L39 Pharmacogenomics Flashcards

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1
Q

What is deorphanisation?

A

Receptors have ligands, and if the ligand for a receptor is unknown that receptor is labelled as an ‘orphan’.

Deorphanisation is discovering ligands to match specific receptors.

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2
Q

Why is precision medicine important?

A

Each individual responds differently to drugs. The right dose for one person can be too strong or too weak for another.

Need to maximise efficacy while minimising adverse reactions.

The cost of adverse drug reactions to the NHS is an estimated £500million per year, and they result in over 100,000 deaths each year in the USA.

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3
Q

What term is being described:

‘Combination of SNPs present at different genetic locations that are transmitted together on the same chromatid (=replicating chromosome)’

A

Haplotype

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4
Q

What term is being described:

‘DNA sequence variation when a single base differs at the same genetic location between different chromosomes
(either within an individual or between individuals of the same species).

Represents the most common type of genetic variation’

A

SNP

Single nucleotide polymorphism

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5
Q

What term is being described:

‘Combination of alleles for a given gene within an individual.

An individual’s __?__ is defined by the 2 alleles present [chromosomes are paired]’

A

Genotype

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6
Q

What term is being described:

‘Mutation that ultimately results in a change in protein sequence’

A

Nonsynonymous mutation

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7
Q

True or false: The human genome is ~99.9% identical in all people

A

True.

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8
Q

True or false: If a mutation in the genome has no effect, it is termed ‘silent variation’.

A

True.

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9
Q

Is haemophilia an example of a simple genetic disease or complex genetic disease?

A

Simple

Variation in one gene (Factor VIII) causes disease

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10
Q

Is diabetes an example of a simple or complex genetic disease?

A

Complex

Symptoms only seen after many variations have occurred in different genes.

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11
Q

What are latent variations?

A

Variations which are harmless on their own, but in combination with other factors (usually environmental) they can be harmful.

Accounts for why some people have worse reactions to smoking, alcohol, and various drugs.

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12
Q

The ApoE gene is associated with late onset Alzheimer’s Disease.

Inheriting the E4 allele has what effect on the risk of developing Alzheimer’s?

A

Increases the risk

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13
Q

The ApoE gene is associated with late onset Alzheimer’s Disease.

Inheriting the E2 allele has what effect on the risk of developing Alzheimer’s?

A

Decreases the risk

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14
Q

Where are plasma proteins made?

A

Liver

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15
Q

What is the role of thrombin in coagulation?

A

Converts fibrinogen into fibrin to give strength to the clot.

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16
Q

SNPs in which genes affect dosing range of warfarin?

A

CYP2C9 and VKORC1

17
Q

What technologies available today makes precision medicine a possibility?

A

Sequencing techniques

Big Data analysis softwares and databases

Biomedical technology