Cycle 9: Genetics of Diseases Flashcards

1
Q

How do neurons communicate?

A

Neurons communicate at the synaptic cleft, where the axon terminal of one neuron meets the dendrite of another. Neurotransmitters like acetylcholine are released into the synaptic cleft to transmit signals.

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2
Q

What happens to cholinergic neurons in Alzheimer’s Disease (AD)?

A

loss of acetylcholine production and degeneration, leading to impaired memory and learning.

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3
Q

How are beta-amyloid plaques formed?

A

Beta-amyloid plaques are formed from the cleavage of (APP) by β-secretase and γ-secretase, producing (Aβ) peptides, particularly Aβ42, which aggregates to form insoluble plaques.

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4
Q

What causes neurofibrillary tangles in AD?

A

Neurofibrillary tangles are formed due to the hyperphosphorylation of TAU proteins, which disrupts neuronal function and leads to cell death.

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5
Q

What are acetylcholinesterase inhibitors?

A

Acetylcholinesterase inhibitors, like donepezil, inhibit the enzyme that breaks down acetylcholine, increasing its availability in the synaptic cleft.

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6
Q

What is the role of NMDA antagonists in AD treatment?

A

NMDA antagonists, such as memantine, block excessive glutamate activity, which can be toxic to neurons.

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7
Q

What genetic risk factor is associated with Down Syndrome and AD?

A

Increased expression of APP due to an extra chromosome 21 leads to early-onset AD.

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8
Q

What mutations are linked to increased Aβ42 production?

A

Mutations in Presenilin 1 and 2 lead to increased production of Aβ42, which aggregates more readily.

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9
Q

What is the significance of the Apo E4 variant in AD?

A

The Apo E4 allele is less effective at clearing Aβ aggregates, increasing the risk of AD.

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10
Q

What is inter-tumoral heterogeneity?

A

differences between tumors in different patients, with each tumor having unique genetic mutations and characteristics.

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11
Q

What is intra-tumoral heterogeneity?

A

differences within a single tumor, where different regions may have distinct genetic mutations and cellular behaviors.

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12
Q

What is clonal evolution in cancer?

A

Clonal evolution is the process by which different clones of cancer cells acquire new mutations over time, some gaining a survival advantage and driving tumor progression.

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13
Q

How do cancer cells develop drug resistance?

A

Cancer cells can become resistant to drug treatment through acquired mutations or epigenetic changes, leading to relapse.

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14
Q

What are driver mutations?

A

Driver mutations confer a growth advantage to cancer cells and are directly involved in cancer progression.

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15
Q

What are passenger mutations?

A

Passenger mutations do not contribute to cancer development and are biologically inert, occurring randomly during cell division.

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16
Q

What causes endogenous DNA damage?

A

Endogenous DNA damage occurs naturally during cell division and metabolism, leading to mutations over time.

17
Q

What are proto-oncogenes?

A

Proto-oncogenes promote cell growth and division; mutations can lead to gain-of-function and uncontrolled cell proliferation.

18
Q

What are tumor suppressor genes?

A

Tumor suppressor genes regulate the cell cycle and DNA repair; loss-of-function mutations can lead to unchecked cell growth and cancer progression.

19
Q

What are cancer stem cells (CSCs)?

A

Cancer stem cells are a small subset of cells within a tumor that can self-renew and differentiate into various cancer cell types, driving tumor initiation and therapy resistance.

20
Q

What experiment demonstrated the tumorigenic potential of cancer stem cells?

A

In experiments, CD44+/CD24- cells were isolated and injected into mice; only 200 of these cells formed a tumor, whereas 20,000 non-stem cancer cells failed to do so.