Genes & Disease Flashcards

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1
Q

What is a gene, what are they made up of & what do they do?

A

-Functional unit of DNA
-Made up of transcribed regions & regulatory sequences
-Directs the production of/encodes polypeptides or RNAs

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2
Q

How much of the human genome is protein coding?

A

1-2%

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3
Q

What is the rest of the human genome (that that isn’t protein coding)?

A

RNAs

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4
Q

What is the structure of a human gene?

A

-Transcribe in 5’->3’ direction
-Promotor region - where TF & RNA polymerase bind - to transcribe the gene
-UTR = will be transcribed but not translated
-Have micro-RNA binding sites - regulate gene expression
UTRs = x2 sections either side of a mRNA strand - are non-coding parts of mRNA
-Make pre-mRNA = has exons & introns - splice out introns = mRNA

-DNA/gene also has exons & introns!

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5
Q

What steps can eukaryotic gene expression be controlled?

A

From numbers 1-6
–> going from DNA to protein (i.e., where gene expression can be controlled during protein synthesis)

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6
Q

What is alternative splicing?

A

= creates many proteins from same strand of DNA

-Exons from same gene are joined in different combinations - leads to different but related mRNA transcripts
–> can translate these mRNAs = different proteins - have distinct structures & functions — all from 1 single gene

-So proteins produced will have different exon combinations - as image shows = introduces variation protein function - all from same gene = variation
–> ‘increases diversity of mRNA expressed from genome’

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7
Q

What is meant by the degenerate nature of the genetic code?

A

-Number of sense codons exceeds the number of amino acids
–> so many codons encode the same amino acid
–> so mutations - substitutions may be silent - as the base changed may mean the same amino acid is still coded for = no change to protein function

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8
Q

What are point mutations?

A

= Changes to one base in the DNA code and may involve either

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9
Q

Give the 4 different types of point mutation.

A

-Substitution
-Insertion
-Deletion
-Inversion

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10
Q

What are the 3 types of substitution mutations?

A

-Silent
-Nonsense
-Missense

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11
Q

Where is a silent mutation more likely to occur?

A

When the base pair substitution occurs in the 3rd nucleotide in a codon

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12
Q

What impact can silent mutations have?

A

-No effect on protein production
BUT
-Can affect mRNA splicing
&/or
-Stability - i.e., binding sites for micro-RNA
–> so this can impact protein function

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13
Q

What is a missense mutation?

A

Single base pair is changed = alters a single amino acid in polypeptide chain

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14
Q

Effect of missense mutation?

A

-Functional protein - but may have some altered properties -> similar function as AA changed to may have similar biochemical properties to the one it replaced = conservative mutation/substitution
or
-Non-functional protein

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15
Q

What is a conservative mutation/substitution?

A

Replace AA with one that has similar biochemical properties - so function of protein is similar to how it would be without the mutation - small effect on protein function
= due to missense mutation

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16
Q

When is a missense mutation more likely to have an phenotypic effect?

A

When base pair substitution occurs in first of two nucleotide positions of a codon

17
Q

What is an nonsense mutation?

A

Single base pair is changed = resulting in a premature STOP codon which truncates the polypeptide –> codon is changed to stop codon - encodes stop AA

18
Q

Effect of nonsense mutation?

A

Truncated protein = non-functional or has impaired function

19
Q

Effects of point mutations?

A

-Silent - due to substitution
-Missense
-Nonsense
-Frame shift - due to insertion or deletion

20
Q

What is a nonstop mutation?

A

STOP codon is removed

21
Q

What are block mutations?

A

= Changes to segments of a chromosome, leading to large scale changes to the DNA of an organism
-Often caused by transposons - by changing positions in genome = alters gene sequence

22
Q

What are the 5 types of block mutations?

A

-Duplication = part of chromosome is copied
-Inversion = segment of a chromosome is removed then replaced in chromosome in reverse order
-Deletion = portion of the chromosome is removed (along with any genes contained within this segment)
-Insertion = portion of chromosome is added to another
-Translocation = segments of 2 chromosomes are exchanged (may interrupt gene sequences)

23
Q

What is Hurler syndrome?

A

-AKA mucopolysaccharidosis I (MPS I)
-Lysosomal storage disease

24
Q

Cause of Hurler syndrome?

A

-Deficient/absent alpha-L-iduronidase (IDUA) = lysosomal enzyme!!!
-So substrate for this enzyme accumulates - these substrates = herparan sulfate & dermatan sulfate
-One of the lysosomal enzymes degrades GAGs
-Undegraded/partially undegraded GAGs = will accumulate in tissues & organs
= developmental delay, skeletal, respiratory & cardiac problems

Alpha-L-Iduronidase - encoded by IDUA gene = important enzyme required for lysosomal degradation of glycosaminoglycans (GAGs)

25
Q

What is Duchenne muscular dystrophy?

A

Characterised by progressive muscle weakness & atrophy primarily in skeletal muscle

26
Q

Cause of Duchenne muscular dystrophy?

A

-Mutations in dystrophin gene
-Dystrophin = rod-shaped protein - gives strong mechanical link between muscle cytoskeleton & ECM
–> dystrophin’s N-terminus domain binds to cytoskeletal F-actin & dystrophin’s C-terminus binds to the dystrophin-associated complex
= affects plasma memb integrity & intracellular Ca2+ concs
–> this affects mitochondria - leading to cell death

–> dystrophin = links from actin-based cytoskeleton of muscle cell through plasma memb (sarcolemma) to ECM = NORMALLY!!! - not in DMD/Becker’s MD

Dystrophin-glycoprotein complex - contains: dystrophin, sarcoglycans (x4) & dystroglycans (x2)
*Sarcoglycans - anchor to sarcolemma
*Dystroglycans - attach to laminin on outside of cell & to endomysium (surrounding muscle fibre)
–> so get intracellular contraction of sarcomere putting traction on overlying CT - this pulls on endomysium - which then pulls perimysium - which then passes to epimysium

27
Q

What is Hunter syndrome?

A

-AKA mucopolysaccharidosis II (MPS II)
= lysosomal storge disease

28
Q

Cause of Hunter syndrome?

A

-Deficient/absent iduronate-2-sulfatase (IDS) = lysosomal enzyme!!!
-Substrates to this enzyme accumulate - which includes: herpan sulfate & dermatan sulfate
-One of the lysosomal enzymes degrades GAGs
-Undegraded /partially undegraded GAGs = will accumulate in tissues & organs

29
Q

What are lysosomal storage disorders?

A

-Group of diseases - characterised by lysosomal dysfunction
-Most = autosomal recessive - inherited
-Rare
-Mostly present in infancy (can do in adults too)
-Often have a progressive neurodegenerative clinical course - i.e., will get worse

Deregulated lysosomal activity causes:
-Accumulation of undigested/partially digested macromolecules (e.g., GAGs) = storage part of lysosomal storage disorder comes from
or
-Impairs transport of molecules = cellular damage

30
Q

What do lysosomal associated genes encode?

A

-Lysosomal proteins
–> includes: lysosomal enzymes & lysosomal memb proteins

31
Q

Role of lysosomes?

A

-Macromolecule catabolism, recycling, signalling
–> this is why defects in these will impair these functions
-Leading to accumulation of undigested or partially digested macromolecules (such as GAGs) [where the storage part of lysosomal storage disorders comes from]
or
-Impaired transport of molecules [can cause cellular damage]

32
Q

How can lysosomal storage disorders be treated?

A

-Enzyme replacement therapy - administer recombinant human enzyme - replace mutated non-functional one
-Substrate reduction therapy - administer small molecule - inhibits enzymes involved in synthesising the substrate that accumulates (causing the problems)
-Gene therapy - infect with virus expressing functional enzyme/co-factor
-Chaperone therapy - chaperones assist in protein folding (as often mutation prevents correct folding) = can gain some function - of enzyme?
-Allogenic bone marrow transplant/hematopoietic SC transplantation /mesenchymal SC transplantation –> transplanted SCs produce required protein