Cell biology of disease Flashcards

0
Q

What size are lysosomes?

A

Vary in shape but roughly 200-400nm

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1
Q

Which cells are lysosomes found in?

A

All except red blood cells

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2
Q

What percentage of the cell volume is occupied by lysosomes?

A

1%

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3
Q

What are the roles of lysosomes

A

Macromolecules degradation
Plasma membrane repair
Act as secretory organelles in immune cells

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4
Q

How many types of macromolecules does the lumen of a lysosome contain?

A

> 45

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5
Q

What is the role of hydrolases

A

The break covalent bonds via hydrolysis so digest macro molecules into their component parts

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6
Q

What is the pH of the lysosomal lumen and how does this compare to the cytosol

A

Lysosomal lumen= 4.5-5.0

Cytosol = 7.2

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7
Q

How is the pH of the lysosomal lumen maintained

A

The vaculoar proton pump
This pump transports protons into the lumen
The proton transport is energised by ATP hydrolysis

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8
Q

Name the 3 ways in which materials destined for degradation are delivered to the lysosomes? And what types of molecules are transported by each system

A
Endocytosis = extra cellular molecules in the fluid phase and PM proteins
Autophagy= molecules in the cytosol and whole organelles 
Phagocytosis= Large extra cellular particulate species e.g microbes
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9
Q

What important role do lysosomes play in receptor signalling

A

May degrade receptor/ ligand by endocytosis

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10
Q

What is macroautophagy?

A

Is the best characterised form of autophagy
It involves the envelopement of cytoplasmic materials by a double membrane that fuses with the lysosome delivering its contents. The double membrane may be donated by the PM, ER and or mitochondria

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11
Q

How is macroautophagy enhanced by starvation of cells?

A

mTOR regulates macroautophagy
In starvation cells you get Rapamycin
Rapamycin inhibits mTOR and therefore promotes macroautophagy

Rapamycin has also been reported to promote clearance of soluble Huntingtin and huntingtin aggregates in mice and also for mutant forms of alpha-synuclein (associated with Parkinson’s)

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12
Q

Describe the role of lysosomes in apoptosis triggered via pathogen/DNA damage?

A

Increase permeability of membrane of lysosomes

This results in the release of lysosomal proteases, cathepins into the cytosol where they act on cellular targets

Cathepins although not at their optima pH can cleave proteins at cytosolic pH and can trigger the mitochondrial/intrinsic pathway of apoptosis potentially via Bid

However exact role is unclear, likely that cathepins amplify apoptosis

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13
Q

Lysosomes in PM repair

A

Lysosomes act as a reserve of membrane

Lysosomes excocytosis is triggered via Ca2+ into the cell, which is detected by the lysosomal membrane protein synaptotagmin 7

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14
Q

Lysosomal storage diseases overview

A

> 50

They are caused by defectes in the degradative function of lysosomes
They are so called due to the abnormal accumulation of molecules within the lysosome.

The accumulation process is poorly understood

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15
Q

I-cell disease: clinical symptoms and genetics

A

Also known as mucolipididosis type II

An autosomal-recessive disorder

Mutation in the gene (GNPTA) that encodes enzyme N-acetylglucosiminidase-1-phosphotransferase.

Disease is so called because of the formation of Intracellular inclusions

clinical symptoms: Facial abnormalities, skeletal abnormalities, severe psychomotor retardation and heart failure occurs in decade of life
No cure, treatment is limited to reducing symptoms

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16
Q

Molecular basis for I-cell disease

A

Cells have reduced Intracellular levels of lysosomal hydrolases, but conversely secrete these enzymes into the culture medium.

The enzyme is localised to the cis-Golgi and modifies the mannosylated glycans that are attached to newly synthesised lysosomal hydrolases.

The resultant mannose-phosphate groups are recognised by the mannose-6-phosphate receptors in the trans-Golgi network, which sort lysosomal hydrolases to Endosome and hence to lysosomes

If the hydrolases are not modified by the enzyme they are not recognised and instead secreted by the cell

The result is that lysosomes are deficient in key hydrolases and so impaired in their ability to degrade molecules

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17
Q

Pompe disease: clinical symptoms and genetics

A

Autosomal recessive mutation in the gene that encodes the lysosomal hydrolase alpha-D-glucosidase

Clinical symptoms: progressive cardiac and skeletal myopathy (disease of muscle) In infantile onset pompe disease death usually occurs within 1st year of life due to cardio respiratory failure

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18
Q

Pompe disease: molecular basis

A

Glycogen normally stored and hydrolysed in the cytosol, but small amount enters lysosomes

Lysosomal alpha-D-glucosidase cleaves glycogen into glucose that can then transport to the cytosol

Deficiency in alpha-D-glucosidase causes the abnormal accumulation of glycogen in cells and the resultant symptoms of disease.

Can be treated with enzyme replacement therapy: intravenous infusions of mannose-phosphate modified alpha-D-glucosidase is given to patients. This is only effective in cardiac muscle

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19
Q

Fabry disease: genetics and clinical symptoms

A

X-linked disorder that results from mutations in alpha-galactosidase

Clinical symptoms: Facial abnormalities, wide range of non specific effects that include renal and cardiac problems due to problems in the vasvulature, progressive organ and tissue damage= reduced life expectancy to 40 years but can be increased to 50 with treatment for renal failure

Symptoms due to the deposition of glycolipids globotriaoslyceramide in the wall of capillaries, kidney tubule and glomerular cells, nerves and dorsal root ganglia

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20
Q

Fabry disease: molecular mechanism and treatment

A

Alpha-galactosidase removes terminal galactose from the glycolipids globotriaoslyceramide (Gb3)

Lack of alpha-galactosidase activity results in accumulation of (Gb3) and lysosomes and lipid droplets in many types of cells

Treatment: enzyme replacement thermal is used to treat fabry disease, with the administration of mannose phosphate form of the enzyme

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21
Q

Infantile Salic acid storage disease (ISASD): genetics and clinical symptoms

A

Autosomal recessive mutation in the sialin gene

Clinical symptoms: facial abnormalities, mental retardation, enlarged heart, liver and spleen, patients normally die within 1st to 2nd years of life

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22
Q

Salla diease: genetics and symptoms

A

Caused by a mutation in sialin like ISASD but is less severe, it is found in the Finnish population. But results in physical and mental impairment and life expectancy is reduced to 50 years

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23
Q

ISASD and Salla disease: molecular basis

A

Sialin is a lysosomal membrane receptor, it transports sialin acid from the lysosome into the cytosol

Sialic acids are 9 carbon monosaccharides that are amongst the breakdown produces of glycolipids, glycoproteins and glucosaminoglycans.

The loss of sialin transport activity results in the accumulation sialin acid in the lysosomes

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24
How to isolate NK White blood cells
Take blood Separate White blood cells by centrifugation through lymphoprep (ficoll) Remove non NK cells by incubating with magnetic beads coated with antibodies that bind to other white blood cells
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Where are cell lines derived from?
Derived from tumour cells, enabling them to grow for many generations if not indefinitely
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Cell lines (other points)
Commonly used in cell biological research due to ease of culture and their readily availability. Often more easily transfected with Nucleic acids than primary cells May retain some but not all features, of cells from which tumour is derived.
27
HeLa cells Where are they derived from Why are they used
A cervical carcinoma cell line derived from an aggressive tumour from henrietta lacks in 1951 aged only 31 Transformed by HPV 18 and these cells have an abnormal number of chromosomes Easy to culture and transfect
28
What is growth medium supplement with when culturing mammalian cells?
Serum derived from foetal calves (FCS)
29
What are mammalian cells cultured in?
Plastic flasks/dished in humidified incubator at 37 degrees, 5% CO2 Cells can either grown in suspension (lymphocytes) or adhere to plastic (epithelial)
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What can also be added as well as serum when culturing mammalian cells?
L-glutamine, antibiotics and non essential amino acids. | Cytokines to promote growth of certain cells
31
Give two examples of mammalian expression vectors
pcDNA3 PEGFP-N1
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3 transfection techniques for mammalian cells
Electroporation Lipid based reagents: encapsulated DNA and fuse with PM Calcium phosphate: forms precipitate with DNA that is taken up by cells
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Example of a nuclear dyes
DAPI
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What fluorescent dyes label acidic compartments
Lysotracker
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What fluorescent dyes label mitochondria?
Mitotracker
36
How can trafficking of receptors be tracked?
Labelled ligands with labeled EGF, transferrin
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Flow cytometry
Cells are stained with antibodies for the protein of interest that incorporate fluorescent dyes or secondary antibodies that are labeled with fluorescent dyes In addition cells that express fluorescent proteins can be analysed Cell associated fluorescence is then measured by flow cytometer
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Major application of flow cytometry
Analyse the expression of proteins, especially those on the cell surface
39
The nucleus in mammalian cells Size Volume
6micrometers | 10% of cell volume
40
The nuclear envelope
A double membrane that acts as a physical barrier. The outer membrane is continues with the ER, while the inner membrane is the primary residence of several (INM) proteins. It is also attached to the cytoplasm by attaching, microtubules and actin filaments.
41
The inner nuclear membrane (INM)
The INM is connected to the nuclear lamina, a network of intermediate filaments.
42
The perpInuclear space
The space between to two nuclear membranes | Is about 20-40nm wide.
43
The nuclear lamina
A dense 30-100nm thick fibillar network inside the nucleus Composed of intermediate filaments and membrane associated proteins Provides mechanical support but also regulates important cellular events like DNA replication and cell division. Participates is chromatin organisation and it anchors the nuclear pore complex, which is embedded in the nuclear envelope
44
Laminopathies
Group of rare genetic disorders caused by mutations in gene encoding proteins of the nuclear lamina. Rare due to being drastic mutations
45
Main muation of Laminopathies
Mutation in Lamin A/C and nuclear lamina-associated proteins eg emerin
46
Emery-Dreifuss muscular dystrophy
A condition that chiefly affects skeletal muscle and cardiac muscle Amount the earliest features of theis disorder are joint deformities, called contractures, which restrict the movement of joints Most affect individuals also experience slowly progressive muscle weakness and wasting Almost all have heart problems by adulthood. Stem from abnormalities of the electrical signals that control the heart beat (cardiac conduction defects) and abnormal heart rhythms
47
Huthchisons-Gilford progeria syndrome (HGPS)
HGPS is a disease in which the physical aspects of ageing are accelerated Most have point mutation in the LMNA gene This mutation results in the translation of Lamin A lacking 50amino acids The mutant protein (LAD50) incorporates abnormally into the nuclear lamina, leads to mechanical defects, thickening of the lamina, loss of peripheral heterochromatin, an increased DNA damage.
48
How is genetic material organised in the nucleus | How many chromosomes
In human: Nucleues contains 23 Paris so 46 in total 22 of these are autosomes, and look the same in both females and male. 23 rd pair, the sex chromosome = females have two X's whereas males only have X and Y DNA organises itself into discrete individual patches called chromosome territories
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How much DNA in length is in a human cell?
2meters
50
Euchromatin
Areas of DNA that are actively transcribed
51
Heterochromatin
Areas where multiple histones wrap into a 30nm fibre consisting of nucleosome arrays in there most compact form Here the DNA is not active so is not expressed
52
When is DNA in its most compact form
Metaphase, during mitosis and meiosis
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Where is constitutive heterochromatin found
Around the central me and is never expressed
54
Where is herochromatin found in the nucleus
Near the outer parts of the nucleus and interacts with the nuclear lamina which further packs the chromatin
55
What size proteins are the Nuclear pore complex freely permeable to?
40kDa Larger molecules are transported though an active mechanism that requires soluble transport factors
56
What is the mass of the NPC | What is the size of the NPC
125 mega daltons 145nm in diameter and 80nm long Central channel= 69nm but can expand and contract when required
57
How many nucleoporins make up a NPC
30-50 nucleoporins
58
Organisation of the nuclear pore complex
NCP associated proteins are called NUP's 8 composite rings of protein at cytoplasmic surface and 8 at the inner surface of the nuclear membrane. These are connected through spoke proteins. Filaments attached to the 8 rings project out into the cytoplasmic side. And filaments are attached to the inner rings. These however join together to form basket like structure. The membrane embedded part of the NPC is associated with the nuclear lamina. A central channel is positioned in the centre that extends from the inner surface of the NPC to the outer surface acts as the contractile structure.
59
Mechanism for how protein are imported through the NPC
Protein with NLS is recognised by a importin complexed to the small GTP binding protein (Ran) The importin then allows the complex to bind a specfic nuclear pore protein in the cytoplasmic filaments The complex is translocated through the nuclear pore proteins The activity of the guanine nucleotide exchange factor (GEF) in the nucleus exchanges the GDP of Ran for GTP altering the configuration of the complex, releasing the protein The importin-Ran/GTP complex is re-exported though the nuclear pore complex and the GTP-ase activating protein (GAP) in the cytoplasm hydrolyses the GTP to GDP Now GDP complex is ready for next round of import
60
How many NLS does importin alpha have?
2
61
How do proteins get out of the nucleus?
Targeted by NES (nuclear export signal) LxxxLxxLxL where L = hydrophobic residue often leucine Ran/GTP promotes the formation of a stable complexes between exportins and their target protein Following transport to cytoplasm GTP hydrolysis which leads to dissociation of the target protein, so is released into the cytoplasm
62
Triple A syndrome Full name Clinical symptoms
Achalasia-Addisonianism-Alarcrimia syndrome Clinical symptoms: Autonomic dysfunction-controls heart rate, blood pressure. Adrenal insufficiency (after hormone release), Achalasia (affect muscle control in oesophagus/sphincter) and mental retardation
63
Triple A syndrome | Mutation
Mutation associated with with a NPC component, ALADIN. Mutations affect ALADIN integration into the NPC This specifically affects the nuclear import of certain proteins: Aparataxin; DNA ligase 1, ferritin heavy chain These are all invloved in protecting and repairing DNA under oxidative stress. Therefore cells more prone to oxidative damage leading to multiple effects
64
How does HBV get into the nucleus
Capsid size 32-36nm so enter without capsid disassembly | HBV capsid have NLS accessible to bind importin
65
How does herpes simplex virus and adenovirus get there DNA into the nucleus to replicate?
Capsid to large to pass through HSV capsid dock to pore via importin B, then releases its DNA through the NPC into the nucleoplasm. Adenovirus directly associated with the cytoplasmically localised nucloporin CAN? Nups214 then bind Hsc70 and histone H1, these intiate capsid disassembley prior to viral DNA release into the nucleus
66
mRNA export from the nucleus
Process of splicing recruits the proteins necessary for mRNA to exit to the nucleus. The ribonucleoprotien hTREX and EJC hTREX: about 16 proteins and binds to 5' end of the RNA. Is essential for translocation of the mRNA from the nucleus EJC: bind every exon-exon junction, so multiple EJC's bind to the mRNA hTREX recruits a nucleo export factor, TAP and p15 (binds ALY) The large complex approaches the NPC and attaches via a thin filament, it then reaches the pore centre, elongates into a 100-150A broad rod. The material passes the pore centre in a rod form, transitorily assuming dumbbell like shaped configuration. Then the material rounds into a spherical particle and is deposited on the cytoplasmic side.
67
Two types of cell specific signalling
Contact dependant Synaptic
68
Two types of cell types specific signalling
Paracrine Endocrine
69
Name the receptor families
G protein coupled (largest family over 800) Enzyme coupled Adhesion receptors Pathogen recognition receptors
70
G-protein coupled receptors
Comprise of 7transmembrane helices which span the membrane Ligand binding causes conformational change Leads to a signal transduction And secondary messenger generation Which leads to a phenotypic change Includes Chemokine, glucagon, glutamate, ordorant, GABA receptors GDP ----> GTP upon ligand binding
71
Examples of secondary messaged in G protein receptor mechanisms
cAMP ^ or down Ca2+ IP3
72
PTHR
PTHR = parathyroid hormone receptor ( GPCR) Expression in the kidney regulates of calcium and phosphorus concentration. Also regulates chondrocyte growth and differentiation Mutation from H to R. Leads to permanent activation of receptor G alpha subunit. So get an ^ in cAMP Leads to Jansens metaphysical chondrodysplasia (shortened dwarfism)
73
TSHR (GPCR)
Autoimmune disease via antibody agonists/antagonists Graves' disease caused by hyperthyroidism via TSHR agonist antibodies. Causes excess cAMP via G alpha subunit. Leads to weight loss bulging eyes due to fat being metabolised. Sweaty appearance. Opposite Hashimotos disease caused by antagonistic autoantibodies results in decrease in cAMP Leads to weight gain fatigue, often postpartum. Can occur after childbirth.
74
What receptor does cholera toxin use to enter cells
Ganglioside Gm1 ( a GPCR)
75
Cholera toxin mechnism (GPCR)
After activation it catalyzes ADP-ribose transfer from NAD+ to an arginine residue to G alpha subunit. (ADP- ribosylation) Prevents hydrolysis of GTP so increase in cAMP Increase in Cl- release in to the gut Decrease in NA+ resulting in water diarrhoea
76
Whooping cough
Pertussis toxin prevents activation of G alplha I via ADP-ribosylation. Inhibition leads to increase in cAMP. Affect ion flux in lung epithelial. Life threatening for neonates.
77
Albright syndrome
Activating G subunit alpha mutations (GNAS gene) - gain of function Two major mutations = Arg201 is in the GDP/GTP binding domain of the protein Gln227 required for intrinsic GTPase activity Non germ line (somatic) defects can give mosaic/sporadic phenotype
78
Fibrous dysplasia osteoblast dysfunction
Bone dysfunction Embryonic lethal
79
Pseudohypoparathyroidism (PHP1)
Caused by loss of GNAS function essential for PTH signalling Different phenotype depending on whether inherited from farther or mother Good example of an imprinting gene -(monoalleliec) expression in certain tissue PHP1b caused by epicene tic changes rather than classic coding mutation
80
Enzyme-coupled receptor tyrosine kinases
Not coupled to G proteins Signal via phosphorylation cascades Includes many growth factors VEGF,EGF,M-CSF,Ephrin and insulin receptor Ephrin: receptors invloved in axon guidance and segmentation during development
81
Insulin receptor main role
Increase in glucose uptake
82
Type-1 diabetes
Lack of insulin due to autoimmune destruction of Beta-islet cells
83
Can type 2 diabetes lead to type 1
Yes
84
Mechanisms of receptor desensitisation
Endocytosis and degradation of receptor Phosphotyrosine phosphatses (PTPases) Down regulation of P13K and IRS proteins
85
What receptors are invloved in capture and rolling of leukocytes
Selectins
86
What receptors and invloved in arrest, firm-adhering, and spreading
Integrins
87
What receptors mediate migration of leukocytes
ICAMS
88
Two way leukocytes can migrate through cells
Parracellular Transcellular This process is called diapedesis
89
Mice lacking endothelial expression of phosphoninositide 3-kinase-(P13K)
Show more than tenfold elevated rolling velocities
90
LAD
Leukocyte adhesion deficiency Causes recurring infection
91
LADI
Lacks CD18 (crucial integrin)
92
LADII
Lacks fucosytransferase that generates selectin ligands
93
LADIII
Integrin activation defect (KINDLIN-3 mutant)
94
Are adhesion molecules important during development
Yes
95
Major class of PRR
Toll receptors
96
PRR carbohydrate binding receptor
Lectins
97
What can cause increased susceptibility to candida infection
Single nucleotide polymorphism in the promotor of the human Dectin-1 promotor increases susceptibility to candida infections
98
Listeria
Can bind Intigrins via ic3b casing formation of pores, can then allowing access to the phagosomal membrane.
99
Anti-epileptic drugs
Block Na+ channels Examples include Novartis and tegratol (carbamazepine)
100
Angina drugs
Voltage gated Ca2+ channel inhibitor Example= verapamil
101
Diabetes
ATP sensitive K+ channel inhibitor Example= Gilbenclamide 5
102
Patch clamping
Whole cell patch clamp- study of multiple ion channels in cells Glass pipette makes tight contact with an area, or patch of membrane Forms a high resistance seal Suction within pipette disrupts membrane patch Interior of pepette-continues with cytoplasm of the cell Measurements of electrical potentials and currents form entire cell-whole cell recording
103
Channelopathies
Diseases caused by disrupted function of ion channel subunits or the protein that regulate them. Can be congenital or acquired Examples include: cystic fibrosis, insulin disorders, cardiac arrhythmias
104
Cystic fibrosis
Autosomal recessive genetic disorder primarily affecting the lungs Abnormal transport of Cl-and Na+ across an epithelium, leading to thick, viscous secretions Characteristic scarring (Fibrosis) and cyst formation with the pancreas Frequent lung infections Lung transplant often necessary
105
Cause of CF
Mutation in the gene that encodes for the protein cystic fibrosis transmembrane conductance regulator (CFTR) Most common: F508, loss of amino acid phenylalanine at position 508 Causes two-thirds (66-70%) of CF cases Majority have two working copies of CFTR gene, only one is needed to prevent CF Fewer active channels-reduced Cl- transport. Cl- encourages the movement of sticky mucous
106
Insulin disorders
Channels comprised of Kir6.x-type subunits and sulphonylurea receptor (SUR) subunits Normal condition-Katp active. K+ flows out the cell-resting membrane Increased glucose metabolism Increased levels of ATP Katp channel close Membranes potential depolarises Promotes insulin release due to Ca2+ influx
107
Profound neonatal diabetes
KATP channel mutations (many identified) that reduce the ability of the channels to be inhibited by ATP-channels are overactive Gilbenclamide (glyburide) inhibits SUR1-causes cell membrane depolarisation opening voltage-dependant Ca2+ channels-stimulation of insulin release.
108
Long QT syndrome (LQTS)
Delayed repolarisation of the heart beat Increased risk of seizures, sudden cardiac death, structurally hearts are healthy. Mutations of one of several gene that prolong the duration of the ventricular action potential, lengthening the QT interval Mutations in the human ether-a-go-go related gene (HERG) -over 30 identified. K+ channels play a critical role in cardiac action potential repolarisation HERG encode a voltage-gated potassium channel Suppression of the HERG current action potential prolongation and cardiac arrhythmias
109
Pufferfish toxin
Toxin: Tetrodotoxin TTX Blocks action potentials in nerves by blinding to the voltage gated fast Na+ channels in nerve cells. Can cause coma, cardiac arrhythmias and death Toxin works by binding to the channel preventing the flow of Na+
110
Mamba snake toxin
Toxin: dendrotoxin K Can kill within 20 minuets Blocks voltage-gated K+ channels in neuronal tissue Voltage gated K+ channels control excitability of nerves and muscles Dendrotoxin prolongs action potential Increases acetylcholine release at the neuromuscular junction Results in muscle hyperexcitability and convulsive symptoms
111
Terfenadine
Seldane marketed as first non-sedating anti-histamine for the treatment of allergic rhinitis People with liver disease also taking ketoconazole, an antifungal agent/ erythromycin suffered cardiac arrhythmia if they took Seldane too. FDA removed Terfenadine containing drugs ``` Prolonged ventricular repolarisation and an increased risk of ventricular arrhythmia HERG blocker ( now checked early in drug development stages) ```
112
Venoms as a therapeutic agent
Ziconotide a synthetic peptide of a conotoxin from cone snail Blocks voltage gated Ca2+ channels of the spinal cord Reduces pronociceptive neurotransmitter release in the dorsal horn of the spinal cord Results in inhibiton of pain signal transmission
113
Egg and sperm =?
Zygote Totipotent stem cell Goes on to divide into 3 types of tissue: ecotoderm, mesoderm and endoderm
114
Other than zygote what 2 types of stem cell are found in mammals
Embryonic: can diffenerentiate into each of the >200 cell types of the adult body Adult stem cells: Divide into lineage restricted cell types
115
Different types of stem cells
``` Totipotent: intire organism Pluripotent: all linages (embryonic) Multipotent: multiple linages Oligopotent: 2 or more linages Unipotent:single lineage eg sperm stem cells ```
116
Where were embryonic stem cells first derived?
In mice in 1981 Applied to human stem cells in 1998
117
How is pluripotentcy maintained in EC
Through the the transcription factors OCT4, SOX2,NANOG and KLF4, which suppress the expression of genes necessary for differentiatio. Also express certain cell surface markers of stage specfic embryonic antigens SSEA3, SSEA4 and keratan sulphate antigens Tra-1-60, Tra1-81
118
Tests for pluripotent stem cells?
Allow cells to differentiate spontaneously by clumping; formation of embroyoid bodies Manipulate cells so will differentiate into 3 germ line cells Inject into an immunosurpressed mouse to test for formation of a tetratoma. Tetratoma= typically contain mixtures of differentiated and partially differentiated cell types
119
ES issues
Ethical: need in vitro fertilisation Express MHC so can provoke immune response. Only truly compatible with person they come from/mother or farther
120
How to produce iPS (induced pluripotent stem cells)
Pluripotent stem cells artificially derived from adult somatic cells using four genes Oct-3/4, Sox 2, c-Myc, KLF4
121
Haematopoietic stem cells
First discovered in mice 1in 10,000 cells in myeloid tissue (red bone marrow) Non adherent, round, large nucleus. Have not been isolated as a pure population Detected by lack of and expression on certain receptors: CD34+, CD59+, Thy1/CD90+, CD38-, C-kit, CD177+, Lin -
122
Mesenchymal stem cells
Cannot identify by microscope Are adherent, so will stick to plastic Cells capable of multiple mitosis in vito, but have a limited mortality. Flow cytometry identification Or a tri-lineage differentiation; bone, cartalige and fat
123
How long have stem cells been used in health and disease
Over 50 years.
124
Autologous HSC transplantation
Used to treat: Multiple myeloma, lymphoma Patients donate there own stem cells Progenitors are typically collected from bone marrow or peripheral blood may use G-csf to recruit stem cells of the bone marrow and enrich progenitor cells in blood Cancer cells destroyed in bone marrow by radio therapy or chemo therapy Progenitor cells are grown up Translated into the same patient via intravenous infusions No immunosuppressive therapy
125
Allogenic HSC transplantation
Donated by another person | Patients normally giving immunosuppressive therapy
126
Clinical potential of MSC
Regenerative medicne, regenerate bone, cartilage, ligaments, tendons Potent immunosuppressive cells