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38 Cards in this Set

  • Front
  • Back
Methionine
5' - CAA - 3'
The conversion of Homocysteine to Methionine requires what cofactor?
Methyl-cobalamin (B12)

MTHF (Folic acid)
B12 Deficiency

- besides cobalamin, what other cofactor can not be regenerated?

- thus what metabolism is impaired?
- THF

- Folate
In B12 & Folate deficiency, a defect in _______ results in megaloblastic erythropoeisis.
- DNA synthesis
Elevated Homocysteine is a risk factor for what 2 clinical conditions?
- Arterial Thrombosis

- Venous Thrombosis
Homocysteine is elevated in what vitamin deficiency?
B12

Folic acid
Methylmalonyl-CoA is elevated in what vitamin deficiency?
B12 only
Type III Hypercholesterolemia

- aka?
- Symptoms
- Familial DysBetaLipoproteinemia

- Xanthomas
- Premature CVD
- Premature PVD
Type III Hypercholesterolemia

- primary defect of what?
- these are found where?
- ApoE3
- ApoE4

- Chylomicrons
- VLDL
Type III Hypercholesterolemia

- primary defect of what?
- primary defect results in the Liver's inability to do what?
- ApoE3 & ApoE4

- remove Extra remnants of chylomicrons and VLDL from circulation
Type III Hypercholesterolemia

- accumulation of what lipoproteins?
- resulting accumulation of what else?
- Chylomicrons
- VLDL

- Cholesterol
- TG
CHYLOMICRONS

- synthesized on the RER & Golgi of what cells?
- Intestinal enterocytes
CHYLOMICRONS

- are released from enterocytes with what apolipoprotein?

- subsequently receive what apolipoproteins?

- receive from where?
ApoB-48 (only)

ApoC-II
ApoE

HDL
ApoB-100

- found by ITSELF in what lipoprotein?
- required for what?
(by what tissues?)
- LDL

- Receptor-mediated uptake of LDL
(by extrahepatic tissues)
Lipoprotein Lipase (LPL)

- is activated by what apolipoprotein?
- this apolipoprotein is carried by what lipoproteins?
ApoC-II

Chylomicrons
VLDL
ApoC-II Deficiency

- seen in what Dz?
- Hyperchylomicronemia (Type I)
Esterification of Free Cholesterol

- occurs in what lipoproteins?
- by what enzyme?
- requires what apolipoprotein?
- HDL

- LCAT

- ApoA-1
ApoA-1 & LCAT deficiencies

- increases what levels?
- decreases what levels?
- Free Cholesterol

- HDL
Increased plasma free cholesterol with decreased HDL implies a deficiency of what?
- ApoA-1

- LCAT
APOLIPOPROTEIN FUNCTIONS ***

- ApoA-1
- LCAT activation

(for free cholesterol esterification in HDL)
APOLIPOPROTEIN FUNCTIONS ***

- ApoB-48

(involving what cells?)
(B48 drops chylomicron Bombs)

- Chylomicron secretion
(from intestinal enterocytes)
APOLIPOPROTEIN FUNCTIONS ***

- ApoB-100

(by what cells?)
- LDL uptake

(by extrahepatic cells)
APOLIPOPROTEIN FUNCTIONS ***

- ApoC-II
LPL activation
APOLIPOPROTEIN FUNCTIONS ***

- ApoE3 & ApoE4
- Chylomicron & VLDL remnant uptake

(by Liver cells)
APOLIPOPROTEIN FUNCTIONS ***

- activates LCAT?

- activates LPL?
- ApoA-1

- ApoC-2
Apolipoprotein Requirements for Reuptake of:

- Chylomicrons? (by what cells?)
- VLDL? (by what cells?)
- LDL? (by what cells?)
- Apo E (Liver cells)
- Apo E (Liver cells)

- Apo B100 (Extrahepatic cells)
Older, mentally slow female of northern European descent who is "LEMON-COLORED", with a smooth, shiny tongue.

- classic presentation of what?
- secondary to what etiology?
- what does "lemon-colored" mean?
- smooth, shiny tongue indicative of?
- patient would also demonstrate what type of gait?
- Pernicious anemia
(classic presentation)

- Anemic & Icteric

- Atophic Glossitis

- Shuffling, broad-based gait
What antibiotic inhibits the Peptidyltransferase enzyme?
ChloramPhenicol
What antibiotic inhibits the Translocation step?
Macrolides

(i.e. - Clindamycin & Erythromycin)
What antibiotic interferes with the binding of aminoacyl-tRNA to the A site?
Tetracycline
ANGIOKERATOMAS

- describe
- seen in what Dz?
- angiokeratomas seen where classically in this Dz?
- Punctate, Dark, Red, & NON-Blanching maculopapules

- Fabry's Dz

- btw Umbilicus & Knees
FABRY'S DISEASE

- enzyme def.?
- accumulation of?
- without enzyme replacement, what is the greatest risk leading to death?
- Galactosidase A

- Ceramide Trihexosides

- progressive Renal Failure
What accounts for Elastin's resilient properties?
- extensive Desmosine Crosslinking
How is Elastin different from Collagen
- very few proline & lysine Hydroxylations

- lacks triple helices
Desmosine Crosslinking

- extensive in what collagen-like tissue
- catalyzed by what enzyme?
- Elastin

- Lysyl-Hydroxylase
(extracellular)
PCR

- what must be known about the target DNA?
- requires what kind of triphosphates?
- Flanking sequences
(target sequence itself does not need to be known)

- Deoxy-nucleotide triphosphates