Disease and Disorders Exam 1 Flashcards

1
Q

Progeria

A
  • rare, fatal childhood disease characterized by premature aging of the musculoskeletal and cardiovascular systems
  • associated with mutation in nuclear lamina gene lamin A which forms a structural component of the inner nuclear membrane
  • results in a truncated protein known as progerin
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2
Q

Mitochondrial diseases

A
  • skeletal muscle fibers are particularly sensitive
  • can result from mutation in nuclear or mt DNA, mtDNA has much higher rate of mutation
  • symptoms vary greatly b/w individuals
  • must reach a threshold of mutant DNA : normal DNA
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3
Q

Lysosomal storage diseases

A
  • autosomal recessive
  • causes abnormal accumulation of substances in cell
  • generally affects children and is fatal
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4
Q

Tay-Sachs

A
  • Deficiency in hexosaminidase A which is found in lysosomes and breaks down ganglioside in the brain
  • results in accumulation of ganglioside in the brain and neuronal cell death
  • common clinical finding is “cherry-red spot” on the retina
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5
Q

Hurler Syndrome

A
  • defect in the enzyme alpha-L-iduronidase that is normally found in lysosomes and breaks down GAGs
  • results in accumulation of GAGs -> skeletal abnormalities and mental retardation
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6
Q

Peroxisomal biogenesis disorders

A
  • autosomal recessive disease caused by mutations in peroxins, which normally break down very long chain fatty acids
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7
Q

Zellweger syndrome

A
  • peroxisomal deficiency
  • accumulation of long chain fatty acids leads to impaired brain development, liver and kidney lesions
  • usually fatal within first year of life
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8
Q

I-cell disease

A
  • characterized by defective physical growth and mental retardation
  • caused by deficiency in GlcNac-1-phosphotransferase in the golgi
  • lysosomal enzymes are not phosphorylated in the golgi and are consequently released form the cell
  • leads to accumulation of undegraded proteins
  • affected children usually only live for 5-7 yrs
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9
Q

Xeroderma Pigmentosum

A
  • defect in nucleotide excision repair
  • leads to inability to remove UV-damaged bases and an accumulation of mutations
  • patients are highly sensitivity to sunlight and usually develop multiple pigmented growths on the skin and have a high risk of developing skin cancer
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10
Q

Hereditary Nonpolyposis Colorectal Cancer (Lynch Syndrome)

A
  • d/t mutations in either MSH2 or MLH1 resulting in an inability of cells to repair nucleotide mismatches
  • affected individuals are at risk of developing a number of cancers, including colorectal
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11
Q

Ataxia Telangiectasia

A
  • d/t mutation in ATM, which is responsible for recruiting the proteins needed to repair double-stranded DNA breaks
  • results in defective NHEJ and homologous recombination repair
  • susceptible to agents that cause double stranded breaks (x-rays, radiation therapy)
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12
Q

Cystic Fibrosis

A
  • d/t mutation in CFTR (member of ABC transporter family)
  • CFTR is a Cl- transporter found in the plasma membrane that also can transport bicarb
  • is regulated by ATP binding and PKA
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13
Q

Kartagener Syndrome

A
  • inherited disorder characterized by defective cilia in the respiratory tract, fallopian tubes and sperm flagella
  • results in reduced clearance of mucus from lungs and sterility
  • d/t mutation in outer dynein arm
  • clinical triad: situs inversus (organs are flipped), chronic sinusitis, bronchiectasis
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14
Q

Hereditary Spherocytosis

A
  • hemolytic anemia characterized by the production of RBCs that are sphere-shaped
  • d/t mutations in proteins that make up the RBC cytoskeleton (spectrin, ankyrin, etc)
  • RBC destroyed in spleen
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15
Q

Ehlers-Danlos Syndrome

A
  • Mutation of gene encoding lysyl hydroxylase, responsible for hydroxylating lysines in collagen
  • affected individuals have stretchy skin
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16
Q

alpha-1-antitrypsin deficiency

A
  • caused by mutation in SERPINA1 gene that encodes for alpha-1-antitrypsin, which is responsible for inhibiting elastase and is made in the liver
  • causes liver and lung damage in affected individuals