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22 Cards in this Set

  • Front
  • Back
Common cause of familial hypertrophic cardiomyopathy

Inheritance pattern?
mutation in gene for the Beta myosin heavy chain (MYH7).

Autosomal Dominant
Fxn of the MYH7 (beta myosin heavy chain)
part of the myosin motor unit (contractile / sacromere unit)
Why does a mutation in the MYH7 cause hypertrophy?
heart works harder than before due to mutation of MHY7 (beta myosin heavy chain)
Anchoring proteins are effected
Achondroplasia Mutated Gene
Nucleotide
AA
Mutation in the FGFR3
nucleotide: Guanine 1138 Adenine

AA: Glycine 380 Arginine
What type of mutation is FGFR3?
AD with 100% penetrance
80% are new mutations
What happens to a homozygous individual for the mutated achondroplasia gene?
Dies before birth
What is the cellular fxn of FGF?
FGFs in conjunction with FGFRs alter transcription
How does FGFR3 affect bone growth?
negatively regulates bone growth. Mutation in the G380R results in consitutive activation of the FGFR which is a gain of function mutation
What kind of mutation in collagen type I is usually lethal?
What is the name for this kind of osteogenesis imperfecta?
Glycine mutation is lethal
needed to fold the collagen into a triple helix.

The name is Type II OI – GLY Substitutions
Mutations in what part of gene are the most severe?
Glycine mutations are the worst since it affects folding.
C-terminus are worst then N terminus
What type of osteogensis imperfecti presents with blue sclera?
Type 1 and Type 2
A patient with large joint hypermobility, cigarette paper scars and skin hyperextensibility would have what kind of EDS?
EDS Type 1 or 2
What causes classical EDS?
Classical EDS = EDS type 1 and 2
mutation in type V collagen or type 1 collagen
What is normally seen in patients with EDS?
Hyperextensibility
Hyperjointmobility
Conntective tissue fragility
What is the inheritance pattern?
Autosomal dominant (structural protein)

Autosomal recessive (enzyme)
What kind of EDS is most often lethal form of EDS?
VEDS (vascular ED) type IV
Why is type IV the most lethal form of EDS?
leads to arterial rupture or spontaneous rupture of colon

No hyper mobility & flexibility
What is one kind of EDS that is a result of a defect in enzyme that processes collagen?
EDS type VI ; defects in the lysl hydroxylase gene
add OH to lysine side chain where it usually has an Amine group
What causes EDS VIII?
defects in conversion of type I procollagen to collagen
due to deletion in exon 6 or
defects in the converting enzyme pro-collagen N-protease.
What two problems occur with marfan syndrome?
Why does this happen?
MV prolapse
aortic aneurysm
fibrillin is altered and is involved with elasticity of CT
Most common cause of mutation in marfan syndrome?
cystine substitutions in FBN1 = severe
How are the mutations causing Marfan syndrome described? Why are they called this?
the cysteine mutations are called dominant negative mutations b/c if one gene is present it will interfere witht he good gene product and messes them both up