Connective Tissue Disorders Flashcards

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1
Q

What are complex tissues organised by?

A

the ECM

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2
Q

what’s bigger, the ECM or the cells it organises?

A

the ECM

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3
Q

what are basement membranes?

A

specialised ECM to organise epithelial cells

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4
Q

how are different parts of ECM derived?

A

distinct arrangements of collagen

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5
Q

which type of collagen is specific to basement proteins?

A

collagen IV

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6
Q

what structure does collagen IV assemble into?

A

a 2D net

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7
Q

why does collagen IV assemble into a net not fibres? (4)

A
  • non collagenous regions aren’t cleaved- so can’t pack parallel
  • crosslinking of 4 triple helices to form a colied coil
  • interuption in Gly-X-Y repeats cause flexibility
  • there’s end-end interactions between the non collagenous ends
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8
Q

describe the creation of collagen IV?

A

made in ER
each chain made then co-transitionally transported through the ER
asseembles into 3 molecule triple helix - driven by C-terminal non-collagenous domain
- the trimers interact to form a hexamer (2x3)
at the 7S domains there’s a central interaction to form a tetramer of trimers
- lattice builds of these to form BM

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9
Q

how many collagen IV gnes?

A

6

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10
Q

what are the 3 possible trimers of collagen 4 possible?

A

a1 a1 a2
a3 a4 a5
a5 a5 a6

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11
Q

what is glomerular BM?

A

filter of glomerules in kidneys
a particularly thick BM
fluid pushes through to give urine

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12
Q

what trimers are used in kidney BM?

A

in development it’s a1 a1 a2
as it matures it switches to
a3 a4 a5

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13
Q

what collagen trimers are used in most tissue?

A

a1 a1 a2

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14
Q

what is alports syndrome?

A
  • loss of a3 a4 a5
    patients are fine/healthy in childhood as modt tissues are a1 a1 a2
    a3 a4 a5 has more cross links, making it more restiant to pressure- so in alports syndrome, adult kidneys have glomerular Bm degradation
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15
Q

what causes early onset alports?

A

large gene rearrangements

non-sense mutations

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16
Q

what causes late onset alports?

A

missense mutations, disrupt gly-x-y repeats

condensed cysteine reduces crosslinking

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17
Q

what is laminin?

A

a major component of BMs that self-assembles into a network to present binding sites for cells

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18
Q

what’s laminin made up of?

A

3 chains

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19
Q

what are the 3 chains that make up laminin?

A

a, B, y

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20
Q

what shape does the laminin take?

A

cruciform

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21
Q

describe the structure of laminin?

A

3 chains form a coiled coil shape
brought about by repeated sequence of 7 Amino Acids
disulphide links beween each end of coiled- coil domains

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22
Q

what’s similar between collagen IV and laminin networks?

A

they form spontaneously in vitro

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23
Q

how is the laminin and collagen network linked?

A

by accessory molecules

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24
Q

are there more laminin or collagen isoforms?

A

laminin

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25
Q

how many of each laminin chain are there?

A

5a, 3B, 3y

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26
Q

are all laminins essnetial through the body?

A

no- only some- these are ubiquitous

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27
Q

what does the diversity of laminin isoforms results in (pathologically)?

A

a range of tissue specific genetic diseases

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28
Q

what’s pierson syndrome?

A

rare lethal condition
lack of laminin II (which is usually found in glomerular BM, eye and synaptic BM) causes renal disease, eye abnormalities and muscular issues

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29
Q

what do specific laminin isoforms in the epidermis link?

A

to the underlying collagen in the dermis

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30
Q

what is Epidermis Bullosa?

A

a related group of conditions where skin blisters following mechanical trauma
mutations affect mechanical strength or dermal-epidermal junction

31
Q

what isoform is laminin 5?

A

a3:B3:y2

32
Q

what does laminin 5 do in BM?

A

links cell surface adhesion proteins (integrins) in structures called hemisomes to underlying collagen

33
Q

what does mutation of laminin 5 cause?

A

junctional epidermis bullosa

34
Q

what is junctional epidermis bullosa?

A
  • lethal within first few months after birth
  • recessive mutation
  • mice model-normal phenotype at birth, develop blisters and die by day 3
35
Q

what can cause defect in laminin 5?

A

mutation in laminin B3

36
Q

what does gene therapy for laminin B3 chain mutation do?

A
  • uses retrovirus to deliver functional Laminin B3 gene to patients
  • causes skin healing
37
Q

what do cell surface receptors for laminin link?

A

epithelial cells to the basement membrane

38
Q

what are integrins?

A

cell- ECM adhesion receptors found in most cells

39
Q

what does deletion of B4 integrin lead to?

A

same phenotype as Laminin 5- not living long past birth

40
Q

what’s Epidermis bullosa simplex?

A
  • milder than other forms
  • blisters from mechanical stress
  • heals w/o significant scarring
  • less lethal than junctional EB
  • associated with mutations in keratin 4+5
41
Q

what tissues are BMs found in? (5)

A
  • kidney glomerulas
  • epithelium
  • muscle
  • blood vessel
  • neuromuscular junction
42
Q

muscles transmit force via

A

a secure attachment to BM

43
Q

what laminin isoform is in muscle-tendon BM?

A

laminin 2 (a2:B1:y1)

44
Q

what laminin isoforms are in neuromuscular junctions?

A

laminin 2 (a2:B1:y1) and (a5:B2:y1)

45
Q

overall what are muscular dystrophies?

A

defects in muscle attachment to BM

46
Q

how many main ways does the BM attach to muscle?

A

2

47
Q

what are the 2 ways the BM attaches to muscle?

A

1) Laminin (BM)–> Integrin (cell)

2) Laminin (BM) –> Dystroglycan (cell)

48
Q

which parts of the BM- cytoskeleton linkage can have disruptions to cause MD? (5)

A
  • Lamin
  • integrin
  • dystroglycan
  • collagen
  • dystrophin
49
Q

what type of dysfunction leads to congenital MD?

A

laminin

50
Q

what type of dysfuncction leads to Duchenne/ Becker MD?

A

dystrophin

51
Q

which type of dysfunction leads to bethlem MD?

A

collagen

52
Q

compare the phenotype of duchenne and becker MD

A

Duchenne- onset childhood, wheelchair by 10 years, death 30s

Becker- childhood onset, wheelchair by 40s, normal death age

53
Q

is there a cure for MD?

A

no

54
Q

what causes 50% of congenital MDs?

A

Laminin a2 chain mutation

55
Q

when do congenital MDs manifest?

A

after birth/ first few years

56
Q

what are the symptoms of congenital MD? (4)

A

muscle weakness
delayed motor development
joint problems
PNS and CNS defects

57
Q

is the phenotype of congenital MD worse or better if there’s a complete loss of laminin a2 as opposed to partial loss?

A

worse

58
Q

what type of gene inheritance is congenital MD?

A

autosomal recessive

59
Q

what does loss of Integrin a7 cause?

A

progressive MD

60
Q

what does loss of integrin B1 cause?

A

no MD

61
Q

does the dystrophin complex function with or independently of the laminin- integrin complex?

A

independent

62
Q

what’s the most common type of MD?

A

Duchenne

63
Q

what type of gene inheritence in duchenne MD?

A

X-linked

64
Q

what component is affected in duchenne?

A

dystrophin

65
Q

if there’s issues with both dystrophin and integrin would the phenotype be worse than one on its own?

A

yes

66
Q

what’s the difference between duchenne and becker MD?

A

Duchenne is caused by a complete loss of dystrophin

Becker is caused by a partial loss of dystrophin

67
Q

how big is the dystrophin gene?

A

very large- largest in genome

68
Q

is it possible to deliver a dystrophin gene by a retrovirus like laminin B3?

A

no- too big

69
Q

how can duchenne symptoms be reduced to becker like?

A

further cutting of gene

70
Q

are there any known mutations of dystroglycan?

A

no- probably not viable (however MDs are associated with it)

71
Q

what is Fukuyama Congenital MD?

A
  • predominant in Japan
  • severe muscle degeneration
  • brain abnormalities
72
Q

what causes Fukuyama congenital MD?

A

insertion into Fukutin gene
Fukutin associated with glycosylation of dystroglycan
can’t bind to laminin w/o

73
Q

what causes the degenerative aspect of MD?

A

defective control of apoptosis- overactivation of apoptotic factors

74
Q

how can apoptosis be reduced in MD?

A

loss of Bax/ BCL-2