Chapter 3 - Gene Expression (Transcription), Synthesis of Proteins (Translation), and Regulation of Gene Expression Flashcards

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1
Q

Which one of the following is true for a double-stranded DNA molecule?

[A]=[T] / [U]=[A] / [G]=[C] / [C]=[T] / Overall charge
Base pairs per one turn of the helix

(A) Yes / No / Yes / No / Negative / 10
(B) Yes / Yes / No / Yes / Positive / 10
(C) Yes / No / Yes / No / Negative / 12
(D) No / Yes / Yes / Yes / Positive / 12
(E) No / No / No / No / Negative / 10
(F) No / Yes / Yes / Yes / Positive / 12

A

the answer is A. On a molar basis, DNA contains equal amounts of adenine and thymine and of guanine and cytosine. Uracil is not found in DNA. There are 10 base pairs per turn of the helix, and the overall charge on the molecule is negative, due to the phosphates in the back- bone (each phosphodiester bond contains one negative charge).

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2
Q

A bacterial mutant grows normally at 32°C but at 42°C accumulates short segments of newly synthesized DNA. Which one of the following enzymes is most
likely to be defective at the nonpermissive temperature (the higher temperature) in this mutant?
(A) DNA primase
(B) DNA polymerase
(c) An exonuclease
(d) An unwinding enzyme (helicase)
(E) DNA ligase

A

the answer is E. The short segments of the newly synthesized DNA that accumulate at 42°C are Okazaki fragments. They are usually joined together by DNA ligase, which most likely exhibits reduced activity at 42°C in this mutant. If the ligase is not functioning, Okazaki fragments
would not be joined during replication, so the cells would contain short fragments of the DNA. Endonucleases and exonucleases cleave DNA strands in the middle and at the ends, respec- tively. They do not join fragments together, nor does DNA polymerase. Unwinding enzymes “unzip” the parental strands, and if these were defective, DNA synthesis most likely would not occur at the nonpermissive temperature, and short DNA fragments would not accumulate.

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3
Q
An RNA produced from a fragment of DNA has the sequence of AAUUGGCU. The sequence of the nontemplate strand in the DNA that gave rise to this sequence is which one of the following?
(A) AGCCAATT
(B) AAUUGGCU
(c) AATTGGCT
(d) TTAACCGA
(E) UUAACCGA
A

the answer is c. The nontemplate strand in the DNA is the same as the coding strand, and will have the same sequence of the RNA that is produced, except that T is in place of U. Both the nontemplate strand and RNA produced will be a complementary sequence to the template strand. As all sequences are written in the 5′ to 3′ direction, unless otherwise specified, an RNA sequence of AAUUGGCU would correspond to a DNA sequence, on the nontemplate strand, of AATTGGCT. The template strand would be the complement of the nontemplate strand, or AGCCAATT (written 5′ to 3′). Note that this sequence is also the complement of
the RNA that has been produced. The base U is not found in DNA (so answer choices B and E cannot be correct).

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4
Q
Which one of the following changes in the coding region of an mRNA (caused by a point mutation) would result in translation of a protein identical to the normal protein?
(A) UCA → UAA
(B) UCA → CCA
(c) UCA → UCU
(d) UCA → ACA
(E) UCA → GCA
A

the answer is c. UCA is a codon for serine. Of the answer choices given, only the codon UCU is also a codon for serine, which would result in a silent mutation (serine would be placed in the protein even though the DNA had been mutated from TGA to TGT). Conversion of UCA
to UAA will generate a termination codon, and a truncated protein would be produced. The conversion of UCA to CCA would replace the serine with a proline in the amino acid. Conver- sion of UCA to ACA results in a threonine being placed in the protein in place of serine, and generation of GCA from UCA would result in alanine being incorporated into the protein in place of the serine. Only the change of UCA to UCU results in the exact same amino acid sequence being produced by the protein.

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5
Q

Proteins destined for secretion from eukaryotic cells have which of the following in common?

An N-terminal methionine in the mature protein is: / A signal peptide located at: / Synthesized on which type of ribosome? / Embedded within the ER membrane?

(A) Very likely / Carboxy terminus / Rough / Yes
(B) Very likely / Amino terminus / Cytoplasmic / No
(C) Very likely / Carboxy terminus / Rough / Yes
(D) Unlikely / Amino terminus / Rough / No
(E) Unlikely / Carboxy terminus / Cytoplasmic / Yes
(F) Unlikely / Amino terminus / Cytoplasmic / No

A

the answer is d. Proteins destined for secretion contain a signal sequence at the N-terminal end that causes the ribosomes on which they are being synthesized to bind to the SRP, which transfers the mRNA–ribosome complex to the RER. As they are being produced, they enter the cisternae of the RER, where the signal sequence, including the initial methionine, is removed. It is thus unlikely that the mature protein will contain an N-terminal methionine. Carbohydrate groups can be attached in the RER or the Golgi. Secretory vesicles bud from the Golgi, and the proteins are secreted from the cell by the process of exocytosis. If the proteins have a hydrophobic sequence that embeds in the membrane, they remain attached to the membrane and are not secreted, and become membrane-bound proteins.

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6
Q

Inducible bacterial operons exhibit which of the following properties?

Inducer binds to the repressor and: / Inducer effect on RNA polymerase binding to the promoter / Repressor produced by:

(A) Activates the repressor / Enhances / The polycistronic message
(B) Activates the repressor / Enhances / A separate gene
(C) Activates the repressor / Inhibits / The polycistronic message
(D) Inhibits the repressor / Inhibits / A separate gene
(E) Inhibits the repressor / No effect / The polycistronic message
(F) Inhibits the repressor / No effect / A separate gene

A

the answer is F. In induction, a regulatory gene produces an active repressor, which is inactivated by binding to the inducer. The inducer prevents binding of the repressor to the operator rather than stimulating the binding of RNA polymerase. The structural genes are coordinately expressed. Transcription yields a single, polycistronic mRNA, which is translated to produce a number of different proteins. The regulatory gene is not a part of the polycistronic message.

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7
Q

Processes that, in part, can lead to the activation of gene expression in eukaryotes can be best described as which one of the following?

Methylation of the gene / Formation of polycistronic messages / Histone acetylation levels

(A) Increased / Yes / Decreased
(B) Decreased / Yes / Increased
(C) Increased / Yes / Increased
(D) Decreased / No / Decreased
(E) Increased / No / Decreased
(F) Decreased / No / Increased
A

the answer is F. A gene that is methylated is less readily transcribed than the one that is not methylated. Polycistronic mRNAs are only produced in prokaryotes, not in eukaryotic cells. Histone acetylation will be increased in regions of the chromatin that are being transcribed (euchromatin). Acetylation of histones reduces the positive charges on the proteins, thereby weakening their interaction with the negatively charged phosphates on the DNA.

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8
Q

Gene transcription rates and mRNA levels were determined for an enzyme that is induced by glucocorticoids. Compared with untreated levels, glucocorticoid treatment caused a 10-fold increase in the gene transcription
rate and a 20-fold increase in both mRNA levels and enzyme activity. These data indicate that a primary effect of glucocorti- coid treatment is to decrease which one of the following?
(A) The activity of RNA polymerase II
(B) The rate of mRNA translation
(c) The ability of nucleases to act on mRNA
(d) The rate of binding of ribosomes to mRNA
(E) The rate of transcription initiation by RNA polymerase II

A

the answer is c. If the rate of degradation of the mRNA is not altered by glucocorticoids, then the increase in mRNA levels should reflect the increase in transcription rate. Because the increase in mRNA level is greater than the increase in transcription rate, the glucocorticoids must also be increasing the mRNA stability (i.e., decreasing the rate of degradation by nucleases). The activity of RNA polymerase II is increased (transcription is increased, so transcription initiation is also increased), and the rate of translation (the binding of ribosomes to mRNA) is increased (the enzyme activity is increased), owing to the increased amount of mRNA available.

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9
Q
Which region (A to D) of the DNA strands shown could serve as the template for transcription of the region of an mRNA that contains the initial codon for translation of a protein 300 amino acids in length?
Region A: GATGC
Region B: TCATT
Region C: AATGA
Region D: GCATC
(A) A
(B) B
(c) C
(d) D
(E) None of the indicated areas would suffice.
A

the answer is B. Although D contains the sequence 3′-TAC-5′, which produces a start codon (5′-AUG-3′) in the mRNA, there is a sequence (3′-ATT-5′ in the DNA) that would produce a stop codon (5′-UAA-3′) in the mRNA in frame with this start codon. Sequence B, read 3′ to 5′ (from right to left), would produce a start codon in the mRNA transcribed from it. There are no stop codons in this sequence, so it could produce a protein 300 amino acids in length. Sequences A and C do not contain triplets corresponding to the start codon in mRNA.

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10
Q
A temperature-sensitive cell line would show early senescence when grown at the nonpermissive temperature, and examination of the chromosomes demonstrated many 3′ overhangs at the ends of the DNA fragments. The defective enzyme, at the nonpermissive temperature, is which one of the following?
(A) Telomerase
(B) DNA ligase
(c) DNA polymerase
(d) A repair DNA polymerase
(E) A helicase
A

the answer is A. Telomerase is defective at the nonpermissive temperature. Owing to the dual requirements of DNA polymerases that they synthesize DNA in the 5′ to 3′ direction, and their need for a template, replicating the ends of linear chromosomes leads to a 3′ overhang after the replication is complete. The overhang is created when the DNA–RNA primer is removed from the template strand, and there is no primer for the DNA polymerase to extend to fill in the gap. Telomerase solves this problem by carrying its own RNA template, and extending the 3′ over- hang. After the gap is filled in as best it can, telomere-binding proteins cap the end of the chromosome to protect it from degradation. Lack of DNA ligase would result in a large number of gaps in the phosphodiester backbone (particularly on the lagging strand), but would not affect the telomeres. Lack of DNA polymerase activity would lead to an overall inhibition of DNA replication, and not just affect the telomeres. Lack of helicase activity would also affect the global DNA replication, not just the replication at the telomeres. Lack of repair polymerase would in- crease the amount of damage in the DNA, but would not specifically target the telomeres.

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11
Q
A family, while on a picnic, picked some wild mushrooms to add to their picnic salad. Shortly thereafter, all the members of the family became ill, with the youngest child showing the most severe symptoms. The family is suffering these effects owing to a primary inability to accomplish which one of the following in their cells and tissues?
(A) Synthesize proteins
(B) Synthesize lipids
(c) Synthesize DNA
(d) Synthesize carbohydrates
(E) Repair damage in DNA
A

the answer is A. The poison in poisonous mushrooms is α-amanitin, an inhibitor of eukaryotic RNA polymerases, primarily RNA polymerase II. As the family ate the mushrooms contain- ing the poison, RNA polymerase II stopped functioning, and mRNA was no longer produced. This led to a lack of protein synthesis. There is no direct effect on the synthesis of lipids, carbohydrate, or DNA, other than replacing the required enzymes due to protein turnover. However, the net effect of α-amanitin poisoning would be to stop protein synthesis, which may then lead to a cessation of lipid or DNA synthesis. α-Amanitin has no direct effect on DNA repair.

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12
Q

A newborn has found to be very photophobic, and his skin burns even with minimal exposure to sunlight, eventually forming skin blisters. Neither parent exhibits this trait, although both are prone to burning when in the sun for a short period of time. As the child grows, he is found to be at average height and weight for his age, and is progressing normally along the developmental guidelines. He is, however, kept inside at all times, and is carefully wrapped if he has to leave the house. Fibroblasts isolated from this child are grown in culture, and in an experiment, exposed to UV light. An analysis of the fibroblast DNA will demonstrate which one of the following?
(A) A preponderance of apurinic sites and apyrimidinic sites
(B) An increase in sister chromatid exchange rate
(c) A preponderance of abnormal base pairs in the DNA
(d) Loss of telomeres within the DNA
(E) An increase in cross-linked bases within
the strands of DNA

A

the answer is E. The child has XP, a defect in nucleotide excision repair such that thymine dimers, created by exposure to UV light, cannot be removed from the DNA. XP will not affect the repair of apurinic or apyrimidinic sites (sites missing just the base from DNA, which requires the AP endonuclease for repair). An increase in sister chromatid exchange rates is a finding in Bloom’s syndrome, which is a defect in a helicase required for both DNA and RNA syntheses. Patients with Bloom’s syndrome are small for their age, unlike those with XP who follow normal developmental milestones. XP does not result in unusual base pairs in DNA, rather the formation of thymine dimers between the adjacent T residues in one strand of DNA. These T residues are still complementary to the A residues in the other strand. XP does not affect the ability of telomerase to extend the ends of the linear chromosomes in the cell.

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13
Q

A 15-year-old boy was diagnosed with skin cancer. He had always been sensitive to sun- light, and had remained indoors for most of his life. An analysis of his DNA, from isolated fibroblasts, indicated an increased level of thymine dimers when the cells were exposed to UV light. The boy developed a skin tumor owing to an increased mutation rate, which was caused by which one of the following?
(A) A lack of DNA primase activity
(B) Decreased recombination during mitosis
(c) Increased recombination during mitosis
(d) Loss of base excision repair activity
(E) Loss of nucleotide excision repair activity

A

the answer is E. The damage to the DNA caused by UV light (pyrimidine dimers) can be repaired by the nucleotide excision repair pathway. In some cases, the missing enzyme is a repair endonuclease. The boy has XP, as determined by the increase in thymine dimers in his DNA after exposure to UV light. Since the dimers cannot be repaired, the DNA polymerase will “guess” when replication occurs across the dimers, increasing the mutation rate of the cells. Eventually, a mutation occurs in a gene that regulates cell proliferation, and a cancer results. An increase or decrease in mutation rate is not related to the rate of recombination during mitosis, nor to a lack of DNA primase activity (which would lead to reduced DNA synthesis, not inaccurate DNA synthesis). Base excision repair is normal in patients with XP.

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14
Q

A 40-year-old male is well controlled on warfarin for a factor V leiden deficiency and recurrent deep vein thrombosis. He presents today with a community-acquired pneumonia, and is placed on erythromycin. Three days later, he develops bleeding and his INR is 8.0 (indicating an increased time for blood clotting to occur, where INR is international normalized ratio). Which of the following best explains why this bleeding occurred?
(A) The erythromycin inhibited cytochrome P450
(B) The erythromycin stimulated cytochrome P450
(c) The causative agent of the pneumonia inhibited vitamin K utilization
(d) The causative agent of the pneumonia stimulated vitamin K utilization
(E) The erythromycin inhibited mitochondrial translation
(F) The erythromycin inhibited mitochondrial transcription

A

the answer is A. Warfarin is metabolized by a specific subset of induced p450 isozymes. The p450 system is used by cells to modify the xenobiotic (in this case the warfarin) such that it can be more easily excreted. Erythromycin, along with other macrolide antibiotics, inhibits the p450 oxidizing system, which in this case would lead to a higher blood level of warfa-
rin and, therefore, the balance of clotting and bleeding is shifted toward excessive bleeding.
A stimulation of p450 production by erythromycin would lead to a lower level of warfarin (due to increased metabolism and loss of warfarin by p450) and the potential of excessive clotting. This effect of p450 is a common drug-drug interaction. The causative agents of community- acquired pneumonia do not affect vitamin K absorption in the small intestine, or distribution throughout the body. Erythromycin does not affect mitochondrial transcription, although it may affect mitochondrial translation. Inhibition of mitochondrial protein synthesis, however, will not alter the inhibition of cytochrome p450 activity, and the increased levels of warfarin present, which may lead to increased bleeding.

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15
Q
Your diabetic patient is using the short-acting insulin lispro to control his blood glucose levels. Lispro is a synthetic insulin formed by reversing the lysine and proline residues on the C-terminal end of the B-chain. This allows for more rapid absorption of insulin from the injection site. The engineering of this drug is an example of which of the following technologies?
(A) Polymorphism
(B) DNA fingerprinting
(c) Site-directed mutagenesis
(d) Repressor binding to a promoter
(E) PCR
A

the answer is c. This is a prime example of recombinant DNA technology to manufacture a very useful treatment for human diseases, by using site-directed mutagenesis. As the amino acid and DNA sequences of mature insulin is known, the engineering of lispro required that
a proline codon be converted to a lysine codon, and the adjacent lysine codon converted to a proline codon. A polymorphism refers to the differences in DNA sequences amongst individu- als in a population at a particular location within the genome. A polymorphism would not result in the synthesis of lispro insulin. DNA fingerprinting is used to identify unknown DNA samples by comparing the polymorphisms present in the sample DNA to a particular indi- vidual’s DNA. Other than identical twins, everyone’s DNA is different, and can be distinguished by fingerprinting using genetic polymorphisms. Repressor binding to a promoter is part of gene regulation in prokaryotypes, and would not be useful in generating the genetic changes necessary to produce lispro insulin. The PCR can amplify a particular DNA segment between two known segments of DNA, but the technique does not lead to the alteration of amino acid sequence between lispro and normal insulin.

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16
Q

For the synthesis of lispro insulin (as described in the previous question), which one of the following changes in the coding for the B-chain would be required?
(A) CAAAAA to AAAAAC
(B) CCTAAT to AAACTC
(c) CCGAAG to AAACCA (d) AAACCA to CCGAAG (E) AAGCCT to AAACCC

A

the answer is c. The codons for proline are CCU, CCA, CCG, and CCC. The codons for lysine are AAA and AAG. The normal sequence of these two amino acids in the B-chain of insulin is pro-lys, so examples of this are CCGAAG, or CCCAAA. However, in the genetically engineered lispro variant of insulin, the lysine codon comes first, followed by the options of valine codons. The only answer that does this correctly is answer C. Answer A converts a pro-lys to a lys-asn. Answer B converts a pro-asn to lys-pro. Answer D converts a lys-pro to a pro-lys, and answer E converts a lys-pro to lys-pro.

17
Q
A thin, emaciated 25-year-old male pres- ents with purple plaques and nodules on his face and arms, coughing, and shortness of breath. In order to diagnose the cause of his problems most efficiently, you would order which one of the following types of tests?
(A) Southern blot
(B) Northern blot
(c) Western blot
(d) Sanger technique
(E) Southwestern blot
A

the answer is c. The patient has Kaposi’s sarcoma and AIDS. The causative agent is HIV, an RNA virus. The Western blot technique is used to identify whether a specific blood sample contains antibodies that will bind to HIV-specific proteins. The HIV proteins are run through
a gel, transferred to filter paper, and probed using the sera from the patient. If the patient has antibodies to the HIV proteins, then a positive result will be obtained. A Southern blot is used to identify the DNA, and in this case it is easier to check for the presence of anti-HIV antibod- ies in the patient’s sera. A Northern blot would check for viral RNA, but it is more efficient, and reliable, due to the low levels of viral RNA, to check for anti-HIV proteins instead. The Sanger technique identifies a portion of the DNA chain through sequencing the bases in the DNA, and is not used for determining the HIV status. A Southwestern blot is used to detect DNA binding to proteins, and would not be applicable for AIDS testing.

18
Q
A 17-year-old male has large, prominent ears, elongated face, large testicles, hand flapping, low muscle tone, and mild mental retardation. Which type of mutation does his diagnosis represent?
(A) Point
(B) Insertion
(c) Deletion
(d) Mismatch
(E) Silent
A

the answer is B. The patient has Fragile X syndrome, caused by the expansion of a triplet nucleotide repeat (CGG) within the FMR1 gene on the X chromosome. The expansion interferes with the normal functioning of this gene product in the brain, leading to the symptoms observed. This is an extreme example of an insertion mutation. A point mutation occurs when only one base is substituted for another, and the change in base results in an amino acid change in the protein. Deletion is removal of one or more nucleotides from the gene. Mismatch (answer D) repair is a DNA repair process that is utilized when a mismatch is found in the DNA. A silent mutation is one in which a base change in the DNA leads to no change in the corresponding amino acid in the protein (due to degeneracy in the genetic code).

19
Q
A young black man was brought to the emergency room (ER) due to severe pain throughout his body. He had been exercis- ing vigorously when the pain started. He has had such episodes about twice a year for the past 10 years. An analysis of the blood shows a reduced blood cell count (anemia), and odd-looking red blood cells that were no longer concave and looked like an elongated sausage. The type of mutation leading to this disorder is best described as which one of the following?
(A) Insertion
(B) Deletion
(c) Missense
(d) Nonsense
(E) Silent
A

the answer is c. The patient has sickle cell anemia. Sickle cell anemia arises owing to a substitution of valine (GTG) for glutamate (GAG). This is the definition of a missense mutation (one amino acid replaced by another), and since only one amino acid is replaced, it is also a point mutation. A nonsense mutation is a point mutation that converts a codon to a stop codon and premature termination of the growing peptide chain. A silent mutation is the result of a DNA change that does not change the amino acid sequence of the protein. Since this is a single- nucleotide substitution, it is not due to an insertion or deletion of genetic material.

20
Q
A woman has been complaining of a burning sensation when urinating, and a urine culture demonstrated a bacterial infection. The physician placed the woman on ciprofloxacin. Ciprofloxacin will be effective in eliminating the bacteria because it interferes with which one of the following processes?
(A) mRNA splicing
(B) Initiation of protein synthesis
(c) Elongation of protein synthesis
(d) Nucleotide excision repair
(E) DNA replication
A

the answer is E. The quinolone family of antibiotics (which includes ciprofloxacin) inhibits DNA gyrase, a prokaryotic-specific topoisomerase involved in unwinding the DNA strands for replication to occur. In the absence of gyrase activity, there would be no DNA replication, and the bacteria would not be able to proliferate. The quinolones do not affect eukaryotic topoisomerases. Splicing of hnRNA only occurs in eukaryotic cells. The gyrase is neither involved in nucleotide excision repair, nor in any aspect of protein synthesis.

21
Q

A 72-year-old man acquired a bacterial infection in the hospital while recuperating from a hip replacement surgery. The staph infection was resistant to a large number of antibiotics, such as amoxicillin, methicillin, and vancomycin, and was very difficult to treat. The bacteria acquired its antibiotic resistance owing to which one of the following? Choose the one best answer.
(A) Spontaneous mutations in existing genes
(B) Large deletions of the chromosome
(c) Transposon activity
(d) Loss of energy production
(E) Alterations in the membrane structure

A

the answer is c. Transposons have the ability to move DNA elements from one piece of DNA to another, including antibiotic-resistance genes from R-plasmids to the host chromosome. Thus, over time, as a bacteria obtains plasmids with antibiotic-resistance genes on them, the transpo- sons can move the gene to the bacterial chromosome so it is always expressed by the cell, and no longer requires the plasmid for antibiotic resistance. Alterations in the membrane structure do not occur, nor do large deletions of the bacterial chromosome (antibiotic-resistance genes are not normal components of the bacterial chromosome). Antibiotic resistance is neither due to a loss of energy production, nor to spontaneous mutations in existing genes, as the bacteria do not encode genes that may confer antibiotic resistance to begin with.

22
Q
A 42-year-old man is placed on a two-
drug regimen to prevent the activation of the tuberculosis bacteria, as his tuberculin skin test (PPD) was positive, but he shows no clinical signs of tuberculosis, and his chest X-ray is negative. One of the drug’s mechanism of action is to inhibit which one of the following enzymes?
(A) DNA polymerase
(B) RNA polymerase
(c) Peptidyl transferase
(d) Initiation factor 1 of protein synthesis
(IF-1)
(E) Telomerase
A

the answer is B. Two drugs are utilized for latent tuberculosis: isoniazid and rifampin. Isoniazid works by blocking the synthesis of mycolic acid, a necessary component of the cell wall of the bacteria that leads to tuberculosis. Rifampin works by inhibiting bacterial RNA polymerase, and blocking the synthesis of new proteins. Neither drug affects DNA polymerase or peptidyl transferase (chloramphenicol is the antibiotic that inhibits bacterial peptidyl transferase activity). Rifampin also has no effect on IF-1.

23
Q

A 47-year-old woman, who has been
on kidney dialysis for the past 7 years, has developed jaundice, fatigue, nausea, a low- grade fever, and abdominal pain. A physical examination indicates a larger-than-normal liver, and blood work demonstrates elevated levels of aspartate aminotransferase (AST) and alanine aminotransferase (ALT). The physician places the patient on two drugs, one of which
is a nucleoside analog, geared to inhibit DNA and RNA syntheses. The primary function of the other drug is to do which one of the following?
(A) Inhibit DNA repair in infected cells
(B) Enhance the rate of the elongation phase
of protein synthesis
(c) Reduce the rate of initiation of protein
synthesis
(d) Inhibit ribosome formation
(E) Promote ribosome formation

A

the answer is c. The patient has an acute version of hepatitis C infection, which primarily affects the liver and its function. The two-drug treatment for hepatitis C is ribavirin and modified interferon (it is modified so it is more stable). The interferon works by activating a kinase (protein kinase R) that phosphorylates a key initiation factor for protein synthesis, thereby inhibiting the factor from participating in protein synthesis. This leads to a reduction in protein synthesis, and reduced replication of the virus infecting the cells. Interferon does not inhibit DNA repair, enhance the elongation phase of protein synthesis, or affect ribosome formation.

24
Q
A 50-year-old female has shortness of breath, cough, and fever for 3 days. She lives with her husband and has no medical problems. Her pulse ox in the office is 89 and her pulse rate is 110. She is admitted for treatment of community-acquired pneumonia, and her intravenous (IV) antibiotic treatment includes levofloxacin. A mutation in which bacterial enzyme would be required for levofloxacin resistance to be observed?
(A) DNA primase
(B) DNA polymerase III
(c) DNA gyrase
(d) DNA ligase
(E) DNA polymerase I
A

the answer is c. Levofloxacin is a member of the quinolone family of antibiotics that inhibits bacterial topoisomerases, primarily DNA gyrase (etoposide is the drug that inhibits eukaryotic topoi- somerases). Without gyrase activity, the DNA of the bacterial chromosome cannot be unwound properly, and DNA replication would cease, leading to the death of the bacteria. The quinolone family of antibiotics does not directly affect DNA polymerases, DNA ligase, or DNA primase.

25
Q
An 18-year-old college freshman shares
a dorm room with three roommates. One
of his roommates has been diagnosed with meningococcal meningitis, caused by the bacteria Neisseria meningitidis. The other three roommates are isolated, and treated twice a day with an antibiotic as prophylaxis against this organism, as none of them had received the meningococcal vaccine prior to enrollment. They are told that this antibiotic can give a reddish discoloration of their urine or tears. The reason this drug is effective in killing the bacteria is which one of the following?
(A) DNA synthesis is inhibited.
(B) RNA synthesis is inhibited.
(c) The process of protein synthesis is
inhibited.
(d) The bacterial membrane becomes leaky.
(E) ATP generation is reduced.
A

the answer is B. The drug given to prevent Neisseria infection (used prophylaxically), which is common in crowded conditions such as freshman dormitory rooms or military barracks, is rifampin. Rifampin inhibits RNA polymerase, and also exhibits a red color. Loss of rifampin
in the urine or tears would give a reddish tint to those fluids. Rifampin does not interfere with DNA synthesis, the bacterial membrane, the process of protein synthesis, or ATP generation by the bacteria.

26
Q

A 38-year-old homeless man who has not received any medical care in the last 20 years presents with 2 days of shortness of breath, chills, fever, drooling, painful swallowing, and a “croupy” cough. A physical examination reveals a bluish discoloration of his skin and a tough, gray membrane adhered to his pharynx. The underlying mechanism through which this disease affects normal cells is which one of the following?
(A) DNA synthesis is inhibited in the target cells.
(B) RNA synthesis is inhibited in the target cells.
(c) The process of protein synthesis is inhibited in the target cells.
(d) The plasma membrane becomes leaky in the target cells.
(E) ATP generation is reduced in the target cells.

A

the answer is c. The man has contracted diphtheria, and needs the diphtheria antitoxin and then antibiotics to remove the offending organism, C. diphtheriae. As the patient has not received medical care over the past 20 years, he has also missed his diphtheria vaccine, which should be received every 10 years. Diphtheria toxin blocks eukaryotic protein synthesis by phosphorylating an initiation factor, which inhibits protein synthesis in the cells. The toxin does not directly affect DNA or RNA synthesis, nor does it, as a primary target, reduce ATP production by the mitochondria or allow the plasma membrane to become leaky.

27
Q
Disease X has been linked to the creation of a new restriction enzyme site, as indicated in the associated figure. The relevant area of the DNA is shown, along with EcoR1 restriction sites, sizes of fragments obtained, and an area to which a probe is available (the small red box). A family has had DNA obtained to determine if they are carriers for this disorder, and their DNA was digested with EcoR1, and a Southern blot was done using the available probe. A carrier for this disorder would display which bands on the Southern blot? (see page 99 question 27)
(A) 1.1 kb
(B) 1.9 kb
(c) 3.0 kb
(d) 1.1 and 1.9 kb
(E) 1.1 and 3.0 kb
(F) 1.9 and 3.0 kb
(G) 1.1, 1.9, and 3.0 kb
A

the answer is E. A carrier would have one normal allele (which would generate a 3.0-kb EcoR1 fragment), and one mutated allele (which generates fragments of 1.1 and 1.9 kb). The key to answering this question is that the probe is located within the 1.1-kb fragment that is generated in the mutant allele (it is also within the normal 3.0-kb fragment generated from the normal allele). So when the Southern blot is probed with the given probe, only the 1.1-kb piece of DNA will anneal to the probe and be visible in the mutated allele. Since this section of DNA is also present in the 3.0-kb piece of DNA, a 3.0-kb piece of DNA will also be visible on the Southern blot. If the person had two normal alleles, then only the 3.0-kb piece would be visible–if the person had the disease, then only the 1.1-kb piece would be visible on the Southern blot.

28
Q
Disease X has been linked to the creation of a new restriction enzyme site, as indicated in the associated figure. A rapid PCR test to determine whether the amplified DNA carries the risk for the disease has been developed. After amplifying this region of the genome with the indicated PCR primers, and treatment of the amplified DNA with the appropriate restriction enzyme, an individual who is a carrier for this disease would express which of the following bands on an ethidium bromide– treated agarose gel? (see page 100 question 28)
(A) 1.1 kb
(B) 1.9 kb
(c) 3.0 kb
(d) 1.1 and 1.9 kb
(E) 1.1 and 3.0 kb
(F) 1.9 and 3.0 kb
(G) 1.1, 1.9, and 3.0 kb
A

the answer is G. Amplifying the DNA region between the primers yields a 3.0-kb piece. The DNA from normal alleles will show a 3.0-kb band on an agarose gel after cutting with the appropriate restriction enzyme, as the normal allele does not contain this site within the amplified region. The mutant allele, however, does have this restriction site, such that after amplifying the DNA, and treating with the restriction enzyme, both a 1.1- and 1.9-kb piece will be generated, both of which would be seen on an ethidium bromide–treated gel. Carriers will have one of each allele (normal and mutant), so that a carrier would show three bands on the agarose gel–1.1, 1.9, and 3.0 kb in size. A person with two normal alleles would show only the 3.0-kb fragments, whereas a person with two mutated alleles would show both the 1.1- and 1.9-kb fragments.

29
Q
A 4-year-old boy displays a failure to thrive, extreme sensitivity to the sun, hearing loss, severe tooth decay, pigmentary retinopathy, and premature aging. An analysis of fibroblasts from the boy demonstrated extensive DNA damage in cells trying to grow, but minimal damage in quiescent cells, which have a greatly reduced rate of transcription as compared to the growing cells. This child most likely has a defect in which one of the following processes?
(A) Repair of thymine dimers
(B) Base excision repair
(c) Nucleotide excision repair
(d) Mismatch repair
(E) Transcription-coupled DNA repair
A

the answer is E. The child is exhibiting the symptoms of Cockayne syndrome, which is due
to a defect in transcription-coupled DNA repair. During transcription of genes, if the RNA polymerase notices DNA damage, transcription will stop while the transcription-coupled DNA repair mechanism will correct the DNA damage. This syndrome can be due to mutations in either the ERCC6 or ERCC8 gene, and the protein products of both the genes are involved in repairing the DNA of actively transcribed genes. The key to answering the question is the amount of DNA damage in growing cells (which are transcriptionally active) versus the damage in quies- cent cells (which express fewer genes). The symptoms described are also unique to individuals with this disorder. The repair of thymine dimers and the processes of base excision repair, nu- cleotide excision repair, and mismatch repair are all functional in individuals with this disorder.

30
Q

A 33-year-old man had a screening colonoscopy, and was diagnosed with a right-sided, mucinous colon cancer, with no other lesions or polyps seen. The reason he had a colonoscopy at such an early age is that his father and paternal uncle had colon cancers diagnosed by age 40. His paternal grandmother had ovarian and uterine cancers. A likely defect in the patient is a reduction in the ability to carry out which one of the following processes?
(A) Removal of thymine dimers from the DNA
(B) Inability to remove the base U from DNA
(c) Loss of DNA ligase activity
(d) Inability to correct mismatched bases in
newly synthesized DNA
(E) Inability to form a solenoid structure from
individual nucleosomes

A

the answer is d. The patient has HNPCC, which is due to specific mutations in proteins involved in mismatch repair (mutations in at least four different proteins have been identified that lead to HNPCC). Mismatch repair is not involved in thymine dimer removal, nor base excision repair (the removal of uracil from DNA). HNPCC does not involve a defective DNA ligase, nor does the disease result in defective DNA packaging (solenoid formation) in the nucleus.

31
Q

A 10-year-old boy, small for his age in both height and weight with a calculated, projected adult height of less than 5 feet, is photophobic, and develops a “butterfly” rash over his nose and cheeks if exposed to the sun. He has a high-pitched voice, large nose, prominent ears, and has had multiple pneumonias in his childhood. An examination of fibroblasts from this patient demonstrated
an increased sister chromatid exchange rate during mitosis as compared to cells from a normal child. The defective enzymatic activity in this child can be traced to which one of the following activities?
(A) A DNA polymerase (B) An RNA polymerase (c) A helicase
(d) An exonuclease
(E) An endonuclease

A

the answer is c. The child has Bloom’s syndrome, a DNA synthesis defect due to a defective DNA helicase. The defective helicase leads to an increased mutation rate in the cells, through an unknown mechanism. Cells derived from patients with Bloom’s syndrome display a sig- nificant increase in recombination events between homologous chromosomes as compared to normal cells (increased sister chromatid exchange rate). Mutations in the helicase increase genomic instability; the normal Bloom’s protein suppresses sister chromatid exchange, and helps to maintain genomic stability. Bloom’s syndrome is not due to a mutation in either DNA or RNA polymerase, an exonuclease, or an endonuclease.

32
Q

An 8-year-old boy has failure to thrive, alopecia totalis, localized scleroderma, a small face and jaw, a “beak” nose, wrinkled skin, and stiff joints. He is determined to have a single- point mutation in a nuclear protein, which
is a silent mutation in terms of the primary structure of the protein. How could such a mutation lead to a disease?
(A) Through altering the tertiary structure of the protein
(B) Inhibiting DNA replication
(c) By introducing a premature stop codon
into the protein
(d) By creating an alternative splice site in
the gene
(E) By creating an alternative start site for
transcription in the gene

A

the answer is d. The child is expressing the symptoms of Hutchinson–Gilford progeria, a pre- mature aging disease, which is due to a mutation in the LMNA gene, which encodes lamin A,
a nuclear protein. The most common mutation is C1824T, in which the normal cytosine at position 1,824 of the gene is replaced by a thymine. This is a silent mutation as far as the protein is concerned–G608G. However, the introduction of the T creates a cryptic splice site in the gene, such that as the hnRNA is processed, a lamin A mRNA is created that is missing 150 nucleotides, corresponding to a loss of 50 amino acids near the carboxy terminal of the protein. Under normal conditions, lamin A is farnesylated, which allows the protein to be at- tached to the endoplasmic reticulum membrane. During processing, the enzyme AMPSTE24 cleaves part of the carboxy terminal, releasing the farnesylated portion of the protein such that lamin A can be transferred to the nucleus, where it is involved in providing a scaffold for the nuclear membrane. In the mutant protein (progerin), the site of cleavage is lost owing to the loss of the C-terminal amino acids, although the site of farnesylation still remains. Thus, the progerin that reaches the nucleus is still bound to the nuclear membrane, distorting the nuclear membrane and contributing to nuclear instability. Chromatin binding to the nuclear membrane is also altered, as are the phosphorylation sites in progerin, which makes it more difficult for the nuclear membrane to dissolve during mitosis. Since this is a silent mutation
in the mature protein, the tertiary structure of the protein is not altered, and a premature stop codon has not been introduced into the protein (that would be a nonsense mutation, not a silent mutation). Since the protein amino acid sequence is initially the same, an alternative start site for transcription has not been created, nor does a simple base change lead to an inhibition of DNA replication.

33
Q

A scientist is studying a novel hepatocyte cell line that cannot produce a nucleolus when the cells are grown at 42°C. When examining cells that have been at 42°C for 96 hours, the scientist finds that the incorporation of 14C-leucine into proteins is greatly reduced as compared to cells grown at 35°C. This is most likely due to which one of the following at the nonpermissive temperature?
(A) Lack of charged tRNA molecules
(B) Inability to form peptide bonds during
protein synthesis
(c) Lack of initiation factors
(d) Inability to form mature mRNA
(E) Lack of GTP needed for protein synthesis

A

the answer is B. The nucleolus is the site within the nucleus at which rRNA is produced, and ribosomal subunits assembled. In the absence of nucleoli, mature ribosome content within
the cell will decrease, which will lead to an overall reduction in protein synthesis. One of the functions of the mature ribosomal complex is to catalyze the formation of peptide bonds, using the enzymatic activity within the large ribosomal subunit rRNA (23S in prokaryotes, and 28S in eukaryotes). In nucleoli, rRNA genes are transcribed to produce the 45S rRNA precursor, which is trimmed, modified, and complexed with proteins to form ribosomal subunits. The synthesis of tRNA does not require the nucleolus, and charging reactions occur in the cytoplasm, so it is unlikely that the levels of charged tRNAs will be reduced. The capping, splicing, and polyadenylation of mRNA does not require the nucleolus (or ribosomes), and would proceed normally at the nonpermissive temperature. The only reason for initiation factors to be reduced is if their turnover number is high, and new proteins need to be synthesized to replenish the eIF pool. The lack of nucleoli, for 96 hours, should not affect the ability of the cell to produce energy in the form of ATP and GTP.

34
Q

Use the following figure to answer this question (page 101 question 34). The gene for CF has been isolated
and sequenced. The gel pattern for the DNA sequence of the region that differs from the normal gene in the most common form of CF is shown in the figure. What do the results of this gel indicate about the disease-causing mutation in the altered gene?
(A) It is due to a single nucleotide change.
(B) It is due to an insertion of a small number of bases.
(c) It is due to a deletion of a small number of bases.
(d) It is due to a cytosine deamination.
(E) It is due to a frameshift mutation in the DNA.

A

the answer is c. Sequences are read from the bottom to the top of the gel. In this region, the sequences of the CF and normal genes are identical for the first eight bases. Positions 12 to
15 of the normal gene and 9 to 12 of the CF gene are identical. Therefore, there is a 3-base dele- tion in the CF gene corresponding to bases 9 to 11 of the normal gene. Since the deletion is a multiple of three (3 bases), there is no frameshift involved. This DNA pattern is indicative of the δF508 mutation, in which the codon for a phenylalanine residue is deleted from the gene. This is the most common mutation in CF patients, occurring in about 70% of the individuals with CF.

35
Q

Use the following figure to answer this question (see page 102 question 35). Two male infants were born on the same day in the same hospital. Because of concern that the infants had been switched in the hospital nursery, genetic tests based on a DNA restriction fragment that exhibits polymorphism (RFLP) were performed. Blood was drawn from the parents and the infants, the DNA extracted, and PCR performed. The DNA was then treated with the restriction enzyme BanI, and the frag- ments were separated by gel electrophoresis. The results of a Southern blot test are shown
in the figure. A radioactive probe was used that
bound to a sequence within the BanI fragments that exhibited polymorphism. Which of the two infants, C1 or C2, is the genetic offspring of this mother (M) and father (F)?
(A) C1 could be the offspring of these parents.
(B) C2 could be the offspring of these parents.
(c) Both infants could be the offspring of these
parents (i.e., this test cannot discriminate).
(d) Either of these infants could be related to
the mother, but neither could be related to
the father.
(E) Neither infant could be related to this
mother or this father.

A

the answer is B. Every chromosome has a homolog. Therefore, there will be two copies of every DNA sequence in the genome. Child C2 could have obtained the 9-kb restriction fragment from this mother, and the 8.5-kb fragment from this father. According to this test, child C1 is not genetically related to either this mother or this father, as neither the mother nor the father contain the 9.5- and 7.0-kb fragments expressed by child C1.