Disease Flashcards

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1
Q

What theory explains how mitochondria came to be an intracellular organelle? What is a mitochondrias main role?

A

Endosymbiosis - mitochondria generate ATP for the cell

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2
Q

Which tissues would you expect to be more affected in mitochondrial disease? Why?

A

The heart, brain, and skeletal muscles etc - these tissues contain abundant mitochondria, as they require much more energy than other parts of the body

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3
Q

List some symptoms you may expect in mitochondrial disease.

A
  • muscle weakness
  • seizures
  • developmental delays
  • visual/hearing impairment
  • learning disabilities
  • poor growth
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4
Q

Regarding symptoms, why does the clinical presentation of mitochondrial diseases often cause difficulty in diagnosis?

A

Symptoms are often broad and varied, involving various organs with various severities - many of these symptoms are also universal to various other disorders

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5
Q

Symptoms of mitochondrial diseases can range from mild to severe. Why is this?

A

Mitochondria produce their own DNA - therefore, depending on the amount of mitochondria an individual posses which contain the mutation, an individual may experience severe symptoms (resulting from a majority of abnormal mitochondria) or mild symptoms (resulting from a minority of abnormal mitochondria)

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6
Q

What features of a family history would aid a doctor in identifying a possible inherited disorder?

A

Looking for mild symptoms, and/or sufferers, in previous generations

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7
Q

Mitochondrial diseases are inherited maternally. Does this mean they are X-linked?

A

No - mitochondrial DNA is not chromosomal, and is independent

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8
Q

Which ethnicity is sickle cell anaemia most commonly associated with?

A

Individuals of African origin

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9
Q

Describe specifically the mutation that leads to sickle cell anaemia.

A

Sickle cell anaemia is caused by a mutation from an A –> T in the Beta globin gene - this occurs in the amino acid at position 6, resulting in a glutamate to a valine substitution (missense mutation)

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10
Q

Is sickle cell anaemia a dominant or recessive disease?

A

Recessive

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11
Q

What is the sickle cell trait? What does it infer?

A

The sickle cell trait is seen in individuals who are heterozygous for the sickle cell allele and the wild type - this infers some resistance to specific forms of malaria

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12
Q

List some of the symptoms of Huntingtons disease.

A
  • dementia
  • seizures
  • abnormal gait
  • personality change
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13
Q

What mutation results in Huntingtons disease?

A

An expansion of a sequence of short tandem repeats (CAG) - in a healthy individual there are 10-26 repeats of glutamine - in an unhealthy individual, there are 38-80 repeats

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14
Q

What is the general age on onset of Huntington’s disease?

A

Around 40-50

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15
Q

Is Huntington’s disease autosomal dominant or recessive?

A

Autosomal dominant

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16
Q

Do we understand the function of the Huntington’s gene? Does this matter clinically?

A

No - this doesn’t matter wholly as we can still design treatment plans regardless

17
Q

How may epigenetics help in treatment of sickle cell disease?

A

Turning on/off specific genes - turning off the BCL11A could give rise to the gene coding gamma globin as opposed to the abnormal beta globin

18
Q

The blockage of which pathway has saved yeast from Huntington’s disease? Which other model organisms was this shown in?

A

The kynurenine biochemical pathway - this has also been shown in drosophila and mice