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57 Cards in this Set

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Deficiency in orotic aciduria
Orotic acid phosphoribosyl transferase
or
Orotidine 5'-phosphate decarboxylase
How to differentiate Orotic aciduria from OTC deficiency?
OTC deficiency will have inc orotoic acid PLUS hyperammonemia
1st disease to be treated by experimental human gene therapy?
SCID
Transition
Substituting purine for purine or pyrimidine for pyrimidine
Transversion
Substitituing purine for pyrimidine
Stop codon
UAG = U Are Gone
UGA = U Go Away
UAA = U Are Away
alpha-amanatin
inhibits RNA Polymerase II
Causes Liver failure if ingested
Found in mushrooms
Where does amino acid bind to in tRNA?
Covalently attaches to 3' end
Nissil bodies?
RER in neurons
Make enzymes (ChAT) and peptide neurotransmitters
Cells rich in SER?
Hepatocytes
Cells of adrenal cortex

(steroid synthesis and drug/poison detox)
Clinical features of I-cell disease
Coarse facial features
Clouded cornea
Restricted joint movements
High plasma level of lysosomal enzymes
Chediak-Higashi Syndrome
Description: Microtubule polymerization defect leading to dec in phagocytosis

Clinical features: pyogenic infections, partial albinism, peripheral neuropathy

Histo: Giant Lysosomal granules
Defect in Kartagener's
Dynein arm defect

Clinical: Bronchiectasis, sinusitis, infertility
Associated with situs inversus
Cytoskeletal elements:
Actin and myosin
Microvilli
Muscle contraction
Adherens junction
Cytokinesis
Cytoskeletal elements:
Microtubules
Cilia
Flagella
Neurons
Mitotic spindle
Centrioles
Cytoskeletal elements:
Intermediate filaments
Glial fibrillary acid proteins (GFAP)
Vimentin
Desmin
Cytokeratin
Neurofilaments
Ouabain
Inhibits Na/K ATPase by binding to K site
Type I collagen
Bone
Skin
Tendon
Fascia
Cornea
Dentin
Late wound repair
Type II collagen
Cartilage
Vitreous body
Nucleus pulposus
Ehlers-Danlos syndrome
Hyperextensible skin
Tendency to bleed (easy bruise)
Hypermobile joints

Berry aneurysm
Aortic dissection
Organ rupture (rupture of bowel)
Joint dislocation

Type III collagen most common affected
Type III collagen
Reticulin
Skin, blood vessels, uterus, lymph nodes, granulation tissue, fetal tissue
Specific amino acids in elastin
Proline and glycine, nonglycosylated forms
Blotting procedures
SNoW DRoP

Southern = DNA
Northern = RNA
Western = Protein
Dominant negative mutation
Heterozygote produces a nonfunctional altered protein that also prevents normal gene product from functioning
Locus heterogeneity
Mutations at different loci produce same phenotype

Examples: Marfan's syndrome MEN2B, and homocytinuria; all cuase marfanoid habitus
Albinism
Heteroplasmy
Presence of both normal and mutated mtDNA, resulting in variable expression in mitochondrial inherited disease
Hardy-Weinberg law
1. Random mating
2. No mutations at gene locus
3. No selection for genotype
4. No migration
Prader-Willi
Hyperphagia
Obese
Hypotonia
Mental retardation
Hypogonadism

Parental deletion of chromosome 15
Angelman's Syndrome
Mental retardation
Seizures
Ataxia
Inappropriate laughter

Maternal deletion of chromosome 15
Microsatellite repeats are used for?
Paternity test.
Utilize PCR technology.
X-linked dominant tip off in pedigree?
All daughters of affected father have disease.
Leber's hereditary optic neuropathy
Pathophys
Degeneration of retinal ganglion cells and axons
Familial hypercholesterolemia
Pathophys: defective/absent LDL receptor
Elevated LDL
Sever atherosclerotic dz early in life, tendon xanthomas (Achilles), corneal arcus


MI before 20 may develop
Tuberous sclerosis
Ash leaf macules
Cardiac rabdomyomas (100%)
Renal cysts
Renal angiomyolipomas
Adenoma sebaceum
Increased incidence of astrocytomas
Cortical and retinal hamartomas
Seizures
Mental retardation
Mechanism of CF
Abnormal folding of the CFTR channel so that it is degraded before reaching cell surface

Defect in post-translational modification
How does N-acetylcysteine work as mucolytic?
Cleaves disulfide bonds within mucous glycoproteins
X-linked recessive disorders
Bruton's Agammaglobulinemia
Wiskott-Aldrich
Fabry's
G6PD deficiency
Ocular albinism
Lesch-Nyhan syndrome
Duchenne's (and Becker's) MD
Hunter's Syndrome
Fragile X
Hemophilia A and B

Be Wise Fools GOLD Heeds False Hope
Fragile X syndrome defect?
Affects methylation and expression of FMR1 gene
Trinucleotide repeats
Huntingtons - CAG
Friedrich's Ataxia - GAA
Fragile X - CGG
Myotonic Dystrophy - CTG
Cri-du-chat
Microdeletion on short arm of chromsome 5

Microcephaly
Moderate to severe MR
Cardiac abnormalities
high-pitched cry
Epicantahl folds
Purely ketogenic amino acids
Leucine and Lysine
Pantheonate
Essential component of CoA and fatty acid synthase

Deficiency: Alopecia, dermatitis, enteritis, adrenal insufficiency

B5
B6 Function
Pyridoxine --> gets converted to pyridoxal phosphate

Function: Heme synthesis, decarboxylation reactions, transamination, gylcogen phosphorylase, cystathione synthesis, GABA synthesis, Histamine synthesis
Synthesis of niacin from tryptophan
Sx of B6 Deficiency
Convulsions
Peripheral neuropathy
Hyperirritability
Sideroblastic anemia
Vitamin A Excess
Arthralgias
Alopecia
Fatigue
Skin changes
Sore throat
Teratogenic (cardiac abnormalities and cleft palate)

Cerebral edema --> Goljan eats bear liver
Riboflavin Deficiency
Cheliosis and Corneal vascularization
Things that use SAM to be created?
NE --> Epinepherine
Methylated nucleotide
Melatonin
Creatine
Phosphatidylcholine
Fxn of Biotin
Carboxylation Reactions (rxns which add a 1-carbon group)

1) Acetyl-CoA --> malonyl-CoA (Acetyl-CoA carboxylase)
2) Propionyl-CoA --> methylmalonyl-CoA (Propionyl-CoA carboxylase)
3) Pyruvate --> oxaloacetate (Pyruvate carboxylase)

ALL have CARBOXYLASE in name
Patient who had a dietary history of consuming raw eggs would have what deficiency and clinical findings?
Biotin deficiency

Dermatitis, enteritis, alopecia

Can also be caused by antibiotic use
Function of Vitamin C
1) Antioxidant

2) Hydroxylation of lysine and proline for collagen synthesis

3) Necessary for beta-hydroxylase in the conversion of DA --> NE

4) Keeps iron in more reduced state (facilitates absorption)
How does sarcoid cause hypercalcemia?
Increased activaiton of vitamin D by epitheliod macrophages
Vitamin E deficiency
1) Increased fragility of erythrocytes (Hemolytic anemia)
2) Neurodysfunciton
3) Muscular weakness

E is for erythrocytes
Zinc deficiency
1) Poor wound healing (due to defect in collagenase which is required for the replacement of Type III collagen with Type I collagen)
2) Hypogonadism
3) Dec adult hair (axillary, facial, pubic)
4) Dysgeusia
5) Anosmia

May predispose to alcoholic cirrhosis
Mechanism of Disulfiram
Inhibits acetaldehyde dehydrogenase
What is a Kinase?
Uses ATP to add high-energy phosphate group onto substrate
What is a Phosphorylase
Adds inorganic phosphate w/o using ATP
Positive amino acids that make up histones
Lysine and Arginine