Definitions Flashcards
Hydrolase
BIOCHEM
an enzyme that catalyzes the hydrolysis of a chemical bond (adds H2O)
Lyase
BIOCHEM
an enzyme that catalyzes the breaking of various chemical bonds by means other than hydrolysis & oxidation
Ex: ATP -> cAMP + PPi
Oxidoreductase
BIOCHEM
an enzyme that catalyzes the transfer of e-‘s from reductant/electron donor to the oxidant/electron acceptor
OIL
RIG
Transferase
BIOCHEM
enzymes that transfer specific functional groups as a piece from one molecule to another
Ligase
BIOCHEM - ligare = to glue together
an enzyme that can catalyze the joining of 2 large molecules by forming new chemical bonds,
Tumor Necrosis Factor (TNF)
- group of cytokines that cause cell death
- wide variety of proinflammatory actions (coagulation)
- produced my macrophages, NK cells, CD4+ lymphocytes
- primary role is to regulate immune cells
Chemokines
- cytokines that induce chemotaxis
- specifically in immune & inflammatory responses & wound healing
- mostly attract leukocytes, monocytes & neutrophils
Complement
- “complements” the ability of the antibodies/phagocytic cells to CLEAR pathogens
- part of INNATE immune response/inflammation
- end result is an activation cascade with massive amplification
- 3 pathways: classical (antibody activated), alternative (microbe activated) & MBL pathway (Mannose binding lectin binds to receptor & activates)
Nitric Oxide (NO)
- free radical
- vasodialator with short half life
- cytotoxic to micro-organisms
- stimulated by IL-1, TNF & INF-gamma
- iNOS catalyzes production of NO which reacts with superoxide & oxidative burst
- NTG -> NO in body; can cause septic shock (mass vasoD)
Histmaine
- produced by granules in basophils, mast cells, & eosinophils in ECM
- increases vasodilation & permeability of capillaries
- sensitized by IgE antibodies (FEVER & Pain)
- also can play a role in chemotaxis as a chemocytokine
Case Series or Clinical Series
- Descriptive study
- tracks patients with a known exposure given similar treatment (prospective) or examines their medical records for exposure/outcome (retrospective)
Cross Sectional Study or prevalence study
- observational study that involves the analysis of data collected from a population/sample at one specific point in time
- snap shot
Case-Control Study
- observational study for epidemiology
- 2 existing groups differing in outcome are IDed and compared on the basis of some supposed causal attribute
i. e. identifying risk factors
Cohort
- observational study - longitudinal
- group of subjects who have shared a particular attribute
- an analysis of risk factors and follows a group of people who do not have the disease, and uses correlations to determine the absolute risk of subject contraction
- largely about the life histories of segments of populations, and the individual people who constitute these segments
- In medicine, a cohort study is often undertaken to obtain evidence to try to refute the existence of a suspected association between cause and effect; failure to refute a hypothesis often strengthens confidence in it
Randomized Control Trial (RCT)
- Gold standard/top of pyramid*
- limit the potential for biases & confounding factors
- test the efficacy or effectiveness of various types of medical intervention within a patient population