Exam 2 Flashcards

1
Q

DNA base pairing

A

C-G ( 3 hydrogen bonds)

A-T (2 hydrogen bonds)

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2
Q

Viruses affect

A

Reverse transcription

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3
Q

Basic organization of genome

A

DNA double helix is wrapped around histone, which forms a nucleosome which is formed into chromatin, which is condensed into a chromosome

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4
Q

Chromatin

A

Protein + nuclear DNA

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5
Q

Heterochromatin

A

Chromatin that is very condensed and stains darkly

  • highly concentrated at centromeres and telomeres
  • genes are resistant to gene expression
  • will silence a gene that is position near it
  • transcriptionally inactive
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6
Q

Euchromatin

A

Less condensed, loosely packed, easily accessible chromatin

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7
Q

Position effect

A

Activity of a gene depends on position of chromosome

* gene will be silenced if positioned near heterochromatin

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8
Q

Salt linkages

A
  • Lysine and arginine
  • Histone acetylation
  • Histone methylation
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9
Q

Lysine and Arginine

A

positive charges that comprise more than 1/5 of histone residues; effectively neutralize negatively charged DNA backbone

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10
Q

Histone acetylation

A

Keep histone interaction loose - removes positive charge, allowing more transcription

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11
Q

Histone methylation

A

Keeps histone interaction loose- acts as a physical barrier, allows more transcription

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12
Q

Nucleosomes

A

Form “beads on a string” containing 8 histones

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13
Q

Human genome project

A

46 chromosomes: 2 copies of 23 chromosomes

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14
Q

Helicase

A

Unwinds DNA helix

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15
Q

Topoisomerase

A

Relieves overwound supercoils (think telephone cord) by breaking phosphodiester bond

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16
Q

Single-stranded DNA binding protein

A

Binds the single stranded DNA that has been separated

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17
Q

DNA polymerase

A

Synthesis new DNA chain in the 5’ -> 3’ direction, fills gaps, and synthesizes RNA-DNA primer

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18
Q

DNA ligase

A

Seals nicks

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19
Q

Replication fork

A

Synthesizes DNA in 5’ to 3’ direction (phosphoryl to hydroxyl)

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20
Q

Leading strand

A

Synthesized continuously

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21
Q

Lagging strand

A

Synthesized in segments known as Okazaki fragments

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22
Q

DNA primase

A

Synthesizes short RNA primers to initiate DNA replication

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23
Q

Nomenclature of bases

A

The building block of DNA is a deoxyribonucleotide composed of a 20deoxyribose with a base attached at the 1’ position and a phosphate attached at the 5’ position. A base plus a (deoxy)ribose yields a (deoxy)ribnucleoside. Thus, a (deoxy)ribonucleotide is a (deoxy)ribonucleosome with one to three phosphate groups

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24
Q

Nucleoside analog inhibitors

A

Cytosine araC: Because DNA synthesis involves the formation of 3’ to 5’ phosphodiester bonds, nucleoside analogues that lack the 3’ OH group act as drugs that inhibit replication, but must be converted to dNTPs before they can act to inhibit DNA polymerase. Ara-C contains the sugar arabinose, which is converted by animals into ara-CTP which is a potent competitive inhibitor of DNA polymerase and used to treat leukemia.

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25
Spontaneous DNA damage
- Depurination - Deamination If unrepaired when DNA is replicated, these changes lead to either a deletion or a base pair substitution in the daughter strand
26
Depurination
Loss of a purine base via hydrolysis of the N-glycosyl linkage
27
Deamination
The amino group of a purine or pyrimidine base is hydrolyzed such that adenine is converted to hypoxanthine, guanine is converted to xanthine, and cytosine is converted to uracil, which forms an unnatural deoxyuride - A -> I - G -> X - C -> U
28
Nonionizing radiation
Ie. UV radiation, produces covalent linkage between two adjacent pyrimidines known as pyrimidine dimers (T-T or C-T) - pyrimidine cyclobutane dimers - 6-4 covalent linkage of pyrimidines
29
Ionizing radiation
Ie X-rays, reactive oxygen species produced cause direct strand breaks, DNA-protein cross-links, and 40-60 chemically distinct base damages
30
Thymine modifications
- pyrimidine cyclobutane dimers - 6-4 covalent linkage of 2 pyrimidines Caused by nonionzing radiation
31
Intercalation
Agents insert between stacked bases of the DNA double helix, causing some unwinding of the helix and separation of base pairs - they are mutagenic and interfere with replication, repair processes, and transcription, and can also interfere with topoisomerase and cause strand breaks (Ie. Ethidium bromide, thalidomide, doxorubicin, daunomycin)
32
Benzopyrenes
Can cause damage to DNA
33
Direct repair (enzymatic repair)
Pyrimidine dimers O6-methylguanine Enzymes: DNA photolyase and methylguanine transferase
34
Base excision repair (BER)
Single base mismatches, nondistorting alterations Enzymes: DNA glycolases, AP endonuclease, AP lyase, DNA polymerase, DNA ligase
35
Nucleotide excision repair (NER)
Chemical adducts that distort DNA (pyrimidine dimers, BPDE-guanine adducts, cisplatin adducts) Enzymes: NER protein complex, DNA polymerase, DNA ligase
36
Xeroderma Pigmentosum
Associated disorder of nucleotide excision repair Inherited disease where Skin is extremely sensitive to sunlight, causing pt to be prone to melanoma and squamous cell carcinoma UV light causes cyclobutane thymine dimers to form in DNA which is easily repaired by NER, but those with defects in XP proteins in the NER complex exhibit the disease
37
Mismatch excision repair (MER)
Mismatched base in daughter strand Enzyme: MER complex, helicase/endonuclease, DNA polymerase, DNA ligase
38
Hereditary nonpolyposis colorectal cancers
Associated disorder of Mismatch excision repair Inherited disease with mutation of one of the alleles of genes in the MER complex results in increased susceptibility to HNC cancer Mutation in both alleles would render the MER system nonfunctional and allow tumor development
39
Recombination repair - Nonhomologous end joining (NHEJ) - homologous recombination
Double-strand breaks, interstrand cross-linking
40
Nonhomologous end joining (NHEJ)
double-strand breaks, interstrand cross-linking - damaged ends filled in and joined; some base pairs may be missing. Multiple proteins and enzymes including DNA ligase
41
Homologous recombination
Double-strand breaks, interstrand cross-linking - Exonucleases, DNA polymerase, MER system, Damaged duplex repair using information on undamaged homologous duplex
42
BRCA1/2 breast cancer
Associated disorder of recombination repair: homologous recombination BRCA 1 and 2 are tumor supressor genes. Mutations cause a fivefold increase in a woman's chance of having breast and/or ovarian cancer before reaching menopause. Men with mutations also have an increased chance of developing breast cancer. Mutations in these genes also lead to increased risk of developing other cancers
43
Transcription-coupled repair (TCR)
Stalled RNA polymerase during transcription (not replication)
44
Cockayne syndrome
Associated disorder of Transcription-coupled repair Rare autosomal recessive, congenital disorder involving mutant genes of ERCC6 and ERCC8 which code for proteins involved in TCR of DNA. If DNA is not repaired, cell dysfunction and cell death may occur. S/S: developmental and neurological delay, photosensitivity, premature aging (progeria) Death usually occurs in the first 2 decades of life
45
Translesion synthesis (bypass synthesis)
Unrepaired thymine dimers or apurini AP sites DNA polymerases
46
Structure of RNA
Single stranded polymer of ribonuceotides, each consisting of base, pentose sugar and phosphate, that link via 3'-5' phosphodiester bonds * more unstable than DNA * uses Uracil instead of thymine * can fold int 3-D structures
47
tRNA (transfer RNA)
15% of total cellular RNA Metabolically stable Carry amino acids to ribosomes for incorporation into growing polypeptide chains
48
Ribosomal RNA (rRNA)
Structural and functional (catalytic) component of ribosomes Stable and long-lived 80%
49
Messenger RNA (mRNA)
Direct carrier of genetic information from genes to ribosomes for protein synthesis Short-lived 1-5%
50
Small nuclear RNA (snRNA)
Direct the splicing of pre-mRNA to from mRNA
51
Small interfering RNA (siRNA)
Regulate eukaryotic gene expression by degrading select mRNA
52
Micro RNA (miRNA)
Regulate gene expression by blocking translation of selective mRNA
53
RNA polymerase I
Located in nucleolus Catalyzes the synthesis of a single large precursor rRNA (Makes ribosomal RNA)
54
RNA polymerase II
Located in the nucleoplasm Catalyzes the synthesis of precursor mRNA, also synthesizes some snRNA and miRNA (Makes messenger RNA)
55
RNA polymerase III
Located in nucleoplasm Synthesis of tRNA and snRNA
56
Coding (sense) strand
Non-template strand, indentical to the sequence of RNA that will be produced
57
Transcription start site
+1 position of the gene that usually has an A or G. Site where the Basal transcription factors and the RNA polymerase bind
58
Transcription stop site
Poly A Tail (5' - AATAAA - 3') that is clipped off during RNA processing
59
Transcription unit
Linear sequence of DNA from start to stop site
60
Promoter
Sequence upstream of start site where basal transcription facts (initiation factors) bind and recruit the RNA polymerase
61
Enhancers/silencers
Short sequences present upstream, downstream, or in the transcription unit, and sites for binding of additional transcription factors that influence rate of transcription
62
Transcription
1. Assembly of pre-initiation complex 2. Elongation 3. Termination - RNA polymerase binds to promoter on DNA - DNA double helix unwinds - One strand acts as a template for RNA synthesis and nucleotide sequence is determined by complementary base pairing that link by phosphodiester bonds - RNA polymerase catalyzes the reaction - RNA sequence is elongated in the 5' to 3' direction and released from the DNA as a single strand - RNA sequence is complementary to template and identical to coding strand
63
Initiation
TRIID is recognized by TBP binds to TATA box, TFIIB, TFIIF, RNA pol II, TFIIE, and TFIIH are recruited and join
64
Separation of DNA strands
TFIIH unwinds the DNA double helix and exposes the DNA template strand
65
Initiation of polymerization
RNA pol II can function in absence of a primer and catalyzes formation of a dinucleotide using DNA as a template, capping enzyme adds 7-methyl guanosine cap on the 5' end
66
7-methyl guanosine cap
Protects against degradation and helps to bind mRNA to ribosome during translation, binds on 5' end of mRNA with a 5'-5' diphosphate linkage
67
Histone acetyl transferase (HAT)
Add acetyl group to histones, reduces positive charge and loosens interaction with DNA
68
Histone deacetylases (HDACs)
Add back the acetyl grp and reverse action of HAT
69
Elongation
Begins after formation of nascent RNA, RNA pol breaks interaction with promotor when the tail of RNA pol II is phosphorylated by TFIIH Elongation generates superhelical tension that is eased by DNA gyrase
70
DNA gyrase
Eases superhelical tension caused by elongation
71
Termination
Transcription ends when RNA pol encounters termination signals on the DNA template, RNA transcript forms a self complementary hairpin followed by a poly U tail
72
mRNA processing
- modification of the 5' end of mRNA with the capping by 7-methyl guanosine - removal of introns or non-coding sequences by splicing - modification of the 3' end of mRNA by polyadenation (poly A tail)
73
Transcription factors
Trans-acting proteins that regulate the transcription of genes across chromosomes. They have DNA-binding domains that enable them to bind to specific DNA sequences in the promoter or regulatory regions of genes. Transcription factors can either promote or repress the transcription of target genes. They bind as homo or heterodimers and recruit other proteins. Modulation of the activity of transcription factors usually involves phophorylation.
74
Homeodomain proteins
Contain a conserved 60 residue DNA biding motif or homeodomain
75
Zinc finger proteins
Have short regions containing Cys and His residues that interact with Zn ions that produce multiple loops or Zn fingers that insert into major grooves of DNA
76
Leucine zipper proteins
Contain DNA binding sequence where every 7th residue is Leu which promotes dimerization and coiling of these sequences
77
Basic Helix Loop Helix proteins
Similar to zipper proteins except alpha helical regions separated by non-helical loop space
78
Transcription factors and cancer
Inappropriate inactivation/activation of genes that control cell growth by deregulation of transcription factors may lead to cancer - mutated genes for TF's represent a significant fraction of oncogenes - mis-regulation may occur by aberrant increase in expression or by mutations in the coding sequence that alters activity of TF
79
Abberant methylation of DNA
Fragile X mental retardation (FMR1) - FMR1 gene encodes for a protein with neurological function - DNA sequence has excessive (>200) copies of CGG (compared to nl of 30) which makes it susceptible to methylation of cytosine - FMR1 gene becomes silent even though triplet expansion is upstream of protein coding sequence - as methylation repeat region extends into the promoter region, transcription is turned off
80
Protein synthesis occurs on
Ribosomes
81
Which direction is a protein synthesized?
Amino to carboxyl (5' to 3')
82
Genetic code
Converts the nucleotide sequence of a gene into the amino acid sequence of a protein using mRNA as an intermediary
83
Codon
Group of 3 consecutive nucleotides in the RNA
84
Stop codon
There are 3 - UAA - UAG - UGA
85
Start codon
AUG (methionine)
86
Mutations
Silent Missense Nonsense Frameshift
87
Silent Mutation
Does not change the amino acid
88
Missense mutation
Changes the amino acid in the protein with either no effect on protein function of a protein with vastly different function
89
Nonsense mutation (null mutation)
Codon changes into a stop codon causing premature termination, protein either degraded or formed as a truncated version
90
Frameshift mutation
One or more nucleotides are deleted or inserted into ORF, if out of frame causes change in the codon sequence and consequently alteration in the amino acid sequence Ie. Duchenne muscular dystrophy, beta thalassemia
91
How does a codon recognize an amino acid?
tRNA
92
Ribosomes and mRNA
A large ribosome subunit and small ribosome subunit assemble into an active ribosomal complex by the presence of mRNA. This complex has 3 important sites 1. Acceptor (A) site 2. Peptidyl (P) site 3. Empty (E) site
93
Acceptor (A) site
Location where the mRNA codon is exposed and set to receive all aminoacyl-tRNAs except initiating methionine tRNA
94
Peptidyl (P) site
Location where the aminoacyl-tRNA is attached to the growing polypeptide chain (Methionine initiator binds here to start things)
95
Empty (E) site
Location that the empty tRNA occupies just prior to exiting the ribosome
96
Aminoactyl tRNA's
Activated forms of amino acids that are esterified to the 3'-OH group of the 3' terminal adenine in the acceptor stem of their cognate tRNA Catalyzed by enzymes called aminoacyl tRNA synthetases * when an amino acid is bound, the tRNA is said to be charged
97
Activation of amino acids
A two step process 1. Aminoacyl tRNA synthetase catalyzes the activation of amino acid by transferring AMP to COOH end 2. Transfers the amino acid for amino acid-AMP to cognate tRNA
98
Aminoacyl synthetases
Catalyze the activation process of tRNA charging
99
Translating an mRNA
- tRNA binding - peptide bond formation - large subunit translocation - small subunit translocation
100
Mechanism of Translation
1. Initiation 2. Elongation 3. Termination
101
Translation Initiation
Pre initiator complex is assembled, then large subunit is added to form initiation complex, initiator tRNA bound to GTP attaches to P site of small subunit, the initiator tRNA-methionine complex loads onto the small su on the P-site, other initiation factors are added, the large su is added, and translation begins with the initiation codon AUG (methionine)
102
Translation Elongation
Activated amino acid attached to initiating methionine via a peptide bond, GTP-bound aminoacyl tRNA is loaded to the A site via GTP hydrolysis (anticodon and codon of A site base pair), peptide bond is catalyzed by petidyl transferase
103
Translation Elongation Factors
Factors EF1 and EF 2 (EF-Tu and EF-G in bacteria) Proofread, making translation more efficient and accurate
104
Translation Termination
Peptide chain is released from ribosomal complex which then dissociates into its components, Termination is triggered by stop codons (UAA, UAG, UGA) which are recognized by release factors from the tRNA, Release factors bind to A site and cleave the ester bond between the C terminus of the polypeptide and the tRNA, The catalyzation of a H2O molecule instead of an amino acid then adds COOH to the end of the polypeptide
105
Streptomycin
Binds to the 30S ribosomal subunit in prokaryotes to disrupt the initiation of translation
106
Shiga toxin
Binds to the 60s subunit of eukaryotes to disrupt elongation
107
Clindamycin/Erythromycin
Binds to the 50S subunit in prokaryotes to disrupt translocation of the ribosomes
108
Tetracyclines
Bind to the 30S subunit in prokaryotes to disrupt elongation
109
Peptidyl transferase activity
Housed in the large subunits
110
Initiation factors
Facilitate bind of the small ribosomal subunit to the initiator tRNA and base pairing between the anitcodon and codon
111
Hydrolysis of GTP to GDP + Pi
Provides the energy for assembly of the initiation complex
112
elF4 complex and elF5B-GTP
Additional initiation factors required for the assembly of the final 80S initiation complex in eukaryotes
113
Polysomes
Clusters of 10-100 ribosomes attached simultaneously to a single mRNA molecule, each synthesizing a polypeptide chain and making protein synthesis more efficient
114
Protein sorting
Sites of protein synthesis depends on destination of protein 2 major pathways 1. Cytoplasmic pathway 2. Secretory pathway
115
Cytoplasmic pathway
For proteins destined for cytosol, mitochondria, nucleus, and peroxisomes - protein synthesis begins and ends on free ribosomes in cytoplasm - absence of presence of translocation signals play role in final targeting ** no translocation signals
116
Secretory pathway
For proteins destined for ER, lysosomes, plasma membranes, or for secretin - translation begins on free ribosomes but terminates on ribosomes sent to ER - proteins have ER targeting signal sequences present in the first amino acid residues of the polypeptide
117
Mitochondrial protein import
Cytoplasmic pathway Proteins are passed across the mitochondrial membranes via translocator complexes TIM and TOM, unfolded proteins are protected by chaperones, specifically heat shock proteins 70
118
TIM
Transporter inner membrane Helps bring proteins into mitochondria
119
TOM
Transporter outer membrane Helps proteins pass across mitochondrial membrane
120
Heat Shock proteins 70 (HSP70)
Chaperone that protects unfolded proteins passing through the mitochondrial membranes
121
Nuclear localization signals
Cytoplasmic pathway Utilized to imported large proteins into nuclear pores
122
Cytoplasm Pathway and signal
Cytoplasmic Pathway No signal
123
Mitochondria pathway and signal
Cytoplasmic pathway N-terminal hydrophobic alpha helix signal peptide
124
Nucleus Pathway signal
Cytoplasmic pathway KKKRK signal sequence
125
Peroximsomes Pathway and Signal
Cytoplasmic pathway C-terminal SKL signal sequence
126
ER lumen Pathway and signal
Secretory pathway C-terminal KDEL retention signal And N-terminal hydrophobic alpha helix ER signal peptide
127
Lysosomes Pathway and Signal
Secretory pathway Mannose-6-phosphate signal group And N-terminal hydrophobic alpha helix ER signal peptide
128
Secretion Pathway and signal
Secretory pathway Tryptophan-rich domain signal region, absence of retention motifs And N-terminal hydrophobic alpha helix ER signal peptide
129
Membranes
Secretory pathway N-terminal apolar region (stop-transfer sequence) And N-terminal hydrophobic alpha helix ER signal peptide
130
Signal sequences for ER lumen proteins
KDEL K- Lysine D- Aspartic acid E- Glutamic acid L - Leucine
131
Secretory Pathway
Each protein has an ER-targeting signal peptide that has: 1-2 basic amino acids near N terminus And an extremely hydrophobic sequence on C terminus of base residues Translation occurs on the ER
132
Translation on the ER
- Signal recognition particle (SRP) binds to the ER-targeting signal and the ribosome during translation, SRP wraps itself around ribosome-mRNA-peptide complex, halting translation which is resumed when the protein is directed into the ER lumen Enzymes on luminal side cleave signal to release protein, which undergoes PTM's Additional signal sequences guide each protein to its final destination
133
Post-translational processing
Protein folding Proteolytic cleavage Covalent modifications
134
Protein folding
Small proteins can fold into native confirmations spontaneously , large proteins require chaperones and chaperonins ex HSP60 that utilizes ATP to fold proteins
135
Proteolytic cleavage
- converts inactive forms to active enzymes | - converts nascent precursor proteins to mature ones
136
Covalent modifications
- Glycosylation - phosphorylation - disulfide bond formation
137
Glycosylation
Extracellular proteins (glycoproteins) that are either O-glycosidic of N-glycosidic linked
138
O-glycosidic linkage
Formed with the hydroxyl groups of Ser or Thr residues
139
N-glycosidyl linkages
Always formed with asparagine, precursor sugar transferred from phospho Dolichol
140
Phosphorylation
Formation of an ester bond between phosphate and OH of an amino acid via activity of serine/threonine and tyrosine kinase Phosphate removed by phosphatases - regulates enzyme activity, protein function, cell growth, proliferation, differentiation, oncogenesis
141
Disulfide bond formation
Inter and intra-molecular disulfide bonds stabilize proteins, forming between thiol (SH) and two cysteine resides Formation and reorganization occurs in the ER lumen and is facilitated by protein disulfide isomerases
142
Processing of preproinsulin to mature insulin
Produced as preproinsulin in B cells of pancreas Signal peptide cut off in ER lumen to form proinsulin Folds to form 2 intramolecular disulfide bridges Moves past golgi and accumulates in B granules Cleaved twice to release the 33 reside C peptide Forms mature insulin with A and B peptide joined by 2 disulfide linkages Stored in granules as a Zinc bound hexamer that is ready to be secreted
143
Immunoawway for circulating C peptide
Used as a test for assessing function of beta cells
144
Posttranslational modification of collagen congenital disorders of glycosylation
- Collagen is most abundant structure and hetermotrimeric - Lysines in procollagen hydroxylated to form 5'hydroxyl lysins that are further modified by glycosylation by addition of glucose and galactose - Prolines hydroxylated to from 4 and 3-hydroxyproline These modifications are necessary for correct crosslinking and assembly
145
Diseases caused by mutations in lysyl hydroxylases
Ehlers Danlos syndrome | Nevo syndrome
146
Ascorbic acid
Essential for functioning of lysyl and prolyl hydroxylases
147
Locus
Specific place on a chromosome occupied by a gene
148
Centromere
- temporarily holds 2 daughter DNA double helices together after DNA replication - attachment site for microtubules
149
Telomeres
Repeated nucleotide sequences at the end of a chromosome which are essential for chromosome stability
150
Karyotype
Entire set of stained chromosomes from a single cell
151
Autosomes
Chromosomes 1-22
152
Sex chromosomes
Pair 23, male and female
153
Chromatid
Identical sisters present after DNA replication
154
Metacentric
Centromere is positioned in the center
155
Telocentric
Centromere is located near the telomere
156
Karyotpying
Allows determination of number, size and gross structure of metaphase chromosome, used to identify several chromosomal abnormalities associated with genetic disorders, does not provide information at molecular level
157
Genotype
Individual's genetic makeup
158
Phenotype
Physical manifestation of gentoype that is actually observed
159
Proband
First diagnosed person in pedigree
160
Autosomal dominant inheritance
Only 1 allele needed for expression Affected offspring has one affected parent Unaffected individuals do not transmit trait Gender does not affect transmission Trait is expected in every generation Ie. Postaxial polydactyly
161
Vertical transmission
Trait is expected in every generation
162
Postaxial polydoctyly
Autosomal dominant inheritance, extra fingers
163
Autosomal recessive inheritance
2 copies of a gene is needed to influence phenotype * Tyrosine-negative albinism
164
Tyrosinase-negative albinisim
Autosomal recessive inheritance
165
X-linked recessive
Unaffected males do not transmit the trait (no carriers) Female carriers transmit affected allele 50% of the time All daughters of affected males are carriers Ex. Duchenne muscular dystrophy
166
Duchenne muscular dystrophy
X-linked recessive
167
X-linked dominant
No carriers Males transmit the trait to only females, 100% of whom are affected Females transmit trait to 50% of offspring ex. Hypophosphatemia
168
Hypophosphatemia
X-linked dominant - low levels of phosphorus in blood - abnormal metabolism of Vitamin D (can cause rickets)
169
Reduced penetrance
Frequency a gene manifests itself
170
Variable expressivity
Range of phenotypes that vary between individuals with a specific genotype
171
Locus heterogeneity
Single disorder, trait, or pattern of traits caused by mutations in genes at different chromosomal loci Ex. Ostogenesis imperfecta
172
Osteotenesis imperfecta
Locus Heterogeneity - brittle bone disease - mutations in collagen genes
173
Neurofibromatosis
Variable expressivity Develop tumor-like growths called neurofibromas, and develop cafe-au-lat-spots
174
Retinoblastoma
Autosomal dominant inheritance
175
De novo mutation
Alteration in gene that is present for the first time in one family member as a result of a mutation in a germ cell of one of the parents or in the fertilized egg itself
176
Pleitropy
One gene influences two or more seemingly unrelated phenotypic traits
177
Interphase
Time for acquisition of nutrients growth, and chromosome duplication
178
Meiosis I
Separates the pairs of homologues with each daughter nucleus receiving one
179
Meiosis II
Separates the chromatids and parcels one chromatid into each of two more daughter nuclei, produces four haploid daughter nuclei
180
Prophase I
Homologous chromosomes pair up and exchange DNA, crossing over occurs
181
Chiasma
Exchanged sections of DNA produced during crossing over
182
Homologous recombination
Genes on one homologue are combined with an allele from the other homologue , an the combination may be totally new
183
Metaphase I
Paired homologous chromosomes line up at the equator of the cell, microtubules attach to kinetochore regions
184
Anaphase I
Homologous chromosomes separate
185
Telophase I
Two haploid clusters of duplicated chromosomes form at each pole
186
Meiosis II
Separates sister chromatids into four daughter nuclei
187
Mosaicism
Condition in which cells from an individual who has developed from a single fertilized egg have different genotypes - all females have roughly equivalent populations of two genetically different cell types and are therefore a type of mosaic - ex. Down syndrome (trisomy 21), Klinefelter syndrome, Turner syndrome
188
Lyonization
(X-inactivation) one of the copies of X chromosome present in female mammal is inactivated because it is silenced by heterochromatin
189
Genomic imprinting
Certain genes are expressed only from the mother or father, determined by methylation patterns on chromosomes - imprinted genes = methylation = down regulated - two chromosomes from same parent that have parent-specific imprinting = no gene product
190
Chromosomal mutations
Involve large segments of DNA, often encompassing millions of base pairs 4 types: - Inversion - Deletion - Duplication - Translocation
191
Inversion
A segment of chromosomal DNA is present in its reverse orientation
192
Deletion
Segment is lost
193
Nondisjunction
Homologs fail to separate properly - very common during egg development and increase with advancing maternal age - leading cause of spontaneous abortion and mental retardation in humans
194
Aneuploid
Cells with abnormal chromosome number ie. Trisomy 21/ Down syndrome (90% of additional chromosomes in patients are maternal in origin)
195
Euploid
Cells with normal number of chromosomes
196
Prader Willi syndrome
Deletion on paternal chromosome 15 - uncontrolled eating and obesity - uniparental disomy
197
Angelman syndrome
Deletion on maternal chromosome 15
198
Uniparental disomy
Occurs when a person receives 2 copies of a chromosome from one parent and no copy from another parent - often asymptomatic, but can cause delayed development, mental retardation Ex. Prader Willi syndrome
199
Klinefelter syndrome
Mosaicism Some cells are normal 46XY Other cells are an extra X chromosome 47XXY
200
Trisomy 21
Down Syndrome - mental retardation - abundant neck skin - Flat facial profile - congenital heart defect - umbilical hernia - hypotonia - gap between first and second toe - intestinal stenosis
201
Trisomy 18
Edwards Syndrome - Prominent occiput - mental retardation - Low set ears - short neck - overlapping fingers - congenital heart defect - renal malformations - limited hip abduction - rocker-bottom feet
202
Trisomy 13
Patau syndrome - Microcephaly - mental retardation - polydactylty - cleft lip and palate - cardiac defects - umbilical hernia - renal defects - rocker-bottom feet - microophthalmia
203
Hardy-Weinberg Principle
Punnet square Frequency of aa should be q-squared
204
Consanguinity
Blood related couple (marriage of first cousins) indicated by double horizontal lines, more likely to produce offspring affected by rare autosomal diseases
205
Polygenic
Traits in which variation is thought to be caused by the combined effects of multiple genes Follows a normal bell-shaped distribution in populations
206
Multifactorial
Environmental factors cause variation in the trait Follows a bell shaped distribution in populations
207
Threshold of liability
For multifactorial disease, this must be crossed before the disease is expressed
208
Pyloric stenosis
Muscular hypertrophy between stomach and duodenum, leading to vomiting and obstruction 5x more common in males children of women affected with pyloric stenosis are more likely to be born with the condition
209
Recurrence risks
Affected by gene frequencies and environmental factors that differ among populations
210
RR: More than one family member is affected
Recurrence risk is higher
211
RR: Expression of the disease in the proband is more severe
Recurrence risk is higher
212
RR: Proband is of the less commonly affected sex
Recurrence risk is higher
213
RR: Remotely related relatives
Recurrence risk for the disease usually decreases rapidly
214
Multifactorial disease
Caused by the simultaneous influence of multiple genetic and environmental factors
215
Genetic drift
Random evolutionary process that produces larger changes in gene frequencies in smaller populations
216
Founder effect
Population that have started from a small group that mix with few newcomers, preferring to mate within the population * genetic drift
217
Growing phase/interphase
G1, S, and G2
218
G1
Gap 1 RNA and protein synthesis occur in response to exogenous growth factors (mitogens) to create the proteins that are needed to replicate DNA in the next phase
219
S
Synthesis DNA is replicated, and RNA and proteins are synthesized
220
G2
Gap 2 RNA and protein synthesis continues and the integrity (correctness, stability) of the DNA is checked as the cell prepares to split/divide into two
221
M
Mitosis Nuclear and cytoplasmic division occurs to create two identical daughter cells, phase is further divided into prophase, metaphase, anaphase, telophase, and cytokinesis
222
G0
Resting stage Cells have excited the cell cycle and are not growing or dividing, however they synthesize just enough RNA and protein for general housekeeping of for specialized functions - quiescent state
223
Cell types
1. permanent 2. Stable (quiescent) 3. Labile
224
Permanent cells
Remain in the G0 phase and cannot be regenerated Ie. Cardiac muscle cells, neurons, and red blood cells
225
Stable cells
Retain the ability to exit G0 and enter G1 when stimulated by growth factors, allowing regeneration of damaged tissues Ie. Hepatocytes, epithelial cells of kidney tubules
226
Labile cells
Never enter G0 and are constantly dividing to replace cell populations that are continuously lost Ie. Gut epithelium, skin, hair follicles, and bone marrow
227
Restriction point
When growth factors are limiting, cell cycle is usually arrested in G1 at a point approximately 2 hours before the initiation of S phase Everything downstream is growth factor independent - when cells pass the restriction point, they become growth factor independent and transit through the remaining phases
228
G1 checkpoint
Correct any DNA damage (chemical modification) before continuing
229
G2 checkpoint
Verify completeness of complete genomic duplication
230
Metaphase checkpoint
Ensures chromosomes are attached to mitotic spindle
231
DNA content
``` G1: 2N S: Between 2N and 4N G2: 4 N M: 4N Cytokinesis: 2N ```
232
Chromosomes
Somatic cells which are diploid contain 46 chromosomes Germline cells which are haploid contain 23 unpaired chromosomes
233
Cyclin
Regulatory subunit Proteins that regulate Cdks Without cyclin, Cdk is inactive
234
Cyclin-dependent kinase (CDK)
Catalytic subunit Inactive without Cdk
235
G1 cyclin (D)
Helps the passage of cells through the restriction of point in late G1 phase - Cyclin D-CDK4 - Cyclin D- CDK6
236
G1/S cyclin (E)
Helps the cells at the end of G1 phase to commit to DNA replication and enter S phase - Cyclin E- CDK2
237
S phase cyclin (A)
Necessary for the initiation of DNA synthesis - Cyclin A-CDK2
238
M Phase cyclins (A and B)
Necessary for the nuclear division during mitosis CyclinA - CDK1 CyclinB- CKD1
239
Cyclin-CDK complex
- heart of the cell-cycle control system - activities of Cdks rise and fall during cell cycle - causes changes in phosphorylation of substrates that regulate cell cycle events - Cyclins: proteins that regulate Cdks - without cyclin, CDK inactive
240
CDK-activating kinase (CAK)
Required for the full activation of Cyclin-CDK complex Phosphorylates cdk
241
CDK inhibitors (CKIs)
Ie. p27 of the CIP/KIP family binds to the cyclin-CDK complex to inactivate the kinase activity of CDK
242
T loop
Protein that blocks active site of Cdk and is removed by binding to cyclin, phosphorylation
243
CIP/KIP family
CKIs bind to G1 and S phase cyclin, CDK complexes to inactivate the kinase activity of CDK
244
INK4
Family of CKIs that bind specifically to G1 CDKS to prevent them from associating with cyclin D
245
WEE1 kinase
Enzyme that Phosphorylates CDK to inhibit cyclin-CDK activity
246
Myc
Gene regulatory protein
247
Retinoblastoma protein
Tumor-supressor protein that can arrest the cell cycle at the G1 checkpoint, substrate of G1 and G1/S cyclin CDK complexes - hypophosphorylated form binds to E2F transcription factor to prevent transcription of cyclin E and cyclin A and proteins involved in DNA replication - Hyperphosphorylation by cyclin-CDK complexes releases the E2 factors to allow transition of cells past G1 checkpoint
248
P53
Activation of p53 by DNA damage (caused by chemical or physical agens) activates protein kinases and leads to increased transcription of p21, a CKI which causes cell cycle arrest MDM2 keeps p53 inactive
249
Proteolysis of cyclins
A mechanism used to terminate the activity of cyclin-CDK complexes via degradation of the transiently expressed cyclin proteins. Cyclins are targeted by polyubiquitination catalyzed by ubiquitin ligases. Ubiquitin ligases can also target CKIs, thus releasing the inhibition of S phase cyclin-CDK complexes
250
Retinoblastoma and the RB protein
Tumors develop due to unchecked division of precursor cells in the immature retina, hereditary: affects both eyes, RB gene is mutated or lost in every cell, if both copies are damaged the cells lose control at the G1 checkpoint Nonhereditary: affects one eye, cells contain different somatic mutations of the two copies of the RB gene
251
CDC25
Phosphatase that can remove the phosphate group introduced by WEE1 to reactive the cyclin-CDK complex
252
P53 and cancer
metabolic Activated benzopyrene and Aflatoxin (carcinogens) cause mutations in genes such as p53 by G->T transversions
253
Replicative cell senescence
Human skin fibroblasts stop dividing after 30 to 50 population doublings even with abundant growth factors present due to shortening of telomeres with each cell division DNA damage leads to p53 mediated cell arrest at the G1 checkpoint
254
Apoptosis
Extrinsic Pathway | Intrinsic Pathway
255
APC complex (Anaphase-promoting complex or cyclosome)
Member of ubiquitin ligase family of enzymes ** Degradation and cell turnover Targets S-cyclins and M-cyclins, adding polyubiquitin to M-cyclin in M-Cdk complex Activated by binding to Cdc20
256
Extrinsic
Death receptor pathway, triggered by external binding and activation of an external death ligand to it receptor on the plasma membrane
257
Fas signaling (FADD)
Fas binds to Fas death receptor - ligand form homotrimers as well - adapter proteins are recruited: FADD adapter & procaspase-8 with death effector domain Activates downstream executioner caspases (caspase-3)
258
Caspase activation
Caspase 8 must be formed to carry out apoptosis by activating caspase 3,6,7
259
Initiator caspases
Initiate apoptosis - Caspase 8 - Caspase 0
260
Executioner caspases
destroy actual targets Executes apoptosis and includes caspase 3
261
RB protein is a major regulator of
Cell cycle/apoptosis
262
Intrinsic pathway
Mitochondrial dependent - in response to injury, DNA damage, and lack of oxygen, nutrients, or extracellular survival signals - BAX/BCL regulators Cytochrome C is released from mitochondria, binds to Apaf1 Apaf1 forms apoptosome which activates caspase-9 Caspase-9 activates caspase-3 (executioner)
263
Apaf1
Forms apoptosome
264
BAX (BH123)
Protein that becomes activate, forms aggregation in mitochondrial outer membrane and induces release of cytochrome C - the apoptosome is then formed by binding to Apaf1
265
BCL-2
Located on cytosolic surface of out mitochondrial membrane - prevent apoptosis by binding to pro-apoptotic proteins (BAX/BH123) and preventing aggregation into active form
266
Cytochrome C
Released from mitochondria, binds to procaspase activating adaptor protein (Apaf1) which actives caspase-9, which activates caspase-3
267
Induction
A group of cells/tissues change their fates in response to signals
268
Competence
Capacity to respond to inductive signal
269
Transcription Factors
- proteins with domains that bind to promoter or enhancer regions & domains that interact with RNA polymerase II - regulate amount of mRNA that gene produces * Homeobox - homeodomain containing genes/ Hox genes * T-box gene family * Helix-loop-helix (structure) * Zinc finger proteins (structure)
270
Homeobox
DNA sequence that encodes the homeodomain - involved in the regulation patterns of anatomical development (morphogenesis)
271
Hox genes
Homeo-box containing gene, classified by structure Long, repetitive elements of promoter elements that regulate anatomical development and then turn off Expressed and activated in the 3' to 5' direction Majorly regulated by retinoic acid TF
272
Homeodomain
60 amino acid helix-turn-helix DNA binding domain
273
Retinoic acid
Vitamin A - regulates Hox genes
274
Pax gene family
Play critical role in the formation of tissues and organs during embryonic development, maintains normal function in cells after birth Plays role in development of nervous system and sense organs Contain paired domain of 128 amino acids which bind to DNA - can turn on large amounts of proteins at one time TF
275
Lim proteins
Involved in formation of virtually all body segments Large family of homeodomain proteins Absence can result in headless embryos TF
276
Dlx genes
Growing of appendages, jaw, and inner ear Early embryogenesis TF
277
Msx
Prenatal - inhibits cell differentiation Postnatal - maintain proliferative capacity of tissues Also involved in epithelial-mesenchymal interactions in face & limbs TF
278
T-box (Tbx) Gene family
Important in mesodermal germ layer development Determines forelimb and hindlimb TF
279
Helix-loop-helix
Transcription factors that are named on appearance Regulate myogenesis
280
Forkhead (fox) gene family
Regulates expression in genes involved in cell growth, proliferation, differentiation, and longevity * positive selection associated with human specific phenotype TF
281
Zinc finger proteins (Sox genes)
Bind to minor groove in DNA & belong to a super-family of genes characterized by a homologous sequence called the HMG-box Regulate myogenesis * SoxA = SRY, sex determining region of Y chromosome TF
282
SoxA
SRY, sex determining region of Y chromosome
283
Hedgehog proteins
Set of proteins that binds to ligand receptor complex and acts as a signal Binds to PTCH on surface of target cell, which is bound to SMO, a transmembrane protein *NOT a transcription factor
284
Wnt Family
Proteins that bind to cell surface receptors Signal Ligands NOT TF
285
Proto-oncogene
- RAS - HER2 - EGF receptor - N-MYC - c-MYC - ABL Working normally is fine, when mutated causes problems
286
RAS
Proto-oncogene Point mutation/deletion * point mutation changes glycine to valine at codon 12
287
Proto-oncogene point mutations/deletions
- RAS - HER2 - EGF receptor
288
Proto-oncogene gene amplification
- HER2 | - N-MYC
289
Proto-oncogene | Chromosomal translation
c-MYC | ABL
290
PCR
Polymerase chain reaction (cell-free cloning) Used for diagnosing infections and genetic testing
291
Antibodies
B-cells are converted to secrete them
292
Fab domain
Antigen binding domain formed by heavy and light chains coming together
293
Epitope
Specific site of the antigenic molecule the Fab region recognizes
294
Indirect ELISA
Production of color indicates the amount of an antibody to a specific antigen
295
sandwich ELISA
Production of color indicates the quantity of antigen
296
PCR
Can be used to detect altered genes or foreign DNA
297
Primers
Starting points for transcription - small (~20 nucleotides_ - complimentary to some portion of singe stranded DNA
298
Solid phase enzyme linked immunosorbet assasy
ELISA Measures the levels of specific antigen or antibody concentrations in biological samples using a corresponding immobilized antibody or antigen
299
Acute phase of Zika
1st week,
300
Zika subacute/chronic phase
2-12 weeks * Use ELISA AND confirmatory PRNT
301
1st week of Zika
PCR
302
2-12 weeks of Zika
ELISA + confirmatory PRNT
303
Growth and differentiation factors
FGF (fibroblast growth factor) Hedgehog proteins Transforming growth factor B (TGF-B) Superfamily WNT proteins
304
TGF-B Superfamily
Transforming growth factor Involved in embryogenesis and postnatal life
305
Fibroblast Growth Factors (FGFs)
Variation Broad spectrum of roles, closely associated with the ECM
306
P53
Monitors checkpoints of cell cycle - tumors
307
RB
Regulates G1 phase of cell cycle Observed in retinoblastoma
308
APC
Regulates cell proliferation Colon cancer
309
DCC
Cell proliferation, migration, and apoptosis Colon cancer
310
BRCA1/BRCA2
DNA repair and apoptosis Breast cancer
311
NF-1
Encodes GTPase-activating protein (GAP) which normally turns off activated RAS protein Neurofibromatosis
312
Myc
Transcription factor regulating Cdc25 protein tyrosine phosphatase (Growth regulation hormone)
313
Cdc2
Regulation of S/M phase transition Growth regulation gene
314
BCL-2 family
Cell survival
315
Fast response
Change in activity or function of enzymes or proteins in a cell
316
Slow response
Change in amounts of proteins by change in expression of genes
317
Leptin
Released from fat Signals hypothalamus that you are full
318
Endocrine signaling
- long distance Signal ->bloodstream-> distant target cells * freely diffusible signals * stable (Hormones)
319
Paracrine signaling
Acts locally - affects cells nearby (not as freely diffusible) - short lived signal * ie. Neurotransmitters
320
Autocrine singaling
- Cells respond to signals that they themselves release or release to cells of the same type - cells secretes signal that feeds back and binds to a receptor on its own surface * ie. Growth factors and cancer cells
321
Direct cell signaling/ Juxtracrine signaling
Ie. Immune cells, Ag-presenting cells to T cells
322
Acetylcholine
Heart muscle cells : relax Skeletal muscle cells: contract Salivary gland cell: secretion of saliva
323
Cell signaling
Cascade of events involving 1. signals (ligands) 2. Receptors 3. Effectors
324
Signals (ligands)
- typically secreted by exocytosis - signals stay near or far Are either lipophilic or hydrophilic
325
Receptors
Bind specifically to signal molecules with high affinity (signals are produced in low levels) - intracellular - cell surface receptor
326
Effectors
Targets of receptors inside cells: alter activity of many different proteins and generate 2nd messengers like cAMP and Ca2+
327
Lypophilic signaling molecules
Lipid-loving Steroid hormones Thyroid hormones Retinoids: Retinoic acid - found in the cytoplasm and nucleus - family of DNA-binding transcription factors
328
Hydrophilic signaling molecules
Water-loving, growth factors Amino acid derived From lipid metabolism Polypeptides - found on the surface of plasma membranes - includes transmembrane proteins such as G protein-coupled receptors and receptor tyrosine kinases
329
Intracellular receptors
Steroid receptor in cytosol that can alter gene expression in the nucleus
330
Cell surface receptors
External domain binds ligand, transmembrane domain anchors receptor, cytoplasmic domain initiates signal by change in conformation
331
Hydrophilic signaling molecules
Require cell-surface receptors
332
Small hydrophobic signaling molecules
Can diffuse across the cytoplasmic membrane and bind to intracellular receptors
333
Cell signaling receptors in the plasma membrane
1. Gated ion channels common in nervous tissue 2. GPCRs use 7-pass transmembrane proteins 3. Enzyme-coupled receptor class including receptor tyrosine kinases (RTKs)
334
G-protein coupled receptors
Composed of: - Extracellular domain - transmembrane domain - cytoplasmic domain GCPR -> Trimeric G protein -> effector enzyme -> 2nd messenger -> Targets of 2nd messenger -> biological response
335
Extracellular domain
Binds to ligand
336
Transmembrane domain
Anchors receptor
337
Cytoplasmic domain
Associates with G-proteins
338
Heterotrimeric G-proteins
Guanine nucleotide-binding proteins that consist of 3 subunits designated alpha, beta, and gamma Changes conformation if bound by a ligand
339
G-proteins do not transfer
Phosphates
340
GEF
Guanine nucleotide exchange factor Phosphorylates GDP to GTP
341
GAP
GTPase activating protein Increases the intrinsic GTPase activity
342
Steps of G-protein relaying signals
1. Ligand binds to receptor 2. Conformational change occurs in receptors 3. Receptor binds to G protein 4. Receptor then acts as a GEF 5. Confirmation of a G alpha protein is changed to kick out GDP and GTP binds to it 6. G alpha now becomes active and can bind to effector molecule and activate effector molecule 7. Effector molecule in this case is adenylyl cyclase which catalyzes formation of cAMP
343
Adenylyl cyclase
Catalyzes the formation of cAMP
344
Camp
Activates cAMP-dependent protein kinase (PKA) -4 subunits
345
Inactive PKA
2 catalytic subunits & 2 regulatory subunits
346
Active PKA
2 cAMP molecules bind to regulatory subunits of the PKA tetramer, releasing the active C subunits Active PKA can now phosphorylate other proteins
347
Retinoic Acid
Derived from Vitamin A Excess results in broad spectrum of abnormalities *Acts through Hox genes
348
PLC
Catalyzes formation of DAG and IP3
349
GTP bound form
Active form
350
Cholera Toxin
Modifies G protein by keeping the G alpha in the GTP active form indefinitely This causes increase in cAMP PKA phosphorylates the CFTR cl- channel This leads to secretion of water
351
Potentiate
Turn up
352
Attenuate
Turn down
353
Desensitization
Ability to turn off or reject the signal * hormone levels drop (decreased AC, decreased cAMP
354
Phosphodiesterase
Removes signaling molecule (cAMP or cGMP) E.g. Viagra, keeps vasodilation high
355
GRKs
G protein receptor kinases, phosphorylate the receptor
356
Arrestin
Will bind to the 3rd intracellular loop and prevents Ga from interacting with the third loop * requires GRK to phosphorylate the receptor first
357
PLC makes
IP3 and DAG by cleaving PIP2
358
RTKs
Receptor tyrosine kinases Ligand binds and causes conformational change that opens up "docking sites" for phosphorylation Mediate growth factor signals
359
Growth factors
Proteins released by cells to promote growth of other cells
360
SH2 domains
Bind to phosphotyrosine | T: Tyrosine and Two
361
Grb2
Has SH2 and SH3 domains in SOS (REF)
362
SH3
Binds to prolines
363
Ras
Monomeric G protein, binds Raf
364
SOS
Son of sevenless, ras GEF
365
Erk
MAP kinase,
366
Ras activates:
Raf (MAP kinase, kinase, kinase) -> Mek (MAP kinase, kinase) -> Erk (MAP kinase)
367
JAK-STAT receptors
Kinases that phosphorylate each other
368
R-Smad
TGF-beta activates TGF beta receptors, Smads get phosphorylated and go to the nucleus
369
G Alpha i
Adenylyl cyclases - inhibition of cAMP production, ion channels, phosphodiesterases, phospholipase
370
G alpha q
PLC-B DAG Ca2+ PKC
371
G Alpha S
Adenylyl cyclases Increase in cAMP concentration
372
Epinephrine, B-adrenergic receptor, Gs
- Relaxation of bronchial and intestinal smooth muscle - Contraction of heart muscle - Increased breakdown of triacylglycerols in adipose tissue - Increased breakdown of glycogen in liver and muscle - Increased Glycolysis in muscle
373
Histamine, Histamine H2 receptor, Gs
- Bronchoconstriction and sx of allergic reaction
374
Epinephrine/Norepinephrine, a-adrenergic receptor, Gi
- constriction of smooth muscle
375
Dopamine, Dopamine D2 receptor, Gi
- increased heart rate
376
Acetylcholine, Muscarinic acetylcholine M3 receptor, Gq
- Bronchoconstriction and stimulation of salivary glands
377
Light, Rhodopsin, Gt
-Vision
378
Monomeric receptors that become dimered upon activation
- Tyrosine kinases - JAK-STAT receptors - Serine/Threonine kinases * all create docking sites for other proteins
379
Connective tissue
Bone or tendon, lots of extracellular matrix with sparse cell distribution
380
Epithelial tissue
Cytoskeleton of cells linked cell to cell by that are anchored to the basal lamina
381
Anchoring junctions
Cell-cell adhesion and cell-matrix adhesion, and are connected to cytoskeletal filaments inside the cell - Actin filament attachment sites - Intermediate filament attachment sites * integrins * cadherins
382
Occluding junctions
Seal gaps between epithelial cells so as to make the epithelial sheet into an impermeable barrier
383
Channel-forming junctions
Create passageways for small molecules and ions to pass from cell to cell
384
Signal-relaying junctions
Allow signals to be relayed from cell to cell across their plasma membranes at cell-to-cell contact
385
Cadherin
Mediating cell-cell connection Bind to partner with Low affinity Mediate Ca2+ dependent
386
Integrin
Mediating attachment of cells to matrix Alpha and beta subunits Always form a dimer
387
Transmembrane adhesion proteins
1. Cadherin 2. Intergrins 3. Selectins 4. Immunoglobulin-superfamily
388
Homophilic adhesion
Like cells bind to each other
389
Heterophilic interactions
Different cells come together
390
Classical adherins
Main mediatiors of CA2+ dependent adherens junctions * E-cadherin
391
Nonclassical cadherins
Desmocollins and demogleins that form desosome junctions
392
B-catenin
Link between cadherin and cytoskeleton
393
Adherens junctions
Model the shape of the cystoskeleton - often form continuous adhesion belt and contractile bundle of actin filaments ** cadherin is crucial component
394
Desmosome
Connects intermediate filaments in one cell to those in the next cell
395
Desmosome proteins
Desmoglein and desmocollin Mechanical strength
396
ARVC
Common cause of sudden cardiac death in the young due to improper insertion of desmocollin into the membrane
397
Tight junctions
- form a seal between cells - form a fence between membrane domains - recruit cytoskeleton as well as signaling molecules * claudin * occludin
398
Tight junction protein
* claudin * occuldin - like claudins bind and like occludins bind
399
Polarity complex
Par (partitioning defective), crumbs, and scribble - control polarization processes and maintain polarity
400
Gap junction
spanned by channel-forming proteins * connexins Couple cells both electrically and metabolically *** SMALL molecules like ions, nothing bigger than a glucose can go through
401
Large influx of Ca2+ into gap junction
Causes channels to close immediately, isolating cell damage and preventing spread to other cells
402
Fibroblast
Cells that secrete matrix macromolecules
403
Basal lamina
Separates cells and epithelia from underlying or surrounding connective tissue and forms the mechanical connection between them Made up of : 1. Fibrous protein (ususally glycoproteins) 2. Glycosaminoglycan (GAG) polysaccharide chain
404
Basal lamina in kidney glomerulus
Lies between two cell sheets and functions as a selective filter
405
Lamina
* laminin * collagen * fibronectin
406
Actin to integrin
Provides components to crawl * this is mediated by talin * focal adhesion knase.
407
Src/Focal adhesion kinase (FAK) complex
Central signaling molecule downstream from integrins which activates erk and JNK to regulate cell survival, proliferation, and differentiation
408
Extrecellular macromolecules
Make up the matrix 1. Glycosaminoglycans (GAGs) 2. Fibrous proteins
409
Glycosaminoglycans (GAGs)
Usually covalently linked to protein in the from of proteoglycans 1. Chondroitin sulfate 2. Dematin sulfate 3. Heparan sulfate 4. Keratan sulfate * strongly hydrophilic * form gels, providing mechanical support to tissue
410
Fibrous proteins
Collagen and fibronectin, which have both structural and adhesive functions
411
Proteglycans
Form highly hydrated, gel-like ground substance in which the fibrous proteins are embedded - bind to signal molecules and can enhance or inhibit their signaling activity * contain a special link tetrasaccharide attached to serine side chain on core protein Consist of long polysaccharides (GAGs) connected to protein core * polar, very hydrated (squishy tissue)
412
Chondroitin
Old people drink for bones
413
Aggregates
Long polysaccharide/core complex linked to extensive hyaluronic acid chain
414
Hyaluronan
Repeating disaccharide ( glucaronic acid and N-acetylglucosamine), contains a lot of water, extremely long chain component of proteoglycan
415
Collagen Type IV
Network forming
416
Collage Type I
Bone, most abundant
417
Collagens
Long, stiff, left handed triple-stranded helical structure (3 helical alpha chain) * filament * protofilament - rich in proline (kinks) and glycine (small, allows rope to pack tightly)
418
Enzymes that are effecting hydroxylation
(lysyl/prolyl hydroxylases) Hydroxylation occurs in the ER * hydroxylation of proline is necessary for collagen production and connective tissue remodeling
419
Fibroblast
Site of collagen etc. synthesis
420
Prolyl/ Lysyl hydroxlyases
Scurvy: loss of cofactor (ascorbate) Ehlers-Danlos VI: defective enzyme
421
Scurvy
Loss of cofactor ascorbate * prolyl/lysyl hydroxylases
422
Ehlers-Danlos VI
Defective enzyme of prolyl/lysyl hydroxylase
423
Elastin
Cross links protein via lysyl oxidase, can stretch and relax due to hydrophobic units Hydrophobic units line up and get rid of water
424
Marfan's syndrome
Mutation of fibrillin that goes into elastic fibers
425
Hypodermis
Fatty subcutaneous layer
426
Dermis
second layer, rich in collagen, provides toughness
427
Epidermis
- out covering of skin - water barrier - epithelial cells - continuously repaired and renewed
428
Fibroblasts
Secrete ECM and provide mechanical support
429
Keratin filaments
Attach to desmosomes
430
Hair follicle
Grows upword from dermal papilla Have stem cells present in a bulge to aid in reconstruction
431
Olfactory sensory neurons
Nose: neural epithelium, renew approximately every 30 days
432
GPCR acts for senses
-light, taste, olfaction
433
Olfactory receptor
Can bind to a single class of odorant molecules Activated olfactory receptor activates G-protein -> AC -> cAMP -> ion channels open -> influx of Na and Ca -> action potential
434
Actin filaments
Determine the shape of the cells surface Necessary for whole-cell locomotion, secretion, endocytosis * compact and globular (G-actin vs. F-actin)
435
Microtubules
Determine positions of membrane-enclused organelles and direct the intracellular transport, centrioles & mitotic spindle, cilia & flagella * from tubulin, have polarity
436
Intermediate filaments
Mechanical strength, strong filament, resist mechanical stress
437
ARP
Nucleation of actin filaments occurs near plasma membrane, so actin filaments mostly accumulate at cell periphery Actin filaments determine the shape and movement of the cell surface Nucleation of actin filaments by ARP complex creates polarity
438
Y-TuRCs
Responsible for nucleation of microtubule growth
439
Keratin
Most diverse group of intermediate filaments, anchor at sites of cell-cell contacts, desmosomes. Cell-matrix contacts (hemodesmosomes)
440
Hematopiesis
Formation of blood units, occurs in: Yolk sac : weeks 3-8 (splanchnic mesoderm) Liver: week 6-30 (2nd trimester) Spleen: Weeks 9-28 (2nd trimester) Bone marrow: 28 weeks - adult Adult: lymph, bones of axial skeleton (skull, vertebrae, ribs, sternum, clavicle, pelvis, long bones)
441
Bone marrow
Red and yellow Compartments: Hematopoietic cell compartment Marrow stromal compartment
442
Hemoatopoietic cell compartment
Highly vascular | Stem cells
443
Erythroblastic area
Red cells
444
Myeloid area
White cells
445
Marrow stromal compartment
Production of growth factors Barrier: separates hematopoietic compartment from central longitudinal vein Removal of dead cells and debris (macrophage) Energy source: adipose tissue
446
Macrophage
Erythroblast compartment, removes dead cells and debris
447
Barrier
Endothelial cells, separate blood cells from vein
448
Newborn bone marrow
All starts off as red
449
Yellow marrow
Based on the presence of apidocytes (fat cells)
450
Normal marrow
In balance between red and yellow
451
Stroma
Reticular connective tissue Adipocytes and macrophages
452
Sinusoids
Between cords | Allow cells into circulatory system
453
Hematopoietic stem cell
Capable of self-renewal | Pleuripotent
454
BFU
Red blood cells
455
CFU-mega
Platelets
456
CFU-GM
Monocyte and neutrophil
457
Lymphoid
B lymphocyte, T lymphocyte
458
Myeloid
BFU, CFU-mega, CFU-GM, eosinophil, basophil
459
Hemoatopoietic Growth factors
Colony-stimulating factors Erythropoietin, thrombopoietin Cytokines
460
Stem Cell Factor
Produced by fetal tissues and bone marrow Weak stimulator of hematopoiesis Makes stem cells responsive to other cytokines
461
Flt3 ligand
Acts on pluripotent stem cells
462
IL-3
Influenced replication and growth potential of hematopoietic progenitors
463
IL 1 and 4
Acts on pluripotent stem cells to develop the lymphoid stem cells
464
IL-2
T-cell growth factor
465
IL 2 and 6
B-cell growth factor
466
GM-CSF
Stimulates formation of all leukocytes | Less potent than G-CSF for increasing neutrophils
467
G-CSF
Stimulates increase in neutrophils
468
M-CSF
Stimulates increase in monocytes and macrophages
469
EPO
Stimulate RBC formation | Produced in kidney
470
TPO
Produced in the liver Stimulated increase in megakaryocytes and platelets
471
RBCs (erythrocytes
Deliver Ox from lungs to tissues Picks up CO2 from tissues and unloads it on the lungs
472
Thrombocytes (platelets)
Secrete vasoconstrictors Stick together to form temporary platelet plug
473
Proerythroblast
Large central nucleus Ribosomes make hemoglobine Mitotic
474
Basophilic erythroblast
Smaller nucleus Patchy chromatin Basophilic cytoplasm Mitotic
475
Polychromatophilic Erythroblast
``` Smaller nucleus Condensed chromatin Light blue staining clumps of polyribosomes Light pink staining hemoglobin Mitotic ```
476
Orthochromatic erythrobloast
Dense, eccentric nucleus Pink cytoplasm No mitosis
477
Reticulocyte
1% of circulating RBCs | No nucleus
478
RBC
Mature cell, no nucleus
479
EPO
Produced in kidney in response to hypoxia
480
Thrombocytes
Megakaryoblast -> megakaryocyte -> platelets
481
Megakaryoblast
Large oval nucleus Basophilic cystoplasm Becomes megakaryocyte
482
Megakaryocyte
Mutilobed nucleus Endomitos Forms platelets
483
Endomitosis
Nuclear division occur without cell division
484
TPO
Regulates megakaryocyte and platelet development Produced in live, kidney, and bone marrow
485
Agranulopoiesis
- heteromchromatin content increases - no specific granules from - no nuclear lobulation - cell sizes decreases * lymphocytes and monocutes
486
Granulopoiesis
- chromatin condenses - cytoplasmic granules - nucleus become lobulated - cell size decreases ** neutrophils, basophils, eosinophils
487
Neutrophils
Phagocytize bacteria Release antimicrobial chemicals
488
Eosinophils
Phagocytize antigen-antibody complexes, allergens, and inflammatory chemicals Antiparasitic and bactericidal activity
489
Basophils
Secrete histamine and heparin Inflammatory reactions during immune responses and allergies
490
Granulocytes
Myeloblast -> promyelocyte -> myelocyte -> metamyelocyte -> band -> polymorphonuclear neutrophil
491
Myeloblast
No cystoplasmic granules Mitotic large round euchromatic nucleus
492
Promyelocyte
Large flattened nucleus More condensed chromatin Azurophilic granules present Mitotic
493
Myelocyte
Indented nucleus Specific granules accumulate Smaller than promyelocyte Mitotic
494
Metamyelocyte
Meta "beyond" Deeply indented nucleus Densely packed specific granules NO mitosis
495
Band
Horseshoe shape nucleus Chromatin condensed and lobulated Higher numbers indicate infection
496
Polymorphonuclear neutrophil
Mature cell
497
Agranulocytes
Monoblast -> Promonocyte -> Monocyte -> macrophage
498
Monoblast
Large round euchromatic nucleus No cytoplasmic granules Mitotic Indentical to myeloblast
499
Promonocyte
Large slightly intended nucleus Divide several times before becoming monocytes
500
Monocyte
Mature cell
501
Macrophage
Emigrated blood monocytes that differentiate in tissues Found at sites of infection
502
Lymphocytesa
T and B cells
503
B cells
Secrete antibodies Mature in bone marrow
504
T cells
Destroy cancer cells, virus infected cells, foreign cells Mature in thymus
505
Lymphoblast
Nucleus 1-2 nucleoli No cytoplasmic granules
506
Stem cell
Primitive cell that can either self-renew or give rise to more specialized cell types
507
Totipotency
Ability of cell to give rise to all cells of an organism *** Zygote
508
Pluripotency
Ability of a cell to give rise to all cells of the embryo and subsequently adult tissues *** embryonic stem cells
509
Multipotency
Ability of a cell to give rise to different cell types of a given lineage *** adult stem cells
510
Founder stem cells
Can divide as stem cells giving rise to one daughter cell that remains a stem cell and a set of cells that have a set number of transit amplifying division - define size of large final structures - controlled by short range signals - each organ/tissue has fixed number of founder cells
511
Transit amplifying cells
Divide frequently Programmed to divide for a limited number of times Part of strategy for growth control Derived from founder cells Daughter cell
512
Divisional asymmetry
Creates 2 cells, one with stem cell characteristics and another with factors that give it the ability to differentiate
513
Environmental asymmetry
Creates 2 identical cells but environment may influence/alter 1 cell
514
Daughter cell
Gets new synthesized strand Original DNA strand is preserved in stem cell
515
Embryonic stem cells
From blastocyst stage of embryo Can proliferate indefinitely in culture with unrestricted developmental potential Develops into different cell types with characteristics appropriate for that site
516
Spontaneous Embryonic stem cell differentiation in Vitro
Mixture of differentiated cells
517
Gene regulatory proteins
Oct 3/4 Sox2 Myc Klf4
518
Hematopoeitic stem cells
Found in cord blood, bone marrow, and peripheral blood
519
Mesenchymal stem cells
Found in wharton's jelly, bone marrow, adipose tissue, and tooth pulp
520
Adult stem cells
Have memory of developmental history and seems committed to its fate, which limits its clinical use
521
Connexons
Make up connexins of gap junction
522
Integrin molecule
Consists of 2 noncovalently associated subunits Alpha and beta Beta: binds to complex of proteins that form a linkage to the cytoskeleton Alpha: active integrin
523
Fibrillin
Glycoprotein Mutation can cause Marfan's syndrome
524
Basal cell layer
Attach to basal lamina Only dividing cells in epidermis
525
Prickle cells
Attach to basal cell layer Contain desmosomes that attach tufts of keratin filaments
526
Granular cells
Attach to prickle cells - seal together to form waterproof barrier - form boundary between inner metabolically active strata and outer dead epidermis cells
527
Squame
Outermost layer - flattened dead cells, densely pack with keratin but no organelles
528
Overactivation of hedgehog pathway
Cells continue to divide even after exit from basal layer
529
Deficit of hedgehog signal
Loss of sebaceous glands
530
Up-regulation of Wnt signal
Extra hair follicles develop, giving rise to tumors
531
Loss of Wnt signaling
Leads to failure of hair follicle development
532
Notch signaling restricts
Size of stem cell population
533
TGF beta
Plays key role in repair of skin wounds promoting formation of collagen rich scar tissue
534
Centrioles
Organize the centrosome matrix, ensuring its duplication during each cell cycle Attach to mitotic spindles Arranged at a right angle to each other
535
Rac activation
Promotes actin polymerization at the cell periphery -> formation of lamellipodia extensions
536
Lamellipodia extensions
Caused by Rac activation
537
Cdc42 activation
Triggers actin polymerization and bundling to from filopodia
538
Filopodia
Triggered by cdc42 activation
539
Rho activation
Promotes the bundling of actin filaments into stress fibers
540
Hematopoietic Growth Factors
- CSF: G-CSF, GM-CSG, M-CSF - Erythropoietin & Thrombopoietin - Interleukines: IL-3, IL-2, IL-6
541
Somatic cell nuclear transfer (SCNT) +/-
Immune rejection is not an issue because the patients are using their own cells *early stem cell
542
4 gene regulatory proteins
Oct3/4, Sox2, Myc, Klf4
543
Nanog, Oct4, Sox2, FoxD3
These transcription factors are essential for establishment and maintenance of pluripotent stem cells in the embryo
544
NANOG
Homeodomain
545
Sox2
Zinc finger protein
546
Oct4
Homeodomain
547
Fox M1
Cell proliferation (acts directly on cyclin expression) Proto-oncogenes
548
Myc
Helix-loop-helix transcription factors
549
WT1
Zinc finger protein
550
Klf1
Works with B-catenin (downstream of Wnt signaling)
551
Pax, LIm, Msx, Dsx
Homeodomain * control differentiation during development of head and limbs
552
TGF, FGF, Wnt, SHH
Growth factors that bind membrane receptors - control transcription factor activation of differentiation genes
553
Blood composition
Cells and plasma (fluid component) can be separated by centrifugation
554
Hematocrit
Percentage of erythrocyte volume: RBC's constitute about 45% of blood volume
555
RBC structure
- non-nucleated - biconcave - no organelles - consist of plasma membrane, cytoskeleton, hemoglobin, and glycolytic enzymes
556
Spectrin membrane skeleton
RBC's rely on spectrin for flexibility to fit through capillaries and to maintain a certain shape to house glycolytic enzymes and hemoglobin
557
Epliptocytosis
Alteration of RBC shape due to cytoskeleton defect (defective self association of spectrin subunits, defective binding of spectrin to ankyrin, protein 4.1 defects, abnormal glycophorin) * oval shaped RBCs - autosomal dominant
558
Spherocytosis
Alteration in shape of RBC due to cytoskeleton defect (deficiency in spectrin) * anemia, jaundice, splenomegaly - autosomal dominant
559
Sickle cell anemia
Hemoglobin abnormality caused by point mutation where glutamic acid is replaced by valine on hemoglobin chain, hemoglobin aggregates and is ineffective at binding oxygen * cells are sickle shaped - chronic hemolytic anemia, obstruction of post-capillary venules
560
Thalassemia
Hemoglobin abnormality caused by defective synthesis of alpha or beta chains of hemoglobin tetramer * anemia
561
Erythroblastosis fetalis
Hemolytic disease of the newborn: mother is Rh- and child is Rh+, creating antibodies that can "attack the mother"
562
Granulocytes
1. Neutrophils 2. Eosinophils 3. Basophils - multi-lobed nucleus - contains primary and secondary cytoplasmic granules
563
Agranulocytes
1. Lymphocytes 2. Monocytes - contain only primary granules
564
Neutrophils
60-70% of circulating leukocytes | - act to eliminate opsonized bacteria or limit the extent of an inflammatory reaction in connective tissue
565
Eosinophils
2-4% of circulating leukocytes (can also enter connective tissue) - first defense against parasites * trigger bronchial asthma
566
Basophils
1% of circulating leukocytes (can also enter connective tissue) - play roles in bronchial asthma and allergic skin reactions
567
Lymphocytes
20-40% of circulating leukocytes 1. B lymphocytes 2. T lymphocytes
568
B lymphocytes
- Made in bone marrow - Antigen stimulated B cells differentiate into antibody secreting plasma cells - Mature in bone marrow
569
T lymphocytes
- Made in bone marrow - Participate in cell mediated immunity - Mature in thymus
570
Monocytes
2-8% of circulating lymphocytes * circulate in blood for 12-100 hours then enter connective tissue - involved in bacterial phagocytosis, antigen presentation, and clean-up of dead cell debris - in bone, monocytes differentiate into osteoclasts
571
Leukocyte adhesion deficiency I
Defect in beta subunit of integrin * leukocytes cannot leave blood vessels and enter tissues - clinically, inflammatory cell infiltrates are devoid of neutrophils
572
Leukocyte adhesion deficiency II
Fucosyl containing ligands for selectin are absent * leukocytes cannot leave blood vessels and enter tissues
573
Asthma
- Mast cells degranulate and release chemical mediators, causing neutrophils and eosinophils to enter the connective tissue of the respiratory mucosa - eosinophils release additional factors to enhance bronchoconstriction which damage the cell lining and disturb mucociliary function
574
Homing
- Carbohydrate ligands on surface of neutrophil bind to selectin molecule expressed on endothelial cell - Integrin LFA-1 on surface of neutrophil binds to ICAM-1 on surface of endothelial cell
575
Cell adhesion
Plays an important role in wound healing, immune surveillance, tumor metastasis and tissue morphogenesis
576
Platelet formation
1. Megakaryocytes develop cytoplasmic projections that become proplatelets 2. Proplatelets fragment into platelets
577
Platelets
Promote blood clotting and help to precent blood loss from damaged vessels
578
Thrombocytopenia
Reduction in number of platelets in blood, leading to increased susceptibility to bleeding * caused by: - decrease in platelet production - increase in platelet destruction - aggregation of platelets in the microvasculature
579
Bernard-Soulier Syndrome and von Willebrand's disease
Inability of platelets to attach to subendothelial vascular surfaces * caused by deficiency in glycoprotein 1b-factor iX (von willebrand's factor)
580
Glycoprotein 1b-factor iX
von Willebrand's factor - important in aggregation of normal platelets when they are exposed to injured subendothelial tissues
581
Gray platelet syndrome
Autosomal dominant Characterized by macrothrombocytopenia
582
Macrothrombocytopenia
Reduced number of platelets in the blood, but remaining platelets in the blood have an increase in size/volume
583
MYH9 related disorders
Associated with macrothrombocytopenia * Defect in myosin heavy chain IIA - causes defective formation of platelets during formation of proplatelets
584
RBC lifespan
120 days, RBCs are constantly removed from circulation and replaced
585
RBC function
Transport metabolic gases * O2 from lungs to the tissue * CO2 from tissue to lungs
586
Erythropoisis
Hemocytoblast, proerythroblast, early erythroblast, late erythroblast, nomoblast, reticulocyte (can enter bloodstream), erythrocyte
587
Hb synthesis
65% made before extrusion of nucleus 35% made in reticulocyte
588
B12 and folic acid
Necessary for DNA synthesis Deficiency would impact RBC's and cause megaloblastic anemia
589
Hemoglobin
Oxygen transporter Tetramer of 2 alpha chains and 2 beta chains (4 subunits) One heme per subunit 8- alpha helical segments that provide stability
590
Heme
- has iron atom (Fe2+/ferrous) - hydrophobic - carries O2 - one per subunit (4 per molecule) * one molecule can carry 4 O2
591
Hb F (Fetal)
2 alpha and 2 gamma subunit
592
Adult HbA
2 alpha, 2 beta
593
Adult Hb A2
Alpha 2 | Delta 2
594
Sickle cell anemia
Defect on beta gene of HbS at 6th position substituting valine for glutamic acid -> polymerization of hemoglobin and sickle cell shape Induction of expression of HbF can utilize gamma gene to help carry out the function of the defective beta gene
595
Hemoglobin conformation states
Only 2 Oxy and deoxy
596
Oxgen dissociation curve
Myoglobin (monomer) : hyperbolic curve Hb (tetramer) : sigmoid shape
597
Cooperativity
All hemes act together - all bind Or -all unload
598
2,3 BPG
Shifts Oxygen dissociation curve (ODC) to the right * more is produced at high altitude
599
HbF
Fetal Hb has higher affinity for O2 than mother's Hb * HBF does not bind well to 2,3-BPG
600
HbF
Fetal Hb has higher affinity for O2 than mother's Hb * HBF does not bind well to 2,3-BPG
601
Iron transport in enterocyte
Dietary iron in Ferric form (Fe3+) is reduced to Fe2+ by Dcytb to enter the enterocyte After being expelled from the enterocyte it is transformed back into Fe3+
602
Transferrin
Carries iron to tissues where it is needed including bone marrow in a non-toxic form *** On average, 30% of transferrin is bound to iron (transferrin saturation)
603
TIBC high
Iron deficiency
604
TIBC low
Fe overload
605
Hereditary hemochromatosis
High TBIC Organ dysfunction due to iron overload
606
Megaloblastic macrocytic anemia
Deficiency in B12 and folate - large erythrocytes - nl Hb content in relation to size
607
Vitamin B12
Cobalamin Has Cobalt, protoporphyrin like ring, nucleotide, sugar, nitrogen ring * Accepts methyl from folate, releasing THF (FH4)
608
Folic acid
Pteridine PABA Glutamate
609
Tetrahydrofolate (FH4)
Becomes one-carbon donor for synthesis of nucleotides (methylene)
610
Folic acid Pathway and B12
Deficiency in B12 will lead to deficiency in Folic Acid because N5-methyl-THF needs B12 to demethylate it in order to enter the folic acid cycle
611
N5-methyl-THF
Primary circulating form of THF in bloodstream " folate Trap"
612
Intrinsic factor
Made by parietal cells of stomach, carries B12 to ileum where receptors bring it into body
613
Proteases from pancreas
Degrade R-binder proteins in duodenum to release B12
614
R-binder proteins
Made by gastric mucosa celss, bind to dietary B12 in stomach
615
Transcobalamin II
Circulates through the blood carrying cobalamin
616
Pernicious anemia
Lack of intrinsic factor causing Vitamin B12 deficiency * Pernicious means death - gastric mucosa is destroyed - decrease in IF * Use Schilling test
617
Schilling test
Give oral Co-labeled B12 & inject B12 Collect urine in 24 hours Cobalamin B12 not absorbed : pernicious anemia & part 2 B12 and radioactivity absorbed/seen in urine: B12 deficient diet is answer
618
Normal absorption of B12 and radioactivity shows in urine
B12 deficient diet
619
Cobalamin B12 not absorbed
Pernicious anemia Give oral dose Co-B12 + IF Collect urine in 24 hours If radioactive B12 present: pernicious anemia due to lack of IF
620
Pyruvate Kinase deficiency
No production of ATP in blood cells
621
Transferrin saturation
Should be 30%
622
Jaundice
Yellowing of skin/eyes Excess bilirubin in blood stream (hyperbilirubinemia) *imbalance between production and excretion of bilirubin Can be pre-hepatic, intra-hepatic, or post-heaptic
623
Biosynthesis of Heme
3 phases 1: Mitochondria 2. Cytosol 2. Mitochondria
624
Phase I: heme biosynthesis
Glycine + Succinyl CoA -> ALA via ALA synthase
625
Phase II heme biosynthesis
Condensation of 2 delta-ALA -> porphrobilogen 4 porphobilinogens -> coproporphyrinogen III
626
Phase III heme biosynthesis
Coproporphyrinogen III install side-chain vinyl groups in protoporphyrinogen IX, which make ring system of protoporphyrin IX, Fe2+ is installed by ferrochelatase making heme
627
Prophyrias
Caused by Defects in one or more stages of heme synthesis Inherited metabolic disorders * hepatic -> neuological sx Erythropoietic -> skin phosensitivity
628
ALA synthase
Needs pyridoxal phosphate - inhibited by heme and hemin - mRNA contains an iron response element
629
Acute hepatic porphrias
Neurologic symptoms
630
Erythropoietic porphyrias
Skin, photosensitivity
631
Acute intermittent porphyriva
defect in PBG deaminase - hepatic Excess ALA and PBG Abdominal pain
632
Congenital erythropoietic porphyria
Uroporphyrinogen III synthase defect, causes build up of Uroporphyrinogen I which is oxideized to uroporphyrin I (Bad) -Erythropoietic Photosensitivity, Excess uroporphyrin I
633
Porphyria cutanea tarda (PCT)
Defect in uroporphyrinogen decarboxylase - hepatoerythropoietic **MOST common in US Excess uroporpyrinogen III
634
Variegate porphyria
Defect in protoporphyrinogen IX oxidase - hepatic Photosensitivity, neurologic sx
635
King George III
Variegate prophyria
636
Reticulo-endothelial system
Degrades hemoglobin Globin broken down into amino acids Heme removed for degradation
637
Heme oxygenase
Enzyme that removes bridge between pyrrole rings of heme * requires oxygen * releases Co2 * iron oxidized from ferrous to ferric - synthesizes Biliverdin (green)
638
Conjugation of bilirubin
Bilirubin released from spleen into bloodstream - binds to albumin because it is insoluble, and is then transported to liver In hepatic microsomes, Bilirubin is conjucated with glucuronic acid to make direct BR which is soluble
639
UDP glyconyl transferase
Enzymes in liver that conjugate free bilirubin with UDP-glucuronic acid make bilirubin-monoglucuronide and diuronide
640
Urobilin
Yellow pigment in urine
641
Stercobilin
Gives feces its brown color
642
Pre-hepatic Jaundice
Increased production of unconjugated BR Causes: - excess hemolysis - internal hemorrhage - capacity of liver uptake/excretion of BR is exceded - Glucose-6-PO4- dehydrogenase deficiency - Neonatal incompatibility of maternal-fetal blood Findings: *** ELEVATED blood levels or unconjugated or indirect BR Direct BR is absent in urine Urobilinogen present in urine Nl AST and ALT Nl blood levels of conjugated BR
643
Intra-hepatic Jaundice
General liver dysfunction - impaired hepatic uptake, conjugation, or secretion of conjugated BR * Liver cirrhosis * hepatitis * Criggler-Najjar syndrome (conjugation defect) * Gilbert syndrome (conjugation defect) Findings: Increase in unconjugated and conjugated BR Increase in ALT and AST Nl urobilinogen levels in urine Conjugated BR detected in urine
644
post-hepatic jaundice
Problems with BR excretion (decreased bile flow) - Obstruction - Cholelithiasis - Liver disease - lesions - drugs Findings: ``` ELEVATED blood levels of conjugated BR Small increase in unconjugated form Nl AST and ALT Elevated bile salt levels Conjugated BR in urine (dark color) No urobilinogen in urine No stercobilin in feces (pale) Elevated alkaline phosphatase ```
645
Neonatal Jaundice
akak Pysiological jaundice 1. Breakdown of fetal hemoglogin 2. Immature hepatic metabolic pathways 3. Deficiency of UDP-GT enzyme * accumulation of excess BR in blood leads to jaundice
646
Phototherapy
Used to treat jaundice, BR changes conformation to more soluble isomer when exposed to fluorescent light
647
Crigler-Najjar syndrome Type I
Type I: complete abscence of the gene - deficiency of UDP-GT which conjugates BR * severe hyperbilirubinemia * encephalopathy in babies due to accumulation of BR in brain
648
Kernicturus
Encephalopathy associated with BR accumulation in brain and Crigler-Najjar syndrome
649
Criggler-Najjar Syndrome Type II
Benign form - mutation in UDP-GT gene, enzyme has less activity
650
Gilbert syndrome
Reduced activity (25%) of UDP-GT
651
Hepatitis
Liver inflammation leading to liver dysfunction - increased levels of unconjugated and conjugated BR in blood * jaundice * dark urine
652
Heme color
Red
653
Bilverdin color
Green
654
Bilirubin color
Orange
655
Hemosiderin (iron) color
Reddish brown
656
Blood function
1. Deliver requirements for cell metabolism 2. Remove waste products 3. Homeostasis 4. Immune response
657
Plasma
Consists of: - electrolytes - proteins - small organics - lipids
658
Formed elements
- WBC's - RBC's - Platelets * all arise from pluripotent stem cell
659
Requirements for cell metabolism
Oxygen | Nutrients
660
Remove waste products
Carbon dioxide | Metabolites
661
Homeostasis
Hormones | Thermoregulation
662
Cyanosis
Bluish/dark coloring of lips and skin Result of hemoglobin in blood that doesn't have enough oxygen associated with it
663
Hematocrit
% of blood that is cells
664
Erythropoiesis
Process of producing red blood cells - occurs in bone marrow
665
RBC function
Deliver oxygen to tissue * Our bodies use the amt. of 02 getting to our tissues to determine how many RBC's we need - this is sensed mostly in the kidney, but also in the liver
666
Proteins in plasma
* most made in liver - albumin - globulin - enzymes
667
Enzyme systems
- complement - kinin - clotting - fibronolytic
668
What organ controls RBC production?
The kidney
669
What happens if oxygen is low in the kidney?
- HIF accumulates (hypoxia inducible factor) - HIF triggers erythropoietin in the kidney - RBC production occurs (Erythropoiesis)
670
HIF
Hypoxia inducible factor - increases erythropoietin - increases transferrin
671
Erythropoietin
Connects to JAK/STAT pathway - act on stem cell to increase differentiation into proerythroblasts and maturation rate * prevents apoptosis of erythroid stem cells
672
Mutations in peptide chain
Change oxygen binding
673
Requirements for adequate erythopoeisis
- adequate general nutrition - iron availability - Vitamin B12 - Folic acid
674
Microcytic anemia
Iron deficiency, RBC's are smaller than normal
675
Oxygen capacity
Total amount of oxygen that can be carried in our blood assuming every available heme has an oxygen bound to it 1.34ml O2/ g hb x g hb/L blood
676
Oxygen content
Amount of oxygen that is actually being carried in our blood | Oxygen capacity x % saturation
677
Every gram of hemoglobin carries
1.34 mL of oxygen
678
Oxygen % saturation
% of available hemes with oxygen bound
679
ATP and RBC's
Obtained via anaerobic glycolysis - Prevents oxidation of Hemoglobin - Maintains ferrous form of iron - ion transport - Membrane flexibility
680
Hemolysis
Rupture of cell
681
Methemoglobinemia
Presence of large amounts of iron in the Ferric (Fe3+) state in heme
682
Phagocytosis
In spleen by macrophages Hb is broken down - iron receycled - heme broken down to bilirubin
683
Anemia
Decreased # of RBC's - decreased Hb content * folate/B12 deficiency * iron deficiency * bone marrow damage * kidney damage + decreased oxygen capacity and content + decreased oxygen delivery to tissue + increased work load on heart + viscosity of blood is reduced Oxygen saturation is unchanged
684
Polycythemia
Excess RBC's More oxygen carrying capacity + increased viscosity of blood + increased cardiac effort + increased oxygen content and capacity Oxygen saturation is unchanged
685
Secondary polycythemia
Nl bone marrow Kidneys respond to low oxygen levels due to - altitude (physiological polycythemia) - lung/heart disease
686
Polycythemia Vera (primary polycythemia)
Bone marrow is making RBC's when there is no need to (abnormal) * can be related to thrombopoietin receptor mutation Erythropoietin levels are low
687
Beta globin amino acid substitution and chromosome involved in sickle cell disease
Valine replaces glutamic acid on the surface of the beta chain in hemoglobin on chromosome 11
688
Acute chest syndrome in kid with sickle cell disease
New pulmonary infiltrate on CXR Respiratory distress
689
Kids with sickle cell disease are particularly susceptible to:
Streptococcus pneumonia
690
Splenic Sequestration crisis
Vaso-occlusion in the spleen secondary to sickle cells - spleen is rapidly enlarged and reticulocyte increases