5.3 Brittle Bones Flashcards

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1
Q

What is osteogenesis imperfecta and what causes it?

A

Disease where patients are prone to repeated fractures of long bones and malformed bones

Caused by mutation to glycine residue, producing a defective structural assembly

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2
Q

What is the affect of the point mutation which causes osteogenesis imperfecta?

A

The larger cysteine residue produces more steric hindrance, which generates a kink in the triple helix, causing defective assembly of fibres

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3
Q

What does the SDS-PAGE method allow for in gel electrophoresis of collagen?

A

Separation of the proteins in the collagen depending on size and not charge

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4
Q

Which is heavier, cysteine or glycine?

A

Cysteine

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5
Q

What would a change from glycine in collagen to cysteine do in gel electrophoresis with SDS?

A

Cysteine forms disulfide bonds between the two alpha(I) chains in the helix

This produces crosslinked polypeptide chains that migrate more slowly in gel electrophoresis

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6
Q

What is 2-mercaptoethanol?

A

A reagent which breaks the disulphide bonds between the cystine residues in proteins, allowing chains to migrate according to molecular weight

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7
Q

In OI, why are only some of the childs collagen chains affected?

A

The child may be heterozygous, so only one allele is mutated and therefore only some collagen molecules will carry the mutation

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8
Q

Why is the pattern of inheritance basically dominant for OI?

A

Because the collagen triple helix contains 2 alpha 1 chains, and is disrupted if even only one chain is affected

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9
Q

Why does abnormal collagen production result in the symptoms and signs seen in osteogenesis imperfecta?

A

Abnormal collagen structure leads to a defect in bone mineralisation, as hydroxyapatite cannot be laid down on collagen

This leads to skeletal abnormalities and bone weakness

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10
Q

Suggest a suitable prenatal diagnostic test to identify a foetus who may be at risk of OI?

A

Foetal DNA from amniocentesis or chorionic villus sampling

Amplified by PCR

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11
Q

What is restriction fragment length polymorphism?

A

When specific probes thta are complenentary to the part with the mutation are set under thr right conditions of temperature and ionic strength - only becomes hybridised if the sequence is exactly complementary which allows mutant and normal sections to be identified

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12
Q

What does cysteine contain in its side chain?

A

A reactive sulphydryl group

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13
Q

What is the effect of cysteine having a reactive sulphydryl group in its side chain?

A

Inappropriate disulphide bonds between the two alpha(I) chains in the helix, resulting in a cross linked polypeptide chain

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14
Q

What effect does a cross-linked polypeptide chain have on the speed of migration on an agar plate?

A

Polypeptide chains will migrate much more slowly than the individual chains when examined by gel electrophoresis in the presence of SDS

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15
Q

Why is directly sampling the patients collagen protein not a suitable pre-natal testing method?

A

Sampling collagen from a foetus would be impractical and risky

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