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53 Cards in this Set

  • Front
  • Back
FREE RADICALS (FR)

- define FR

- FRs damage cells by damaging what 2 cellular components?
- single unpaired electron in outer orbit

- Cell membrane
- Nucleic acids
FREE RADICALS (FR)

- FRs destroy cell membranes how?

- FRs destroy nucleic acid how?
- via Lipid Peroxidation

- via Degradation
FREE RADICALS (FR)

- FRs make other molecules FRs too by doing what?
- stealing their electrons

(newly made FRs steal electrons from another molecule, and continuous chain reaction)
FREE RADICALS (FR)

- Ionizing radiation causes the production of what FRs?

- Damaged mitochondria produces what FRs?
- Hydroxyl FRs

- Superoxide FRs
FREE RADICALS (FR)

- what can produce both Hydroxyl and Superoxide FRs?

- what else is produced?
- High concentrations of O2

- Hydrogen Peroxide (H2O2)
(H2O2 can produce more FRs of both kinds)
FREE RADICALS (FR)

- what type of reactions produce Superoxide FRs?

- provide examples of specific enzymes
Oxidase reactions

- NADPH Oxidase & Myeloperoxidase
(in neutropils & monocytes)

- Xanthine Oxidase
FREE RADICALS (FR)

- what drug can form FRs?

- what organs does this damage?
- APAP

- Liver & Kidneys
FREE RADICALS (FR)

- what chemical can form FRs?
- Carbon Tetrachloride (CCl4)
FREE RADICALS (FR)

- what metals form Hydroxyl FRs?

- via what reaction?
via Fenton Reaction:

- Iron
(association with hemachromatosis)

- Copper
(association with Wilson's dz)
FREE RADICALS (FR)

- smoking cigarettes form what FRs?
- Nitric Oxide gas
FREE RADICALS (FR)

- which is the most destructive FR?
- Hydroxyl FR
FREE RADICALS (FR)

- what enzymes are involved in FR neutralization?

- which one is found inside peroxisomes?
- SOD

- Glutathione Peroxidase

- Catalase
(found in peroxisomes)
FREE RADICALS (FR)

- SOD does what?
Converts Superoxide FRs
to
Peroxide & O2

(Peroxide is later converted to water and O2 by catalase in peroxisome)
FREE RADICALS (FR)

- Glutathione Peroxidase neutralizes what FRs?
Hydroxyl FRs

APAP FRs

Hydrogen Peroxide
FREE RADICALS (FR)

- Catalase does what?
Converts Peroxide
to
H2O & O2
FREE RADICALS (FR)

- which neutralizing enzyme is found in the Pentose Phosphate pathway?
- Glutathione Peroxidase
FREE RADICALS (FR)

- which vitamins are known to neutralize FRs?
- Vitamin C (water soluble)

- Vitamin E (fat soluble)
FREE RADICALS (FR)

- which FR neutralizer preserves the membrane by preventing lipid peroxidation?

- this FR neutralizer also neutralizes what oxidized lipid?
- Vitamin E

- oxidized LDL
FREE RADICALS (FR)

- Vitamin C neutralizes FRs produced by?
- Pollutants

- Cigarette smoke
FREE RADICALS (FR)

- Smokers have decreased levels of what FR neutralizer?

- why?
- Vitamin C

- Vit. C used up in neutralizing FRs produced by cigarettes
FREE RADICALS (FR)

- what is the best neutralizer of FRs?
- Vitamin C
FREE RADICALS (FR)

- what metal is known for being an antioxidant in the cytosol?
- Selenium
FREE RADICALS (FR)

- in the treatment of RDS (respiratory distress syndrome), O2 > 50% can lead to what clinical complication?
- Retinopathy (blindness)
ORGANELLE INJURY

- what is the Anti-apoptotic gene?

- what does this do?
- BCL2

- prevents cytochrome c from leaving inner mito membrane
ORGANELLE INJURY

- mitochondria can be injured by excessive ingestion of?

- what organelle do these compounds produce?
- Alcohol
- ASA (Reye's syndrome)

- Megamitochondria
ORGANELLE INJURY

- describe megamitochondria
- Massive mito

- Destruction of Cristae
ORGANELLE INJURY

- once cytochrome c is released from the inner mito membrane, cytochrome C will activate what, such that apoptosis occurs?
- Caspases in the cytosol
ORGANELLE INJURY

- SER can become damaged by P450 inducing enzymes such as?

- induction of these p450 enzymes may lead to what conditions?

- what would the SER look like in this case?
- Phenobarbital
- Alcohol
- Phenytoin

- increased drug detox leads to lower therapeutic levels of other drugs

- SER Hyperplasia
ORGANELLE INJURY

- what are common drugs that cause inhibition of p450 enzymes?
- Histamine blockers (cimetidine)

- Macrolides (erythromycin)

- PPI (omeprazole)
ORGANELLE INJURY

- Primary lysosomes are derived from where?
- Golgi apparatus
ORGANELLE INJURY

- what post-translational modification occurs to target hydrolytic enzymes into lysosome vesicles?
- phosphorylation of mannose residues

(producing Mannose 6 Phosphate)
ORGANELLE INJURY

- defect in post-translation modification of lysosomal enzymes leads to what dz?
I-cell disease

(hydrolytic enzymes can NOT be phosphorylated due to deficiency of phosphotranserase)

(undigested substrates accumulate as large inclusions in the cytoplasm)
ORGANELLE INJURY

- lysosomal storage diseases have decreased what?
- lysosomal enzymes
ORGANELLE INJURY

- Pompe's disease has a deficiency of?

- Pompe's dz has an accumulation of what in lysosome?
- alpha 1,4 glucosidase

- glycogen
(in lysosomes)
ORGANELLE INJURY

- Chediak-Higashi Syndrome has a defect in what processes?

- inheritance pattern?
DEFECT of:
- phagolysosomal formation
- microtubule dysfunction

- AR
ORGANELLE INJURY

- Chediak-Higashi Syndrome has what pathology seen with microscopy?
Neutrophil & Lymphocytes with Giant Granules
ORGANELLE INJURY

- Alcohol Liver Disease would show what pathology under microscope?
- Hyperplasia of SER

- Megamitochondria
(massive with no cristae seen)
ORGANELLE INJURY

- Chediak-Higashi Syndrome patients have a predisposition to developing what type of infections?

- why?
- Staph aureus infections.

- Microtubule dysfunction impedes chemotaxis (directed migration)
ORGANELLE INJURY

- Ubiquitin is a stress protein that binds to?

- Ubuiquinated proteins are marked for? (involving what organelles?)
- damaged Intermediate Filaments (IFs)

- destruction by either Lysosomes or Proteosomes
ORGANELLE INJURY

- Defect in ubiquitination seen in Alcoholic Liver Dz causes the formation of what "bodies"?

- what is inside these "bodies"

- "bodies" located where?
- Mallory bodies

- ubiquinated CYTOKERATIN IFs

- Hepatocytes
ORGANELLE INJURY

- Defect in ubiquitination seen in Parkinson's Dz forms what "bodies"

- what is inside these "bodies"

- "bodies" located where?
- Lewy bodies

- ubiquinated NEUROFILAMENT IFs
(eosinophilic inclusion bodies)

- Substantia Nigra
ORGANELLE INJURY

- drugs that cause a defect in Tubulin synthesis at the G2 phase?
- Bleomycin B

- Etoposide
ORGANELLE INJURY

- drugs that cause mitotic spindle defects in the M phase?
- Paclitaxel

- Vinca alkaloids

- Colchicine
FATTY LIVER

- MCC?
- Alcoholism
FATTY LIVER

- "fatty" due to cytoplasmic accumulation of?

- which are packaged into?
- Triglycerides

- VLDL fraction
FATTY LIVER

- has increased synthesis of?

- has decreased secretion of?
- TG

- TG
ALCOHOL FATTY LIVER

- in the metabolism of alcohol to Acetaldehyde (then to Acetate, then to Acetyl CoA), what byproduct is made contributing to a fatty liver?

- what does this byproduct drive?
- NADH (x2)

- conversion of DHAP to G3P
ALCOHOL FATTY LIVER

- what is the substrate for Triglyceride synthesis?

- this substrate is synthesized due to the accumulation of what driving molecule?
- Glycerol 3 Phosphate

- NADH

(DHAP --> G3P: uses up NADH)
ALCOHOL FATTY LIVER

- where do the 3 fatty acids for each G3P come from?

- Fatty acids are also preserved by what process?
- alcohol metabolism

(end product is acetyl CoA, which is the beginning substrate for fatty acid synthesis)

- decreased Beta-Oxidation of FA
ALCOHOL FATTY LIVER

- besides alcohol, what else causes a decrease in Beta-Oxidation of FA's?
- Diphtheria Toxin

(diphtheria exotoxin prevents beta oxidation)
ALCOHOL FATTY LIVER

- what is the function of Apo-B100 ?
- packages TG into VLDL

- aids in secretion of VLDL
ALCOHOL FATTY LIVER

- Increased Glycerol 3 Phosphate seen in what condition?

- Decreased Apo-B100 seen in what condition?
- Alcoholism
- Kwashiorkor

- Kwashiorkor
ALCOHOL FATTY LIVER

In terms of lipids & transport proteins:

- Kwashiorkor patient fatty liver due to?

- Alcohol patient fatty liver due to?
- Excess lipids WITHOUT Apo-B100

- Excess lipids WITH Apo-B100