Exam 1 Clinical CorrelationsUTF8 Flashcards
Wiskott-Aldrich Syndrome (WAS)
mutated WASP protein controlling actin assembly, skin lesions, immune system defects
Hypertrophic Cardiomyopathy
cardiac alpha-actin, problems with contraction and force transmission, leading cause of sudden cardiac death in young adults
Amyotrophic Lateral Sclerosis (ALS)
actin protein profilin-1 mutation causes familial form; progressive dysfunction and death of motor neurons; leads to atophy of muscle cells
Extra (I think): also SOD1 mutation affecting fast axonal transport via defect in kinesin but not dynein; 90% sporadic, 10% familial; dying-back neuropathy
Alzheimer’s Disease (AD)
microtubule-associated protein Tau involved in trafficking of materials and formation of neurofibrillary tangles, accumulation of IF neurofilaments
Extra: oligomeric amyloid-beta affects kinesin and dynein; modified or unstacked Golgi
Frontotemporal Dementia and Parkinsonism (FTDP)
mutation in FTDP-17, presents as a tauopathy in cortical neurons
Hereditary Spastic Paraplegia (HSP)
most common is spastin mutation
Extra: presents as dying-back neuropathy in upper motor neurons, can also be heterozygous mutation in neuron-specific kinesin 1A (homozygous is embryonic lethal)
Lissencephaly
Most common mutation is Lis1, a dynein-associated protein that anchors dynein to specific locations in cell; defect in neuronal migration, perturbs layering of cortex, which is smooth instead of normal gyri (also mutations in doublecortin and tubulin 1a)
Congenital Fibrosis of Extraocular Muscles Type 3 (CFEM3)
beta 3 tubulin mutation affecting motor neurons and causing facial paralysis, also kinesin KIF21A gene
Epidermolysis Bullosa Simplex (EBS)
mutation in keratins, presents as blistering disease that differs in location and severity depending on keratin gene affected; can also be plectin if sensory and muscle involved
Progeria Syndrome
point mutation in prelamin gene, affects post-translational modification in ER where farnesyl group not removed and becomes progerin accumulation instead of nuclear lamin; presents as premature aging; clinical trial of farnesyltransferase inhibitors
Griscelli Syndrome
mutation in myosin V causes delivery of pigments from melanosomes to hair follicle cytoskeleton, presents as silvery sheen in hair, albinism, immunodeficiency; inherited autosomal recessive
Usher Syndrome
autosomal recessive, mutation in myosin VII, hearing loss and retinal pigmentosa
Snell?s Waltzer Mouse
mutation in myosin VI (myo6), presents as vestibular/balance defects
Spinal Muscular Atrophy
mutation in dynein heavy chain
Syndromic Male Sterility
mutation in dynein or nexin in cilia, no crosslinking of adjacent doublets in 9+2 microtubule arrangement, ciliary dyskinesia
Situs Inversus
mutation in flagellar dynein, causing reversal or random organ locations, ciliary dyskinesia, particularly effecting nodal cilia
Charcot-Marie-Tooth Type 2A
mutation in kinesin, presents as peripheral neuropathy
Myasthenia Gravis
autoimmune attack on acetylcholine receptor (AChR), reduced number function of NMJs leads to decreased contraction of muscle and later atrophy
Cystic Fibrosis
improper folding of CFTCR in ER lumen
Role of Integrin in Blood Clot & Cancer
block with RGD tripeptide (Integrillin)
HER2+ Breast Cancer
block with Herceptin
Cardiac Arrythmia
mutation in ankyrin
Proteinuric Kidney Disease
mutation in dynamin involved in pinching off of clathrin-coated pits
Irreversible Sickle Cell Disease
mutation in spectrin involved in maintaining shape of RBC