biochem/ genetic Flashcards
What is the most common intracellular buffer?
Protein
What is the most common extracellular buffer?
Bicarbonate
What is a Zwitterion?
A molecule with one negative and
one positive end
What is the Isoelectric Point?
The pH at which there is no net charge
What is the rate limiting
enzyme in Glycolysis?
PFK-1
What is the rate limiting
enzyme in Gluconeogenesis?
Pyruvate carboxylase
What is the rate limiting enzyme in the HMP shunt?
G-6PD
What is the rate limiting enzyme in Glycogenesis?
Glycogen synthase
What is the rate-limiting enzyme in Glycogenolysis?
Glycogen phosphorylase
What is the rate limiting enzyme in FA synthesis?
AcCoA carboxylase
What is the rate limiting enzyme in β- oxidation?
Adrenaluekodystrophy
CAT-1
What is the rate limiting enzyme in Cholesterol synthesis?
(Redox reaction)
HMG CoA reductase
What is the rate limiting enzyme in Ketogenesis?
HMG CoA synthase
HMG CoA reductase
rate limiting enzyme in Cholesterol synthesis?
What is the rate limiting enzyme in Purine synthesis?
PRPP synthase
Asp transcarbamoylase pathway?
rate limiting enzyme in Pyrimidine synthesis?
rate limiting enzyme in TCA cycle?
Isocitrate dehydrogenase
What is the rate limiting enzyme in Urea cycle?
CPS-I
Carbamoyl phosphate synthetase I
90% of Autosomal recessive disorder are?
Enzyme deficiency
AD diseases are mostly: enzyme or structural
Structural protein
What is the rate limiting enzyme in Heme synthesis? -ALA synthase
delta-ALA synthase
the catabolic pathways that create energy
“ABC”
AcetylCoA production
beta-oxidation
Citric acid cycle
What are the anabolic pathways that store energy?
“EFGH” :
ER,
Fatty acid synthesis,
Glycolysis,
HMP shunt
What are the anabolic + catabolic pathways
“HUG”
Heme synthesis
Urea cycle
Gluconeogenesis
What does a Kinase do?
Phosphorylates using ATP
What does a Phosphorylase do?
Phosphorylates using Pi
What does a Carboxylase do?
Forms C-C bonds (w/ ATP and biotin) using CO
What does a Synthase do?
Consumes 2 substrates equally
What does a Synthetase do?
Consumes 2 substrates, uses ATP
What is Zero-order kinetics?
Metabolism independent of concentration
constant amount
What is 1st-order kinetics
Constant drug percentage metabolism over time, depends on drug
Km =
0.5 Vmax
=1/affinity
=1/potency
What affects Potency?
Km
What effects Efficacy?
Vmax
What is Efficacy?
Max effect regardless of dose (lower w/ non-competitive antagonist)
What is EC50
Concentration of drug that produces 50% of maximal response
What is Competitive Inhibition?
Fights for active site, no change in Vmax, potency decreases
What is Non-competitive Inhibition?
Binds a regulatory site, no change in Km, efficacy decreases, decreases Vmax
What is an Endothermic Reaction?
Consumes heat
What is an Exothermic Reaction?
Gives off heat
What is the Peak level?
4 hrs after dose (too high => decrease dose)
What is the Trough level?
2 hrs before dose (too high => give less often)
What is t1/2?
Half-life, the time it takes for the body to use half of the drug ingested
What is von Gierke?
Glucose-6-phosphatase deficiency => hypoglycemia, hepatosplenomegaly
can’t get glucose out the cell, hi lipid, muscle breakdown
What is Pompe’s?
a-1,4-glucosidase deficiency => DIE early
lysosomal
cardio| debranching enzyme
What is Cori’s?
Debranching enzyme deficiency => short branches of glycogen
What is Anderson’s?
Branching enzyme deficiency => long chains of glycogen
What is McArdle’s
Muscle phosphorylase deficiency => muscle cramps w/ exercis
What is Essential Fructosuria?
Fructokinase deficiency => excrete fructose (still have hexokinase
What is Fructosemia?
“Fructose intolerance”
(Aldolase B deficiency ) => liver damage
severe
What does a Galactokinase deficiency cause?
Cataracts
What does Galactosemia cause?
Cataracts, mental retardation, liver damage
Galactose-1-phosphate uridyltransferase
What does the Citrate shuttle do?
FA transport out of the mitochondria
What does the Carnitine shuttle do
FA transport into the mitochondria
What lysosomal diseases have a cherry- red macula
Tay-Sachs, Neimann-Pick
What lysosomal diseases have a Gargoyle-face?
Gaucher’s, Hurler’s
Hexosaminidase A deficiency => blindness, incoordination, dementia
What is Tay-Sachs?
Hexosaminidase A/B deficiency
sandhoff’s
Glucocerebrosidase deficiency => wrinkled tissue MP, bone pain
sphingolipid found in cell membranes
Gaucher
β-glucocerebrosidase → accumulation of glucocerebroside
description
Gaucher cell:
macrphages
lipid-rich macrophages with an enlarged cytoplasm with inclusions
Neimann-Pick?
enzyme
Sphingomyelinase deficiency => zebra bodies
myelinoid memb -> parallel palisading lamellae in lysosomal cytoplasm
neimann-pick
lipid-laden macrophages
light microscope
foam cells
6 actions of TCA
- SNRI: Block reuptake of catecholamines, increasing the level: hypertension
- strongly anticholinergic: no sweating, hot, dry skin, and hyperthermia
- Block alpha-1 receptor drop BP
- Blocks Na in ventricle
- Blocks AV conduction: slow
- Antihistaminic
a-galactosidase deficiency => corneal clouding, attacks baby’s kidneys, X- linked
What is Fabry’s?
X-linked
X-linked Recessive Enzyme
G6pd
F
H
CGD
HGRPT
CAT-1
AD
OTC
PRPP synthetase
Tyrosine Kinase
What is Krabbe’s?
b-galactosidase deficiency => globoid bodies
What is Metachromatic Leukodystrophy?
Arylsulfatase deficiency => childhood MS
Mucopolysaccharidoses
What is Hunter’s?
enzyme
Iduronidase deficiency, milder form
What is Lesch-Nyhan?
(HGPRT deficiency) => gout, neuropathy, self-mutilation
Mucopolysaccharidoses
What is Hurler’s?
enzyme:
Iduronidase deficiency, worse form
What do white diaper crystals suggest?
Excess orotic acid
What does biotin donate CO2 groups for?
Carboxylation
What does THF donate methyl groups for?
Nucleotides
What does SAM donate methyl groups for?
All other reactions
What is the difference b/w Heterochromatin and Euchromatin?
Heterochromatin = tightly coiled Euchromatin = loose (10nm fibers)
What are the Purines?
A, G
What are the Pyrimidines?
CUT
What is a silent mutation?
Changes leave the same amino acid:
wabble positon
What is a point mutation?
Changes 1 base
What is a transition?
Changes 1 purine to another purine or pyrimidine to pyrimidine
What is a transversion?
Changes 1 purine to a pyrimidine or vice versa
What is a frameshift mutation
Insert or delete 1-2 bases
What is a missense mutation?
Mistaken amino acid substitution
What is a nonsense mutation?
Early stop codon
What does a Southern blot detect?
DNA
What does a Northern blot detect?
RNA
What does a Western blot detect?
Protein
What are the essential amino acids
“PVT TIM HALL”
What are the essential fatty acids?
Linolenic
What are the acidic amino acids?
neg charge
Asp, Glu
What are the basic amino acids?
pos charge
His, Arg, Lys
What are the O-bond amino acids?
Ser, Thr, Tyr
What are the N-bond amino acids?
Asparagine, Glutamine
What are the branched amino acids?
Leu, Ile, Val
What are the aromatic amino acids?
Phe, Tyr, Trp
What is the smallest amino acid?
Gly
What are the ketogenic amino acids
Lys, Leu
What are the glucogenic + ketogenic amino acids?
“PITT” Phe, Iso, Thr, Trp
What are the glucogenic amino acids?
All the rest
What amino acids does Trypsin cut?
Trip to LA
Lys, Arg
What amino acids has sulfur
Cys, Met
What amino acids does Acid Hydrolysis denature?
Asn, Gln
What amino acids does Chymotrypsin cut?
Phe, Tyr, Trp
What amino acid turns yellow on Nurhydrin reaction?
Pro
What does Carboxypeptidase cut?
Left of any amino acid on the carboxy terminal
What does Aminopeptidase cut?
Right of N terminus
What does CNBr cut?
Right of Met
What does Mercaptoethanol cut?
Right of Cys, Met
What does Elastase cut?
Right of Gly, Ala, Ser
What does Trypsin cut?
Arg, Lys
What does Chymotrypsin cut?
Phe, Tyr, Trp
What 1 – AntiTrypsin do?
Inhibits trypsin from getting loose
What is PKU?
No Phe (via Phe Hydroxylase): Nutrasweet sensitivity, mental retardation, pale, blond hair, blue eyes, musty odor
What is Albinism?
No Tyr –>
What is Maple Syrup Urine disease?
Defective metabolism of branched aa (Leu, Iso, Val) =>aa leak out
What is Homocystinuria?
No Homocystine Cys: “COLA” stones Cystine, Ornithine, Lysine, Arginine
What is Pellagra?
Niacin deficiency: Dermatitis, Diarrhea, Dementia, Death
What is Hartnup’s?
No Trp => Niacin + Serotonin
. Presents like Pellagra
. Can mimic corn-rich diet
What causes anterior leg bowing?
Neonatal syphilis
What causes lateral leg bowing?
Rickets
vit D deficiency
What are the names of the B vitamins
“The Rich Never Lie about Panning vitamins? Pyrite Filled Creeks”
Vit B1 = Thiamine
Vit B2 = Riboflavin
Vit B3 = Niacin
Vit B4 = Lipoic acid
Vit B5 = Pantothenic acid
Vit B6 = Pyridoxine
Vit B7 = Biotin
Vit B9 = Folate
Vit B12 = Cobalamin
What does Vit A do?
Night vision, CSF production, PTH
rapid cell maturation
What does Vit B1 do?
reations?
Dehydrogenases, transketolase (PPP) cofactors
What does Vit B2 do?
FAD cofactor
What does Vit B3 do?
NAD cofactor or NADP
What does Vit B4 do?
Glycolysis, no known diseases
What does Vit B5 do?
Part of AcetylCoA, no known diseases
What does Vit B6 do?
Transaminase cofactor, myelin integrity
What does Vit B9 do?
Nuclear division
What does Vit B12 do?
Cofactor for HMT and MMM
Homocysteine methyltransferase
Methyl Malonyl CoA Mutase
What does Vit C do?
Collagen synthesis
Antioxidant
What does Vit D do?
Mineralization of bones, teeth
Absorb Ca and PO4 from GI
What does Vit K do?
Clotting factors
What does Biotin do?
Carboxylation
What does Ca2+ do?
Neuronal function, atria depolarization, SM contractility
What does Cu2+ do?
Collagen synthesis
What does Fe2+ do?
Hb function, electron transport
What is Bronze pigmentation?
Fe deposit in skin
What is Bronze cirrhosis?
Fe deposit in liver
What is Bronze diabetes?
Fe deposit in pancreas
What is Hemosiderosis?
Fe overload in bone marrow
What is Hemochromatosis?
Fe deposit in organs
What does Mg2+ do?
PTH and kinase cofactor
What does Zn2+ do?
Taste buds, hair, sperm function
What does Chromium do?
Improve Insulin function
What does Mb do?
Purine breakdown (xanthine oxidase)
What does Manganese do?
Glycolysis
Stimulates insulin production,activity n glucose uptake
What does Selenium do?
Heart function => dilated cardiomyopathy
What does Tin(Sn) do
Hair
What is Kwashiorkor?
Malabsorption, big belly (ascites), protein deficiency
What is Marasmus?
Starvation, skinny, calorie deficiency
Where does the Pre label send stuff
to?
RER
Where does the Pro label send stuff
to
Golgi
Where does the Mannose-6-P send stuff to?
Lysosome
Where does the N-terminal sequence send stuff to?
Mitochondria
What are the 4 types of collagen?
“SCAB”
Type I: Skin, bone
Type II: Connective tissue, aqueous humor
Type III: Arteries
Type IV: Basement Membrane
How does Scleroderma present?
Tight skin
How does Ehlers Danlos present?
Hyperstretchable skin
How does Marfan’s present?
Hyperextensible joints, arachnodactyly, wing span longer than height, Aortic root dilatation, aortic aneurysm, mitral valve prolapse, Dislocated lens from bottom of eye look up
How does Homocystinuria present?
Dislocated lens from top –> Look down
How does Kinky hair disease present?
Hair looks like copper wire (Cu deficiency)
How does Scurvy present?
Bleeding gums, bleeding hair follicles
How does Takayasu arteritis present?
Asian female with very weak pulse
How does Osteogenesis Imperfecta present?
Shattered bones, blue sclera
What is the typical incidence of rare things?
1-3%
What is the typical incidence with 1 risk factor?
10%
What is the typical incidence with 2 risk factors?
50%
What is the typical incidence with 3 risk factors?
90%
What does Autosomal Dominant usually indicate?
Structural problem, 50% chance of passing it on
What does Autosomal Recessive usually indicate?
Enzyme deficiency, 1/4 get it, 2/3 carry it
Where did X-linked Recessive diseases come from?
From maternal uncle or grandpa
What are the X-linked Dominant diseases?
Vit D-resistant rickets (kidney leaks phosphorus): waddling gait
Pseudohypoparathyroidism:
sausage digits, osteodystroph
Where did X-linked Dominant
diseases come from?
Dad–> Daughter
What are the Mitochondrial diseases?
Leber’s = atrophy of optic nerve
Leigh’s = subacute necrotizing
encephalomyelopathy
Where did Mitochondrial diseases come from?
Mom–> all kids
Why do we only have 6hrs to use t-PA?
The body has irreversible cell injury
Why do we stop CPR after 20-30min
The brain has irreversible cell injury
What is Turner’s?
(X,O): web neck, cystic hygroma, shield chest, coarctation of aorta, rib notching
What is Klinefelter’s?
(47, XXY): tall, gynecomastia, infertility, decrease testosterone
What is XXX syndrome?
(47, XXX): normal female w/ two Barr bodies
What is XYY syndrome?
(47, XYY): tall aggressive male
What is Trisomy 13?
Patau’s, polydactyly, high arch palate, pee problem, holoprosencephaly
What is Trisomy 18?
Edward’s, rocker bottom feet
What is Trisomy 21?
Down’s, simian crease, wide 1st/2nd toes, macroglossia, Mongolian slant of eyes, Brushfield spots, retardation AML
What disease has a Dinucleotide repeat?
HNPCC (FAP)
What diseases have Trinucleotide repeats?
Huntington’s, Fragile X, Myotonic Dystrophy, Friedreich’s Ataxia
What is Angelman’s?
“Happy puppet syndrome”, ataxia
What is Prader-Willi?
Hyperphagia, hypogonadism, almond- shaped eyes
What is Kallman’s?
Anosmia, small testes
What is Anaplasia?
Regress to infantile state
What is Atrophy?
Decreased organ or tissue size
What is Desmoplasia?
Cell wraps itself w/ dense fibrous tissue
What is Dysplasia “carcinoma in situ”?
Lose contact inhibition (cells crawl on each other)
What is Hypertrophy?
Increased cell size
What is Hyperplasia?
Increased cell number
What is Metaplasia?
Change from one adult cell type to another
What is Neoplasm?
New growth
What is Benign?
Well circumscribed, freely movable, maintains capsule, obeys physiology, hurts by compression, slow growing
What is Malignant?
Not well circumscribed, fixed, no capsule, doesn’t obey physiology, hurts by metastasis, rapidly growing (outgrows angiogenin and endostatin to inhibit blood supply of other tumors)
What are the fastest killing cancers?
Pancreatic cancer, Esophageal cancer
What does Adeno- tell you?
Glandular
What does Leiomyo- tell you?
Smooth muscle
What does Rhabdomyo- tell you?
Skeletal muscle
What does Hemangio- tell you?
Blood vessel
What does Lipo- tell you?
Fat
What does Osteo- tell you?
Bone
What does Fibro- tell you?
Fibrous tissue
What does –oma tell you?
Tumor
What does –carcinoma tell you?
Cancer
What does –sarcoma tell you?
Connective tissue cancer
What is a Hamartoma?
Abnormal growth of normal tissue
What is a Choristoma?
Normal tissue in the wrong place
What is the most common anterior mediastinum tumor?
Thymoma
What is the most common middle mediastinum tumor?
Pericardial
What is the most common posterior mediastinum tumor?
Neuro tumors
What organs have the most common occurrence of metastasis?
highly vascular organs
“BBLLAP”
Brain (grey-white jxn)
Bone (bone marrow)
Lung
Liver (portal vein, hepatic artery)
Adrenal gland (renal arteries)
Pericardium (coronary arteries)
What cancers have psammoma bodies?
Papillary (thyroid)
Serous Adenocarcinoma (ovary)
Meningioma
Mesothelioma
What cancer has CA-125
Ovarian
What cancer has CA-19?
Pancreatic
What cancer has S-100?
Melanoma
What cancer has BRCA?
Breast
What cancer has PSA?
Prostate
What cancer has CEA?
Colon, Pancreatic
What cancer has AFP?
Liver, Yolk sac
What cancer has Rb?
Ewing’s sarcoma, Retinoblastoma
Osteosarcoma
What cancer has Ret?
Medullary thyroid cancer
MEN2a/b
What cancer has Ras?
Colon
What cancer has bcl-2?
Follicular lymphoma
t(14:18)
What cancer has c-myc?
Burkitt’s lymphoma
T(8:14)
What cancer has L-myc?
Small cell lung carcinoma
G1 phase cell apoptosis
tumor supressor
P53
Li-Fraumeni
tumor supressor
inhibit E2F transcription factor
Rb
Osteosarcoma
Retinoblastoma
tumor supressor
APC gene product
function
inhibit Beta catenin systesis
inhibit unregulated proliferation
APC cancer
FAP &
sporadic colorectal cancer
tumor suppressor
trascription factor that regulates urogenital development
WT1/2
Wilms tumor
Tumor suppressor
BRCA 1/2 gene product
DNA repair protein
Breast, ovary , pancrease
What cancer has N-myc?
Neuroblastoma => pseudorosettes
Bombesin
What cancer has Bombesin?
Neuroblastoma
What cancer has -HCG?
Choriocarcinoma
What cancer has 5-HT?
Carcinoid syndrome
What has t(9,22)?
CML (bcr-abl gene)
CLL & ALL
What has t(14,18)?
Follicular lymphoma (bcl-2 gene)
What has t(8,14)?
Burkitt’s lymphoma (c-myc gene)
What has t(15,17)?
AML M3
Promyelocytic leukemia protein
What has t(11,22)?
Ewing’s sarcoma
PNH an acquire hematopoietic mutation is associated with
Aplastic anemia
Specktrin/Ankerin
MAC
association
CD59/MIRL (Membrane inhibitor of reactive lysis)
CD55/DAF (Decay-accelerating factor)
PNH &
Myelodysplastic neoplasms
PNH lab
LDH=
Cell line=
Bilirubin =
Pancytopenia, high serum LDH, hyperbilirubinemia,
Defect in PNH
HAM’s test
Glycosylphosphatidylinositol (GPI)
DAF:CD 55 AND CD59 ON CELL MEMBRANE
Moa of Botox
Prevent ACH release by cleaving snare protein
Alport syndrome inheritance pattern
X-linked dominant
NF-1 associated with
Cafe-au-lair spot, Lisch nodules, scoliosis
Variable expressively
Median-chain acyl-CoA dehydrogenase function (MCAD)
Oxidized fatty acid
FADH2
low ketones
Low glucose
MCAD def sign
Lab
Low glucose
No ketones
Octanoyl-glycine
what is a tumor suppresor gene
controls and suppress cell prolifertion
loss of function
RNA analysis
Northern blot
What is a proto-oncogene
encodes protein for normal cell division and differentiation
gene of function/overexpression
Tumor suppressor
NF 1/2 chromosome
17 periferal
22 schwannomin
proto-oncogene
t(11:14)
mantle cell lymphoma
proto-oncogene
BCL-2
Folicular lymphoma
proto-oncogene
L/N/C- myc
product
transcription factors
Cancers?
proto-oncogene
BCR-ABL gene product
non-receptor tyrosine kinase
CML: t(9:22)
ALL
proto-oncogene
BRAF product
serine/threonine kinase
melanoma
hairy cell leukemia
papillary thyroid
non-hodgkin
PsaMmoma bodies
proto-oncogene
RET
Men 2a/b
depletion of which cofactor inhibits glycolysis
NAD+
Presentation
Bubble kids: all infections
defect
IL2 receptor
adenosine deaminase(x-linked)
SCID
Presentation
Thymic hypoplasia/low Calcium
defect
Deletion Chromosome 22/
3 pharyngeal pouch
DiGeorge
presentation
Young adult Bacteria, Parasite, Enterovirus
Defective plasma Cells
Normal B cells
Low IgA
presentation
Bacteria, parasite, enterovirus in boys
Defect
BTK gene, tyrosine kinase,
Low B cells
Low IgA
Bruton’s
Presentation
Infections, ataxia, telangiectasias
Ataxia Telangectasia
Gene?
ATM gene
defective DNA repairs
presentation
Delayed umbilical cord detachment
LAD
Defective CD18
integrins (adhesion)
presentation
Catalase pos infection/Rhodamine
defect
NADPH deficiency
CGD
presentation
Albinism/neurological symptoms
defect
Lysosomal movement impairment
Chediak-Higashi
presentation
Cold abscess/exzema/Normal platelets
defect
Defective Th17-JAK-STAT
Job/Hi IgE
presentation
abscess/eczema/Low platelets
Wiskott-Aldritch
What is the defect?
WAS gene cytoskeleton defect
Immature T Cell marker
CD3
T Helper marker
CD4
Cytotoxic cell marker
CD8
Hairy cell leukemia marker
CD11c
CD 14
CD4
macrophage
monocyte
CD 15/30
Reed Stemberg Cells
NK cell marker
CD16/56
CD18 integrins
Leukocyte adhesion Deficiency B2
CD19/20/21
mature BCell
CD 25
T reg Cell
CD 28
Connects to B7
T Cll Co stimulation receptor
PECAM-1angiosarcomas
CD31
paroxysmal Nocturnal Hemoglobinuria marker
CD 55/59
CD80/B7
Protein in the APC
inhibits beta-oxidation
Malonyl-CoA
MOA of Acetyl-CoA carboxylase
converts Acetyl-CoA to Malonyl-CoA
de novo fatty acid synthesis rate-limiting step
mitochondrial carnitine acyltransferase is inhibited by
hi malonyl-CoA