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492 Cards in this Set

  • Front
  • Back
Blot used to detect RNA
Northern
Blot used to detect DNA
Southern
Procedure used to synthesize many copies of a desired piece of DNA
PCR
Blot used to detect proteins
Western
Steps of PCR
Denature DNA, Anneal Primers, Replicate (Heat-stable DNA Polymerase)
ELISA
Enzyme-linked immunosorbent assay
FISH
Fluorescence in situ hybridization
Southern/Northern blots use what to probe
DNA
Western blots use what to probe
Antibodies
Cell cycle stages that can have variable duration
G1, G0
Site of secretory protein synthesis
RER
Term for RER found in neurons
Nissl bodies
Cells that enter G1 from G0 on stimulation
Stable cells (hepatocytes, lymphocytes)
Cells that remain in G0
Permanent cells (neurons, cardiac muscle, RBCs)
Site of steroid synthesis and detoxification
SER
N-linked oligosaccharide addition occurs where
RER
Stages of mitosis
Prophase, metaphase, anaphase, telophase
Cells that never enter G0, short G1, rapidly divide
Labile cells (marrow, gut, skin, hair follicles)
Goblet and plasma cells have a large amount of what organelle
RER
Coarse facial features, clouded corneas, restricted joints, often fatal in childhood
I-cell Disease
Organelle that adds O-oligosaccharides
Golgi
Organelle that <span style="text-decoration: underline;">modifies</span> N-oligosaccharides
Golgi
Organelle that adds mannose-6-phosphate
Golgi
Clathrin tag results in
trans-Golgi -> lysosome; plasma membrane -> endosomes
I-cell disease is a result of
Failure of mannose-6-phosphate addition in Golgi
Organelle that sulfates sugars
Golgi
COPI tag results in
Retrograde transport (Golgi -> ER)
Organelle that assembles proteoglycans
Golgi
Failure of mannose-6-phosphate addition in Golgi results in what action
Secretion of lysosomal enzymes
Hepatocytes and adrenal cortex cells are rich in what organelle
SER
COPII tag results in
Anterograde transport (RER -> cis-Golgi)
Microtubule polymerization defect that leads to decreased phagocytosis
Chediak-Higashi Syndrome
ATPase that links peripheral cilia doublets
Dynein
Anti-breast cancer that acts on microtubules
Paclitaxel
Antifungal that acts on microtubules
Griseofulvin
Anti-cancer agent that acts on microtubules
Vincristine
Kinesin is involved in what transport
Anterograde
Anti-gout that acts on microtubules
Colchicine
Used for slow axoplasmic transport
Microtubules
Tubulin dimers in microtubules bind what
2 GTP
Dynein is involved in what transport
Retrograde
Male/female infertility, bronchiectasis, recurrent sinusitis are seen in what syndrome
Kartagener's Syndrome
Anti-helminthic that acts on microtubules
Mebendazole
Most abundant human protein
Collagen
Cardaic glycosides inhibit what
Na+/K+ ATPase
Inhibits Na+/K+ ATPase at the K+ site
Ouabain
Lecithin is also known as
Phosphatidylcholine
Type III collagen is found where
Reticulin
Properties that result in increased plasma membrane melting temperature
Incrased cholesterol or long saturated fatty acids
Type I collagen is found where
Bone, skin, tendon
Phosphatidylcholine is found where
RBC membranes, myelin, bile, surfactant
Type II collagen is found where
Cartilage
Compound used in esterfication of cholesterol
Phosphatidylcholine
Results from abnormal collagen synthesis, has multiple fractures, blue sclerae, and hearing loss
Osteogenesis imperfecta
Site of preprocollagen synthesis
RER
First form in collagen synthesis that is insoluble
Tropocollagen
Ehlers-Danlos syndrome is a defect in what type of collagen
Type III
Third step of collagen synthesis
Glycosylation
Two steps of collagen synthesis following exocytosis
Proteolytic processing (tropocollagen), crosslinking (collagen fibrils)
Glycosylated preprocollagen forms
Triple helix procollagen
Second step of collagen synthesis and where it occurs
Hydroxylation, ER
Type IV collagen is found where
Basement membrane
Syndrome from faulty collagen synthesis with hyperextensible skin, easy bruising, and hypermobile joints
Ehlers-Danlos Syndrome
Complication associated with Ehlers-Danlos syndrome
Berry aneurysms
Cofactor required for hydroxylation of collagen
Vitamin C
Osteogenesis imperfecta is a defect in what type of collagen
Type I
Syndrome that is a result of a fibrillin mutation
Marfan's Syndrome
Elastin is rich in what amino acids
Proline, lysine
Desmin stains what cells/tissue
Muscle
GFAP stains what cells/tissue
Neuroglia
Vimentin stains what cells/tissue
Connective tissue
Enzyme that inhibits elastase
alpha-1-antitrypsin
Cytokeratin stains what cells/tissue
Epithelial cells
Neurofilaments stain what cells/tissue
Neurons
Location of HMP shunt
Cytoplasm
Biotin is required for what steps of metabolism
Pyruvate -> Oxaloacetate (Pyruvate carboxylase), Propionyl-CoA -> Methylmalonyl-CoA (Succinyl-CoA production)
Aerobic metabolism by G3P shuttle produces how many ATP
36
Location of protein synthesis
RER
Location of acetyl-CoA production
Mitochondria
Aerobic metabolism by malate shuttle produces how many ATP
38
Location of fatty acid (beta) oxidation
Mitochondria
Location of urea cycle
Mitochondria, Cytoplasm
Location of Krebs cycle
Mitochondria
Location of steroid synthesis
SER
Location of FA synthesis
Cytoplasm
Location of heme synthesis
Mitochondria, Cytoplasm
Location of glycolysis
Cytoplasm
Location of gluconeogenesis
Mitochondria, Cytoplasm
Enzymes of metabolism that are irreversible
Hexokinase/glucokinase, phosphofructokinase, pyruvate kinase, citrate synthase, a-ketoglutarate dehydrogenase
Anaerobic metabolism produces how many net ATP
2
Most potent phosphofructokinase activator
F2,6BP
Glycolytic enzyme deficiences lead to what disease
Hemolytic anemia
Function of S-adenosyl-methionine (SAM)
Transfer methyl units
Feedback inhibition of glucokinase
None
Characteristics of glucokinase
Liver, low affinity, high capacity
Feedback inhibition of hexokinase
Glucose-6-phosphate
Disease from NADPH oxidase deficiency
Chronic granulomatous disease
HMP shunt is active in which tissues
Lactating mammary galnds, liver, adrenal cortex
Universal electron acceptors
NAD, NADP, FAD
NAD is used in (anabolic/catabolic) processes
Catabolic
Uses of NADPH
Anabolic processes (Steroid/FA synthesis), respiratory burst, P450, RBC glutathione reduction
Steps of glycolysis that require ATP
Phosphofructokinase (F6P -> F1,6BP), Pyruvate kinase (PEP -> Pyruvate)
Deficiencies of what glycolytic enzymes lead to hemolytic anemia
Pyruvate kinase, glucose phosphate
NADPH is used in (anabolic/catabolic) processes
Anabolic
Action of S-adenosyl-methionine (SAM) is dependent on what
B12
Cofactors of pyruvate dehydrogenase/a-ketoglutarate dehydrogenase
B1, B2, B3, B5, lipoic acid
Characteristics of hexokinase
Ubiquitous, high affinity, low capacity
Action of arsenic
Inhibits lipoic acid
NADPH is a product of what pathway
HMP shunt
Amino acid that carries amino groups from muscle to liver
Alanine
Action of electron transport inhibitors
Decreased proton gradient
ATPase inhibitors
Oligomycin
Action of ATPase inhibitors
Increased proton gradient, electron transport stops
Rate limiting step of nonoxidative HMP shunt
Transketolases
Uncoupling agents
UCP, 2,4DNP, ASA
TCA cycle enzymes that produce NADH
Isocitrate dehydrogenase, a-ketoglutarate dehydrogenase, malate->oxaloacetate
TCA cycle enzymes that produce GTP
Succinyl-CoA -> Succinate
TCA cycle enzymes that produce FADH2
Succinate -> Fumarate
Irreversible enzymes in gluconeogenesis
Pyruvate carboxylase, PEP carboxykinase, Fructose-1,6-bisphosphatase, Glucose-6-phosphatase
ATP needed to generate glucose from pyruvate
6
Cofactors required for pyruvate carboxylase
Biotin/ATP
Electron transport inhibitors
Rotenone, CN-, antimycin A, CO
Pyruvate dehydrogenase deficiency is seen in what patients
Alcoholics (B1 deficiency)
Treatment of pyruvate dehydrogenase deficiency
Increased lysine/leucine
Cofactors required for PEP carboxykianse
GTP
Symptoms of arsenic poisoning
Vomiting, rice water stools, garlic breath
Action of uncoupling agents
Decreased proton gradient, ATP production stops, ETC continues
Gluconeogenesis enzyme deficiencies lead to what state
Hypoglycemia
Pathway that transfers excess reducing equivalents from RBC/muscle to liver
Cori cycle
Rate limiting step of oxidative HMP shunt
G6P dehydrogenase
Disease with tremor, slurred speech, somnolence, vomiting, cerebral edema
Ammonia intoxication
Disease with cataracts, hepatosplenomegaly, mental retardation; due to buildup of galactitol
Galactosemia
Disease with decreased available phosphate leading to hypoglycemia, jaundice, cirrhosis, and vomiting
Fructose intolerance
Ketogenic amino acids
Leucine, lysine
Basic amino acids
Arginine, lysine, histine
Most basic amino acid
Arginine
Disease with bloating, cramps, and osmotic diarrhea; disease is age dependent and hereditary
Lactase deficiency
Nonoxidative HMP shunt is (reversible/irreversible)
Reversible
Fructokinase defect that is benign, asymptomatic
Essential fructosuria
Oxidative HMP shunt is (reversible/irreversible)
Irreversible
Glucogenic amino acids
Methionine, threonine, valine, arginine, histine
Acidic amino acids
Aspartic acid, glutamic acid
Fructose intolerance is due to what mutation
AR deficiency of aldolase B
Nonoxidative HMP shunt is used to produce
Ribose-5-phosphate, G3P, F6P
Ammonia intoxication is seen with what diseases
Liver disease, ornithine transcarbamoylase deficiency
G6P dehydrogenase deficiency leads to what disease
Hemolytic anemia
Glucogenic/ketogenic amino acids
Isoleucine, phenylalanine, tryptophan
Transketolases require what cofactors
Thiamine
Altered hemoglobin precipitates in RBCs
Heinz bodies
Amino acid with no charge at body pH
Histidine
Galactosemia is due to what mutation
AR loss of galactose-1-phosphate uridyltransferase
Galactokinase deficiency leads to
Galactosemia, galactosuria
Disease with mental retardation, growth retardation, fair skin, eczema, and musty body odor
Phenylketonuria
Cystinuria is treated with
Acetazolamide
Phenylalanine derivatives
Thyroxine, melanin, dopamine, NE/epinephrine
Black urine on standing is seen with what disease
Alkaptonuria
Amino acids that can't be transported in cystinuria
COLA (cystine, ornithine, lysine, arginine)
Rate limiting step in urea cycle
Carbamoyl phosphate synthase I
Congenital defect of homogentisic acid oxidase
Alkaptonuria
Tryptophan derivatives
Niacin, serotonin, melatonin
Albinism has what inheritance pattern
AR with variable inheritance (locus heterogeneity)
Pathway that degrades amino acids into amino groups
Urea cycle
AR disorder with tyrosinase deficiency or defective tyrosine transporters
Albinism
Treatment for homocystinuria with decreased enzyme affinity
Increased B6
Disease due to blocked degradation of branched amino acids
Maple syrup urine disease
Homocytinuria can be caused by what three mechanisms
Cystathionine synthase deficiency, decreased cystathionine synthase affinity for pyridoxal phosphate, methionine synthase deficiency
Urea cylce steps
Obviously, careless, crappers are also frivolous about urination<br><br>Ornithine + carbamoyl phosphate -&gt; citrulline -&gt; aspartate + argininosuccinate -&gt; fumarate and arginine -&gt; urea and ornithine
Treatment of ammonia intoxication
Arginine
Disease with defect in renal tubular amino acid transport for 4 amino acids
Cystinuria
Arginine derivatives
Creatine, urea, nitric oxide
Disease with mental retardation, osteoporosis, tall stature, kyphosis, lens subluxation, atherosclerosis
Homocystinuria
Mechanism of symptoms in ammonia intoxication
NH4+ depletes a-ketoglutarate
Alkapton bodies lead to what symptom
Black urine on standing
Glutamate derivatives
GABA (requires B6)
Glycogen storage disease with cardiomegaly and systemic findings leading to early death
Pompe's disease (Type II)
GLUT2 receptor is located in
B-islet cells, liver, kidney
Enzyme deficiency that leads to SCID
Adenosine deaminase deficiency
GLUT1 receptor is located in
RBCs, Brain
Disease with severe CNS defects, mental retardation, and death
Maple syrup urine disease
Glycogen storage disease that is a milder form of Von Gierke's (Type I) with normal blood lactate levels
Cori's disease (Type III)
GLUT receptor that is insulin responsive
GLUT4
Effect of insulin on kidney
Increased sodium retention
GLUT receptor that is bidirectional
GLUT2
End products of liver metabolism in fed state
Glycogen, VLDL
Inheritance of Lesch-Nyhan
X-linked recessive
Enzyme deficiency in maple syrup urine disease
a-ketoacid dehydrogenase
End products of liver metabolism in fasting state
Glucose, ketone bodies
GLUT4 receptor is located in
Adipose tissue, skeletal muscle
Substance that builds up in Lesch-Nyhan syndrome
Uric acid
Amino acids not degraded in maple syrup urine disease
Isoleucine, valine, leucine
Serum marker present only with endogenous insulin
C-peptide
Mechanism in adenosine deaminase deficiency
Increased ATP blocks ribonuclease reductase and DNA synthesis
Glycogen is degraded in lysosomes by
a-1,4-glucosidase
Disease caused by lack of HGPRTase
Lesch-Nyhan Syndrome
Glycogen storage disease with severe fasting hypoglycemia, increased liver glycogen, increased blood lactate, and hepatomegaly
Von Gierke's disease (Type I)
Disease with mental retardation, self-mutilation, aggression, hyperuricemia, gout, and choreoathetosis
Lesch-Nyhan Syndrome
Disease with hepatosplenomegaly, aseptic necrosis of femur, bone crises, and macrophages
Gaucher's disease
Disease with progressive neurodegeneration, hepatosplenomegaly, cherry-red spot (on macula)
Niemann-Pick disease
Deficient enzyme, accumulated substrate in Tay-Sachs disease
Hexosaminidase A, GM2 ganglioside
X-linked recessive lysosomal storage diseases
Fabry's disease, Hunter's syndrome
Glycogen storage disease with increased muscle glycogen, inability to break down muscle glycogen (cramps), and myoglobinuria with strenuous exercise
McArdle's disease (Type V)
Deficient enzyme in Cori's disease
Debrancing enzyme a-1,6-glucosidase
Deficient enzyme, accumulated substrate in Hunter's syndrome
Iduronate sulfatase, Heparan sulfate/dermatan sulfate
Deficient enzyme in Von Gierke's disease
Glucose-6-phosphatase
Deficient enzyme, accumulated substrate in Hurler's syndrome
a-L-iduronidase, Heparan sulfate/dermatan sulfate
Disease with peripheral neuropathy, developmental delay, and optic atrophy
Krabbe's disease
Deficient enzyme in Pompe's disease
Lysosomal a-1,4-glucosidase (acid maltase)
Disease with progressive neurodegeneration, developmental delay, cherry-red spot, lysozymes with onion skin
Tay-Sachs disease
Disease that is a mild form of Hurler's with aggresive behavior, but no corneal clouding
Hunter's syndrome
Enzyme deficient in McArdle's disease
Skeletal muscle glycogen phophorylase
Disease with developmental delay, gargoylism, airway obstruction, corneal clouding, and hepatosplenomegaly
Hurler's syndrome
Deficient enzyme, accumulated substrate in Gaucher's disease
B-glucocerebrosidase, glucocerebroside
Deficient enzyme, accumulated substrate in Fabry's disease
a-galactosidase A, Ceramide trihexoside
Mucopolysaccharidoses
Hurler's syndrome, Hunter's syndrome
Disease with central and periphral demyelination with ataxia and dementia
Metachromatic leukodystrophy
Deficient enzyme, accumulated substrate in Niemann-Pick disease
Sphingomyelinase, sphingomyelin
Deficient enzyme, accumulated substrate in metachromatic leukodystrophy
Arylsulfatase A, cerebroside sulfate
Deficient enzyme, accumulated substrate in Krabbe's disease
B-galactosidase, galactocerebroside
Disease with peripheral neuropathy of hands/feet, angiokeratomas, CV, and renal disease
Fabry's disease
Action of apolipoprotein E
Mediates remnant uptake
Catalyzes esterification of cholesterol
Lecithin-cholesterol acyltransferase (LCAT)
Lipoprotein that transports cholesterol from liver to tissue
LDL
In the liver, fatty acids and amino acids form
Acetoacetate and B-hydroxybutyrate
Action of apolipoprotein CII
Cofactor for lipoprotein lipase
Shuttle that moves Acyl-CoA into mitochondria in FA metabolism
Carnitine shuttle
Mediates transfer of cholesterol esters to other lipoprotein particles
Cholesterol ester transfer protein (CETP)
Action of apolipoprotein B100
Binds LDL receptor, mediates VLDL secretion
2/3 of plasma cholesterol is esterified by
Lecithin-cholesterol acyltransferase (LCAT)
Enzyme deficiency that leads to inability to utilize LCFAs and toxic accumulation
Carnitine deficiency
Ketone bodies are made from what precursor
HMG-CoA
Rate-limiting step of cholesterol synthesis
HMG-CoA reductase
Action of apolipoprotein A1
Activates LCAT
Degrades dietary TG in small intestine
Pancreatic lipase
Action of apolipoprotein B48
Mediates chylomicron secretion
Shuttle that moves Acetyl-CoA out of mitochondria in FA synthesis
Citrate shuttle
Degrades TG circulating in chylomicrons and VLDLs
Lipoprotein lipase
Degrades TGs remaining in IDL
Hepatic TG lipase
Degrades TG stored in adipocytes
Hormone-sensitive lipase
Essential fatty acids
Linoleic, linolenic acids, arachidonic acid if linoleic acid absent
Ketone bodies are metabolized in brain into
2 acetyl-CoA
Delivers dietary triglycerides to peripheral tissues and dietary cholesterol to liver. Secreted by intestinal epithelial cells.
Chylomicrons
Apolipoproteins found on IDL
B100, E
Lipoprotein that transports cholesterol from periphery to liver
HDL
Underproduction of heme causes what disease
Microcytic hypochromic anemia
Excess of what lipoprotein leads to pancreatitis, lipemia, retinalis, and eruptive xanthomas
Chylomicrons
Formed in the degradation of VLDL, delivers triglycerides and cholesterol to liver
IDL
Acts as a repository for apoC and apoE, secreted from liver and intestine
HDL
Accumulation of heme intermediates causes what syndromes
Porphyrias
Excess of what lipoprotein causes pancreatitis
Chylomicron, VLDL
Excess of what lipoprotein causes atherosclerosis, xanthomas, and arcus corneae
LDL
Delivers hepatic triglycerides to peripheral tissues, secreted by liver
VLDL
Apolipoproteins found on chylomicrons
B48, A, C, and E
Apolipoproteins found on LDL
B100
Dyslipidemia with altered apolipoprotein E production
Type III dysbetalipoproteinemia
Dyslipidemia with decreased LDL receptors
Type IIa hypercholesterolemia
Apolipoproteins found on VLDL
B100, CII, and E
Dyslipidemia with hepatic overproduction of VLDL
Type IIb combined hyperlipidemia
Dyslipidemia with increased production/decreased clearance of VLDL and chylomicrons
Type V - Mixed hypertriglyceridemia
Dyslipidemia with lipoprotein lipase deficiency or altered apolipoprotein CII
Type I hyperchylomicronemia
Enzyme affected in lead poisoning
Ferrochelatase and ALA dehydrase
Symptoms of porphyrias
Painful abdomen, pink urine, polyneuropathy, psychological disturbances, precipitated by drugs
What factors lead to increased T form of hemoglobin
Increased Cl-, H+, CO2, 2,3-BPG, and temperature
Fetal hemoglobin has lower affinity for what compound
2,3-BPG
Accumuated urine substrate in lead poisoning
Coproporphyrin and ALA
Methemoglobin has high affinity for what compound
CN-
CO2 binds to what for transport
Globin chain at N terminus, not heme
T form of hemoglobin has what O2 affinity
Low
Urobilinogen reabsorbed into blood is excreted as what in urine
Urobilin
Bilirubin is conjugated with what in the liver
Glucuronate
Form of hemoglobin bound to CO rather than O2
Carboxyhemoglobin
Oxidized form of hemoglobin that does not bind O2
Methemoglobin
Iron in hemoglobin is normally in what state
Reduced
Treat toxic levels of methemoglobin with
Methylene blue
Enzyme affected in porphyria cutanea tarda
Uroporphyrinogen decarboxylase
R form of hemoglobin has what O2 affinity
High
Accumulated urine substrate in porphyria cutanea tarda
Uroporphyrin (tea-colored)
Subunits of fetal hemoglobin
2 alpha, 2 gamma
Enzyme affected in acute intermittent prophyria
Uroporphyrinogen I synthase
Subunits of adult hemoglobin
2 alpha, 2 beta
Accumuated urine substrate in acute intermittent porphyria
Porphobilinogen and delta-ALA
Genetics where a heterozygote produces a non-functioning protein
Dominant negative
Genetics where difference in phenotype depends on parental source of mutation
Imprinting
Term for the single-hit inheritance of a tumor suppressor gene
Loss of heterozygosity
Tendency for certain alleles to occur together more often than separately
Linkage disequilibrium
Genetics where neither allele is dominant
Codominance
Genetics where mutations at different loci produce the same effect
Locus heterogenity
Genetics where 1 gene has more than 1 effect
Pleiotropy
Genetics where nature and severity of a phenotype varies by individual
Variable Expression
Genetics where the severity of a disease worsens or age of onset lessens each generation
Anticipation
Genetics where not all individuals with a gneotype show the phenotype
Incomplete penetrance
Disease with mental retardation, obesity, hypogonadism, and hypotonia from paternal allele deletion
Prader-Willi Syndrome
Genetics where all females of an affected father have disease
X-linked Dominant
Ocular changes in Marfan's syndrome
Subluxation of lenses
Lisch nodules are seen with what disease
Neurofibromatosis I
Disease with mental retardation, seizures, ataxia, and inappropriate laughter due to a maternal deletion
Angelman's Syndrome
Genetic disorder with absent LDL receptor
Familial hypercholesterolemia
Von Hippel-Lindau mutation is where
VHL (tumor suppressor) on chromosome 3p
Disease with facial lesions, ash leaf spots, cortical/retinal hamartomas, seizures, mental retardation, and renal cysts
Tuberous sclerosis
Disease with hemangioblastomas of retina, cerebellum, and medulla, 1/2 have bilateral renal cell carcinomas
Von Hippel-Lindau
Disease with bilateral acoustic neuromas and juvenile cataracts
Neurofibromatosis II
Disease that has cystic medial necrosis of aorta, aortic incompetence, dissecting AAs, and a floppy mitral valve
Marfan's Syndrome
Genetics where all offspring of affected females have disease
Mitochondrial inheritance
Juvenile polycystic kidney disease has what form of inheritance
Autosomal recessive
Huntington's disease has a decrease in what neurotransmitters
GABA, ACh
Marfan's syndrome is due to a mutation of what protein
Fibrillin
Neurofibromatosis II mutation is where
NF2 on chromosome 22
Mutation in neurofibromatosis I
Long arm of chromosome 17
Tuberous sclerosis has what inheritance pattern
AD, incomplete penetrance
Complications associated with adult polycystic kidney disease
Berry aneurysms, mitral prolapse, polycystic liver disease
Bilateral, large kidney cysts with pain, hematuria, and HTN, AD inheritance
Adult Polycystic Kidney Disease
Disease with depression, dementia, choreiform movments
Huntington's Disease
Disease with tall stature, long extremities, pectus excavatum, hyperextensive joints, and long fingers/toes
Marfan's Syndrome
Disease with Cafe-au-lait spots, neural tumors, and lisch nodules
Neurofibromatosis I
Disease where the colon is covered in polyps following puberty
Familial adenomatous polyposis
Familial adenomatous polyposis mutation is where
Chromosome 5 deletion
Disease caused by mutated, but not deleted, dystrophin
Becker's
Huntington's mutation is where
Triplet expansion on chromosome 4
Cystic fibrosis infections are typically due to what bacteria
Pseudomonas, S. aureus
Disease with macro-orchidism, long face, large everted ears, and autism
Fragile X
Trinucleotide repeat disorders
Huntington's, Fragile X, Myotonic dystrophy, Friedreich's ataxia
Lab value that is increased with hereditary spherocytosis
MCHC
Disease with spheroid erythrocytes and hemolytic anemia
Hereditary spherocytosis
Disease with dwarfism, short limbs, but normal head/trunk size
Achondroplasia
AD cell signaling defect of FGF receptor 3
Achondroplasia
X-linked Recessive diseases
<span style="font-weight:600;">B</span>e <span style="font-weight:600;">W</span>ise, <span style="font-weight:600;">F</span>ool's <span style="font-weight:600;">GOLD H</span>eeds <span style="font-weight:600;">S</span>illy <span style="font-weight:600;">H</span>ope <br><span style="font-weight:600;">B</span>ruton's agammaglobulinemia, <span style="font-weight:600;">W</span>iskott-Aldrich, <span style="font-weight:600;">F</span>abry's, <span style="font-weight:600;">G</span>6PD deficiency, <span style="font-weight:600;">O</span>cular albinism, <span style="font-weight:600;">L</span>esch-Nyhan, <span style="font-weight:600;">D</span>uchenne's, <span style="font-weight:600;">H</span>emophilia, <span style="font-weight:600;">S</span>CID, <span style="font-weight:600;">H</span>unter's)
Trisomy 21
Down Syndrome
Second most common reason for mental retardation in US
Fragile X
Treatment for cystic fibrosis
N-acetylcysteine
Muscle loss due to Duchenne's is seen where first
Pelvic girdle
Diagnosis of Duchenne's is made by what a change in which lab value
Increased CPK
Cystic fibrosis mutation is where
AR, CFTR on chromosome 7
Treatment for hereditary spherocytosis
Splenectomy
Disease due to a defective Cl- channel that leads to mucus plugs in lungs, pancreas, and liver
Cystic fibrosis
Disease due to frame shift deletion of dystrophin
Duchenne's
Fragile X is due to what genetic problem
Methylation disorder of FMR 1
22q11 microdeletion can variably present as which diseases
DiGeorge, velocardiofacial
Most common chromosomal disorder
Trisomy 21
Disease with microcephaly, severe mental retardation, epicanthal folds, and high-pitched cry/mew
Cri-du-chat
Most cases of Down syndrome are caused by what genetics
Meiotic nondisjunction
Most common genetic cause of mental retardation in US
Trisomy 21
Disease with mental retardation, flat facial profile, simian crease, duodenal atresia, and ASD
Down syndrome
Trisomy 18
Edward's syndrome
Disease with severe mental retardation, micropthalmia, microcephaly, cleft lip, abnormal forebrain, and polydactyly
Patau's syndrome
Disease with severe mental retardation, rocker bottom feet, low set ears, and micrognathia
Edwards' syndrome
Cri-du-chat mutation is where
Deletion of chromosome 5 short arm
Number 1 cause of congenital malformations in US
Fetal alcohol syndrome
Trisomy 13
Patau's syndrome
22q11 Syndromes
CATCH-22 (Cleft palate, Abnormal facies, Thymic aplasia, Cardiac defects, Hypocalcemia)
Patients with Down syndrome are at risk for what
ALL
Lab changes in Down syndrome
Decreased a-fetoprotein, decreased estriol, increased B-hCG, increased nuchal translucency, increased inhibin A
Condensed, inactive chromatin
Heterochromatin
Purine bases
Adenine, Guanine (A, G)
Histones found in nucleosome core
Two each of H2A, H2B, H3, H4
Pyrimidine bases
Cytosine, thymine, uracin (C, T, U)
Nucleotide with ketone
Guanine
Enzyme that degrades RNA primer with 5'->3' exonuclease in DNA replication
DNA polymerase I
Amino acid that has only one codon
Methionine
Enzyme that nicks helix and prevents supercoiling in DNA replication
Topoisomerase
Amino acids needed for purine synthesis
Glycine, aspartate, glutamine
Origin of replication in eukarytoes
Multiple, AT rich sequences
Origin of replication in prokaryotes
oriC (Single, bidirectional)
Enzyme that creates RNA primer in DNA replication
Primase
Xeroderma pigmentosa results from mutations in what system
Nucleotide excision repair
Insertions or deletions in RNA that are not multiples of 3 are what type of mutation
Frameshift
Hereditary nonpolyposis colon cancer (HNPCC) results from a mutation in what system
DNA mismatch repair
Number of bonds in A-T/U
2 bonds
RNA with largest size
mRNA
Substition of base with identical type
Transition
Most abundant type of RNA
rRNA
Increases DNA melting temp
High GC content
Deamination of cytosine forms
Uracil
Nucleotide with methyl group
Thymine
Mutation that results in early stop codon
Nonsense
Substition of base with different type
Transversion
Enzyme found in base excision, but not nucleotide excision, repair
Glycosylases
Mutation that results in amino acid with similar structure
Missense
Enzyme that elongates DNA, has 3'->5' exonuclease in DNA replication
DNA polymerase III
Number of bonds in G-C
3 bonds
Enzyme that seals gaps in DNA replication
DNA ligase
Stop codons
UGA, UAG, UAA
Energy source for tRNA translocation
GTP
Site in DNA where negative regulatory factors bind
Operator
Bound to the 3' end of tRNA
CCA-Amino acid (CCA sequence covalently bound to amino acid)
Pieces of RNA that are removed by splicing
Introns
Ribosome sites in order 5'->3'
E, P, A
Post-transcriptional modifications
7-methyl-G cap, 3' polyadenylation, intron splicing
Site of RNA polymerase binding
Promoter (TATA, CAAT)
Start codon
AUG (Met - Eukaryote, f-Met - Prokaryote)
Protein component of spliceosome
snRNPs
Name of non-modified RNA transcript
Heterogeneous nuclear RNA (hnRNA)
Covalent, post-translational modifications
Phosphorylation, glycosylation, hydroxylation
Exceptions to the universal genetic code
Mitochondria, achaebacteria, mycoplasma
Section of DNA that alters gene expression
Enhancer
Attached to proteins to tag them for degradation
Ubiquitin
Energy source for tRNA activation
ATP
Smallest type of RNA
tRNA
Polymerase that makes mRNA
RNA Polymerase II
Polymerase that makes tRNA
RNA Polymerase III
Polymerase that makes rRNA
RNA Polymerase I
Inhibits RNA polymerase II
a-amanitin
Diarrhea, dermatitis, and dementia are seen in what disease
Pellagra
Function of vitamin B6
Decarboxylation cofactor: Heme synthesis, homocystine breakdown, transamination
Function of B2
riboFlavin -> FAD/FMN (B2 = 2 ATP)
Macrocytic megaloblastic anemia with neurologic symptoms is seen with which vitamin deficiency
B12 (Cobalamin)
Pellagra is seen in what vitamin deficiency
B3 (Niacin)
Beri-Beri and Wernicke-Korsakoff are due to deficiency of what vitamin
B1 deficiency
Dermatitis, enteritis, alopecia, and adrenal insufficiency are seen with what vitamin deficiency
B5 (Pantothenate)
Angular stomatitis, cheilosis, and corneal vascularization are seen in what vitamin deficiency
B2 (Riboflavin)
Convulsions, hyperiritability, and peripheral neuropathies are seen in what vitamin deficiency
B6 (Pyridoxine)
Function of vitamin B3
Niacin -> NAD/NADP (B3 = 3 ATP)
Macrocytic megaloblastic anemia without neurologic symptoms is seen with what deficiency
Folic acid
Function of vitamin B5
Pantothen-A -> CoA, FA synthesis
Dermatitis and enteritis are seen with what vitamin deficiency
B5, Biotin
Cholecalciferol
D3 (sun)
Rickets and osteomalacia are seen with what vitamin deficiency
Vitamin D
Vitamin K dependent coagulation factors
II, VII, IX, X, C, S
Vitamin K antagonist
Warfarin
Storage form of vitamin D
25-OH D3
Function of Vitamin D
Increased intestinal absorption of Ca++/PO4
Function of folic acid
1 carbon transfer, DNA/RNA base synthesis
Erythrocyte fragility, neurologic symptoms are seen in what vitamin deficiency
Vitamin E
Delayed healing, hypogonadism, and decreased adult hair are seen with what deficiency
Zinc
Labs that are increased with Vitamin K deficiency
PT, aPTT
Function of vitamin B12
Methionine and Succinyl-CoA production
Ergocalciferol
D2 (milk)
Mechanisms of B12 deficiency
Malabsorption, lack of IF, loss of terminal ileum
Active form of vitamin D
1,25(OH)2 D3
Mechanism of biotin deficiency
Raw eggs, antibiotic use
Generalized symptoms of vitamin B deficiency
Dermatitis, glossitis, diarrhea
Storage location of B12
Liver
Function of vitamin C
Crosslinks collagen
Function of biotin
Carboxylation cofactor (oxaloacetate, malonyl-CoA, methylmalonyl-CoA)
Neonatal hemorrhage is seen with what vitamin deficiency
Vitamin K
Ethanol -> acetate uses what cofactors
2 NAD+ -> NADH
Most common lysosomal storage disease
Gaucher's Disease
Malnutrition that leads to tissue/muscle wasting, subcutaneous fat loss, and variable edema
Marasmus
B1
Thiamine
B12
Cobalamin
Buildup of NADH has what effect on metabolism in liver
Pyr -> lactate, Oxaloacetate -> malate (FA synthesis)
Malabsoprtion/malnutrition that leads to edema, anemia, and fatty liver
Kwashiorkor
B3
Niacin
B5
Pantothenate
B6
Pyridoxine
B2
Riboflavin
Marasmus is due to what deficiency
Protein, calories
Kwashiorkor is due to what deficiency
Protein
What molecules help form purines?
Glycine<br>Aspartate<br>Glutamine<br>formyl-THF<br>CO2
What molecules help form pyrimidines?
Aspartate<br>Carbamoyl phosphate
Zinc fingers
Steroid receptors and PPARs
Leucine zipper
CREB protein (cAMP response element binding protein)
Helix-turn-helix
Hemeodomain proteins
Drug that acts through PPAR-alpha<br><br>Drug that acts through PPAR-gamma<br><br>
Fibrates and Thiazolidinediones respectively
Disease that involves a Microtubule polymerization defect
Chediak Higashi syndrome <br><br><br><br>-recurrent pyogenic infections (impaired phagocytosis)<br>-partial albinism (failure of fusion of melanosomes)<br>-peripheral neuropathy (failure of axoplasmic transport in transport)
5 Drugs that act on microtubules
Mebendazole/Thiabendazole (anti-helminthic)<br>Griseofulvin (anti-fungal)<br><br>Vincristine/Vinblastine (anti-cancer)<br>Paclitaxel (anti-breast cancer)<br><br>Colchicine (anti-gout)
Functions of Actin and Myosin
4 M's<br /><br /><span style="font-weight:600;">M</span>icrovilli<br /><span style="font-weight:600;">M</span>uscle contraction<br /><span style="font-weight:600;">M</span>ovement (cytokinesis)<br /><span style="font-weight:600;">W</span>elding (adherens junctions) [upside down M]
Type of collagen in early wound repair? How about late wound repair?
type III and type I respectively
type of collagen in cartilage
type II (carTWOlage)
Where is type III collagen found
skin, blood vessels, uterus, fetal tissue, granulation tissue
Where is type IV collagen found?
basement membrane (type FOUR under the FLOOR)
What is preprocollagen?
alpha chain
What is procollagen?
triple helix of 3 alpha chains
What is tropocollagen?
cleavage of terminal regions of procollagen --&gt; tropocollagen
What is a collagen fibril?
covalent cross-linkage of tropocollagen --&gt; collagen fibril
Steps of Collagen synthesis inside fibroblasts
1. Translation: preprocollagen<br>2. Hydroxylation<br>3. Glycoslation --&gt; triple helix (procollagen)<br>4. Exocytosis
Steps of Collagen synthesis Outside fibroblasts
1. Proteolytic processing: tropocollagen<br>2. Covalent Cross-linking: collagen fibrils
Ehlers-Danlos syndrome<br><br>Which type of collagen is usually affected?<br>Which step in collagen synthesis is usually affected?
Type III collagen<br>covalent cross-linking
Osteogenesis imperfecta:<br><br>Which type of collagen is usually affected?<br>Which step in collagen synthesis is affected?
Type I collagen<br>Triple helix formation
Scurvy <br><br>Which step in collagen synthesis is affected?
<br>Hydroxylation
Alport's syndrome<br><br>Which type of collagen is usually affected?<br>Symptoms?
Type IV collagen (basement membranes)<br>Nephritis, deafness, ocular disturbances
Rate limiting enzyme of glycolysis
PFK-1<br>
Rate limiting enzyme of Gluconeogenesis
Fructose-1,6-bisphosphatase
Rate limiting enzyme of TCA cycle
isocitrate dehydrogenase
Rate limiting enzyme of Glycogen synthesis and Glycogenolysis
Glycogen synthase and Glycogen phosphorylase respectively
Rate limiting enzyme of de novo pyrimidine synthesis
CPS-II
Rate limiting enzyme of de novo purine synthesis
Glutamine-PRPP amidotransferase
Rate limiting enzyme of Urea cycle
CPS-I
Rate limiting enzyme of Fatty acid synthesis
Acetyl-CoA carboxylase
Rate limiting enzyme of Fatty acid oxidation
Carnitine acyltransferase I
Rate limiting enzyme of Cholesterol synthase
HMG-CoA reductase
Rate limiting enzyme of Ketogenesis
HMG-CoA synthase
Derivatives of Arginine
Creatine, Urea, Nitric oxide
Derivatives of Glycine
Heme, Creatine
Derivatives of Tryptophan
Serotonin --&gt; Melatonin<br>Niacin
Derivatives of Phenylalanine
Tyrosine<br>Thyroxine<br>Dopa, Melanin, Dopamine, Norepinephrine, Epinephrine
HVA
dopamine
VMA
norepinephrine
Metanephrine
Epinephrine
Derivatives of Glutamate
GABA, Glutathione
Differences between HbA, HbS, and HbC
6th position is:<br>HbA: Glutamate (negative)<br>HbS: Valine (neutral)<br>HbC: Lysine (positive)
pKa of all neutral amino acids
2 and 9
pKa's of acidic amino acids
2, <span style="font-weight:600;">4</span>, 9<br><br>(glutamate, aspartate)
pKa's of basic amino acids
Arginine: 2, 12.5, 9 (most basic)<br>Lysine: 2, 10.5, 9<br>Histidine: 2, 6, 9 (least basic, has no charge at body pH)