Exam 2 concepts Flashcards
what are some of the factors that can influence birth defects in childhood?
- multifactorial
- unknown
- teratogens
- monogenic
- chromosomal
what are the classification classes of birth defects
- malformation
- disruption
- deformation
- dysplasia
- sequence
- syndrome
- association
what are some traits associated with cardiac defects
- major cause of death in first year of life
- common anomaly is ventricular septal defects
- incidence is 5-8 per 1000 births
what are some of the developmental milestones as it pertains to neural tubes?
18th day-neural plate developmental
24th day-cranial closure
26th day-caudal closure
what are the different spina bifida degrees?
- spina bifida occulta
- lipomeningocele
- meningocele
- myelomeningocele
in the last decade, what has folic acid/vitamin b0 been used for?
for prevention of neural tube defects (NTD), coronary artery disease (CAD), stroke and colorectal and cervical cancer
polymorphisms in folate metabolism enzyme encoding genes can result in what?
risk factors for neural tube defects. the enzymes are responsible for recycling of folate
what are the fetus malformations that are results of using thalidomide?
amelia, phocomelia, hypoplasia and absence of some bones
what are the immunomodulatory properties of thalidomide therapeutic properties?
Inhibition and stimulation of cytokines Co-stimulation of primary human T cells Modification of surface cell adhesion molecules Induction of NK cells Treats leprosy
what are the non immunomodulatory properties of thalidomide therapeutic properties?
Anti-angiogenic activity
Anti-proliferative and pro-apoptotic activity
Treats cancer
what is the potter sequence?
urethral agenesis–> oligohydramnio–> fetal compression in utero, growth deficiency, multiple malformations, altered facies, limb positioning defects
what are some other health problems that down syndrome could increase the chance of?
- heart defects
- thyroid disease
- nearsightedness
- farsightedness
- alzheimers
- leukemia
what are some of the personality problems with Fetal alcohol syndrome
Difficulty with time
Being where they should be on time
Problems managing money
Difficulty transferring learning to other situations
Difficulty determining what to do in a given situation
what does VATER stand for?
V - Vertebrae problems,
For example, abnormally formed vertebrae, and extra ribs.
A - Anal Anomalies and sometimes rectum problems.
For example, there is no opening where the anus should be
T - Trachea problems.
For example, there is a connection between the trachea and esophagus.
E - Esophagus problems.
For example, part of the esophagus is missing.
R - Radius (lower arm bone) problems
For example, the larger lower arm bone is abnormally formed
what factors influence teratogenicity?
Dose Route Frequency of exposure Duration of exposure Concurrent exposures Concurrent illness Genetic susceptibility
what are the teratogenesis mechanisms
- Mutation
- Chromosomal aberrations
- Mitotic interference
- Nucleic acid metabolism alteration
- Energy metabolism interference
- substrate deficiency
- pathway inhibition - Cell membrane alterations
what are the developmental gene families?
homeobox (hox) gene family Paired box (pax) gene family
what are the developmental gene pathways?
Fibroblast growth factor and receptors
Sonic hedgehog pathway
Neural crest cell migration network
what are the explanations for an important gene family produces only 3 rare human syndromes?
One HOX gene may be able to compensate for deficiency in another (redundancy)
HOX genes are so important that when mutated inevitably produces early pregnancy loss (no viable babies born)
what is the treatment for aniridia?
colored eye lenses in order to reduce the light inlet
what are the cell signals used to organize itself into embryonic tissues
juxtracine signal and paracrine factors
what are the examples of signals used for sonic hedgehog pathway?
to differentiate, die, and migrate
what are the two ways shh does its signals?
-signals to adjacent cells when tethered to the plasma membrane -signals in long range as freely diffusible molecule
what are the symptom ranges of holoprosencephaly?
mild (anosmia, or a single central incisor) to moderate (cleft lip or palate) to severe (cyclopia)
HH signaling is linked to an increasing number of what?
cancers, can be cancers with mutations in the HH pathway or cancers with autocrine requirements for HH ligand
what are the 4 types of waardenburg syndrome?
type 1: hearing loss and white forelock
type 2: very similar to type 1
type 3: severe form with limb abnormalities
type 4: waardenburg and hirschprung
why does loss of melanocytes lead to deafness?
melanocytes produce endolymph in the stria vascularis. stria vascularis uses that endolymph for the scala media where the organ of corti is. Organ of corti contain auditory sensory cells
what are the mutations associated with male pseudohermaphroditism?
SF1 mutation, SOX9 mutation, and WT1 mutation
Any factor
raising testosteron level
will serve as SRY surrogate
and will lead to what?
masculinization
of female genitalia
(Female pseudohermaphroditism)
what are the factors raising testosterone levels in females?
A) Maternal androgen ingestion (exogenous)
B) 21-hydroxylase deficiency
enzyme deficiency
what phase does the genome work to express genes
g1 and g2