Biochem Flashcards
In what reactions is thiamine a cofactor?
1) Pyruvate dehydrogenase (Krebs pyr > acetyl coA)
2) a-ketoglutarate dehydrogenase (TCA and branched chain aa catabolism)
3) Transketolase (HMP shunt pentose > glyceraldehyde 3P)
What is the Rx for thiamine deficiency?
Glucose + thiamine infusion
What confirms thiamine deficiency?
Increased erythrocyte transketolase post infusion
What is the genetic basis of Fragile X?
200 + CGG repeats on FMR1 gene (located on X chromo)
What is the pathogenesis of Fragile X?
Increased repeats causes hypermethylation
- Inactivates the gene
What are the symptoms of Fragile X?
Mental retardation, messed up face, macroorchidism
What steps must occur for mRNA translation to begin?
mRNA binds 16S (part of 30S complex)
50S joins
Translation begins
What is the function of 3-5 exonuclease?
Proofreading
proofread the opposite way of synth to check
What is the function of 5-3 exonuclease?
Allows replacement of nts in repair
What histones make up the nucleosome core?
H2A, H2B, H3, H4
What histone binds DNA between histone cores to facilitate compact packaging?
H1
What is the fx of N-acetylglutamate?
Activates carbamoyl phosphate synthase, the enzyme required for the first rxn of the UREA CYCLE
CO2 + NH4 > carbamoyl phosphate
What are the components of N-acetylglutamate?
Acetyl coA and glutamate
What is heteroplasmy?
Mixture of 2 types of genetic material, as in mitochondrial inheritance (randomly distributed in mitosis)
What are 3 mitochondrial diseases with penetrance based on heteroplasmy?
LHON: Leber’s Hereditary Optic Neuropathy
MERF: Myoclonic Epilepsy with Ragged Fibers
MELAS: Mito. Encephalomyopathy with Lactic Acidosis and Stroke-like episodes
Lysosomal storage disease:
AR lack of sphingomyelinase
Sphingomyelin buildup in CNS
Niemann Pick
Lysosomal storage disease:
Foamy histocytes in liver, spleen skin "Lipid laden macrophages" HSM Cherry red spot on macula Death by 3 years
Niemann Pick
Lysosomal storage disease:
AR lack of hexosaminidase A
Accumulation of GM2 ganglioside
Tay Sachs
Lysosomal storage disease:
“Onion skin” lysosomes
Neural degeneration
Cherry red spot on macula
Normal development 2-6 mo, then sxs
Tay Sachs
Note: no HSM, unlike NP
Lysosomal storage disease:
AR lack of glucocerebrosidase
Accumulate glucocerebroside
Gaucher
Rx: recombinant glucocerebrosidase (this one is treatable!)
Lysosomal storage disease:
Wrinkled paper-like macros HSM Anemia Thrombocytopenia Bleeding Osteopenia Bone pain Fractures
Gaucher
Lysosomal storage disease:
XR lack of alpha galactosidase A
Build up ceramide trihexoside
Fabry
Lysosomal storage disease:
Peripheral neuropathy of hands and feet
Angiokeratomas
Cardiovascular/renal disease
Fabry
Lysosomal storage disease:
AR lack of arysulfatase A
Build up cerebroside sulfate
Metachromatic Luekodystrophy