Collagen Disorders Flashcards

1
Q

Collagen Structure

A

3 left handed helices wound into one triple helix

-gly-X-Y with glycine in the middle

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2
Q

Why are glycine mutations really bad in collagen

A

because they cause the helix to unravel. Glycine can’t be in the middle and it needs to be

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3
Q

Why are 3’ end (carboxy) mutations bad

A

because the 3’ end is where the collagen winds up from so if there is a mutation there, it prevents the wind up from occurring properly

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4
Q

Type I collagen structure

A

heterodimer: 2 alpha-1 chains, 1 alpha-2 chain

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5
Q

Type I collagen locations

A

bones and connective tissue: skin, tendons, sclera

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6
Q

COL1A1 and COL1A2 mutations lead to what? what collagen type do they code for

A

code for type 1

-leads to osteogenesis imperfecta

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7
Q

Osteogenesis Imperfecta Type 1

A
  • least severe type

- type 1 collagen is normal but there is a decreased amount of it

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8
Q

Osteogenesis Imperfecta Type 2

A
  • more severe than type 1
  • type 1 collagen is diminished and structurally abnormal
  • frequently lethal at or shortly after birth
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9
Q

Osteogenesis treatment

A

Can basically only prevent/control symptoms, max mobility, develop bone and muscle strength

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10
Q

Type II collagen structure

A

homotrimer of 3 alpha-1 chains (chromosome 12)

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11
Q

Type II collagen location

A

Cartilage: hyaline and elastic cartilage, vertebral discs, vitreous humor of the eye

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12
Q

Interactions of collagen II

A
  • Interacts with proteoglycans, intern, and decor molecules to resist swelling pressure of proteoglycans
  • forms thin fibrils in a loose mesh with type IX and type XI collagens in cartilage
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13
Q

Stickler syndrome (what collagen is it associate with, what is it)

A

collagen II; hereditary arthro-ophthalmopathy

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14
Q

Type III collagen structure

A

three alpha I chains (COL3A1 on chromosome 2)

  • thin collagen fibrils created that form a loosely woven meshwork of reticular fibers
  • associates with type I and V collagens to form mixed population fibers in skin
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15
Q

Type III collagen location

A

skin, blood vessels, hollow organs (within smooth muscle laters of the GI tract and uterus)

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16
Q

Type V collagen structure

A

homotrimeric and heterotrimeric forms

17
Q

Interactions of Type V collagen

A

interacts with type I and III in: bone, tendon, cornea, skin, blood vessels, organs

18
Q

Classic Ehlers-Danlos syndrome is a defect in which collagen

A

Collagen V

19
Q

Vascular Ehlers-Danlos Syndrome is a defect in which collagen

A

Collagen III

20
Q

Beighton Hypermobility Criteria

A

Test of hyper mobility to see if it is clinically significant and potentially a sign of EDS

21
Q

Symptoms of Vascular Type EDS

A

arterial/intestinal/uterine fragility or rupture, bruising, translucent skin, serious complications with pregnancy

22
Q

Hypermobility type EDS

A

not sure what molecular basis is

  • chronic, severe, physically and psychologically debilitating pain, fatigue, osteoporosis, depression…
  • hard to diagnose
  • treatment is mostly trying to deal with pain