csv-export Flashcards

1
Q

Name the 4 genetic disorders related to DNA structure.

What gene is affected in each disorder?

A

DNA/Nucleotide modification

  1. ICF (DNMT3B gene)
  2. Rett Syndrome (MeCP2 gene)

Histone modification

  1. Coffin–Lowry syndroms (RSK gene)
  2. Rubinstein–Taybi Syndrome (CBP gene)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Describe the phenotype associated with ICF.

What is ICF caused by?

A

DNMT3b dna methyl transferase
––>people are born with it, VERY RARE AUTOSOMAL RECESSIVE
___
While immunodeficiency (defects in B cell function such as reduced immunoglobulin production), facial anomalies (epicanthic folds and flat nasal bridge) and mental retardation/developmental delay constitute common phenotypic abnormalities among ICF patients, one of the disease’s most defining features is loss of DNA methylation from centromeric and pericentromeric repeat regions (alpha satellite
and satellite 2/satellite 3 repeats, respectively) and marked loss of chromosomal condensation during mitosis (6,7). Chromosome 1 and to a lesser extent chromosomes 9 and 16 are the most affected by DNA hypomethylation in ICF patients. h 5 nucleotide repeats found in 1, 9, 16, and half of Y chromosome.
Fmr excessive methylation interferes also with condensation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Rett Syndrome (RTT)

A

X linked. Males usually die.
Apraxia is a disorder caused by damage to specific areas of the cerebrum, characterized by loss of the ability to execute or carry out learned purposeful movements
Occurs in 1/10,000
XLINKED DOMINANT

__

Normal pathway:
––>MECP 2 binds to methyl cytosine.

Pathway with mutation:
––>you don’t have repression of genes that should be repressed (just as bad as turning on genes that should be repressed) and so it affects neurotransmitters, growth factors, see slide for symptoms.

**This is out of the ARTICLE that you should read.It’s X dominant, which is unusual. See ARTICLE.
Human diseases with underlying defects in chromatin structure and modification”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Describe the molecular basis of ICF and RTT

A

ICF: problem with DMNT 3b
Rett syndrom: problem with MECP2
––>for the ones that turn things ON, like rsk which phoshorylates and CBP which is a histone acetyl transferase
––>there is this phosphorylation of serine 10, that’s what this RSK2 does
––>when serine 10 is phosphorylated, these two things are acetylated. Acetylation in general tends to turn on genes, moving it from 30 nm ––> 10 nm form

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Coffin–Lowry Syndrome

A

Coffin–Lowry syndrome, mutations in RSK

–means it can’t phosphorylate serine 10
–facial dysmorphism, skeletal deformation, abnormal digits

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Rubenstein–Taybi Syndrome

A

–downstream of that, mutations in CBP, which is a histone acetyl transferase, called Rubenstein–Taybi Syndrome
–review tries to explain some of these things, but its hard because there are pleiotropic effects
––>in the review they say why is it T cells, why the nervous system, they give different reasons for it, one might be bone morphogenetic proteins (BMPs) if there is a mutation maybe for the facial abnormalities

1/125,000 AUTOSOMAL DOMINANT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Charcot–Marie–Tooth disease (CMT)

A

–Heterogeneous inherited disorder of nerves (neuropathy)

–Characterized by loss of muscle tissues and touch, predominantly feet and legs
––>This high arch is the characteristic of it

–Incurable, so far

–One of most common inherited nerve disorders, 37 in 100,000

–prokaryotes use the same mechanism for aminoacyl tRNA synthetase as do eukaryotes

–what about the mutations you see in the human population?
You see a couple that can become mutated and give rise to Charcot–Marie–Tooth disease (CMT) :
–glycyl–tRNA synthetase gene (GARS –pronounced like cars with a g) mutations– CMT2D
–tyrosyl–tRNA synthetase gene (YARS – pronounced pirate style :) )– intermediate CMT type C.

There is Localization of aa–tRNA synthetase in granules of neuronal cells
–For some reason it ends up in the cytoplasm of axons because of the site of the mutation.
–Not all mutations are on or off completely, some will change the localization, some will change the activity, some will be a gain of function

**So, everything that we talked about is the normal process, using the 20 aa synthetase genes, including the GARS and YARS genes. Charcot–Marie Tooth 2D and CMTC are the syndromes that result if all the processes can’t occur normally, because the tRNA synthetases don’t function correctly, or at all.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Mutations in aa–tRNA synthetases

A
  1. CMT1–demyelinating polyneuropathies,
  2. CMT2 – axonal polyneuropathies;
  3. intermediate CMT

glycyl–tRNA synthetase gene (GARS) mutations– CMT2D

tyrosyl–tRNA synthetase gene (YARS)– intermediate CMT type C.

**Localization of aa–tRNA synthetase in granules of neuronal cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Mutations of Ribosomal Proteins in the SMALL subunit of eukaryotes:

A

Mutations of Ribosomal Proteins in the SMALL subunit of eukaryotes:

RPS19, RPS24 mutations

  1. required for the maturation of 40S ribosomal subunits
  2. Required for binding of eIF2

–Both mutations lead to Diamond–Blackfan anemia
–DBA: abnormal thumb; short; dys heart, kidney, glaucoma

–RPS19 required for the maturation of 40S ribosomal subunits, decrease in ribosome levels

OR

RPS19 and RPS24 might be involved in binding eiF2 ––> Impairment of mRNA translation initiation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Diamond–Blackfan anemia

A
DBA: 
–abnormal thumb
–short
–dys heart
–kidney
–glaucoma

RPS19, RPS24 mutations
**small ribosomal subunit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Human Mutations associated with initiation

A
  1. Vanishing white matter ––> eiF2b

VWM is characterized by ataxia with CNS hypomyelination
–Not enough myelination acting as insulators for main nerves
–Normally myelin is produced in the oligodendrocytes
–The ER is important in oligodendrocytes because it produces lots of myelin proteins
–If there is a problem activating protein synthesis, then you don’t produce enough

  1. Wolcott–Rallison Syndrome

All known WRS mutations either impair or abolish PERK activity. PERK is supposed to shut things down but because of the mutation it can no longer do that.

characterized by:
–Childhood diabetes; 
–dys kidney, liver, pancreas, 
–mental retardation,
– central hypothyroidism
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Vanishing White Matter (VWM)

A

–eIF2B is supposed to activate

–People with a mutation in subunits α–ε or eIF2B won’t active as well, leading to
Vanishing white matter (VWM)

In VWM, you’re not making enough myelin because it’s not churning it out fast enough. See the article…

VWM is characterized by ataxia with CNS hypomyelination
–Not enough myelination acting as insulators for main nerves
–Normally myelin is produced in the oligodendrocytes
–The ER is important in oligodendrocytes because it produces lots of myelin proteins
–If there is a problem activating protein synthesis, then you don’t produce enough

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Wolcott–Rallison Syndrome

A

–mutation in a protein (PERK eIF2α kinase) that is supposed to shut things down but because of a mutation it cannot anymore.

This can result in Wolcott–Rallison syndrome.

Wolcott–Rallison Syndrome is characterized by:
–Childhood diabetes; 
–dys kidney, liver, pancreas, 
–mental retardation,
– central hypothyroidism

Highest expression of PERK in secretory cells including β–cells,

WRS patients suffer from infantile onset diabetes mellitus.
––>Get infantile onset diabetes mellitus because it makes so much insulin and it can’t shut it down.
––>Normally it regulates, but in this case in these individuals the beta cells just overload with unfolded insulin and the beta cells die and these patients get type I diabetes as a result

All known WRS mutations either impair or abolish PERK activity

Might allow overproduction of insulin beyond the capacity of the ER UPR activation and β–cell apoptosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Mutations in elongation factors

A

No human inherited diseases of elongation factors are known.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Termination–Mutations

A

eRF3
––>GGC expansion gastric cancer.
––>Most common allele encodes 10 glycines
––>12–glycine allele has been detected exclusively in cancer patients that can lead to a 20–fold increase in gastric cancer but scientists are sure why this is so

eRF3
–Has a GGC expansion in gastric cancer
––>codes for glycine

Apparently we will learn much more about triplet expansion in later courses
––> happens in huntington’s disease
––>The longer the expansion, the bigger of a chance of earlier onset of huntingtons disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Common mutation in gastric cancer?

A

Mutation in eRF3

––>GGC expansion gastric cancer.
––>Most common allele encodes 10 glycines
––>12–glycine allele has been detected exclusively in cancer patients that can lead to a 20–fold increase in gastric cancer but scientists are sure why this is so

17
Q

Gout

A

–Gout is caused by excess levels of uric acid in the blood

–It can result from several different defects:

  1. It can be a defect in excretion of the uric acid
  2. It can be an overproduction of purines that occurs
    –If one or the other or a combination of the two occurs, uric acid accumulates to extremely high levels
    –When uric acid is collected by the kidneys and it is taken up by the kidney, remember that urine tends to have a LOW pH so we’re going to see uric acid in the noncharged form as depicted.
    –In urine uric acid forms these microcrystalic structures. If the kidney has an especially acid pH the uric acid can be the basis of forming KIDNEY STONES

__

–Here is the problem with the production of uric acid

–this is depicted in the ENOL form, and the ENOL form has a pKA of 5.7

–at a physiologic pH (blood pH = 7.4) this is going to be NEGATIVELY CHARGED, so the proton is dissociated from it and it is referred to as a URATE ANION

–The urate anion (like sodium urate) has very low solubility in aqueous solution–If sodium urate accumulates to very high levels within areas like the joints, it can crystalize, form little salt crystals in areas of poor circulation. If you form crystals, polymorponuclear leukocytes (PMNs) – essentially phagocytizing white blood cells – can take up that crystal and phagocytize those sodium urate crystals.

–In response to taking these crystals up, the white blood cells release hydrolytic enzymes and cause SEVERE INFLAMMATION, including the hydrolysis of such structures such as collagen and cause a very painful situation

–This is why you DON’T want to have high levels of uric acid

18
Q

ADA Deficiency

A

–adenosine deaminase deficiency results in SCID (severe combined immunodeficiency disease)

First aid says: SCID happens to kids (like bubble boy)

–when you have a young child with ADA deficiency, you find that these patients have B and T lymphocytes that do not mature properly. Thus, they are not able to mount an immune response

–It is known that in T lymphocytes the toxicity that results from ADA deficiency is from a 100 fold increase in elevated levels of dATP. This probably applies as well for B lymphocytes but that is not known in as much detail

Why would that affect the T lymphocytes??
––>think about what that means. To understand the mechanism of toxicity, recall the mechanism of regulation of ribonucleotide reductase

a. There is a deficiency in Adenosine deaminase, so if you can’t degrade adenosine to inosine, adenosine is going to be very very high
b. NOW you have to remember thermodynamics: if you accumulate lots of the reactants for this particular process, AMP is going to rise to very high levels because what drives the forward reaction is partially because of the fact that adeniosine is being converted to something else by adenosine deaminase.

C. If you block it at the level of adenosine deaminase, everything upstream of that process will accumulate. What that means is if you have more AMP you’re also going to have a lot more ADP. When you accumulate ADP to extremely high levels, that is going to be converted to dATP !!

d. What is the problem with too much dATP??
––>Think back to RIBONUCLEOTIDE REDUCTASE activity.
–When dATP gets produced in very high levels, it exerts FEEDBACK INHIBITION by binding to the primary site of ribonucleotide reductase and it SHUTS DOWN THE WHOLE ENZYME!!

*High levels of AMP ––> high levels of ADP ––> triggers lots of dATP to form ––> this gets phosphorylated by kinase to dATP and shuts all of these enzymes down

–Even though he described this process in terms of pyrimidines being synthesized first then GDP and dGTP and dADP, what you have to remember here is that this only meant the pyrimidine nucleotides got the highest priority and the purine nucleotides got the lowest priority

–if ADP levels get high enough, it’s going to drive the synthesis of dATP to very high levels and that SHUTS DOWN ribonucleotide reductase before any of these three other nucleotides (purple box) have the chance to accumulate to sufficient levels to support DNA replicaiton

–in an immune response, what happens is as follows:
–a lymphocyte recognizes an antigen and the cell starts to proliferate. It replicates its DNA and the cell multiplies multiple times. BUT if three of the canonical nucleotides are not present at sufficient concentrations because the dATP levels are too high, then those lymphocytes are not going to be able to replicate properly, and THAT my friend is the basis of the toxicity !!!!

The question you might ask yourself is, hokaaay, you disrupt ribonucleotide reductase, you disrupt the pools of deoxynucleotides present in the cell. Why didn’t that process affect the replication of the cells of the EMBRYO?!
Why did this SCID individual even grow up to be a child if ribonucleotide reductase is affected?

–Rubonucelotide reductase activity is ONLY affected in the lymphocytes, specifically in the T lymphocytes. This shut down of ribonucleotide reductase doesn’t happen as readily in the other cells.
–The reason for that is that T lymphocytes have an especially active kinase that converts the dADP to dATP, and it is dATP that shuts down the ribonucleotide reductase, not dADP
–If other cells do not have as active a kinase, dADP may be present at high concentrations but not enough dATP accumulates to shut down the synthesis of the other three canonical deoxynucleotides before they can accumulate to sufficient levels

19
Q

Lesch–Nyhan Syndrome

A

–Results from HGPRTase (hypoxanthine–guanine phosphoribosyltransferase) deficiency

–A deficiency in a single salvaging enzyme results in very severe neurological symptoms
–>Symptoms include spasticity, mental retardation, and highly aggressive and self–destructive behavior
–>patient actually begs to be restrained so he doesn’t bite off his fingers

–Seen almost exclusively in male children
–>HGPRTase is expressed on the X chromosome
–>males with Lesch–Nyhan Syndrome usually die before they can have children

–Characterized by high levels of uric acid
–>the one symptom we can explain well is that associated with these neurological symptoms are these high levels of uric acid

What causes high levels of uric acid?

–HGPRTase takes PRPP, attaches hypoxanthine or guanine to it, and makes IMP or GMP.
–The IMP can be converted to AMP by the pathways we saw.

HGPRT = He’s Got Purine Recovery Trouble :)

If that process does not take place in a particular extrahepatic tissue, then PRPP levels can accumulate to high levels.
–>This can occur in the liver as well – if there’s no salvaging enzyme, PRPP can accumulate to high levels
–>if PRPP accumulates to very high levels, remember that PRPP is not only the starting material for the committed first step in purine biosynthesis, it is a potent activator.
–>Thus, if you accumulate high levels of PRPP, it’s going to crank out purines at an extremely high rate
–>If it does so, it’s also going to produce uric acid at a very very rapid rate

–There are lots of adult males who get gout who do not suffer the same symptoms that patients with Lesch–Nyhan Syndrome have. These adults have hypoxanthine–guanine phosphoribosyltransferase, so the question is what causes those neurological symptoms of Lesch–Nyhan Syndromes?

–We don’t have a complete answer for this, but one of the things that is important to emphasize here is that the brain is ESPECIALLY dependent on this HGPRTase salvaging system to make its purine nucleotides since the brain can’t afford to use that much ATP to do de novo purine biosynthesis. This is probably one of the bases for why we get such severe neurological symptoms. It’s probably a problem with making sufficient levels of purine nucleotides to support the high levels of ATP that are necessary in the brain to maintain normal function.

–In Lesch–Nyhan Syndrome, we can do nothing about the neurological symptoms of the patient, but we can treat adult males with gout and patients with Lesch–Nyhan Syndrom with gout:

–Gout is caused by elevated levels of uric acid

20
Q

What is betathalassemia?

A

–disease seen in mediterranean populations

–Alpha and beta proteins are synthesized 1:1 in those who are normal

–In betathalassemia, the beta chain is not synthesized at the same rate as the alpha protein so you get less of the beta chain

–It turns out the original thought was that since you have less protein there is a mutation in the promoter region BUT it turns out that many things like this occur due to mutations at the branchpoint

–What happens is that sometimes U2 will be able to recognize the correct splicing site and other times it wont SO, you end up getting low levels of the correct protein and some abnormal or truncated protein

21
Q

Xeroderma pigmentosum

A

–hypersensitivity to the sun

–high incidence of skin cancer

22
Q

Ataxia telangiectasia

A

–high incidence of lymphoreticular cancer, abnormalities in various organs

23
Q

Fanconi Anemia

A

–a lethal aplastic anemia

24
Q

Bloom’s Syndrome

A

–wide spectrum of cancers and premature aging

– someone who is 16 looks much older, ~80 !

25
Q

Cockayne’s Syndrome

A

–a rare autosomal recessive,[1] congenital disorder characterized by growth failure, impaired development of the nervous system, abnormal sensitivity to sunlight (photosensitivity), and premature ageing.

–Hearing loss and eye abnormalities (pigmentary retinopathy) are other common features, but problems with any or all of the internal organs are possible.

–It is associated with a group of disorders called leukodystrophies.

–The underlying disorder is a defect in a DNA repair mechanism

26
Q

Hereditary nonpolyposis colon cancer

A

–Lynch syndrome (HNPCC or Hereditary nonpolyposis colorectal cancer ) is an autosomal dominant genetic condition which has a high risk of colon cancer as well as other cancers including endometrium, ovary, stomach, small intestine, hepatobiliary tract, upper urinary tract, brain, and skin.

–The increased risk for these cancers is due to inherited mutations that impair DNA mismatch repair.

Mutant forms of two human genes, hMLH1 and hMSH2, which are involved in mismatch repair, are involved in the development of inherited forms of colon cancer (HNPCC––hereditary nonpolyposis colorectal cancer).

27
Q

Fragile X Syndrome

A

–triplet diseases where we have an expansion of trinucleotide repeats

Triplet = CGG

Symptoms?

28
Q

Huntington’s Disease

A

–triplet diseases where we have an expansion of trinucleotide repeats

Triplet = CAG

Symptoms?

29
Q

Myotonic dystrophy

A

–triplet diseases where we have an expansion of trinucleotide repeats

Triplet = CTG

Symptoms?

30
Q

Medical Relevance of the DNA Replication Reaction

A

A. Aberrations in the initiation of DNA synthesis.

  1. Overinitiation at an origin can lead to gene amplification so that the copy number of a particulargene in a cell is increased. As we will see, this can lead to acquisition of drug–resistance by tumor cells.
  2. Many types of cancer are caused by mutant genes of signal–transducing proteins (oncogenes) which produce a persistent signal for cell division. An important, yet poorly understood problem is how such signals trigger the initiation of DNA replication to begin S phase.

B. Simple errors in copying DNA can lead to genetic diseases and tumorigenesis.

–Over many cell divisions, some errors in copying DNA are inevitable.

–Many mistakes have no physiological consequences and can lead to genetic variations within an organism and among different species.

–Other errors may be disadvantageous and may be eliminated from an organism by selection

–Other mutations may give an organism selective advantage under certain conditions.

–Thus, while an antibiotic may effectively kill nearly all bacterial pathogens in the human body, a very small bacterial population may have acquired mutations that confer antibiotic resistance.

–These antibiotic–resistant pathogens can then become the predominant population under selective conditions.

** Imperfect copying of DNA is not only a mechanism for cellular dysfunction but also an important means of producing genetic diversity and a way of adapting to environmental conditions.

(Nakai never talked about this in class, it was just in the syllabus …)

31
Q

Cholera toxin

A

–Patient dies from severe diarrhea––become so dehydrated that they die
–When the vibrio cholerae colonizes in the small intestine it produces this toxin which affects the G proteins present in the epithelial cells in the intestine
–Epithelial cells will be secreting digestive fluids like chloride ions
–When food comes into the intestine, cAMP will be activated, stimulating PKA so that the digestive enzymes are released to digest the food
BUT when the toxin comes, it does the rxn in the image where the ADP ribose moiety of NAD is attached to the G protein
–ADP ribosylation prevents the gene from being turned off
–The adenylate cyclase is constantly producing cAMP–– 100x increase in cAMP in the epithelial cells in the intestine
–Epithelial cells are constantly secreting chloride anions into the intestinal lumen followed by bicarbonate and finally water and anions and sodium and potassium
–This efflux of the ions and water leads to severe diarrhea that cannot be controlled

32
Q

Hereditary nonpolyposis colorectal cancer

A

–hMLH1 and hMSH2 mutations

–Predisposition to cancer in the colon and in the endometrium, stomach, upper urinary tract, small intestine, and ovary

–MSH–– MutS homolog––involved in miss match repair––binds specifically to miss match

–MLH–– MutL homolog

–Both these proteins when purified can do miss match repair provided we provide the DNA with a nick (signal to synthesize new DNA)

–For any replication that takes place in that tissue, the repair system isn’t properly correctly the mistakes giving rise to somatic cells that can bypass normal regulatory steps which can then evolve to be tumorgenic

33
Q

Xeroderma pigmentosum (XP)

A

–Hypersensitivity to UV light
–a disease of DNA repair

  1. Patients are unusually sensitive to effects of the sun. The patient’s skin is prone to develop ulcerations, freckling, and eventually cancer after exposure to the sun.
  2. Skin cells are unable to repair UV damage to DNA. The repair system is unable to introduce nicks near the pyrimidine dimer to carry out excision repair.
  3. As many as 1% of the population are carriers of the xeroderma pigmentosum disease. Even though they do not suffer the symptoms of the disease, the carriers have a higher incidence of skin cancer.

–Exposure to the sun will cause thymine dimers to form–– lead to a train wreck of the replication fork giving rise to tumor and cancer cells
–Will trigger pathways like apoptosis to occur
–With the small number of cells that do survive, many mutations will accumulate

34
Q

Cockayne’s syndrome (CS)

A

–Affects some of same genes that are mutated in XP
–Can be mildly sensitive to light
–Developmental problems that are not characteristic of XP

Symptoms?

35
Q

Trichothiodystrophy

A

–Affects some of same genes that are mutated in XP
–Can be mildly sensitive to light
–Developmental problems that are not characteristic of XP

Symptoms?

36
Q

Retinitis Pigmentosa (RP)

A

–relatively rare condition (prevalence of 1/3500–1/4000) causing loss of central vision

–non–syndromic RP can be inherited in a AD, AR, or X–L fashion

–at least 35 different genes are known to cause non–syndromic RP