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50 Cards in this Set
- Front
- Back
Under normal conditions brain derives energy from _ alone
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Glucose
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Major energy source for brain during starvation
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Ketone bodies
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_ causes inhibition of normal FA synthesis and increase in odd-chain fatty acids in brain tissues and decreased synthesis of methionine required for methylation of nucleic acids
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Vitamin B12 defficiency
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Accumulation of glutamine results in _
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Cerebral edema
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Prolonged ammonia elevation causes _
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Mental retardation
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2 cell types of nervous system
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Neurons and glia
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2 major types of glial cells
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Oligodendrocytes
Astrocytes |
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Produce myelin sheath
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Oligodendrocytes
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Provide metabolic support and protection for neurons
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Astrocytes
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Resemble macrophages - appear to protect against infection and remove cell debris
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Microglia
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Line ventricles and central canal of spinal cavity - involved in production, circulation and monitoring of CSF
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Ependymal cells
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Substances that can cross BBB
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Caffeine, alcohol, nicotine, cocaine
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Drink for athletes contain branched chain amino acids that compete with _ for aa transporter in the brain. These decreases _ and _ production which are precursors for tiredness, relaxation and sleep
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Tryptophan
Serotonin and melatonin |
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Can brain absorb FA
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NO
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Energy in the brain is required for _
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Transport process - maintenance of ion gradient and electrochemical potential across plasma membrane of neurons
Synthesis of neurotransmitters and neuromodulators (esp. peptides) |
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Certain things require glucose in addition to energy source - those are _
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Production of Ach
Production of glutamate and GABA Pentose phosphate pathway to provide NADPH (need for FA synthesis) |
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Spingolipids are derived from _
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Alcohol sphingosine and contain ceramide
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2 types of sphingolipids
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Sphingomyelin
Glycosphingolipids |
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Difference of sphingomyelin and glycosphingolipids
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Sphingomyelin doesnt contain sugar units
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What accumulates in Niemann Pick disease
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Sphingomyelin and cholesterol
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Types A and B of Niemann Pick disease are due to defficiency of _
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Sphingomyelinase
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Type _ Niemann Pick disease is most common
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A
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Type C Niemann Pick disease is due to defect in _ and results in accumulation of _
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Lipid transport
Cholesterol |
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In Gaucher disease what accumulates and what is the defficiency
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Glucocerebrosidase accumulates due to deficiency in beta-glucosidase
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Most common sphingolipidosis is _
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Type I Gaucher disease
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Types 1 and 3 are treatable by administration of _
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Beta-glucosidase
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Galactocerebroside accumulates due to defficiency of beta-galactosidase, characterized by demyelination. Macrophages aggregate forming multinucleated cells called globoid cells around blood vessels. This disease is called _
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Krabbes disease
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In this disease ceramide trihexoside accumulates due to deficiency of alpha-galactosidase A - disease called _
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Fabrys disease
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In metachromatic leukodystrophy _ accumulates due to defficiency of _
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Sulfatide - defficiency of lysosomal sulphatase
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In TAY SACHS DISEASE - _ accumulates due to defficiency of _
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GANGLIOSIDE GM2 - defficiency of HEXOSAMINIDASE A
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Sphingolipidoses are autosomal recessive with exception of _ which is X linked
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FABRYS
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Only treatable sphingolipidoses currently are _
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Gaucher and Fabrys
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Patient presents with megaloblastic anemia and neurological deterioration - he has defficiency of _ also called _
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B12 - pernicious anemia
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Patient has defficiency of carbamoyl phosphate synthetase - disease is called _
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Congenital hyperammonemia type I
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Patient has defficiency of ornithine transcarbamoylase - most common urea cycle genetic defect - disease called _
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Congenital hyperammonemia type II
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Gaucher and Tay Sachs disease are more common in _
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Ashkenazi Jews
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In PKU enzyme that is defficient is _
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Phenylalanine hydroxylase
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6 year old male with progressive mental retardation, vomitting and hyperactivity - characteristic " musty" odor - diagnosis - treatment?
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PKU
Diet modifications, tyrosine supplements |
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In starvation, gluconeogenesis depletes _ in liver, depletion inhibits TCA cycle and _ accumulates
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Oxaloacetate
Acetyl CoA |
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Ketone bodies are produced ONLY in _
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LIVER
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Patient presents with hepatosplenomegaly, mental retardation and " crumpled tissue paper" cells - diagnosis
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GAUCHER
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Patient presents with mental retardation, blindness and characteristic cherry red spot on macula - diagnosis and prognosis
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TAY SACHS - death in infancy
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Patient presents with hepatosplenomegaly, mental retardation and cholesterol accumulation - diagnosis
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Niemann Pick
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Patient presents with skin rash and kidney failure - diagnosed with sphingolipidoses, patients brother and uncle have same disease - DX
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Fabrys
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Patient presents with mental retardation and absence of myelin - DX
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Krabbes
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DA, NE and EPI are made from _
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Tyrosine
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Serotonin and Melatonin are made from _
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Tryptophan
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Derived from histidine
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Histamine
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Purigenic NT include _
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Adenosine
ATP |
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Dense core vesicles contain _
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Peptides
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