dissections
Floppy mitral valve
Subluxation of lenses
AUTOSOMAL DOMINANT DISEASES
multiple endocrine neoplasias (MEN)
Type I, II, and III
Tumors of pancreas, parathyroid, pituitary, thyroid, adrenal medulla
Type II and III associated w/ ret gene
AUTOSOMAL DOMINANT DISEASES
Neurofibromatosis Type 1
Von Recklinghausen's Disease
Sx's: cafe-au-lait spots, neural tumors, Lisch nodules, skeletal disorders, optic pathway gliomas, pheochromocytoma
Ch 17 (17 letters in von recklinghausen)
what is a lisch nodule?
Pigmented Iris Hamartomas
AUTOSOMAL DOMINANT DISEASES
Neurofibromatosis Type 2
Bilateral acoustic neuroma
Juvenile Cataracts
NF2 gene on ch 22
AUTOSOMAL DOMINANT DISEASES
tuberous sclerosis
Sx's: facial lesions, hypopigmented ash leaf spots on skin, cortical and retinal hamartomas, seizures, MR, renal cysts and angiomyolipomas, cardiac rhabdomomas, Inc incidence of astrocytomas
Incomplete Penetrance
Variable Presentation
AUTOSOMAL DOMINANT DISEASES
von hippel-lindau disease?
Hemangioblastomas of retina/cerebellum/medulla
50% end up w/ multiple, bilateral renal cell carcinomas or other tumors
Deletion of VHL gene (tumor suppressor) on Ch 3
Examples of Auto Rec diseases?
Albinism
IPKD
CF
Glycogen storage diseases
PKU
Sickle Cell
Thalassemias
Inheritance and defect in Cystic Fibrosis?
Auto Rec
Defect in CFTR gene on 7
What does the CFTR gene normally do?
Encodes CFTR Channel, which is responsible for secreting Cl in lung and GI tract AND reabsorbing Cl from sweat
Defective CFTR gene--> ?
Abnormally thick secretions plugging lungs, liver, pancreas-->recurrent pulm infections, pancreatic insufficiency, meconium ileus in neonates, infertility in men
What is the most common lethal genetic disease in Caucasians?
CF
Dx for CF?
Inc Cl in sweat test
Rx for CF?
N-acetylcysteine to loosen mucous plugs (cleaves disulfide bonds)
X-linked Recessive Disorders (mnemonic)
Be Wise, Fool's GOLD Heeds False Hope

Bruton's agammaglobulinemia
Wiskott-Aldrich syndrome
Fragile X
G6PD def
Ocular albinism
Lesch-Nyhan
Duchenne's (and becker's) MD
Hemophilia a and b
Fabry's disease
Hunter's Syndrome
Muscular Dystrophies?
Duchenne's
Becker's
Duchenne's Muscular Dystrophy
X-linked, Frame-shift mutation-->deleted dystrophin gene-->accelerated muscle breakdown
Weakness starts in pelvis and moves up
Pseudohypertrophy of calves
Cardiac Myopathy
Gower's maneuver to get up
Onset before 5
Kicker for Dystrophin Gene?
longest known human gene = inc rate of spontaneous mutations
Becker's MD?
X-linked mutated dystrophin gene-->less severe
Onset in adolescence or early adulthood
Dx of MD?
Inc CPK and a Muscle Biopsy
What's up with Fragile X Sydrome?
X-linked defect of methylation and expression of FMR1 gene--> chromosomal breakage
Trinucleotide (CGG) repeat disorder
Sx's: macro-orchidism (big testes), long face w/ large jaw, large everted ears, autism
What are the two most common causes of genetic MR?
1. down's
2. Fragile X